DENTAL ASSISTING SPECIALTIES II DENT 172 FOGLIA LECTURE NOTES WEEK 4 ORTHODONTICS Chapter lectureModern Dental Assisting, 10th

Edition, 2012, chapter 60, pages 1026-1054 At the end of this lecture, the successful student will be able to: 1. List the steps involved in a case presentation in an orthodontic office 2. List the diagnostic records used in an orthodontic office 3. Understand the steps involved for an orthodontic quality impression 4. Understand the steps involved for orthodontic photographs I. Case Presentation A. Approximately one hour appointment B. Gather information 1. Why the patient came to see you 2. Clinical exam (see handout) 3. Insurance information 4. How the patient came to be here 5. What are his/her concerns C. Evaluate the information D. Develop a treatment plan E. Establish a case fee F. Establish the approximate length of treatment G. Give the patient a clear statement of his/her responsibilities H. Patient under 18 years of age, guardian must be present/sign all forms I. Once treatment is accepted 1. Signed consent-to-treat form (Adult/Guardian) 2. Signed financial contract a. Dental coverage b. Divided payments c. Payment in full d. Credit card e. Private financing 4. Beginning of treatment records II. Initial Records (BOT/IREC) A. Radiographs 1. Panoramic 2. Cephalometric

Diagnostic Models (Impressions) 1. Trays a. Full b. Perforated c. Assorted sizes 1.) Adult 2.) Children d. Wax extension if needed 2. Alginate a. Centered b. Good peripheral roll c. Not over seated d. Free from tears e. Free from voids f. Sharp detail of all teeth and soft tissues g. Mandibular: retromolar area, lingual frenum, tongue space and mylohyoid ridge h. Maxillary: hard palate and tuberosities C. Models 1. Diagnostic *Used for case presentation or permanent records. Must have a professional-quality appearance a. Poured in stone b. A base is added (Rubber mold) c. Fill any voids (slurry) d. Trimmed (using geometric standard/articulated using wax bite) e. Polished/soaped D. Photographs 1. Facial *Careful not to have shadow on the wall a. profile, somber (no smile) b. Frontal, somber (no smile) c. Frontal , smile 2. Intraoral a. Maxillary occlusial b. Mandibular occlusial c. Right buccal d. Front in occlusion e. Left buccal
B.