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How is an orthodontist consulted?

At the first consultation, the orthodontist examines the posture (position of the body in space), the face, mouth, breathing, swallowing, chewing, tongue, determines if there is a problem that requires immediate orthodontic intervention or is not needed. There is a general acquaintance with the orthodontic problem and ways to solve it. Assign additional diagnostic methods needed for a deeper analysis of the situation.

At this stage, the doctor's job is to hear what exactly led you to seek orthodontic care, what bothers you, what you don't like, what you want to change and get as a result. This is a very important part, because it is your wishes that will serve as a beacon for further planning and the course of future treatment. It is important that the outcome of treatment is good not only from a medical point of view, but also that it satisfies and brings joy to you.

What should you know if this is your first visit with an orthodontist?
In the presence of x-rays taken earlier, the maxillofacial area should be taken with you for consultation.
It is important to know that in order to establish a correct diagnosis and plan a treatment plan, the orthodontist must have full information about the problem
volume. Qualitative treatment is impossible without analysis, and analysis without the necessary diagnostic data.
What other diagnostic information is required and included in the orthodontist's work protocol?

1.
Orthopantomogram

The panoramic picture gives a lot of information to the doctor about the condition of the roots of the teeth, the presence of wisdom teeth, retinal teeth (which are in the bone), the absence of teeth, the presence of supercomplete teeth, the state of bone tissue. With the help of orthopantomogram you can evaluate the condition of all the teeth on both jaws simultaneously.

2.
Teleradiogram in lateral view

No qualified doctor will afford to take this picture. Unless for the treatment of a young child. Why is it needed? For a number of calculations that determine the plan for further treatment - measured distances, angles, calculated parameters such as the type of skeletal growth, the spatial position of the jaws in the skull, their location relative to each other, the period and growth potential, the respiratory tract. Not every pathology of the bite can cure the orthodontist. There are patients who need orthognathic surgery. What does it mean? This means that the orthodontist has a limit of possibilities. And in some cases it is necessary to adjust the position of the jaws at the skeletal level, which means that without surgery, good treatment can not be achieved. The doctor should warn the patient before the start of treatment. And TRG gives the orthodontist the answer to the question of where the pathology is - within its range of possibilities or beyond.


Calculation of the TRG image is nothing but the mathematical basis of the diagnosis, its geometric justification. This is one of the most important documentary evidence of the correctness of the diagnosis and intended treatment.

3.
Teeth prints for jaw models

To plan orthodontic treatment, it is necessary to remove the prints from the dental rows for special calculations and analysis of tooth models.

4.
Photo protocol (images of dentition and face)

The bite may depend on the shape of the lips, the profile, the severity of nasolabial folds and even the presence of a second chin. Analyzing portrait photos, the doctor can predict changes in the aesthetics of the face after treatment. The dynamics of treatment can be observed in the photo and the outcome can be clearly evaluated after its completion.

5.
Functional tests

Carrying out functional tests allows to determine the functional state of the dento-mandibular system, to identify bad habits, disorders of some reflexes, to check the tone of the facial and chewing muscles.

Depending on the specific case, additional studies may be needed, such as computed tomography (CT), direct-view telegenography, video recording for functional malocclusion, and other specialist advice. If one of the doctors does not do this, he / she deprives himself / herself of important information necessary for analysis and correct diagnosis, which can further aggravate the problem and affect the result of treatment. Changes in plan may occur during treatment, because medicine has never been measured in absolute terms, but the general line must always be.

Why re-consult?

Having all the necessary data collected and analyzing it, at the second consultation, the orthodontist informs you of the results of the analysis of the studies, tells you about the possible solutions in your case and proposes a treatment plan that must be agreed with you. An orthodontic diagnosis and treatment plan on the day of treatment are Moveton. Your doctor should thoroughly study your problem before addressing it. Estimate OPTG, carry out TGT calculations and photo analysis at a minimum. Only by compiling the findings of these studies can a treatment plan be ensured that will guarantee the outcome.

Author Kyrilenko Maria