History taking and Examination in Orthodontics

Presenting complain

• Aesthetic problem
• Spaces
• Irregularities / teeth are not in order
• Teeth are coming forward
• Absence of tooth/teeth
• Delayed eruption

Past Medical history

• Allergies – Drugs                               
•                       Material - Acrylic,
•                       Drugs  
• Bleeding disorders,
• Cardiac problems - Heart problems
• Diabetics
• Epilepsy  - Fits
• Hepatitis
• Previous hospitalization

Past dental history

• Extraction
• Restoration
• Scaling
• Root canal treatment
• Trauma to front teeth

Past Orthodontic History

• When?
• Type of the appliances ( fixed / removable)
• Reasons for seeking orthodontic treatment again!

Examination

Extra-oral

A.      Facial profile

               Concave / convex / straight

   

Skeletal pattern

1.       Anterior /posterior

                 skeletal class   I , II & III

                             Class I                   ClassII                       ClassIII

    

2. Vertical (facial height / FMPA)

             

    3. Lateral (facial asymmetry)

Soft tissues

 LIPS

 1.  Lip competent –Competent / incompetent

 2.  Lip line - Normal lip line-Upper incisal 1/ 3 is covered by lower lip

 3.   Lip contour

FRENUM

TONGUE

Sized- Normal / Large

Activity - tongue thrust   -present / absent

                                          Adaptive / Endogenous

TEETH

Alignment and occlusion

Labial segments

Well aligned / crowded / spaced/ 

Crowding   mild /moderate /severe /

Inclination –Proclined /Retroclined

Incisor fanning –Present / absent

Relationships

Incisor occlusion

                                 Over jet ……mm ( positive / Negative)

                                 Over bite  ..Deed / complete

                                 Open bite

                                 Average

                     Classification

Molar classification

                 class1/ class11 full unit/class11 half unit/class111

Canine angulations- vertical /distally/mesially