Records Needed for Orthodontic Diagnosis and Treatment Planning: A Systematic Review

Rischen, Robine J.; Breuning, K. Hero; Bronkhorst, Ewald M.; Kuijpers-Jagtman, Anne Marie

doi:10.1371/journal.pone.0074186

Cited by 67 publications

(50 citation statements)

References 21 publications

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“…In fact, three systematic reviews concur that two-dimensional (2D) and 3D radiographs are not routinely needed for diagnosis or treatment planning of orthodontic patients. [13][14][15] Based on the radiography guidelines in the USA and Europe, it is now universally advised that a thorough clinical examination and adherence to the "as low as reasonably achievable" radiography principle should guide clinicians in their justification for and choice of radiographs needed to optimize diagnosis, treatment planning and outcomes assessment for their patients. It is even more critical to adhere to this principle when radiographing children who comprise the majority of orthodontic patients owing to the attributable lifetime radiation risk.…”

Section: Radiology Guidelines In Orthodonticsmentioning

confidence: 99%

CBCT in orthodontics: assessment of treatment outcomes and indications for its use

Kapila

Nervina

2015

Dentomaxillofacial Radiology

324

222

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Since its introduction into dentistry in 1998, CBCT has become increasingly utilized for orthodontic diagnosis, treatment planning and research. The utilization of CBCT for these purposes has been facilitated by the relative advantages of three-dimensional (3D) over two-dimensional radiography. Despite many suggested indications of CBCT, scientific evidence that its utilization improves diagnosis and treatment plans or outcomes has only recently begun to emerge for some of these applications. This article provides a comprehensive and current review of key studies on the applications of CBCT in orthodontic therapy and for research to decipher treatment outcomes and 3D craniofacial anatomy. The current diagnostic and treatment planning indications for CBCT include impacted teeth, cleft lip and palate and skeletal discrepancies requiring surgical intervention. The use of CBCT in these and other situations such as root resorption, supernumerary teeth, temporomandibular joint (TMJ) pathology, asymmetries and alveolar boundary conditions should be justified on the basis of the merits relative to risks of imaging. CBCT has also been used to assess 3D craniofacial anatomy in health and disease and of treatment outcomes including that of root morphology and angulation; alveolar boundary conditions; maxillary transverse dimensions and maxillary expansion; airway morphology, vertical malocclusion and obstructive sleep apnoea; TMJ morphology and pathology contributing to malocclusion; and temporary anchorage devices. Finally, this article utilizes findings of these studies and current voids in knowledge to provide ideas for future research that could be beneficial for further optimizing the use of CBCT in research and the clinical practice of orthodontics.

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Section: Radiology Guidelines In Orthodonticsmentioning

confidence: 99%

CBCT in orthodontics: assessment of treatment outcomes and indications for its use

Kapila

Nervina

2015

Dentomaxillofacial Radiology

324

222

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“…Akhir akhir ini di Inggris pengajuan dakwaan lebih sering terjadi (Wander, 2014). Oleh karena itu, pencatatan yang baik diperlukan meskipun belum ada standardisasi pencatatan minimal apa saja yang diperlukan untuk perawatan ortodonti (Rischen et al, 2013).…”

Section: Foto Intra Oralunclassified

Intra And Extra-Oral Photograph For Orthodontic Records

Goenharto¹

2018

RLJ

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Orthodontic diagnosis and treatment plans are determined based of some analyzes that require data derived from direct examination, study models, x-rays and clinical photos. Currently the clinical photos both intra oral and extra oral are easily made. Unfortunately, not all clinicians are willing to make good documentation especially making photos, or making the inadequate ones. The purpose in this paper to reveal how to make good intra and extraoral photos for orthodontic records as communication features between clinician and patients. Proper documentation is needed especially on orthodontic treatment that requires a relatively long period. There are at least 5 intra-oral photos that should be made: frontal photo, right and left buccal, upper and lower occlusal photos. Extra-oral photos are relatively easier made than intra-oral photos. The important thing is position of the patient and the clinician. Four extra-oral photos are face-frontal with lips relaxed and smiling, profile and 45 o profile will provide the maximum information about the face, soft tissues, proportions and esthetic smile. All important details should be recorded. Photos before, during and after treatment can be compared to recognize the changes that have been achieved. Good orthodontic records includes intra and extra-oral photograph taking will minimize the misunderstandings between the dentist and the patients in orthodontic treatment.

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“…If orthodontic treatment is indicated, a majority of the orthodontist will use 2D intra and extra oral photographs, an OPT and a headplate for documentation and treatment planning (1). If fixed appliances will be the treatment of choice traditionally straight wire metal or ceramic brackets already available in the orthodontic office, are bonded onto the dentition and a standard set of pre-bend wires are used for initial correction of tooth position.…”

Section: Contextmentioning

confidence: 99%