Consultation / diagnostics

The focus of the first consultation is the clinical examination. In addition to the history (anamnesis), the following findings are collected:

Number of deciduous and permanent teeth, abnormalities in the change of teeth, tooth position, jaw position relation, tooth decay, lip profile, center of the face, dysfunctions and habits.

Even on the basis of these clinical findings, a therapeutic approach can be taken for simple anomalies. However, additional diagnostic documents must be prepared for detailed treatment planning:

Initial model with wax bite:

After the impression is taken, a plaster model is created, which is precisely measured in a model analysis. (jaw width, dental arch length, tooth width, etc.). This provides additional information for therapy planning.

90° rotated incisors
Photo of the patient (profile and enface):

The frontal photo is evaluated with regard to facial symmetry and the center of the chin of the lower jaw. In addition, by determining the height of the face, a deep bite can be distinguished from an open bite.

The side shot is used for profile analysis. You look at the lip profile, the nose and the chin.

 

All X-rays required for diagnostics (exception: individual tooth films at the dentist and DVT images) are taken in our practice. We have the latest generation of digital X-ray equipment.
 Orthopantomogram (OPT):

X-ray overview image: This image is required before each treatment and records the following findings:

Tooth decay, number of teeth, disturbances in the change of teeth, missing teeth, surplus teeth, tooth displacement, length and shape of the tooth roots, formation and position of the wisdom teeth, inflammation of the tooth root, bone structure, jaw joint, maxillary sinus, pathological processes such as cysts or odontomas) .

Orthopantomogram (OPT)
Ceph lateral view (FRS):

This x-ray profile picture belongs next to the

 

Clinical assessment, the model analysis and the OPT are among the most important most

Treatment documents. An evaluation and detailed measurement is carried out. The information content includes: Position of the anterior teeth, the amount of bone available in the anterior region, the position of the jaw (backward or forward), the growth pattern (skeletal open or deep bite), the shape of the lower jaw, soft tissue development, lip position and lip volume. Particularly in the case of very large anterior teeth, this image can be used to distinguish between dental findings (position of the anterior teeth) and skeletal findings (jaw position).

 

The documents mentioned above are required for almost every treatment. 

 

–In the case of complex findings, it may be necessary to expand the diagnostics:

– In the case of displaced or supernumerary teeth, individual X-ray images of the teeth are sometimes necessary.

– In the case of unstable bite positions, a forced bite guidance and for orthodontic jaw surgery treatment planning, a joint-related adjustment of the models and the assembly of the models in a special articulator is indicated.

Lateral cephalometric radiograph (FRS)