![Page 1: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/1.jpg)
Outline Outline
••Orthodontic directionsOrthodontic directions
••Medical and dental Medical and dental
historyhistory••
Klinical examination Klinical examination ••
Model analysisModel analysis••
Angle diagnostic Angle diagnostic systemsystem
![Page 2: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/2.jpg)
![Page 3: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/3.jpg)
![Page 4: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/4.jpg)
![Page 5: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/5.jpg)
![Page 6: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/6.jpg)
![Page 7: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/7.jpg)
Extraoral examination
![Page 8: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/8.jpg)
![Page 9: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/9.jpg)
![Page 10: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/10.jpg)
![Page 11: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/11.jpg)
![Page 12: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/12.jpg)
![Page 13: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/13.jpg)
![Page 14: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/14.jpg)
Orthodontic directions Orthodontic directions
Orthodontic directionsOrthodontic directions
Sagittal (mesial-distal)Sagittal (mesial-distal)
Vertical (deep bite, open bite)Vertical (deep bite, open bite)
Transversal (narrow)Transversal (narrow)
![Page 15: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/15.jpg)
![Page 16: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/16.jpg)
Angle Class I.Angle Class I.
Class I. Cuspid
![Page 17: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/17.jpg)
![Page 18: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/18.jpg)
Angle II.Angle II.
![Page 19: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/19.jpg)
Angle II/1Angle II/1
Overjet
Distocclusion
Deep bite 70-80 %
Mouth breathing (often)
Incomplett lip closure
Acquired anomalies
![Page 20: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/20.jpg)
![Page 21: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/21.jpg)
DistoocclusionOverbite (always)Retrusion of upper incisors
![Page 22: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/22.jpg)
Angle II./2 rendellenességek Angle II./2 rendellenességek jellemzőijellemzői
Hereditary anomalyHereditary anomaly Excessive function of Excessive function of
the upper lipthe upper lip Pronounced sulcus Pronounced sulcus
mentolabialis (deep mentolabialis (deep bite)bite)
Nose breathingNose breathing „„Forced distooclusion”Forced distooclusion”
![Page 23: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/23.jpg)
Angle III – progenie - mesiocclusionAngle III – progenie - mesiocclusion
![Page 24: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/24.jpg)
CLASS III MALOCCLUSION
LATE MIXED DENTITIONCLASS III MALOCCLUSIONANTERIOR CROSSBITE
![Page 25: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/25.jpg)
CLASS III MALOCCLUSION
DEEP OVERBITEMAXIMUM INTERCUSPATION
![Page 26: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/26.jpg)
Sceletal or dentoalveolar anomalies –
Vertical anomalies
Deep bite Open bite
![Page 27: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/27.jpg)
Deep bite
![Page 28: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/28.jpg)
![Page 29: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/29.jpg)
The six keys of occlusion (by Andrews) are:
Molar inter-arch relationship Mesio-distal crown angulation Labio-lingual crown inclination Absence of rotation Tight contacts Curve of spee
![Page 30: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/30.jpg)
Asymetrical forms Asymetrical forms
By narrowing of the archesBy narrowing of the arches
the lateral cusps forces thethe lateral cusps forces the
mandible to lateral directionmandible to lateral direction
Sceletal assimetrySceletal assimetry
Angle Angle subdivion -subdivion - if the occlusion on the right side and if the occlusion on the right side and left side are differentleft side are different
![Page 31: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/31.jpg)
![Page 32: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/32.jpg)
![Page 33: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/33.jpg)
![Page 34: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/34.jpg)
III Class
![Page 35: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/35.jpg)
![Page 36: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/36.jpg)
![Page 37: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/37.jpg)
Tongue –thrust swallowingTongue –thrust swallowing
![Page 38: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/38.jpg)
Lip-pressure swallowing Lip-pressure swallowing
![Page 39: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/39.jpg)
Thumb suckingThumb sucking
![Page 40: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/40.jpg)
23.04.18.23.04.18. 4040
-Consequences of thumb sucking
-Open bite-Protrusion of upper incisors-Retrusion of lower incisors- Distalocclusion
![Page 41: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/41.jpg)
Mouth breathingMouth breathingthe nasal cavity is usually (nasal gland, polyp etc.)the nasal cavity is usually (nasal gland, polyp etc.)
Upper incisors are protrudedOpen biteInflammated marginal gingiva
![Page 42: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/42.jpg)
Mouth breathing Mouth breathing Oral breathing
![Page 43: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/43.jpg)
Deviation
Maximum mouth opening
![Page 44: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/44.jpg)
![Page 45: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/45.jpg)
![Page 46: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/46.jpg)
Place analysisPlace analysis
The lower jaw is more important, because The lower jaw is more important, because we are not able to increase the size of the we are not able to increase the size of the mandible !!!mandible !!!
![Page 47: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/47.jpg)
![Page 48: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/48.jpg)
![Page 49: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/49.jpg)
Leeway space
The primary molars are smaller than the premolars
![Page 50: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/50.jpg)
![Page 51: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/51.jpg)
Curve of spee.
![Page 52: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/52.jpg)
Measurements Measurements
Arch perimeter analysis (place analysis)Arch perimeter analysis (place analysis) Pont- indexPont- index Schmuth- indexSchmuth- index Moyers- indexMoyers- index Bolton analysis (77,2%)Bolton analysis (77,2%)
ISD 75.5%-78,9%ISD 75.5%-78,9%
![Page 53: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/53.jpg)
or extraction
![Page 54: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/54.jpg)
Steiner analysisSteiner analysisWidth of 3,4,5Width of 3,4,5 Width of 2,1,1,2
Measured valueMeasured value
Measured value
Calculated value =
Measured valueCalculated valueDifference
Sum of differences
![Page 55: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/55.jpg)
![Page 56: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/56.jpg)
![Page 57: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/57.jpg)
Pont- and Schmuth- index Pont- and Schmuth- index
![Page 58: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/58.jpg)
Pont-indexPont-index
![Page 59: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/59.jpg)
![Page 60: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/60.jpg)
Pont-Index
If the difference between the optimal premolar, molar distance and the measured premolar, molar distance is less then 5 mm EXPANSION
If the difference between the optimal premolar, molar distance and the measured premolar, molar distance is more then 8 mm EXTRACTION
Between 5-8 mm BORDERLINE CASE
![Page 61: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/61.jpg)
ModellanalysisSchmuth - indexSIpremol.: SI + 8 mmmol.: SI + 8 + 8 mmmag.: SI / 2
Anterior length of the dental arch
![Page 62: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/62.jpg)
Distance between the premolarsLength of the arch (12 teeth mesiodistal width)
![Page 63: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/63.jpg)
![Page 64: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/64.jpg)
![Page 65: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/65.jpg)
![Page 66: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/66.jpg)
![Page 67: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/67.jpg)
Moyers- index Moyers- index
![Page 68: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/68.jpg)
![Page 69: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/69.jpg)
![Page 70: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/70.jpg)
![Page 71: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/71.jpg)
![Page 72: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/72.jpg)
7272
Orthodontic treatment in primary dentition
1.Progenia appliance: chin cap 2.Bad habits: thumb sucking, appl.: oral screen 3.Cleft lip and cleft palate 4.Loss of primary teeth appl.: space maintenier 5.Crossbite appl.: inclined plane
![Page 73: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/73.jpg)
Orthodontic treatment in mixed dentition
1.Crossbite appl.: inclined plane 2.Early loss of primary teeth appl.: space maintener 3.Functional jaw orthopedic Sagittal anomalies: Angle II. – distalocclusion Angle III. – mesialocclusion Vertical anomalies: open bite deep bite appl.: bimaxillary functional appliances activator, bionator, Frankel-appl., Hansa-appl. etc. 4.Diasthema medianum appl.: removable appliance with springs brackets 5.Crowding with or without lateral crossbite appl.: expansion of the dental arch with activ removable plates or quad-helix 6. Timing of first molar’s extraction ( reason: gangrena, periostitis, periodontitis etc. ) 7.Hotz serial extractio
–primary canines–primary first molars–permanent first premolars
![Page 74: Outline Orthodontic directions Medical and dental history Klinical examination Model analysis Angle diagnostic system](https://reader030.vdocuments.site/reader030/viewer/2022032702/56649ce45503460f949b0bba/html5/thumbnails/74.jpg)
1. Treatment with fixed appliances - multiband, multibond - lingual and palatinal arches - Hyrax 2. Orthodontic treatment with extraction ( most
frequently: first premolars ) reason: crowding or overjet 3. Orthodontic treatment with surgical
intervention f.e.: impacted teeth 4. Treatment with missing teeth space closure or preprosthetic orthodontic
treatment -reason: aplasia, accidents, caries 5. Dysgnathia operations ( age: 18 ) progenia, prognathia, open bite 6. Orthodontic treatment in periodontal deseases 7. Problems with wisdom teeth