David Sarver questioned the difference of clinician observation Vs patient observation in assessment
Orthodontists can do 3 things to the face
- Make it better
- Keep it the same
- Make it worse
Extra oral assessment
- Orthodontic 3 standard views, frontal, profile and smiling
- Patient view: social view or ¾ view.
Case assessment
- Demonstrate changes using photographic editing software: show likely facial changes
Smile assessment
- Tooth dimensional change should be gradation, ie gradual change from front to back
- Typical lateral to canine region, can alter in treatment or after treatment
- Only observed via social view
Smile projection
- AP position of the jaw
- Maxillary incisor inclination
- Maxillary incisor display – gingivectomy / osteotomy
- Incisor proportion – can use crown formers to quickly increase height of incisors
- Gradation
