Wednesday, April 3, 2013

What are Orthodontic Records and Why do I Need Them?

At your first visit to our office, we will compile your initial orthodontic records. This includes intraoral and extraoral photos as well as a panoramic xray (unless a current one is available from your family dentist).  These records will be available immediately for the orthodontist to view with you at your initial consultation and allow us to accurately address any concerns and give a detailed explanation of your treatment options.

Intraoral and Extraoral Photos - Intraoral (inside the mouth) and extraoral (outside the mouth) photos are taken of the patients teeth and face. These photos are used to determine the current classification of the patient's bite and profile, as well as a permanent record kept on file as a part of the patient's dental records.

Panoramic Radiograph - Also known as a panorex or pan, this x-ray is a two-dimensional and displays both the upper and lower jaws and teeth, in the same film. A panoramic x-ray is useful with mixed dentition because it allows the orthodontist to see the developing teeth, and predict when and where they will erupt in the mouth. It also allows the orthodontist to plan treatment if there are any missing or impacted teeth.
Adult patients that are considering orthodontic treatment will also have this x-ray taken so the orthodontist can assess the current health and position of the roots as well as the teeth.

If treatment is indicated, further orthodontic records will be required in order to provide you with the best orthodontic treatment plan possible for your situation. Prior to starting treatment, a patient will require another orthodontic records appointment that will last approximately 45 minutes and the following records will be compiled.

Study Models and Bite Registration 
Dental impressions are used to obtain study models, an accurate replica of a patient's mouth. An accurate registration of each patient’s bite is a critical piece of information that ensures an accurate diagnosis and treatment plan.
Our office uses 3-D digital models so they can be transferred efficiently to your general dentist or other dental specialist. These study models are used by the orthodontist to accurately plan treatment and place brackets or other appliances with digital precision. They are also used to study the current position of the patient's teeth, and predict the future relationship between the upper and lower teeth.

Cephalometric Radiograph - The cephalometric x-ray, or ceph, is an x-ray that captures the side profile of the patient, from the top of their head to just below the tip of the chin. A cephalometric x-ray is taken to view the position of the upper and lower jaws and teeth in profile. Cephalometric radiographs are also used to monitor growth and development, to determine when growth is complete, and to evaluate the specific effects of orthodontic treatment.

Cephalometric Tracings - A tracing of an individual’s cephalometric radiograph outlines the facial bones and teeth. By identifying specific skeletal and dental landmarks, the orthodontist is able to make linear and angular measurements of the teeth and jaws. This information is critical for developing an accurate diagnosis and treatment plan.

When the orthodontist has obtained the completed records, the final treatment plan is recorded in the patient's file and orthodontic treatment can begin. Orthodontic records may be taken at different intervals during treatment to monitor the patients progress, and when treatment has been completed, to keep as part of the patient's permanent dental records.

Our radiographs are taken using our state-of-the-art digital x-ray equipment, which produces the highest quality of diagnostic images while exposing our patients to the least amount of radiation possible.  If at any time you have questions or concerns about x-rays or orthodontic records, please don't hesitate to ask. We are always happy to answer your questions!


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