Innovative Appliances: Arch Development with TransForce Transverse

Orthodontic diagnosis is a complex process in which many factors must be analyzed and interpreted for the development of a correct treatment plan. Skeletal analysis must be made in the sagittal, transverse and vertical dimensions with an understanding of the growth direction of the growing patient. Dental occlusion is then classified with overjet and overbite, while canine and molar classifications are noted in addition to the amount of dental crowding in the upper and lower arches.

Other dental factors such as attrition, caries risk, impactions and direction of eruption of unerupted permanent teeth are taken into account. Periodontal health and biotype are noted. Dysfunctional habits such as lip sucking, tongue thrusting and finger sucking, etc. are taken into consideration. A thorough TMD examination should also be made that includes evaluation of the TMJs, muscles of mastication, cervical structures and any associated headaches, pain or dysfunction and range of motion of the mandible are noted. The upper airway structures should be evaluated as well for signs of upper airway obstruction (UAO) as this has an effect on facial growth and development as well as sleep and general health. A sleep history of the patient is important as many patients are at high risk for obstructive sleep apnea and orthodontic treatment options can be chosen that will be a benefit rather than increase the risk for OSA. Finally, the age of the patient and stage of growth and development is important to assess.