Part 3 | Systematic Approach to Diagnosis & Treatment of Interceptive Orthodontics: Identification and Treatment of Key Issues

In the first installment of this article we discussed the rationale for doing Phase I (Ph I) orthodontic treatment (tx). In the second installment we discussed defining successful Ph I treatment and growth management. This is the third installment of the four-part article. Here is a basic list of the things that I look for when evaluating a child for Ph I tx:

  1. Crossbite
    • Anterior crossbite
    • Posterior crossbite
    • Functional shift
  2. Habits/myofunctional problems
    • open bite
    • deep bite
    • functional shift
  3. A-P problems
    • Cl II
    • Cl III
    • Correction of functional shifts of the mandible
    • Reduce facial protrusion
    • Establish symmetry
  4. Vertical problems
    • Gingival display
    • Open bite
    • Deep bite
  5. Resolution of severe crowding
  6. Space maintenance
  7. Congenitally missing teeth
  8. Trauma

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