Data Gathering and Diagnosis
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Tasks:
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- Perform a screening examination using established guidelines to determine if and when treatment is indicated.
- Gather pertinent records using established guidelines to diagnose the nature of orthodontic and dentofacial problems and determine their etiologies.
- Develop a comprehensive diagnosis based on the patient’s chief concerns, medical and dental history, dentofacial condition, growth and neuromuscular status, and psychosocial concerns to serve as the basis for treatment planning.
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Skills:
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- Interviewing patients and guardians
- Interpreting medical and dental histories
- Determining the need for radiographs
- Taking essential radiographs
- Interpreting radiographs
- Identifying pathology and deviations from normal
- Determining if and when treatment is indicated
- Performing intra- and extra-oral examinations
- Taking intra- and extra-oral photographs
- Deciding which data are needed for a thorough diagnosis
- Evaluating data gathered from the intra- and extra-oral examinations and all other records to differentiate normal occlusion from malocclusion
- Obtaining and analyzing serial records
- Selecting and using indicated diagnostic technology
- Extracting 2-D images from cone-beam computerized tomography
- Tracing radiographs for cephalometric analysis
- Taking impressions for study casts
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Treatment Objectives and Planning
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Tasks:
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- Develop evidence-based facial, skeletal, and dental treatment objectives based on the patient and guardian’s chief concerns and diagnosis to optimize dentofacial health, neuromuscular function, esthetics, and post-treatment stability.
- Develop evidence-based treatment plan(s) by selecting the most appropriate options in consultation with and in the best interests of the patient to address the identified concerns and achieve specific objectives.
- Obtain informed consent in accordance with established documentation procedures in order to enhance the patient and guardian’s understanding of treatment options, recommendations, benefits, limitations, and risks.
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Skills:
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- Determining deviation from normal and its extent
- Establishing treatment objectives based on knowledge of dentofacial growth and development
- Determining achievable outcomes based on the most relevant evidence
- Evaluating research literature and other information critically
- Developing and documenting treatment plans based on sound principles of appliance design and biomechanics and on patient concerns
- Creating a visualized treatment objective, dental diagnostic setup, and surgical treatment objectives when applicable
- Assessing the necessity and efficacy of dentofacial orthopedics and orthognathic surgery
- Identifying treatment options
- Differentiating the efficacy and efficiency of appliance options
- Selecting the most appropriate treatment plan
- Planning all phases of orthodontic treatment, including initiation, completion and retention
- Planning appropriate biomechanical techniques
- Working effectively in an interdisciplinary treatment environment
- Educating patients and guardians effectively on treatment options and recommendations
- Documenting treatment plans
- Communicating with and educating patients and guardians
- Treatment Implementation and Management
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Treatment Implementation and Management
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Tasks:
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- Manage dentofacial problems in accordance with the treatment plan using orthodontic appliances and technology to achieve treatment objectives efficiently.
- Evaluate the progress of treatment and its relationship to the objectives and timeline based on appropriate records to maximize treatment efficiency and outcomes.
- Collaborate in providing interdisciplinary treatment using effective communication and documentation procedures to enhance treatment outcomes.
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Skills:
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- Using appliances effectively and efficiently in the treatment of all types of malocclusions
- Identifying and interpreting the cause of problems
- Taking impressions and scans for appliances
- Fabricating appliances
- Placing fixed and/or removable appliances
- Activating fixed and/or removable appliances
- Maintaining fixed and/or removable appliances
- Removing fixed appliances
- Performing enameloplasty
- Comparing pre-treatment and progress conditions
- Analyzing treatment progress with appropriate imaging, accepted periodontal diagnostic protocols, and neuromuscular examination
- Assessing treatment progress with dental casts, imaging, and cephalometric analysis
- Interpreting treatment progress occlusion and treatment efficacy
- Comparing patient progress with treatment objectives
- Tracing and superimposing calibrated radiographs for cephalometric analysis
- Taking intra- and extra-oral photographs
- Taking essential radiographs
- Documenting neuromuscular function
- Extracting 2-D images from cone-beam computerized tomography
- Taking impressions for study casts
- Intra-oral scanning
- Recording inter-occlusal registration
- Documenting dental, periodontal, skeletal, and facial status
- Recording and resolving deviations from expected treatment
- Communicating with and educating patients and guardians
- Communicating, consulting and coordinating treatment with professional colleagues
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Critical Analysis and Outcomes Assessment
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Tasks:
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- Assess post-treatment facial esthetics using appropriate guidelines to evaluate form, symmetry, and soft tissue harmony.
- Assess dental, periodontal, and neuromuscular health using appropriate guidelines to identify post-treatment complications.
- Evaluate post-treatment occlusion using accepted standards to enhance stability and dental health and assess the overall efficacy of treatment.
- Evaluate treatment outcomes comparing pre-treatment and post-treatment records to assess dental and skeletal changes.
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Skills:
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- Analyzing and interpreting post-treatment dental, periodontal, and neuromuscular outcomes with dental casts, appropriate imaging, accepted normal values, periodontal diagnostic protocols, and neuromuscular examination.
- Comparing pre- and post-treatment conditions
- Tracing and superimposing calibrated radiographs for cephalometric analysis
- Taking intra- and extra-oral photographs
- Taking essential radiographs
- Documenting dental, periodontal, and neuromuscular status
- Interpreting post-treatment occlusion and treatment efficacy
- Extracting 2-D images from cone-beam computerized tomography
- Taking impressions for study casts
- Intra-oral scanning
- Recording inter-occlusal registration
- Performing post-treatment cast and radiograph evaluations
- Comparing the treatment outcomes to the treatment objectives
- Analyzing serial treatment records for understanding and planning treatment and retention procedures
- Communicating outcomes with patients and guardians
- Documenting dental, periodontal, and skeletal status
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