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Orthodontic Disorders and Diagnosis

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Dentofacial Anomalies
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Abstract

Orthodontic diagnosis is based on thorough evaluation of the patient’s chief complaint, dental history, physical growth evaluation, clinical examination, and a detailed review of the patient’s orthodontic records. This includes cephalometric radiographs, dental casts or dental scanning, and a series of intra-oral and extra-oral photographs. The orthodontic diagnosis relies heavily on the Edward Angle classification in which Class I indicates normal occlusion, Class II division 1 malocclusion in which the mandibular teeth are posterior to the maxillary teeth, and there is an overjet between the anterior teeth, Class II division 2 malocclusion in which the mandibular teeth are distal to the maxillary teeth, but the maxillary central incisors are tipped backward with no increase in overjet, and Class III malocclusion when the mandibular teeth are in a mesial occlusion or more anterior relative to the maxillary dentition. Once the diagnosis is made and the problem list is completed, the management strategy is established by both the physician and the patient. This chapter reviews the different types of malocclusions and their potential association with voice production, speech, and wind instrument performance.

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References

  1. Angle EH. Treatment of malocclusion of the teeth. 7th ed. Philadelphia: SS White; 1907. p. 46–57.

    Google Scholar 

  2. Shaw WC. The influence of children’s dentofacial appearance on their social attractiveness as judged by peers and lay adults. Am J Orthod. 1981;79(4):399–415.

    Article  CAS  Google Scholar 

  3. Sarver D, Proffit W, Ackerman J. Diagnosis and treatment planning in orthodontics. In: Graber LW, Vanarsdall RL, Vig KWL, Huang GJ, editors. Orthodontics: current principles and techniques. 6th ed. Elsevier: St. Louis Missouri; 2017. p. 208–366.

    Google Scholar 

  4. Proffit W, Ackerman J. Diagnosis and treatment planning. In: Proffit W, Fields H, Larson B, Sarver D, editors. Contemporary Orthodontics. St. Louis, MO: Elsevier/Mosby; 2018.

    Google Scholar 

  5. Nishimura RA, Otto CM, Bonow RO, et al. 2017 AHA/ACC focused update of the 2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2017;135:e1159–95.

    Article  Google Scholar 

  6. Wilson W, Taubert KA, Gewitz M, et al. Prevention of infective endocarditis: guidelines from the American Heart Association: a guideline from the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group. Circulation. 2007;116(15):1736–54.

    Article  Google Scholar 

  7. Antibiotic Prophylaxis 2017 Update. AAE Quick Reference Guide Endocarditis Prophylaxis Recommendations.

    Google Scholar 

  8. ADA Council on Scientific Affairs Prepared by: Department of Scientific Information, ADA Science Institute Last Updated: August 5, 2019.

    Google Scholar 

  9. Perinetti G, Westphalen GH, Biasotto M, Salgarello S, Contardo L. The diagnostic performance of dental maturity for identification of the circumpubertal growth phases: a meta-analysis. Prog Orthod. 2013;14:8.

    Article  Google Scholar 

  10. Hamdan AL, Khandakji M, Macari AT. Maxillary arch dimensions associated with acoustic parameters in prepubertal children. Angle Orthod. 2018;88(4):410–5.

    Article  Google Scholar 

  11. Subtelny JD, Mestre JC, Subtelny JD. Comparative study of normal and defective articulation of /s/ as related to malocclusion and deglutition. J Speech Hearing Dis. 1964;29:269–85.

    Article  CAS  Google Scholar 

  12. Bloomer HH. Speech defects associated with dental malocclusions and related anomalies. In: Travis LE, editor. Handbook of speech pathology and audiology. New York: Appleton-Century-Crofts; 1971. p. 715–65.

    Google Scholar 

  13. Jensen R. Anterior teeth relationship and speech. Acta Radiol. 1968;276(Suppl):1–69.

    Google Scholar 

  14. Leavy KM, Cisneros G, LeBlanc E. Malocclusion and its relationship to speech sound production: redefining the effect of malocclusal traits on sound production. Am J Orthod Dentofac Orthop. 2016;150:116–23.

    Article  Google Scholar 

  15. Laine T. Associations between articulatory disorders in speech an occlusal anomalies. Eur J Orthod. 1987;9:144–50.

    Article  CAS  Google Scholar 

  16. de Almeida Prado DG, Filho HN, Berretin-Felix G, Brasolotto AG. Speech articulatory characteristics of individuals with Dentofacial deformity. J Craniofac Surg. 2015;26(6):1835–9.

    Article  Google Scholar 

  17. Joshi N, Hamdan AM, Fakhouri WD. Skeletal malocclusion: a developmental disorder with a life-long morbidity. J Clin Med Res. 2014;6(6):399–408.

    PubMed  PubMed Central  Google Scholar 

  18. Masood Y, Masood M, Zainul NN, Araby NB, Hussain SF, Newton T. Impact of malocclusion on oral health related quality of life in young people. Health Qual Life Outcomes. 2013;11:25–30.

    Article  Google Scholar 

  19. Choi SH, Kim JS, Cha JY, Hwang CJ. Effect of malocclusion severity on oral health-related quality of life and food intake ability in a Korean population. Am J Orthod Dentofac Orthop. 2016;149(3):384–90.

    Article  Google Scholar 

  20. Koike S, Sujino T, Ohmori H, et al. Gastric emptying rate in subjects with malocclusion examined by [(13) C] breath test. J Oral Rehabil. 2013;40(8):574–81.

    Article  CAS  Google Scholar 

  21. Macari AT, Haddad RH. The case for environmental etiology of malocclusion in modern civilizations—airway morphology and facial growth. Semin Orthod. 2016;22(3):223–33.

    Article  Google Scholar 

  22. Greulich WW, Pyle SI. Radiographic atlas of skeletal development of the hand and wrist. Stanford, CA: Stanford University Press; 1959.

    Google Scholar 

  23. Jacobson A, Jacobson R. Radiographic cephalometry: from basics to 3D imaging. 2nd ed. New Malden, Surrey, UK: Quintessence Publishing Co. Limited; 2006.

    Google Scholar 

  24. Downs WB. Analysis of the demo-facial profile. Angle Orthod. 1956;26:191.

    Google Scholar 

  25. Downs WB. The role of cephalometrics in orthodontic case analysis and diagnosis. Am J Orthod. 1952;38:162–82.

    Article  Google Scholar 

  26. Steiner CC. Cephalometrics for you and me. Am J Orthod. 1953;39:729–55.

    Article  Google Scholar 

  27. Steiner CC. Cephalometrics in clinical practice. Angle Orthod. 1959;29:8–29.

    Google Scholar 

  28. Steiner CC. The use of cephalometrics as an aid to planning and assessing orthodontic treatment. Am J Orthod. 1960;46:721–35.

    Article  Google Scholar 

  29. Ricketts RM. The evolution of diagnosis to computerized cephalometrics. Am J Orthod. 1969;55(6):795–803.

    Article  CAS  Google Scholar 

  30. Ricketts RM. Perspectives in the clinical application of cephalometrics. The first fifty years. Angle Orthod. 1981;51(2):115–50.

    CAS  PubMed  Google Scholar 

  31. Reidel RA. The relation of maxillary structures to cranium in malocclusions and in normal occlusion. Angle Orthod. 1952;22:140–5.

    Google Scholar 

  32. Tweed CH. The Frankfort mandibular incisor. Angle (FMIA) in orthodontic diagnosis, treatment planning, and prognosis. Am J Orthod. 1954;24:121–69.

    Google Scholar 

  33. Ghafari JG. Posteroanterior cephalometry: craniofacial frontal analysis. In: Jacobson A, Jacobson R, editors. Radiographic Cephalometry: from basics to 3D imaging. 2nd ed. New Malden, Surrey, UK: Quintessence Publishing Co. Limited; 2006. p. 267–92.

    Google Scholar 

  34. Gottlieb EL, Nelson AH, Vogels DS 3rd. JCO study of orthodontic diagnosis and treatment procedures. 1. Results and trends. J Clin Orthod. 1991;25(3):145–56.

    CAS  PubMed  Google Scholar 

  35. Kusnoto B, Evans C. Reliability of a 3D surface laser scanner for orthodontic applications. Am J Orthod Dentofac Orthop. 2002;122:342–8.

    Article  Google Scholar 

  36. Burzynski JA, Firestone AR, Beck FM, Fields HW Jr, Deguchi T. Comparison of digital intraoral scanners and alginate impressions: time and patient satisfaction. Am J Orthod Dentofac Orthop. 2018;153(4):534–41.

    Article  Google Scholar 

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Macari, A.T. (2021). Orthodontic Disorders and Diagnosis. In: Dentofacial Anomalies. Springer, Cham. https://doi.org/10.1007/978-3-030-69109-7_5

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  • DOI: https://doi.org/10.1007/978-3-030-69109-7_5

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