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Orthodontic Diagnosis Record

Comprehensive evaluation form for the practitioner.

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General Information

Dental Chart

17
16
15
14
13
12
11
21
22
23
24
25
26
27
55
54
53
52
51
61
62
63
64
65
85
84
83
82
81
71
72
73
74
75
47
46
45
44
43
42
41
31
32
33
34
35
36
37

Click on a tooth to change its mobility status:

Severe mobility
Slight mobility

Right-click for gingival recession .
For frenum attachments near the cervical margins , use **Ctrl + Right-click**.

Specific Criteria

Functional Information

Breathing

Swallowing

Bruxism

Functional Options

Treatment Request and Comments

SKELETAL DIAGNOSIS

TRANSVERSE ANOMALIES

Maxillary transverse deficiency
Mandibular asymmetries

SAGITTAL ANOMALIES

Skeletal Class

VERTICAL ANOMALIES

Facial divergence
Occlusal plane orientation
Growth direction

MIDLINE ASYMMETRY

Upper dental midline / Midsagittal plane
Lower dental midline / Midsagittal plane

DENTOALVEOLAR DIAGNOSIS

TRANSVERSE ANOMALIES

Dental crowding
Spacing / Diastemas
Posterior crossbite

SAGITTAL ANOMALIES

Molar Class
Canine Class
Overjet
Anterior crossbite
Proclination/Retroclination of maxillary incisors
Proclination/Retroclination of mandibular incisors

VERTICAL ANOMALIES

Deep bite
Infraocclusion
Anterior open bite
Posterior open bite

COMPLEMENTARY DENTAL DIAGNOSIS

Dental rotations
Ectopic eruptions
Other

Summary Report

This summary is generated in English for copying. Note: The PDF export will be automatically generated in French based on the form fields.