ORTHODONTIC DIAGNOSIS AND TREATMENT FROM THE OUTSIDE IN

摘要

Orthodontists now visualize cases in a vastly different way than they did two decades ago. Treatment plans are not determined by model relationships or cepha-lometric measurements, but are based on the soft-to-hard tissue interrelationships defined and quantified in the clinical examination. Rather than starting our evaluation with the determination of the Angle classification, contemporary assessment begins with the macro-esthetic (facial) evaluation. The quantification of attributes and the occlusal and esthetic goals follow, focused on all three esthetic components: macro-esthetics, mini-esthetics and micro-esthetics. This chapter proposes a simple alteration of the traditional "problem-oriented" treatment planning flow chart with a fundamental shift to the focus on "goal-centered" treatment. It covers the progression of thinking in orthodontic treatment planning over the past two decades and illustrates the step-by-step decision-making process involved in macro-, mini- and micro-esthetics treatment planning.