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The final treatment plan is done according to primary criteria, photos, graphs and clinical patient evaluation.
Two distinct radiographies are made for ideal treatment plan:
OPG or panorama to evaluate the teeth, their roots and develoments.
Lateral cephalometery to evaluate the facial bones and their relation together and to the teeth.
Patient chief complain is evaluated and the treatment plan is done according to the patients desire.
The final end of orthodontic treatment plan is positioning the teeth in normal relation to the bones and together.
Preventive orthodontics is the most important treatments in growing patients in Dr.
Davami private clinic. If there is no genetically problem in the patients and just the environmental factor is disturbing the growth; several simple or complicated plates can help the patients to gey the potential growth ability.
In such cases the most important part is patient compliance that can affect the results.
But if the patient is none growing and all growth sutures are fused the only way for the best result is fixed orthodontics by changing the teeth position within the facial bones and ignoring the bones situation. New techniques including the small screws , miniscrew will help the orthodontist to get some space for the crowded teeth.
If the bones growth is not satisfactory, the orthodontist may start thinking about orthognatic surgery. It shows the importance of patient evaluation in mixed dentition before the age of 12.
Finally the best treatment plan is accepted and treatment progress would start. After getting the best results to stop the possibility of relapse in the treatment ends retention is necessary.
Upper removable plate used night time and fixed retainer in the lower arch are used for the patient for at least two years.
