ᕡ Diagnosis and treatment objectives ᕢ Treatment plan and limiting factors ᕣ Periodontal and oral hygiene considerations ᕤ Temporomandibular joint considerations – if indi-cated ᕥ Dentofacial form and harmony considerations ᕦ Integration with other dental and medical services, including, but not restricted to, the need for routine dental prophylaxis and restorative care. ᕧ Surgical consideration including prospective orthognathic procedures. ᕨ Post treatment dental restorative considerations, if indicated ᕩ Estimated treatment time µ Retention considerations ¸ Financial responsibility A written “informed consent” document is encour-aged. This will provide the patient, parent or guardian with information of possible risks of treatment so they may be compared with the anticipated benefits. include the evaluation of selected new records and may result in modification of the original diagnosis, treat-ment objectives and/or treatment plan. F. Retention A program of retention should be provided after review of the treatment. A realistic appraisal of poten-tial post treatment change should be made on the basis of the diagnostic and limiting factors present at the time of retention and those expected with further maturation. Retention varies with the problem corrected and should be individualized for each patient. Some patients may not require retention at all, while some others should continue for their lifetime. After an appropriate period of retention observation, monitor-ing of post treatment stability may be relinquished and the patient should continue on with preventive dental care. Future orthodontic therapy may be required as a concomitant of aging and other factors. G. Post Treatment Records Post treatment records include: ᕡ Dental Casts/Study Models ᕢ Full face and profile photographs ᕣ Intraoral photographs ᕤ Cephalometric Close space radiographs ᕥ Complete intraoral to panoramic radiographic coverage ᕦ Special radiographs of value *Other pertinent diagnostic material/data may be appropriate (ex. TMJ). E. Execution of Treatment During the period that treatment is provided, docu-mentation of procedures employed should be made. Written, dictated, computer annotated recordings or comparable documentation of the treatment should be maintained on a concurrent basis. Copies of all corre-spondence should be maintained. Clinical procedures should be consistent with the treatment plan unless modified by periodic review. Periodic review may H. Evaluation of Treatment Orthodontic treatment should be evaluated with 26 Spring 2017 JAOS
Journal of the American Orthodontic Society Spring 2017: Page 26
