reference to the pretreatment diagnostic records and treatment objectives and any limiting factors noted in the treatment record. In the absence of compromising limiting factors, a reasonable attachment of the treat-ment objectives should be expected. I. Limiting Factors Orthodontic treatment may be affected by extenuat-ing circumstances. Limiting factors may curtail the attainment of treatment goals and should be noted in the treatment record. Some of the limiting factors are: ᕡ Pretreatment agreement of patient and practi-tioner to pursue limited objective care. ᕢ Abnormal skeletal morphology ᕣ Abnormal shape, size and/or number of teeth ᕤ Aberrant tooth eruption patterns ᕥ Inability to initiate treatment at the most opportune time ᕦ Compromised periodontal tissues ᕧ Persistence of deleterious habits and abnormali-ties of muscle function ᕨ Inability or unwillingness of the parent to cooper-ate with wear and care of appliance, oral hygiene measures, diet and appointments. ᕩ Failure to complete all recommended periods of treatment µ Poor integration of other required dental services ¸ Medical complications, pre-existent or coincident with orthodontic treatment. ¹ Complications resulting from the transfer of the orthodontic patient during treatment. It is the desire of the AOS Board of Diplomates that the presented guidelines will be helpful to its member-ship in the pursuit of AOS Diplomate Status. www.orthodontics.com Spring 2017 27
Journal of the American Orthodontic Society Spring 2017: Page 27
