EVALUATION OF PATIENTS WITH DENTOFAICAL DEFORMITY
In the past. individual practitioners often treated patients with dentofacial deformities. Some patients have been treated with orthodontics alone. with a resultant acceptable occlusion but a compromise in facial esthetics. Other patients have had surgery without orthodontics in ‘In attempt to correct a skeletal deformity, which resulted In improved facial esthetics but a less-than-id.e.al occlusion.
Lateral cephalometric and panoramic radiographs (and posteroanterior facial ‘films and TM] films when indicated) are an important part of the initial assessment. The cephalometric radiograph can be evaluated by several techniques to aid in the determination of the nature of the skeletal abnormality (Fig. 25-4; Table 25-1).6,7 It is important to note,” however, that cephalometric radiographs are onlya part of the evaluation process. Cephaloinetric evaluation should be combined with clinical assessment of the patient’s facial structure and occlusion when the nature of the deformity is determined and possible treatment is planned. Computerized video and digital technology is currently avallab le that helps to lntegrate
the cephalometric data with digital images of the face to improve evaluation of the relationship of the
•careful clinical assessment and evaluation of the diagnostic records, a problem list and treatment plan should be developed. These combine opinions from all practitjoners participating in the patient’s care, including the orthodontist, oral and maxillofacial surgeon, periodontist, and