Orthotown August 2017 - 10

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Continued from p. 8
However, in the situations mentioned, no
position was recorded.
Seems to me that if we're undertaking complete
mouth rehabilitation (which we are doing), there
should be a record of where we started to help us
decide where we will end.
I was trained in the 1980s when Roth and
Rickets were at it, comparing and arguing in
favor of one method or another. I was part of a
practice mounting absolutely every patient on
semi-adjustable articulators and continued that
practice until recently.
I don't believe it is necessary to perform this

*
*

*

*

Take impressions of children with severe
cross bites, protrusions or transpositions.
Offer to have them return for discussion if
they have not committed to starting at the
evaluation appointment.
If they are headed for a second or third
opinion, this delay of the start gives you one
more shot at collecting thoughts and visual
aids if necessary.
At the band-and-bond appointment, we
share with the patient the results of the cast
evaluation. Often, a shift, slight or major
Class II tendency is discovered, which may

To prepare for aligning the teeth, there's nothing
better than taking the time to dust off the
articulator and face bow and see how the teeth
are meshing in a 3-D manner.
procedure on every patient. However, for a tremendous learning experience-and to visualize what's
going on with our mechanics-we must evaluate
what may have led to the current malocclusion.
To prepare for aligning the teeth, there is nothing
better than taking the time to dust off the articulator
and face bow and see how the teeth are meshing
in a 3-D manner.
So here are some thoughts for articulation
evaluation in the same day start world in which
we live and practice:
* After the initial evaluation and proposed
treatment plan, make a habit of gathering
casts for mounting and display on adults
with worn dentition, restorations, or other
evidence of shifting bites.

10

JULY/AUGUST 2017 // orthotown.com

on occasion necessitate a modification to the
treatment plan.
How do you store them, you ask? We photograph them and create an image template in our
management program. Often, I even send images
with aligner prescriptions for technicians to visualize
what is going on. Patients are given their casts after
we are finished.
With all the technological advancements in our
profession, I have yet to see anything that replaces
the articulator mounting of diagnostic casts. Much
like the manual paper and pencil checklists that I
was made fun of using a couple of years ago, the
ease of collection and the ability to delegate and
manipulate face bow-mounted casts are essential
tools in my practice tool box. ■


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Table of Contents for the Digital Edition of Orthotown August 2017

Orthotown.com Highlights
Embrace Progress: The Standard of Care (Records, Anyone?)
Industry News
New Products
Message Board: Girl with Systemic Lupus Erythematosus
Message Board: Inverted Impacted Teeth, Patience is a Virtue
Office Visit: What's Up Doc?
The Speed of Light
What's Your M.O?
Untangling Web Marketing
Ad Index
Orthotown August 2017 - Cover1
Orthotown August 2017 - Cover2
Orthotown August 2017 - 1
Orthotown August 2017 - 2
Orthotown August 2017 - 3
Orthotown August 2017 - 4
Orthotown August 2017 - 5
Orthotown August 2017 - Orthotown.com Highlights
Orthotown August 2017 - 7
Orthotown August 2017 - Embrace Progress: The Standard of Care (Records, Anyone?)
Orthotown August 2017 - 9
Orthotown August 2017 - 10
Orthotown August 2017 - 11
Orthotown August 2017 - Industry News
Orthotown August 2017 - 13
Orthotown August 2017 - New Products
Orthotown August 2017 - 15
Orthotown August 2017 - 16
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Orthotown August 2017 - 18
Orthotown August 2017 - 19
Orthotown August 2017 - Message Board: Girl with Systemic Lupus Erythematosus
Orthotown August 2017 - 21
Orthotown August 2017 - 22
Orthotown August 2017 - 23
Orthotown August 2017 - Message Board: Inverted Impacted Teeth, Patience is a Virtue
Orthotown August 2017 - 25
Orthotown August 2017 - 26
Orthotown August 2017 - 27
Orthotown August 2017 - Office Visit: What's Up Doc?
Orthotown August 2017 - 29
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Orthotown August 2017 - The Speed of Light
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Orthotown August 2017 - What's Your M.O?
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Orthotown August 2017 - Untangling Web Marketing
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