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Case Assessment and Treatment Planning
Case Assessment and Treatment Planning
Our Strength is our Service
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Ortho-Care (UK) Ltd . Facsimile: 01274 734446 . Website: www.orthocare.co.uk . Email: [email protected]
Case Assessment and Treatment Planning
IOTN - Index Of Orthodontic Treatment Need
The Index of Orthodontic Treatment Need (IOTN) assists in the ranking of
malocclusion in terms of the significance of various occlusal traits for an individual’s
dental health and perceived aesthetic impairment, with the intention of identifying
those individuals who would most likely benefit from orthodontic treatment.
The index incorporates an Aesthetic and Dental Health Component.
Aesthetic Component
The Aesthetic Component consists of a scale of ten colour photographs
showing different levels of dental attractiveness. The dental attractiveness of
prospective patients can be rated with reference to this scale.
Grade 1 represents the most and Grade 10 the least attractive arrangements
of teeth. The score reflects the aesthetic impairment. Photographs are used
for dental cast assessment.
Aesthetic Component
O/No
8000-944
The Dental Health Component
The Dental Health Component facilitates the synthesis of the current evidence for
the deleterious effects of malocclusion. The DHC records the various occlusal traits
of a malocclusion which would reduce the longevity of the dentition and surrounding
structures. There are five grades, Grade 1 and 2 representing no need for
orthodontic treatment, Grade 3 a borderline need for orthodontic treatment, and
Grades 4 and 5 requiring orthodontic treatment on dental health grounds. Only the
worst occlusal trait is recorded.
The Dental Health Component Ruler (DHC RULER)
This ruler has been designed to provide the information necessary to record the
DHC. The ruler has been developed for the clinical setting in which information is
collected regarding competence of the lips, discrepancy between retruded contact
position and intercuspal position on closure and masticatory/speech problems.
Both disposable and autoclavable versions now available.
Dental Health Component
DHC Rulers single use
DHC Rulers single use
DHC Rulers single use
Autoclavable DHC Ruler
50 per pack
100 per pack
500 per pack
Each
O/No
8000-945
8000-946
8000-947
8000-951
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Ortho-Care (UK) Ltd . 5 Oxford Place . Bradford . West Yorkshire . BD3 0EF . UK
Telephone: 01274 392017
Case Assessment and Treatment Planning
The PAR Index (Peer Assessment Rating Index)
The Peer Assessment Rating Index was developed as a result of the report of the
Occlusal Index Committee, which was itself established in 1986 as a direct result of
the recommendations of the Schanshieff Report.
The PAR index was constructed initially with the help of the British Orthodontic
Standards Working Party and was subsequently validated by weighting the
constituent components to conform with the collective opinions of 74 clinicians
(specialists, consultants, GDPs, community dentists).
The PAR Index measures the degree of departure which the occlusion of a set
of study models has from the ideal. Hence it can be used to measure treatment
change by calculating the difference between the scores obtained from pre- and
post treatment models.
The index is the summation of several different components which make up
malocclusion. Crowding or spacing is assessed in each arch in terms of contact
point displacements. Labial occlusion is scored similarly in terms of anteroposterior, transverse and vertical discrepancy (overbite, overjet, centrelines).
The weighted version of the PAR Index results from the opinions of the 74 clinicians.
There are only 7 components which are scored: labial irregularity (upper and lower),
buccal occlusion (left and right), overjet, overbite, centreline.
The PAR Ruler
The PAR Ruler has been designed to make measurement easier. The information
briefly summarises the recording features of the index and facilitates quick
assessments in relation to the seven components.
The PAR Ruler is now available in an autoclavable version.
Peer Assessment Rating
PAR Index Rulers
PAR Index Rulers
PAR Index Rulers
PAR Index Autoclavable Ruler
10 per pack
50 per pack
100 per pack
Each
O/No
8000-948
8000-949
8000-950
8000-952
Occlusal Indices Starter Packs
With Autoclavable Rulers
1 x Occlusal Indices Booklet
1 x Aesthetic Component
1 x DHC Autoclavable Ruler
1 x PAR Index Autoclavable Ruler
O/No
8000-960
With Disposable Rulers
1 x Occlusal Indices Booklet
1 x Aesthetic Component
50 x DHC Disposable Rulers
10 x PAR Index Disposable Rulers
8000-942
Introduction to Occlusal Indices Booklet
8000-943
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Ortho-Care (UK) Ltd . Facsimile: 01274 734446 . Website: www.orthocare.co.uk . Email: [email protected]
Case Assessment and Treatment Planning
Evaluating Effective Orthodontic Care
Professor Stephen Richmond
The purpose of this book is to update and pull together connected pieces of work
related to evaluating the effectiveness of orthodontic treatment. The intention is to
produce a simple instruction on the various assessments that can be used to
evaluate effectiveness of orthodontic care. The sections are organised so that they
are short and easy to read.
Features
Orthodontists’ Opinions and Perspectives
Index of Orthodontic Treatment Need and The PAR Index
The Index of Complexity, Outcome and Need (ICON)
Costing Orthodontic Care and Measuring Cost-effectiveness
Assessing Crown Inclinations and Angulations
Evaluating Facial Changes
Calibration Analyses for orthodontic Indices
Appendix: Occlusal Index Course Management
Evaluating Effective Orthodontic Care
O/No
8222-059
Sterile Disposable Orthodontic Examination Pack
Each single patient sterile pack contains 1 each: Ruler (150mm),
Probe, Disposable Mirror. Sterile rulers also available separately.
Disposable Orthodontic Examination Pack
O/No
Pack (Ruler (mm), Probe, Disposable Mirror)
60-012
Ruler only (100 each individually wrapped)
60-013
Buy more and SAVE! Qty Discounts Available
Stainless Steel Ruler Double Sided
One side metric, one side imperial.
Stainless Steel Double Sided Ruler
6”/15.3cm
O/No
60-816
‘See-Through’ Autoclavable Orthodontic Ruler
See-through - ideal for measuring inter-canine/molar distances and reverse overjets
Autoclavable – no dimensional change through multiple sterilisation procedures
Allows measurement of overjet in increments of ½ mm for accuracy, or easy-to-read 1mm intervals
Shows average mesio-distal widths of upper and lower teeth – to enable quick assessment
for space requirements for unerupted or absent incisors, canines and posterior teeth
Shows average inter canine/molar distances – to monitor relative changes
between upper and lower dimensions as a result of orthodontic alignment
Stainless Steel Double Sided Ruler
O/No
60-815
Buy more and SAVE! Qty Discounts Available
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Ortho-Care (UK) Ltd . 5 Oxford Place . Bradford . West Yorkshire . BD3 0EF . UK
Telephone: 01274 392017
Case Assessment and Treatment Planning
X-Rays Films
High quality at the right price for OPG/ Ceph x-ray films.
High and stable quality
High resolution
Low fog
Compatible with automatic or manual processing
Green sensitive
For many years orthodontists have chosen a range of
panoral x-ray films that offer high quality resolution at a
lower cost than leading brands.
ECONOMY PACKS OF 100 - GREAT VALUE!
X-Ray Films
Film Size Green Sensitive (100 per pack)
O/No
12 x 30cm
XR-0G
13 x 18cm
XR-1G
15 x 30cm
XR-2G
18 x 24cm
XR-3G*
*Cephalometric films (all others are Panoral)
Buy more and SAVE! Qty Discounts Available
Agfa M2 Occlusal X-Rays
5 x 7 cm
Agfa quality
Agfa M2 Occlusal X-Rays
O/No
25 per pack
XR-M2
Buy more and SAVE! Qty Discounts Available
Nix Lead Data Stickers and Numbers
Lead numbers plus data stickers for panoral and medical
x-ray film. Overwhelmed by unidentifiable radiographs?
The Nix Lead Numbers are sets of numbered lead markers
and data stickers to provide an accurate filing control of
radiographs.
EASY TO USE:
1) Complete the patient data on the data sticker.
2) Attach the lead number onto the film cassette.
3) Radiograph and process.
4) Attach the data sticker completed with the patient data onto
the exposed film.
Lead Numbers for Panoramic Film (the lead numbers are mirror
image) Numbered from 1-100
Nix Lead Numbers
100 sets data sheets and numbers
150 sets numbers only
O/No
NNP-M
NND
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Ortho-Care (UK) Ltd . Facsimile: 01274 734446 . Website: www.orthocare.co.uk . Email: [email protected]
Case Assessment and Treatment Planning
Cephalometric Tracing Box
Desk or wall mounted, this high quality x-ray viewing box is constructed in heavy
gauge zinc coated steel with an epoxy powder coated finish with continuous 3mm
040 opal acrylic screen. Standard exterior finish is white. Film attachment is by
transparent spring-loaded bar, enabling identification or other markings on the film
to be seen easily. Lighting is by 2 x 450mm daylight fluorescent tubes with electronic
flicker free ballasts. Dimensions: L49cm, W32cm, H8cm. Electrical rating: 230/140v
AC50hz Conforms to IE601-1 and is CE marked.
Cephalometric Tracing Box
O/No
9222-506
Tracing Film
20.3 x 24.4cm (8” x 10”) acetate film. Provides sharp detail when tracing radiographs.
Tracing Film
100 sheets
O/No
8222-204
Tracing Template
Useful aid for treatment planning.
Tracing Template
O/No
8000-940
Cephalometric Protractor/Template
Unique combination of protractor and tooth template for accurate cephalometric analysis.
Cephalometric Protractor/Template
O/No
8000-939
Yellow Chinagraph Pencil
Ideal for marking archwires prior to bending.
Yellow Chinagraph Pencil
O/No
8200-402
Indelible Pencil or Pen
Ideal for use in a wet environment, for marking study models, the pencils are described as
a bottle of ink in a pencil, while the pen is a black drying permanent marking pen
Indelible Pencil or Pen
Indelible Pencil
Indelible Pen
O/No
8200-407
8200-400
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Ortho-Care (UK) Ltd . 5 Oxford Place . Bradford . West Yorkshire . BD3 0EF . UK
Telephone: 01274 392017