ORTHODONTIC DIAGNOSTIC SERVICE

Knowing what cases to treat is as important as knowing how. This detailed treatment plan will allow you to make the clinical decisions to do both. The Orthodontic Diagnostic Service is a more in-depth evaluation of your patient when they are in need of a multi-phase treatment plan. Whether you are a beginner or experienced in orthodontic treatment, this service can save you from referring a patient out of your practice. After a careful analysis of your records by our on-staff dentist (active link to Our On Staff Dentist page, you will receive a true “Second Opinion”.

This comprehensive treatment planning service includes a 30+ page customized report that contains a cephalometric analysis report, a model and photographic evaluation, a photographic layout, a “patient specific” diagnosis and treatment plan, illustrated appliance designs, detailed “step-by-step” appliance adjustment techniques and sequencing procedures, patient instructions, an informed consent document, appliance costs, reference information and a $25.00 voucher towards the fabrication of an appliance. All of this vital information is then returned to your office as a Printed or Digital report ready for your patient/parent consultation.

Getting a true “Second Opinion” will:

• Help you decide if this is a case for you to treat.
• Save you from referring a patient out of your practice.
• Give you a “road map” to treat a patient.
• Save you time and money.
• Allow for review of procedures at any time during the patient’s treatment.

FEE : $200.00 (from) - Fee is determined on case-by-case basis

WHAT WE NEED:
Doctor’s Profile form – one time information sheet about your level of experience

Patient Profile form – information we need to fulfill the desired treatment objectives

Patient Records (minimum requirements)

• Upper and Lower Models
• Cephalometric Film
• Panorex
• Photographs – Full Orthodontic Patient Series
• Additional Records – refer to the Patient Profile form

NOTE: Click on Getting Started and Online Services for further information.

WHAT YOU RECEIVE:

1. Records and Treatment Objectives
   Written Summary of treatment objectives, model analysis and patient record results.
2. Cephalometric Tracing and Analysis
   Cephalometric tracing with skeletal and dental measurement results that aid in formulating an accurate treatment plan.
3. Ceph Tracing / Ceph X-ray Superimposition
   Optional Visual Aid to provide additional clinical information.
4. Ceph Tracing / Profile Photograph Superimposition
   Optional Visual Aid to help enhance case presentations.
5. Photographic Layout
   Orthodontic series of photos used for diagnostic evaluation and archival purposes.
6. Suggested Treatment
   Proposed removable and/or fixed appliance designs for each phase of treatment to achieve the stated objectives.
7. Appliance Designs
   Illustrated appliance designs for each phase of treatment.
8. Appliance Components
   Complete description and adjustment protocol for each appliance component.
9. Adjustments and Sequencing
   Adjustment techniques and sequencing procedures for each suggested appliance.
10. Economic Considerations
    Up front appliance costs, treatment fee formulas and treatment time calculations.
11. Basic Supply List
    Supplies required to successfully treat your patient.
12. Informed Consent Document
    Outlined document to help the patient and/or parents to make an informed decision on treatment.
13. Patient Instructions
    Appliance care, advise and tips for comfort.
14. References
    Additional information to aid you in treating your patient.
15. Completed Prescription Form and $25 Voucher
    Completed Rx including a $25.00 coupon (from Space Maintainers Laboratory) towards the fabrication of appliances.
16. Study Models
    Optional - A set of Consultation Models or Board Quality Models (fees apply).