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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 patients
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 ,
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 $20.00
appliance voucher. All of this vital information is then returned
to your office as a digital and/or printed report
ready for your patient/parent consultation.
If the necessary treatment appears to be beyond the scope of your experience
level, we’ll tell you that too. Our goal is to help you be successful and we
will only recommend treatment plans that have proven to be effective.
Getting a true “Second Opinion” will:
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Help you decide if this is a case for you to treat.
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Save you from referring a patient out of your practice.
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Give you a “road map” to treat a patient.
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Save you time and money.
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Allow for review of procedures at any time during the patient’s treatment.
WHAT YOU RECEIVE:
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Records and Treatment Objectives
Written Summary of treatment objectives, model analysis and patient record
results.
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Cephalometric Tracing and Analysis
Cephalometric tracing with skeletal and dental measurement results that aid in
formulating an accurate treatment plan.
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Ceph Tracing / Ceph X-ray Superimposition
Optional Visual Aid to provide additional clinical information.
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Ceph Tracing / Profile Photograph Superimposition
Optional Visual Aid to help enhance case presentations.
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Photographic Layout
Orthodontic series of photos used for diagnostic evaluation and archival
purposes.
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Suggested Treatment
Proposed removable and/or fixed appliance designs for each phase of treatment
to achieve the stated objectives.
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Appliance Designs
Illustrated appliance designs for each phase of treatment.
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Appliance Components
Complete description and adjustment protocol for each appliance component.
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Adjustments and Sequencing
Adjustment techniques and sequencing procedures for each suggested appliance.
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Economic Considerations
Up front appliance costs, treatment fee formulas and treatment time
calculations.
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Basic Supply List
Supplies required to successfully treat your patient.
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Informed Consent Document
Outlined document to help the patient and/or parents to make an informed
decision on treatment.
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Patient Instructions
Appliance care, advise and tips for comfort.
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References
Additional information to aid you in treating your patient.
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Appliance Prescription Form
Suggested appliance designs(s) on a Space Maintainers Laboratory® Rx.
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$20 Appliance Coupon
$20.00 appliance voucher from Space Maintainers Laboratory®.
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Study Models
Optional Digital and/or Plaster study models (additional fees apply).
TO SEND A CASE:
NOTE: See
for further information.
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– Required when submitting your
first case.
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Patient Records
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Models and Bite Registration – Required
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Cephalometric X-Ray (Digital or Film) – Required
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Panorex X-Ray – Required
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Photographs (Full Orthodontic Patient Series) – Required
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Additional Records – Refer to the
Processing Time: 5-10 days (Processing time will vary if study
models are requested)
NOTE – Progress Evaluations at No Charge!
We will not charge an additional “evaluation” fee if a case is sent in for
re-evaluation. However, if a progress cephalometric tracing and/or progress
study models are requested, our standard service fees will apply.
Order Form & Fee Schedule
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