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Appliance Fitting and Follow-Up Review Guidelines for Effective Orthodontic Treatment

This document outlines the procedures and timelines for appliance fitting and follow-up reviews in orthodontic practice. Appliances should be fitted within two weeks, accompanied by a demonstration to the patient prior to fitting. Post-fitting, patients receive detailed instructions, including minimum daily wear requirements and practice sessions for insertion and removal. Regular reviews are scheduled at one month and bi-monthly thereafter. Key indicators, such as occlusal relationships and adjustments, are meticulously recorded to ensure treatment efficacy and to plan further interventions if necessary.

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Appliance Fitting and Follow-Up Review Guidelines for Effective Orthodontic Treatment

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  1. Appliance Fitting And Review • Appliance should be fitted within 2weeks • Show to the patient before fitting • Once fitted, full instructions be given – min wear required per day • Allow pt to practice insert and removing app • The use of calendar in record hours worn • Review 1/12, if no problem then bimonthly

  2. Appliance Fitting And Review Each review visit: • Record OJ and buccal segment r/ship • OJ in max protrusion • If no change within 6 months, tx plan should be reviewed • Signs of poor wear: no change, continued problem with speech, a pristine app with no signs of wear and numerous breakage d/t repeated removal by pt

  3. End of Treatment of Appliance and Retention • Once OJ corrected, cont using appliance on part-time basis • Further records (lat ceph) will aid in planning subsequent tx i.e. fixed appliance • Unless early tx was done in mixed dentition. Pt will be directly transfer for fixed app • Further tx should be planned to address any undeisrable effect

  4. End of Treatment of Appliance and Retention • Retention should be continued until the end of adolescent skeletal growth • Incorporate a postural component to maintain the class II correction • This include: • Parttime wear of cut down app or • Removable app with inclined anterior bite plane

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