5. Pretreatment lateral and posteroanterior cephalometric and
panoramic radiographs
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Am J Orthod, St. Louis, v. 70, no. 4, p. 358-397, 1976. 5. Ricketts RM. et al. Orthodontic
diagnosis and planning – their roles in preventive and rehabilitative dentistry.
6. DECISION MAKING
Act
of narrowing down
the possibilities,
choosing a course of
action
and determining the
action’s potential
consequences.
PROBLEM SOLVING PROCESS
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9. PROBLEM SOLVING PROCESS
STEP 2 : What are the alternatives?
0
2
4
6
Estraction No Estraction Surgery Compensation
aesthetics
occlusion
mechanics
Create a vast number of possible solutions without judging these solutions
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10. STEP 3 : What are the ADVANTAGES and/or the
DISADVANTAGES of each alternative?
PROBLEM SOLVING PROCESS
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1. Improve aesthetics
2. More difficulty in biomechanics
3. Surgical risks
4.Tooth loss
11. STEP 4 : What is the solution?
PROBLEM SOLVING PROCESS
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The patient said she was unhappy about his smile..
She was SOCIALLY EMBARASSING!
We decided to estract premolars and have a
preorthodontic treatment and a surgical treatment.
12. IS IT POSSIBLE TO TEACH PROBLEM
SOLVING SKILLS?
KNOW THE DIFFERENT STAGES OF TREATMENT MECHANICS FOR
DIFFERENT MALOCCLUSIONS ACCORDING TO THE DIFFERENT
PHILOSOPHY
to help improve understanding
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13. BYOPROGRESSIVE STEPS
EXTRACTION TREATMENT – GENERAL SEQUENCES
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MAXILLARY ARCH
• Extraction of both maxillary first
premolars
• Arch allineament and closure of
the spaces
• Movement of the canines into the
arch
Ricketts RM, Bench RW, Gugino CF, Hilgers JJ, Schulhof RJ:
Bioprogressive therapy, Book I, Denver, 1979,
14. Enza Robotti
BYOPROGRESSIVE STEPS
EXTRACTION TREATMENT – GENERAL SEQUENCES
MANDIBULAR ARCH
• Decompensation of the incisors
• Leveling of the curve of Spee
• Estabillishment of interarch compatibility
15. STEP 5 :How well is the solution working?
Multidisciplinary approach to treatment
PROBLEM SOLVING PROCESS
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