Get Orthodontic Decision Checklist

The Orthodontic Decision Checklist is an essential tool for determining the necessity of orthodontic treatment based on specific criteria. This guide provides a clear and comprehensive approach to filling out the checklist accurately and efficiently online.

Follow the steps to complete the Orthodontic Decision Checklist.

1. Press the ‘Get Form’ button to access the Orthodontic Decision Checklist and open it in your preferred online editor.
2. Begin by filling in the recipient's name and identification number in the designated fields at the top. Ensure that this information is accurate as it is crucial for processing.
3. Proceed to section one, where you will need to indicate whether the permanent teeth are fully erupted. Choose 'Yes' or 'No' as applicable.
4. In section two, assess the overbite. Respond 'Yes' or 'No' to indicate the presence of palatal impingement of lower incisors and check the relevant options regarding maxillary incisors.
5. Continue to section three and evaluate the presence of open-bite conditions. Mark ‘Yes’ or ‘No’ for the various criteria listed, including anterior and posterior open-bites.
6. In section four, address the overjet by selecting 'Yes' or 'No' as needed.
7. Proceed to section five to check for cross-bite conditions. Respond with 'Yes' or 'No' for all relevant options provided.
8. In section six, provide detailed explanations regarding any impactions, specifying position and degree.
9. For section seven, determine the status of blocked out canines, selecting 'Yes' or 'No' accordingly.
10. In section eight, check the presence of hypertrophic gingivae and answer 'Yes' or 'No.'
11. On the back page, describe the patient’s condition and diagnosis in the provided space, then outline the treatment plan and any additional remarks.
12. Once all fields are appropriately filled out, review the form for accuracy, then save your changes. You may download, print, or share the Orthodontic Decision Checklist as needed.

Start completing the Orthodontic Decision Checklist online today to ensure your orthodontic needs are addressed promptly!