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COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE PRIOR AUTHORIZATION UNIT ORTHODONTIC DECISION CHECKLIST RECIPIENT NAME RECIPIENT I.D. NUMBER 1. PERMANENT TEETH FULLY ERUPTED YES NO 2. OVERBITE.

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Massler and Frankel (1951) Count the number of teeth displaced or rotated. Assessment of tooth displacement and rotation is qualitative—all or none. Malalignment index by Tooth displacement and rotations were measured.

The Handicapping Labio-Lingual Deviations Form (HLD) is a quantitative, objective method for measuring malocclusion. The HLD provides a single score, based on a series of measurements that represent the degree to which a case deviates from normal alignment and occlusion. You will need this form and a Boley Gauge.

Orthodontic malocclusions are classified based upon the position of the teeth and the relationship of the jaw bones. There are three basic classifications of malocclusions: Class I, Class II and Class III.

• Handicapping : a severe type of malocclusion caused by any number of conditions. Crowding of teeth, overjet, overbite or crossbite. Inherited or brought on by premature tooth loss. Thumb sucking / pacifier use. • In its most extreme form, children may have difficulty biting and chewing, swallowing, and.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232