• Go to Home page
  • Facebook
  • 156
  • Print
  • Mail


 
 Table of Contents  
CLINICAL PEARLS
Year : 2017  |  Volume : 7  |  Issue : 6  |  Page : 294-295

An edge over diagnostic setup


1 Department of Orthodontics and Dentofacial Orthopedics, Manav Rachna Dental College, Faridabad, Haryana, India
2 Department of Orthodontics and Dentofacial Orthopedics, Sudha Rustagi Dental College, Faridabad, Haryana, India

Date of Web Publication29-Nov-2017

Correspondence Address:
Ashish Kumar Singh
Department of Orthodontics and Dentofacial Orthopedics, Manav Rachna Dental College, Faridabad, Haryana
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2321-1407.219429

Rights and Permissions
  Abstract 

Diagnostic setup proposed by H.D. Kingsley serves as a practical aid in treatment planning and diagnosis. These setups have some inherent shortcomings. A simple technique of duplication of the setups in dental stone can solve problems encountered before as well as provide many other advantages over the conventional procedure. The diagnostic setup is prepared by the conventional method [Figure 1]. An alginate impression is then taken of the setups and poured in dental stone to obtain the derived treatment model [Figure 2]. The same setup can now be further modified for alternate lines of treatment. Subsequently models could then be obtained as required [Figure 3].

Keywords: Diagnostic setup, study models, kesling


How to cite this article:
Kannan S, Singh AK, Gupta G. An edge over diagnostic setup. APOS Trends Orthod 2017;7:294-5

How to cite this URL:
Kannan S, Singh AK, Gupta G. An edge over diagnostic setup. APOS Trends Orthod [serial online] 2017 [cited 2018 Oct 19];7:294-5. Available from: http://www.apospublications.com/text.asp?2017/7/6/294/219429


  Introduction Top


Diagnostic setup proposed by Kesling [1] serves as a practical aid in treatment planning and diagnosis. Some of the advantages of the conventional setup [2] include:

  • To determine and visualize the resultant occlusion
  • Tooth size – arch length discrepancies can be better optimized
  • Useful aid in asymmetric extraction and combined surgical orthodontic treatment planning.


These setups have some inherent shortcomings.[3],[4] First, patients for whom multiple treatment options are thought of, multiple diagnostic setups need to be made which would be very laborious and time-consuming. Furthermore, the patients may not fully appreciate the wax setups shown to them.

A simple technique of duplication of the setups in dental stone can solve problems encountered before as well as provide many other advantages over the conventional procedure.


  Procedure Top


The diagnostic setup is prepared by the conventional method [Figure 1]. An alginate impression is then taken of the setups and poured in dental stone to obtain the derived treatment model [Figure 2]. The same setup can now be further modified for alternate lines of treatment.[5] Subsequently, models could then be obtained as required [Figure 3].
Figure 1: Pretreatment study models and diagnostic setup

Click here to view
Figure 2: Alginate impression of Kesling setup and derived treatment model

Click here to view
Figure 3: Multiple treatment models of proposed treatment plans

Click here to view


The advantages of this simple technique are:

  • Better visualization of treatment results for the operator as well as the patient
  • Multiple treatment models for the same patient
  • More accurate fabrication of customized archwires
  • Plaster models are dimensionally more stable as compared to the wax setups
  • Greater patient motivation
  • More precise bracket positioning of lingual appliances
  • Accurate fabrication of tooth positioners if required.


Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

 
  References Top

1.
Kesling HD. The philosophy of the tooth positioning appliance. Am J Orthod Oral Surg 1945;31:297-304.  Back to cited text no. 1
    
2.
Knierim RW. A simplified wax setup technique. J Clin Orthod 1975;9:305-7.  Back to cited text no. 2
    
3.
Resnick BN. A simplified diagnostic setup technique. J Clin Orthod 1979;13:128-9.  Back to cited text no. 3
    
4.
Wilson MD, Sinha PK, Prasad HS. A quick and easy diagnostic setup technique. J Clin Orthod 1998;32:328-9.  Back to cited text no. 4
    
5.
Kim SH, Park YG. Easy wax setup technique for orthodontic diagnosis. J Clin Orthod 2000;34:140-4.  Back to cited text no. 5
    


    Figures

  [Figure 1], [Figure 2], [Figure 3]



 

Top
 
 
  Search
 
Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
Access Statistics
Email Alert *
Add to My List *
* Registration required (free)

 
  In this article
Abstract
Introduction
Procedure
References
Article Figures

 Article Access Statistics
    Viewed398    
    Printed17    
    Emailed0    
    PDF Downloaded162    
    Comments [Add]    

Recommend this journal