RSCI Chief Complaint

RSCI Age: Sex: Race: Occupation: Identifying Data

RSCI Medical diagnosis and history Medications Previous orthodontics, splints, surgery, etc. Contributory Medical or Dental History (Ignore if normal)

RSCI Temporomandibular Disorder (Ignore if normal)

RSCI Clinical Diagnostic Exam Dental: Periodontal: Neurologic, Muscular, Orthopedic, Neurovascular: Occlusal Analysis:

RSCI Pre-treatment Facial slides Frontal Frontal/Smiling

RSCI Pre-treatment Facial slides Right 45 ゜ Right Profile

RSCI Pre-treatment X-Rays Cephalometric Film Frontal Lateral

RSCI Pre-treatment X-Rays Panoramic Film or Full Mouth X-Rays

RSCI Pre-treatment X-Rays Wrist Film (Growing Patients)

RSCI Pre-treatment X-Rays SMV

RSCI Pre-treatment TMJ X-Rays Axis Oriented Tomograms or CBCT

RSCI Upper Occlusal Overjet Lower Occlusal Right Buccal Frontal Left Buccal Pre-treatment Intraoral Slides

RSCI Pre-treatment Mounted Models Right Overjet CPI Left Overjet Right Buccal Frontal Left Buccal

RSCI Pre-treatment CPI or MPI

RSCI Pre-treatment Axiograph or Axi-path

RSCI Tracing CO in Black Tracing CR in Purple CO-CR Conversion

RSCI Pre-treatment Ricketts CR

RSCI Pre-treatment Roth-Jarabak CR

RSCI Reason of splint therapy

RSCI Splint Therapy Progress Slides 00 Weeks Later Overjet Right Buccal Frontal Left Buccal

RSCI Splint Therapy Progress Slides 00 Weeks Later Overjet Right Buccal Frontal Left Buccal

RSCI Overjet Right Buccal Frontal Left Buccal Splint Therapy Progress Slides 00 Weeks Later

RSCI Overjet Right Buccal Frontal Left Buccal Splint Therapy Progress Slides 00 Weeks Later

RSCI CPI Data Sheet Summary

RSCI Changes in CPI data during splint therapy Left Right RL 00 weeks Initial 00 weeks

RSCI Post Splint Facial slides Frontal Frontal/Smiling

RSCI Right 45 ゜ Right Profile Post Splint Facial slides

RSCI Post Splint X-Rays Cephalometric Film Frontal Lateral

RSCI Post Splint TMJ X-Rays Axis Oriented Tomograms or CBCT

RSCI Upper Occlusal Overjet Lower Occlusal Right Buccal Frontal Left Buccal Post Splint Intraoral Slides

RSCI Post Splint Mounted Models Right Overjet Left Overjet Right Buccal Frontal Left Buccal

RSCI Post Splint Split Cast Check

RSCI Post Splint Ricketts CR

RSCI Post Splint Roth-Jarabak CR

RSCI Tracing Pre Splint in Black Tracing Post Splint in Green Pre Splint VS Post Splint Full Superimposition

RSCI Tracing Pre Splint in Black Tracing Post Splint in Green Pre Splint VS Post Splint 5 Point Superimposition

RSCI Post Splint Axiograph or Axi-path

RSCI Post Splint Mounted Models 3-D Check Right Overjet Left Overjet Right Buccal Frontal Left Buccal

RSCI Problem List After Splint Therapy

RSCI Treatment Plan

RSCI Mechanics

RSCI Tracing Post Splint in Green Tracing VTO in Red Post Splint VS VTO Full Superimposition

RSCI Tracing Post Splint in Green Tracing VTO in Red Post Splint VS VTO 5 Point Superimposition

RSCI Post Splint VS VTO Image

RSCI Upper Occlusal Overjet Lower Occlusal Right Buccal Frontal Left Buccal Treatment Progress Intraoral Slides Wire sequence 00 months Later

RSCI Upper Occlusal Overjet Lower Occlusal Right Buccal Frontal Left Buccal Treatment Progress Intraoral Slides Wire sequence 00 months Later

RSCI Upper Occlusal Overjet Lower Occlusal Right Buccal Frontal Left Buccal Treatment Progress Intraoral Slides Wire sequence 00 months Later

RSCI Upper Occlusal Overjet Lower Occlusal Right Buccal Frontal Left Buccal Treatment Progress Intraoral Slides Wire sequence 00 months Later

RSCI Upper Occlusal Overjet Lower Occlusal Right Buccal Frontal Left Buccal Treatment Progress Intraoral Slides Wire sequence 00 months Later

RSCI Upper Occlusal Overjet Lower Occlusal Right Buccal Frontal Left Buccal Treatment Progress Intraoral Slides Wire sequence 00 months Later

RSCI End of fixed type appliance therapy Mounted Models Right Overjet CPI Left Overjet Right Buccal Frontal Left Buccal

RSCI End of fixed type appliance therapy Axi-path or Axiograph

RSCI Gnathological Positioner Set-up Right Overjet Left Overjet Right Buccal Frontal Left Buccal

RSCI Upper Occlusal Overjet Lower Occlusal Right Buccal Frontal Left Buccal Post-treatment Intraoral Slides

RSCI Post-treatment Mounted Models Right Overjet CPI Left Overjet Right Buccal Frontal Left Buccal

RSCI Post-treatment CPI or MPI

RSCI Post-treatment Facial slides Frontal Frontal/Smiling

RSCI Post-treatment Facial slides Right 45 ゜ Right Profile

RSCI Post-treatment X-Rays Cephalometric Film Frontal Lateral

RSCI Post-treatment X-Rays Panoramic Film or Full Mouth X-Rays

RSCI Post-treatment TMJ X-Rays Axis Oriented Tomograms or CBCT

RSCI Post-treatment Ricketts

RSCI Post-treatment Roth-Jarabak

RSCI Tracing Post Splint in Green Tracing Post Ontho. in Blue Post Splint VS Post Tx Full Superimposition

RSCI Tracing Post Splint in Green Tracing Post Ontho. in Blue Post Splint VS Post Tx 5 Point Superimposition

RSCI Tracing VTO in Red Tracing Post Ortho. in Blue VTO VS Post Tx Full Superimposition

RSCI Tracing VTO in Red Tracing Post Ortho. in Blue VTO VS Post Tx 5 Point Superimposition