1. RSCI Chief Complaint

2. RSCI Age: Sex: Race: Occupation: Identifying Data

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

4. RSCI Temporomandibular Disorder (Ignore if normal)

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

6. RSCI Pre-treatment Facial slides Frontal Frontal/Smiling

7. RSCI Pre-treatment Facial slides Right 45 ゜ Right Profile

8. RSCI Pre-treatment X-Rays Cephalometric Film Frontal Lateral

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

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

11. RSCI Pre-treatment X-Rays SMV

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

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

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

15. RSCI Pre-treatment CPI or MPI

16. RSCI Pre-treatment Axiograph or Axi-path

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

18. RSCI Pre-treatment Ricketts CR

19. RSCI Pre-treatment Roth-Jarabak CR

20. RSCI Reason of splint therapy

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

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

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

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

25. RSCI CPI Data Sheet Summary

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

27. RSCI Post Splint Facial slides Frontal Frontal/Smiling

28. RSCI Right 45 ゜ Right Profile Post Splint Facial slides

29. RSCI Post Splint X-Rays Cephalometric Film Frontal Lateral

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

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

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

33. RSCI Post Splint Split Cast Check

34. RSCI Post Splint Ricketts CR

35. RSCI Post Splint Roth-Jarabak CR

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

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

38. RSCI Post Splint Axiograph or Axi-path

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

40. RSCI Problem List After Splint Therapy

41. RSCI Treatment Plan

42. RSCI Mechanics

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

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

45. RSCI Post Splint VS VTO Image

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

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

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

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

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

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

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

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

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

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

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

57. RSCI Post-treatment CPI or MPI

58. RSCI Post-treatment Facial slides Frontal Frontal/Smiling

59. RSCI Post-treatment Facial slides Right 45 ゜ Right Profile

60. RSCI Post-treatment X-Rays Cephalometric Film Frontal Lateral

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

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

63. RSCI Post-treatment Ricketts

64. RSCI Post-treatment Roth-Jarabak

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

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

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

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