Prosthetic Reconstruction, Rehabilitation & Surgical Planning —
Training activity: 20

Details

Undertake cephalometric analysis of a specific orthognathic patient with the Consultant Orthodontist

Review the information to define the provisional surgical plan

Type

Developmental training activity (DTA)

Evidence requirements

Evidence the activity has been undertaken by the trainee​.

Reflection on the activity at one or more time points after the event including learning from the activity and/or areas of the trainees practice for development.

An action plan to implement learning and/or to address skills or knowledge gaps identified.

Reflective practice guidance

The guidance below is provided to support reflection at different time points, providing you with questions to aid you to reflect for this training activity. They are provided for guidance and should not be considered as a mandatory checklist. Trainees should not be expected to provide answers to each of the guidance questions listed.

Before action

• What are the key measurements and principles of cephalometric analysis?
• How is this analysis used to inform orthognathic surgical planning?
• What will you learn about performing cephalometric analysis and interpreting the data?
• How does the cephalometric analysis relate to the patient’s clinical presentation and treatment goals?
• How is this information used to develop a provisional surgical plan?
• Have you reviewed the principles of cephalometric analysis and the key anatomical landmarks?
• Have you discussed the case and the objectives of the surgical correction with the consultant orthodontist?
• Have you familiarised yourself with the software or methods used for cephalometric analysis?

In action

• As you perform the cephalometric analysis and review the information, are you consciously applying the principles of cephalometry and orthognathic planning? What specific measurements and angles are you focusing on, and why? When contributing to the provisional surgical plan, are you actively integrating the cephalometric findings with other clinical information?
• Are you finding the cephalometric analysis to be informative in understanding the patient’s skeletal relationships and malocclusion? Are you encountering any challenges in accurately identifying landmarks or interpreting the data? What immediate learning is occurring as you apply cephalometric principles in a real patient case? How does this activity connect to your understanding of orthodontics and surgical planning?
• If the cephalometric analysis reveals unexpected findings or if there are discrepancies between the cephalometric data and the clinical presentation, what alternative interpretations or further investigations are you considering in the moment? Are you seeking clarification or guidance from the Consultant Orthodontist on specific aspects of the analysis or its implications for the surgical plan? Are you ensuring that your contribution to the planning process is based on sound clinical reasoning and your level of training?

On action

• Describe the process of undertaking the cephalometric analysis with the Consultant Orthodontist. What were the key findings of the cephalometric analysis? How did you review this information to contribute to defining the provisional surgical plan for the orthognathic patient? What were the different considerations discussed with the consultant in formulating the plan?
• What specific skills or knowledge did you develop or improve in undertaking and interpreting cephalometric analysis for orthognathic planning? What did you learn about the principles of orthognathic surgery and the role of cephalometric analysis in treatment planning? Were there any unexpected findings or challenges during the analysis or planning discussion? What did you learn from these? How did the consultant’s expertise influence your understanding of the case and the surgical plan?
• What aspects of cephalometric analysis and orthognathic surgical planning will you focus on developing further? How can you apply the knowledge gained to future orthognathic cases? What resources or support might you need to further develop in this area, such as in-depth knowledge of cephalometric landmarks and surgical procedures?

Beyond action

• Have you revisited experiences with cephalometric analysis in orthognathic planning? How has your ability to interpret radiographic data and contribute to surgical plans evolved?
• How have these experiences impacted upon your current practice in collaborating with orthodontists and understanding the biomechanical principles of orthognathic treatment?
• How might these experiences contribute towards your future practice in more complex orthognathic cases or the use of digital planning tools? What did you learn about skeletal relationships and surgical movements?

Relevant learning outcomes

#	Outcome
# 1	Outcome Deliver quality patient centred care with the best interests of patients in all elements of practice.
# 2	Outcome Practice in accordance with local and national health and safety policies, regulatory requirements and overall service governance.
# 3	Outcome Communicate effectively with patients, relatives, healthcare professionals and other stakeholders.
# 4	Outcome Identify patients who need further specialist support and refer to the appropriate healthcare specialist.
# 5	Outcome Analyse and interpret patient investigations, multimodal imaging and information.
# 6	Outcome Perform clinical investigations, formulate treatment plans and manufacture medical devices to a safe clinical standard.
# 7	Outcome Prepare surgical treatment plans for complex head and neck surgery.
# 8	Outcome Select appropriate biomedical materials and components/instrumentation used in the treatment of patients and the manufacture of custom-made medical devices.
# 9	Outcome Practice in partnership with other clinical specialisms as part of a multidisciplinary team and understand their roles and their impact on patient care and pathway.
# 10	Outcome Apply the principals of a quality management system to their professional practice.
# 12	Outcome Assess and interpret patients’ needs to provide customised treatment dependent on medical, physical, social and psychological requirements.