Gender
Birth month
Birth year
Ethnicity
Race: White
Race: Black
Race: Asian
Race: Dont know
Race: Decline to answer
Dental Insurance: Private
Dental Insurance: Public
Dental Insurance: Other
Dental Insurance: Dont know
Dental cover orthodontic treatment
Dental cover jaw surgery
Medical cover jaw surgery
Education level
Most important reason getting ortho Tx
Reason getting ortho Tx: Anterior openbite
Reason getting ortho Tx: Crowded
Reason getting ortho Tx: Overbite
Reason getting ortho Tx: Underbite
Reason getting ortho Tx: Crossbite
Reason getting ortho Tx: Other
Reason getting ortho Tx: No other (than main) reason
Problems: Unable to bite with front teeth
Problems: Unable to speak clearly
Problems: Fit or function of bite
Problems: Jaw joint
Problems: Embarrassment about appearance
Problems: Other
Problems: None of the above
Fixing openbite a goal
Ever suck thumb
Still suck thumb
Recommended Tx: Braces
Recommended Tx: Clear aligners
Recommended Tx: Remove upper teeth
Recommended Tx: Remove lower teeth
Recommended Tx: TAD mini-screws
Recommended Tx: TAD mini-plates
Recommended Tx: Upper jaw surgery
Recommended Tx: Lower jaw surgery
Recommended Tx: Jaw surgery not sure which
Accept plan as most ideal
Why not accept: Too risky
Why not accept: Too costly
Why not accept: Didnt want teeth extraction
Why not accept: Didnt want jaw surgery
Why not accept: Time too long
Why not accept: Other
Additional rec Tx: Thumb crib
Additional rec Tx: Speech therapy
Additional rec Tx: Occlusal equilibration
Additional rec Tx: Elastics
Additional rec Tx: IPR
Additional rec Tx: Expand upper jaw
Additional rec Tx: Gum surgery
Additional rec Tx: Vibration therapy
Additional rec Tx: Other
Additional rec Tx: None of listed
Previous ortho treatments
Prior ortho Tx: Braces
Prior ortho Tx: Remove upper teeth
Prior ortho Tx: Remove lower teeth
Prior ortho Tx: Thumb crib
Prior ortho Tx: Speech therapy
Prior ortho Tx: Elastics
Prior ortho Tx: Expand upper jaw
Prior ortho Tx: Headgear
Prior ortho Tx: Gum surgery
Prior ortho Tx: Vibration therapy
Fixing openbite a goal of prior Tx
Month visit from PT-ENRL
Year visit from PT-ENRL
Patient race: Other