Kesling Diagnostic Setup

Kesling Diagnostic Setup

• Both the maxillary and mandibular studying casts of the patient are prepared.
• Trimming of the base of both the study casts is done parallel to the occlusal plane.
• In the mandibular cast, horizontal cuts are made 3 mm apical to the gingival margin with the help of a fret saw blade.
• Vertical cuts are also made to separate the individual teeth.
• Trimming of mesial and distal ends of the root is done to facilitate the seating at the new position.
• In the formed slit during the cutting of the teeth, wax blocks are placed.

“Benefits Of Using Kesling Diagnostic Setup”

• On the study cast, the mandibular incisor teeth are arranged at an angle of 65° to Frankfort’s horizontal plane.
• Canines, as well as premolars, should be placed in correct contact relationships.
• If the remaining space is inadequate for receiving fist molars, extraction should be indicated. First premolars should be eliminated from the setup and placed with second premolars in contact with canines.
• Cutting of maxillary teeth is carried out, and they are repositioned in a wax set-up by articulating them with a mandibular set-up.

• Kesling’s Diagnostic Indication is useful in visualizing and testing the effect of complex tooth movement and extractions on the occlusion.
• Patients can be motivated by simulating the various corrective procedures on the cast.
• Tooth size arch length discrepancy can be visualized using a set-up.
• Kesling’s Diagnostic Indication acts as a guide for extractions in the treatment plan.