1. candidates age and growth: Consider the candidates growth pattern and development stage before designing the treatment plan. Ideally, start treatment during the period of active growth for better results.

2. Attention: Monitor the candidates growth and development throughout the treatment to make necessary adjustments.

3.  Malocclusion severity: Assess the severity of the malocclusion, including crowding, spacing, overbite, and overjet.

4. Attention: Customize the treatment to the extent of the problem and consider using additional appliances to achieve desired results.

5. Skeletal discrepancies: Evaluate any underlying skeletal issues and their influence on the candidates occlusion and facial aesthetics.

6. Attention: In severe cases, consider referring the candidate for orthognathic surgery before starting orthodontic treatment.

7. Dental health: Check the candidates dental health, including periodontal and endodontic status, as well as any cavities or dental wear.

8. Attention: Collaborate with other dental specialists to ensure that the patient receives adequate dental health treatment before starting orthodontic treatment.

9. Aesthetics: Consider the candidates preferences and aesthetic concerns, such as smile line and facial harmony.

10. Attention: Communicate with the candidate to ensure that their concerns are addressed and included in the treatment objectives.

11. Medical and dental history: Review the candidates medical and dental history for any contraindications or potential complications during orthodontic treatment.

12. Attention: Modify the treatment plan if necessary and discuss any potential complications with the candidate.

13. Treatment duration and compliance: Determine the estimated treatment duration and the candidates level of compliance.

14. Attention: Discuss the importance of compliance with the candidate and provide them with a realistic timeline for treatment.

15. Financial considerations: Evaluate the cost of the treatment and discuss with the candidate their financial constraints or preferences.

16. Attention: Present treatment options that fit within the candidates budget but also achieve the best possible results.

17. Retention: Develop a retention plan to maintain the new position of the teeth after the completion of the orthodontic treatment.

18. Attention: Educate the patient on the importance of retention and teach them how to use and maintain their retainers.

19. Emergency contingencies: Prepare a plan for dealing with possible emergencies, such as broken appliances or injuries related to orthodontic treatment.

20. Attention: Ensure that the candidate knows how to handle emergencies and what steps to take if they occur.