8 - Fixed appliances Flashcards

1
Q

Define fixed appliances.

A
  • fixed to teeth and cannot be removed by patient
  • consist of brackets, bands, archwires and auxiliaries
  • precision tooth movers
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2
Q

What are the properties of fixed appliances?

A
  • 3D control
  • complex tooth movements
  • less dependant on compliance
  • require excellent OH
  • risk of iatrogenic damage
  • poor intrinsic anchorage
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3
Q

What are fixed appliances used for?

A
  • correction of mild/moderate skeletal skeletal discrepancies (by camouflage)
  • alignment of teeth
  • correction of rotations
  • centreline correction
  • OB/OJ reduction
  • closure/opening of spaces
  • vertical movements of teeth
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4
Q

What are Andrew’s six keys?

A
  • tight approximate contacts with no rotations
  • class I incisors
  • class I molars
  • flat occlusal plane or slight curve of spee
  • long axis of teeth have slight mesial inclination except molars
  • crowns of canines to molars have lingual inclination
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5
Q

What are the components of fixed appliances?

A
  • bracket/tube
  • band
  • archwires
  • modules
  • auxiliaries
  • anchorage components
  • force generating components
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6
Q

What are the components of a bracket?

A
  • bracket slot
  • tie wings
  • bracket base with prescription incorporated
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7
Q

What materials can brackets be made of?

A
  • metal (SS, CoCr, Ti)
  • polymers
  • ceramic
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8
Q

What does the blue dot indicate on a bracket?

A
  • positioning
  • should be gingival an distal to achieve correct prescription
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9
Q

What are molar bands for?

A

Increased anchorage

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10
Q

What is tip?

A
  • mesial/distal angulation of tooth
  • determined by the angulation of slot on bracket
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11
Q

What is torque?

A
  • buccal/lingual angulation of tooth
  • determined by angulation of bracket base
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12
Q

How are brackets bonded to teeth?

A

Composite via acid etch

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13
Q

How are molar bands bonded to teeth?

A

Glass ionomer

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14
Q

What are the common materials used in archwires?

A
  • stainless steel
  • nicket titanium
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15
Q

What are stainless steel archwires primarily used for?

A

Moving teeth

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16
Q

What are nickel titanium archwires primarily used for?

A

Light forces

17
Q

What are the properties of NiTi archwire?

A
  • flexible
  • light continuous force
  • shape memory (not formable)
  • higher friction than SS
18
Q

What are the properties of SS archwire?

A
  • working archwire
  • low friction
  • formable (bends or loops)
19
Q

What is the function of bumper tubing?

A

Protect wire at extraction sockets

20
Q

What are force generating components?

A
  • elastic power chain
  • NiTi coils
  • intra-oral elastics
  • active ligature
21
Q

What is power chain?

A
  • elastomeric chain that exerts additional force on teeth
  • degrades quickly so requires replacement regularly
22
Q

What are NiTi coils used for?

A

Push teeth apart

23
Q

What is simple anchorage?

A

Root surface area

24
Q

What is compound anchorage?

A

Link teeth together to increase root surface area for anchorage

25
Q

What is reciprocal anchorage?

A

Similar tooth root surface so teeth move evenly towards each other

26
Q

What is absolute anchorage?

A
  • provided by temporary anchorage devices
  • eg non-osseointergrating mini screw
27
Q

What is cortical anchorage?

A
  • provided by trans-arch wire connected to molar bands
  • increased resistance to tooth movement
  • maintains intermolar width
28
Q

What features have a high relapse potential?

A
  • diastema or space closures
  • rotations
  • palatally ectopic canines
  • proclination of lower incisors
  • AOB
  • instanding upper laterals
29
Q

Describe a Hawley removable retainer.

A
  • labial bow to control incisors and canines inclination
  • not tolerated in lower arch
  • can add pontics in hypodontia cases
30
Q

How often are routine adjustments?

A

4-8 weeks