Adult Orthodontics Flashcards

1
Q

What is this an example of?

A

Buccal segment extrusion

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2
Q

What are some reasons for secondary adult ortho tx?

A

Unsuccessful previous treatment/relapse
Tooth loss
Periodontal disease

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3
Q

What is this an example of?

A

Incisor proclination

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4
Q

How can periodontal disease affect a patients teeth in regards to ortho problems?

A

Proclination
Extrusion
Rotation
Irregular spacing
Overeruption

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5
Q

What is this an example of?

A

Relative incisor intrusion

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6
Q

What are the 4 ways an overbite can be reduced?

A

Relative incisor intrusion (growing patient)
Buccal segment extrusion (not ideal)
True incisor intrusion (adult patient)
Incisor proclination (not ideal)

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7
Q

What teeth shape are the worst to carry out inter-dental enamel reduction on?

A

Square/Rectangular shaped teeth
(long contact points)

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8
Q

What may you want to incorporate at the end of adult ortho tx?

A

Permanent retention
(eg lingual wires)

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9
Q

What are some alternatives to extractions for space creation in adult ortho tx?

A

Inter-dental enamel reduction
Incisor proclination
Molar distal movement
Expansion (Transverse direction)

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10
Q

What are the different ways we can treat skelatal discrepancies?

A

Growth modification (peads)
Camouflage tx
Orthognathic surgery

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11
Q

What is this an example of?

A

Relative incisor intrusion

Compensatory condylar growth to get a reduced overbite
Increase in lower anterior face height

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12
Q

What teeth shape are the best to carry out inter-dental enamel reduction on?

A

Triangular shaped teeth (short contact points)

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13
Q

What are diffrent ways we can modify traditional ortho tx (braces) to make it more aesthetic for a patient in adult ortho tx?

A

Aligners (e.g. Invisalign)
Lingual brackets
Ceramic brackets

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14
Q

Comment on space closure time in adult ortho tx

A

Slow space closure due to a decreased bone turnover rate

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15
Q

What is this an example of?

A

True incisor intrusion

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16
Q

Why has adult ortho tx become more common?

A

Increased awareness
Advanements in appliance design

17
Q

What are some considerations/limitations of adult ortho tx?

A
  • Bone turnover is slower so affects speed of tooth movement
  • Dental and periodontal condition
  • Now pt is non-growing
  • Motivation considerastions
  • Compliance: Appliances, appointments
  • Oral hygiene