Ch 18 Oral appliances Flashcards
What are some appliances for non-nutritive suckign habits?
- removable-100% compliance
- Fixed- difdicult to adjust to eating speaking and cleaning
What are some types of applicants for non-nutritive sucking?
bluegrass
thumb crib
hay rake
Athletic mouthguards are?
removable
works as a shock absorber
resilient
keeps teeth from hitting
capable of realigning and repositioning jaws to proctedct condyle
What are stock mouthguards?
- not custom-made: poor fit, excess bulk
- not recommend by dental professionals
Mouth-formed guards are?
Thermoplastic
* inexact fit
* does not protect teeth or condyle as well as custom
* Not preferred by dental professionals
Custom made mouthguards are?
- custom fit
- fits to protect teeth and supporting bone
- highest level of protection of teeth and other oral structures
- increased compliance due to comfort
- most expensive
What are vacuum mouthguards?
Older technology
thermoplastic material adapted over cast of patients teeth
uses vacuum machine- chemically fuses under high heat and pressure.
What are pressure laminate mouthguards?
- newest tech
- thin layer of EVA (ethylvinylacetate)
- thickness 3-5mm
- best fitting mouthguard
Who uses fluoride custom trays?
- indications for use?
- high caries pt
- xerostomia
- overdentures
- hypersensitivity
- raditation therapy
What type of fluoride is used in the tray?
- acidulated phosphate fluoride (0.5%)
- Sodium fluoride (1.1) <– best to use
- Stannous fluoride (0.4%)
What are a few orhto appliances?
- Hawly retainer
- invisalign aligner
- Palatal expander
- Twin block appliance
What is the function and used for night guards?
- Use: bruxism, cosmetic restorations
- Function: absorbs forces from grinding and clenching, allevates wear on dentition, worn during sleep, sometimes needed during the day.
What are space maintainers?
To prevent adjacent teeth from drifting and closing space left by a missing tooth before the eruption of succeeding permanent tooth
OSA/Snoring appliances
- Thought to be caused by reduced upper airaway size or low muscle tone
- Most common c-pap ,silent night
Whitening Trays are used for ?
- patient application at home
- can use desensitizing agent in trays
- needs seal at gingival margin to avoid getting product on soft tissues
- block-out resin creates space for gel in trays
