Class 4

Question 1

Choice of treatment for skeletal malocclusions

Answer 1

Growth Modficiation
Camo
Surgical treatment

Question 2

Sites of facial growth

Answer 2

Sutures 
Nasal Septum
Synchondroses
Condyle
Alveolus

Question 3

Nasal septum will affect ____ but not ____

Answer 3

Anterior posterior

Vertical

Question 4

Synchondroses will not have enough

Answer 4

Cranial base

Question 5

Need to have _____in mandible for it to grow

Answer 5

Function

Question 6

Alveolus grow

Answer 6

Lateral and upward

Question 7

Good modifiable growth sites

Answer 7

Sutures

Question 8

Poor growth sites

Answer 8

Synchondroses

Question 9

Questionable growth site

Answer 9

Nasal septum

Condyl

Question 10

Requirements for growth modification

Answer 10

Able to place force

Growing patient

Question 11

Condyles require function including

Answer 11

Translation for growth modification

Question 12

Alveolus requires _____ or _____for growth

Answer 12

Teeth

Functioning unit

Question 13

Rapid growth

Answer 13

12-14 males

10-12 females

Question 14

Face and bodies are _____ in growth timing

Answer 14

Loosely related

Question 15

Differential timing and amount: Nose

Answer 15

Male more than female

Question 16

Differential timing and amount: Lips

Answer 16

Grow vertically more than skeleton

More lip competence as you get older
Less protrusive as you age

Question 17

Differential timing and amount: Chin

Answer 17

Males more chin butt

Question 18

Differential timing and amount: late growth

Answer 18

Maxilla tends to be down

Mandible tends to be forward

Question 19

Profile analysis difficult for children

Answer 19

Under 6

Question 20

What class is difficult to use profile analysis

Answer 20

Class III

Question 21

Profile analysis can be difficult when ____ problems are present

Answer 21

Vertical

Question 22

Last plane of space to stop growing

Answer 22

Vertical

Question 23

First to stop growing

Answer 23

Transversely

Need to stop posterior cross bites early

Question 24

Class II maxillary protrusion

Answer 24

Favor headgear

Question 25

Maxillae most affected by

Answer 25

Head gear

Question 26

Mandible most affected by

Answer 26

Headgear and functional appliances

Question 27

Class III maxillary retrusion treatment

Answer 27

Face mask | Functional appliances

Question 28

Face mask

Answer 28

12-14 oz force Elastics go in mouth pull for award. Supported by forehead Sometimes mandible goes back and down to create more convex

Question 29

Class III Mandibular Protrusion

Answer 29

Functional appliances | Chin Cup

Question 30

Chin cup

Answer 30

Limited long term. Good short term

Question 31

Transverse skeletal contributions maxillary constriction

Answer 31

Opening of mid palatal suture | Lingual arch type in primary and mixed dentin

Question 32

RPE for

Answer 32

Near and post adolescent

Question 33

Can skeletal changes be made

Answer 33

Will go back a little

Question 34

Is early Class II TX beneficial

Answer 34

Restrain the maxilla -Head Gear Grow mandible -functional appliance Early mixed dentin is no benefit to ultimate growth over late mixed dentin

Question 35

Is class III Tx beneficial

Answer 35

Grow the maxilla - before 10 - Emerging long term data suggests Tx must be limited to max retrials - 30% fail - Simulatneous exanpsion questionable Restric the mandible -temp benefit

Question 36

It appears transverse skeletal and dental changes

Answer 36

Can be made and maintained

Question 37

When is early treatment justified

Answer 37

Class II -esthetics or trauma reductions Class III -true max deficiency Posterior crossbite -with functional shifts and arch length shortages

Question 38

Camouflage treatment is good for ______ or ______patients

Answer 38

Nongrowing | Slow growing

Question 39

Camouflage traditional preference

Answer 39

Female Class II | Male Class III

Question 40

New Camouflage data

Answer 40

Basically male better for everything except moderate class II They are equal

Question 41

Antero-Posterior Surgical solutions

Answer 41

Le Fort 1 BSSO Genioplasty

Question 42

Long Face

Answer 42

``` Vertical maxillary excess Steep mandibular plane Short ramal height Increased lower face height An open bite ```

Question 43

Short face

Answer 43

Vertical deficiency Low mandibular plane Decreased lower face height Often a deep overbite

Question 44

Transverse surgical solutions

Answer 44

SARPE 2 piece Le Fort1 Mandibular midline osteotomy Distraction osteogenesis

Question 45

The main driving force for new bone formation

Answer 45

Distraction

Question 46

Ossification mode

Answer 46

Intramembranous endochondral and transchondroid

Question 47

_____ is critical for Do site bone formation

Answer 47

Periosteum

Question 48

DO relies on

Answer 48

Angiogenesis | Blood supply

Question 49

Distraction factors

Answer 49

``` Latency time Distraction time (1mm/day) Consolidation time ( double the duration of distraction phase) ```

Question 50

Bone factors

Answer 50

Blood supply Mesenchymal cells Periosteum

Question 51

Mechanical factors

Answer 51

stability of the DO site | Functional loading