Exam IV-Dr. Pinto New Material

Question 1

Class II, which division? Maxillary anterior teeth flare outward in protrusion

Answer 1

Division I

Question 2

Class II, which division? Maxillary anterior teeth are lingually inclined retroclined or prognathic maxilla, short retrognathic mandible, brachyofacial growth pattern, or prominent chin, and deep bite.

Answer 2

Division II

Question 3

75% of Class II skeletal discrepencies are a result of _______ ________

Answer 3

MANDIBULAR RETROGNATHISM

Question 4

What % of the US population has Class II malocclusion?? (interesting!)

Answer 4

33%

Question 5

What are two examples of syndromes that can lead to class II malocclusion?

Answer 5

Pierre-Robin & Treacher Collins

Question 6

Correction of _______ dimension in the non-growing patient includes surgical correction such as Lefort __ orthognathic surgery

Answer 6

VERTICAL…Lefort I

Question 7

Transverse vertical plane type: usually buccal segments normal with 3-4mm discrepancy at level of WHICH TOOTH? due to narrow arch.

Answer 7

Maxillary 1st Molar

Question 8

Transverse Vertical Plane Types: Mandibular plane steeper than normal, steeper functional occlusal plane, palate tipped downward, anterior cranial base tipped upward

Answer 8

Type 1

Question 9

Transverse Vertical Plane Types: Type 1-Mandibular plane ________ than normal, _______ functional occlusal plane, palate tipped _______, anterior cranial base tipped _______

Answer 9

steeper, steeper, downward…upward

Question 10

Transverse Vertical Plane Types: Type __ Mandibular plane, functional occlusal plane, and palatal plane are FLATTER than normal and nearly PARALLEL

Answer 10

2

Question 11

Transverse Vertical Plane Types: Type 2 Mandibular plane, functional occlusal plane, and palatal plane are ______ than normal and nearly ______

Answer 11

FLATTER…PARALLEL

Question 12

Transverse Vertical Plane Types: are type 2 planes usually dolichofacial or brachyofacial?

Answer 12

brachy

Question 13

Transverse Vertical Plane Types: Type __-Palatal plane tipped upward anteriorly

Answer 13

3

Question 14

Transverse Vertical Plane Types: Type 3: ______ plane tipped UPWARD anteriorly

Answer 14

palatal

Question 15

Transverse Vertical Plane Types: Type __ Mandibular plane, functional occlusal plane, and palatal plane are all noticeably tipped downward

Answer 15

4

Question 16

Transverse Vertical Plane Types: Type 4- Mandibular plane, functional occlusal plane, and palatal plane are all noticeably tipped _______

Answer 16

downward

Question 17

Transverse Vertical Plane Types: Type ___ - Palatal plane and cranial base are tipped DOWNWARD

Answer 17

5

Question 18

Transverse Vertical Plane Types: Type 5-Palatal plane and cranial base are tipped ________

Answer 18

DOWNWARD

Question 19

A Class II with equal skeletal positions of the maxilla and mandible, but slight class II molar position is considered what TYPE of class II?

Answer 19

“normal”

Question 20

What type of class II has normal class I molars and skeletal position, but proclined maxillary incisors?

Answer 20

TYPE A

Question 21

Class II-Type ___: Maxillary prognathism with dental protraction

Answer 21

B

Question 22

Class II-Type ___: Maxillary retrognathism with flared oOR upright incisors and severe mandibular retrognathism with flared lower incisors

Answer 22

C

Question 23

Class II-Type ___: Maxillary retrognathism with dental protraction and severe mandibular retrognathism

Answer 23

D (D for DOUBLE surgery for treatment)

Question 24

Class II Type __: Maxillary prgnathism and dental protraction with mandibular dental flaring

Answer 24

E

Question 25

Class II Type __: Mandibular retrognathism

Answer 25

F

Question 26

Fixing Class II-Distalizing appliances: appliance that distalize Maxillary molars resulting in ______ modificaiton not _____

Answer 26

dental, not skeletal

Question 27

**Review (there were test Q’s on this!!): What are the 4 TOOTH BORNE functional appliances? What is the 1 TISSUE BORNE functional appliance?

Answer 27

TOOTH: 1.Herbst 2. Twin Block 3.Bionator 4.MARA….TISSUE: Frankel

Question 28

What is the most frequently used and banded fixed appliance?

Answer 28

Herbst

Question 29

Camouflauge for Class II tx… pt has an overjet related to more of a maxillary _______ than Mandibular ______

Answer 29

maxillary protrusion…Mandibular retrusion

Question 30

Which skeletal/dental descrepancy is best for camoflauge?

Answer 30

MILD class ii skeletal and dental

Question 31

CAMOUFLAGE: Treatment requires ext either ________ AND __________ OR ONLY ext of _______

Answer 31

Maxillary 1st premolars AND Mandibular 2nd premolars OR ONLY ext of Maxillary 1st premolars

Question 32

Ortho on ADULTS: Free gingival graft recommended when tooth movement is WHICH direction??

Answer 32

towards the gingival tissue (intrusion)

Question 33

Which big ortho complication has an INCREASED risk in adulthood?

Answer 33

root resorption

Question 34

When should Recontouring osseous surgery be done? Before or after ORTHO tx?

Answer 34

Recontouring osseous surgery should be done after treatment since the bone architecture will change during orthodontics

Question 35

BONE grafting and Ortho Tx: If teeth will be moved into edentulous area, bone grafting should be done _____ orthodontic treatment

Answer 35

BEFORE….

Question 36

BONE grafting and Ortho Tx: —If for IMPLANT placement, bone grafting should be done _________ or ________

Answer 36

6 months prior to debanding or after treatment is complete

Question 37

Say we uprighted some molars and created space for an implant in an adult… WHEN do we place a bridge or implant in the edentulous area?

Answer 37

should be postponed until lamina dura has reappeared around uprighted tooth (usually 8-12 weeks)

Question 38

How long do you have to replace space after finishing ortho in an adult?

Answer 38

3-6mo…so wait 2-3 months and then you only have a 3 month window to get something in there.

Question 39

What are the three key parts to a smile that need to be in harmony for esthetics in ortho tx?

Answer 39

lips, gingiva, teeth