fitting and activation of ura Flashcards
1
Q
types of retentive components
A
adams clasp = molars = 0.7 mm ss on permanents, 0.6mm on deciduous
southend clasp = 0.7 mm ss = looks like wave on ants
labial bows = 0.7 mm ss = crosses ants straight line
2
Q
types of active components
A
0.5 mm ss
finger spring + guard
z spring
flapper spring
t-spring
buccal canine retractor
roberts retractor
3
Q
fitting a ura
A
- Ensure the patients details match the details supplied for the appliance (Right appliance-Right patient).
- Check the appliance matches the design specifications.
- Inspect the appliance and run your finger over all surfaces looking for sharp or potentially traumatic areas.
- Check the integrity of the wirework (Damage or work-hardening).
- Insert the appliance into the patients mouth, immediately looking for areas of blanching or soft tissue trauma.
- Check the posterior retention (Adam’s clasp. Firstly the flyovers, then the arrowheads are correctly engaging the appropriate undercuts.
- Apply the same principles to the anterior retention.
- Activate the appliance (1mm movement approximately per month).
- Demonstrate to the patient the correct procedure for insertion and removal of the appliance (Ensure that the patient demonstrates this correctly).
- Book a review appointment 4-6 weeks
4
Q
patient info and poig
A
- Appliance will feel big & bulky (this is perfectly normal, and they will get used to it quickly).
- My cause initial excessive salivation (this will pass in 24 hours).
- May impinge speech for a short period of time (practise reading a book aloud at home and this will subside).
- May cause initial discomfort or ache (this is perfectly normal, and indicates that the appliance is working).
- To be worn 24/7 including meal times & sleep.
- Remove after every meal and clean with a soft brush.
- Remove and store in a protective container when participating in contact or active sports.
- Avoid hard or sticky foods that may damage the appliance and be cautious with hot food or drinks.
- Missing appointments and non-compliance will significantly lengthen the treatment time.
- Provide emergency contact details in case any problems arise.