Fixed Appliances Flashcards

1
Q

what are fixed appliances

A

appliances which are fixed to the teeth and cannot be removed by the patient

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2
Q

what do fixed appliances consist of

A

brackets, bands, archwires, modules and auxiliaries

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3
Q

what do fixed appliances allow for

A

precision movement
complex movement
control of root
less compliance dependent

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4
Q

what are the downsides of fixed appliances

A

requires excellent OH
risk of iatrogenic damage
poor intrinsic anchorage

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5
Q

what are the uses of fixed appliances

A

correction of mild to moderate skeletal discrepancies
alignment of teeth
correction of rotations
centreline correction
overbite and overjet reduction
closure of spaces/creating spaces
vertical movements of teeth

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6
Q

what do we aim for with orthodontic treatment

A

andrews six keys

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7
Q

what are andrews six keys

A

tight approximal contacts
class 1 incisors
class 1 molars
flat occlusal plane
long axis of teeth slight mesial inclination
crowns of canines back to the molars have lingual inclination

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8
Q

what material is used for brackets

A

stainless steel

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9
Q

what are bands made of

A

stainless steel

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10
Q

what is used to bond brackets to teeth

A

composite via acid etch

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11
Q

what is used to bond bands to teeth

A

GI

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12
Q

what materials are used for archwires

A

stainless steel
nickel titanium

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13
Q

when would a nickel titanium wire be used

A

in early stages when you need lots of flexibility due to tooth position

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14
Q

what are the properties of NiTi archwire

A

flexible
light continuous force
shape memory
higher friction

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15
Q

name some force generating components

A

elastic power chain
NiTi coils
intra-oral elastics
active ligature

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16
Q

how do teeth move with force generating components

A

due to the energy stored in the elastic/spring

17
Q

what is anchorage

A

resistance to unwanted tooth movement

18
Q

what is anchorage based on

A

Newtons 3rd law

19
Q

how do you increase anchorage

A

compound anchorage
absolute anchorage
cortical anchorage
intermaxillary anchorage

20
Q

what is compound anchorage

A

linking groups of teeth together

21
Q

what is reciprocal anchorage

A

when one tooth is similar to another (2 centrals) so there is equal tooth movement

22
Q

what is absolute anchorage

A

non-osseointegrating mini screws in the bone to apply elastics round

23
Q

what is cortical anchorage

A

transpalatal arch
lingual arch
nance palatal arch

24
Q

what is intermaxillary anchorage

A

applying elastics from one jaw to the other

25
Q

what features have high relapse rate

A

diastema
rotations
palatally ectopic canines
proclination of lower incisors
anterior open bite
instanding upper lateral incisors

26
Q

when would you use a fixed orthodontic retainer

A

space closure
diastema
proclination of lower labial segment
periodontal cases
ectopic canines
instanding upper 2s

27
Q

what are the 3 risks of fixed appliances

A

decalcification
root resorption
relapse

28
Q

what is the GDP role with fixed appliances/retention

A

regular exams
OHI and diet advice
communicate with orthodontist if concerns
make appliance safe in case of orthodontic emergency