Fixed Orthodontic Appliances Flashcards
What are fixed appliances?
Appliances that are fixed/bonded to teeth & cannot be removed by patient
- consists of brackets, bands, arch-wires & auxiliaries
- can performed precision movements
When do we use fixed appliances?
- correction of mild to moderate skeletal discrepancies (camouflage)
- alignment of teeth
- correction of rotations
- centreline correction
- overbite & overjet reduction
- closure of spaces / creating spaces
- vertical movement of teeth
What are Andrews six keys?
- tight approximal contacts with no rotations
- class I incisors
- class I molars
- flat occlusal plane or slight Curve of Spee
- long axis of teeth have a slight mesial inclination except lower incisors
- crowns of canines back to the molars have a lingual inclination
What are the components of fixed appliances?
- bracket/tube
- band
- archwire
- modules
- auxillaries (elastomerics or springs)
- anchorage components
- force generating components
What is normally used to fix molar bands to teeth?
GIC
What are the components of orthodontic brackets?
- bracket slot
- tie wings
- bracket base
What materials are used to make orthodontic brackets?
- metal
- polymers
- ceramics
What is torque?
buccal-lingual angulation of tooth
- based on thickness of bracket base
What is tipping?
mesial-distal angulation of tooth
How are brackets attached to teeth?
Micromechanical retention
- photoinitatior reaction using light cure composite
What archiwire materials are used?S
- stainless steel
- nichel titanium (NiTi)
- cobalt chromium
- beta-titatium
- composite/glass
When picking the material for archwire, what DMS component is essential?
SHAPE MEMORY!
Why is NiTi ideal for orthodontic archwire?
- flexible
- light continuous force
- shape memory
- higher fraction than SS
Why is Stainless Steel used for orthodontic archwire?
- working archwire to slide teeth (low friction)
What are the force generating components of fixed orthodontic appliances?
Sliding mechanics:
- elastic power chain
- NiTi coils
- intra-oral elastics
- active ligature
Teeth move by utilising the energy stored in the elastic or spring