Growth Predictions- FINAL Flashcards

1
Q

When there a good ratio between the height and width of your face:

A

normocephalic

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2
Q

When there is a longer length of the face in relation to the width of the face is much longer:

A

dolychocephalic

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3
Q

Dolychocephalic patients tend to be harder to:

A

predict growth

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4
Q

Brachiocephalic (patients that show with a class II division II malocclusion)- a very square face- meaning the:

A

height to width ratio are almost equal (B. Mlekus)

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5
Q

The easiest predictability of growth is with ___ patients:

A

Normochepaplic

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6
Q

Angle that is a good growth predictor as it tends to stay stable throughout life:

A

mandibular plane angle

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7
Q

____ axis is a good predictor of growth

A

Y-axis

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8
Q

Bjork studies state that: “patients tend to keep growth pattern _____”

A

patients tend to keep growth pattern constant (if you start at normocephalic you tend to stay that way)

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9
Q

The mandibular plane line creates an angle with

A

the anterior aspect of the cranial base

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10
Q

The angle between the mandibular plane line and the anterior aspect of the cranial base=

A

mandibular plane angle

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11
Q

The more normal the mandibular plane angle is, the more:

A

predictable the growth pattern will be

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12
Q

From the cranial base the face will grow:

A

down & forward toward the maxilla

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13
Q

The center of the cranial vault:

A

sella

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14
Q

In a class III malocclusion we try to minimize the growth of the ____ and maximize the growth of the ___.

What about for class II?

A

mandible; maxilla

Opposite

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15
Q

What can we assume with a MP angle and Y-axis that are not normal:

A

altered growth (Not predictable)

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16
Q

With growth enhancement, we are typically looking at:

A

a class II or III malocclusion

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17
Q

For a class III malocclusion, we try to increase ____ length.

For a class II malocclusion, we try to increase ___ length.

A

class III= maxilla

class II= mandible

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18
Q

Can we modify growth?

A

yes- but not as much as we wish

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19
Q

Is chronological age a good predictor?

A

yes- but take it with a grain of salt

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20
Q

When is the window of opportunity to modify growth?

21
Q

Growth spurts for girls:

22
Q

Growth spurts for boys

A

12-14 (until 17)

23
Q

In order to modify growth, you must first:

A

experience growth

24
Q

What are two factors to take into consideration with growth spurts?

A
  1. timing of correction
  2. length of treatment
25
The functional matrix considers that growth is determined by:
genetics and epigenetics
26
Stimulation of periostea growth by alteration of neuromuscular environment. This appliance will stimulate periosteal pull and bone apposition.
frankl appliance
27
The frankl appliance is considered a ____ appliance because it is not tied down to the dentition.
Not tooth borne appliance
28
The Frankle appliance rational is based on ____ because you are changing ___.
the functional matrix; the environment
29
What type of growth does the Frankie appliance harvest:
intramembranous
30
Maxillary expander appliance modifies the growth at the:
mid-palatal suture (above the teeth)
31
Up to how many mm does a maxillary expander expand the palate transversely? How much can it expand the mid-palatal suture?
4-5mm 5-6 mm (on a good day)
32
A maxillary expander is a ___ appliance
orthopedic
33
How many mm per day does a maxillary palate expander allow?
0.25mm per day (1/4 of a turn) 28-30 activations
34
Functional cross-bite must be corrected at:
a young age
35
When correcting a functional cross-bite, if the side that contains the cross bite is corrected, what happens to the other side?
the other side will become edge-to-edge
36
anteroposterior dimension is treated by:
Class II correction
37
For true retrognatism (class II) there is:
NO Growth
38
True retrognatism is purely:
skeletal & genetic
39
For anteroposterior dimension treated by class II correction, what must be considered?
1. the amount of dentoalveolar compensations 2. growth potential (growth prediction)
40
Can true retrognatism be corrected?
no
41
Growth predications should take into account:
- age - gender - genetics
42
Slows down growth at the tuberosity level:
head gear
43
Head gear acts at the:
growth site
44
Head gear allows the ___ to "catch up"
mandible
45
Head gear allows the mandible to catch up in the ____ plane
anterior bite
46
What follows treatment with headgear?
normal growth pattern
47
The tuberosity (where head gear acts) is a:
growth site
48
Where does head gear slow the growth and what does this allow for?
slows growth of maxilla at tuberosity level allowing the mandible to catch up