Interceptive Ortho 2

Question 1

How might one manage digit habits?

Answer 1

Positive reinforcement

Bitter nail varnish

Glove on the hand

Habit breaker appliance e.g. goal posts or tongue rake

Question 2

How do you know if patient is wearing their appliance?

Answer 2

Ask

Did they walk in with it

Can they easily take it out and put it in

Do they have a lisp or excess salivation, then not wearing

Wear on the appliance

Gingival erythema from appliance being in

Question 3

What is an infra occluding tooth?

How diagnose?

Answer 3

Ankylosed primary tooth

Alveolar bone grows up and over the tooth

Diagnose with percussion, mobility testing and radiographic examination

Question 4

What would you look for on radiograph when managing an infra-occluding tooth?

Answer 4

Presence of successor?

Ankylosis of tooth and loss of PDL

Root resorption

Question 5

What to do to infra occluding tooth when permanent successor is present?

Answer 5

Monitor 6-12mo

Extract if primary is below interproximal contact

Consider extract if root formation nearly complete of successor

Maintain space if extracting

Question 6

What to do to infra occluding tooth when permanent successor is not present

Answer 6

Extractif below interproximal contact

Retain and consider an onlay

Space management essential

Question 7

When should maxillary canines be palpable?

Answer 7

9-11yo

Question 8

When will extraction of Cs usually be successful with ectopic canines?

Answer 8

Patient 10-13

Canine distal to midline of upper lateral

Sufficient space

Question 9

What is a growth modifying appliance?

Give example

Answer 9

An appliance used to guide the growth of skeletal bases and jaws in a patient, so that they end up in a harmonious relationship

Headgear, functional appliances, palatal expanders