Intro to ortho Flashcards
What 3 factors does orthodontics deal with?
Aesthetics
Function
Stability
What does the index of orthodontic treatment needed (IOTN) measure?
Impact of malocclusion on individuals dental health and their psychosocial well being
Used to allocate acre in NHS
What 2 components make up IOTN?
Dental health
Aesthetic
How is the dental component of IOTN measured?
Grades occlusal traits which could effect function or longevity of dentition --> worse single feature not cumulative Grade 1 - no need Grade 2 - little need Grade 3 - moderate need Grade 4 - great need Grade 5 - very great need
How is the aesthetic component of IOTN measured?
10 photographs
Grade 1 - aesthetically pleasing
Grade 10 - least pleasing
5-7 = moder/borderline 8-10 = definite need
What is interceptive orthodontics?
Early management of unerupted or impacted teeth
Balancing and compensating extractions
Reason for extraction of teeth for ortho
Maintain centre lines, prevent overeruption
Relieve crowding
Reason for balancing extractions?
Maintain centre line
Compensating extraction?
Extraction of equivalent opposing tooth to prevent over-eruption
How can skeletal discrepancy menifest?
Vertical facial proportion - (lower face hight_
Antero-posterior discrepancy
Transverse discrepancy
How does dento-alveolar disproportion manifest?
Crowding or spacing
Treatment for skeletal discrepancy
In a growing patient = growth modification
Adult patinet = orthognathic surgery
HOw can skeletal discrepancy be corrected by growth modification?
Fixed appliance
Twin blocks
Medium opening activaor
Class II bite?
Overjet
Class III bite?
Protruded manidble