IOTN/URA instructions

Question 1

What are the 2 components to IOTN?

Answer 1

Aesthetic - dental attractiveness related
Dental - malocclusion related

Question 2

Increased OJ >9mm grade

Answer 2

5a

Question 3

Impeded eruption grade

Answer 3

5i

Question 4

OJ >6mm but <9mm

Answer 4

4a

Question 5

What does MOCDO stand for?

Answer 5

(m)issing teeth
(o)js
(c)rossbites
(d)displacement of contact points
(o)verbites inc AOB

Question 6

Give URA advice (4)

Answer 6

1. Will be uncomfortable at start
   - Means its working
2. Big+bulky
   - Will get used to it
3. Speech may be affected
   - Practice reading out loud, tongue will adapt
4. Salivary response
   - Excess saliva common but will pass in 24hrs

Question 7

Give URA patient instruction (6)

Answer 7

Wear 24/7 - eating+drinking
Clean with soft brush after every meal
Place in container when playing sports
Avoid hard/sticky + hot foods/drinks
Non compliance will lengthen tx
Emergency contact if any issues

Question 8

Checks when fitting a URA (9)

Answer 8

1. Right appliance, right pt, right design
2. No sharp edges
3. Ensure integrity of wirework
4. Ensure no signs of trauma
5. Check posterior retention (flyover/arrowheads equally going into undercut)
6. Check anterior retention
7. Activate appliance (1mm/mth)
8. Demo insertion/removal and get pt to do it
9. Review every 4-6wks