LAB Flashcards

1
Q

What are the key components of URA appliance design?

A

Active Component(s): Apply the force for tooth movement.
Retentive Component: Prevent displacement of the appliance.
Anchorage: Resistance against unwanted tooth movement.
Baseplate: Connects all the components and provides stability.

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2
Q

What are the two components of the Index of Orthodontic Treatment Need (IOTN)?

A

Aesthetic Component (AC): Measures aesthetic impairment.
Dental Health Component (DHC): Evaluates occlusal traits affecting dental and surrounding structure morbidity.

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3
Q

What are the main reasons for stainless steel wire fractures in orthodontics?

A

Overwork: Excessive bending and straightening.
Mechanical Abrasion: Damage during finishing or fabrication.
Fatigue: Repeated strain at the same point.
Weld Decay: Corrosion at the grain boundaries due to overheating.

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4
Q

How is stainless steel made corrosion-resistant?

A

Chromium forms a passive oxide film over the surface, preventing corrosion.

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5
Q

What is the composition of 18/8 austenitic stainless steel used in orthodontics?

A

72% Iron
18% Chromium
8% Nickel
1.7% Titanium
0.3% Carbon

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6
Q

What is the Bauschinger effect, and how does it relate to orthodontic wires?

A

When a coil in a wire is activated in the same direction as its previous bending, its elastic recovery increases. This occurs because the outer surface becomes more work-hardened than the inner surface.

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7
Q

What is the key structural difference between austenite and martensite?

A

Austenite: Has a perfect cubic crystalline structure.
Martensite: Has a distorted cubic structure due to interstitial carbon atoms, causing hardness.

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8
Q

What are the three types of orthodontic retainers, and their key features?

A

Conventional Removable Retainers: Made of acrylic and wire.
Thermoplastic Retainers: Clear and aesthetic.
Bonded Retainers: Fixed to teeth, ensuring long-term retention.

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9
Q

How does titanium improve welding in stainless steel?

A

Titanium prevents the precipitation of chromium carbides, reducing grain boundary corrosion during welding or soldering.

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10
Q

What is the basic principle of orthodontic tooth movement?

A

If prolonged force is applied to a tooth, tooth movement occurs through bone remodeling, controlled by the periodontal ligament (PDL).

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11
Q

How does bone remodel during orthodontic treatment?

A

Bone is selectively removed in areas under pressure and added in areas under tension around the tooth.

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12
Q

What are the components of a URA appliance design?

A

Active Component: Moves teeth with force.
Retentive Component: Resists displacement forces (e.g., Adams clasps).
Anchorage Component: Resists unwanted tooth movement.
Baseplate: Connects all components, provides anchorage, and assists retention.

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13
Q

What components are used to retract canines with a URA appliance?

A

13 & 23 (Canines): Palatal finger springs (0.5mm HSSW).
16 & 26 (Molars): Adams clasps (0.7mm HSSW).
11 & 21 (Centrals): Southend clasp (0.7mm HSSW).
Baseplate Material: Self-cure PMMA.

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14
Q

List advantages of removable orthodontic appliances.

A

Tipping movement of teeth.
Excellent anchorage.
Shorter chairside time.
Easier oral hygiene maintenance.
Cheaper than fixed appliances.
Adaptability for overbite reduction.

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15
Q

What are the disadvantages of removable orthodontic appliances?

A

Less precise control of tooth movement.
Limited to moving 1-2 teeth at a time.
Easily removable by the patient.
Difficult to correct rotations.

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16
Q

What materials and wire dimensions are used for the Adams clasp?

A

Permanent Teeth: 0.7mm stainless steel round hard wire.
Deciduous/New Premolars: 0.6mm stainless steel round hard wire.

17
Q

List the key advantages of the Adams clasp.

A

Small, neat, and unobtrusive.
Usable on deciduous or permanent teeth.
Suitable for partially erupted teeth.
Highly retentive if constructed well.
Modifiable for auxiliary springs, hooks, or facebows.