Lecture 7 Continued

Question 1

much of orthodontic treatment is dependent upon ___

Answer 1

patient compliance

Question 2

orthodontics is very difficult, and if a patient is unwilling to cooperate with the doctors instructions, what might happen to the final orthodontic result?

Answer 2

it will be compromised

Question 3

orthodontic treatment is usually performed during the teenage years, which means what for the orthodontist?

Answer 3

he or she has to deal with the same defiant, moody, rebellious teenage characteristics that the teenager’s parents have to deal with, which can at times make orthodontic treatment very difficult

Question 4

what are the special techniques needed for proper tooth brushing and flossing?

Answer 4

• patients should brush their teeth twice
• the first time is without toothpaste so the patient can see any plaque or food around the brackets
• once the teeth are clean, the patient repeats the steps using toothpaste
• flossing takes time and must be threaded in between each of the brackets underneath the wire

Question 5

___ and ___ are helpful with cleaning around brackets

Answer 5

proxy brushes and electric tooth brushes

Question 6

___ is a fluoride filled, light cured sealant with a proprietary catalyst that sets the resin without an oxygen inhibited layer

Answer 6

pro-seal

Question 7

the complete polymerization of pro-seal prevents ___ and reduces ___

Answer 7

prevents oral fluid absorption and reduces toothbrush abrasion

Question 8

pro-seal can inhibit long term ___, even in patients with poor oral hygiene

Answer 8

decalcification

Question 9

in addition to pro-seal, ___ is another orthodontic sealant which claims to help eliminate ___ during orthodontic treatment

Answer 9

• opal seal

- decalcification

Question 10

what are some prescriptions that help with decalcification and gingival inflammation?

Answer 10

• chlorhexidine or peridex - useful for patients who are struggling with their oral hygiene and are experiencing gingival inflammation and swelling
• 1.1% sodium fluoride toothpastes (prevident 5000 plus) for patients who are showing signs of initial decalcification

Question 11

what was the conclusion to the study whose purpose was to determine the effectiveness of sealing around the bracket periphery in reducing decalcification?

Answer 11

prophylactic sealing around the orthodontic bracket pad periphery with an unfilled sealant or a filled flowable composite restorative material did not significantly reduce the incidence of decalcification

Question 12

what was the conclusion to the study that used a dual-cured lightly filled BIS-GMA fluoride-releasing sealant?

Answer 12

there was no significant difference between the decalcification rates of the treatment or control groups

Question 13

what are some diet restriction for patients in orthodontic treatment?

Answer 13

• biting on hard or sticky food can break the brackets off the teeth
• broken bands or brackets can lengthen treatment time and can cause carious lesions around the broken appliance
• patients are also instructed to reduce sugar intake and stay away from soda

Question 14

patients in orthodontic treatment should continue routine dental visits every ___ months for cleaning and cavity checks

Answer 14

3-6 months

Question 15

what might happen if patients have poor compliance with wearing headgear and elastics?

Answer 15

these appliances are required to move the teeth into their proper positions, so the amount of time worn (or not worn) affects the results

Question 16

in addition to routine dental visits and wearing headgear/elastics, what are two other things that patient compliance is important for in order for orthodontic treatment to be successful?

Answer 16

• tongue/finger habits

- keeping appointments