Oral Surgery & Orthodontics Flashcards
What are some SOFT TISSUE oral surgery procedures that are needed for orthodontics?
- frenectomy?
Impacted canines:
- buccal apically repositioned flap
- palatal open exposure
Impacted premolar exposure
What are some HARD TISSUE oral surgery procedures that are needed for orthodontics?
Impacted canines
- buccal apically repositioned flap with bone removal
- palatal/buccal open OR closed exposure with gold chain
- XLA
Premolars:
- XLA
- Exposure of impacted teeth with bone removal
- Submerged retained deciduous teeth
- Implants
- orthognathic surgery
Difference between an OPEN & CLOSED exposure?
Open Exposure:
- Tooth exposed (healing pack & non dissolvable stitches to prevent gingival overgrowth)
Closed Exposure:
- Deep impaction
- Gold chain bonded on
- Flap placed over chain & sutured
what are some possible lines of approach for an impacted canine?
- leave alone & monitor
- XLA
- Surgical exposure & orthodontic alignment
- Transplant
Erupting 13 bonded onto orthodontic appliance
Picture Of Procedure
Buccal 23 being moved back with removable appliance
Picture Of Procedure
Palatal 13 & 23 following open surgical exposure
Picture Of Procedure
What are INDICATIONS for canine transplant?
- if UNABLE to get reasonable result by exposure & traction
- Potential for damage to other teeth
- Space available or can be made without Premolar XLA
- older patient who wants QUICK solution
Canine Transplant
Picture Of Procedure
Dilacerated Canine
Picture Of Procedure
Frenectomies - surgical removal of fleshy labial frenum
Picture Of Procedure
why do implants provide the qualities of an IDEAL orthodontic anchor?
- Pt compliance unnecessary
- absolute anchorage as there is no PDL
- Easily used under a variety of tx modalities
- Easily placed
- Removeable, if needed
