ortho anchor Flashcards

1
Q

orthodontic anchorage

A

resistance to unwanted tooth movement

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2
Q

what provides orthodontic anchorage

A

Other teeth and the palate/head/neck/screws in bone somtimes

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3
Q

what is the optimal force for moving a tooth

A

Lightest force that produces tooth movement at a near maximum rate

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4
Q

what happens as you increase the PDL volume over which a reaction force is distributed relative to the tooth trying to move

A

Greater the relative movment

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5
Q

what is the ratio between PDL pressures for the movemment tooth and anchor teeth

A

3:1 (larger anchors are better)

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6
Q

what happens to the anchor if you increase force toomuch

A

Burning of the anchorage (makes anchorage control impossible)

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7
Q

what teeth make the best anchors

A

Larger teeth

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8
Q

what is the simplest anchorage

A

Reciprocal anchorage

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9
Q

what is reciprocal anchoage

A

movememtn of one tooth is pitted against one exactly like it or with the same anchorage value

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10
Q

when to use reciprocal anchorage

A

close maxillary diastema

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11
Q

what is the result of reciprocal anchorage

A

Movement towards each other at the same rate

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12
Q

what is reinforcing the anchorage

A

when you add more teeth to the anchor so the teeth trying to move are moved and the anchor teeth are not moved
- can include headgear outside the arch( but rarely)

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13
Q

what is stationary anchorage

A

using bodily movement on the anchor to serve as an anchor so it doesn’t really move that far

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14
Q

how much force to use for a stationary anchorage

A

Below the optimal force

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15
Q

how fast does cortical bone remodel compared to medullary

A

Cortical Remodels much slower

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16
Q

how to do space closure by sliding

A

first retract canine

add to posterior anchorage unit as incisors are retract

17
Q

what is a determinate force system

A

You can measure and determine the face and moments felt by all teeth

18
Q

what does an indeterminate force system mean

A

impossible to know exactly what forces and moments are produces

19
Q

what force systems are indeterminate

A

two-couple systems

20
Q

what is a one couple system

A

couple present atone place and forces without a couple are felt elsware

21
Q

do removal appliances become two couple systems

A

No

22
Q

what tends to becomes two-couple systems

A

Multi-bracketed fixed appliances

23
Q

what does the rectabgular wire create

A

a couple within the bracket in the toqure plane of space

moves tooth around if wire is flexed

24
Q

what tends to happen to teeth as you do ortho

A

TEnds to be extrusive

25
Q

how to set up an appliance for intrusion

A
must bypass teeth
2x4 appliance (2 molars, 4 incisors)
26
Q

when cant you intrude teeeth

A

With cont arch wire

two couple systems

27
Q

can you move ankylosed teeth

A

No

28
Q

what odd things make good anchors

A

Ankylosed teeth

implants

29
Q

youngest to get temporary skeltal anchors

A

11

30
Q

what are the types of Remporary skeletal anchors

A

bone screws in alveolar bone

Miniplates attached to basal bone beneath the teeth by multiple bone screws

31
Q

why use miniplants over bone screws

A

when more extesnive movement needed

32
Q

why use temporary skeletal anchors

A
  • Position individual teeth when no anchor avaiable
  • Intrsuion of posterio teeth to close ant open bite
  • retract and intrude protruding maxillary incisors
  • distal movement of molars
33
Q

how to restract max incisors with TADs

A
  • Using bone screws in palate to stabilize lingual arch
  • using bone screws in the alveolar process posteriorly
  • using mini-plates placed at the base of the zygomatic arch (arm projecting into vesibule)
34
Q

where must bone screws be attached

A

attached gingiva

35
Q

what kind of force do bone screws struggle with

A

Vetricle foce

36
Q

what happens if you use a miniplate anchorage against the zygomatic buttress above the roots of the teeth

A

CAn move the entire maxilary arch posterior if space is avaialable (need to remove 3rd molar, sometimes second molar)