Ortho diagnosis Flashcards
pt at risk of infective endo - ensure?
good oh when wearing appliance
pt with epilepsy caution with?
delay tx until well controlled
phenytoin - g. overgrowth
caution with URA’s - fixed is better - less trauma risk
pt on bisphosphonate caution with?
if high risk pt maybe better to accept malocclusion
pt has diabetes caution with?
need good oh - increased risk of perio breakdown
pt has asthma caution with?
ensure pt rinses mouth after appliance use
why might you worry about a pt with recurrent oral apthous ulcers?
trauma form appliance may exacerbate
what social history might affect pts ability to have an appliance?
thumb sucking - habits motivation levels hobbies - wind instruments FH of same skeletal patterns ability to attend apps
assess skeletal pattern from what angles?
anteroposterior
vertically
transversley
how to view AP angle?
pt side on
identify class
how to view vertical?
look at lower face height
distance from eyebrow to base of nose should equal base of nose to lower chin
frankfurt plane and mandibular plane should meet at back of head
how to view transverse?
look at symmetry
check occlusal plane asymmetry
what to examine about lips?
relationship with upper incisors
how much tooth in smile
how might the tongue aid in an anterior open bite?
achieve seal to allow swallowing
what to examine about labial segment alignment?
aligned crowded or spread
angulation relative to jaw
rotations or displacements
inclination of canines
what to examine about labial segment?
OJ in mm
OB - complete, incomplete, traumatic
anterior crossbites
centrelines