Ortho/ Oral surgery

Question 1

Soft tissue procedures done?

Answer 1

Frenectomy
-V to Y
-Z- plasty

Impacted canines
-buccal apically repositioned flap
-palatal open exposure

Impacted premolar exposures

Question 2

Hard tissue procedures done?

Answer 2

Impacted canines
- Open exposure
- Closed exposure with gold chain
- XLA

Premolars
- XLA
- Open exposure

Question 3

Management options for impacted canines

Answer 3

Accept and monitor (can ankylose)
XLA canine
Surgical exposure and ortho
- Mini-implant
-Corticotomy
Transplant

Question 4

Indications for canine transplant

Answer 4

Cannot get a result from exposure and traction
Potential damage to other teeth
Space available or can be made without XLA of premolar
Older patient seeking quick tx

Question 5

Post-op managment of canine transplant

Answer 5

Old chrome/ cobalt cap splint
Titanium trauma splint

Question 6

How to preserve the attached mucosa?

Answer 6

During exposure of impacted teeth, ensure a 3 sided flap is raised and placed apically and sutured

Question 7

What happens during ortho treatment?

Answer 7

During ortho, planned movement of a tooth or teeth, cause reciprocal movement of anchorage teeth

Question 8

Qualities of implant making it an ideal ortho anchor?

Answer 8

1. Patient compliance unnecessary
2. Absolute anchorage as no PDL
3. Easily used under a variety of tx modalities
4. Easily placed
5. Removable

Question 9

What implants ares used in ortho?

Answer 9

Mini implant - TAD
Palatal mini implant

Question 10

Why is corticotomy done?

Answer 10

To help reduce density of bone and facilitate tooth movement.