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Y4- CCD2 > orthodontic emergencies > Flashcards

orthodontic emergencies Flashcards

1
Q

what are the types of orthodontic appliances

A 
fixed appliances
removable appliances 
functional appliances 
headgear 
retainers
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2
Q

what are some issues with fixed appliances

A

trauma to the buccal mucosa due to the arch wire
debonded bracket
band loose
teeth feeling loose

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3
Q

how can we manage damage to the buccal mucosa

A

trimming the wire with distal end clippers

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4
Q

what is a debonded bracket

A

where the bracket has come away from the tooth

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5
Q

what are the causes of a debonded bracket

A

Bracket in traumatic occlusion
Archire over activated to engage bracket
Patient has knocked bracket off

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6
Q

how do we manage a debonded bracket

A

remove bracket off wire and appointment to replace the bracket

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7
Q

how do we manage the band being loose

A

Recement band with GIC

If band is too big remove loose band and cut long wire

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8
Q

what are some causes of the band being loose

A

pt is eating sticky food

band is too big for teeth

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9
Q

why might the teeth feel loose

A

slight increase in mobility is normal in ortho

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10
Q

how can we manage the teeth feeling loose

A

check mobility and reassure patient

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11
Q

how might we manage if the teeth are feeling painful

A

reassure patient and advise analgesics

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12
Q

what are some issues with removable appliances

A 
excess saliva 
problems with speech 
loose appliance 
fractured clasps 
fractured acrylic 
redness on the roof of mouth
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13
Q

how can we manage excess saliva

A

reassure patient this will subside after wearing the appliance for a while

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14
Q

what causes problems with speech

A

occurs when they first wear the appliance- if they do not have this it shows non compliance

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15
Q

how can we manage problems with speech

A

reassure with time speech will improve

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16
Q

what causes a loose appliance

A

poor design

clasps are not retentive

17
Q

how can we adjust a loose appliance

A

adjust with Adams pliers

18
Q

what is the cause of fractures clasps

A

stress on the appliance by putting it in and out

19
Q

how do we manage fractured clasps

A

Cut fractured clasp for patient comfort and book an appointment with the orthodontist

20
Q

what is the management of fracture acrylic

A

depends on the amount fractured but in the meantime we can smoothen out the fractured portion

21
Q

what is the cause of redness on the roof of the mouth

A

candida induced stomatitis OR trauma from poor fitting

22
Q

how can we manage redness on the roof of the mouth

A

Oral hygiene instruction in relation to removable appliance

Prescription of anti fungal

23
Q

what are some common complaints with functional appliances

A

jaw ache with appliance in place

24
Q

what is the cause of jaw ache with a functional appliance

A

common occurrence due to holding the mandible in a protrusive position

25
Q

what are some complaints with headgear

A

facebow tubes comes out at nighttime
headgear feels tight on back teeth
headgear unable to fit

26
Q

what might cause the tubes to come out of the face bow at nighttime

A

problems with the locking mechanism and an ill fitting face bow

27
Q

how do we manage the tubes coming out of the headgear at nighttime

A

stop wearing headgear and make appt to the orthodontist

28
Q

what are some issues with retainers

A

do not fit
fractured retainers
lost retainers
bonded retainer feels loose

29
Q

what is the cause of the retainer not fitting

A

deformation to retainers due to relapse of the teeth

30
Q

how do we manage a retainer not fitting

A

taking another impression

31
Q

how do we manage a fractured denture

A

new impression and remake

32
Q

how do we manage a lost retainer

A

new impression and remake

33
Q

how do we manage a bonded retainer feeling loose

A

it depends on the extent
if only 1-2 teeth then repair with composite resin

If wire deformed and unable to repair bonded retainer make patient comfortable and refer to orthodontist

34
Q

how do we manage the case if the bonded retainer has fallen off

A

Ensure patient has removable retainer
If not them impression for new retainer
Referral/liaise with orthodontist

Y4- CCD2 (1 decks)

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