orthodontic emergencies Flashcards
what are the types of orthodontic appliances
fixed appliances removable appliances functional appliances headgear retainers
what are some issues with fixed appliances
trauma to the buccal mucosa due to the arch wire
debonded bracket
band loose
teeth feeling loose
how can we manage damage to the buccal mucosa
trimming the wire with distal end clippers
what is a debonded bracket
where the bracket has come away from the tooth
what are the causes of a debonded bracket
Bracket in traumatic occlusion
Archire over activated to engage bracket
Patient has knocked bracket off
how do we manage a debonded bracket
remove bracket off wire and appointment to replace the bracket
how do we manage the band being loose
Recement band with GIC
If band is too big remove loose band and cut long wire
what are some causes of the band being loose
pt is eating sticky food
band is too big for teeth
why might the teeth feel loose
slight increase in mobility is normal in ortho
how can we manage the teeth feeling loose
check mobility and reassure patient
how might we manage if the teeth are feeling painful
reassure patient and advise analgesics
what are some issues with removable appliances
excess saliva problems with speech loose appliance fractured clasps fractured acrylic redness on the roof of mouth
how can we manage excess saliva
reassure patient this will subside after wearing the appliance for a while
what causes problems with speech
occurs when they first wear the appliance- if they do not have this it shows non compliance
how can we manage problems with speech
reassure with time speech will improve
what causes a loose appliance
poor design
clasps are not retentive
how can we adjust a loose appliance
adjust with Adams pliers
what is the cause of fractures clasps
stress on the appliance by putting it in and out
how do we manage fractured clasps
Cut fractured clasp for patient comfort and book an appointment with the orthodontist
what is the management of fracture acrylic
depends on the amount fractured but in the meantime we can smoothen out the fractured portion
what is the cause of redness on the roof of the mouth
candida induced stomatitis OR trauma from poor fitting
how can we manage redness on the roof of the mouth
Oral hygiene instruction in relation to removable appliance
Prescription of anti fungal
what are some common complaints with functional appliances
jaw ache with appliance in place
what is the cause of jaw ache with a functional appliance
common occurrence due to holding the mandible in a protrusive position
what are some complaints with headgear
facebow tubes comes out at nighttime
headgear feels tight on back teeth
headgear unable to fit
what might cause the tubes to come out of the face bow at nighttime
problems with the locking mechanism and an ill fitting face bow
how do we manage the tubes coming out of the headgear at nighttime
stop wearing headgear and make appt to the orthodontist
what are some issues with retainers
do not fit
fractured retainers
lost retainers
bonded retainer feels loose
what is the cause of the retainer not fitting
deformation to retainers due to relapse of the teeth
how do we manage a retainer not fitting
taking another impression
how do we manage a fractured denture
new impression and remake
how do we manage a lost retainer
new impression and remake
how do we manage a bonded retainer feeling loose
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
how do we manage the case if the bonded retainer has fallen off
Ensure patient has removable retainer
If not them impression for new retainer
Referral/liaise with orthodontist
