Orthodontic Patients

Question 1

age

Answer 1

usually pre-teen/teen years when gingivitis is at a greater risk {but older pts with ortho, too}

Question 2

aging can cause teeth

Answer 2

to drift mesially

Question 3

gingivitis due to

Answer 3

plaque retention around appliances {can be a deposit retentive factor}

Question 4

gingivitis can be

Answer 4

slight to severe w/ enlargement, especially around papillae

Question 5

position

Answer 5

severe malocclusions are more susceptible to plaque retention

Question 6

problems w/ appliances

accidents may cause

Answer 6

wires to bend and become embedded in gingiva

Question 7

loosened bands

Answer 7

may be forced under gingiva

Question 8

removable appliances or their clasps

Answer 8

may press against gingiva

Question 9

rubber bands

Answer 9

may slip under gingiva and detach JE

Question 10

self care is difficult b/c

Answer 10

appliances are in the way and interfere w/ toothbrushing and interdental devices

Question 11

toothbrushing

Answer 11

soft brush w/ end rounded filaments; can use power assisted brush

Question 12

bi-level ortho brush

Answer 12

can be used w/ short horizontal strokes around brackets

Question 13

sulcular brushing

Answer 13

for periodontal tissues

Question 14

charter’s method

Answer 14

for cleaning around bracket for gingival side

Question 15

stillman’s method

Answer 15

for occlusal side of bracket

Question 16

interdental aids

Answer 16

interdental tip
toothpick in holder
floss threader
tufted dental floss
interdental brush
single-tuft brush
oral irrigators

Question 17

white spots

Answer 17

demineralized lesions often result from ortho therapy b/c of compromised OH during Tx

Question 18

remineralized area

Answer 18

harder and stronger fluorapatite crystalline structure within enamel that can better withstand bacteria acid attacks

Question 19

care of removable appliances

Answer 19

clean appliance after each meal and before bedtime
brush and rinse teeth under appliance every time appliance removed
brush mucosa under appliance w/ long, straight strokes from posterior to anterior

Question 20

self-applied fluoride

Answer 20

mandatory, along w/ fluoride dentifrice {use gelKam in addition}
can use daily mouthrinse, gel tray, or brush on gel
usually prescribed stannous fluoride (GelKam or prevident)

Question 21

space maintainers can be either

Answer 21

fixed or removable

Question 22

space maintainers can use any

Answer 22

of the methods previously described for plaque control; single-tuft brushes w/ bent shank may be helpful

Question 23

space maintainers; adaption of methods

Answer 23

needed for cleaning lingual arch wire and lingual aspect of molar bands or fixed appliance

Question 24

space maintainers; removable space maintainers require

Answer 24

a clasp brush and separate toothbrush for cleaning can use denture brush

Question 25

professional care

Answer 25

``` use cavitron for ortho sometimes 3-4 month recall good nutrition -calcium change brush often OHI: brush 3x/day; floss daily rinse after each time something put in the mouth ```

Question 26

post ortho therapy

Answer 26

if white spots and areas that are former location of brackets recommend: remineralizing dentifrice w/ fluoride and calcium phosphate (i.e.: MI paste, NuvaMin {rx only}) promote reversal of incipient caries or white spot lesions by enhancing uptake of Fl minerals into enamel surface