OrthoExam1Material Flashcards
Headgear is focused on _______ growth of the maxilla and therefore attempts to correct a class __ situation
INHIBITING…Class II
A protection facemask is focused on ______ growth of the maxilla and therefore attempts to correct a class __ situation
ENCOURAGING…Class III
What are the two instruments aimed at increasing transverse dimension (for crossbites/narrow palates)?
1.Quad helix 2.Rapid Palatal Expander
Typically in the mandible we try to _______ growth and it is usually a class __ situation when we use functional appliances.
encourage growth…class II
What are 4 examples of functional appliances aimed at encouraging growth of the mandible in class II situations?
1.Frankl 2.herbst 3.Bionator 4.twin block
Treating a patient to get them to “ideal” class I usually requires a fixed or removable appliance?
fixed
EXAM QUESTION!!! What amount of spacing (in mm) is generally the standard for going with extractions to fix crowding??
MORE than 10mm
EXAM QUESTION!!! What amount of spacing (in mm) is generally the standard for going with interproximal reduction to fix crowding??
LESS than 5mm
What are three ways we can create space without extracting??
1.distalize molars 2.procline incisors 3.expand the palate
Premolars are the most often tooth chosen for extraction to make room, what other tooth is sometimes the choice?
incisors
Which movement of the incisors can give more room in the arch? How does it accomplish this task?
Proclining the incisors increases the radius of the arch, thus increasing arch length
What are the two examples of palatal expanders given? How do they work?
Quad Helix and Hyrax..they increase the radius of the arch thus increasing the arch length
MAJOR indicators for ortho extractions: facial type
DOL-i-Co-Facial (long face-DOL-berg)
MAJOR indicators for ortho extractions: incisor angulation
proclined
MAJOR indicators for ortho extractions: crowding
severe (greater than or equal to 10mm)
MAJOR indicators for ortho extractions: profile
protruded/convex
MINOR indicators for ortho extractions: curve of spee
moderate to severe
MINOR indicators for ortho extractions: molar relationship
class II or class III
What is the typical tx to camouflage?
Ext upper OR lower PMs (not both)
Which facial profile outline is considered “normal”?
slightly convex
What are three landmarks used to determine a facial profile (soft tissue)?
1.Glabella 2.Subnason 3.Po-gon-ion
What is the “normal” range for the nasolabial angle?
90-95 degrees (above is obtuse, below acute)
What is considered a “normal” labiomental angle?
110 degrees (more obtuse, less acute)
What is it called when the lips do not close at rest? What is it called when the lips are strained to close over the teeth?
lip incompetence, mentalis strain
The 4 main landmarks: Where is the A point?
most CONCAVE portion of the premaxilla
The 4 main landmarks: Where is the B point?
most CONCAVE portion of the mental symphasis
The 4 main landmarks: Besides the A and B points, what are the other two landmarks used?
the sella turcica and the nason
What is the normal angle for the SNA? What are the classifications above and below that angle?
82degrees…above-class II max protrusion…below-class III max retrusion
What is the normal angle for the SNB? What are the classifications above and below that angle?
80degrees…above class III mand protrusion..below mand retrusion
***TEST Q: What is a BOLTON descrepency?
when the WIDTH of the teeth cause a problem with the relation of the upper and lower teeth (peg laterals or missing laterals)
In a DENTAL class I occlusion: ______ of maxillary 1st molar occludes with ______ of mandibular 1st molar
MB cusp…..B groove
IN a DENTAL class I occlusion: the cusp of the maxillary canine occludes in WHICH embrasure???
mand canine-1st PM embrasure (DISTAL to mand canine)
Dental Class II occlusion-MB cusp of maxillary 1st molar
occludes ______ to the B groove of mandibular 1st molar
MESIAL
Dental Class II occlusion-Cusp of maxillary canine
occludes ______ to the mandibular canine-1st premolar embrasure
MESIAL
Dental class III occlusion-MB cusp of maxillary 1st molar occludes \_\_\_\_\_\_\_ to the B groove of mandibular 1st molar
DISTAL