orthopedo super review Flashcards
maxillary canine lies between the mandibular canine and 1st premolar
class I / neutrocclusion
other term for class I classification of occlusion
neutrocclusion
mesiobuccal cusp of the maxillary 1st molar falls between the mandibular 1st molar and the 2nd premolar
class II / distocclusion / retrognathism
maxillary canine is mesial to the mandibular canine
class II / distocclusion / retrognathism
other term for class II classification of occlusion
distocclusion/retrognathism
classification of occlusion wherein the maxillary incisor is in extreme labioversion (protruded)
class II division I
classification of occlusion wherein the maxillary incisor is tipped palatally and in retruded position. the maxillary lateral are typically tipped labially or mesially
class II division II
the mesiobuccal cusp of the maxillary 1st molar falls between the mandibular 1st molar and the 2nd molar
class III / mesiocclusion / prognathism
the maxillary canine is distal to the mandibular canine
class III / mesiocclusion / prognathism
the overjet of a class III classification of occlusion is ____ or ____
0mm or negative
other term for class III classification of occlusion
mesiocclusion/ prognathism
situation in which the patient adopts a js position upon closure which is forward to normal
pseudo class III
a pseudoclass III usually exhibits what type of bite
edge-to-edge bite
what is the normal overjet
1-2mm
normal overbite
2-3mm
speech difficulties related to malocclusion wherein there is anterior open bite, large gap between incisors
S, Z
speech difficulties related to malocclusion wherein there are irregular incisors (lingual position of maxillary incisors)
T, D
speech difficulties related to malocclusion wherein skeletal class III is present
F, V
speech difficulties related to malocclusion wherein there is presence of anterior open bite
Th, Sh, Ch
signs of incipient malocclusion
- lack of interdental spacing in th primary dentition
- crowding of permanent incisors the mixed dentition
- premature loss of primary canine (mandibular)
causes tipping, migration, and rotation of adjacent teth into edentulous space
molar uprighting
long term loss of _________ causes molar uprighting
mandibular permanent 1st molar
best treatment for molar uprighting
tipping the crown of 2nd molar distally and opening up space for a pontic to replace 1st molar
bracket slot size for molar uprighting treatment
0.022 inches (0.018inches)
time frame for molar uprighting treatment
6-12 months
used to diagnose tooth-to-tooth, bone-to-bone and tooth-to-bone relationships
cephalometric
used to show the amount and direction of craniofacial growth to analyze treatment results
lateral cephalometric
dentition analysis to predict the size of the unerupted 345 through calculations
MDA (mixed dentition analysis)
dentition analysis for the ratio of total mandibular versus total maxillary tooth size; estimate overbite and overjet
Bolton’s analysis
dentition analysis to determine if crowding is due to inadequate apical bases based on measurement on apical base width at premolar
Howe’s analysis
dentition analysis tests if FL > MD = broader contact areas which will result in more stable and resistant crowding
peck and peck
dentition analysis suggests ideal maxillary 456 arch form based on MD diameter of maxillary 21/12
Pont’s index
dentition analysis classified teeth into small, medium and large
Sanim-Savarra
mesiobuccal cusp of the maxillary 1st molar lines up with the buccal groove of the mandibular 1st molar
class I / neutrocclusion
it is the highest point in the concavity behind the occipital condyle
Bolton (Bo)
the most forward and highest point of the anterior margin of foramen magnum
Basion (Ba)
the point of intersection of the contour of the posterior cranial base and the posterior cranial base and the posterior contour of the condylar process
Articulare (Ar)
outer upper margin of the external auditory canal
Portion (Po)
the midpoint of sella turcica
Sella (S)
lowest point of the inferior margin of the orbit
orbitals
innermost point of contour or premaxilla between the incisor and ANS
point A (subspinale)
innermost on the contour of the mandible between incisor and bony chin
point B (supramentale)
the most anterior point of the contour of the chin
pogonion (Pog)
most inferior part of the manndibular symphysis
mention (Me)
lowest most posterior point on the mandible with the teeth in occlusion
gonion (Go)
plane from porion to orbitale
Frankfurt horizontal plane
best horizontal orientation from which to asses the lateral representation of the skull
Frankfurt horizontal plane
plane from nasion to pogonion
facial plane
plane from gonion and mention
mandibular plane
Angle from the mandibular plane to the sella-nasion line (SN plane)
mandibular plane angle
mandibular plane angle with long vertical dimension and ANTERIOR OPEN BITE
steep mandibular plane angle
mandibular plane angle with short anterior facial vertical dimension and DEEP BITE
flat mandibular plane angle
if the SNA angle is >84 degrees, it indicates
maxillary prognathism
if the SNB angle is
mandibular retrognathism
if the ANB is 2-4 degrees, it indicates
class I skeletal pattern
indications of a removable, functional and fixed appliance
- limited tipping movement
- retention after comprehensive movements
- growth modification during the mixe dentition
major components of removable appliance
- retentive components like Adams clasp, ball clasp, c clasp, and arrow clasp
- framework or baseplate - made up of acrylic and provides anchorage
- active component or tooth moving component - consists of springs, jack screws or elastics
- anchorage component - this resists force of active component
usually used in skeletal class II growing patients to hold growth of maxilla back and to allow mandible to catch up
headgears
how many hours per day should you use a headgear?
10-14 hours/day
treatment length of headgear?
6-18 months
headcap connected to Facebow. DISTAL and INTRUSIVE force on the maxillary molars and maxilla
high pull headgear
neck strap connect to the Facebow. DISTAL and EXTRUSIVE force on maxillary teeth and maxilla
cervical pull headgear
Same as cervical pull headgear. DISTAL direction ONLY
straight pull headgear
skeletal class III malocclusion to protract maxilla
reverse-pull headgear
designed to modify growth during mixed dentition for both dental and skeletal effects
functional appliance
tooth-borne appliance that advances the mandible to an edge-to-edge position to stimulate mandibular growth for class II
bionator
tooth-borne appliance wherein maxillary and mandibular framework are splinted together via pin and tube that holds the mandible forward
herbst
ONLY tissue-borne appliance
frankel functional appliance
it alters both mandibular posture and contour of facial soft tissue
frankel functional appliance
4 basic components of fixed appliance
- bands
- brackets
- archwires
- auxiliaries
it is a horizontally positioned slot
edgewise appliance
double wings for increased rotational and tip control of roots
Siamese twin brackets
vertically positioned slot
Begg appliance
it is a variation of edgewise appliance
straight-wire appliance
bracket thickness should be equal to
thickness of the tooth
angulation of the bracket should be equal to?
long axis of the tooth angulation
the torque in the bracket slot should be equal to
the inclination of facial surface of the teeth
before bonding, tooth should be etched with?
35-50% unbuffered phosphoric acid
______ are used to cement bands because of their fluoride release
GI cements
advantages of bands from brackets
- better resist breakage, especially in areas of heavy mastication
- teeth need both lingual/palatal and buccal attachments
- teeth with short clinical crowns
- teeth with diseases
properties of archwires
- high strength
- low stiffness
- high range
- high formability
alloy composition of archwires
a. stainless and cobalt chromium alloy
b. Ni-Ti
c. beta-Ti
clinically when teeth are on the wrong side of the opposing dentition
it can be skeletal, dental or functional in origin
crossbite
crossbite origin wherein it has a smooth closure to centric occlusion
skeletal
origin of crossbite wherein it demonstrates a deviation in maxillary and mandibular midlines as the patient closes
functional
crossbite may be associated with
a. heredity
b. Max/mand jaw size discrepancies
c. bad oral habits
d. labially situated supernumerary tooth, trauma, or arch length discrepancy
what may result if there is prolonged retention of primary teeth?
anterior crossbite of one or more permanent incisors
anterior crossbite = ???
skeletal or developing class III
posterior crossbite = ???
mandibular shift
tx for anterior crossbite
skeletal - protraction of facemask (if not managed earlier before growth, orthognatic surgery!)
dental - bonded-resin composite slopes and reverses stainless steel crowns
tx for posterior crossbite
palatal expansion 2x a day (0.25mm each turn)
after activation, expander remains in the mouth for 3-6 months = for midpalatal suture region will be formed
opposite arches cannot be brought into occlusion
skeletal or dental in origin
open bite
usually caused by finger habit
maxillary constriction due to pressure on buccinator muscle
anterior open bite
tx for early manifestation of open bite
habit control
orthodontic appliance for open bite
a. tongue crib
b. bluegrass
c. transpalatal bar - to reduce vertical eruption
d. high pull facebows
what is the best space maintainer?
NATURAL TOOTH!
prevents mesial migration of the primary 2nd molar
band and loop
when the primary second molar is lost prior to the eruption of ther permanent 1st molar, this is the space maintainer preferred
distal shoe
this is used after multiple primary teeth are missing and the permanent incisors are erupted
lingual arch
used for bilateral loss of primary maxillary molars
nance appliance
prevents mesial rotation and drift of the permanent maxillary molars
nance appliance
bilateral posterior space maintenance prior to eruption of permanent incisors
partial denture
recommended appliance for thumb/finger sucking
palatal crib
recommended appliance for hyperactive mentalis
lip bumper/ plumber/ Mayne/ Denholtz
recommended appliance for cheek/lip biting
oral screen