Patient Assessment Flashcards

1
Q

What are some contra-indications for orthodontic treatment?

A
  1. Allergy (Ni/ latex)
  2. Epilepsy (removable appliance)
  3. Drugs (bisphosphonates)
  4. Imaging
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2
Q

How may a skeletal assessment be carried out?

A
  1. Visual
  2. Palpate
  3. Lat cep
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3
Q

What is an AP class I?

A

Maxilla 2-3mm in front of mandible

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4
Q

What is an AP class II?

A

Maxilla more than 3mm in front of mandible

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5
Q

What is an AP class III?

A

Mandible in front of maxilla

i.e. maxilla <2-3mm in front

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6
Q

What is assessed vertically?

A

FMPA

  • Frankfort plane
  • Mandibular plane
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7
Q

What are the occlusal features of digit sucking?

A
  • Proclined uppers
  • Retroclined lower
  • Localised AOB/ incomplete OB
  • Narrow upper arch +/- unilateral crossbite
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8
Q

What is mandibular displacement?

A

Discrepancy in RCP to ICP

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9
Q

What does BSI stand for?

A

British Standards Institute

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10
Q

What is the BSI definition for incisor Class I?

A
  • Lower incisor edge occludes/ lie below upper central incisor cingulum
  • Normal OJ + OB
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11
Q

What is the BSI definition for incisor Class II div. 1?

A
  • Lower incisor edge lie posterior to upper central incisor cingulum
  • Upper centrals proclined OR ave
  • Increased OJ
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12
Q

What is the BSI definition for incisor Class II div. 2?

A
  • Lower incisor edge lie posterior to upper central incisor cingulum
  • Upper centrals retroclined or ave
  • OJ minimal/ may be increased
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13
Q

What is the BSI definition for incisor Class III?

A
  • Lower incisor edge lie anterior to upper central incisor cingulum
  • OJ reduced/ reversed
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14
Q

Which soft tissues are examined in an ortho assessment?

A
  • Lip (comp/ trap)
  • Nasolabial angle
  • Smile line
  • Tongue (thrust?)
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15
Q

What is classed as MILD crowding?

A

<4mm

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16
Q

What is classed as MODERATE crowding?

A

4-8mm

17
Q

What is classed as SEVERE crowding?

A

> 8mm

18
Q

What techniques can be used to assess crowding?

A
  1. Space available vs space required
  2. Overlap technique
  3. Mixed dentition analysis
19
Q

What is the definition for a molar class I?

A

Mesial buccal cusp of upper permanent first molar occludes with the mid-buccal groove of the lower permanent first molar

20
Q

What is the definition for a canine class I?

A

Upper canine occludes in the embrasure between lower canine and first premolar

21
Q

How are sucking habits managed?

A
  • Stop habit
    • -> Reinforce
    • -> URA habit breaker
    • -> Fixed appliance habit breaker
  • Allow spontaneous improvement