Removal Of Bracket and Bands Flashcards
1
Q
Removal of bracket
A
- Repositioning
- teeth are aligned ,debond
- check they all are attached to wire
- place bracket removers Gingival / Incisal, hold hand still and squeeze
- DO NOT TWIST HAND. This can cause enamel fracture or uncomfortable for pt.
- Use tapered fissure tungsten carbide bur to avoid enamel damage.
DO NOT PRESS TOO HARD AND KEEP BUR MOVING to avoid enamel scarring and excess heat.
2
Q
Step by step
A
- isolate tooth
- keep soft tissue away and dry tooth
- using hand piece gently go over composite and remove at 10,000rpm.
- use correct finger rests on hard tissue
- make sure keep bur flat in tooth.
- To check composite , use probe flat and this will grey area misssed.
- DO NOT KEEP CHASING AREAS WHERE DECALCIFICATION IS PRESENT , this will damage enamel.
3
Q
Aetiology of Decalcification
A
- suspectible tooth surface
- Diet sugar substrate
- time
- bacteria
4
Q
How many percentage patient has WSL white spot lesion after tx?
A
50% get 1 WSL within 8weeks
5
Q
Non - orthodontic patient WSL
A
24%
6
Q
Remineralisation
A
- 6-12 weeks start to remineralise
- 6months remineralisation done.
7
Q
Decalcification management
A
- Notify patient and care ( Duty of Condour)
- Record - photos
- management advise
- document notes
- review 6months
8
Q
Decalcification management
A
- Advise tooth brushing with REGULAR fluoride toothpaste
- Avoid high concentrations fluoride toothpaste ( cause hyper mineralisation of surface layer preventing diffusion of ions preventing remineralisation at the base of lesion which fixes size and appearance of lesion)
- sugar free chewing gum
- Microabrassion with GDP
- composite restorations with GDP
- vital tooth bleaching with GDP
- ICON
9
Q
How do you manage decalcification during treatment?
A
- inform patient and carer
- OH INSTRUCTIONS
- leaflets
- brushing atleast 3 times a day.
- photos
- review
- inform orthodontist.
- GDP referal for OH
