Surgery in Ortho Flashcards
when would you do a frenectomy?
tight frenum and it may benefit to the patient to release the tension
- lingual frenum is common
what do you need to be careful of impacted teeth?
- if a cyst has formed
- if there will be damage to adjacent teeth
what is the SLOB or BAPS rule?
to determine the position of the teeth in radiographs
Same lingual, opposite buccal
buccal away, palatal same
what is a mesiodens? what is its treatment
a supernumerary tooth, common in the midline
better removed as it can cause cysts and damage to teeth
- short conical roots
with an impacted canine, what do you have to consider?
whether to expose or removal
consider the:
- pt compliance
- space
- angulation
- apex position
whats 2 ways you can expose an impacted canine?
labial approach
palatal approach
typical treatments which may involve orthognathic surgery:
- narrow upper arch
- vertical maxillary hypoplasia
- vertical maxillary excess - showing too much
- occlusal cant - jaw is sliding to one side up or down
- maxillary advancement
- mandible sagittal split osteotomy
what are the risks of orthognathic surgery?
swelling
airway risk
bleeding
maxilla necrosis
lower lip numbness
change in facial appearance
hard to eat and drink
what is Distraction Osteogenesis? what condition is it really good for?
generates new bone by separating two bone segments
- like the rapid maxillary expansion
good use for Hemifacial Microsomia
