surgical procedure associated with orthodontics

Question 1

what surgery can be carried out to aid orthodontics

Answer 1

1. Extractions
2. Fraenectomy
3. Orthognathic surgery

Question 2

what is not an indication for removal of third molars despite the general public thinking it is

Answer 2

Removing them to reduce or fix anterior crowding

removing the wisdom teeth will not help this

Question 3

What do we look at when assessing frenums

Answer 3

1. How big/ bulky is it
2. How close is it to the space between the upper central incisors
3. is there any fibrous tissue going between the upper incisors

Question 4

What can untreated impacted teeth lead to

Answer 4

Cyst formation

damage to adjacent teeth

Question 5

How do assess impacted teeth

Answer 5

1. Clinical assessment

2. X rays

Question 6

How do we assess if an upper canine needs exposure or removal

Answer 6

1. Patient compliance
2. other treatments
3. space
4. angulation
5. position of the apex

Question 7

How do we expose an upper canine

Answer 7

1. Make a buccal or palatal incision depending on where canine is
2. retract the flap
3. scrape away bone

Question 8

What is Orthognathic surgery always part of

Answer 8

Always part of a combines orthodontic treatment plan

Question 9

What do we need to assess before carrying out Orthognathic surgery

Answer 9

1. Priorities
2. Motivation
3. other things patient need done
4. timing
5. patient expectations

Question 10

When is it the best time to do Orthognathic surgery

Answer 10

At the end of a Childs growth spurt

Question 11

What are the risks of Orthognathic

Answer 11

1. Swelling
2. Airway risk
3. Eating/ drinking
4. Bleeding
5. necrosis of the maxilla
6. Lower lip numbness
7. Change in facial appearance