Treatment Modalities And orthodontic Appliances Flashcards
Which factors to consider type of appliance?
- Patient concern and attitude
- Patient’s parents expectation
- Oral hygiene status
- Medical history
- Treatment Aims
Primary Dentition
- Removable appliances
- Expansion appliances
Mixed Dentition
- Removable appliances
- Functional appliances
- Fixed appliances
Secondary Dentition
- Removable appliances
- Functional Appliances
- Fixed appliances
Adult
- Removable appliances
_ Fixed appliances - Surgery
What moments pre adjusted brackets do?
- 3D controlled tooth movement
- Bodily movement
- Intrusion / extrusion
- Correct rotations
- Space closure
- Multiple tooth movements
What’s benefit of pre adjusted brackets?
- Excellent tooth control and finishing as its 3D tooth movement can be achieved.
How tipping movement achieve?
- The round wire permits the tooth to tip around a point known as the root centroid which lies about 1/3 apex of the root
How bodily movement achieve?
- The rectangular wire in rectangular bracket slot produce a force that control position of crown and root. This torque allows us to move teeth bodily.
How torque movement achieve?
-Torque allows us to control the position of the crown and root to permit us to control inclination of the tooth
Sliding mechanism?
- A Rigid arch wire usually 0.019x0.025 ss wire allows the teeth to slide along the arch wire and space to close. This space closure referred as Sliding mechanism
Types of fixed appliances
1- Standard brackets (SS / Asthetics)
2- Self ligating brackets (SS/ plastic/lingual)
3- Tip edge
Stainless steel brackets
- Pre adjusted edgewise appliance. MBT
-Slot size usually 0.022x0.028 - Allow lighter forces in early stages of treatment
- can also accommodate larger dimension wire with increased stiffness- good for arch co - coordination and sliding mechanism.
Self ligating systems
- Adv- Complete and secure wire engagement.
- less chair side
- Reduced friction
- Better OH
Dis Adv-
- Clips can fracture
- Partial ligation not possible
- Wire can slide
- Cost
- Takes practice
Ceramic Brackets
- Non metallic which are first shaped then hardened by heat
- Orthdontic Ceramic are made of Alumina
- Ceramics are harder than SS
Types
- Monocrytalline (machined by synthetic sapphire) e.g Ice (Ormco)
- Polycrystalline (injection moulding of alumina) e.g Clarity 3M