Week 3 Flashcards
How can one reduce an overbite? How does it work?
Use a flat anterior bite plane
Works by increasing the OVD so that posterior teeth will form a new occlusion through bone deposition and soft tissue formation. (This can be done because pt is young)
What checks should be done when putting in an URA?
Check its for right patient and the design is correct
Check for any damage or work hardening on the URA
Insert and check for any blanching or soft tissue trauma
Check posterior retention (adams clasps flyovers, then arrowheads in undercuts)
Check anterior retention
Activate appliance 1mm per month
Demonstrate proper removal and insertion
Book review 4-6 weeks
What patient information and instructions should be given
Appliance will feel bulky but will get used to it
May cause excessive salivation but will pass in 24hrs
May impinge speech - practice reading book aloud at home
May cause initial ache or discomfort - means its working
Wear 24/7 including meals
Remove after every meal and clean with soft brush
Remove and store in protective container when doing active sports
Avoid hard sticky foods that may damage appliance, be cautious with hot foods due to baseplate
Missing appointments and non-compliance will lengthen treatment
Provide emergency contact details
