Fixed Appliances Flashcards

1
Q

definition of a fixed appliance

A

an appliance which is fixed to the teeth and cannot be removed by the patient

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2
Q

what are molar bands normally made of and what bonds them to teeth

A

normally made of stainless steel and bonded with glass ionomer cement

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3
Q

what material can orthodontic brackets be made of

A

stainless steel (main)
ceramic, CoCr, polymers

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4
Q

what 3 components does an orthodontic bracket consist of

A

bracket base
bracket slot (where archwire runs through)
tie wings (where elastomeric modules attach)

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5
Q

how are brackets attached to teeth

A

acid etch composite

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6
Q

what material of archwire is usually used to begin treatment and why

A

nickel titanium - they are flexible and can apply light continuous forces

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7
Q

what wire has higher friction (less slidy) - NiTi or stainless steel

A

NiTi

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8
Q

what are self ligating appliances

A

self ligating appliances have brakcets with a ‘gate’ to retain arch wire, elastomerics arent required

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9
Q

when may plastic sleeve/ bumper tubing be used

A

used to protect wire e.g in an extraction site from mastication

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10
Q

what device provides maximum anchorage in fixed appliances

A

temporary anchorage devices (TAD) - also known as mini implants

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11
Q

discuss temporary anchorage devices

A

titanium screws that are placed into bone on a temporary basis
made of titanium
interradicular or palatal
provide maximum anchorage for fixed appliances
inserted and removed by hand, dont need to be integrated into bone

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12
Q

compound anchorage

A

linking groups of teeth together to increase anchorage by increasing root surface area - results in less unwanted tooth movement

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13
Q

reciprocal anchorage

A

even
2 similar teeth with similar root surface area giving equal tooth movement e.g closing diastema between 2 central incisors

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14
Q

where do class III elastics run

A

lower canines to upper molars

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15
Q

where do class II elastics run

A

upper canines/laterals to lower molars

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16
Q

name 5 features with a high orthodontic relapse potential

A
  • diastema
  • rotations
  • palatally ectopic canines
  • anterior open bite
  • instanding upper lateral
17
Q

what fixed retainer span on upper arch has best prognosis

A

2-2
better success than 3-3

18
Q

what is the most commonly used form of retainer

A

pressure formed

19
Q

what are the 3 main risks of fixed appliance treatment

A

decalcification
root resorption
relapse

20
Q

in what situations is enamel wear of greatest risk during fixed appliance treatment

A

ceramic brackets rather than stainless steel

21
Q

name 3 initial problems that may be encountered at the start of fixed appliance treatment

A

pain
mucosal irritation
ulceration
appliance breakage