malocclusion Flashcards

1
Q

what was an important part of ortho that was not of concern in the early days

A

The way upper and lower teeth contacted one another

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2
Q

the father of moddern ortho (inveted terms of malocculsion)

A

edward angle

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3
Q

angle’s postulate said what was the key to occlusion

A

Maxillary first moloars: that the mesiobuccal cusp of upper first shoud be in the bucal groove of the lower first
-if all else were aligned, everything else would occldude

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4
Q

where does angles line of occulsion pass through

A
  • The central fossae of the maxillary posterior teeth and across the cingualum of the uper canine and insicors
  • buccal cusp of the mandibular posterior teeth and incisal edge of canine and incisors
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5
Q

what is class II occlusion

A

Lower molar distal

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6
Q

what is a class III occlsion

A

Lower molar is mesial

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7
Q

what angles classification does not have a line of occusion

A
class II
Class III
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8
Q

what is a class I occlusion

A

Normal of molars

Line of occlusion incorrect due to poorly aligned teeth

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9
Q

what angle’s classification does not have problems

A

Just simple normal occlusion

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10
Q

how important did angle view dental occlusion

A

That facial asthetics would follow

- not true

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11
Q

what did cephalmoetric radiology show

A

That the Joints/jaws were partly invovled in how teeth occluded leading to Class I, II, and III not jsut malposed teeth.

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12
Q

skeletal class II

A

Small mandible to maxilla

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13
Q

skeletal class III

A

large mandible to maxilla

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14
Q

what became the ortho goal after angle

A

Correct possition of teeth and jaw

- in addition to soft tissue

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15
Q

how was the extent of malocclusion calculated

A

using an irregularity index

- the total distance between incisor contects

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16
Q

overjet

A

the horizontal overlap of inciors

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17
Q

what is normal overjet

A

2-3mm, the tickness of one incors

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18
Q

what does excessive overjet correlate to

A

class II

19
Q

what does reverse overjet correlate to

A

class III

20
Q

what is better description of malocclusion overjet or angle’s classification

A

Overjet

21
Q

what percent of the population has the correct overjet

A

1/3
1/3 increased
moderat(5-6mm): 10%
gross overjet (greater than 7)”5%

22
Q

how common is reverse overjet

A

5% of asian
.5% african americans
.3 whites

23
Q

overbite

A

vertical overlap

24
Q

what is normal overbite

A

contact at or above the cingulum about 1-2mm

25
Q

what is an open bie

A

no overlap(negative overbite)

26
Q

how common is overbite

A

half is ideal
moderate over bite is more common that open bite
extremes are about equal

27
Q

how does crowding change with age

A

it increases with age

28
Q

how does overjet change with age

A

it increases with age

29
Q

what is more common, deep or open bite

A

Deep bite

30
Q

what racial group has more open bites

A

African americans

31
Q

what racial group has more deep bites

A

Whites

32
Q

what is the problems with malocclusion

A

Psychosocial problems due to discrimination b/c dental and facial appearance
Problems with oral function
greater change of trauma

33
Q

what are the oral function problems associated with maoclusion

A

Difficult to move jaw (bad muscle coordination
tmd
problems with mastication and speech

34
Q

do people with bad occlusion usually report difficulty eating

A

No

35
Q

does severe malocclusion usually lead to TMD

A

No

36
Q

can malocclusion lead to dificulties in swallowing and speach

A

Rare

- can speak even with terrible oclusion, but usally adapts with tongue (also for swallowing

37
Q

risk due to protruding upper incisors and excesss overjet

A

greater risk of injury to the teeth during childhod

38
Q

what can extremem overbite lead to

A

DAmgaged tissue lingual to the pper inciros or labial to the lower
- even loss of teeth

39
Q

do poorly aligned teeth lead to caries

A

No

40
Q

how is ortho treatment shown to be needed

A

By the worst ortho related problem

41
Q

how is ortho treatment need scaled

A

based on the IOTN with 1 as no need and 5 as extreme need

42
Q

WHEN DO PEOPLE MOST NEED ORTH

A

gRADE 4 AND 5

43
Q

what perecents of races are level 4 and 5 ortho

A

Whites: 15%

blacks: 20%
hispanic: 15%

44
Q

what area tends to think they don’t need ortho treatment

A

In the country