Fixed Appliances Flashcards

(28 cards)

1
Q

what are fixed appliances

A

appliances which are fixed to the teeth and cannot be removed by the patient

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2
Q

what do fixed appliances consist of

A

brackets, bands, archwires, modules and auxiliaries

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3
Q

what do fixed appliances allow for

A

precision movement
complex movement
control of root
less compliance dependent

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4
Q

what are the downsides of fixed appliances

A

requires excellent OH
risk of iatrogenic damage
poor intrinsic anchorage

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5
Q

what are the uses of fixed appliances

A

correction of mild to moderate skeletal discrepancies
alignment of teeth
correction of rotations
centreline correction
overbite and overjet reduction
closure of spaces/creating spaces
vertical movements of teeth

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6
Q

what do we aim for with orthodontic treatment

A

andrews six keys

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7
Q

what are andrews six keys

A

tight approximal contacts
class 1 incisors
class 1 molars
flat occlusal plane
long axis of teeth slight mesial inclination
crowns of canines back to the molars have lingual inclination

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8
Q

what material is used for brackets

A

stainless steel

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9
Q

what are bands made of

A

stainless steel

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10
Q

what is used to bond brackets to teeth

A

composite via acid etch

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11
Q

what is used to bond bands to teeth

A

GI

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12
Q

what materials are used for archwires

A

stainless steel
nickel titanium

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13
Q

when would a nickel titanium wire be used

A

in early stages when you need lots of flexibility due to tooth position

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14
Q

what are the properties of NiTi archwire

A

flexible
light continuous force
shape memory
higher friction

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15
Q

name some force generating components

A

elastic power chain
NiTi coils
intra-oral elastics
active ligature

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16
Q

how do teeth move with force generating components

A

due to the energy stored in the elastic/spring

17
Q

what is anchorage

A

resistance to unwanted tooth movement

18
Q

what is anchorage based on

A

Newtons 3rd law

19
Q

how do you increase anchorage

A

compound anchorage
absolute anchorage
cortical anchorage
intermaxillary anchorage

20
Q

what is compound anchorage

A

linking groups of teeth together

21
Q

what is reciprocal anchorage

A

when one tooth is similar to another (2 centrals) so there is equal tooth movement

22
Q

what is absolute anchorage

A

non-osseointegrating mini screws in the bone to apply elastics round

23
Q

what is cortical anchorage

A

transpalatal arch
lingual arch
nance palatal arch

24
Q

what is intermaxillary anchorage

A

applying elastics from one jaw to the other

25
what features have high relapse rate
diastema rotations palatally ectopic canines proclination of lower incisors anterior open bite instanding upper lateral incisors
26
when would you use a fixed orthodontic retainer
space closure diastema proclination of lower labial segment periodontal cases ectopic canines instanding upper 2s
27
what are the 3 risks of fixed appliances
decalcification root resorption relapse
28
what is the GDP role with fixed appliances/retention
regular exams OHI and diet advice communicate with orthodontist if concerns make appliance safe in case of orthodontic emergency