Growth Dev 3 Flashcards

1
Q

Causes for premature teeth loss (5)

A
Trauma
Caries
Hypophosphatasia
Down Syndrome
Chronic mercury poisoning (acrydynia)
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2
Q

Special considerations for loss of anterior teeth?

A

speech

asthetics

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3
Q

If primary MAX 1M is lost…what will happen:

Before eruption of max permanent 1M

During eruption of max permanent 1M

After eruption of max permanent 1M

A

Little/no loss of space, no maintainer

Eruption will move primary 2M mesially and lose arch space, need maintainer

Intercuspation of opposing teeth prevent movement, no space maintainer

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4
Q

If primary MAX 2M is lost…what will happen:

Before eruption of max permanent 1M

During eruption of max permanent 1M

After eruption of max permanent 1M

A

Little/no loss of space, no maintainer

Loss of arch space, need maintainer

Space loss likely b/c no primary 2M to buttress, NEED space maintainer despite intercuspation

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5
Q

If primary MAND 1M is lost…what will happen:

Before eruption of mand permanent 1M

During eruption of mand permanent 1M

After eruption of mand permanent 1M

A

No space loss, no maintainer

Loss of arch length, maintainer needed.

No loss bc molars in occlusion, no maintainer.

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6
Q

If primary MAND 2M is lost…what will happen:

Before eruption of mand permanent 1M

During eruption of mand permanent 1M

After eruption of mand permanent 1M

A

No space loss, no maintainer

Space loss bc strong mesial eruptive tendency, need maintainer.

Mesial drift - need maintainer

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7
Q

Loss of max central permanent causes

A

mesial drift

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8
Q

Loss of mand 1M permament causes (4)

A

Distal drift of PMs
loss of contact between canine and PMs
mesial drift/tilt of 2M
supra-eruption of max 1M

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9
Q

Loss of max 1M permanent causes (3)

A

max PMs distal drift, loss of contact
Max 2M mesial drift
supra-eruption of mand 1M

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10
Q

Space between teeth usually closes within?

A

6mo

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11
Q

Which is more impt: dental or chronological age?

A

Dental - 3/4 root required for eruption

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12
Q

Tanaka & Johnson analysis equation for mandible?

maxilla?

A

x/2 + 10.5 mm = predicted width of unerupted canine + PMs

x/2 + 11 mm = predicted width of unerupted canine + PMs

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13
Q

Total available space = ?

A

Available space = total arch length - x - 2(predicted width)

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14
Q

When to use band and loop space maintainer?

A

Unilateral loss of primary 1M/2M

Bilateral loss of mand 1M/2M before eruption of permanent lateral –> replace with Lingual Holding Arch (LHA) after permanent laterals erupt

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15
Q

Distal shoe indicated when?

A

Loss of primary 2M before eruption of permanent 1M

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16
Q

Distal shoe contraindicated when?

A

rheumatic heart disease
shunts
timing

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17
Q

Nance appliance advantage for mixed dentition?

A

doesn’t interfere with eruption

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18
Q

Nance appliance indications?

A

Unilateral 1st and or 2nd primary molars

Bilateral primary molars

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19
Q

LHA indications?

A

premature loss of 1st or 2nd primary molars AFTER eruption of permanent lat incisors

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20
Q

Enamel decalcification due to space maintainers b/c

A

loose band

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21
Q

Fixed anterior bridge indicated for pt…

A
22
Q

Removable appliance for pt…

A

> = 3yo

23
Q

Pedi partial for what teeth?

A

anterior and posterior

24
Q

Advantages of fixed maintainers (3)

A

minimal cooperation, difficult to break
Cannot be lost
less of food trap than removable

25
Q

Disadvantages of fixed maintainers(3)

A

Decalcification of abutment teeth can occur bc bands
Longer chair time
loss of abutment teeth possible before permantent erupt

26
Q

Advantages of removable maintainers (4)

A

Functional - cant be accidentally activated
Prevents supraerution
Esthetic
Modified easily

27
Q

Disadvantages of remo maintainers (3)

A

Maximum cooperation needed, can be lost/broken
Food trap
May lose stability

28
Q

Easier to regain space in maxilla or mandible?

A

Max

29
Q

4 types of space regainers

A

Brass Ligature wire/Halterman
Lip Bumper
Pendulum Appliance
Extra-oral appliance

30
Q

Ectopic eruption most common in which tooth?

A

permanent max 1M, 2-6% population

31
Q

Risk factors/etiology for ectopic eruption (2)

A

small maxilla, large molars

32
Q

Ectopic eruption resolves spontaneously/frees self how often? Called what?

A

66%, reversible

33
Q

Irreversible form of ectopic eruption results in what?

A

premature exfoliation of primary 2M

34
Q

Treatment of ectopic exfoliation?

A

elastic separators
brass wire - space regaining
halterman appliance

35
Q

Infantile vs Mature swallow differences?

A

infantile - muscles of facial expression, lips contracted, tongue extends, no molar contact

mature - tongue touches roof of mouth, muscles mastication involved

36
Q

Infantile aka? mature?

A

infantile - visceral

mature - somatic

37
Q

Thumb sucking impact on..
alveolar process
incisors
bite

A

alveolar process - distortion anteriosuperiorly
incisors - labial inclination of max, lingual inclination of mand incisors

bite - increased overjet, decreased overbite, anterior open bite

38
Q

Treatments of tongue thrust?

A
  1. crib

2. myofunctional therapy

39
Q

3 functions of palatal crib

A
  1. prevents thumb from entering normal position
  2. restrains thumb from displacing incisors
  3. restrains tongue
40
Q

Bluegrass is what? what 2 fncs

A

Plastic roller

  1. prevents thumbsuckgin
  2. eliminates tongue thrust
41
Q

Treatment for thumb sucking/tongue thrust may result in temporary adverse effects (2)

A
  1. period of upset after insertion

2. difficulty speech/eating

42
Q

Best chance of success for tongue thrust/thumb sucking for…(2)

A

younger patients

remains in treatment for 6-10 months

43
Q
Mouth breathing structure changes (5)
lip
facial height
alar base
max arch
mandible
A
lip incompetence
long lower facial height
alar base narrow
narrow V-shaped max arch
high mandibular plane angles
44
Q

two types of anterior crossbite

A

dental

skeletal

45
Q

Dental anterior crossbite caused by?
tx?

skeletal?
tx?

A

dental - local factors
tx: quad-helix, hawley, multi-loop/trapeze, delta loop

skeletal - genetic
tx: facemask

46
Q

posterior crossbites self correct? treatment of primary dentition crossbite what effect on permanent?

A

no, positive effect

47
Q

Posterior crossbite origin?

A

genetic

48
Q

Orthopedic expansion age consideration

A

more successful before suture closure

female 14 male 15

49
Q

Hyrax appliance a type of
opens what suture
how much force generated
how much opening per turn

A

orthopedic appliance
midpalatal
15-20lbs
0.25mm

50
Q
Slow vs rapid expansion
force
expansion amt
tissue damage
age considerations
diastema?
A
rapid:
force: 10-20lbs
expansion: 0.5-1mm/day
tissue damage: hemorrhage and fluid in sutural space
age: not for preschool children
big diastema
slow:
force: 2-4lbs
exp: 1mm/week
damage: minimal, more adaptation
no diastema
51
Q

Need for over-treatment bc?

A

20% relapse