Ortho: Mental dental Flashcards

(59 cards)

1
Q

Caused by exposure to high levels of ethanol during early development
CNS problems
Midface deficiency
Cleft lip
( Anomaly Occurs in germ layer formation stage)

A

Fetal Alcohol Sydrome

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2
Q

Genetic mutation that affects development of facial bones and tissues
Underdeveloped mand
Downslanted palpebral fissures
Cleft palate
Microtia (small ear)
(Anomolay occurs in migration of neural crest cells stage)

A

Treacher collins

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3
Q

Loss of neural crest cells during migration
Ear and mand ramus are deficient on affected side
(Anomaly occurs in migration of neural crest cells stage)

A

Hemifacial microsomia

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4
Q

Nondisjunction that leads to an extra chromosome 21
Midface deficiency
Upslanted palpebral fissures
No increased caries risk
INcreased periodontal ds risk

A

Down Syndrome (Trisomy 21)

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5
Q

What ortho classification do cleft lip and palate typically end up?

A

Class 3

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6
Q

What prominences fail to fuse in cleft lip?

A

Median nasal process and maxillary process

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7
Q

What weeks in utero does cleft lip occur?

A

4-6 weeks

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8
Q

What weeks in utero does cleft palate occur?

A

6-8 weeks

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9
Q

What prominences fail to fuse in cleft palate?

A

Palatal shelves

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10
Q

Micrognathia (small mand)
Glossoptosis: backward placement of tongue
Cleft palate
Breathing and feeding difficulty

A

Pierre robin sequence

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11
Q

______ group of anomalies that generally stem from a single major anomaly that alters the development of surrounding structures

A

Sequence

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12
Q

_____ pattern of anomalies that occur together in a predictable fashion due to single etiology

A

Syndrome

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13
Q

Craniosynostosis: earlly closer of skull sutures
Bradycephalic
Midface deficiency
Frontal bossing
Hypertelorism
Proptosis
(Anomaly occurs in final differentiation of tissues stage)

A

Crouzon Syndrome

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14
Q

Craniosynostosis
Similar to Crouzon
Acrocephalic (tall skull)
Byzantine arch: narrow palate with high vault
Syndactyly: fusion of fingers and toes

A

Apert syndrome (acrocephalosyndactyly)

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15
Q

___ syndromes
Buildup of glycosaminoglycans due to an enzyme deficiency

A

Hurler and Hunter syndrome

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16
Q

___ stage of occlusion development
From birth to 6 months ending with eruption of first primary tooth
Future position of teeth can be observed by elevations and grooves present on alveolar ridges

A

Gum pad stage

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17
Q

___ stage of occlusion development
From 6 montsh to 6 years ending with first permanent tooth
Young children often have minimal overbite and overjet

A

Primary dentition stage

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18
Q

Does mand or max gain more space due to LEeway space?

A

Mand

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19
Q

___ stage of occlusion development
6-12 years ending with exfoliation of last primary tooth
Interdental, primate, and leeway spaces close
Molar relationship will “transition” to class 1, 2 or 3

A

Mixed dentition stage

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20
Q

What teeth have a diastema in the “ugly duckling” stage?

A

Central incisors

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21
Q

What teeth close the diastema in the “ugly duckling” stage due to their eruption?

A

Max canines

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22
Q

How can flush terminal plane end up in class 1 instead of cusp to cusp?

A

Mesial shift when 1st molars shift mesially or differential jaw growth

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23
Q

The early mesial shift closes what space?

A

Primate space (E)

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24
Q

The late mesial shift closses what space?

A

Leeway space (L)

25
What teeth are measured in Tanaka Johnston approach?
Mand 4 perm incisors
26
What teeth sizes are projected for size in Tanaka Johnston approach?
Canine to 2nd Premolar
27
___ stage of occlusion development From 12 year to death or edentulism Arches have curvature in sagittal plane Ideal overbite is 10-20% IDeal overjet is 1-3 mm Ideal occlusion is Class 1
Permanent dentition stage
28
What position AP do tooth buds develop and erupt for incisors?
Lingually
29
Does intercanine width increase or decrease as permanent teeth erupt?
Increase until canines erupt
30
Does intermolar width increase or decrease as permanent teeth erupt?
Increases
31
Does arch width increase or decrease as permanent teeth erupt?
Decreases as permanent teeth erupt
32
Does arch perimeter increase or decrease as permanent teeth erupt?
Increases in upper Decreases in lower
33
What is the most common malocclusion?
Class 1
34
Of class 2 and class 3 malocclusion, which is more common?
Class 2
35
What mm is normal for overjet?
2-3 mm
36
What mm is normal for overbite?
1-2 mm
37
Facial Convexity can be what 3 things?
Straight, Convex, Concave
38
If a pt has an ANB angle of 0 or less, what class skeletal are they?
Class 3
39
If a pt has an ANB angle of 2, what class skeletal are they?
Class 1 or normal
40
If a pt has an ANB angle of 4 or more, what class skeletal are they?
Class 2
41
If there is a post crossbite in mixed dentition, how and when should you treat?
Palatal expansion Treat when functional crossbite is present
42
If there is an anterior crossbite in anterior teeth in mixed dentition with only a few teeth, how do you treat?
2X4 braces
43
If there is an anterior crossbite in anterior teeth in mixed dentition with a full underbite, how do you treat?
Reverse pull headgear
44
If there is severe overjet in mixed dentition , how do you treat?
Headgear and 2X4 braces
45
If there is mild to moderate crowding in mixed dentition phase, how should it be treated?
LLHA or lip bumper
46
If there is severe crowding in mixed dentition phase, how should it be treated?
Serial extraction (C-D-4)
47
____ is used to restrict maxillary growth
Headgear (cl 2)
48
____ is used to stimulate mand growth
Functional appliances (cl 2)
49
_____ is used to stimulate max growth
Reverse pull headgear (cl 3)
50
_____ restrains mandibular growth
Chin cup (cl 3)
51
____ is headgear best used to treat Class 2 openbite
High pull headgear
52
_____ is headgear best used to treat class 2 deep bite
Cervical pull headgear
53
____ is best for class 3 pt w/ maxillary deficiency
Reverse pull headgear
54
____ is best headgear for class 3 mandibular excess
Chin cup
55
The following are functional applicances to treat _____: Bionator, Activator, Herbst, Twin block, and MARA
Class 2
56
The following appliances are used to treat _____: TPA, Schwartz, W- arch, Quad helix, Hyrax, Haas
Palatal expander
57
The following applicances are used in ___ stage of growth and development Nance, LLHA, and lip bumper
Mixed dentition
58
_____ is recommended for teeth that had severe rotations
Supracrestal fiberotomy
59
What is the most stable genioplasty?
Sliding genioplasty