Removeable appliances Flashcards

(46 cards)

1
Q

where do the forces that move the teeth come from in the appliance?

A

springs
screws
bows

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2
Q

what are some advantages of removable appliances?

A
easy to clean
good anchorage
less chairside time
less inventory
moves blocks of teeth
cheap
easy to adjust
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3
Q

what are some disadvantages of removable appliances?

A
dependent on pt co op
tipping movement only
speech affected
retention is difficult
lower appliance can be difficult to wear
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4
Q

what movements can a removable appliance cause?

A
tipping
space maintenance
bite opening
crossbite correction
single tooth movement
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5
Q

what are the 4 components of the appliance?

A

baseplate
activator
retention
anchorage

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6
Q

what materials are used in making an appliance?

A

SS 18:8 chromiun :nickel
elgiloy - soft, heat treated to increase strength
acrylic - pmma - self cured heat cured light cured

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7
Q

what is the job of the baseplate?

A

holds components together
active or passive
can hold biteplanes

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8
Q

what is the job of an anterior biteplane?

A

reduce overbite

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9
Q

what is the job of a posterior biteplane?

A

eliminates occlusal interferneces

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10
Q

what is put in a baseplate to make it active?

A

springs

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11
Q

what is the force of the appliance dependent on?

A

length of wire
radius of wire
stiffness of wire

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12
Q

if you increase the length of the wire what happens to the force?

A

lighter force exerted

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13
Q

length of wire is restricted by size of mouth, how can this be fixed?

A

add coils to wire

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14
Q

double the diameter of the wire, force?

double the length?

A

increase forces

decrease forces

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15
Q

tooth movement happens in what direction?

A

perpendicular to point of contact of spring with tooth

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16
Q

if spring is 0.5mm, activation is?

if spring is 0.7mm, activation is?

A

3mm

1mm

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17
Q

palatal springs can cause movement in what direction?

A

mesial
distal
buccal

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18
Q

size of palatal springs?

A
  1. 5mm

0. 7mm molars

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19
Q

buccal canine retractors cause movement of canines in what direction?

A

palatally and distally

20
Q

what size are buccal canine retractors?

how are they activated?

A

0.7/0.5mm with supportive tubing

activated by winding coil or adjusting arm

21
Q

what size are Z springs?

22
Q

what are Zsprings?

A

double cantilever increasing wire length where space is limited

23
Q

where to Z springs sit?

A

perpendicular to palatal surface

24
Q

how are Z springs activated?

A

pull 1-2mm away from baseplate at angle of 45 degrees in direction of desired movement

25
what size are T springs?
0.5mm SS
26
what are T springs used for?
move teeth buccally
27
how are T springs activated?
pull spring away from baseplate at angle of 45 degrees
28
are bows active or passive?
can be either
29
what is the job of an active bow?
retraction of proclined incisors
30
what are the sizes of bows?
07/0.8mm, 0.5mm if unsupported
31
what is a roberts retractor used for?
0.5mm and used to retract incisors
32
what direction to screws move teeth?
labiolingually
33
where do screws get force to move teeth?
via acrylic contacting tooth and transversley expand
34
how often are screws turned?
once a week at start of tx | twice a week further into tx
35
what can screws be used for?
to move teeth required for retention
36
how do adams clasps and cribs clasps give retention?
engage undercuts at mesio distal
37
what size are adams and cribs clasps?
0. 7mm SS molars | 0. 6mm premolars and deciduous teeth
38
what are southend and c clasps used for?
anterior teeth
39
what size are southend and c clasps? | how do they give retention?
undercut beneath contact point | 0.7mm SS
40
how to ball ended hooks work and what size are they?
0.7mm | soldered ball engage undercuts interproximally
41
where to labial bows give retention? | how are they activated?
anterior retention | squeeze U loop to tighten
42
what is anchorage?
forces created as a reaction to a active component provided by - other teeth/baseplate/other forces
43
how is anchorage increased?
clasping more teeth | using lighter forces
44
what tools are used to fit appliances?
``` adams clasps spring forming pliers marker measuring device acrylic trimmer ```
45
when can removable appliances be taken out?
contact sports | cleaning
46
what problems can happen with these appliances?
breakages loose fitting, falls out palatal inflammation excessive tilting