Removeable appliances Flashcards

1
Q

how can forces be applied on a removeable applaince

A

spings
bows
screws

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2
Q

name 7 advantages of removable appliances

A

easy to clean
good anchorage (resistance to unwanted tooth movements)
can move blocks of teeth
cheap
less chairside time than fixed appliances
less inventory
easy to adjust

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3
Q

name 6 disadvantages of removable appliances

A
dependant on pt cooperation
only tipping movement- less than fixed
lower RA difficult to wear
Retention difficult- especially lower due to tongue and teeth which tend to tip linually
speech may be affected
technician assiatance
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4
Q

define anchorage

A

way of resisting movement of a tooth using different techniques

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5
Q

which tooth movements can a RA achieve

A
tipping
space maintenance
bite opening
crossbite correction
single tooth movement
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6
Q

what are the components of a removable appliance?

A

Baseplate
Activation
Retention
Anchorage- usually basplates

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7
Q

name 3 materials used to make RA

A

stainless steel
Eligiloy
Acrylic- polymerising polymethyl methacrylate

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8
Q

what material is a baseplate usually made out of

A

acrylic

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9
Q

what is the function of a baseplate

A

hold all components together

can add bite planes- for bite opening

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10
Q

what can be added to a baseplate

A

biteplanes- for bite opening

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11
Q

how does an anterior bite plane work and what does it reduce

A

no posterior occlusion, allowing posterior teeth to erupt

can reduce overbite

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12
Q

how does a posterior bite plane work and what can it correct

A

no anterior occlusion, allowing them to erupt

correct anterior open bite and can push a tooth /over the bite’

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13
Q

what 3 things is force dependant on

A

length of wire
radius of wire
elastic modulus (stiffness) of wire

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14
Q

what happens to the force if the length of wire in increased

A

light force with longer length

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15
Q

if the length of a wire is doubled, how much is the force reduced by?

A

8X

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16
Q

if the diameter of a wire is double, by how much does the force increase by

A

16X

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17
Q

Length of wire is restricted by amount of space in the mouth, how can you overcome this

18
Q

name 6 methods of tooth movements (activation)

A
palatal springs
buccal canine retractors
z springs
T springs
Bows
Screws
19
Q

what type of movement is a palatal spring used for

A

mesio-distal and buccal

20
Q

what is in place to stop the palatal spring coming away from the baseplate

A

guard wire

21
Q

which direction does a buccally placed canine retractor move teeth

A

palatally and distally

22
Q

what is a z spring made from

A

stainless steel

23
Q

how is a buccal canine retractor activated

A

winding up coil or adjusting anterior arm

24
Q

how is the length of a z spring increased

A

double cantilever

25
how is a z spring placed
perpendicular to palatal surface otherwise slides incisally and intrudes
26
which direction does a t spring move teeth and which teeth
buccally | usually canine and premolars
27
what can active bows be used for
retract proclined incisors
28
name an appliance that can be used to retract proclined incisors
roberts retractor
29
in which direction do screws move teeth?
labio-linguallly
30
what are disadvantages of using screws for activation
expensive | bulky
31
how does a screw transmit forces
via acrylic contacting the teeth
32
what can be used for retention
Adams clasps/cribs Southend Clasps Labial Bows- anterior retention
33
what can be used for anterior retention
labial bows
34
how can anchorage be provided
other teeth | baseplate
35
what equipment is used to fit an appliance
Adams pliers Marker Measuring device Acrylic trimmer
36
how long should a pt usually wear a RA
24 hours- only remove for cleaning and contact sport
37
Which type of activation does a pt have control of?
Screws- adjust themselves with key
38
how much tooth movement should be expected in first review
1mm in 2-3 weeks of fit
39
what causes palatal inflamamtion
poor OH, fungal and bacterial infection
40
what can cause excessive tilting of teeth
spring not at correct point of contact so excessive forces on teeth