W1: Adult orthodontics Flashcards
1
Q
COMPREHENSIVE ADULT ORTHODONTIC TREATMENT
A
- Changes in adults
- Adults and Orthodontic treatment
- Adolescents Vs adults
- Objectives
- Adjunctive orthodontics
- Comprehensive adult orthodontic treatment
- Retention
2
Q
Adult malocclusions originate from two sources:
A
3
Q
Biology changes:
PDL:
A
4
Q
Biology changes:
Bone:
A
- Mechanical properties changes
- Macroscopically- trabecular bone volume decreases.
- Osteoblastic activity-reduces
- Imbalance between resorption & apposition.More resorption
- Sinus size-increases
- Bone density decreases & porosity increases with age.
5
Q
Biology changes:
Teeth
A
- More root exposure
- Short crown root ratio
- Center of Resistance (CR) shift -apically
- Diameter of pulpal canal reduces
- Decreased vascularity & innervation – ability of pulp recovery decreases.
6
Q
Age-related changes in the craniofacial skeleton
A
7
Q
Soft tissues
A
- Changes in facial soft tissues continues with aging and they are much larger in magnitude than changes in the hard tissues.
- The lips and other tissues of the face, sag downward with aging resulting in a decrease of the exposure of upper incisors and increase of the lower.
- Lips are getting thinner
8
Q
Effects on bone metabolism
and
Effects on tooth movement
A
9
Q
Why do adults seek orthodontic treatment?
A
10
Q
Adolescents vs Adults:
A
11
Q
ADULT ORTHODONTIC TREATMENT
ObjecMves:
A
12
Q
Adiunctive orthodontic treatment:
Definition
A
tooth movement carried out to facilitate other dental procedures necessary to control disease & restore function.
13
Q
Adiunctive orthodontic treatment:
Goals:
A
- Facilitate restorative treatment
- Improve PDL health
- Create a favorable crown to root ratio
14
Q
Adiunctive orthodontic treatment:
Examples:
A
- Uprighting of molars
- Forced eruption
- Intrusion of molars
- Space opening for implant or bridge placement
15
Q
Comprehensive Adult Orthodontic treatment
A