Week 1 Vertical Problems

Question 1

Vertical skeletal problems?

Answer 1

Long face

Short face

Question 2

Vertical dental problems?

Answer 2

Anterior open bite: simple or transitional, habit related

Deep bite

Ankylosed primary teeth

Question 3

White americans have more ______

Answer 3

deepbite

Question 4

African Americans have more _______

Answer 4

openbite

Question 5

2 types of long face?

Answer 5

1. Long face with anterior open bite (variation is in the lower face)
2. Long face without anterior open bite (the variation is in the lower face but the teeth accommodated)

Question 6

What exactly is “Long face”?

Answer 6

> 50% of the vertical face is between the base of the nose & the base of the chin

Question 7

Short face?

Answer 7

Often with deep bite

The variation is in the lower face

Question 8

True or False?

Upperlip retracts just about the cervical margin of the upper incisors or having 1-2 mm of overlap of the upper lip on the teeth is considered normal.

Answer 8

True

Question 9

Simple open bites are from ______

Answer 9

generally canine to canine (normal transition, anterior teeth only, close prior to adolescence (no treatment))

Question 10

Complex open bites is when….

Answer 10

Extend past the anterior teeth

Fail to close prior to adolescence

Sometimes associated with skeletal problems (usually)

Question 11

Dental open bites treatment?

Answer 11

Erupt anterior teeth

Intrude posterior teeth (so the jaws come together more)

Use facial proportions and lip to tooth information for objective judgments

Question 12

If a patient already has a gummy smile, you wouldnt do…..

Answer 12

you would not want to erupt the anterior teeth

Question 13

If a patient does not show much anterior dentition when they smile, you would…

Answer 13

Consider erupting the ant teeth to close the open bite.

Question 14

What treatment to do when you erupt anterior teeth for open bite?

Answer 14

Anterior vertical elastics

allows teeth to come together in the front so the open bite can be closed

Question 15

What treatment to intrude posterior teeth for open bite?

Answer 15

High pull headgear

Question 16

Dental deep bite treatment

Answer 16

posterior eruption

level curve of spee (place reverse curve of spee archwire to hold the posterior and anterior teeth down and erupt the teeth in the middle segment)

Intrude anterior teeth

Question 17

Dental deep bite treatment by?

Answer 17

Anterior bite plane to erupt posterior teeth

upper intrusion arch

lower intrusion arch

Question 18

What to do with anklyosed primary teeth?

Answer 18

if the primary teeth with successors: majority exfoliated on time (can go back to normal)

If the primary teeth does not have successors: great vertical discrepancy and attachment loss can occur. Best to exfoliate as soon as possible to avoid that.