Week 3 Localized space shortage (Space regaining) Flashcards

1
Q

Moderate localized space discrepancy is when……

A

space of shortage ≤ 3mm per quadrant

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2
Q

Permanent molar ectopic eruption is _____ and often _____. It is common in the ___ arch

A

Painless

self correcting

maxillary

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3
Q

If ________ is lost, space loss can be dramatic and beyond the moderate localized discrepancy.

A

Primary molar

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4
Q

When the __________ is missing, careful planning and good timing can lead to beneficial substitution.

A

Succedaneous premolar

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5
Q

Brass wire is used when space loss is about ______.

A

1 mm of resorption (overlap)

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6
Q

True or False?

When space loss is more dramatic, a brass wire separator will not work.

A

True

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7
Q

Band and spring is used to….

A

a nice way to tip molars back and preserve the second primary molar.

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8
Q

What is the modified band and spring

A

no soldering

intraoral fabrication

(instead of soldering a spring to it, bend a wire and form a spring intraorally and bond it to the moalr and kick it back)

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9
Q

how is the bonded spring used?

A

most efficient and modern way to do it.

No banding, intraoral fabrication

bond two brackets, one on the 2nd primary molar and one on the first permanent molar. Make a spring between them to let them engage and open up the space.

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10
Q

Band and spring biomechanics?

A

Single force not thru Cres (Very high Cres)

Uncontrolled distal crown tip to move tooth back

Successful in 1 month if seen in 2 week intervals

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11
Q

Treatment options for permanent molar ectopic eruption?

A
  1. band and spring
  2. Modified band and spring
  3. Bonded spring
  4. Brass wire
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12
Q

Treatment options for loss of primary molar

A
  1. Removable appliance

2. banded and bonded

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13
Q

Hawley with finger spring?

A

Single force not through Cres, uncontrolled distal crown tip

Anchorage on teeth and palate

Once repositioned, use band and loop to maintain it.

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14
Q

Banded and Bonded appliance?

A

uses open coil spring and arch wire

Reciprocal forces applied buccal to Cres and it produces the rotation of teeth

(Forces on molar, distal force and moment producing the rotation)

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15
Q

LLHA is inefficient way to move teeth because??

A

The wire is too heavy and has a little range of movement that the activations have to be very small (1 to 1.5mm at most)

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16
Q

Severe localized space discrepancy is when…

A

> 3 mm per quadrant

17
Q

Treatment options for severe localized space discrepancy?

A

Palatal anchorage appliances: move posterior teeth distally

Headgear

Extraction

18
Q

Can you use Nance appliance for severe localized space discrepancy?

A

Yes it will push back molars… but side effect of forward movement of anterior teeth.

Anchorage from teeth and palate

19
Q

Problems with nance?

A

acrylic can cause tissue irritation

20
Q

What is mini screw supported distalizing appliance and when can you use it?

A

No acrylic, reduced tissue irritation, reduced compliance

No loss of anterior anchorage

It does not move the incisors forward.

Teeth bodily move back up to 1mm/month

NOT for pts under 12 yrs!!