Preventive and Interceptive Ortho

band and loop 

What space maintainer is for single tooth loss (missing primary 1st molar)

Partial Denture Space maintainer

What space maintainer is use if band and loop & lingyal holding arch is not applicable

Loss of lower E but the 6 is unerupted

Distal Shoe appliance is indicated when ______

We have to make it to replicate/ replace the distalsurface of primary molar

• distal of first primary molar will guide lost which will replace the 2nd primary molar 

Why is it called Distal Shoe?

1mm, Mesial marginal ridge of 6

Distal Shoe should be placed at ____ below the ______

• 2 tooth loss

• wire should rest at the cingulum

Indication for Lingual Holding Arch (LHA)

Nance Appliance

What appliance is used when the upper arch has a multiple loss

Transpalatal Arch (TPA)

what appliance is used when one side of the arch is intact

1. PFS

2. PRR

3. TFA

4. Class 2 resto

What are the treatment/ Prevention of caries

Choice of nursing nipple 

What is the prevention of oral habits

Interceptive Ortho

To see potential problem and you will now institute a measure in order that potential problem will not progress into a malocclusion

Preventive- If your px is still in normal occlusion and you deliver the service

Interceptive- When you render the services and px si NOT in the normal occlusion but there’s a potential problem that might be corrected to malocclusion

Preventive vs Interceptive

tongue depressor (mesiodistal with same postion with concerned tooth)

If there’s developing anterior cross bite, you place ______to produce positive overjet

• inclined plane 45degrees inclination

• worn 1to 2 days/ hrs for 10-14 days 

What is the positon of TONGUE BLADE"?

What is the duration of use?

True

T of F

theres a Diastema in Ugly duckling stage

True

T or F

Once canine is erupted, the space should be physiologically closed 

Justification that space should be moved/closed

if theres a 2-4mm space between CI enroaching on the space for LI what is the justification?

No

Do all abnormal finger and oral muscle habit problems require appliance?

No. it depends on the timing

Do all habit problems create damage?

• 3 to 4 ½ years 

• for distraction to force the tongue backwards

What is the Optimal time and Purpose in placement of Habit Breaking Appliance?

child should be reminded

in Palatal crib, Should you tell the child that this appliance is for breaking habit?

3 to 4 weeks

in Palatal crib, check up appointments is _____

4-6 weeks

in Palatal crib, duration of wearing of appliance is _____

Remove it part by part

In Palatal crib, After 3 months of total absence of finger habit, what is done next? how do we remove it?

3 weeks

in Palatal crib the Posterior long extension is removed afer _____

3 weeks

in Palatal crib the Palatal Bar is removed after _____

1. eliminate strong anterior thrust and plunger- like action during deglutition

2. re-educate tongue posture so that thedorsum approximates the palatal vault and lip contacts the rugae during deglutition

in Tongue thrust appliance you SHOULD do 2 things:

TOngue Crib

it has a 3-4 U/ V shape reflection or fence like placed on upper arch

• 4-9 months

• 5 to 10 yo

in Tongue crib,

What is the duration of treatment ____

What is the optimum age _____

Lateral and posterior

If px has a Lateral tongue thrust, where to put now the V shape projection?

lip plumper

What is the appliance for Lip biting?

Treat malocclusion first , handle it 

if a px has a class 2 div 1 or excessive overjet problem, and the lip activity is compensatory, what would be the treatment?

Lip appliance needed

if a px has a normal posterior occlusion or treated and still with lip sucking tendency, what would be the treatment?

• 2-3mm

• incisors will move labially and will decrease overjet

In Lip plumper the measurement clearance is _____
what will happen to lower incisors?

Removable crib

Cheeck biting is an appliance also known as _____

1. Finger sucking

2. Tongue Thrusting

Give habits in Vestibular screen

1. Tongue thrusting

2. finger sucking

Give habits in Oral screen

1. Tongue thrusting

2. Excessive buccinator muscle

Give habits in Combined oral and vestibular screen

1. upper lip presses lower lip= lengthens short lip 

• 15 to 30mins a day for 4-5 months 

2. With the use of musical instruments/wind instruments

3. Blowing exercises

Give an example of Muscle excercises

what is the duration of it?

1. Chin tuck

2. Occipital bone

In Developing Mandibular Prognathism the appliance used is _____

+= space maintainer

-= space regainer

serial extraction

in Serial extraction

positive is ______

negative is _____

-10 is_____

Nance

Who is the Father of Serial Extraction?

Kjellgren

Who invented the Serial Extraction?

Robert Bunon

Who is the first person to describe Serial Extraction?

Serial Extractionb

it is early removal of certain dec. teeth (C and D) and

later a perm. tooth (4) in a predetermined order,

i.e., in a serial fashion to reconcile a persisting

discrepancy in tooth material

no canine

What are your clues for in need of extraction?

Case selection in Serial extraction

Removal of CD4

Stages of Serial Extraction

• 8-9yo

• para mamove and lateral disalignment of incisors

In removal of Deciduous (C) Canine, What age? Purpose?

1. 9-10yo

2. To separate the eruption of permanent 1st and 2nd premolar 

In removal of Deciduous (D) deciduous molar, What age? Purpose?

1. no age, just as soon as possible

2. for the canine to drop to the extraction space 

In removal of Deciduous (4) erupting 1st premolar, What age? Purpose?

Canine and 2nd premolar

What is the location of V or Ditch formation?