Ortho - Mixed Dentition Patient Phase I

Front 1

To be able to identify your patient has a problem, you must first master what 2 things?

Back 1

1. Proper examination
2. Know what is abnormal

Front 2

Goal of therapy in mixed dentition ptns

Back 2

helpf them make the transition from primary dentition to ideal permanent dentition
- want to alleviate the problems that may interfere with this goal

Front 3

What is the purpose of a cursory exam?

Back 3

- provide the minimal necessary facts on which a tentative dx and classification can be made
- can help direct diagnostic efforts

Front 4

What are the components of a cursory exam?

Back 4

1. Static exam
2. Functional exam

Front 5

Purpose of static exam

Back 5

reveal dental and skeletal problems that are present when the patient is in centric relation occlusion

Front 6

Purpose of functional exam

Back 6

reveal problems that a patient may experience during mastication or function

Front 7

Types of skeletal problems that may be identified in a static exam

Back 7

- transverse disharmony (narrow or wide arches)
- vertical disharmony (anterior open bite or deep bite_
- assymetries

Front 8

Types of dental problems that may be identified in a static exam

Back 8

- potential aligntment problems
- occlusion problems (ant open bite due to habit, dental protrusion/retrusion)
- diseases (caries, infections, perio problems)

Front 9

Examples of potential alignment problems

Back 9

- spacing or crowding
- ectopic eruption
- missing teeth
- supernumararies
- simple cross bites
- early loss of primary teeth

Front 10

Components of a functional exam

Back 10

1. Mandibular range of motion
2. Palpation exam of TMJ and muscles of mastication

Front 11

What may the mandibular range of motion test reveal?

Back 11

- dual bites
- centric slides
- functinal shift of the mandible
- premature contacts
- abnormal deviation or shifting of the jaw

Front 12

What may the palapation exam reveal?

Back 12

- clicking or crepitus in tmj
- tender or sore muscles
- aysmmetry in muscle size
- hyperacitve muscles

Front 13

A full set of orthodontic records consists of?

Back 13

- radiographs
- plaster ortho models
- patient intraoral and extraoral photos

Front 14

Specific problems found in the mixed dentition

Back 14

1. number of teeth
2. variation in size and shape of teeth
3. space management
4. difficulties in eruption
5. lateral relatinship of teeth and arches
6. anteroposterior relationships of teeth and arches
7. vertical relationship of teeth and dental arches
8. spacing of teeth
9. gross facial deformities

Front 15

Specific problems found in mixed dentition: number of teeth

Back 15

- missing teeth
- loss of teeth due to trauma
- multiple loss of teeth
- supernumerary

Front 16

Specific problems found in mixed dentition: variation in size and shape of teeth

Back 16

- generealized spacing or crowding
- fused teeth
- peg laterals

Front 17

Specific problems found in mixed dentition: space managemetn

Back 17

- maintenance of arch perimeter
- regaining space in the arch
- space supervision

Front 18

Specific problems found in mixed dentition: Difficulties in eruption

Back 18

- alteration in sequence of eruption
- ectopic eruption of teeth
- impaction of teeth

Front 19

Specific problems found in mixed dentition: lateral relatinoship of dental arches

Back 19

- dental cross bite
- dental-alveolar contraction
- gross disharmony bw osseous bone

Front 20

Specific problems found in mixed dentition: Anteroposterior relatinoship of teeth and arches

Back 20

- class II
- labioversion of max incisors with class I molar relationp

Front 21

Specific problems found in mixed dentition: Vertical realtionship of teeth and dental arches

Back 21

- open bite
- excessive overbite
- closed bite

Front 22

Specific problems found in mixed dentition: spacing of teeth

Back 22

- localizing spacing
- midline diastema
- generalized spacing

Front 23

Specific problems found in mixed dentition: gross facial deformities

Back 23

- mandibular prognathism
- cleft lip and palate

Front 24

How long to wait when perm incisor only erupts on one side?

Back 24

- wait 6 months to see if the otherside erupts

Front 25

Teeth with most variability in anatomY?

Back 25

8s > lateral (upper) > lower 5s

Front 26

Upper 6s tend to _____ forward.
Lowers 6s tend to _____ forward.

Back 26

Upper 6s tend to ROTATE forward.
Lowers 6s tend to TIP forward.