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264 Cards in this Set

  • Front
  • Back

Limited Opening is: ______mm

below 27mm (23mm is example given)

Maximum Opening and Lateral excursive in Adolescents and Adults:

50mm and 12mm lateral excursive





(distance between incisal edges + overbite)

Most Cranium growth completed by: ___yrs

5 years

For adult, breath given every _____seconds

5 seconds

Wavelength for curing light/ Optimal wavelength for Camphorquinone ______nm

460-480 nm

Concentration of Sodium Fluoride in Mouthwash for ortho patients _____%

0.05%

Tongue begins formation at week:

week 4 in utero

Tongue reaches maximum size at age:

8

Primary Palate formed during ____ week.

6th week, 6-8 weeks

Secondary Palatal closure in fetus begins at___wks:

10 weeks, Completed by: 12 weeks

At what time during fetal development does CL/CP occur:

6-8 weeks

Cleft Palate Develops during what trimester?

First trimester of pregnancy

Cleft Palate incidence:

1 in 750 births

Most effective time to close a cleft palate surgically:

one year after birth

When should you do alveolar graft:

when canine root is 2/3 formed (to start eruptive process)

Best time for NAM:

Within 3 months after birth

Most developmental anomalies occur when:

Embryonic (5-10 weeks) stage

Fetal Alcohol Syndrome occurs:

by day 17 in utero

Downs Syndrome prevalence:

1 in 800 births

0.4mg folic acid reduces chance of cleft lip/palate by: _____%

33%

Most neurons present in fetus at: _____ wks

10 weeks after conception

Most synapses in infant at age:

2-3 years

Fusion of Inter-sphenoidal suture:

At birth, shortly after birth, 3 months after birth

Fusion of Spheno-Ethmoidal suture:

7 years

Fusion of Spheno-Occipital Suture at:

15-16 years , 15-20 years

Ossification of Sesamoid bone in Hand-Wrist film means:

1 year before maximum growth spurt


(30 percent growth completed);


60-70% growth remaining.


SMI:4

Peak Height velocity age for girls and boys:

12 girls, 14 boys

PHV happens up to how many months after puberty:

from puberty for up to 24 months after

In normal girls, PHV happens:

In normal girls, PHV happens 18-24 months before menarche

In late-maturing girls (late menarche), PHV happens:

6-11 months before menarche

PVH is measured in:

cm or inches PER year (it is a rate)

Physician concerned if child's growth above ____ percentile.

95th percentile

More radiation: tech 99 or CT

Tech 99 > CT

Increase in mandibular intercanine width from primary to permanent:

2mm , “slightly increase “

Primary to permanent arch length change increase or decrease?

slight decrease

Greatest amount of Mandibular arch length from mesial of molars is at age:

6

Greatest loss of arch length:

Mx second primary molar at age 6.5

2-3mm CO/CR (backwards) shift at completion of treatment. What should you do?


distal to middle of lateral incisor 91%


If tip is mesial: 64% ??????? What is this?,

Incidence of gingival recession in adults
68% incidence,

more Mn than Mx,


more symmetrical than asymmetric

Percentage of patients that need perio treatment prior to ortho

5-10% of children and 20-25% of adults

Minimum osseointegration necessary for implant success: ___%
5%
When 300 grams of force applied for 3 months to titanium implants in animal studies, percentage successful____%
94%







Estimated healing time for implant in maxilla:




Estimated healing time for implant in mandible:



Max: 6-8 months




Mnd: 4-6 months

How much room needed for implant _____mm

7 mm
When placing implant, head of fixture should be how far apical to desired gingival margin: ___mm
4 mm

Best time for implant:


After growth has ceased
Serial Ceph confirms no growth. How many months to wait to ensure no further growth?
6 months OK, 12 months is better

Will the children keep growing?


Yes


Will it matter significantly? No

What percentage of US and Northern European have Class II malocclusion:



What percentage of Class II due to retro Mn

15-20%




75%

Adenoidectomy success in correcting open mouth breathing:


80%
What percentage of non-ectopic third molars erupt normally
33%
Normal oral temp
35-37 degrees C

Plus/Minus 1 Standard Deviation includes:



Plus/Minus 2 Standard Deviation includes:



Plus/Minus 3 Standard Deviation includes:


66-68% of sample




96% of sample




99.7% of sample

Variance calculated by:

square root of variance gives you the SD



e.g. mean 100, Variance 64. so SD is 8.


So 116 is 2 SDs above the mean.

Correlation

If two samples are linearly related, correlation coefficient R = _____



No relationship, R = ____


If two samples are linearly related, correlation coefficient R = 1



No relationship, R = 0

Most affected by outliers:



Most affected by large sample size:


Most affected by outliers: MEAN


Most affected by large sample size: MEDIAN




You select median because the median is an important value. It says something different from the mean. You might also select it for some statistical calculations because it's robust against certain problems like outliers or skew. When sample size gets smaller it'sactually much more sensitive to skew than the mean.

Anterior Cranial base Growth Completed by ___ yrs

7 years

What age can you start to superimpose on S-N:

7 years

Anterior Cranial Base stops growing and become stable for use in superimposition at age:

7 years

Neural growth completed: ____ yrs

7 years

Most rapid Somatic growth:

Conception to birth

11 yo male, in a 2 year period mand molars will erupt ____mm

1.5mm

11yo male, lower facial height will increase ____mm/yr

1mm/year

Maximum width of skull achieved at age:

Age 7-8

Human Eye sees: ___shades of grey

16 shades of grey

Digital Photography uses ___-bit which gives ____ shades of gray

8-bit which gives 256 shades of gray

Gemination:

1 root, 1 pulp


fused crowns

Fusion:

2 roots, 2 pulps


fused crowns

Hypodontia:

missing 1-5 teeth

Oligodontia:

missing 6+ teeth. MSX1 defective

If missing 3rd Molars:




_____% chance missing Lower 5s


_____% chance of missing U2


_____x chance tobe missing other teeth.




Y/N: increased likelihood of supernumerary or peg lateral

If missing 3rd Molars:




3.4% chance missing Lower 5s


2.2% chance of missing U2


13x chance to be missing other teeth.




increased likelihood of supernumerary or peg lateral: NO

Lip Bumper expansion:


___% percent is accomplished in first 100 days


then __% in next 100


then __% in last 100

LIP BUMPER: 50-40-10




50% percent is accomplished in first 100 days, then 40% in next 100 days


then 10% in last 100 days

If you decrease distance between magnets by half, the force increases: ____ %

400%

If you increase distance between magnets by twice,


e.g 10 mm -> 20 mm, then the force will

Magnetic force equation: 1/(r^2), r being the distance between magnets.




So Force will decrease quadruple

Phase I class 2 correction: ___% success rate.




Twin Block __ % skeletal correction

Phase I class 2 correction: 75% success rate




Twin Block 55% skeletal correction

How to do pure rotation:

1st order bend

Duration of threshold of light force to produce tooth movement: ____ hrs/day

4-6 hrs a day

In Physiologic response to sustained pressure, tooth begins movement after: __ hours of force application

48 hours of force applicatoin

Normal eruptive force of a tooth is: ___ grams

2-10g

Optimum canine retraction force: __________ grams

100-150g

Genes responsible for tooth agenesis:

MSX1, PAX9

When do primary teeth start to calcify in fetus:

14 weeks (Upper and lower central incisors)

Mineralization of Perm First Molars Begins:

At birth

At birth, which tooth has COMPLETED "crown" calcification:

mandibular incisors

Calcification of Upper and lower third molars:

varies greatly

Fusion of Mandibular Symphysis:

Shortly after birth; 3 months after birth; within first year

How long to retain extruded tooth for stability:

6 months

Fraction of root formation when tooth begins eruptive movement:

2/3

Fraction of root formation upon tooth emergence into oral cavity:

3/4

How long does it take for completion of root formation after tooth eruption:

2-3 years

Minimum # of Lobes to make a tooth:

4 lobes

Peak incidence of dental trauma occurs at what age:

8-10 years

For adult and child what is rate of compression:

100 per minute

Sequence of Adult CPR:

30 compressions, 2 breaths

How many minutes can the brain survive without oxygen:

6 minutes

Incidence of missing lateral incisor

1-2%

Ext primary B for 3 results in ___% bone loss in __ years

Ext primary B for 3 results in 1% bone loss in 4 years

In treatment of openbite,


surgical success ___%


nonsurgical success ___%

In treatment of openbite,


surgical success 82%


nonsurgical success 75%

Minimum total filtration required by a machine that operates in excess of 70 kvp:

2.5mm of aluminum (or the equivalent of that)

How long film in fixer?

10 minutes

AAO standard facial photo size

1/4 of life-size

X-ray operators should not exceed:

0.1 Roentgens per week (100 milli Roentgens)

Absorbed dose in unit of?

Grays, microGray

Effective and Equivalent doses in unit of?

Sievert, microSievert

_______ takes organ being irradiated into consideration?

Effective dose

Definition of normal Mandibular Plane angle:

27-37 degrees

Difference between SN and Frankfort Horizontal

7 degrees

Incisor angulation to arch length ratio

10:8;


10 degrees of retroclination requires 8mm of space (ie extraction)

Nasolabial angle norm?

94-110 deg

Ideal percentage of lower facial height

55%

16yo female, ratio of upper to lower facial height is?

43:57

N-ANS is what percentage of N-me?

45%


** remember that lower face height is slightly over half of total face height ie 55-57%

Hyoid derived from which branchial arch?

2 (body)


3 (greater wings)

How many bones in craniofacial complex?

8 cranial, 14 facial, TOTAL 22

How many cartilages in inferior 1/3 of nose

3

Most nasal septum deviations occur in?

inferior 1/3 of nose

Hyoid bone located?

between C3 and C4

Widest cervical vertebrae from C1 to C5

C1 (atlas)

Distance from CEJ to alveolar crest?

2mm

To prevent black triangle, maximum distance from contact to alveolar crest?

5mm

How many branches of facial nerve?

5

Normal incubation period for Hep B and C

1-6 months

Which molecules activate aracadonic acid pathway/prostaglandin production?

IL-1, IL-6, TNF alpha, BMP



** NOT neocytokines!

Penicillin allergy patient with hx of Rheumatic Fever?

Give erythromycin

Worst to best in terms of chewing efficiency

Class III, Class II, Class I

Pain due to heavy pressure happens after:

after 3-5 seconds

Acceptable CO/CR shift

1mm CO/CR shift but not a lateral shift

Chances of missing max lateral incisor:

1-2%

Chances of missing lower 5's:

3.5%

Sample size for cephalometric study must be at least:

15 patients

For a research hypothesis to be accepted, chance for groups tohave arisen from random chance is:

5% (p<0.5)

When to use twin block:

late mixed dentition

When replacing missing lateral incisor with implant, we need:

2/3 width of central incisor. Aka 66% of the width of the central.

When placing Maryland bridge, you want:


Incisors perpendicular to occlusal plane. Choice given is 10-15 deg

Posterior to Anterior face height ratio is:

40:60

Planum sphenoidium:

A plane surface on the sphenoid bone, in front of the sella turcica, connecting the two lesser wings, and forming part of the anterior cranial fossa and especially later in life, the roof of the anteriormost portion of the sphenoidal sinus. Synonyms: Jugum sphenoidale, Planum sphenoidale

Herbst and Mara ___________ the occlusal plane, and Twin block ____________________.

steepen; controlled Mn plane angle.

Herbst demonstrates __________ overbite and overjet.

decreased

True or False?




Herbst does not change MP angle that much

True

Intensifying screens ________ contrast and ________ exposure times, radiation

Increase Contrast. Decrease Exposure times and radiation

Minimum total filtration required by xray machine operates greater than 70 KvP

2.5 mm Aluminum

Distance between Midsagittal plane to Film and Source to MSP?

15 cm btw MSP to Film and 60 inches(5ft) btw Source to MSP

KvP affects _______, while milliamps and exposure time affects __________.

Contrast (Higher KvP=more penetration, darker image, low contrast).



Density (Increased mAmps and Exp. time increases dentisty).

In CBCT, voxel size affects

Resolution and accuracy. NOT magnification. CBCT uses small voxel size for good resolution. (Decreased voxel size=decreased field of view=increased resolution

Term: Area of the dental anatomy that is reproduced distinctly on Pano?

Focal trough

Midline point on PA ceph?



Midline point on lateral ceph?

Menton or ANS on PA ceph



Point A on lateral ceph

ABO mandibular plane points?



Face angle points?

Constructed Gonion to menton



FH and N-Pog

What relatively remains constant with age?

Y-axis

Reference line used in Down analysis?

Frankfort horizontal. Not S-N or N-Ba

Broadbent registration point, which is used in Downs for superimposition is the intersection between

Bolton-Nasion and perpendicular Sella

Floor of orbit or inferior orbital wall is made of which 3 bones?



Lateral wall of orbit?

Maxillary, Zygomatic and Palatine



Frontal process of Zygomatic and greater wing of Sphenoid

Name of sinuses or duct that drain into each Meatus.



Superior, Middle, Inferior meatus

Superior: posterior ethmoid cells and Sphenoid sinus.


Middle: Frontal, maxillary, temporal sinus


Inferior: Nasolacrimal duct

Origin and Insertion of digastric muscles

Origin:


Ant belly: Digastric fossa/ lingual symphysis


Post belly: Mastoid process of temporal bone



Insertion: Both into Intermediate tendon of hyoid bone


Cleft lip repair when?


Palate repair when?


Secondary alveolar bone graft+Ortho when?


Orthognathic surgery when?


Implants and other prosthetic procedure?

2-3 month, 10-14 month, 6-10 years, 13-18 years, 18 or when growth is complete

Prophylaxis Amoxicilin __ g or Clindamycin ___ mg 1 hour prior?

2g for Amox. 600 mg for Clinda

Line of occlusion in maxilla? Interproximal contacts are ?



Mandible?

Central fossas are line of occlusion in maxilla. Interproximal contacts are buccal to the line.



Buccal cusps are line of occlusion in mandible. Interproximal contacts are lingual to that line

What would you not do in pt with crepitus (or TMD)

Anterior positioning splint. Flat plane is ok

Dislocation of mandible can occur only in which direction?

Anteriorly

ADD without reduction characteristics

Limited opening of <27mm


Deviation of jaw


Pain with forceful opening


Closed lock

ADD with reduction clicking or popping sounds after ____ mm opening?

30 mm

No joint sound. Pain in TMJ area

Posterior Capsulitis

Gorelick states significant decalcification occurs in ___% of orthodontic patients. These patients should wait how long before fluoride ?

50%. These patient should avoid large amount of fluoride to allow remineralization. Wait 2-3 months

Tartar control contains _______ and reduce ___% of supragingival calculus

Pyro phosphate. 50%

How many mm upper incisors are in relation to stomion superioris in skeletal open bite?

3 mm below Lip

Skeletal open bite characteristics

Increased height of Max molars


Antegonial notching and high mandibular plane angle


NOT long corpus length

Tongue thrust is

Adaptive. Not cause of open bite.



Forward resting position of tongue is most likely cause of anterior open bite in 10 year old child

Little et al. found how much relapse happen in where?

2/3 Mandibular incisors

Most stable and least likely to recur

COS

Class 2 division 2 most likely relapse

Deep bite more than rotation. Deep bite stability on correction is more favorable in growing children.

Normal intermolar width for adolescents

33-35

Canine impaction

2/3 palatally impacted.


1-2% of maxillary impacted


0.35% of mandibular impacted


8% bilateral


2x more common in females

Austenite, martensite

Austenite + stress -> Martensite


Martensite + heat -> Austenite (deactivation)

Complete nasal obstruction pts, immediate change of head posture measured by increase in craniofacial angle of

5 degrees

Space discrepancy limit to extraction

Upto 4mm

To obtain condylar inclination during records

Take protrusive wax bite

37% phosphoric acid etch 30 sec etch removes __ microns of enamel



15 seconds ____

3-10 microns for 30 sec.



8-10 microns for 15 sec.



9% HF for ceramic crown etch

TMA wire contains

No nickel. Just titanium and molybdenum

TMA vs SS

SS has highest Stiffness (3x more than TMA) -> lowest flexibility (springiness) (2x less than TMA) -> highest deformity or least resistance to deformity.



Strength vs Springiness

Strength = Stiffness x Range


Springiness = 1/Stiffness

Most frictional wire in SS bracket

TMA > NiTi > SS

Ideal wire

High Strength, Range and Formability



Low Stiffness

SS wire composition

18% Chromium (corrosion prevention)


8% Nickel (flexibility)

Doubling the diameter of SS



Doubling the length of SS

2x diameter = 8x strength, 1/16 springiness, 1/2 range



2x length = 1/2 strength, 8x springiness, 4x range

NiTi wire has

Low load/deflection ratio or rate


Low Formability



Shape memory and Super elasticity



Phase transformation at low transition temperature


Austenite:



Martensite:

Austenite: gives soft constant force over long time. Higher modulus of elasticity (higher stiffness)



Martensite: after activation phase.

Elgiloy

Strength increases as heat treated and become same stiffness as SS or non-heat treated Chromium Cobalt

Twin block vs Herbst

Twin block slightly more effective in correcting : Molar relationship, Sagittal skeletal differential, Greater elongation of mand Ramus, body, increased VDO



Twin block: 55-61% skeletal, 39-45% dental

Optimum time for Twinblock

During or slightly after onset of puberty peak in growth velocity. Late mixed, early permanent.

Twin block effect

U6 horizontal/ maxillary molars were near their original sagittal position.


Labial inclination of maxillary inclination was Reduced significantly


Mandibular incisors tipped labially

Least vertical control

Stopped arch or CPHG

To prevent distal tipping of crown

HPHG: outer bow should be shorter and mesial to CResist.



CPHG: outer bow should be bent UP above the CResist.

Asymmetrical headgear

To distalize right side, leave longer and away from cheek. Side effect: lingual crossbite can result. Buccal crossbite on opposite side.

Lip bumper

45-55% incisors inclination


35-50% molar distalization (distal tip)


5-10% increase in intercanine, premolar transverse

Duration threshold of light force to produce tooth movement

4-6 hrs per day

Movement begins after

48 hours of force application

With a force of 35-60 gm, possible canine movements are

Tipping rotation extrusion (no intrusion or translation)

Optimum force to retract canines

100-150 grams

Average force to intrude central incisors

Maxillary CI: 25 grams


Mandibular CI: 20 grams

Limiting factor



SARPE


RPE

SARPE (no hinge axis): Zygomatic buttress (lateral), Pterygoid plates (posterior)



RPE: Coronoid process

Best surgery for TMD patients with class III or anterior open bite

Intraoral vertical ramps osteotomy (IVRO)

How many days to wait before activation after distraction osteogenesis?

5-7 days

Symphysis distraction causes

Buccal tipping of CONDYLES. not teeth

Two deleterious side effects of maxillary impaction

Nasal tip raise


Widening of alar base

Intramemraneous vs. Endochondral

Intramembraneous: Flat bones. Vault. Maxilla.



Endochondral: Long bones. Base. Sphenoid, Ethmoid. Bone develops from hyaline cartilage precursor.



Combination: Occipital, Temporal. Mandible (condylar head is endochondral, mostly intramem)

Ratio of amount of bony vs soft tissue advancement in advancement genioplaty?

1:1

16 year boy class III, surgery to stop the growth of mandible

High condylectomy. Girls=14.

Percentage of adult pts w perio disease and develop rapid progression of perio disease after ortho tx?

10% rapid progrssion. 80% moderate.

Bacteria that causes bone loss/ perio disease ?



Juvenile periodontitis?

Porphyromonas (Bacteroids) Gingivalis.



Actinobacilus Actinomycetemcomitans

Pro inflammatory ?



Anti-inflammatory?

Pro: IL-1, 2, 6, 8, TNF-a, IFN-r, PGE2, MMP



Anti: IL- 4, 10, 13

After ext of maxillary tooth in anterior region the ridge width decrease by what % in 6month ? 6 years?

23% 6 month.


33% 5-6 years

U1 or U3 located 5 mm apical to CEJ (or MGJ) of U2. Eruption technique?



Eruption technique for Palatally impacted max canines

Closed Eruption



Open eruption

Treatment for one wall defect or vertical defect?



Three walled defect?

Orthodontic upright and extrusion



GTR

Adult gingival recession rate

68%

Root fracture 1 mm below CEJ. Primary thing to look at?

Root length

When protracting a molar, TAD should be in

Distal to canine



Pilot hole is more stable in mandible bone (not TAD is more stable with pilot hole in any other areas)

When 300 gms of force applied for 3 months to titanium implant, success rate of: ____%

94%



Force amount to dislodge an implant is not even upto 600g. More force required.

Estimated healing time for implant in maxilla and mandible

Maxilla: 6-8 months


Mandible: 4-6 months

Head of fixture of implant should be how many mm apical to the desired gingival margin?

4 mm apical to desired gingival margin

Amount of overbite necessary for bonded bridge (or maryland)

0.5 mm or less than 1mm

What does NOT favor canine substitution?

Large canine.




Do Favor: Minimal crowding on lower, class II molar, low gingival margin on canines.

After adenoidectomy, what percentage of patient who had severe nasopharyngeal obstruction goes from open mouth to closed-mouth breathing?

80%

Intermolar width in adults? Adolescent?

Adults: 36-39 mm


Adolescent: 33-35 mm

Class II population in US

15-20%

Oral temperature in C and F

35-37 C



95-99 F

Amount of overbite necessary for bonded bridge (or maryland)

0.5 mm or less than 1mm

Correlation is measured in

Fraction.

Chi square measures

Observed vs. Expected frequency

Extraction of B for 3 results in

1% bone loss in 4 years

Ameloblastoma __% of all tumors in mouth

1%, not 10%

Marfans gene affected

Fibrillin 1

Short distance btw Ar and PTM

Max hypoplasia

Posselt's envelope final motion is

Pure hinge

When leveling, consider the wire's

Stiffness

Max lateral incisor replacement

62% of width of Central

2-3mm CO/CR (backwards) shift at completion oftreatment. What do you do?

Grindmesial incline of upper and distal incline of lower. Rememberthat CO-CR and CR-CO shift are opposite directions and not the same thing.

TM Joint sounds are a common finding In what percentage of population:

25%

Significant decalcification occurs in ___% of patients

50%

Avoid fluoride for ___ months after ortho to allow WSL to remineralize

2-3 months

Tartar control toothpaste reduced supragingival calculus by _____% due to _______

50% due to pyrophyosphate

First meeting of AAO: (Date/location)

1900 St. Louis “A-A-O, first meeting Nineteen-O-O”

First meeting of ABO: (Date/location)

1929 Estes Park, Colorado

What percentage of open bites self-correct: ___% & what percentage do we treat: ___%

What percentage of open bites self-correct: 80%




What percentage do we treat: 20%

Post-puberty, incidence of open bite: (Increases or decreases)

Decreases

Posttx w extractions, study by Little found what fraction of Mn incisor crowdingrelapse:

2/3

Normal adolescent intermolar width: 33-35 mm

33-35 mm

Normal adult intermolar width: 36-39 mm

36-39 mm

Boltonfrom 6-6 aka mesial of 7 to mesial of 7:

91%

Completenasal obstruction leads to what percent change in head posture: ____ degrees

5 degrees

Lowerthird of face is divided into: _____ upper lip and 2/3 ______

1/3 upper lip, 2/3 lower lip and chin

Invisaligncan handle how much AOB:

2 mm

Limitof arch length discrepancy to be treated non-ext:

4mm (greater than 4, extraction)

Swallowingforce with teeth in contact:

100 gm

Indications for Serial extraction: Cl ____ molar,_______ OB/OJ, _____ crowding of ____ mm or more

Cl I molar,moderate OB/OJ, severe crowding of 10mm or more

AppropriateForce on TAD: _____ g

100-200g

Powerchainloses 50% elasticity in: ____ day (s)

1 day

Etchfor 15 seconds: ______ micron loss

8-10 micron loss

37%phosphoric acid etch for 30 sec :

2-10 micron loss

What to use to etch ceramic crown:

9% HF acid

Whichtype of archwire has no nickel (for nickel allergy pt):

TMA

SScomposition:

18% Chromium, 8% nickel


(Chromiumprevents corrosion, nickel adds flexibility (think Niti)

_____ wire as a fingerspring (i.e. a unsupported cantilever)

SS

Doublethe diameter: Strength/force is ____ x,Springiness is _____, range is ____ oforiginal

Strength/force is 8x,Springiness is 1/16, range is 1/2 oforiginal

Doublethe length: Strength/force is _____, Springiness is ______x, Range is _____x

Doublethe length: Strength/force is 1/2, Springiness is 8x, Range is 4x

Repeatthis: “8 times 1/16 gives 1/2. 1/2 of 8is 4.

SSR (Strength, resiliency, range)”