Search $ % Upload Login Signup

Home Explore

Be the first to clip this slide Recommended

Soft tissue morphology
Dr. Kamal Abdullah

What to Upload to
SlideShare
SlideShare

Customer Code:
Creating a Company…
Customers Love
HubSpot

Be A Great Product
Leader (Amplify, Oct…
2019)
Adam Nash

Trillion Dollar Coach

Book (Bill Campbell)
Eric Schmidt

APIdays Paris 2019 -

Innovation @ scale,…

6 of 49 ! Related Books & Audiobooks

Free with a 30 day trial from Scribd
Education • 6,676 views • May. 15, 2018 " Download # Like  Share % No One Succeeds Alone:
Learn Everything You Can…
from Everyone
Robert Reffkin You Can
Preventive and interceptive orthodontics (basic) + + + + + (5/5)

Free
Preventive orthodontics
Interceptive orthodontics
Dedicated: The Case for
Commitment in an Age of…
Dr. Kamal Abdullah Infinite Browsing
Follow Pete Davis
Assistant Professor & Head, Dept. of Orthodontics + + + + , (4.5/5)

Free

& 0 Comments ' 61 Likes ( Statistics ) Notes Group:

How One Therapist and a Circle…
Strangers
Christie TateSaved My Life
Share your thoughts… Post + + + + - (4/5)

Free

The Awe Factor: How a Little

Be the first to comment
Bit of Wonder Can Make a…
Big Difference
Allen Klein in Your Life
+ + + + - (4/5)

Free

* Preventive and interceptive orthodontics (basic) Rude: Stop Being Nice and
1. PREVENTIVE AND INTERCEPTIVE ORTHODONTICS DR. MD. KAMAL ABDULLAH BDS, Start Being Bold
Rebecca Reid
MS Assistant Professor Islami Bank Medical College Dental Unit, Rajshahi
+ + + + , (4.5/5)
2. Preventive Orthodontics Definition: It is the action taken to preserve the integrity of what
Free
appears to be the normal occlusion at a specific time (Graber-1966). Many of the procedures
are common in preventive and interceptive orthodontics but the timings are different.
Let's Talk About Hard Things
Preventive procedures are undertaken in anticipation of development of a problem.Whereas
Anna Sale
interceptive procedures are taken when the problem has already manifested. + + + + , (4.5/5)
3. The following are some of the procedures undertaken in preventive orthodontics: 1) Parent Free
& patient education 2) Caries control 3) Care of deciduous dentition 4) Management of
ankylosed tooth 5) Maintenance of quadrant wise tooth shedding time table 6) Checkup for Keep Moving: Notes on Loss,
oral habits and habit breaking appliance if necessary 7) Occlusal equilibrium if there are any Creativity, and Change
Maggie Smith
occlusal prematurity 8) Prevention of damage to occlusion.eg:-milwaukee braces
+ + + + - (4/5)
4. The following are some of the procedures undertaken in preventive orthodontics: Cont... 9)
Free
Extraction of supernumerary teeth 10) Space maintenance 11) Management of deeply locked
first permanent molar 12) Management of abnormal frenal attachments
High Conflict: Why We Get
5. 1) Parent & patient education Expecting mother- Nutrition, ideal environment for
Trapped and How We Get Out
developing fetus, avoid certain drugs. Soon after birth- Proper nursing and care of child. If Amanda Ripley
bottle fed- Use physiologic nipple and not conventional nipple (do not permit suckling by + + + + , (4.5/5)
movement of tongue and lower jaw) leading to various orthodontic problems. Physiologic Free
NippleConventional Nipple Conventional vs Physiologic Nipple
Happiness Becomes You: A
6. 1) Parent & patient education Cont… Do not use pacifiers for a long time. Prevention of
Guide to Changing Your Lif…
nursing bottle syndrome: (Bottle feeding during night-upper teeth caries. But no lower caries) • for Good
Tina Turner
Proper nutrition of the child & proper nursing care of the infant. • Correct method of brushing + + + + + (5/5)

teeth Pacifier Nursing bottle syndrome Free

7. 2) Caries control Caries in proximal surface of deciduous teeth if not restored leads to loss
of arch length by movement of adjacent teeth into the space and thus cause discrepancies Influence, New and
between arch length and tooth material when larger permanent teeth erupt into the oral cavity. Expanded: The Psychology…
Fig: SS Crown to prevent further caries as well as prevention of movement of adjacent teeth to Persuasion
Robert B. Cialdini
+ + + + + (5/5)
maintain arch integrity
Free
8. 3) Care of deciduous dentition • Prevention and timely restoration of carious teeth. • All
efforts to prevent early loss of deciduous teeth (they are natural space maintainers) • Simple
preventive procedures like: Application of topical fluorides, Pit & fissure sealants etc. Topical
fluorides Pit & fissure sealants
9. 3) Care of deciduous dentition Cont… • Supernumerary & supplemental teeth can interfere
with eruption of nearby normal teeth.They deflect adjacent teeth and erupt in abnormal
positions.They should be identified and extracted before they cause displacement of other
teeth. Supernumerary teeth Supplemental teeth
10. 4) Management of ankylosed tooth Ankylosis is a condition characterized by absence of
the periodontal ligament in small area or whole of the root surface. They do not resorb →
prevent permanent teeth from erupting → deflect them to erupt in abnormal positions. • They
should be removed surgically at appropriate time to allow emergence of the successor. Fig:
Ankylosis of teeth
11. 5) Maintenance of quadrant wise tooth shedding time table
12. 5) Maintenance of quadrant wise tooth shedding time table Cont… After shedding of
deciduous teeth it should not take more than 3 months for eruption of permanent teeth.
13. 6) Checkup for oral habits and habit breaking appliance if necessary Identify and stop
habits such asThumb sucking , nail biting, tongue thrusting and lip biting. Prevention starts
with proper nursing nipple and pacifiers to enhance normal functional and deglutition activity.
14. 7) Occlusal equilibrium if there are any occlusal prematurity Cuspal interference should be
removed by selective grinding of the tooth. Abnormal anatomical features like enamel pearl,
may cause premature contact. Problem: • Deviation in the mandibular path of closure •
Predispose to bruxism Dx: Detected by using articulating paper and premature contact
removed by selective grinding is carried out.
15. 8) Prevention of damage to occlusion. Preventing MILWAUKEE Brace damage:
Orthopedic appliance used for correction of scoliosis. • It applies tremendous force on the
mandible and the developing occlusion leading to retardation of mandibular growth and
possible deformities. • whenever such appliance used, occlusion should be protected using
functional appliance or positioners. made of soft materials.
16. MILWAUKEE Brace
17. 9) Extraction of supernumerary teeth • Supernumerary & supplemental teeth can interfere
with eruption of nearby normal teeth. • They deflect adjacent teeth and erupt in abnormal
positions. • They should be identified and extracted before they cause displacement of other
teeth.
18. 10) Space maintenance Premature loss of deciduous teeth can cause drifting of the
adjacent teeth into the space. Space maintainers must be inserted in appropriate cases after
the loss of teeth, particularly after the loss of deciduous molars in inadequate arches. Space
Maintainer: (Definition) Space maintenance can be defined as the provision of an appliance
(active or passive) which is concerned only with the control of space loss without taking into
consideration measures to supervise the development of dentition.
19. 10) Space maintenance Cont… Ideal Prerequisites of a Space Maintainer a) It should
maintain the entire mesio-distal space created by a lost tooth. b) It must restore the function
as far as possible & prevent over- eruption of opposing teeth. c) It should be simple in
construction. d) It should be strong enough to withstand the functional forces. e) It should not
exert excessive stress on adjoining teeth. f) It must permit maintenance of oral hygiene. g) It
must not restrict normal growth & development and natural adjustments which take place
during the transition from deciduous to permanent dentition.
20. 10) Space maintenance Cont… Fig: Different Type of Space Maintainer
21. 11) Management of deeply locked first permanent molar Occasionally the deciduous
second molar have a prominent distal bulge which prevents the eruption of the first permanent
molars. Slicing these distal surface helps in guiding the eruption of first permanent molars.
22. 12) Management of abnormal frenal attachments A.Thick and fleshy maxillary labial frenum
leads midline diastema. Diagnosis → Blanch test. Treated by Frenectomy at an early stage for
prevention.
23. 12) Management of abnormal frenal attachments Cont… Ankyloglossia or tongue tie →
Abnormal development of Lingual frenum → Difficulty in speech and swallowing Surgically
treated.
24. Interceptive Orthodontics Definition: “Defined as that phase of the science and art of
orthodontics, employed to recognize and eliminate potential irregularities and malpositions in
the developing dentofacial complex". (Graber & AAO) Unlike preventive orthodontic
procedures, interceptive orthodontics is undertaken at a time when the malocclusion has
already developed or is developing.
25. Procedures undertaken in interceptive orthodontics: 1) Serial extraction. 2) Correction of
developing crossbite. 3) Control of abnormal habits. 4) Space regaining. 5) Muscle exercises .
6) Interception of skeletal malrelation. 7) Removal of soft tissue or bony barrier to enable
eruption of teeth.
26. 1) Serial extraction. Definition: Planned and timely Removal od certain deciduous teeth
followed by certain permanent teeth to allow normal alignment of permanent teeth. History:
KJELLGREN –1929 → Coined the term NANCE –1940 → popularized –“Planned & progressive
extraction”
27. 1) Serial extraction. Cont… Rationale: Based on 2 basic principles: A. Arch-length tooth
material discrepancy- Tooth material > Arch length Hence, teeth extracted → So that rest of
tooth occlude normally. B. Physiologic tooth movement- Removal some teeth → let’s the rest
of the teeth (which are erupting) to be guided by natural forces towards extraction spaces.
28. 1) Serial extraction. Cont…
29. 1) Serial extraction. Cont… Serial extraction protocol: A. Removal of the upper and lower
deciduous canines allows for an improvement in the alignment of the upper and lower
incisors. B. The removal of the deciduous first molars encourages the eruption of the first
premolars. C. The removal of the first premolars encourages the eruption and posterior
movement of the permanent canines. D. The remaining teeth tend to tip toward the extraction
sites. The lower incisors often tip lingually as well. E. After the lower second premolars near
emergence, fixed appliances are used to align the teeth and level the occlusal plane.
30. 1) Serial extraction. Cont… Procedure: Three popular methods are: 1. Dewel’s method:
(CD4) 3 step- C (8-9yrs); D (9-10yrs); Erupting 4’s 2. Tweed’s method: (D4C) D (8yrs);
Erupting 4’s & C 3. Nance method: (D4C) Similar to tweed’s
31. Serial extraction protocol (CD4): A. Removal of the upper and lower deciduous canines
allows for an improvement in the alignment of the upper and lower incisors. B. The removal of
the deciduous first molars encourages the eruption of the first premolars. 1) Serial extraction.
Cont… A B
32. 1) Serial extraction. Cont… C. The removal of the first premolars encourages the eruption
and posterior movement of the permanent canines. D. The remaining teeth tend to tip toward
the extraction sites. The lower incisors often tip lingually as well. C D
33. 1) Serial extraction. Cont… E. After the lower second premolars near emergence, fixed
appliances are used to align the teeth and level the occlusal plane. E
34. 1) Serial extraction. Cont… Factors to be considered in case selection are: • Class I
malocclusion with normal overbite & overjet • Moderate crowding • All Deciduous teeth should
be present • All successor teeth should be present and normal in size, shape, position &
inclination • No caries untreated • Where there is no doubt about the long term prognosis of
the first permanent molars. • Doctor’s knowledge, confidence, timing and selection of
methods of serial extraction. • Patient should be available for close supervision
35. 1) Serial extraction. Cont… Indication: • Child with potential for moderate to severe
crowding • Arch length deficiency as compared to the tooth material (8 mm or more of arch
discrepancy) • Where growth is not enough to overcome the discrepancy between tooth
material and basal bone. • Patients with straight profile and pleasing appearance
36. 1) Serial extraction. Cont… Contraindications • Class II & III malocclusion with skeletal
abnormalities. • Mild disproportion between arch length & tooth material. • Spacing •
Anodontia / oligodontia. • Open bite & deep bite. • Midline diastema. • Unerupted or
malformed teeth. Eg. Dilacerations. • Extensive caries
37. 2) Correction of developing crossbite. Definition: Anterior cross bite is a condition
characterized by reverse overjet wherein one or more maxillary anterior teeth are in lingual
relation to the mandibular teeth. Should be intercepted and treated at an early stage to
prevent a minor orthodontic problem from progressing into a major dento-facial anomaly.as an
old maxim states “The best time to treat a crossbite is the first time it is seen” Or else it may
grow into skeletal malocclusion
38. 2) Correction of developing crossbite. Cont… Classification: 1. Dento-alveolar 2. Skeletal
3. Functional Dento-alveolar FunctionalSkeletal
39. 2) Correction of developing crossbite. Cont… Methods of correction of developing Ant.
Crossbite: TONGUE BLADE
40. 2) Correction of developing crossbite. Cont… Methods of correction of developing Ant.
Crossbite: Catlan’s Appliance Double Cantilever Spring
41. 3) Control of abnormal Oral habits. Definition: Habit’s refers to certain actions involving the
teeth and other oral or perioral structures which are repeated often enough by some patients
to have a profound and deleterious effect on the positions of teeth and occlusion. Deleterious
oral habits should be recognized early and patient should be helped to give up by motivation
or by fitting a suitable habit breaking appliance.
42. 3) Control of abnormal Oral habits. Cont… Some common habits: Thumb / digit sucking
Tongue thrusting Mouth breathing Lip sucking / biting
43. 3) Control of abnormal Oral habits. Cont… • Thumb / digit sucking prevention &
interception
44. 3) Control of abnormal Oral habits. Cont… • Tongue thrusting and Preventing appliance:
45. 3) Control of abnormal Oral habits. Cont… • Mouth breathing correction: Intercepted by
identifying and removing the cause (Nasal polyps ,tumors, deviated septum). If
persists,Vestibular Screen / Oral Screen can be used.
46. 3) Control of abnormal Oral habits. Cont… • Lip sucking / biting Prevention: Lip Bumper
OrthodonticTrainer
47. 4) Space regaining. Premature loss of deciduous teeth causes migration of the adjacent
teeth into the edentulous space and this cause inadequate space for the eruption of the
succedaneous permanent teeth. Space regainers in the form of removable appliances or fixed
appliances used to regain the space by moving the drifted teeth back to their original position.
48. 4) Space regaining. Cont… Types Space Regainer: A. Fixed appliances i. Gerber space
regainer (most commonly used) ii. Open coil / herbst space regainer iii. Jackscrew space
regainer B. Removable appliance Hawley’s appliance a) With helical spring b) Split acrylic
dumb‐bell spring c) With sling shot elastic d) Palatal spring e) Expansion screws

About Support Dev & API Terms Privacy Copyright English #

© 2021 SlideShare from Scribd ! "