Orthodontics test

1.case upper canine missing 13 or 23 diagnosis and tx planning 2.six key to normal occlusion 3.compare rapid arch expansion and quad helix appliance adventage and indication 4.leeway space and bolton analysis 5.compare dental age and skeleton age adventage in growth spurt 6.how to gain space method in malocclusion except skelton origin 7.treatment in pt class II division I 2 phase method adventage 8.discuss TMD from malocclusion 9.case study 12 yrs girl came with bilateral cross bite class II malocclusion,anterior openbite ,tonque trust ,dolichocephalic type v shape maxilla and parabolic mandibular shape . discuss diagnosis and tx planning and explain to parent treatment nessesary 10. 12 yrs old with parent comes to see doctor with CC is prominent chin diagnosis and tx planning 11. distraction osteogenesis indication for cleft palate use and concept 12. Journal reading 30 min. about concept

Etiology of class I malocclusion

1. Heridity= Tooth size arch size discrepancy 2. Early loss of primary teeth 3. Prolong retention of primary teeth 4. Abnormal primary teeth root resorption 5. Interupted tooth eruption 6. Abnormal sequential tooth eruption 7. Missing tooth or supernumerary tooth 8. Abnormal oral habit= abnormal swallowing, mouth breathing 9. Improper tooth restoration=class II restoration 10.tooth size discrepancy

Etiology of class II division 1

1. Heridity 2. Prognathic maxilla 3. Retrognathic mandible 4. Abnormal oral habit= Thumb&Finger sucking 5. Occlusal interferance= Narrow maxillary arch at cuspid and bicuspid area inhibit forward growth of mandible 6. Under growth of condyle= Growth center

Etiology of class II division 2

1. Heridity 2. Prognathic maxillary 3. Rotrognathic mandible 4. Abnormal muscle behavior= Hyperactivity of circumoral muscle and high tonque position

cause over growth of maxillary width and under growth of mandible 5. Abnormal tooth buds position= Upper central incisors are retrocline and Upper lateral incisors are procline

Etiology of class III malocclusion

Heridity

1. Size and relation of the jaw= Retrognathic maxilla with prognathic mandible, normal maxilla with prognathic mandible, retrognathic maxilla with normal mandible 2. Abnormal growth and development of maxillofacial skeleton= early loss of primary anterior teeth cause under growth of maxilla, early loss of primary posterior teeth cause anterior shift of mandible that make class III malocclusion 3. Malfunctional of some endocrine system= Hyperthyroid influence mandible size 4. Tonque shape and position= position anteroinferiorly to mandible cause jaw position more anterior to normal

Environment

1. Malallignment and position of the teeth= cause anterior mandibular slide before centric position 2. Malfunctional of facial muscle= abnormal swallowing, phonation breathing cause abnormal jaw position 3. Local cause= large adenoid gland and Tonsilitis cause antero-inferiorly tonque malposition and class III malocclusion

4. Lower lip hypofunctionl= musculo-skeletal function imbalance 5. Occlusal force= improper incisal guidance cause anterior jaw movement