Beruflich Dokumente
Kultur Dokumente
By
K. Venu gopal reddy
1 st year MDS
Department of orthodontics
S.R.M. Dental college
Graber (1966) defined preventive
orthodontics as” the action taken to
preserve the integrity of what appears
to be normal occlusion at a specific
time”
Caries control
Space maintenance
Extraction of deciduous teeth
Treatment of abnormal frenal attachments
Treatment of locked permanent first molars
Abnormal oral musculature related habits
Education of parents
Parents should be educated regarding
Increase in food intake to meet the special
phys
As the child grows, parents should be educated
regarding the need for maintaining good oral
hygiene.
Immunization
Diet and Oral hygiene maintenance
Balanced diet
Resin Systems
BIS-GMA
Urethane acrylate
Filled and unfilled
Clear or tined
Indications
Newly erupted both primary molars and
permanent bicuspids and molars with
complete recession of pericoronal operculum and
with open and/or sticky grooves and fissures.
Stained pits and fissures with minimum
decalcification.
The tooth in question should have erupted
less than 4 years ago.
Contraindications
Individual with no previous caries experience
pit and fissures,monitor if the individual
and the teeth are not at risk.
Radiographic or clinical evidence of caries on
the proximal surface of the tooth should not
be sealed.
Wide and self-cleansable pit and fissures.
Tooth that can not be isolated of partially
erupted tooth.
Pit and fissures that have remained carious
free for 4 years or longer.
Fluoride application
Knutson’s Technique – Sodium fluoride – 2% (3,7,11,13)
- Weekly internals – 4 times
- After prophylaxis – 3min
The attitudes of parents and child towards dental health and dental care
are very much influenced by the attitude of the dentist towards
preservation of primary dentition and preventive outlook.
FLOURIDE VARNISH
Bifluoride 12(2.71% NaF, 2.92% CaF)
Technique - Do the through prophylaxis and dry the
teeth.
Drop the varnish onto the brush or
foam pellet.
Paint the varnish thinly first on the
lower arch and then on upper arch
starting from the proximal surfaces.
Semiannual Application
With correct application and proper mouth hygiene
varnish remains in place of several days. During this time
fluorides act on the treated surface.
Prophylactic odontomy
Eruption in
Maxillary arch - 6124537
Lingual arch
Extra oral anchorage
Individual tooth.
According to Hinrichsen
Removable
Indications:
Unilateral loss of primary first
molar before or after the eruption
of permanent first molars.
Bilateral loss of single primary
molar before eruption of
permanent incisors.
When second primary molar is
lost after the eruption of first
permanent molar.
Sometimes it is given in cases of
premature loss of primary
canines.
Usually Band- loop space maintainers is not
indicated to preserve the space created by
two adjacent primary molars.
The lengthy loop created in these situations is
more susceptible to the forces of mastication.
Advantages:
It is an effective space maintainer for unilateral
Construction is simple
Takes little chairside time, especially if
preformed bands are used.
It adjusts easily to accommodate the changing
dentition.
Disadvantages:
Disadvantages:
Contraindications:
Poor oral hygiene
Medically compromised patients like patients with
congenital heart disease, juvenile diabetics, Rheumatic
fever, immunosupression
If several teeth are missing in same quadrant as there lack
of abutment.
Lack of patient cooperation
Nance palatal holding arch
Indicated in premature loss
of first deciduous molar.
Advantages:
Economical
Allows growth transversely
in the inter-canine areas.
Disadvantages:
Requires more clinical skill
Palatal button may cause
food accumulation; causes
inflammation.
Abnormal frenal attachments
Abnormalities of the maxillary labial frenum are
associated with a midline diastema .
incisors
- trauma to maxillary central incisors
on incisors
mandible - increased intermolar distance
- distal position of point B
-↓ maxillary and mandibular incisal angle
- increased over jet
Psychological therapy
Reminder therapy
Blue glass
Quad helix
Tongue trusting:
Definition:
teeth (schneider1982)
Treatment
Correction of malocclusion
Treating the primary habit
Appliance therapy
Lip bumper
Nail biting
Nail biting is one of the most commonest habit in
children and adults. It is a sign of internal tension
Etiology
Emotional problem
Effects
Dental