Introduction to Orthodontics II - Occlusion Quiz
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Questions and Answers

Which of the following is NOT mentioned as a use for Study Models?

  • Assess the presence or absence of teeth
  • Track changes in teeth development
  • Create a model of the teeth
  • Produce a record of the patient's bite (correct)

What type of dental imaging can be used to visualize the relationship of teeth to skeletal dental bases and the cranial base?

  • Intra-oral Photographs
  • Study Models
  • Lateral Cephalometric Radiograph (correct)
  • Panoramic Radiograph

Which of these records is used for medicolegal purposes?

  • Study Models
  • Dental Panoramic Radiograph
  • Extra-oral Photographs (correct)
  • Lateral Cephalometric Radiograph

Which of the following is NOT a part of a Problem List?

<p>Treatment Plan (D)</p> Signup and view all the answers

Which of the following dental recording methods can be used to assess root length and resorption?

<p>Panoramic Radiographs (D)</p> Signup and view all the answers

What does the Zero Meridian (ZM) assessment primarily evaluate?

<p>The relationship between the maxilla and mandible (D)</p> Signup and view all the answers

According to the information, what are two main factors that influence patient motivation for treatment?

<p>Parental/GDP concerns and Patient type (adult or child) (D)</p> Signup and view all the answers

How is Facial Convexity assessed in the Clinical Examination?

<p>By palpating the A and B points on the patient's face (D)</p> Signup and view all the answers

What does a decreased Mandibular Plane Angle indicate?

<p>A posterior position of the mandible (A)</p> Signup and view all the answers

In the Bird's Eye View assessment, what is the primary aim?

<p>Assessing the patient's facial symmetry (B)</p> Signup and view all the answers

Which of the following is NOT mentioned as a component of the Intra-Oral examination?

<p>Assessing the patient's facial symmetry (A)</p> Signup and view all the answers

In the Rule of Thirds assessment, what is the upper third of the face defined by?

<p>The hairline to the glabella (A)</p> Signup and view all the answers

What is the significance of optimal oral hygiene in the Intra-Oral Examination?

<p>It helps determine the need for treatment (B)</p> Signup and view all the answers

According to the content, what is one reason for recording evidence of trauma in the Intra-Oral Examination?

<p>To investigate the cause of the trauma (B)</p> Signup and view all the answers

In the Rule of Fifths assessment, how is the width of each section determined?

<p>By the width of the patient's eyes (C)</p> Signup and view all the answers

What is the normal range for overjet in millimeters?

<p>2–4 mm (A)</p> Signup and view all the answers

Which class corresponds to lower incisor edges lying posterior to the cingulum plateau of the upper incisors with an increase in overjet?

<p>Class II div 1 (D)</p> Signup and view all the answers

What dental condition can affect space needs when planning treatment?

<p>Depth of Curve of Spee (B)</p> Signup and view all the answers

Which statement about the inclination of the labial segments is true?

<p>It can vary and affect tooth positioning. (A)</p> Signup and view all the answers

What term describes the displacements or rotations of teeth in the dental arch?

<p>Alignment (A)</p> Signup and view all the answers

What is a vital consideration regarding a patient's dental history during orthodontic assessment?

<p>Patients should be in excellent dental health. (D)</p> Signup and view all the answers

Which medical condition is specifically mentioned as having a risk of infective endocarditis in the context of orthodontic patient assessment?

<p>Heart defects (D)</p> Signup and view all the answers

What primary document should orthodontists review if a patient has previously undergone orthodontic treatment?

<p>Previous appliance therapy records. (C)</p> Signup and view all the answers

Which social factor can significantly impact a patient's treatment experience in orthodontics?

<p>Patient's ability to attend appointments for an extended period. (D)</p> Signup and view all the answers

What is the primary focus when assessing a patient's skeletal structure in orthodontics?

<p>Examining the alignment of the jaw and teeth. (B)</p> Signup and view all the answers

Which risk is NOT typically associated with orthodontic treatment?

<p>Financial burdens due to prolonged treatment. (D)</p> Signup and view all the answers

Which of the following should NOT be included in a patient's orthodontic assessment?

<p>Patient's personal favorite color. (B)</p> Signup and view all the answers

What is the importance of analyzing a patient's expectations during orthodontic assessment?

<p>It ensures that treatment aligns with the patient's desires. (A)</p> Signup and view all the answers

A patient presents with a Class II canine occlusion. What does this mean?

<p>The maxillary canine occludes in front of the embrasure between the mandibular canine and first premolar. (D)</p> Signup and view all the answers

Which of the following is NOT a characteristic of a Class I molar occlusion?

<p>The groove is distal to the cusp. (C)</p> Signup and view all the answers

A patient presents with an overbite that shows coverage greater than one-half of the lower incisors. What type of overbite is this?

<p>Increased (B)</p> Signup and view all the answers

Which of these describes a lateral open bite?

<p>Lack of contact between the upper and lower teeth on only one side. (B)</p> Signup and view all the answers

What is the correct classification of the following scenario: The mesiobuccal cusp of the upper first permanent molar falls within the groove between the mesial and middle cusps of the lower first permanent molar?

<p>Class I Molar occlusion (D)</p> Signup and view all the answers

What is the correct term for an abnormal labiolingual relationship between one or more maxillary and mandibular incisor teeth?

<p>Anterior crossbite (A)</p> Signup and view all the answers

What should the relationship be between the upper centerline and the facial midline?

<p>The upper centerline should be coincident with the facial midline. (B)</p> Signup and view all the answers

Which of the following is NOT a characteristic of a Posterior crossbite?

<p>It is an abnormal labiolingual relationship between one or more maxillary and mandibular incisor teeth. (C)</p> Signup and view all the answers

Flashcards

Dental History in Orthodontic Assessment

Taking dental history of patients requires ensuring they are in excellent dental health and receive regular care from general dentists.

What are some key details to gather in a patient's dental history?

This includes details about previous orthodontic treatments, extractions, and restorations.

Medical Conditions in Orthodontics

Patients with certain medical conditions, like heart defects or bleeding disorders, might require special considerations before orthodontic treatment.

Patient Information and Perception

Patients' age and growth, social behavior, and ability to commit to treatment are all important factors to consider.

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Orthodontic Patient Assessment Components

Orthodontic assessment includes a thorough examination of teeth, jaw structure, and soft tissues using records, models, and radiographs.

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Orthodontic Assessment: Data Analysis

Analyzing collected data to understand the patient's occlusion, facial structure, and potential treatment needs.

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Problem List in Orthodontic Assessment

Identifying problems related to teeth, skeletal structure, or soft tissues in orthodontic assessment.

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What's the purpose of the problem list in orthodontics?

This list helps determine the best course of action for the patient, guiding the treatment plan.

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Crowding or Spacing

The way teeth are arranged in the mouth, including crowding or spacing.

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Alignment of Teeth

The position of teeth in the arch, including any tilts, rotations, or displacements.

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Inclination of Labial Segments

The angle of the front (labial) side of teeth, especially in the front of the mouth.

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Depth of Curve of Spee

The curve of the lower teeth, seen from the side, that affects how much space is needed for treatment.

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Overjet

The horizontal distance between the upper and lower front teeth, usually measured at the edges of the teeth. A normal overjet is 2-4 mm.

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Maxillo-mandibular relationship

The relationship between the upper (maxilla) and lower (mandible) jaws, assessed by the Zero Meridian line, exploring the facial convexity, and using A and B point palpation.

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Facial Convexity Assessment

Facial convexity assessment involves measuring the angle between the middle third and lower third of the face, identifying the profile as Class I, Class II, or Class III based on facial convexity.

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Zero Meridian (ZM)

A vertical line dropped from the soft tissue Nasion, used to assess the maxillo-mandibular relationship by exploring facial convexity and determining the angle between the middle and lower thirds of the face.

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Rule of Thirds

The Rule of Thirds divides the face into three equal parts: Hairline to Glabella, Glabella to Subnasale, and Subnasale to Chin.

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Mandibular Plane Angle

The Mandibular Plane Angle is formed by the intersection of the lower border of the mandible and the Frankfort horizontal plane. It helps determine the vertical relationship of the jaws.

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Bird's Eye View

The Bird’s Eye View compares the left and right halves of the patient's face to assess symmetry.

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Rule of Fifths

In a face with normal transverse proportions, the face can be divided into five equal sections, each the width of an eye.

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Intraoral Examination - Oral Health

An intraoral examination focuses on assessing the oral health. Includes:

  • Observing the presence of teeth -Identifying any pathology (mucosal, periodontal, dental)
  • Recording evidence of trauma
  • Assessing oral hygiene
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Clinical Examination

A clinical examination involves assessing the patient's overall health, including their extra-oral and intra-oral conditions, to determine their treatment needs.

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Patient Motivation

Motivation can be affected by factors such as patient concerns about finances (Parent/GDP) and the difference in expectations between adults and children.

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Extra-oral and Intra-oral Photographs

Photos taken from the outside and inside of the mouth that serve as a legal record of the patient's condition.

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Dental Panoramic Radiograph (DPT/OPT)

A type of X-ray that shows the entire jaw, used to check for missing teeth, tooth development stages, root problems, extra teeth, and dental diseases.

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Lateral Cephalometric Radiograph

A side-view X-ray of the head, used to analyze the relationship between the teeth, jaws, and skull.

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Problem List

A list of all the patient's dental problems, along with the planned treatment goals for each.

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Treatment Plan

A step-by-step guide to how the dentist will treat the patient's dental problems, including specific plans and delivery methods.

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Class I Canine Relationship

The maxillary canine occludes in the space between the mandibular canine and first premolar.

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Class II Canine Relationship

The maxillary canine occludes in front of the space between the mandibular canine and first premolar.

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Class III Canine Relationship

The maxillary canine occludes behind the space between the mandibular canine and first premolar.

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Class I Molar Relationship

The mesiobuccal cusp of the upper first permanent molar fits into the groove between the mesial and middle cusps of the lower first permanent molar.

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Class II Molar Relationship

The groove in the lower first molar is located distal to the mesiobuccal cusp of the upper first molar.

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Class III Molar Relationship

The groove in the lower first molar is located mesial to the mesiobuccal cusp of the upper first molar.

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Anterior Crossbite

When one or more maxillary incisors (front teeth) are positioned lingually (toward the tongue) compared to the mandibular incisors.

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Overbite

The vertical overlap between the upper and lower incisors when viewed from the front.

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Study Notes

Introduction to Orthodontics II - 1602305 Dental Occlusion and Temporomandibular Joint Disorders

  • Course: Introduction to Orthodontics II, 1st Semester - 2024/2024
  • Course code: 1602305
  • Topic: Dental Occlusion and Temporomandibular Joint Disorders
  • Instructor: Dr. Yousef Herzallah
  • Week: 13
  • Year: 2024

Orthodontics Topics

  • Occlusion and Malocclusion
  • Important Terminology
  • When To Treat
  • Indices Of Need
  • Classifying Malocclusions
  • Risks Of Orthodontic Treatment
  • Orthodontic Patient Assessment

Orthodontic Patient Assessment

  • History and Concerns:
    • Dental History: Patients need to be in excellent dental health, frequently visit general dentists (GDPs). Details about: previous appliance therapy, previous extractions (timing, reason, complications), previous restorative or endodontic treatments. GDP and Orthodontists need good communication.
    • Medical History: Details of medical conditions are crucial: heart defects, infectious endocarditis, bleeding disorders, asthma, bisphosphonates, learning difficulties/behavior disorders. Epilepsy, Latex allergy, Nickel allergy, Diabetes.
    • Patient information and perception:Patient's age and growth status, social and behavioral factors (compliance), expressed concerns, expectations from treatment, comparing patient concerns with parent/GDP concerns, and comparing adult vs. child patient motivation and expectations.

Clinical Examination

  • Anteroposterior:
    • Extra-oral: Maxilla to mandible relationship (Class I, II, or III).
    • Intra-oral: Incisor classification, overjet, canine relationship, molar relationship, anterior crossbite.
  • Vertical:
    • Extra-oral: Facial thirds, angle of lower border of mandible to maxilla.
    • Intra-oral: Overbite, anterior open bite, lateral open bite.
  • Transverse:
    • Extra-oral: Facial asymmetry.
    • Intra-oral: Centrelines, posterior crossbites.
  • Extra-oral-AP:
    • Zero Meridian (ZM), Facial Convexity Assessment (Class I, II, III), Palpation.
  • Extra-oral-Vertical:
    • Rule of Thirds, Mandibular Plane Angle.
  • Extra-oral-Transverse:
    • Bird's Eye View, Rule of Fifths.

Clinical Examination - Intra-oral

  • Oral Health: Teeth present need to be noted. Pathology (Mucosal, Periodontal, Dental) needs to be identified. Evidence of trauma needs recording and further investigation. Optimal oral hygiene crucial before orthodontic treatment.

  • Dental Arch:

    • Crowding or Spacing (0-4 mm-Mild, 4-8 mm-Moderate, >8 mm-Severe).
    • Alignment of Teeth (Displacements or Rotations of teeth).
    • Inclination of the Labial Segments.
    • Depth of Curve of Spee (Affects space needs when treatment planning).
  • Intra-oral-AP:

    • British Standard Institute Incisor Classification (Class I, II div 1, II div 2, III).
    • Overjet (Normal: 2-4 mm).
    • Canine Classification (Class I, II, III).
    • Molar Classification (Class I, II, III).
    • Anterior Crossbite.
  • Intra-oral-Vertical:

    • Overbite (Normal: one-third to one-half coverage, Increased: coverage greater than one-half, Reduced: coverage less than one-third).
    • Anterior Open Bite.
    • Lateral Open Bite.
  • Intra-oral-Transverse:

    • Centrelines (Upper and lower centreline coincident with facial midline).
    • Posterior Crossbites.

Diagnostic Records

  • Study Models: Produced using Angle's trimming technique.
  • Photographs: Extra-oral (natural head position) + intra-oral, serve as medicolegal record, useful short videos.
  • Radiographs: Check for presence/absence of teeth, stage of development, root morphology, ectopic/supernumerary teeth, dental disease, relationship of teeth to the skull base. Include Dental/Oral Panoramic Tomograph (DPT) / OPT and Lateral Cephalometric Radiograph.

Problem List and Treatment

  • A funnel graphic displays the flow from historical records, examination and concerns to the problem list. From this, treatment aims, treatment plans and treatment delivery are generated. Also, Problem #1, Problem #2, Problem #3 are generated and aligned with Treatment Aims 1, 2, 3. Followed by Treatment Plan 1, Treatment Plan 2, Treatment Plan 3.

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Description

Test your understanding of dental occlusion and temporomandibular joint disorders in this quiz tailored for the Introduction to Orthodontics II course. Dive into topics such as malocclusion classification, patient assessment, and treatment risks. Perfect for reviewing key concepts before examinations in orthodontics.

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