treatment time tends to be less for patients who havent encountered any

Treatment time tends to be less for patients who

This preview shows page 55 - 59 out of 107 pages.

treatment time tends to be less for patients who haven’t encountered any breakage or damage to their appliances throughout treatment. Thus, the length of appointment depends on the patient’s cooperation. Posttreatment Appointments When the braces are removed, active treatment is usually complete unless some tooth movement needs to occur with retainers. Even though patients think treatment is over, it’s really not. The teeth need to become settled into their newly straightened positions. This is allowed to occur without tooth movement by the placement of a retainer, which holds the teeth in their straightened position. The patient is checked shortly after the retainer is placed, ensuring proper comfort and fit of the retainer appliance. Generally these appointments are short, perhaps 15 to 20 minutes depending on whether minor or major adjustments to the appliance are necessary. Often no adjustments are needed, and the patient is instructed to wear it full time until the doctor deems nighttime-only wear would be sufficient. Patients are asked how well they’re doing with the appliance, how many hours per day they’re wearing it, and/or how many hours a day they’re not wearing it. If patients aren’t compliant, they’re asked why and told of the risks they’re taking by not wearing it properly. Their teeth may move to a Dental Specialties 2: Pediatric Dentistry/Orthodontics 50
Dental Specialties 2: Pediatric Dentistry/Orthodontics 51 crooked position once again. If compliance is a problem, it’s prudent to bring in the parents or guardians of the adoles- cent or child at this point. Even though the parents may be noncompliant as well, it’s a good idea to have a conversation in front of the patient to discuss overall dental health and the reason orthodontics and straight teeth are beneficial to the patient. The setups necessary for posttreatment appointments gener- ally consist of a mirror and explorer, a three-prong plier, a bird beak, and floss (Figure 14). Before you go on to learn about tooth movement principles, please take the time to complete Self-Check 3 . FIGURE 14—Posttreatment Setup (Courtesy of Ziegler Orthodontics)
Dental Specialties 2: Pediatric Dentistry/Orthodontics 52 Self-Check 3 Fill in the blanks for the following questions. 1. Mesioclusion, or Class III, refers to _______. 2. The acronym FID stands for _______. 3. The three dimensions in which the orthodontist examines the patient are _______, _______, and _______. 4. Webster’s dictionary definition of occlusion is _______. 5. Angle’s Classification is determined by the relation of the _______ cusp of the _______ first molar to the _______ of the _______first molar. 6. Orthodontic treatment that stops problems from occurring is called _______. 7. Orthodontic treatment that corrects developing problems is called _______. Check your answers with those on page 101.
Dental Specialties 2: Pediatric Dentistry/Orthodontics 53 TOOTH MOVEMENT PRINCIPLES It’s important for the assistant to understand how teeth are straightened in orthodontics—to know what really happens in moving teeth from their crooked positions into straighter and better aligned positions.

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