Card Set Information

2010-04-04 22:38:16
cleft palate

mod 11 dental management
Show Answers:

  1. Such knowledge of dental management will ?
    • inform SLP regarding the tx needs and tx procedure for correction of oral structural deviations
    • especially those that are direct causes of speech articulation errors
  2. outer layer of a tooth?
  3. Under enamel of tooth
  4. Visible portion of tooth
  5. embedded in jaw/alevolus of a tooth
  6. transition area between crown and root of tooth
  7. covers and protects dentin of tooth
  8. A tooth has 5 surfaces?
    • Occlusal
    • Mesial
    • Distal
    • Buccal
    • Lingual
  9. surface of tooth:
  10. surface of tooth
    faces towards midline
  11. surface of tooth
    faces away from midline
  12. surface of tooth
    (labial) tooth surface faces cheeck or lips
  13. surface of tooth
    tooth surface faces tongue
  14. Permanent (adult) dentition
    Includes ___ teeth
    __ in each quadrant
    each quad contains?
    • 32
    • 8
    • Central incisor
    • Lateral incisor
    • Cuspid/canine
    • First bicuspid
    • Second bicuspid
    • 3 molars (1st, 2nd, 3rd/wisdom)
  15. Deciduous (primary) dentiotion
    ___ teeth
    each quad contains?
    • 20
    • Central incisor
    • Lateral incisor
    • cuspid/canine
    • 2 molars (1st and 2nd)
  16. Dental eruption begins around ? with ?

    Complete by about?

    Exfoliation starts around?

    Permanent dentition has developmental eruption span from about?
    6 months

    2 years (2nd molars last)

    6 and continues to ~ 12

    6 to 17 years
  17. Refers to the contact between the upper/maxillary teeth and the lower/mandibular teeth?
  18. tooth has odd shape?
    Anomalous teeth
  19. Speech sounds of English that require direct dental srticulation include:
    • Labiodentals /f,v/
    • Interdentals "th"
  20. Speech sounds that require dental cutting edges?
    Fricatives /s,z,/ "sh" "dg"
  21. First few months of life:
    Used by some teams
    Provide a paltal "platform" for feeding/nipple compression
    No research evidence they help with feeding?
    Feeding plates
  22. First few month of life..

    Palatal plates before surgery
    C: orthodontic-prosthodontic tx

    aka: infant maxillary/presurgical orthopedics
  23. Palatal plates
    Used to treat?

    complete clefts of lip and palate

    • palatal segments are aligned.
    • pre and post lip surgery

    in combination with primary bone grafting.
  24. controversial and not widely used palatal plates?
    Pin-retrained appliances
  25. A technique motivated the soft, pliable nasal cartilage.
    The tissue can be easily molded with the goal of yielding an early, good cosmetic result for the nasal ala, nostril and nasal bone?
    Nasal and Alveolar Molding (NAM)
  26. Involves the fabrication of an appliance with an intranasal stent that is attached to an oral retainer?
    (NAM) Nasal and Alveolar Molding
  27. PNAM means?
    pre-surgical nasoalveolar molding
  28. Based on the premise that nasal cartilage still developing and can be repositioned during the first 6 weeks of life (plasticity)?
  29. NAM mainly for?

    Consists of ?
    babies with large clefts (uni or bi complete clefts)

    of a molding plate and stent or stents
  30. Orthodontic tx in early childhood deciduous dentition
    Primary goal?
    • retain all primary teeth
    • For jaw optimum groth and arch form
    • Includes preventing baby bottle carries, establishing good oral health habits, restorations as necessary, avoiding extractions
  31. Most common deviation in deciduous dentition is?
    crossbite involving one or more teeth on cleft side
  32. deciduous dentition crossbite not treated until?
    permanent maxillary incisors erupt
  33. Orthodontic tx typically not done on?
    primary dentition
  34. Orthodontic tx may be considered in ?
    early mixed dentition 6-9 years
  35. Orthodontic tx
    to expand the maxilla
    maxillary expansion/lingual appliance
  36. maxillary eaxpansion/lingual appliance
    placed on ?

    May include?

    the lingual side (the inside) of the maxillary teeth

    fixed appliance mixed dentition to retain alignment of maxillary segments

    straighten the maxillary incisor teeth
  37. Late mixed dentition _ to _ years?

    focus is on?

    Correct? in preparation for?
    9 to 12 years

    maintaining good arch alignment accomplished earlier

    maxillary width (as necessary) for bone grafting
  38. late mixed dentition:

    Appliances may temporarily interfere with? because?
    • speech
    • they can constrict intraoral tongue space
  39. Late mixed dentition:
    For some children a ___ may be used to bring the maxilla forward?
    face mask
  40. Late mixed dentition:

    ___ may be used to preserve an edentulous space, in preparation for later dental implants?
    space maintainer appliances
  41. Orthodontic tx-Teenage years to adulthood:
    ____may have produced poor results?
    pt may come to___?

    After ____ and all ____ have been complete, missing teeth can be replaced by a fixed bridge or dental implants?
    produced poor results

    tx late

    • alveolar bone grafting
    • all phases of tx
  42. Orthodontic tx-Teenage years to adulthood:
    If jaw relationships are poor, jaw (orthognathic) surgery may be necessary
    • midface (maxillary) advancement +/- mandibular setback
    • depending on severity
  43. Prosthetic tx:
    Use of Palatal obturators for fistulae? (4)
    Short term until can be surgically closed

    Some may be permanent (large fistulae that are too big to close surgically)

    Requires regular monitoring by prosthodontist/dentist

    Requires keeping it clean/twice daily cleaing
  44. Hardest fistula to obturate is?
    nasolabial (aka labio-oral-nasal)
  45. Osseointegrated (endosseus) implants
    replacement of missing teeth
  46. Osseointegrated (endosseus) implants
    Placement of a dental implant involves 2 steps?
    Small metal post is placed in the alveolar bone

    After that is healed, a prosthetic tooth is anchored to the post
  47. Osseointegrated (endosseus) implants
    Post and tooth stay firmly embedded in?
    alveolar bone
  48. Osseointegrated (endosseus) implants
    Particulary beneficial for?
    multiple absent/missing teeth (as in EEC syndrome)