-
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
-
outer layer of a tooth?
Enamel
-
Under enamel of tooth
Dentin
-
Visible portion of tooth
Crown
-
embedded in jaw/alevolus of a tooth
root
-
transition area between crown and root of tooth
neck
-
covers and protects dentin of tooth
Cementum
-
A tooth has 5 surfaces?
- Occlusal
- Mesial
- Distal
- Buccal
- Lingual
-
surface of tooth:
biting
occlusal
-
surface of tooth
faces towards midline
mesial
-
surface of tooth
faces away from midline
distal
-
surface of tooth
(labial) tooth surface faces cheeck or lips
buccal
-
surface of tooth
tooth surface faces tongue
lingual
-
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)
-
Deciduous (primary) dentiotion
___ teeth
each quad contains?
- 20
- Central incisor
- Lateral incisor
- cuspid/canine
- 2 molars (1st and 2nd)
-
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
-
Refers to the contact between the upper/maxillary teeth and the lower/mandibular teeth?
Occlusion
-
tooth has odd shape?
Anomalous teeth
-
Speech sounds of English that require direct dental srticulation include:
- Labiodentals /f,v/
- Interdentals "th"
-
Speech sounds that require dental cutting edges?
Fricatives /s,z,/ "sh" "dg"
-
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
-
First few month of life..
Palatal plates before surgery
Combined:
AKA?
C: orthodontic-prosthodontic tx
aka: infant maxillary/presurgical orthopedics
-
Palatal plates
Used to treat?
Assure?
Used?
complete clefts of lip and palate
- palatal segments are aligned.
- pre and post lip surgery
in combination with primary bone grafting.
-
controversial and not widely used palatal plates?
Pin-retrained appliances
-
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)
-
Involves the fabrication of an appliance with an intranasal stent that is attached to an oral retainer?
(NAM) Nasal and Alveolar Molding
-
PNAM means?
pre-surgical nasoalveolar molding
-
Based on the premise that nasal cartilage still developing and can be repositioned during the first 6 weeks of life (plasticity)?
NAM
-
NAM mainly for?
Consists of ?
babies with large clefts (uni or bi complete clefts)
of a molding plate and stent or stents
-
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
-
Most common deviation in deciduous dentition is?
crossbite involving one or more teeth on cleft side
-
deciduous dentition crossbite not treated until?
permanent maxillary incisors erupt
-
Orthodontic tx typically not done on?
primary dentition
-
Orthodontic tx may be considered in ?
early mixed dentition 6-9 years
-
Orthodontic tx
to expand the maxilla
maxillary expansion/lingual appliance
-
maxillary eaxpansion/lingual appliance
placed on ?
May include?
to?
the lingual side (the inside) of the maxillary teeth
fixed appliance mixed dentition to retain alignment of maxillary segments
straighten the maxillary incisor teeth
-
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
-
late mixed dentition:
Appliances may temporarily interfere with? because?
- speech
- they can constrict intraoral tongue space
-
Late mixed dentition:
For some children a ___ may be used to bring the maxilla forward?
face mask
-
Late mixed dentition:
___ may be used to preserve an edentulous space, in preparation for later dental implants?
space maintainer appliances
-
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
-
Orthodontic tx-Teenage years to adulthood:
If jaw relationships are poor, jaw (orthognathic) surgery may be necessary
e.g.?
- midface (maxillary) advancement +/- mandibular setback
- depending on severity
-
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
-
Hardest fistula to obturate is?
nasolabial (aka labio-oral-nasal)
-
Osseointegrated (endosseus) implants
For?
replacement of missing teeth
-
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
-
Osseointegrated (endosseus) implants
Post and tooth stay firmly embedded in?
alveolar bone
-
Osseointegrated (endosseus) implants
Particulary beneficial for?
multiple absent/missing teeth (as in EEC syndrome)
|
|
