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Methodical Guides DANYLO HALYTSKYI NATIONAL MEDICAL UNIVERSITY OF LVIV Department of Pediatric Dentistry Methodical Guides to Practical classes in Orthodontics 4th Year, VII Semester Lviv-2015 Methodical guides were developed by: Natalya L. Chuhkray, Assos. Prof., Cand.Sci (Med) Svitlana Ey. Leshchuk, As. Chief Editor: Elvira V. Bezvushko, Professor Considered and approved by the Methodical Commission of the Dentistry Faculty (Head – Ohonovskiy R.Z., Professor), (protocol №4 from 24.12.2014) SCHEDULE OF PRACTICAL LESSON Thematic module №1. Anomalies of individual teeth. 1 Anomalies of teeth. 2 2 Anomalies of number, size and eruption of teeth. 2 3 Anomalies of the position of individual teeth. 2 4 Anomalies of the dental arches. 2 5 Treatment of tooth anomalies. Treatment of diastema. Prevention. 2 Thematic module №2. Anomalies of occlusion. Saggital anomalies of occlusion. Distal occlusion. Etiology, 7 2 pathogenesis, prevention. 8 Clinical signs and diagnostics of distal occlusion. 2 9 Complex treatment of distal occlusion. 2 Saggital anomalies of occlusion. Mesial occlusion. Etiology, 10 2 pathogenesis, prevention. 11 Clinical signs and diagnostics of mesial occlusion. 2 12 Complex treatment of mesial occlusion. Prognosis. 2 Vertival anomalies of occlusion. Deep bite. Etiology, pathogenesis, 13 2 prevention. 14 Clinical signs and diagnostics of deep bite. 2 15 Complex treatment of deep bite. 2 16 Clinical signs and diagnostics of open bite. 2 17 Complex method of treatment of open bite. 2 Transversal anomalies of occlusion. Cross bite. Etiology, 18. 2 pathogenesis, prevention, clinical signs and diagnostics. 19. Complex treatment of crossbite. 2 20. Final module control. 2 Whole 40 SELF-WORK SCHEDULE N Topic of the self-work Acad.hrs 1 Describe anomalies of individual teeth. 2 Draw the orthodontic appliances, which are used during treatment 2 of the vestibular position of canine and oral position of incisors 2 depending on the period of occlusion. Draw the clinical types of diastemms, methods of their treatment 3 2 depending on the period of occlusion. 4 Draw the typical forms of the dental arches constriction. 2 Draw orthodontic appliances (removable and fixed) for treatment 5 2 of dental arches constriction and shortening. Draw the clinical forms of distal occlusion according to Angle’s 6 2 classification. Draw orthodontic appliances for distal occlusion treatment 7. 2 depending on the period of occlusion and clinical form. 8. Draw mesial occlusion and anterior crossbite (false progenia). 3 Draw orthodontic appliances for mesial occlusion treatment 9. 2 depending on the age period. 10. Draw deep bite and overbite. 3 Draw orthodontic appliances for deep bite treatment depending on 11. 2 the period of occlusion. Draw the clinical forms of open bite (in the frontal and posterior 12. 3 region). Draw orthodontic appliances for open bite treatment depending on 13. the period of occlusion (appliance with bite plane, Volodkina’s 2 appliance, Herbst-Kozukaru’s appliance). 14. Draw the clinical forms of crossbite. 3 Draw orthodontic appliances for crossbite treatment depending on 15. 2 the period of occlusion. 16. Write down the medical history report. 3 Whole 40 LECTURES Topic of the lecture N Lector Data Abnormalities of individual teeth. Etiology, Assoс. Prof. 1 pathogenesis, clinical characteristics, Elvira V. diagnostics, prevention and treatment. Bezvushko Anomalies of teeth position. Etiology, Assoс. Prof. 2 pathogenesis, clinical characteristics, Elvira V. diagnostics, prevention and treatment. Bezvushko Saggital plane malocclusions. Etiology, Assoс. Prof. 3 pathogenesis, clinical characteristics, Natalya L. diagnostics, prevention and treatment. Chukhray Vertical plane malocclusions. Etiology, Assoс. Prof. 4 pathogenesis, clinical characteristics, Natalya L. diagnostics, prevention and treatment. Chukhray Transverdal plane malocclusions. Etiology, Assoс. Prof. 5 pathogenesis, clinical characteristics, Natalya L. diagnostics, prevention and treatment. Chukhray A list of practical questions for preparation of student to final module control 1. Classification of anomalies of individual teeth. 2. Etiological factors, which cause anomalies of teeth colour. Etiology, pathogenesis, clinical signs and treatment. 3. Anomalies of teeth form. Etilogical factors. Differential diagnostics with anatomical variants of the norm. 4. Conical teeth. Etiological factors, clinical signs, treatment. 5. Fusion. Etiology, patogenesis, clinical signs, diagnostics. 6. Types of teeth fusion. Peculiarities of orthodontic treatment. 7. Influence of the fused teeth on the process of formation of the dental arches and occlusion. 8. Supernumerary teeth. Clinnical and rentgenological diagnostics. Tactic of orthodontic treatment. 9. Adentia. Classification. Diagnostics. Intraoral and extraoral signs of the hypodontia and oligodontia. 10. Treatment method of adentia. 11. Causes of disturbance of tooth eruption process. Types and forms of retention. 12. Methods of retention treatment. Indications for their application. 13. Classification of teeth malpositions. Etiology, pathogenesis. 14. Tortoanomaly. Etiology, pathogenesis. Peculiarities of treatment. 15. Diastemma. Clinical and rentgenological classification. Etiological factors. 16. Diastemma treatment. Constructive peculiarities of fixed and removable appliances, which are used for diastemma treatment. 17. Vestibular position of teeth. Etiology, pathogenesis, clinical signs, treatment. 18. Palatal position of teeth. Etiology, pathogenesis, clinical signs, treatment. 19. Crowding. Etiology, pathogenesis, clinical signs, treatment. 20. Indication for serial teeth extraction. 21. Peculiarities of ectopia and teeth transposition treatment. 22. Anomalies of dental arches. Etiology, pathogenesis, clinical signs, treatment. 23. Role of upper respiratory tracts and rachitis in the formation of malocclusions, methods of their prevention. 24. The role of artificial feeding in malocclusion formation. 25. Harmful habits in children, their role in pathogenesis of dento-alveolar deformation and malocclusion formation. 26. Endogenic and exogenic factors, negative influencing on the dento-alveolar apparatus formation. 27. Etiology, pathogenesis, clinical signs, diagnostics, prevention and treatment of distal occlusion in the primary dentition. 28. Etiology, pathogenesis, clinical signs, diagnostics, prevention and treatment of distal occlusion in the mixed dentition. Effectiveness of the stimulative therapy application. 29. Peculiarities of the orthodontic treatment of distal occlusion in the permanent dentition in children and adult patients. Possible complications. Indications for teeth extraction and other surgical manipulations. 30. Etiology, pathogenesis, clinical signs, diagnostics, prevention and treatment of mesial occlusion in the primary dentition. The role of the hereditary factor in the formation of the anomaly. 31. Clinical and rentgenological forms of the mesial occlusion. In what classification they are described? Peculiarities of the anomaly treatment in the mixed dentition. 32. Peculiarities of the orthodontic treatment of mesial occlusion in the permanent dentition in children and adult patients. Indications for surgical treatment. 33. Etiology, pathogenesis, clinical signs, diagnostics, prevention and treatment of deep bite in the primary dentition. Peculiarities of treatment. 34. Clinical and rentgenological forms of deep bite. In what classification they are described? Advantages of the treatment method with appliances in the mixed dentition. 35. Peculiarities of the orthodontic treatment of deep bite in the permanent dentition in children and adult patients. 36. Etiology, pathogenesis, clinical signs, diagnostics, prevention and treatment of open bite in the primary dentition. Role of normalization of the nasal breathing in the prognosis of orthodontic treatment. 37. Clinical and rentgenological forms of open bite, their diagnostics, treatment in the mixed dentition. 38. Peculiarities of open bite treatment in the permanent dentition. Reatment tactics in children and adult patients. Indications for surgical treatment. 39. Etiology, pathogenesis, clinical signs, diagnostics, prevention and treatment of cross bite in the primary dentition. 40. Classifications describing the forms of cross bite. Importance of clinical diagnostic tests. 41. Peculiarities of the orthodontic treatment of cross bite in the permanent dentition. 42. Clinical and diagnostic test by Eshler-Bittner, its importance. 43. Clinical and diagnostic test by L.V. Iljina-Markosian, their importance. 44. Surgical manipulation in the complex treatment of orthodontic patiens. 45. Stimulative methods in orthodontic treatment (surgical, physiotherapeutic, biological), their essence, age indications. A list of practical skills is for preparation of student to final module control 1. To be able to examine orthodontic patient with teeth malposition and malocclusion. 2. To be able to fill in an ambulatory medical hystory. 3. To be able to fill in order to technique laboratory. 4. To be able to diagnose and carry out differential diagnostic of individual teeth malposition and malocclusions. 5. To be able to receive impression from the upper and lower dental arches using different impression materials. 6. To be able to fix constructive bite. 7. To be able to pour diagnostic models. 8. To be able to mesure saggital and vertical space (overbite and overjet). 9. To be able to provide clinical and diagnostical tests by Eshler-Bittner, L.V. Iljina-Markosian,
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