MDS PREP
Heat hardening is done in which orthodontic wire
1) Elgiloy
2) Stainless steel
3) TMA
4) NiTi
Orthodontics Answer: 1
SOLUTION
Elgiloy (Cobalt-Chromium) alloy is supplied in a softer state and can be heat hardened.
After hardening heat treatment, the softest elgiloy becomes equivalent to regular stainless steel.
Analysis which is similar to Pont’s analysis is_______?
1) Linder Harth index
2) Korkhaus analysis
3) Bolton’s analysis
4) (A) and (B)
Orthodontics Answer: 4
SOLUTION
· Pont’s in 1905 presented a system whereby the measurement of the four maxillary incisors automatically established the width of the arch in the premolar and molar region. If measured value is less than calculated value, it indicates the need for expansion.
· Linder Harth index: This analysis is very similar to Pont’s analysis except that a new formula has been proposed to determine the calculated premolar and molar value.
· Korkhaus analysis: This analysis is also very similar to Pont’s analysis it makes use of Linder Harth’s formula to determine the ideal arch width in the premolar and molar region.
In addition this analysis utilizes a measurement made from the midpoint of the inter-premolar line to a point in between the two maxillary incisors.
· Bolton’s analysis: The Bolton’s analysis helps in determining disproportion in size between maxillary and mandibular teeth.
"Thumb sucking" will
1) Always produce maxillary prognathism
2) Always indicate psychological disturbance
3) Always needs appliance therapy 10 break the habit
4) None of the above. Many times it stops spontaneously
Orthodontics
Answer: 4
Explanation: Thumb sucking is a common behavior in children and does not always lead to maxillary prognathism, psychological disturbances, or the need for appliance therapy. Many children stop thumb sucking on their own without intervention.
Facial profile of a typical mouth breather is
1) Long and wide
2) Short and wide
3) Long and narrow
4) Short and narrow
Orthodontics Answer: 3
SOLUTION
Altered respiratory pattern, such as breathing through the mouth rather than the nose, could change the posture of the
head, jaw, and tongue. This in turn could alter the equilibrium of pressures on the jaws and teeth and affect both jaw growth and tooth position.
In order to breathe through the mouth, it is necessary to lower the mandible and tongue, and extend (tip back) the head.
If these postural changes were maintained, face height would increase, and posterior teeth would super-erupt;
unless there was unusual vertical growth of the ramus, the mandible would rotate down and back, opening the bite
anteriorly and increasing overjet; and increased pressure from the stretched cheeks might cause a narrower maxillary dental arch.
In orthodontic treatment, the forces applied should not exceed the ________________ in order to avoid injuries to the tissues.
1) Arterial blood pressure
2) Muscular forces of facial muscles
3) Masticatory retrusion
4) Capillary blood pressure
Orthodontics Answer: 4
SOLUTION
Optimum orthodontic force is one, which moves teeth most rapidly in the desired direction, with the least possible damage to tissue and with minimum patient discomfort.
Oppenheim and Schwarz following extensive studies stated that the optimum force is equivalent to the capillary pulse pressure, which is 20-26 gm/sq. cm of root surface area.
From a clinical point of view, optimum orthodontic force has the following characteristics:
1) Products rapid tooth movement
2) Minimal patient discomfort
3) The lag phase of tooth movement is minimal
4) No marked mobility of the teeth being moved
From a histologic point of view the use of optimum orthodontic force has the following characteristics:
1) The vitality of the tooth and supporting periodontal ligament is maintained
2) Initiates maximum cellular response
3) Produces direct or frontal resorption
Supracrestal fibrotomy is done after correction of:
1) Crowding
2) Proclined incisors
3) Severely rotated teeth
4) Space closure
Orthodontics Answer: 3
Solution
Circumferential supracrestal fibrotomy (CSF) eliminates the pull of the stretched supracrestal gingival fibres which are the major cause of orthodontic relapse.
Which one of these is the etiological factors of tongue thrust?
1) Hyposensitive palate
2) Hypertonic orbicularis oris activity
3) Macroglossia
4) All of these
Orthodontics Answer: 4
Etiology of Tongue thrust
Fletcher has proposed the following factors as being the cause for tongue thrusting.
Genetic factors : They are specific anatomic or neuromuscular variations in the oro-facial region that can precipitate tongue thrust. e.g. Hypertonic orbicularies oris activity.
Learned behaviour (habit) : Tongue thrust can be acquired as a habit.
The following are some of the predisposing factors that can lead to tongue thrusting:
a. Improper bottle feeding
b. Prolonged thumb sucking
c. Prolonged tonsillar and upper respiratory tract infections
d. Prolonged duration of tenderness of gum or teeth can result in a change in swallowing pattern to avoid pressure on the tender zone.
Maturational : Tongue thrust can present as part of a normal childhood behaviour that is gradually modified as the age advances. The infantile swallow changes to a mature swallow once the posterior deciduous teeth start erupting.
Sometimes the maturation is delayed and thus infantile swallow persists for a longer duration of time.
Mechanical restrictions : The presence of certain conditions such as macroglossia, constricted dental arches and enlarged adenoids predispose to tongue thrust habit.
Neurological disturbance: Neurological disturbances affecting the oro-facial region such as hyposensitive palate and moderate motor disability can cause tongue thrust habit.
Psychogenic factors : Tongue thrust can sometimes occur as a result of forced discontinuation of other habits like thumb sucking. It is often seen that children who are forced to leave thumb sucking habit often take up tongue thrusting.
The pain after the application of force after activation during fixed mechanotherapy is likely to disappear within how much time ?
1) 24 hours
2) 2 to 4 days
3) 4 to 8 days
4) 10 days
Orthodontics Answer: 2
SOLUTION
If heavy pressure is applied to a tooth, pain develops almost immediately as the PDL is literally crushed.
There is no excuse for using force levels for orthodontic tooth movement that produce immediate pain of this type.
If appropriate orthodontic force is applied, the patient feels little or nothing immediately. Several hours later, however, pain usually appears. The patient feels a mild aching sensation, and the teeth are quite sensitive to pressure, so that biting a hard object hurts.
The pain typically lasts for 2 to 4 days, and then disappears until the orthodontic appliance is reactivated. At that point, a similar cycle may recur, but for almost all patients, the pain associated with the initial activation of the appliance is the most severe.