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The philtrum of the upper lip is formed largely by the
1) Lateral nasal processes
2) Globular process
3) Maxillary processes
4) Mandibular processes

Orthodontics Answer: 2


Explanation: The philtrum is the vertical groove located in the middle of the upper lip. It is primarily formed by the fusion of the medial nasal processes, which include the globular process. The globular process is a key structure in the embryonic development of the face, contributing to the formation of the upper lip and the philtrum.



Servo system theory of Grown was given by
1) Scott
2) Petrovic
3) Limborgh
4) Vander Kaauw
Orthodontics Answer: 2

The servo system theory, which relates to the control mechanisms in orthodontics, was proposed by Petrov ic (option 2). This theory helps in understanding how forces applied to teeth can be controlled and adjusted to achieve desired tooth movements during orthodontic treatment.


All of the following factors interfere with statural growth on long-term basis except
1) Cleft palate
2) Poor nutrition
3) Chronic diseases
4) Cardiac diseases
Orthodontics Answer: 1

A cleft palate is a congenital condition that does not inherently affect statural growth. The other factors listed—poor nutrition, chronic diseases, and cardiac diseases—can all have long-term negative impacts on a person's growth and development. Poor nutrition can lead to stunted growth due to insufficient nutrients for bone and tissue development, while chronic diseases and cardiac diseases can impair the body's ability to regulate growth hormones and overall health, potentially leading to growth delays or abnormalities.

The angle of convexity



1) SNA

2) NAPog.

3) ANB

4) SNB


Orthodontics Answer: 2

SOLUTION 

Angle of Convexity The angle of convexity is formed by the intersection of line from N to point A, to point A to pogonion.


Crowding that occurs after age of 18 is the result of
1) Impacted third molar
2) Physiological maturational change
3) Orthodontic relapse
4) Periodontal disease
Orthodontics Answer: 2

Crowding that occurs after age 18 is typically the result of physiological maturational changes.

Explanation: Dental crowding is a common malocclusion where teeth do not have enough space to align properly in the dental arch. After the age of 18, most of the facial growth has concluded, and the teeth are fully erupted. If crowding occurs at this stage, it is most likely due to physiological maturational changes, such as the natural movement of teeth or the eruption of third molars (wisdom teeth). Impacted third molars are another potential cause of late crowding, but the question specifies that the crowding is not due to them. Orthodontic relapse is a possibility if the individual had prior orthodontic treatment, but without that context, the most likely cause for new crowding in adulthood is the natural shifting of teeth over time or the late eruption of wisdom teeth. Periodontal disease can affect tooth positioning, but it does not directly cause crowding.


How/where should the wire be bent to activate a correctly made palatal canine retraction?
1) Between the coil and tooth, but close to the coil
2) Between the coil and tooth, but close to the tooth
3) Between the coil and its insertion into the base of the plate
4) By opening out the coil
Orthodontics Answer: 1

Bending the wire between the coil and the tooth, but closer to the coil, allows for effective activation of the retraction mechanism, providing the necessary force for movement.

Premature exfoliation of primary mandibular canine is most often the sequelae of:



1) Caries

2) Trauma

3) Serial tooth extraction

4)  Arch length inadequacy


Orthodontics Answer: 4

SOLUTION 

The two major symptoms of severe crowding in the early mixed dentition are severe irregularity of the erupting permanent incisors and early loss of primary canines caused by eruption of the permanent lateral incisors. The children with the largest arch length discrepancies often have reasonably well aligned incisors in the early mixed dentition, because both primary canines were lost when the lateral incisors erupted 

After a definitive analysis of the profile and incisor position, these patients face the same decision as those with moderate crowding; whether to expand the arches or extract permanent teeth. In the presence of severe crowding, limited treatment of the problem will not be sufficient and permanent tooth extraction is most likely the best alternative.

Relapse of orthodontic tooth rotation is due to periodontal traction.  This is mainly caused by action of which periodontal fibers



1) Supracrestal fibres and oblique fibres 

2) Supracrestal fibres and horizontal fibres 

3)  Supracrestal fibres and transeptal fibres

4) Transeptal fibres and oblique fibres 


Orthodontics Answer: 3

PDL traction is mainly due to supracrestal fibres, transeptal fibres of gingival fibers.  

It needs at least 232 days for readaptation, e.g. rotations.  

To avoid relapse either circumferential supracrestal fibrotomy is done OR a prolonged retention is given.

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