DEPARTMENT OF ORTHODONTICS AND DENTOFACIAL

ORTHOPEDICS

PREVENTIVE
ORTHODONTICS
 DEFINITION

Preventive orthodontics is that part of orthodontic practice which is

concerned with the patient’s and parents’ education, supervision of the

growth and development of the dentition and the craniofacial structures

, the diagnostic procedures undertaken to predict the appearance of

malocclusion and the treatment procedures instituted to prevent the

onset of malocclusion
 PARENT EDUCATION

• Before birth: Proper nutrition to provie ideal environment for

developing foetus
• Proper nursing
• Breast feeding and bottle feeding
• Maintaining good oral hygiene
• Correct method of brushing the child’s teeth
• Prevention of nursing bottle syndrome
 CARIES CONTROL

• Detect Caries as early as possible

• Proximal caries of primary tooth should restored, otherwise
arch length will lose due to movement of adjacent teeth
• Bite wing x ray : For easy detection of proximal caries
EXTRACTION OF SUPERNUMERY
TEETH

• Extraction of supernumery tooth relive crowding and avoid

abnormal eruption of tooth
• Extraction of mesiodens : Diastema closure occur
• Extraction of unerupted supernumery teeth with Cystic
formation
 MANAGEMENT OF ANKYLOSED
TOOTH

• Submerged tooth ( Deciduous tooth)

• Woody sound
• Diagnosed and extract it
MAINTENANCE OF TOOTH SHEDDING
TIME TABLE

• Presence of over-retained deciduous teeth roots

• Presence of unresorbed deciduous root fragment

• Supernumery tooth

• Cyst and tumour

• Overhanging restortion of deciduous tooth

• Ankylosis of tooth
 CHECK UP ORAL HABITS

• Early oral habits should identified and stopped

• Psycological approch
• Proper habit
OCCLUSAL EQUIBRIUM IF THERE ANY
OCCLUSAL PREMATURITY

• Eliminating occlusal interferenc by elimating occlusal prematurity

• Otherwise lead to BRUXISM
• Selective grinding of cingulum or cusp is the managment
 PREVENTION OF DAMAGE TO
OCCLUSION

• Milwaukee brace is an orthopedic appliance used for scliosis

• This appliance exert force on mandible and developing occusion
• And cause deformities
• Use functional appliance or positioners for maintain occlusion
during this treatment
 SPACE MAINTENANACE

• Proper space maintance during early shedding ofteeth is important

• Fixed and removable space maintainers
MANAGEMENT OF DEEPLY LOCKED
FIRST PERMENANT MOLAR

• Selective slicing of ( distal bulge) second deciduous molar done for

the eruption of locked 1st permanent molar
MANAGEMENT OF ABNORMAL FRENAL
ATTACHMENT

• Maxillary labial Frenum : Midline diastema

• Blanch test
• Ankyloglossia ( Tongue tie ) : Speech proble m, restrict
growth of maxilla , increase growth of mandible