Model Answer For Final Exam (ORD 401) Fall 2017 B

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Final-term exam.

Faculty of Oral &Dental Medicine


Course code:ORD 401 Nahda University
Fall 2016-2017 Orthodontic Department
Time allowed: two hours Course title : Orthodontics 401
Total Grade: 30 marks 11-1-2017
‫جامعة النهضة‬
‫كلية طب الفم واألسنان‬
Name:………………………………………
I.D:………………

I Write short notes about: (5 marks each)

1- Methods of occlusal adjustment in mixed dentition stage.


2-Thumb sucking as an etiological factor of malocclusion.
3- Growth of naso-maxillary complex.
4- Dewey’s modification of Angle’s Classification .

II give the missing word or phrase (1 mark each)


1- Bone growth by V- principles refers to ---------------------------------------------

-------------------growth of v shaped bone as v shape ( deposition inside and

resorption outside)--------------------------------------------------------------------

2- Contraction is a term referred to----------------movement inside ----------------

------------------------------------------------While Distraction is ------------------------

-------------------------------------------------outside movemant---------------------------

-------------------------------------

3- skeletal Class III is defined as:---------------upward of maxillary base bone and

retusion on mandibular base bone---------------------------------------------------------

------------------------------------------------------------------------

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4-The arch depth is -------------the length from the midline uptow the lne

perpendicular to distal molars -------------------------------------------------------------

------------------------------------------------------------------------------------

5 - during sucking habit; forcing the maxillary teeth forward is due to -----------

---------------------down placement of the tongue and forced placement of the

thumb against premaxilla -------------------------------------------------------------------

------------------------------------------------------------------------------------------

III- chosse the correct answer: 1 mark each

1 . A patient with convex profile, lacking anterior lip seal and showing lower
lip trap may be suffering from:
a. Class I malocclusion
b. Class II division 1 malocclusion
c. Class II division 2 malocclusion
d. Class III malocclusion

2. Presence of class III molar relation on one side and a class I molar relation
on other side is a feature of:
a. Class I malocclusion
b. Pseudo Class III malocclusion
c. True Class III malocclusion
d. Class III subdivision

3. The effect of enlarged adenoid on the maxillary growth is usually causes:


a. Narrowing of maxilla.
b. b. Widening of maxilla.
c. Palate descends down.
d. d. None of the above.
4. The malocclusion that is seen in transverse plane is referred to as:
a. Open bite

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b. Cross bite
c. Over bite
d. Over jet

5 . Deep mento-labial sulcus is seen in :


a. Class I malocclusion
b. Class Iidivision 1 malocclusion
c. Class I malocclusion with bimaxillary protrusion
d. Class III malocclusion

Answers
Stage I:

From birth till completion of the deciduous dentition (0-2.5 years).

a. At birth (Gum Pads):

In the mouth of the newborn infant, the basal bone is covered by gum pads which
are firm and rounded.

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Maxillary Gum Pads:

-Horse-shoe shaped with a very shallow vault.

-The alveolar part is separated from the hard palate by a continuous horizontal
gingival groove.

Mandibular Gum Pads:

-U shaped.

-The alveolar part is limited lingually by a continuous groove.

The alveolar part of both the maxillary and the mandibular gum pads is divided by
transverse grooves into 10 segments to accommodate for the development of the
deciduous teeth.

The groove distal to the canine segment continues to the buccal side of the gum pad
and is called lateral sulcus.

Thumb sucking: It is practiced by most children for a variety of reasons: -Feeding


problems -Teething device. -Release of
emotional tension. It may be a direct cause of severe malocclusion depending on a
number of variables: a) The position of the digit

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b) Associated orofacial muscle contraction c) The frequency and duration d) The
position of the mandible during sucking. e) The skeletal pattern

The possible effects of digit sucking are:


1-Protraction of maxillary anterior teeth.
2-Retraction of mandibular teeth.
3-Anterior open bite.
4-Narrowing of the maxillary arch and high palatal vault.
5-Tongue thrust.
6-May result in mandibular deficiency due to restriction of mandibular
growth by hand weight.

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