ORTHODONTIC
ASSISTANT FINAL EXAM
1.
2. Question: What are the main objectives of orthodontic treatment? Answer: The primary
objectives of orthodontic treatment are to correct malocclusions (misalignments of the
teeth and jaws), improve occlusion (the way teeth fit together), enhance the overall
function of the teeth, and improve the aesthetic appearance of the smile. Additionally,
orthodontic treatment can contribute to better oral hygiene, reduce wear on teeth, and
improve the patient's self-esteem.
3. Question: Describe the process of placing braces on a patient. Answer: The process of
placing braces typically involves several steps:
○ Initial Consultation: The orthodontist examines the patient and takes diagnostic
records, including X-rays, photographs, and impressions.
○ Teeth Cleaning: The teeth are cleaned to remove plaque and debris to ensure
good bonding.
○ Drying and Isolation: The teeth are dried, and cotton rolls or cheek retractors
are used to keep the area dry.
○ Bonding Agent Application: A bonding agent is applied to each tooth, and
brackets are placed on top of the bonding agent.
○ Curing the Bonding: A special light is used to cure the bonding agent, securing
the brackets to the teeth.
○ Archwire Placement: An archwire is threaded through the brackets and secured
with ligatures.
○ Final Adjustments: The orthodontist checks the placement, makes any
necessary adjustments, and provides care instructions to the patient.
4. Question: Explain the importance of patient education during orthodontic treatment.
Answer: Patient education is crucial during orthodontic treatment as it helps patients
understand their role in the treatment process and the importance of maintaining oral
hygiene. Educated patients are more likely to comply with instructions regarding the care
of their braces, dietary restrictions, and the use of additional appliances like retainers.
Effective education can prevent complications such as tooth decay or gum disease,
improve treatment outcomes, and enhance the patient's overall experience.
5. Question: What is the purpose of using retainers after orthodontic treatment? Answer:
The purpose of using retainers after orthodontic treatment is to maintain the teeth in their
new positions after braces are removed. Retainers prevent the teeth from shifting back
to their original positions, which is a common occurrence due to the natural tendency of
teeth and bone to return to their pre-treatment state. Retainers also help stabilize the
surrounding periodontal tissues and allow time for bone remodeling to occur around the
newly positioned teeth.
, 6. Question: Describe common oral hygiene practices for patients with braces. Answer:
Common oral hygiene practices for patients with braces include:
○ Brushing: Patients should brush their teeth at least twice a day using a soft-
bristled toothbrush and fluoride toothpaste. They should focus on brushing
around brackets and wires to remove plaque buildup.
○ Flossing: Flossing is essential for removing food particles and plaque between
the teeth and around the brackets. Patients can use orthodontic floss threaders
or floss picks for easier access.
○ Mouthwash: Using an antibacterial mouthwash can help reduce plaque and
prevent gum disease.
○ Dietary Choices: Patients should avoid sticky, hard, and sugary foods that can
damage braces or promote cavities.
○ Regular Dental Visits: Routine check-ups with both the orthodontist and general
dentist are important for maintaining oral health throughout treatment.
7. Question: What are some potential complications that can arise during orthodontic
treatment? Answer: Potential complications during orthodontic treatment include:
○ Cavities and Decalcification: Poor oral hygiene can lead to cavities or white
spots on teeth (decalcification) around brackets.
○ Gum Disease: Inadequate cleaning can result in gum inflammation or
periodontal disease.
○ Root Resorption: Some patients may experience shortening of tooth roots due
to orthodontic forces.
○ Allergic Reactions: Patients may have allergic reactions to materials used in
braces, such as nickel.
○ Temporary Discomfort: Patients may experience soreness or discomfort
following adjustments to the braces.
7. Question: What factors contribute to the decision to begin orthodontic treatment?
Answer: Factors that contribute to the decision to begin orthodontic treatment include
the presence of malocclusion, dental crowding or spacing issues, alignment of teeth and
jaws, aesthetic concerns, the patient’s age and growth potential, and the
recommendation from a general dentist or orthodontist based on diagnostic records and
clinical evaluations.
8. Question: Explain the role of radiographs in orthodontic treatment planning. Answer:
Radiographs play a critical role in orthodontic treatment planning by providing detailed
images of the teeth, jaws, and surrounding structures. They help orthodontists assess
the position and development of teeth, evaluate the relationships between the upper and
lower jaws, identify any potential issues (such as impacted teeth), and monitor the
progress of treatment over time.
9. Question: Describe the different types of orthodontic appliances and their uses.
Answer:
○ Fixed Appliances: Braces that consist of brackets, wires, and bands that remain
on the teeth during treatment. They are used for correcting complex dental
issues.
○ Removable Appliances: Devices like retainers and aligners (e.g., Invisalign)
that can be taken out by the patient. They are typically used for minor corrections
or maintenance post-treatment.
○ Functional Appliances: Devices that alter jaw position, helping to correct bite
issues (e.g., Herbst appliance).