Summary: Bristol Notes

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  • 1 Introduction

  • 1.1 What is Orthodontics?

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  • First description of malocclusion?

    Precise timing unknown
    Ancient Greeks were describing irregularities of the teeth as long ago as 400BC
  • First description of orthodontic treatment?

    The Romans, notably Celsus, described the use of finger pressure to move teeth
  • Earliest fixed appliance?

    Fauchard's Bandeau of 1726, a metallic arch tied to the labial/buccal surfaces of the teeth using fibrous ligatures
  • Start of modern-day orthodontics?

    Edward Angle:
    E-Arch (1900)
    Pin and Tube (1910)
    Ribbon Arch (1915)
    Edgewise appliance (1925)

    Raymond Begg:
    Begg appliance (1950)

    Laurence Andrews:
    Preadjusted Edgewise or Straightwire appliance (1972)
  • 2 Occlusion and Malocclusion

  • 2.1 Occlusion

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  • Bennett and McLaughlin's 7th key of occlusion?

    Correct tooth size
  • Andrews six keys? (Ref)

    Correct molar relationship
    Correct crown angulation
    Correct crown inclination
    No spacing (tight interproximal contacts)
    No rotations
    Flat occlusal plane

    Andrews 1972 AJO
    Based on 120 'non-orthodontic norms'
  • Are all 6 keys of occlusion normally achieved? (ref)

    Orthodontically treated occlusions seldom achieve all occlusal keys

    Kattner & Schneider, 1993 - Roth vs standard edgewise appliance tx results
  • 'Ideal' functional occlusion? (ref)

    • Features not conclusively established (Clark & Evans, 2001 - Functional occlusion: a review, JO)
    • Post-orthodontic patients did not exhibit ideal occlusal relationships (Clark & Evans, 1998 - Functional occlusal relationship in post-ortho pts
  • Should articulators routinely be used in orthodontics? (ref)

    Articulation of study models did not affect 10 orthodontists' treatment planning decisions in a meaningful manner
    (Ellis & Benson, 2003)
  • Are non-working side interferences common in the general population? (refs)

    Majority of the population (91%) have non-working side contacts in random samples

    • Sadowsky & BeGole, 1980 - Long-term status of TMJ and functional occlusion after ortho treatment.

    • Tipton & Rinchuse, 1991 - relationship between static occlusion and functional occlusion 
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