3.2 Orthodontic Interventions
Unit 3 - OMS Procedures
Orthodontic Interventions are surgeries designed to assist in orthodontic treatment (correction of malocclusions)
- Bollard Plates – titanium plates that are temporarily screwed into the jaw. They provide anchorage for orthodontic movement.
- Exposures – surgical uncovering of a tooth in preparation for orthodontic treatment
- Frenectomy – removal of tissue that prevents the normal position of teeth, tongue, (or prosthetic)
- Luxate – surgical dislocation or displacement of a tooth from the alveolus to assist in eruption
- Transplant – surgical removal of a tooth from one location to another
Orthodontic Intervention procedures require the Aseptic Technique protocols and are usually performed under IV sedation.
• REMOVE FORCEPS from OMS TRAY
• Suction and Irrigation Tray
Barriers (light handle, etc)
Procedure Specific Equipment:
- Bollard Plates:
– screwdrivers (2)
– plates and screws
– cautery (cut)
– etch, bond, orthodontic cement, bracket, light, silk suture
– periodontal pack
– hemostat x 2
– silk suture
• Follow written Pre Op Instructions.
• Ensure that a bowl with sterile saline is available for transplanted tooth.
• Excessive bleeding during procedure may require the use of cauterization. Ensure that the cautery unit is at hand.
• A little bleeding is okay; never dessicate the surgical site with your suction!
• Follow written Post Op Instructions.
• Advise the patient to schedule a follow up visit following exposure to remove periodontal dressing, or following transplant to remove silk suture.