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Glossary of orthodontic terms

What does that word mean?

Acid etch

An acidic preparation which cleans and primes the tooth surface so that the bracket adhesive will bond to it

Alginate A soft colloidal compound used to make moulds or impressions of the teeth
Aligners A series of transparent splints designed to move the teeth progressively into line. Common trade names are "Invisalign" and "Clearstep".
Angle's Classification A widely used classification of malocclusions devised by the pioneer orthodontist Edward Angle
Ankylosis Abnormal fixation of a tooth to the bone, preventing orthodontic tooth movement
Anodontia Congenital absence of all the teeth (cf. hypodontia)
Anterior Situated in the front, a term commonly used to denote the incisor and canine teeth
Apex The tip of the tooth root
Arch The complete row of teeth in each jaw, resembling an arch in shape
Archwire A wire which is engages in brackets to move teeth to the desired position
Articulator A device to hold models of the teeth in occlusion and simulate the movements of the jaws
Attrition Wear of the biting surfaces of the teeth
Band A thin strip of metal cemented around a tooth, usually carrying a bracket or tube
Banding The process of cementing orthodontic bands to the teeth
Bite 1. The way the teeth come into contact. 2. An imprint of that contact, usually in wax, used to relate the upper and lower study models
Bite plane A removable appliance made of acrylic with a raised bite platform for the lower teeth to contact. Often used to reduce deep bites
Bonding The process of attaching brackets to the teeth using an orthodontic adhesive
Braces Orthodontic appliances used to move teeth and jaws
Bracket A metal or ceramic attachment bonded to a tooth to provide a means of engaging an arch wire
Breakaway A safety device used with headgear to guard against injury
Bridge Artificial teeth bonded to adjacent teeth to replace missing teeth
Bruxism Grinding the teeth during sleep; often wears down the tooth surface
Caries Dental decay caused by the acid generated from sugars by bacteria in the mouth
Cast A plaster model of the teeth
Cementum A thin layer of hard tissue covering the root of a tooth
Centric occlusion The relation of the teeth of one arch to those of the other when the jaws are closed in their natural position
Cephalometric radiograph A radiograph of the head showing the positioning of the teeth and jaws. Repeat cephalometric radiographs can show growth or treatment changes
Cheek retractor An device used to hold the lips and cheeks clear of the teeth during treatment
Clasp A component of a removable appliance which clips to a tooth in order to hold the appliance in position
Class I malocclusion A malocclusion where neither the upper nor lower teeth are prominent relative to the opposing teeth
Class II malocclusion A malocclusion where the upper teeth are prominent relative to the lower teeth
Class III malocclusion A malocclusion where the lower teeth are prominent relative to the upper teeth.
Cleft palate A congenital gap in the palate. It may affect the hard palate or soft palate, or both
Cleft lip A congenital gap in the lip
Consultation A meeting with an orthodontist where the orthodontic problem is assessed and possible treatment discussed
Congenital Arising before birth
Cross Bite A malocclusion where the upper teeth bite inside the lower teeth
Crowding Insufficient space for the teeth
Curing light A light used for setting orthodontic adhesives, most often giving out blue light
Debanding Removal of orthodontic bands
Debonding Removal of the brackets bonded to the teeth
Deciduous teeth "Baby" or "milk" teeth which fall out in time to be replaced by the permanent teeth
Deep bite Excessive overbite
Dentine The hard inner layer of the tooth surrounding the pulp or "nerve" of the tooth
Diastema A gap between two teeth, usually at the front of the mouth
Disclosing tablets Tablets of food dye used for staining plaque on the teeth as an aid to better tooth brushing
Enamel The hard outer layer of the tooth surrounding the softer underlying dentine.
Erosion Widespread loss of dental enamel by acid attack, usually dietary in origin
Eruption Emergence of the tooth through the gum
Exfoliation The natural process by which the deciduous teeth are lost
Extra-oral Outside the mouth
Facebow Transmits the force from a headgear to the teeth. The facebow has an outer bow which passes round the cheeks and is attached to the headgear. The inner bow lies inside the mouth and fits into tubes on the brace
Fixed appliance An orthodontic appliance bonded to the teeth,
Fluoride A naturally occurring element which inhibits dental decay, often used as a mouthwash during orthodontic treatment
Fraenum A fold of fleshy tissue which runs between the gums and the cheeks or the tongue
Functional Appliance A removable appliance which holds the lower jaw in a forward position in order to correct the bite
Gingiva The part of the gum which surrounds the teeth
Headgear A devise which fits round the head or neck to provide a force to move teeth. Connects to the teeth via a facebow
Hypodontia Congenital absence of one or more teeth
Impacted tooth A tooth whose eruption is prevented by the position of adjacent teeth
Impression A mould of the teeth used to make models of the teeth
Interceptive Treatment Minor treatment carried out at an early age with a view to simplifying later treatment
Intra-oral Inside the mouth
Intra-oral traction Elastic bands or other devices stretched between the upper and lower teeth in order to change their relative positions
Inter-proximal reduction Reducing the width the teeth to reduce crowding
Ligature A small elastic loop or wire holding an arch wire in a bracket
Lingual arch A wire passing behind the lower incisors and attached to the molar teeth
Lingual orthodontics A brace fixed behind the teeth (on the "lingual" surface) rather than on the front.
Lingual retainer A retainer fixed behind the upper or lower front teeth
Lip bumper A wire attached to the molar teeth and passing in front of the incisors, intended to allow the incisors to move forward and to move the molars back.
Malocclusion Abnormal arrangement of the teeth or jaws
Mandible The lower jaw
Maxilla The upper jaw
Miniscrews Small screws placed temporarily in the jaw to provide anchorage for forces to move the teeth
Mouthguard A moulded appliance which protects the teeth and orthodontic appliances when playing sports
Neck Pad A padded strap passing round the neck and attached to a facebow
Nickel-titanium A highly flexible type of orthodontic wire, widely used to bring teeth into line
Occlusion Contact between the upper and lower teeth
Open bite A malocclusion in which some of the teeth cannot make contact
Oral Surgery The speciality of dentistry concerned with surgical procedures in and about the mouth and jaws
Orthodontics The branch of dentistry concerned with the management of abnormal development in the teeth and jaws.
Orthodontist A dentist who practises orthodontics, normally after further training in the subject. Specialist orthodontists have had formal training in the subject and are on the Specialist List of the General Dental Council
Orthognathic Surgery Correction of the position of the jaws by means of an osteotomy (see below), usually combined with orthodontic straightening of the teeth
Osteotomy An operation which cuts through the jaw bone allowing the jaw to be repositioned. Mostly undertaken where there is a malocclusion resulting from a severe mismatch in the sizes of the jaws.
Overbite The vertical overlap of the upper teeth over the lower teeth
Overjet The horizontal distance by which the upper teeth lie ahead of the lower teeth.
Palatal arch A wire passing across the roof of the mouth and attached to the molar teeth
Panoramic radiograph A radiograph showing the whole of jaws and the teeth on one film. It is taken by a machine that rotates around the head.
Periodontics The specialty of dentistry concerned with diseases of the gums
Permanent teeth The secondary or adult teeth.
Plaque A soft white film developing on the tooth surface, consisting of mass of bacteria and proteins
Posterior Situated at the back of the mouth, often refers to the premolar and molar teeth
Pulp The central part of the tooth, containing nerves and blood vessels
Quadhelix A zig-zag wire across the palate, used to correct a crossbite
Radiograph An image of the teeth and jaws produced using x-rays
Referral Sending a patient to another dentist or specialist for diagnosis and/or treatment
Relapse Return towards the original malocclusion following orthodontic treatment
Retainer A fixed or removable appliance worn to rpevent relapse of the teeth after orthodontic treatment
Safety Strap A strap added to a headgear to prevent the facebow from coming loose
Self-ligating brackets Brackets with a mechanism to clip on to the archwire so that no additonal ligature is required. The archwire slides more freely through such brackets, possibly making tooth movement easier
Separator An elastic or wire loop placed between the teeth to create small spaces before bands are fitted
Sleep apnoea A condition where normal breathing pattern is disturbed during sleep
Space maintainer An appliance worn to prevent teeth from moving into the space left by the loss of a tooth
Speech therapist A specialist in correcting speech defects
Sterilisation The destruction of bacteria on instruments by heat or chemical means
Study Models Plaster casts of the teeth which allow the position of the teeth and jaws to be examined
Supernumerary An extra tooth
Temporary anchorage devices (TADS) Small screws placed temporarily in the jaw to provide anchorage for forces to move the teeth

Temporo-mandibular joint

The joint between the lower jaw and the base of the skull
Tracing A series of measurements taken from a cephalometric radiograph to assist in orthodontic diagnosis
Traction The application of force to teeth
Traumatic occlusion An abnormal bite which is damaging to a tooth and/or its supporting structures
Trauma An injury to the teeth or jaws
Treatment Plan An description of the clinical steps in a proposed treatment
Wax Used to prevent braces from rubbing the cheeks and lips
Wisdom teeth The third molars
X-rays Used to produce radiographs of the teeth and jaws