DEVELOPMENT OF THE PRIMARY DENTITION Flashcards
Deciduous Dentition
— teeth.
20
Deciduous Dentition
Primary dentition +Permanent molars =
erupt distally to the primary dentition
Mixed Dentition
Erupting permanent teeth
6 to 13 years old
Permanent dentition — teeth
32
Characteristics of the deciduous
dentition (5)
A. Symmetrical crown shapes B. Interdental spacing C. No angulation of the incisors D. Less variability in occlusal relations than the permanent dentition E. Arch width changes with growth
Larger spaces called “ primate” spaces are found
mesial
to upper cuspids and distal to lower cuspids
RULE #1: IF THERE IS NO INTERDENTAL SPACING
IN THE DECIDUOUS DENTITION,
CROWDING OF
THE PERMANENT DENTITION WILL OCCUR
— between anterior primary teeth are
important to get space for permanent incisor eruption
Diastemas
The upper incisors erupt to the — of primary
teeth. Lower incisors tend to erupt to the —
labial
lingual
There is no significant increase in — size during the
eruption of the permanent incisors
arch
Anterior primary teeth are —
smaller
Some primary posterior teeth are
— than their successor
larger
Upper second premolar
7.00mm
Upper second primary
molar
8.2mm
Lower second premolar
7.00mm
Lower second primary
molar
9.9mm
Occlusal plane (OP)
• An imaginary surface that passes through the occlusion of
the teeth.
• This surface usually is curved and is, strictly speaking, not
a plane, but commonly is approximated by one (straight
line in the lateral view), based on specific reference points
with in the dental arches. The maxillary occlusal plane
passes through the occlusal cusps of the posterior teeth
and the incisal edges of the maxillary incisors. The
mandibular occlusal plane is tangent to the occlusal cusps
of the posterior teeth and the incisal edges of the
mandibular incisors.
Primary teeth are positioned —
degrees to the occlusal plane
(Permanent teeth are not)
90
In the primary dentition, the
curve of Spee is —
flat
DECIDUOUS DENTITION
Less variability in — relations than in
the permanent dentition
occlusal
- Dentoalveolar compensations:
(response of
the dentoalveolar process to the skeletal
dysplasia or to functional disturbance) are
not fully expressed
If a malocclusion is diagnosed in the
primary dentition, it will
most
probably get worse during growth
DECIDUOUS DENTITION Occlusal relations (3)
- Upper and lower incisors are vertical
- Minimal overbite and overjet
- Upper canine tip is positioned in the
embrasure between the lower canine and the
first primary molar
DECIDUOUS DENTITION
•normal occlusal changes are due to
skeletal
growth, not from dental changes
DECIDUOUS DENTITION
• altering functional environment or
neuromuscular pattern or introducing habits
such as digit sucking can
alter skeleton and
occlusion resulting in malocclusion
Functional disturbances or thumb sucking habits are
involved in the etiology of malocclusions (2)
➢ Unfavorable skeletal patterns lead to malocclusion,
even in young patients
➢Ectopic dental eruption may lead to malocclusion
Skeletal malocclusions (2)
• The upper and/or lower jaws (maxilla, mandible) are not aligned
properly in relation to cranial base
• Strong genetic influence. Some claim that function can create significant
skelatal malocclusions also.