Etiology of malocclusion Flashcards

1
Q

Predisposing Factors to Malocclusion
(4)

A

*Disturbances in Embryologic Development
*Heredity (genetics)
*Functional matrix
*Traumas

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2
Q

*Functional matrix
(2)

A

*Muscular or functional disturbances
*Habits

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3
Q

*Traumas
(1)

A

*Especially mandibular fractures.

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4
Q

Normal skeletal relationship
* — as a reference
* Position and projection of the
upper jaw
* Position and projection of the lower
jaw

A

Cranial base

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5
Q

Types of malocclusion
* Malocclusion occurs in – dimensions
* Angle classification is based on – relationships

A

3
AP

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6
Q

Normal Occlusion:
Class 1 Malocclusion:
Class 2 Malocclusion:
Class 3 Malocclusion:

A

30%
50-55%
15%
1-4%

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7
Q

maxillary prognathism=

A

class 2

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8
Q

mandibular prognathism=

A

class 3

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9
Q

Class II
(3)

A
  • Mandibular retrognathism
  • 40% present bimaxillary retrusion
  • Rarely true maxillary prognathism
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10
Q

Typical Skeletal class II
(4)

A
  • Mandibular retrognathism
  • Proclined upper incisors
  • Deep bite
  • However, multiple presentations are
    possible
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11
Q

Cl I maloccusion
(2)

A
  • Jaws are well aligned in the anteroposterior
    dimension
  • Vertical and transverse dimensions are
    variable.
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12
Q

Transverse dimension
(3)

A

Intermolar distance
Intercanine distance
Arch shape:
* Upper:
* Lower:

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13
Q

Class III
malocclusion
(4)

A
  • Maxillary Retrognathism
  • Mandibular prognatjism
  • Usually a combination of the two conditions
  • Vertical dimension is variable Deepbite to openbite
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14
Q

Prevalence of Class III malocclusions
* Depends on the population
* Southeast Asian ~
* Middle eastern ~
* Indian ~
* European ~

A

15%
10%
1%
1-4%

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15
Q

Genetics of Class III
* Focused on

A

mandibular prognathism

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16
Q

Genetics of Class III
* Family and twin studies
* Suggest a

A

polygenic model as primary cause of Class III malocclusion

17
Q

Genetics of Class III
* Linkage Analysis studies
* Used to determine the

A

chromosome loci associated
with the condition
* Suggested loci: 1p22, 1p36,
3q26.2, 6q25, 11q22, 12q13,
12q23, 19p32.2
18

18
Q

Openbite: Multifactorial Etiologies
(4)

A
  1. Transitory
  2. Skeletal (genetic)
  3. Neuromuscular
    imbalance (CP)
  4. Combination
    Sleep Apnea
19
Q
  1. Neuromuscular
    imbalance (CP)
    (2)
A
  1. Oral habits
  2. Anterior tongue
    posture
20
Q

Deep bite
(3)

A

*Skeletal
*Overeruption of incisors
*Undereruption of molars

21
Q

Transverse dimension
(3)

A

*Usually maxillary transverse
deficiency
*Maybe caused by overdeveloped
mandible
*Some are also caused by
unfavorable dental angulations

22
Q

Disturbances of Dental Development
(5)

A
  1. Congenitally missing teeth
  2. Malformed and supernumerary teeth
  3. Interference with eruption
  4. Ectopic eruption
  5. Early loss of primary teeth
23
Q
  1. Congenitally Missing Teeth
    (2)
A

*Anodontia (very rare)
*Oligodontia (several teeth missing)

24
Q

Dr Moyers’ Explanations for Congenitally
Missing Teeth
(5)

A
  • Heredity
  • Ectodermal Dysplasia
  • Localised inflammations or infections
  • Systemic conditions, e.g. ricketts
  • Evolutionary changes in the dentition (specially third molars)
25
Q

Ectodermal dysplasia
(2)

A

*Oligodontia
*Poorly shaped teeth

26
Q

Most frequently missing teeth
(3)

A

*Upper lateral incisors
*Lower second premolars
*Lower central incisor

27
Q
  1. Malformed Teeth
    (3)
A

*“Peg” maxillary lateral incisors
*Crown can be mishaped
*Root may be shortened

28
Q

Mesio Distal Size of the Dentition
(2)

A
  • Proportionality of tooth sizes within a dentition
  • Bolton ratio
29
Q

Bolton Ratio
OVERALL RATIO:

A

sigma Mandibular 6-6 (mm) /
sigma Maxillary 6-6 (mm)

30
Q

Bolton Ratio
ANTERIOR RATIO:

A

sigma Mandibular 3-3 (mm) /
sigma Maxillary 3-3 (mm)

31
Q

In order to develop a proper overbite and
overjet, the size of the lower dentition
must be proportional to the size of the
upper dentition
*This proportion is called the

A

Bolton ratio.

32
Q

Supernumerary Teeth
(1)

A

*Mesiodens