module 5 review Flashcards
primate spaces
1) 4 mm mesial to upper canine
2) 3 mm distal to lower canine
development of primary dentition
1) upper incisors may look splayed apart
2) may be an upper midline diastema present
- until the canines come in
3) incisor liability is 7.6 mm
4) increase in intercanine width due to transverse skeletal growth
5) splayed teeth will correct
how does crowding resolve
1 )labial positioning of the lower permanent incisor teeth
- 1-2 mm
2) increase in transverse intercanine width
3) repositioning of permanent canine - move slightly behind the primate space
4) increase in circumference of the lower anterior permanent teeth, come forward in an arch
leeway space
1) 0.9 mm per upper quad
2) 1.7 mm per lower quad
flush terminal plane
1) half unit class II
2) leeway space can be use in lower dentition
- lower molar moves a little more forward than the upper molar
- black to 1/4 unit class II
3 )growth
- can go to a class I
four measurements for mixed dentition arch length analysis
1) direct measurement
2) estimation from proportionality table
3) johnston tanaka
4) hixon oldfather
direct measurement method
1) use erupted contralateral teeth to estimate width of the unerupted teeth on other side
2) accuracy is fair to good depending on radiograph quality
3) the lower permanent canine (8mm) and both premolar teeth (7mm) are 22 mm per quadrant
4) indicates amount of crowding present
5) measurements taken from erupted teeth and unerupted teeth on a periapical radiograph
space analysis
1) space available = space required
- maintain leeway space
2) space is <1-4 mm than required
- space regaining mechanics
3) >5 mm or more
- tooth mass reduction by IPR
- serial extraction
treatment in the mixed dentition goals
1) should not be too long
2) show have specific aims for intervention and be time limited
3) precise tooth movement not required if second ortho treatment is anticipated
mixed dentition treatment
1) maxillary expansion
2) correct anterior cross bite
3) correct protrusive maxilla
- headgear
4) correction of deep bite
cannot stop lower jaw from growing forwards!!!
space creation in moderate of severe mixed dentition
1) procline lower incisors
2) distalize upper molars
3) serial extraction
4) expand the dental arch