Occlusion Flashcards
Buccal Incisor
What is an ideal occlusion? Molar Skeletal relationship FMPA Face height
Class 1 - upper 6MB cusp occludes in the buccal groove of the l6
Skeletal relationship Class 1 -Normal profile ( antero posterior) maxilla is 2-3mm anterior of the mandible
FMPA -28 degrees
Normal face height ( Vertical) Between eyes to under nose , under nose to chin ( upper and lower FH =)
Ideal occlusion Nasio labial angle Lips Centre lines Facial assymetry
Nasio labial angle - 90-110
Competent lips
Centre lines coincident
No facial assymetry - transverse view
Ideal occlusion
Overbite
Over jet
Canine
Overbite- 1/3 lower incisor coverage
Overjet - 2-3mm
Class 1 - tip of the upper canine occludes between the lower canine and first pre molar
What are Andrews 6 keys?
Flat curve of spee/ occlusal plane
No rotations
No spaces
Class 1 molar relationship
Correct incisor crown angulation - all angled mesially
Correct crown inclination/tip-incisors angled buccal, labial, molars lingually
What are the three planes of space?
Antero posterior - Skeletal class
Vertical - facial 3rds
Transverse -horizontal ( u an l superior/inferior)
Why do you assess from 3 planes of space?
Cause of malocclusion - Genetic/environmental
To plan a realistic treatment plan
To understand what is important to patient (function/aesthetics)
To assess what is biologically possible - realistic expectations
How does extra oral assessment help in aetiology of malocclusion?
Helps assess cause
Genetic/environmental factors ( birth defects-cleft) Jaw shape ( AP)
Environmental factors- nail biting/pen chewing ( AOB increased LFH)
Crowding - ( Transverse facial assymetry)
Class 1 incisor classification
The lower incisor occludes, or lies below the cingulum plateau of the upper incisor
Class 2 Div 1 incisor classification
The lower incisor occludes posterior to the cingulum plateau of the upper incisor
The upper incisors are proclined
Class 2 Div 2 Incisor classification
The lower incisor occludes posterior to the cingulum plateau of the upper incisor
The upper incisors are retroclined
Class 3 Incisor classification
The lower incisor occludes anterior to the cingulum plateau of the upper incisor
The overbite is a two element definition
Increased /decreased
Complete/ incomplete
What is an increased overbite
The upper incisors cover more than a third of the lower incisors
What is a decreased overbite
The upper incisors cover less than a third of the lower incisors
What is a complete over bite
The lower incisors touch the upper incisors,teeth,roof of mouth, gum
What is an uncomplete over bite
The lower incisors don’t touch the upper incisors,teeth,roof of mouth or gum
What plane of space is an over jet measured
Antero posterior