ANALYSIS OF THE DENTITION & OCCLUSION

By

DIAGNOSIS & TREATMENT PLANNING

Debora Priestap, Michelle J. Thornberg, Michael L. Riolo

ANALYSIS OF THE DENTITION & OCCLUSION

From Riolo, M. and Avery, J. Eds., Essentials for Orthodontic Practice, EFOP Press of EFOP, LLC. Ann Arbor and Grand Haven, Michigan, U.S.A., 2003. -BOLTON ANALYSIS -SPACE ANALYSIS -MIXED DENTITION ANALYSIS

CHAPTER 13 Pages 315-370

DENTAL CASTS

DENTAL CASTS

TEETH

-number -size -morphology -position -inclination

DENTAL ARCH

-shape -symmetry -midlines -depth -width

OCCLUSION

-sagittal -vertical -transverse

TEETH

PALATAL VAULT

-number -size -morphology

TEETH SHAPE / SIZE PEG LIKE LATERAL INCISOR

CUSP OF CARABELLI

FACTORS AFFECTING OCCLUSION fusion

peg lateral taurodontia

BOLTON TOOTH RATIO ANALYSIS

BALANCE BETWEEN THE MESIODISTAL DIAMETER

( SIZE )
OF MAXILLARY & MANDIBULAR TEETH

DENTAL CASTS

TOOTH POSITION

TEETH

-position -inclination

First order-labiolingual

TOOTH INCLINATION
Second order-mesiodistal

DENTO ALVEOLAR RELATIONSHIPS

third order-labiolingual-torque

DIFFERENCES BETWEEN BASAL ARCHES AND DENTAL ARCHES

DENTO-ALVEOLAR RELATIONSHIPS

APICAL BASE SIZES VERSUS DENTAL ARCH SIZES

Apical base arch

Alveolar arch

Dental arch

CROWDING CONSTRICTED MAXILLARY ARCH BROAD MANDIBULAR ARCH

CROWDING

SPACING

TOOTH SIZE

10

ARCH CIRCUFERENCE
ARCH PERIMETER

11

CURVE OF SPEE

MIXED DENTITION ANALYSIS -Estimate of the size of permanent canines and premolars -Estimate of the available space in permanent dentition

12

MIXED DENTITION ANALYSIS

mixed dentition

mixed dentition
PANORAMIC RADIOGRAPHIC IMAGE

13

CURVE OF SPEE

14

MOYERS MIXED DENTITION ANALYSIS

DENTAL CASTS

DENTAL ARCH

-shape -symmetry -midlines

15

Bonwill-Hawley Arch Form

Catenary Curve

Brader Arch Form

16

ASYMMETRY SYMMETOGRAPH

17

Asymmetry (ankylosis) Asymmetry (ectopic eruption)

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ASYMMETRY (SPACE

LOSS)

ASYMMETRY (SPACE
LOSS)

Interproximal caries

Early extraction of deciduous teeth

19

DENTAL CASTS ASYMMETRY Midline discrepancy

OCCLUSION

congenittally missing teeth

-sagittal -vertical -transverse

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CLASS I (Angle)

Class II division 1 (Angle)

Class II division 2 (Angle)

sagittal sagittal plane

mixed dentition mixed dentition

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Class III (Angle)

VERTICAL PLANE
DEEP OVERBITE

sagittal
permanent dentition

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VERTICAL PLANE
ANTERIOR OPEN BITE

VERTICAL PLANE open bite malocclusion

midline deviation

asymmetric open bite habit ?

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TRANSVERSE RELATIONSHIP VERTICAL MALOCCLUSION

POSTERIOR OPEN BITE

cross bite

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TRANSVERSE RELATIONSHIP TRANSVERSE RELATIONSHIP posterior bilateral cross bite anterior cross bite

FUNCTIONAL SHIFT

25

TRANSVERSE RELATIONSHIP
large mandibular arch narrow maxillary arch

MORE FACTORS AFFECTING OCCLUSION

CROSS BITE

26

TEETH POSITION & INCLINATION TEETH SIZE / MORPHOLOGY

impacted maxillary canines

impacted third molars small teeth

27

FACTORS AFFECTING OCCLUSION

FACTORS AFFECTING OCCLUSION

supernumerary teeth
agenesis

crowding

28

MIXED DENTITION CROWDING

ASYMMETRY

Factors affecting occlusion

condyle morphology affecting one side

Premature loss of deciduous teeth

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ASYMMETRY

DIGITAL MODELS

hyperplasia of mandible affecting one side

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DIGITAL MODELS

DIGITAL MODELS

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DIGITAL MODELS

DIGITAL MODELS

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DIGITAL MODELS DIGITAL MODELS

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DENTAL CASTS

TEETH

-number -size -morphology -position -inclination

DENTAL ARCH

-shape -symmetry -midlines

PALATAL VAULT

OCCLUSION

-sagittal -vertical -tranverse

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Figure 13-8 Figure 13-71 Figure 13-72

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Figure 13-7

Figure 13-10

Figure 13-11

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FACTORS AFFECTING OCCLUSION fusion

VERTICAL MAXILLARY EXCESS

peg lateral taurodontia

gummy smile short teeth ? upper thin lip

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