TRANSIENT

MALOCCLUSIO
NS
 Transient
malocclusions
These are self-correcting malocclusions

encountered during the development of

the dental occlusion, which are normal

for that age.

 TRANSIENT
MALOCCLUSIONS

IN
THE
PREDENTATE PERIOD
 Retrognathic
Mandible
When neonatal jaws are closed, there is
contact only in the posterior region of
the gum pads & the mandible is severely
retruded in relation to the maxilla.
This retrognathia is for the most part
corrected by the increased pace of
forward growth of the mandible as
compared to that of the maxilla seen in
most people.

Although the mandibular deficit (ANB)

may approach 14° at birth, by adulthood
it is reduced to only 2°.
Infantile Swallowing
 The ability to feed from
the breast is present in
the new born child. During
the process of suckling the
nipple is drawn into the
mouth by negative
pressure. The tongue lies
over the lower gum pads &
protrudes between the
nipple & lower lip.
 The milk is directed continuously to the
pharynx by an automatic peristaltic
movement of the tongue & mylohyoid
muscle. During the process, regular
breathing continues. The milk passes
between the faucial pillar & the lateral
channel of the pharynx.

 The infantile swallowing pattern changes

to the mature or adult type during the
first year of life with the introduction of
solid foods in the diet.
 Anterior open bite of the
gum pads
Clinch & Sillman have shown that there is rarely any contact between

the gum pads anteriorly when they are approximated, contact being
found only in the first molar region.

 The open bite is corrected when the primary incisor teeth erupt.
 TRANSIENT
MALOCCLUSIONS
IN
THE
PRIMARY DENTITION
 Anterior Deep Bite
Primary teeth are upright i.e. they have an
almost vertical inclination with an interincisal
angle of about 150° between the maxillary and
mandibular primary central incisors. The
primary incisors generally erupt into a rather
deep overbite.

This deep bite is reduced by the eruption of

the primary molars & attrition of the incisal
edges of the primary anterior teeth.
 Spacing
The primary dentition may classified as
Type I (spaced)
Type II (closed)
- Baume (1950)

Spaces in the primary dentition may be

 generalized (developmental/physiological
spaces) or
 localized (primate spaces)
Primate spaces:

 Spaces found mesial to the primary canine in the

maxilla & distal to the primary canine in the mandible
 So called because most subhuman primates have
these spaces throughout life
 Also known as anthropoid or simian spaces
Significance of spacing
Spacing in the primary dentition is essential
to the normal eruption & alignment of the
larger permanent successors.
Failure of incisor spacing to appear before 5
years of age usually indicates crowding in the
permanent dentition.
Spaces that exist between the primary
molars usually close by the time of eruption
of the first permanent molars, whereas those
between the primary incisors persist until
these teeth are replaced.
 Edge-to-edge bite
At 2 years, the overjet is on average 4 mm, with
a range of 2-6mm. With attrition of the teeth,
lengthening of the ramus & downward & forward
growth of the mandible, the overjet exhibits a
steady decrease up to the age of 5 years, where
an edge-to-edge incisor relationship is common.

This edge-to-edge incisal relationship is

corrected when the permanent incisors erupt.
 Flush terminal plane
When the distal surface of maxillary and
mandibular deciduous second molar are in the same
vertical plane. this is the normal molar relationship
in the primary dentition because the mesiodistal
width of mandibular molar is greater than
maxillary molar.
 TRASIENT
MALOCCLUSION
IN

MIXED DENTITION
PERIOD
 Anterior deepbite

Deepbite because of larger permanent

incisors and shedding of primary molars which
is usually alleviated following exfoliation of
second primary molars.
Crowding in upper and lower
anterior region
After exchange of the canines which is
usually alleviated following exfoliation of
the second primary molars.
 Ugly-Duckling Stage

It is an ugly arrangement of the anterior

teeth which is a merely a temporary phase
during the process of normal development.
Here the developing permanent canines
especially the upper canines cause mesial
displacement of the roots of permanent
incisors around the age of 8 to 9 years.
This cause a distal divergence of crown of
the incisors.
 Initial end-on relationship

It is of the upper and lower first

permanent molars which is later corrected
when the lower first molar moves mesially
by utilizing the physiological spaces.
 TRASIENT MALOCCLUSION

IN

PERMANENT DENTITION
 Increased Overjet

It is the horizontal distance between the

lingual aspect of the maxillary incisors and
labial aspect of mandibular incisors.
During the transition of deciduous
anteriors with the permanent incisors
causes increased overjet beyond 2mm-
3mm.
 Increased Overbite
It is the distance which the incisal edge of the
maxillary incisors overlap vertically past the
incisal edge of the mandibular incisors.
During the transition of deciduous incisors with
the permanent incisors causes increases overbite
2-3mm
 References:-
• Textbook of Pedodontics - Shobha
Tandon-
1st edi. – pg. 113-15
• Orthodontics The Art & Science – S.I.
Bhalajhi – 3rd edi. – pg.129-40