T DEVELOPING OCCLUSION T L A N C EL A N C E · to © r i c h a r d i c h a r d the developing...
Transcript of T DEVELOPING OCCLUSION T L A N C EL A N C E · to © r i c h a r d i c h a r d the developing...
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RR I C H A R D I C H A R D YY O O NO O N 11
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
AA T T AA GG L A N C EL A N C E
RR I C H A R D I C H A R D YY O O NO O N 22
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
First transitional periodFirst transitional period
First First intertransitionalintertransitional period period
Birth to the complete primary dentitionBirth to the complete primary dentition
Second Second intertransitionalintertransitional periodperiod
Second transitional periodSecond transitional period
Adult dentitionAdult dentition
SS I X I X SS T A G E ST A G E S
Orderly SequenceOrderly Sequence
RR I C H A R D I C H A R D YY O O NO O N 33
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
Identifiable PeriodsIdentifiable Periods
Continuum of ActivityContinuum of Activity
Quiescent InterludesQuiescent InterludesFirst transitional period
First intertransitional period
Birth to the complete primary dentition
Second intertransitional period
Second transitional period
Adult dentition
SS I X I X SS T A G E ST A G E S
2
RR I C H A R D I C H A R D YY O O NO O N 44
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
SS T A G E T A G E 11
First transitional period
First intertransitional period
Birth to the complete primary dentitionBirth to the complete primary dentition
Second intertransitional period
Second transitional period
Adult dentition
8 mos.8 mos.
00--3 years3 years
RR I C H A R D I C H A R D YY O O NO O N 55
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
First transitional period
First intertransitional period
Birth to the complete primary dentitionBirth to the complete primary dentition
Second intertransitional period
Second transitional period
Adult dentition
SS T A G E T A G E 1 I1 I M M A T U R I T Y M M A T U R I T Y OO F F TT H E H E MM A N D I B L EA N D I B L E
RR I C H A R D I C H A R D YY O O NO O N 66
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
First transitional period
First intertransitional period
Birth to the complete primary dentitionBirth to the complete primary dentition
Second intertransitional period
Second transitional period
Adult dentition
SS T A G E 1T A G E 1
3
RR I C H A R D I C H A R D YY O O NO O N 77
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
SS T A G E T A G E 11 EE R U P T I O N R U P T I O N PP A T T E R N A T T E R N
First transitional period
First intertransitional period
Birth to the complete primary dentitionBirth to the complete primary dentition
Second intertransitional period
Second transitional period
Adult dentition
RR I C H A R D I C H A R D YY O O NO O N 88
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
SS T A G E T A G E 11 R R U L EU L E O O FF F F O U R O U R
RR I C H A R D I C H A R D YY O O NO O N 99
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
First transitional period
First intertransitional period
Birth to the complete primary dentitionBirth to the complete primary dentition
Second intertransitional period
Second transitional period
Adult dentition
SS T A G E T A G E 11
2.5 yrs.2.5 yrs.
4
RR I C H A R D I C H A R D YY O O NO O N 1010
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
First transitional period
First First intertransitionalintertransitional period period
Birth to the complete primary dentition
Second intertransitional period
Second transitional period
Adult dentition
SS T A G E T A G E 2 Q 2 Q U I E S C E N TU I E S C E N T I I N T E R L U D EN T E R L U D E
SpacingSpacingVertical ChangesVertical ChangesVertical RelationshipVertical Relationship
33--6 years6 years
RR I C H A R D I C H A R D YY O O NO O N 1111
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
SS T A G E T A G E 2 F 2 F I R S TI R S T I I N T E R T R A N S I T I O N A LN T E R T R A N S I T I O N A L P P E R I O DE R I O D
SS P A C EP A C E
PP R I M A T ER I M A T E GG E N E R A L I Z E DE N E R A L I Z E D
40 %40 %60 %60 %
RR I C H A R D I C H A R D YY O O NO O N 1212
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
SS T A G E T A G E 2 P 2 P R I M A T ER I M A T E S S P A C E SP A C E S
First transitional period
First First intertransitionalintertransitional period period
Birth to the complete primary dentition
Second intertransitional period
Second transitional period
Adult dentition
5
RR I C H A R D I C H A R D YY O O NO O N 1313
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
SS T A G E T A G E 2 G 2 G E N E R A L I Z E DE N E R A L I Z E D S S P A C E SP A C E S
First transitional period
First First intertransitionalintertransitional period period
Birth to the complete primary dentition
Second intertransitional period
Second transitional period
Adult dentition
RR I C H A R D I C H A R D YY O O NO O N 1414
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
First transitional period
First First intertransitionalintertransitional period period
Birth to the complete primary dentition
Second intertransitional period
Second transitional period
Adult dentition
SS T A G E T A G E 2 V 2 V E R T I C A LE R T I C A L C C H A N G E SH A N G E S
RR I C H A R D I C H A R D YY O O NO O N 1515
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
First transitional period
First First intertransitionalintertransitional period period
Birth to the complete primary dentition
Second intertransitional period
Second transitional period
Adult dentition
SS T A G E T A G E 2 V 2 V E R T I C A LE R T I C A L R R E L A T I O N S H I PE L A T I O N S H I P
6
RR I C H A R D I C H A R D YY O O NO O N 1616
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
SS T A G E T A G E 2 V 2 V E R T I C A LE R T I C A L R R E L A T I O N S H I P SE L A T I O N S H I P S
10%10%30%30%
40/20%40/20%
RR I C H A R D I C H A R D YY O O NO O N 1717
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
First transitional period
First First intertransitionalintertransitional period period
Birth to the complete primary dentition
Second intertransitional period
Second transitional period
Adult dentition++----
SS T A G E T A G E 2 A 2 A P P O S I T I O NP P O S I T I O N & R & R E S O R P T I O NE S O R P T I O N
RR I C H A R D I C H A R D YY O O NO O N 1818
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
K K E Y P O I N T SE Y P O I N T S
Vertical PositioningVertical PositioningSpacingSpacingMolar Terminal PlaneMolar Terminal Plane
7
RR I C H A R D I C H A R D YY O O NO O N 1919
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
First transitional periodFirst transitional period
First intertransitional period
Birth to the complete primary dentition
Second intertransitional period
Second transitional period
Adult dentition
SS T A G E T A G E 3 F 3 F I R S TI R S T E E X C H A N G EX C H A N G E
66--8 years8 years
RR I C H A R D I C H A R D YY O O NO O N 2020
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
SS T A G E T A G E 3 F 3 F I R S TI R S T T T R A N S I T I O N A LR A N S I T I O N A L P P E R I O DE R I O D
RR I C H A R D I C H A R D YY O O NO O N 2121
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
SS T A G E T A G E 3 F 3 F I R S TI R S T T T R A N S I T I O N A LR A N S I T I O N A L P P E R I O DE R I O D
8
RR I C H A R D I C H A R D YY O O NO O N 2222
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
SS T A G E T A G E 3 F 3 F I R S TI R S T T T R A N S I T I O N A LR A N S I T I O N A L P P E R I O DE R I O D
RR I C H A R D I C H A R D YY O O NO O N 2323
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
SS T A G E T A G E 3 F 3 F I R S TI R S T T T R A N S I T I O N A LR A N S I T I O N A L P P E R I O DE R I O D
RR I C H A R D I C H A R D YY O O NO O N 2424
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
SS T A G E T A G E 3 F 3 F I R S TI R S T T T R A N S I T I O N A LR A N S I T I O N A L P P E R I O DE R I O D
9
RR I C H A R D I C H A R D YY O O NO O N 2525
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
SS T A G E T A G E 3 F 3 F I R S TI R S T T T R A N S I T I O N A LR A N S I T I O N A L P P E R I O DE R I O D
LL FF
RR I C H A R D I C H A R D YY O O NO O N 2626
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
SS T A G E T A G E 3 F 3 F I R S TI R S T T T R A N S I T I O N A LR A N S I T I O N A L P P E R I O DE R I O D
Incisor LiabilityIncisor Liability
RR I C H A R D I C H A R D YY O O NO O N 2727
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
SS T A G E T A G E 3 I 3 I N C I S O RN C I S O R L L I A B I L I T YI A B I L I T Y
InterdentalInterdental SpacingSpacing
IntercanineIntercanine Arch WidthArch Width
Anterior PlacementAnterior Placement
10
RR I C H A R D I C H A R D YY O O NO O N 2828
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
First transitional periodFirst transitional period
First intertransitional period
Birth to the complete primary dentition
Second intertransitional period
Second transitional period
Adult dentition
SS T A G E T A G E 3 M 3 M E S I A LE S I A L S S H I F T SH I F T S
RR I C H A R D I C H A R D YY O O NO O N 2929
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
SS T A G E T A G E 3 E 3 E A R L YA R L Y M M E S I A LE S I A L S S H I F T H I F T
66
RR I C H A R D I C H A R D YY O O NO O N 3030
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
SS T A G E T A G E 3 L 3 L A T EA T E M M E S I A LE S I A L S S H I F T H I F T
1111
11
RR I C H A R D I C H A R D YY O O NO O N 3131
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
SS T A G E T A G E 4 Q 4 Q U I E S C E N TU I E S C E N T I I N T E R L U D EN T E R L U D E
First transitional period
First intertransitional period
Birth to the complete primary dentition
Second Second intertransitionalintertransitional periodperiod
Second transitional period
Adult dentition
88--10 yrs.10 yrs.
RR I C H A R D I C H A R D YY O O NO O N 3232
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
First transitional period
First intertransitional period
Birth to the complete primary dentition
Second Second intertransitionalintertransitional periodperiod
Second transitional period
Adult dentition
SS T A G E T A G E 4 L 4 L E E W A YE E W A Y S S P A C EP A C E
0.9 mm0.9 mm
1.7 mm1.7 mm
RR I C H A R D I C H A R D YY O O NO O N 3333
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
SS T A G E T A G E 4 L 4 L E E W A YE E W A Y S S P A C EP A C E
Size DifferentialSize Differential
12
RR I C H A R D I C H A R D YY O O NO O N 3434
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
First transitional period
First intertransitional period
Birth to the complete primary dentition
Second Second intertransitionalintertransitional periodperiod
Second transitional period
Adult dentition
SS T A G E T A G E 4 G 4 G A B L EA B L E E E F F E C TF F E C T
RR I C H A R D I C H A R D YY O O NO O N 3535
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
First transitional period
First intertransitional period
Birth to the complete primary dentition
Second intertransitional period
Second transitional periodSecond transitional period
Adult dentition
SS T A G E T A G E 5 L 5 L A S TA S T E E X C H A N G EX C H A N G E
1010--12 yrs.12 yrs.
RR I C H A R D I C H A R D YY O O NO O N 3636
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
First transitional period
First intertransitional period
Birth to the complete primary dentition
Second intertransitional period
Second transitional periodSecond transitional period
Adult dentition
SS T A G E T A G E 5 C 5 C U S P I D SU S P I D S
13
RR I C H A R D I C H A R D YY O O NO O N 3737
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
First transitional period
First intertransitional period
Birth to the complete primary dentition
Second intertransitional period
Second transitional periodSecond transitional period
Adult dentition
SS T A G E T A G E 55
RR I C H A R D I C H A R D YY O O NO O N 3838
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
SS T A G E T A G E 5 S 5 S E C O N DE C O N D T T R A N S I T I O N A LR A N S I T I O N A L P P E R I O DE R I O D
RR I C H A R D I C H A R D YY O O NO O N 3939
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
SS T A G E T A G E 66
First transitional period
First intertransitional period
Birth to the complete primary dentition
Second intertransitional period
Second transitional period
Adult dentitionAdult dentition FunctionalFunctionalEstheticEstheticStableStable
1212--20 yrs.20 yrs.
14
RR I C H A R D I C H A R D YY O O NO O N 4040
TTHE HE DDEVELOPING EVELOPING OOCCLUSIONCCLUSION ©©
K K E Y P O I N T SE Y P O I N T S
First First First intertransitionalintertransitionalintertransitional period period period
Birth to the complete primary dentitionBirth to the complete primary dentitionBirth to the complete primary dentition
Second Second Second intertransitionalintertransitionalintertransitional periodperiodperiod
Second transitional periodSecond transitional periodSecond transitional period
Adult dentitionAdult dentitionAdult dentition
Normal Molar RelationshipNormal Molar Relationship
Early Early MesialMesial Shift of Permanent MolarsShift of Permanent Molars
Late Late MesialMesial Shift of Permanent MolarsShift of Permanent Molars
Incisor LiabilityIncisor Liability
Normal Normal IncisalIncisal RelationshipsRelationships
DefinitionsDefinitions
Eruption Eruption SequenceSequence
Molar Molar RelationshipsRelationships
PercentagesPercentages
First transitional periodFirst transitional periodFirst transitional period