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Aesthetic Component
Psychosocial impact if malocclusion
- Score 1,2 : none
- Score 3,4 : slight
- Score 5,6, 7 : moderate
Aetiology - Score 8,9,10 : definite
1. Inherited
2. Environmental: habits, caries, trauma
3. Combination
4. Evolutionary trends: decrese in size and
no of teeth, size of jaw
5. Disease of civilisation: reduced use of
masticatory muscles, less proximal wear of
denition
6. Genetic Melting pot: Hawaiian melting
pot, Polynesian, European and oriental
contributors
Angle’s Classification
- Based on first molar
Case 1:
Permanent Denitition
Incisor: Class 2 division 2
Crowding
Snigle tooth crossbite ( 1st premolar)
- Dental Health :
1. Caries
2. Periodontal Health
3. Trauma to anteriors
4. Mastication CASE 3:
5. Speech
Mixed Denitition
6. Impacted teeth
UNILATERAL CROSSBITE
Mandibular primary 1st molar Mesial to upper one
Risk of Othodontic Treatment
1. Demineralisation:
Prevention: Dietary Advice, improve oral
Hygiene, increase availability of fluoride
2. Periodontal Attachent loss:
Prevention: improve oral hygiene, avoid
moving teeth out of alveolar bone
3. Root Resorption:
Avoid treatment in patient with reabsorbed,
blunted or pipette-shaped roots Case 4 :
4. Loss of vitality: Normal
Prevention: if history trauma to incisor,
counsel them
5. Relapse:
Prevention: Avoidance of unstable tooth
positions at end of treatment, retention
Case 5 :
Class 3 angle
Bsi class 3
Case 6:
Mixed Denitition
Openbite
Angle class 1
Most lilkely will become overbite