正中牙间隙.pptxVIP

Midline diastema Gopal shah (古巴克） 正中牙间隙 Introduction介绍 Defination定义 Etiology病因 Diagnosis诊断 Management治疗 Conclusion结论 内容 From the beginning of time people have noticed the prominent spaces in their dentitions.从刚开始的时候，人们已经注意到在牙列的显着空隙。 In France, the teeth on either side of a shape or gap are called “dents de Bonheur” or lucky teeth.在法国牙齿两侧的形状或间隙被称为“dents de Bonheur”是幸运的牙齿。 Thus there are wide variation of perception in different culture and ethnic back ground.因此在不同文化和种族背景的观点有很大的差异 。 Maxillary midline diastemas are one of the common complaints encountered.上颌的中线牙间隙是所遇到的常见的主诉之一。 It has been defined as a space greater than 0.5mm between the proximal surface of adjacent teeth.它已被定义为一个大于0.5毫米邻牙的邻面之间的空间。 介绍 Defination of diastema 牙间隙的定义 A space between adjacent teeth is called diastema 相邻牙之间的空隙被称为牙间隙 Definition of midline Diastema正中牙间隙定义 midline Diastema refers to anterior midline spacing between the two central incisors正中牙间隙是指前中线中切牙之间的间隙 Etiology of midline Diastema  1. normal developing dentition正常发展牙列 a. physiologic Diastema/ugly ducking stage 生理间隙 b. ethnic人类学 c. imperfect fusion of midline of premaxilla前颌骨中线的不完全融合 2. tooth material arch length discrepancy牙材料弓长度差异 a. microdontia小牙症 b. macrognathia巨颌症 c. missing lateral 侧切牙缺失 d. peg laterals侧切牙小 e. extracted tooth拔牙 3.Physical impediment.物理因素 a. Retained deciduous 滞留乳牙 b. mesiodens 正中额外牙 c. abnormal labial frenum唇系带异常 d. midline pathology中线病理 正中牙间隙病因 Etiology of midline diastema  4. habits 习惯 thumb sucking 吮指习惯 tongue thrusting 吐舌习惯 5. artificial causes.人为因素 rapid maxillary expansion快速扩张上颌 6. Racial predisposition种族倾向 正中牙间隙病因 1. Normal developing dentition Physiologic diastema/ugly duckling stage.生理间隙 It is a transient or self correcting malocclusion which is seen in the maxillary incisor region between 8-9 years. 在8-9岁之间的错（牙合）是一个短暂的或可以自我矫正的上颌切牙区域 It is particularly seen during the erupting of the permanent canines. 尤其是在恒尖牙萌出期间 As the