儿童牙医经典教学：牙合生长发育-七年制.pptVIP

1.1 development of first permanent molar Dental germ(牙胚) begined to form（embryo3-4M） Dental crown begined to calcify（birth） Dental crown calcification attained （2-3y） Tooth begined to erupt（6-7y） Dental root completed（9-10y） 1.2 Eruption of first permanent molar Pathway of eruption and occlusion establishment of first permanent molar 1.3 Occlusal relation of first permanent molar Mesial type of terminal plane (14%) neutrocclusion relation Vertical type of terminal plane(76%) Physiological space neutrocclusion relation No physiological space Leeway space neutrocclusion relations Distal type of terminal plane(10%) distal occlusion relations（majority） neutrocclusion relation（minority） 2. The exchange of incisors Inter dental spaces in the primary incisor area Increase of inter canine width Increase of anterior length in the dental arch change of tooth axis of incisors ugly duckling stage 2.2 Increase of inter canine width distance between tip of bilateral primary or permanent canine 2.3 Increase of anterior length in the dental arch Dental arch grow ahead Maxilla 1.4mm Mandible 0.1mm Permanent incisors labially shift: 2~3mm 2.4 change of tooth axis of incisors 150o 123o Detal arch circumference increase 2.5 ugly duckling stage Temporary malocclussion (79%) Incisor erupt distal Center space（正中间隙 ） Lower incisor crowding phenomenon Maxilla: (2-2)-(B-B)= 7mm Mandible: (2-2)-(B-B)= 5mm 3. lateral teeth group replacement Lateral teeth group (canines, premolars) 9Y begin to replace 12Y replacement attained Leeway space Replace sequence of lateral teeth Space analysis 3.1 Leeway space(剩余间隙) The difference between the combined mesiodistal widths of the deciduous cuspids and molars and their successors -- help to alleviate the incisor crowding adjust molar relationship Leeway space=(C+D+E)-(3+4+5) Maxilla:0.