下颌骨的生长发育〖精品课件〗.pptVIP

提问与解答互动时间 Three ways a Class I molar relationship can develop: Mesial step terminal plane: permanent molars erupt directly into a Class I relationship. Straight(Flush) terminal plane: erupting lower first permanent molars may give mesial force moving lower second primary molars forward to allow a Class I molar relation. (iii) Late mesial shift of a straight terminal plane. -most common way that a Class I molar relation results. -permanent molars erupt end-to-end. -because of dimensional differences between the primary and permanent 3,4 and 5(Leeway space of Nance), after exfoliation of the primary teeth the lower first permanent molars move mesially into a Class I occlusions. 替牙间隙(Leeway　space) =(C+D+E)─(3+4+5) 上颌单侧约0.9mm 下颌单侧约1.7mm 替牙间隙(Leeway　space) On the average, the combined width of the mandibular deciduous canine and first and second deciduous molars is 1.7 mm greater than the permanent successors. The deciduous versus permanent tooth dimension for the comparable maxillary arch segment is only 0.9mm. Mesial drift is consequently greater in the mandibular arch, often compensating for a flush terminal plane. “Leeway space” in maxillary and mandibular arches, as described by Nance. If a child has a flush terminal plane molar relationship early in the mixed dentition, about 3.5 mm of movement of the lower molar forward relative to the upper molar is required for a smooth transition to a Class I molar relationship in the permanent dentition. About half of this distance must be supplied by differential growth of the lower jaw, carrying the lower molar with it. the other half can be obtained from the leeway space, which allows greater mesial movement of the mandibular than the maxillary molar. Eruption of the permanent teeth First molars followed almost immediately by lower central incisors and thenlateral incisors. Mandibular incisors development lingual to the resorbing roots ot the primary incisors, the primary incisors being moved la