#3 Space Analysis and Cephalometrics Flashcards

1
Q

Define “Space Available.”

A

mesial of permanent 1st molar to mesial of contralateral permanent 1st molar

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2
Q

Define “Space Required.”

A

Mesiodistal width of all teeth

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3
Q

What are the 2 assumptions that are principles of space analysis?

A

1) The AP position of the incisors is correct (crowding vs. protrusion)
2) The space available will not change because of growth (less valid in children with skeletal problems)

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4
Q

In mixed dentition, how do we estimate crowding/spacing for unerupted teeth?

A

1) Measurement of teeth on radiographs
2) Estimation from proportionality tables
3) Combination of the above

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5
Q

What 2 tables can be used to estimate the proportionality of mixed dentition?

A

1 - Moyer’s: Measure total width of permanent mandibular incisors, use table to predict width of permanent canines and premolars
2- Tanaka/Johnston:
– One half the width of permanent mandibular incisors + 10.5 mm = estimated width of mandibular canines and premolars in one quadrant
– One half the width of permanent mandibular incisors + 11.0 mm = estimated width of maxillary canines and premolars in one quadrant

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6
Q

How to you calculate space availability in mixed dentition?

A

– Measure mesial of permanent 1st molar to mesial of permanent 1st molar
– Divide into 4 segments
– Add together, this is space available

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7
Q

How do you calculate space required in mixed dentition?

A

1 - Measure the mesiodistal widths of the incisors (Mx/Md)
2 - Width of lower incisors + 21 = estimated size of mandibular canines and premolars
– Width of lower incisors + 22 = estimated size of maxillary canines and premolars
3 - Add incisor width + estimated size of premolars and canines (for either Mx or Md)
– This is space required
– Compare with space available for arch length discrepancy

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8
Q

How to you calculate space availability in permanent dentition?

A

– Measure mesial of permanent 1st molar to mesial of permanent 1st molar
– Divide into 4 segments
– Add together, this is space available

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9
Q

How to you calculate space required in permanent dentition?

A
  • Measure mesiodistal width of each tooth
    – Add together, this is space required
    – Compare with space available for arch length discrepancy
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10
Q

What is SNA?

A

Relative AP position of Maxilla

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11
Q

What is SNB?

A

Relative AP position of Mandible

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12
Q

What is ANB?

A

ANB(= SNA-SNB), Relation of Max to Mand

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13
Q

What is a Steiner Analysis?

A

•relates the A-P position of the maxilla and mandible to the cranial base and to each other

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14
Q

What is the mean SNA?

A

82° +/- 2

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15
Q

If SNA is > mean, then what?

A

protrusive maxilla

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16
Q

If SNA is

A

retrusive maxilla

17
Q

What is the mean SNB?

A

80° +/- 2

18
Q

If SNB is > mean, then what?

A

protrusive mandible

19
Q

If SNB is

A

retrusive mandible

20
Q

What is the mean ANB?

A

2° +/- 2

21
Q

If ANB is > mean, then what?

A

Class II tendency

22
Q

If ANB is

A

Class III tendency

23
Q

What is the mean MP?

A

21.9° +/- 3.2 (range 17-28°)

24
Q

What does high MP mean?

A

unfavorable hyperdivergent pattern

25
Q

What does low MP mean?

A

hypodivergent pattern

26
Q

What are the 2 vertical proportions?

A

1 - MP (Mandibular Plane)

2 - % Face Height

27
Q

What is the growth direction?

A

Y - Axis

28
Q

What is Upper Incisor Position relative to?

A

Face Height

29
Q

What is Lower Incisor Position relative to?

A

Mandibular Plane