Growth Dev 3 Flashcards
Causes for premature teeth loss (5)
Trauma Caries Hypophosphatasia Down Syndrome Chronic mercury poisoning (acrydynia)
Special considerations for loss of anterior teeth?
speech
asthetics
If primary MAX 1M is lost…what will happen:
Before eruption of max permanent 1M
During eruption of max permanent 1M
After eruption of max permanent 1M
Little/no loss of space, no maintainer
Eruption will move primary 2M mesially and lose arch space, need maintainer
Intercuspation of opposing teeth prevent movement, no space maintainer
If primary MAX 2M is lost…what will happen:
Before eruption of max permanent 1M
During eruption of max permanent 1M
After eruption of max permanent 1M
Little/no loss of space, no maintainer
Loss of arch space, need maintainer
Space loss likely b/c no primary 2M to buttress, NEED space maintainer despite intercuspation
If primary MAND 1M is lost…what will happen:
Before eruption of mand permanent 1M
During eruption of mand permanent 1M
After eruption of mand permanent 1M
No space loss, no maintainer
Loss of arch length, maintainer needed.
No loss bc molars in occlusion, no maintainer.
If primary MAND 2M is lost…what will happen:
Before eruption of mand permanent 1M
During eruption of mand permanent 1M
After eruption of mand permanent 1M
No space loss, no maintainer
Space loss bc strong mesial eruptive tendency, need maintainer.
Mesial drift - need maintainer
Loss of max central permanent causes
mesial drift
Loss of mand 1M permament causes (4)
Distal drift of PMs
loss of contact between canine and PMs
mesial drift/tilt of 2M
supra-eruption of max 1M
Loss of max 1M permanent causes (3)
max PMs distal drift, loss of contact
Max 2M mesial drift
supra-eruption of mand 1M
Space between teeth usually closes within?
6mo
Which is more impt: dental or chronological age?
Dental - 3/4 root required for eruption
Tanaka & Johnson analysis equation for mandible?
maxilla?
x/2 + 10.5 mm = predicted width of unerupted canine + PMs
x/2 + 11 mm = predicted width of unerupted canine + PMs
Total available space = ?
Available space = total arch length - x - 2(predicted width)
When to use band and loop space maintainer?
Unilateral loss of primary 1M/2M
Bilateral loss of mand 1M/2M before eruption of permanent lateral –> replace with Lingual Holding Arch (LHA) after permanent laterals erupt
Distal shoe indicated when?
Loss of primary 2M before eruption of permanent 1M
Distal shoe contraindicated when?
rheumatic heart disease
shunts
timing
Nance appliance advantage for mixed dentition?
doesn’t interfere with eruption
Nance appliance indications?
Unilateral 1st and or 2nd primary molars
Bilateral primary molars
LHA indications?
premature loss of 1st or 2nd primary molars AFTER eruption of permanent lat incisors
Enamel decalcification due to space maintainers b/c
loose band