Angle's Classification System Overview
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Questions and Answers

Describe Angle's Classification System.

Based on molar relationship. MB cusp of UM articulates with the buccal groove of the LM and constitutes a Class I. Canine relationship: UC articulates between LC and LP1. Ignores skeletal/muscular effects.

What is another term for Class I occlusion?

Neutroocclusion

What is Class I malocclusion?

Class I malocclusion has the normal molar relationship but the incorrect line of occlusion.

Normal occlusion is an exact point of occlusion that not many of the population possess.

<p>False</p> Signup and view all the answers

In Dewey's sub classification system, Dewey recognized molar drift - and suggested that molars must be placed back in their correct positions.

<p>True</p> Signup and view all the answers

Specify what the following types of Dewey sub classifications represent:

<p>Dewey Type 1 = Anterior crowding Dewey Type 2 = Anterior protrusion Dewey Type 3 = Anterior cross bite Dewey Type 4 = Posterior cross bite Dewey Type 5 = Molar mesial drift</p> Signup and view all the answers

Match the following extensive classifications of Class I malocclusion:

<p>Type 1 = Anterior crowding Type 2 = Posterior crowding (mesial shift) Type 3 = Anterior spacing Type 4 = Posterior spacing Type 5 = Anterior proclination Type 6 = Anterior retroclination Type 7 = Anterior openbite Type 8 = Posterior openbite Type 9 = Anterior deepbite Type 10 = Anterior crossbite Type 11 = Posterior crossbite Type 12 = Bimaxillary protrusion</p> Signup and view all the answers

What is another name for Class II malocclusion?

<p>Distocclusion</p> Signup and view all the answers

In Class II malocclusions, there can be full cusp, 1/2, or 1/4 cusp Class II.

<p>True</p> Signup and view all the answers

What are the two divisions of Class II malocclusions?

<p>Division 1: Maxillary incisor proclination; Division 2: Maxillary incisor retroclination or protrusion of lateral incisors with central incisor retroclination.</p> Signup and view all the answers

What is Class III malocclusion?

<p>Forward positioning of the mandibular dentition in relation to the maxillary; edge-to-edge bite or negative overjet.</p> Signup and view all the answers

What are the skeletal cephalometric requirements for Class 1?

Signup and view all the answers

Adult mandibular arch has more space than maxillary arch.

<p>True</p> Signup and view all the answers

Probability tables to determine space for unerupted teeth are used.

<p>True</p> Signup and view all the answers

Dental arches are getting smaller in size, despite children getting physically larger.

<p>True</p> Signup and view all the answers

What eruption theory involves the tooth being propelled upward by various factors?

<p>Pressure theories</p> Signup and view all the answers

What is the difference between primate space and Leeway space?

<p>Primate space is associated with the canines while Leeway space refers to additional space behind primary molars.</p> Signup and view all the answers

Leeway space is ___ mm/side in maxilla and ___ mm/side in mandible.

<p>1.3 mm/side in maxilla; 3.1 mm/side in mandible</p> Signup and view all the answers

Primary canine roots stimulate vertical alveolar growth.

<p>False</p> Signup and view all the answers

What does molar shift during the permanent dentition refer to?

<p>Molar shift refers to the mesial drift and anterior component of force during the achievement of permanent dentition.</p> Signup and view all the answers

What are Andrew's Six Keys of Normal Occlusion?

<p>Class I molars, crown angulation, crown torque, no rotated teeth, tight contacts, flat curve of Spee.</p> Signup and view all the answers

What is the ugly duckling stage?

<p>Spaced incisors; primary spacing.</p> Signup and view all the answers

Study Notes

Angle's Classification System

  • Class I molar relationship: MB cusp of upper molar (UM) articulates with buccal groove of lower molar (LM).
  • Canine relationship in Class I: Upper canine (UC) articulates between lower canine (LC) and lower first premolar (LP1).
  • Excludes skeletal and muscular factors in occlusion assessment.
  • Despite limitations, widely used in orthodontic classification.

Class 1 Occlusion

  • Also referred to as Neutroocclusion, indicating a normal occlusal relationship.

Class I Malocclusion

  • Defined by the normal molar relationship, but an improper line of occlusion.

Normal Occlusion

  • Classified as a range, not a singular point, balancing subjective and objective diagnostics.

Dewey Subclassification System

  • Recognizes molar drift; emphasizes repositioning molars to correct spaces.
  • Dewey Types:
    • Type 1: Anterior crowding
    • Type 2: Anterior protrusion
    • Type 3: Anterior crossbite
    • Type 4: Posterior crossbite
    • Type 5: Molar mesial drift

Extensive Classification of Class I Malocclusion

  • Types 1-12 cover various crowding, spacing, inclination, and bite characteristics:
    • Type 1: Anterior crowding
    • Type 2: Posterior crowding
    • Type 3: Anterior spacing
    • Type 4: Posterior spacing
    • Type 5: Anterior proclination
    • Type 6: Anterior retroclination
    • Type 7: Anterior openbite
    • Type 8: Posterior openbite
    • Type 9: Anterior deepbite
    • Type 10: Anterior crossbite
    • Type 11: Posterior crossbite
    • Type 12: Bimaxillary protrusion

Class II Malocclusion

  • Also called Distocclusion, characterized by upper dentition positioned forward relative to lower dentition.
  • Can manifest as full, half, or quarter cusp Class II situations.
  • Divisions of Class II:
    • Division 1: Maxillary incisors proclined.
    • Division 2: Maxillary incisors retroclined or lateral incisors protruded with central incisor retroclined.
    • Subdivisions: Unilateral Class II molars.

Class III Malocclusion

  • Defined by mandibular dentition positioned forward relative to maxillary, characterized by edge-to-edge bite or negative overjet.
  • Includes True Class III (skeletal) and Pseudo Class III (muscular).

Simon System

  • A comprehensive system examining occlusion in the sagittal, transverse, orbital, and Frankfurt planes.

Lischer's Nomenclature

  • Classification of tooth positions using terms such as mesioversion and distoversion.

Aetiological Classification

  • Categorizes malocclusions based on osseous, muscular, and dental factors.

Diagnostic Classification of Malocclusion

  • Involves evaluating facial proportions, dental arch alignment, and skeletal/dental relationships.

Measurement Techniques

  • Overbite measured in mm or percentage with appropriate tools.
  • Overjet signifies the horizontal distance, while overbite indicates vertical overlap between incisal edges.

Types of Crossbites

  • Defined as variations based on occlusal relationships, including edge-to-edge and lingual non-occlusion.

Andrew's Six Keys of Normal Occlusion

  • Specifies conditions for optimal occlusion:
    • Class I molars
    • Crown angulation and torque
    • Absence of rotated teeth
    • Tight contacts
    • Flat Curve of Spee

Space Considerations

  • Primate spacing occurs mesial to upper canines and distal to lower canines; important for dental arch development.
  • Leeway space results from primary molar replacement by smaller premolars, providing additional arch space.
  • Loss of Leeway space can occur due to early primary tooth extractions or caries.

Eruption and Growth Theories

  • Pressure and traction theories explain tooth eruption processes influenced by biological and environmental factors.
  • Molar shifts during permanent dentition succession involve anterior force and space adaptation for interdigitation.
  • Eruption patterns of maxillary and mandibular teeth follow specific sequences.

Evolutionary Aspects

  • Dental arch evolution relates to growth patterns, arch size adjustments, and the coordination of occlusion and aesthetic functions.

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Description

This quiz delves into Angle's Classification System, focusing on the molar and canine relationships and their implications in dental assessment. Understand the nuances of Class I classification based on molar relationships, and explore how this system, despite its limitations, remains prevalent in practice.

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