Malocclusion Classification Quiz
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Questions and Answers

Which of the following is NOT a type of intra-arch malocclusion?

  • Skeletal Malocclusion (correct)
  • Abnormal Inclinations
  • Displacement
  • Rotation
  • What does a buccal inclination refer to?

  • Tilting of the tooth crown towards the cheek side (correct)
  • Tilting of the tooth crown away from the midline
  • Tilting of the tooth crown towards the tongue side
  • Tilting of the tooth crown towards the midline
  • Which of the following is NOT a type of displacement?

  • Distal Displacement (correct)
  • Mesial Displacement
  • Buccal Displacement
  • Lingual Displacement
  • Which of the following is NOT a common type of intra-arch malocclusion?

    <p>Abnormal Eruptions (A)</p> Signup and view all the answers

    Which of the following best describes the definition of rotation in the context of intra-arch malocclusion?

    <p>The movement of a tooth around its long axis (B)</p> Signup and view all the answers

    Which of these conditions involves changes in the position of the tooth crown and root?

    <p>Displacement (B)</p> Signup and view all the answers

    What is the difference between mesial and distal inclination?

    <p>Mesial inclination refers to tilting towards the midline, while distal refers to tilting away from the midline. (A)</p> Signup and view all the answers

    Which of the following is an example of an inter-arch malocclusion?

    <p>An overbite where the upper incisors significantly overlap the lower incisors. (D)</p> Signup and view all the answers

    What characterizes Type 1 of Angle's Class I modification?

    <p>Crowded maxillary anterior teeth (C)</p> Signup and view all the answers

    In canine relationship classification, what does Class II indicate?

    <p>Maxillary canine occludes anterior to the embrasure between the lower canine and first premolar (A)</p> Signup and view all the answers

    What is the primary focus of Andrews' six keys?

    <p>Identification of key features for ideal occlusion (A)</p> Signup and view all the answers

    Which of the following describes Type 4 of Angle's Class I modification?

    <p>Incisors in normal alignment with posteriors in cross bite (D)</p> Signup and view all the answers

    How does the Ackerman-Profitt classification system categorize malocclusions?

    <p>In three planes of space with severity indication (C)</p> Signup and view all the answers

    Type 3 of Angle's Class I modification is characterized by:

    <p>Maxillary incisors in cross bite (A)</p> Signup and view all the answers

    What does Class III in canine relationship indicate?

    <p>Maxillary canine occludes posterior to the embrasure between lower canine and first premolar (C)</p> Signup and view all the answers

    What best describes Type 5 of Angle's Class I modification?

    <p>Molars in mesio-version due to early loss of incisors (A)</p> Signup and view all the answers

    What characterizes class II - Division 1 malocclusion?

    <p>Protrusion of the upper incisor (B)</p> Signup and view all the answers

    Which of the following statements about infra/supraversion is true?

    <p>It occurs when a tooth's eruption is below the rest of the arch. (C)</p> Signup and view all the answers

    What is the definition of overjet?

    <p>The horizontal overlap of the incisors. (D)</p> Signup and view all the answers

    Which plane of malocclusion does Angle's classification primarily consider?

    <p>Sagittal plane (D)</p> Signup and view all the answers

    What is a drawback of Angle's classification?

    <p>It relies on the position of first permanent molars as fixed points. (C)</p> Signup and view all the answers

    How is a buccal crossbite characterized?

    <p>Upper teeth positioned buccally to lower teeth. (A)</p> Signup and view all the answers

    What defines a deep bite in dental terms?

    <p>Vertical overlap of the upper incisors over the lower incisors. (C)</p> Signup and view all the answers

    What does transposition in dentistry refer to?

    <p>Two teeth exchanging positions. (B)</p> Signup and view all the answers

    Flashcards

    Intra-arch Malocclusion

    Malocclusions involving only one dental arch, such as the upper or lower set of teeth.

    Abnormal Inclinations

    A type of intra-arch malocclusion where a tooth is tilted abnormally, often in a specific direction.

    Buccal Inclination

    A tooth is tilted towards the cheek side. (Labial for front teeth, Buccal for back teeth).

    Lingual Inclination

    A tooth is tilted towards the tongue side. (Palatal for upper teeth, Lingual for lower teeth).

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    Displacement

    A tooth is shifted or moved bodily to a new position in the mouth.

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    Buccal Displacement

    A tooth is moved bodily towards the side of the mouth.

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    Lingual Displacement

    A tooth is moved bodily towards the tongue side.

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    Rotation

    A tooth is twisted or rotated around its long axis.

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    Transposition

    When two teeth have swapped positions in the mouth.

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    Infra/Supraversion

    A tooth that is positioned above or below its normal level of occlusion compared to other teeth in the arch. This is due to the speed of its eruption.

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    Molar Relationship

    Describes the relationship between the upper and lower molars.

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    Class II Malocclusion

    A type of malocclusion where the upper jaw is too far forward, resulting in the upper incisors being too far ahead of the lower incisors.

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    Class III Malocclusion

    A type of malocclusion where the lower jaw is too far forward, resulting in the lower incisors being too far ahead of the upper incisors.

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    Overjet

    The horizontal overlap of the incisors. A normal overjet is 2-3 mm.

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    Overbite

    The vertical overlap of the incisors.

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    Transverse Plane Malocclusion

    A type of malocclusion where the upper and lower dental midlines are not aligned.

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    Dewey's Modification Type 1

    Angles Class I malocclusion with crowded maxillary anterior teeth.

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    Dewey's Modification Type 2

    Angles Class I malocclusion with maxillary incisors proclined (leaning forward).

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    Dewey's Modification Type 3

    Angles Class I malocclusion with maxillary incisors lingually positioned relative to mandibular incisors (crossbite).

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    Dewey's Modification Type 4

    Molars and/or premolars are in buccal or lingual version (crossbite), but incisors and canines are in normal alignment.

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    Dewey's Modification Type 5

    Molars are mesially positioned due to early loss of incisors.

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    Canine Relationship Classification

    A classification system used to describe the relationship between the maxillary and mandibular canines.

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    Canine Class I

    Maxillary canine occludes in the embrasure between the lower canine and first premolar.

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    Canine Class II

    Maxillary canine occludes anterior to the embrasure between the lower canine and first premolar.

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    Study Notes

    Malocclusion Classification

    • Malocclusion is the description of dentofacial deviations based on a common characteristic.
    • Malocclusions are broadly categorized into three types: intra-arch, inter-arch, and skeletal.
    • Intra-arch malocclusions involve misalignment of teeth within the same arch (maxillary or mandibular).
    • Inter-arch malocclusions involve misalignment of teeth in both the maxillary and mandibular arches.
    • Skeletal malocclusions involve underlying skeletal structures.

    Intra-arch Malocclusions

    • Intra-arch malocclusions refer to tooth misalignment within a single dental arch. 
    • This includes abnormal tooth inclinations, displacement, rotation, transposition, or abnormal positioning.
    • Subtypes include: inclination (labial/buccal, lingual/palatal, mesial, distal), displacement (labial, lingual, mesial, distal), rotation (mesiolingual, distolabial, distolingual, mesiolabial), and transposition.
    • Supraversion and infraversion are also forms of tooth misplacement.

    Abnormal Inclinations

    • Abnormal inclinations describe the tilting of a tooth crown in one of four directions.
    • Buccal inclination refers to labial (anterior) or buccal (posterior) tilting of the crown.
    • Lingual inclination refers to palatal (maxillary) or lingual (mandibular) tilting.
    • Mesial inclination tilts the crown towards the midline.
    • Distal inclination tilts the crown away from the midline.

    Displacement

    • Displacement involves the tooth's bodily movement in a certain direction to occupy an abnormal location.
    • Buccal displacement involves movement in the labial/buccal direction.
    • Lingual displacement involves movement in the lingual direction.
    • Mesial displacement involves movement towards the midline.
    • Distal displacement involves movement away from the midline.

    Rotation

    • Rotation involves the tooth's movement around its long axis.
    • Two types of rotations are mesiolingual (distolabial) and distolingual (mesiolabial) .

    Transposition

    • Transposition is when two teeth switch places in the arch.

    Infra/Supraversion

    • Infraversion occurs when a tooth does not reach the normal occlusion level due to eruption rate.
    • Supraversion occurs when a tooth erupts above the normal occlusion level.

    Interarch Malocclusions

    • Sagittal plane, transversal plane, and vertical plane are involved in the description of interarch malocclusions.
    • Molar relationship:
      • Neutroclusion (Class I): normal relationship between the maxillary and mandibular first molars.
      • Distoclusion (Class II): the maxillary first molar is mesially positioned in relation to its mandibular counterpart.
      • Mesioclusion (Class III): the maxillary molar is distally positioned in relation to its mandibular counterpart.
    • Canine relationship: This analysis also aids in classifying malocclusions along the anteroposterior plane.
    • Incisor relationship:
      • Overjet: horizontal overlap of upper and lower incisors, typically 2-3mm.
      • Excessive Overjet: over 3mm overlap.
      • Edge to edge: incisal edges of upper and lower incisors are in contact without overjet.
      • Anterior crossbite: anterior teeth of one arch are located behind the teeth of the other arch.
    • Overbite: vertical overlap of incisors, normal range of overlap is typically determined.
    • Deep bite: Excessive vertical overlap.
    • Open bite: Reduced or lacking vertical overlap.

    Transverse Plane Malocclusions

    • Upper and lower dental midlines describe malocclusions in the transverse plane.
    • Buccal and lingual crossbites are two examples of the different types of malocclusions.

    Skeletal Malocclusions

    • Skeletal malocclusions involve underlying bone structure issues:
      • Sagittal plane malocclusions (prognathic/retrognathic jaws)
      • Vertical plane malocclusions (open/deep bite)
      • Transverse plane malocclusions (skeletal crossbites/scissors bite).

    Angle's Classification

    • Angle's classification categorizes malocclusions based on the mesio-distal relationship of permanent first molars.
    • The maxillary first molar is considered a fixed reference point.
      • Class I: normal molar relationship.
      • Class II: the maxillary molar is mesially positioned relative to the mandibular first molar.
      • Class III: the maxillary molar is distally positioned relative to the mandibular first molar.
    • Class II can be further categorized into divisions (1 or 2) based on incisor position (protrusions or retrusion).

    Dewey's Modification of Angle's Classification

    • Dewey's modifications address some shortcomings of Angle's classification scheme:
      • Includes types considering overcrowded/proclined/linguoversed anterior teeth and molars.

    British Standards Institute Incisor Classification

    • Describes malocclusions based on incisor position relative to the cingulum plateau, categorizing as Class I, II, or III.

    Andrews' Six Keys

    • Andrews analyzed "ideal" occlusions to identify six key characteristics: molar relationships, incisor inclinations, absence of spaces and rotations, and a flat curve of Spee.

    Ackerman-Proffit System

    • Akerman and Proffitt created a comprehensive classification system examining malocclusion in all three planes (sagittal, transversal, vertical) to quantify severity.

    Classification by Dentosfacial Traits

    • Comprehensive analysis of five aspects (dentofacial appearance, alignment, anteroposterior, transverse, and vertical traits) aids in classifying malocclusions.

    Canine Relationship

    • Canine relationship, which is the position of maxillary permanent canines in reference to lower canine/first premolar embrasures, is another method of describing malocclusion.

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    Related Documents

    Malocclusion Classification PDF

    Description

    Test your knowledge on the classification of malocclusions, focusing on intra-arch, inter-arch, and skeletal types. Delve into the specifics of tooth misalignment, including various subtypes and their characteristics. This quiz is essential for understanding dental deviations.

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