INDIVIDUALTOOTHMALPOSITIONS

These are malpositions of individual teeth in respect to adjacent

teeth within the same dental arch. Hence, they are also called
intra-arch malocclusions.
These can be of the following types:
MESIALINCLINATIONORTIPPING
The tooth is tilted mesially, i.e. the crown is mesial to the root
(Fig. 13.1A).

Mesially inclined/tipped central incisors. The long axis of the teeth is depicted in
black, with the midline in white dots

DISTALINCLINATIONORTIPPING
The tooth is tilted distally, i.e. the crown is distal to the root (Fig.
13.1B).

Fig.13.1B:Distally inclined maxillary right lateral

incisor. The long axis is depicted in black, with the ideal inclination of the tooth
depicted by white dots

LINGUALINCLINATIONORTIPPING
The tooth is abnormally tilted towards the tongue (or the palate
in the maxillary arch) (Fig. 13.1C).

Fig.13.1Ci:Palatally inclined maxillary left incisor

Fig.13.1Cii:Lingually inclined mandibular second molars

LABIAL/BUCCALINCLINATIONORTIPPING
The tooth is abnormally inclined towards the lips/ cheeks

(Fig.13.1D).

Fig.13.1D:Labially inclined maxillary

right central incisor

INFRAOCCLUSION
The tooth is below the occlusal plane as compared to other teeth
in the arch (Fig. 13.1E).

Fig.13.1E:Right mandibular Ist premolar in infra-occlusion

SUPRAOCCLUSION
The tooth is above the occlusal plane as compared to other teeth
in the arch (Fig. 13.1F).

Fig.13.1Fii:Maxillary central and

mandibular incisors are supraerupted

Fig.13.1Fii:Maxillary central and mandibular incisors are supraerupted

ROTATIONS
This term refers to tooth movements around the long axis of the
tooth. Rotations are of the following two types:

MesiolingualorDistolabial
The mesial aspect of the tooth is inclined lingually or in other
words, the distal aspect of the crown is labially placed as
compared to its mesial aspect (Fig. 13.1G)

Fig.13.1G:Maxillary central incisors are rotated mesio-palatally

DistolingualorMesiolabial
The distal aspect of the tooth is inclined lingually or in other
words, the mesial aspect of the crown is labially placed as
compared to its distal aspect (Fig. 13.1H)

Fig.13.1H:Maxillary left central incisor is rotated mesio-labially

Transposition
This term is used in case where two teeth exchange places, e.g. a
canine in place of the lateral incisor (Fig. 13.1I).

Fig.13.1I:Transposition of the mandibular right canine with the mandibular right

lateral incisor