You are on page 1of 19

'

T -
-
t

; n +n \ l 1\ u m 11 l p r \ 1p t 1o n \ * q \ 1o n c 1 o f p r \m 1 w \ * · \ h \ M .p m w l c * .n \ n e

\ r

'
a R r f o r F th r 1· l e r a 1 t n c l\ t l r 1
, K

b Q¢ ! o æ< h ¢ 1 1 r L mQB u 11 ' 1 \ c A

A ft e t t h e f in t m o l· r

t l A ft e r t h e w c o n d m o l1 r ,

e N o n e o f th e a bo v e

23 1t he e r u p t io n o f p e r m a n e n t t o o t h 1n c a s« - \ \· l i e r S ve i 1r \ o l

) o f p r im a r y t o o t h w i 1i r e s u l t 1n s " ' ' "


. -
a g e

N o c ha n ß e in t im e o f e r u p t io n
a

a r By e - d mr mETi T4 n t c § <h

f pe r m a n e n t te eth
c d e la y e d e r u p t io n o

A c la ss Bi m a lo c c lu s io n
d
\ n e \ s c a He d
t h e r p r \ m a w l a t e r a \ \n c iso r 1 n d c a n
t he spa c e be tw e e
n e u pp
\ 2
n i n e \ s c a \\ e
d
w h il e t h e s p a c e
d i s t a l t o t h e p r i m a r y \o w e r c a
t h e le e w a y s p a c e

fre e w a y s pa c e

bo t h - e ot s æ
ta te m e nt s a re t ru e
a Bo t h s

d t he se c o n d is t ru e
f ir s t tat e m e n t s is f a l s e a n
c the s

d the se c o n d \s f a \s e
tem en t s is t ru e a n
d Th e f i r s t st a

Scanned by CamScanner
,
' 25 .
'
Th e u a l y d u c k Bi n « bt a ae o f dnt l t i on 1n
d ï· ste m « U S in c h ild I1 c o r r
g bo n ds a n d e 1a l t l c s · t t * ¢1 b
¥ d 4»
w hile Bh t \h·
i« h t t e r m i n a SP· c e d
stra H !
a l p Ba n e a c l1 1 1 1p e r m
rn ·
F d· n t H Bo n w im 1
a n e n t m o ta r re l1 t io n m lp h « m w
· d br

a Bo t h s t a t e m e n ts a r
e tru e
b Bo t h sl 1 te m e
n t $ 1 r 1 f · \$ *
c firs t st a te m e n t s ls t r u e a n d se c o n d ls f a l s e

- n t s l$ fa lse
m sç ç o n D \$ t r u e
(

26 a c h ild p re se n t s w it h e x t r e m
g o p e n b it e w it h
o n ly t h e f i r s t
la f t h e tw pe rm an e n t
m o r s o o a rc he s ïn co n t a ct ; the be st c o u r se o f a c t io n i$ to

. x t r ac t t h e t ee t h i n co n t a c t t o al l ow
t he
E
r em a i ni ng te e t h t o co n t a c t

b Ba n d t he m o la r s a n d p la c e e la s t ic s

c r e fe r t h e c h ild t g a n or t hi st t

t h e f o l lo w i n g a r e e x t r e m e s o f p a r e n t a l i n f l u e t ia l a tm de$
n u e xce pt

e f i n i t i rm i t im b e h a v b o v e r« He c t i o n

c u n de rî a f f e c t io n // d ov er p r o t e c t io n

e . o ve p i n d u lg e nce B Á f o v e r a n x ie t y dB

t h o r it y i B
-
h j
Re e c t h n /
g .
o v e r a u

at w h ic h t o o t h d is p l a c e m e n t p c cu r s m o st f r e q u e n t v ls in f\u e n c e d t
a ge

a Th e d e g r e e o f c a l c i f i c a t i o n o f t he ce m en tu m
.

b Th e d e g r e e o f c a lc l f i c a t i o n o f t h e de n t i n
.

d t he de g r e e o f d e v e lo p m ent o f t he c ro w n
,

e N òn o f il b o v e
Scanned by CamScanner
1

B 1 i n d ic a t io n o l s p a t a n \ \
a n t · In e r

C
J W h e n a se c o n d a p r im a r y n \ o \a r \\ \o \ \

b ïn c a se o f c o n « e n t t a 11 m i
y l s in g s e c o n d
p re t n o \* r

c e a r ly lo ss o f a n t e r io r p r im a r
y te e th

d w he n lo s s o f f ir s t p e r m a n e n t m o \a
r o cc u r f
\n e a t \¥ h 1i1
1 c

e Tñ ¢l i t he a bo w
.

ì D is a g a n g ge s a ss o c ia t e d w it h t h e e x t r a c \ n o f d e c l - \ ca n \n e 1

ib le li n g u a l t ip p in g o f lo w e r i n c is o r * - T
c po ss

d Dld t h e a b o >v e

No n e o f t he a bo v e
e

t in u e d b e fo r e p e ï m an e n \ t eet h
if t h e t h u m b su c k i n g h a b it i s d i s c o n

(
& úp t
en t d th e t e e th
o c坐困 the a !i g F m
a No a l a ma g g
c r \u s io n o t M e t e e eh
the a li gn m e n t o r o
o ccu rs t o
þ Resi dual damage
f t he t ee t h resu lt s
d i s p la c e m e nt o
c

pt io n o ccu rs
o f t he n o rm al e ru
d In b i b i t i o n
, ' "
H
e .
No n o f t he a bo v e ,
T .
n

Scanned by CamScanner
,
r

a b e f o r s t h e 1) e r n i a n 1ï n \ r n a 1w l \b u \n ï \n m \ o r b n n \ \ n e 1u p\
b A ft e r t h r p e r m a n e n t m * 1 \ 1b r * ç ¢\ n t r · \ \ Bk w o ' " we · 1n t u e m M
c a f te t t h e p e r 1n a n e r i t m u 1\ a 冒v
n b i e r · \ \n c \\ o r: m t 1D t

d . B !i Q f ç Bm e
· n o n e n f t h* -
19 C o · 1s o f i n t e r c e p t iv e tre t
a m e n t a m
L

a E Bi m 1n a t 1o n o f h a bit s t h e Bn t e r fe h
r e w it n o r m · \ d * v e h pn w n \

b M a i n t a in o r r e s t o r e f u n c t io n C In t e rc e pt mi l

d D m - e No n e o t th e i 1b o v e

m e s ia l d r ift o f a p e r m a n e M m a n d \b u \a r fir $ t m o \a lt e
r a t pr e m a tu re

t r a c t io n o f t h e p Þ1 i m a ry m a n d iþ u \ a r se co n d \a r is
e x m o * n e a a m p Be o l

a pa th o lo g ie t o o t h m o v e m e nt

c c o ll a g e n o u s f ib e r t e n s io n m o v e m e n t d Fu n c t \o n a \ t o rt e d \s p \ B c e m e n t

e No n e o f the a bo v e

r e d to a pe r m a n e n t t o o t h a b s c e s s . 1 p r \ m i 1n * t o o t h 1 b s c e s s 6
o m pa

d if f u s e in f e c t io n be c a u se
m o r e

d in g a l v
a .
su rr o u n

r e sist a n t t o in f e c t io n s,
b p a t ie n t s a r e le s s
Yo u n g
d t e c te d e atv
t h e a b s c e s s is n t e
'

l d t he r e fo re
p a i n is e s s
a n
c .

el
nwbne roo t \s c o m p \ e t v
h ic h
d a s+met ri c ro o t r e so r pt io n In w o

o t \ he bo v
t f TBY n e
f u rt he r a pa r
.

i t e t h a r e ,

Rp o t s o f p r m a r y e
e .

Scanned by CamScanner
i\
f Bn t e r p r o x l m a l c a rie s In t h e p r im a r y dp n t i t io n e ,> . y
d ia g n o s i s o

d c lin ic a l ly
b o c c lu s a l c a r i e s 1s r e Ma b l y d i a g n o se

Du U D i n v p Yv e m ç n
Ri d « c br e a kd o w n ! n p r l m a r v mc . l a y Rg ç Hi
ç. -

d A ll o f t he a bo v e

ho ld h e c a r r ie d o u t
t io n fo r to n gu e t h r u st s u
38 E x a m in a

a Du r 1n E ru n c t Æza l a n a UB Ë

ly s is o f the stu dy m o de l
b By a n a

c e li c i t e d fro m t h e s o c ia l hist o r y

e No n e o t t he a bo v e
d A Bi o f t he a bo ve

m e n t o f C le d o c r a n ia l d y s p la s ia i n c lu des
39 m a n a ge

d l f r e so r bin g t e e t h
a p la n n e re m o va o n o n

b su r g ic a l re m o v a l of su pe rn u m e r a r y teeth

c su r g ic a l e x po su re o f per m a n e n t teeth

d A ll o f the a bo v e e . No n e o f the abo v e

w he n sho u ld c h i ld r e n be e x a m in e d fo r po s s \ b \e o r t h o d o n t i c p r o b \e m s ?

a At a g e 3 Ye a rs b At a g e 6 Ye ars

d t hm a r e a n d - o t :\c
c A t a ge 12 ye a r s
,
.
w -

e No n e o f t he a bo v e

'
1 %
t, h e a x i a l i n c l i n a t i o n i n t h e d e c i d u o u s t e e t h i s

A t r u e v r t íc a ï b .
w it h m e s ia l c w .
it h d i s t a l i n c h n a t i o n

d ,
n o ne o f t h e a bo v e

Scanned by CamScanner
m a x i \\ a r y
be t w e e n f u \\ y e ru pte d
f a 2 m m dia s t e m a
4 2 Th e e x iste n ce o
o ld c h i ld
t in c iso rs o f 7y e a r
pe r m a n e n h e d \ a b \a \ f r e
n u m
b Hi g h w at t ac

l e r u p t io n - g f ches g
m n o r m a
l se pt u m
d a bro a d n asa
f pre m a x il la
f a il u re o f f u s io n o
c
f the a bo v e
bo v e g No n e o
f A \\ o f the a
r n asa l s p in e
e a p r o m in e n t a n t e r io
l a t io n de p e n ds o n
'
fo r m u la o f c h il d d o sa ge fo r m u
43 c la r k s
e a
d Bo d y s u rfa c e a r
c h e ig ht
a Age L -
f t he a bo v e
e N o n e o

is u se d in t re a tm e nt o f
44 Blu e g ra ss a p p l ia n ce

e t h r u s t in g b M it s u Æ in g
a To n gu .

e No n e o f th e a bo ve
m o u th bre a t h in g d 1i p b i t i n g
c
f pe rm an e n t
d it i o n co u ld c au se 9e \ a y e ru pt i o n o
45 w h ic h o f t h e f o ll o w i n ß co n

te e th

o st e o ge n e s \s ìm p e r t
b c le id o c r a n ia \ dy s t o s i s c
a Hy p o t hy r o d is m

& d g o n W a
m n 1y a @ f o n w c .

d h yp o
. p h o s p h a t i m ia

d u n co n dm o n e d só u
be tw e e n co n d it i o n e d stim u lu s an
4 6 Th e a s s o c ia t io n

r e la te d t o

b o bse r v a t i o n a \ \e a r n
in g \h
ra n t co n d it io n in g t h e o r y
a o pe

d p sy c h o a n a \y t \ c the o ry
- co n d it io n t h- .

Scanned by CamScanner
m * Bo p l i 1\ + t
a t in e $ t t e e t h en a r

- *q t ¢e \h
- - t o¢* f q y p¢ {

<T *
n d - i - y 1 N æl ¢ . 1 l t0 a B*

l N W . e <o
t a( ¬n 0 W
d e N r

f- a rl
n t ¢« 1i - 1o çh '
pe r -

b u t m g 1o *t s e * n de $t r v c t n
w ¢l - c o « Bt r 1

s ond \\ f a Fy B
p. e n is t ru e a t 1d l in e
t p»e f Br s t s t a £e
r
a

$a l ie a M tu se o n d ;\ \ n } e
b h e fi r s t s t a· e n l e & l !.

?t s a re fa7 e ! t / \ <c- } n1<Tß V u


c b o t f\ s ca t e r r 1i e

31 A t e qg h t y e a r s o f a ge

b t tu \ \ bh \ ,\ p ìj \ \ e tu p \ B* \
a Tin e c u s æ d 1$ e r u pt \ n g

e No n e o f t rie a bo v e

u t c }1 n ì c w ï \ h hile w\ c h \ au o W A \ h
p o r t e d t o Ve
w
32 \ A c h Bìo p a t «e n t re

h the pa t c he s w ¢ re re - v e t B w Bt h d ,l l » u l\ y le d e 1ì w * b n 1a w
m o u t

su r fac e

a Ac u te n e¡ o t i z Bn g u lc e r a t iv e g1ngwi t

b Mt r as . s

c a c u te h e r p e t 1c g i n g Bv o s t o m a t 1t 1s

d A p t h u s u lc e r s

9
Scanned by CamScanner
she h· tu l ct rs \c· \
f so r e n i o u th \ w 1n
1 A 4 wa r * J girl co n i p ta 1n s o ·
\\
l te r a tu re o f 38 C o r · \ e x a t n i n a t Bo n l e v e ·
rm
ph a de n itis a n d a n o r a m pe
to ¢ a n d
it h d m a r ¥ 1n s o n t h e p a la t e n ¢u
y e ll o g r e y le s io re ,
n u m e ro u s w n s w

1 Th e c o n d i t io n m o st li k e ly i s
g in g iv a

b M e as k s
a ca n d id a c i e s

lc e r m e m b r a n o t Bs s t o n ì a t it i s
c a cu te u

r1- h e r : H? E in - at i t i

e Eryt he n ì a t 1c m u lt i f o 1n

fa c ia l dvs fu m t io n m u s t be st ar te d \n
34 he tre a t m e n t o f a cq u iæ d o ro

b Ia t e m ix e d d e n t it io n
a Ea r B1 m i\ e d r m u m
d o n ly * An d c a re co rr e ct
c e a r ly p e r m a n e n t d e n t i t io n sta ge

e A BBo f t h e a bo v e

br u x is m

Th e e t i o ¢o g y i s n o t o b s c u r e b Is d u e t o ga s t r o in t e st in a \ dis e a s e
a

a t h e e t io b gÆ EE s c u r g d Th e e t t o \o g v \ s e p i l e p s y

e No n e o f t he abo v e

A5 yea r o Bd c h i ld ,
a v ic t im o f Ec t o d e r m a l dys p \a s i a , h a s n o p r im ar y l ee t

o r p e rm a n e n t te e th ge rm s, t he t r e a t m e n t o f c h o l e \s

a .
Im m e d ia t e ly r e sto r e t h e m is s e d t e e t h b y i m p ïa n t a t ïo n

b Im m e d ia æ M r e s t o re aa m is s e d t e e t h by - W c \in R -

c im m e d ia t e l y res t o r e t h e m is s e d t e e t h by c o n st r u c t in g a com pe t e de n
bu t w orn o n ly fo r e a t in g so gro w t h w o n
'
t be c o n s t r ic t e d

d Tr e a t t s h o u ld b e d e l a y e d t o t h e a g e o f 12 y e a r s
.

Scanned by CamScanner
:
Sg
m n l il ¢ l

¢
$ s
b Ñ iiul Ð 3 l n wwwl m u e
a 0 n e ó l pr

:: . _ e ?i » ( t h e 1 b

in e
n v e

ene 9l a c \ 1v i o n e \
\ o

b e p re s e n t fo r t
g s qh o J e lÞ
59 w tr « h o f t f r e f o ] fm « un

m o ss t « te ?
t r e a t in g a n an t e r r
c b n s id e lr

t r ne b t 1 i » n s ]h i p
i me s im d a ss &m o a
M o b rs a n d ca m
a
n cr o ss b\
te
t h ie t o o h i
t ac1coçï aat e
ce im t h e a r c h o
h e o 1 B> s s b
b s pa li c
r co - t io n o l t
the to o th a ft e
b it e to r e ta in
s u f fio e n
t o ve r
c
e a !! 堕 业 本 忡

ly a b co rrec t
d o n

s e C f O SS
b it e T
g c o u ld c a u
h e f o ll o w i n
60 w h ic h o f t

b pe n ä 1b it in g
M b su c k iÆ
a .

d M o u th br eat hh
fe c t
lo g e n e s 1s i m p e r
c a m e
n t sh o u
\d b e
\ï e am
a l e x t r a c t io
r
u ir e s d e n t
.
,

l t i e n t r e q
61 H e m o p h i ic p a

ca r M o u t
c o n s\ Dck o n

l n e s t he s ia a n d b e a l api cat i on o t v a m

a By u s e o f lo c a a
de n \
de n ta \ e x t r a c t io n m t h e
iü a ft e r
py o f fa c t o
r v
ce m e n t t he ra
b Re p la
\n t h e d e \ * \ c \
e x t r a c t io n
n
o f fa c to r v iii b e f o re
t t he r a py
c r e p la c e m e n

t - n e gnd m
ld - liz e d n e x r
d Th e p a t i e e c s h o u

s u p e r v is io n

l h i\ d . H o w t o c \a
f rc e f u l \Y f e a r fu c
fu s in g t r e a t m e n t , c r y in g o .

re

ke l s c a le o f b e h a v io r ?
acco r d in g f a rn

b Ne g a t iv e
a De f in i t e ly p o s it i v e

d De $ ni t i v
p o s it i v e
.

Scanned by CamScanner
C- F
-

d1
- 0
v e s t a g e o f t h e 1 $t
p e r m a n e n t m o \a r

b o c c lu s a I fo r c e s c m u sc u la r fo r c e s

& a lï o f the a bo v e

t t e e t h \s n o r m a \W c o m p \e t e d
ro o t fo r m a t io n in p e r m a n e n

b At t h e i lm e o t e ru p\ \o n
a 2 3 vea rs a ft e r er uc i o n
t the a bov e
d No n e o
c 2 3 ye a rs be fo re e ru pt io n

l e x t r ac tio n
is
70 Th e m e t h o d o f s e r ia
\
\ \ n c is o rs a re e {
he n t h e \at e ra
d e c id u o u s c a n i n e s
w
a .
Ex tract
e b a lt \ c
the ro ots ar
l r s w in e n
ou s m o a
L _ u + r a r t f ir ç t r le c id u

Scanned by CamScanner

. -

。 , 一

- w e · w
1f the ( H H *
b qin ¢ i* w # tm h r ef o¢t r d

t h¢ o ï y

r や 智嗜口 「c e rn e n t
鹰泰 p O s r l 坤 P

th p g ·
& t pe r gn n w
(r e w iw d ) fn # o w
* A p te a t a n B c o n s e g t Be n c e

Ti m e r M i N Ts \ 1 k e br 1n
e n ¬e he
r

d t o t h i s p 1e a ç a n t c o n w qu
h t le a
b t h e b p h a v to r [ a

t h o fu \ u ï P

fo vo n g c h Bl B \ r B l + T - Bi J
d be u s e d o n ly B u
h n iq u c ca n
t Ft . n n t r* fle 9 t te r

fe · r fu l c h il d 1s by
n d p n l 1* t \ a pp r o a ch t o *
41 9

b u \ l tw r # \ B1 a ' n a n e1 b f \b = ry

& Br r ¢¢t Br ï 1t hr ( , l ssQf çw


le a r f · 1t
m e n t c u n til t he c h 1k l b l p c o n \e \ tn
! d e {a y rn p t h n · p p 1) Bn ï

e n t · 1t tm a n t
h i ld dv a t c h so m e o n e 1e l w r e c E 1v 1n « d í p a
d h » v Bn « th e c

e a n y o f l h* ·

\ h * f tr \ t p · n * nt
50 A d h 1l d p r 1p s U n t s w it h e x t r e n \e o pe n bite w it h o n * r m

t h e be st c o u 1w o l Bc t m 1$ \o
rn o l* t \ o f the tw o a r t he s 11B c o n t a c t ,

to llo the re m m tn g \ e h to co n u «
a ¢» x l r act the te e t h 1n co n t a c t a w

b ba n d the n w la r s · n d p la c e e 1a s t i c s

. on s ul t Yn ot t ho p e
, m B l A. J Bt l d. g an ot t ho d o n t 1\ t d

d m o st f av or ab i f t h e d e n t i s t sho w s
5 1 A 4 ye a r o ld d 1l l d w i l l r e s p o n

d r es p c r e a s o n in g
& e m. a t an

b Do m in a t i o n d co m pr o m is e
I

Scanned by CamScanner
h v M n

M n e n v w >B th e ù , t w F
J n m w hm ·
'

.
n w v H W C '
, s
cM o n d
N ' h H HW h
·
a
hv hl t h > w n w h n t
,
w
H '
n d n d W n H H p M s $a n H M
N W rn y
WH hL n
'

th
· U ·

HW > ww Bm hn n l n w Nh. w N nm p

H h U n h HW pn t \ H W w
h '
>W c W p VL H H '
q
a v

1w H M m n ivA h n m o n d n f Ab a
f al
B em '

Hm n e n $ w u v i n h Nh h o h
1 4 h r wH w n n h

n Ñ W N n Hn w o h þ
0 w m w

v h w1 r n 7 J Wn U° u Oh P

ó 1u h M u LN m 1 1a t Nn Hr
A n t mv p n ° u l o u w O1 h u M n n n h u a n ï

ïr n ta l l t 1 t u d 1\ 11\ L \ u u \ 1
; Þ r \ tm n pa w

b n \n d>hn a
Vt \ Bi B a f t p \ t t\\ B\
,

b st u bbo r n c h ild
.

d spo Fe d c h ad
h rld
,

c . s e lf i sh t

Scanned by CamScanner
Scanned by CamScanner
Scanned by CamScanner
Scanned by CamScanner
Scanned by CamScanner
Scanned by CamScanner
Scanned by CamScanner
Scanned by CamScanner

You might also like