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PRIMARY DENTITION

 Also known as deciduous dentition or milk teeth  20 primary teeth as compared to the 32 permanent teeth  No premolars in the primary dentition  Primary molars are replaced by the premolars  Permanent first molar erupts distal to the primary second molar

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Others may reach their first birthday or more without getting their first deciduous tooth. A child gets his first complete set of primary teeth by the age of 3.Baby teeth chart Around the 8th week after conception. The eruption of the first primary tooth marks the starting point for your child's oral hygiene.Primary teeth eruption (Teething) . This process is called baby teeth eruption or teething. thumb sucking and the early loss of primary teeth before the eruption of permanent teeth. the deciduous teeth begin to push through the gums. If there is no sign of teething by this age you should ask for a pediatrician's advise.000) infants are born with one or more teeth (called natal teeth) or may have teeth emerge within the first month (called neonatal teeth). But not all baby teeth follow these rules. 2 . both the primary and permanent teeth are partially formed below the gums. The baby teeth chart shows the average age that each primary tooth is expected to erupt. oval-shaped tooth buds start to form and harden in the embryo's mouth. A dentist should evaluate the teeth's condition. The tooth crown develops first and after it is fully grown. In some rare cases (1 every 2. as they could be loose. The main dental problems related with primary teeth are : baby bottle tooth decay. Although the baby teeth aren't visible when a child is born. Some infants may have their first primary tooth (usually one of the bottom middle teeth) erupted as early as 3 months. Baby teeth are susceptible to tooth decay as soon as they appear. That kind of late development of primary teeth is more common in premature babies. Then between about six months and 1 year old. the root begins to develop. interfere with feeding or irritate the baby's tongue.

 Eruption of all primary teeth is completed by 2 ½ to second deciduous molars come into occlusion 3 ½ years of age when the  Between 3-6 years. the dental arch is stable and very few changes occur.  ERUPTION SEQUENCE :A-B–D–C–E 3 .Chronology of Eruption  Primary teeth begin to erupt at the age of 6 months where the mandibular central incisors being the first to erupt.

Numbering System  FDI (Federation Dentaire Internationale)  Two digit system  Adopted by WHO and IADR  Also known as ISO-3950 notation 55 54 53 52 51 85 84 83 82 81 61 62 63 64 65 71 72 73 74 75 4 .

They are : Arches are half round  Flat or no curve of Spee  Shallow cuspal interdigitation  Little or no crowding  Slight overjet or overbite  Vertical inclination of teeth is 90 degrees SPACING IN PRIMARY DENTITION  Spaces present between the primary teeth are known as physiological or developmental spaces  Importance – For normal development of permanent teeth  Absence of space indicates possible occurrence of crowding in the permanent dentition 5 . there are some general characteristics of primary teeth.Features of Primary Dentition  According to Baume.

Primate space  Also known as simian or anthropoid space  Present mesial to the maxillary canines and distal to the madibular canines  They help in placement of the canine cusps of the opposing arch FLUSH TERMINAL PLANE 1) Terminal Plane  The mesio-distal relation between the distal surfaces of the upper and lower second deciduous molars 2) Flush terminal plane  The distal surfaces of the upper and lower second deciduous molars are in the same vertical plane  Also known as vertical plane  Normal feature in the primary dentition  Gives rise to Angle’s Class I malocclusion in the permananent teeth 6 .

permanent molars erupt directly into Angle’s Class I molar relationship  Occurs due to early forward growth of the mandible  Can also lead to Angle’s Class III malocclusion if the forward growth of mandible persist 4) Distal Step  Distal surface of the lower second molar is more distal than the upper  May lead to Angle’s Class II malocclusion 7 .3) Mesial Step  The distal surface of the lower second primary molar is more mesial than the upper  So.

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after the exchange of the primary canines and molar is utilized for mesial drift of the mandibular molars to establish Class I molar relationship in the permanent dentition 9 .4 mm) compared to the maxillary arch (1.LEEWAY SPACE OF NANCE  The combined mesio-distal width of the permanent canines and the premolars is usually less than that of the primary canines and molars  The amount is greater in the mandibular arch (3.8 mm)  The excess space available.

DEEP BITE  May occur in the initial stages of development  Lower incisal edges often contact the cingulum area of the maxillary incisors  Later reduced due to : Eruption of deciduous molars  Attrition of incisors  Forward movement of mandible due to growth 10 .

UGLY DUCKLING STAGE  Also known as the Broadbent phenomenon  It is a transient malocclusion which occurs in the mixed dentition stage  Age : 8-9 years  Seen during the eruption of the permanent canines where the roots of the lateral incisors are displaced mesially  The force is transmitted to the roots of the central incisors and causing them to be displaced mesially  A resultant distal divergence of the crowns of the central incisors causes a midline spacing  Since the children tend to look ‘ugly’ in this stage. parents are often apprehensive and will consult the dentist  It is a self correcting malocclusion where the canines erupt and the pressure is transferred from the roots to the coronal area of the incisors 11 .

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