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OCCLUSION
• Normal occlusion
This refers to an occlusion that deviates in one or more
ways from ideal yet it is well adopted to that particular
environment, is esthetic and shows no pathologic
manifestations or dysfunction.
Periods of occlusal development:
Occlusal development can be divided into
following periods:
Pre dental period
The deciduous dentition period
Mixed dentition period
Permanent dentition period
Pre dental period:
Period after birth during which neonates does
not have any teeth.
It usually lasts for 6 months.
The alveolar process at the time of birth are
known as gum pads.
They are horse shoe shaped and develop in
two parts.
The gum pads are divided into ten segments by
certain grooves called transverse grooves.
Each of these segments consist of one
developing deciduous tooth sac.
The upper gum pad is both wider and longer
than the mandibular gum pad.
Relationship of gum pads:
Anterior open bite is seen at rest with
contact only in the molar region.
Tongue protrude anteriorly through this
space.
There is complete overjet.
Class II pattern with the maxillary gum pad
being more prominent.
The neonate is without teeth for about 6
months of life.
At birth the gum pads are not sufficiently
wide to accommodate the developing incisors.
However teeth are found to have erupted at
the time of birth.
Such teeth that are present at the time of birth
are called Natal teeth.
Teeth that erupt during the first year if life
are called Neonatal teeth.
Deciduous dentition period:
The initiation of primary tooth buds occurs
during the sixth week of intrauterine life.
The primary teeth begins to erupt at the age
of about 6 months.
The primary dentition is usually established
by 3 years on eruption of second deciduous
molars.
The sequence of eruption is A – B – D – C –
E
Between 3 to 6 years the dental arch is very
stable and very few changes occurs.
Signs of primary dentition :
Spacing is usually seen in the deciduous anteriors to
accommodate larger permanent teeth in the jaws.