正畸治疗前的模型分析和投影测量分析(理论实操)课件.pptx
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- 治疗 模型 分析 投影 测量 理论 课件
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1、Operator:Zhou LingSupervisor:Prof.Li Date:2013.6.61行业进步1534Development of a Problem List The Problem-Oriented approachClinical EvaluationAnalysis of Diagnostic RecordsOrthodontic ClassificationChapter outline22行业进步Analysis of Diagnostic RecordsTwo partsCephalometric analysis of dentofacial relations
2、hipsDental cast analysisto evaluate space excess or deficiency and symmetry within the dental arches3行业进步v Symmetryv Space analysisv Estimating of unerupted permanent teethv Tooth size analysisDental cast analysis4行业进步Symmetryv Transparent ruled grid placed over dental castv Oriented to the midpalat
3、al raphe v Spot asymmetries in arch form,and tooth position5行业进步 Lateral drift of incisors (Crowding,C lost 3 blocked out)SymmetryDrift of posterior teeth(Early loss of E)6行业进步Pendulum7行业进步v Symmetryv Space analysisv Estimating of unerupted permanent teethv Tooth size analysisDental cast analysis8行业
4、进步9行业进步vDental castv Computer algorithmSpace Analysis10行业进步 Measuring arch perimeter from the mesial of one first molar to the other,over the contact points of posterior teeth and incisal edge of anteriors.Step one:Calculation of available space片段法铜丝法11行业进步Step two:Calculation of required spaceMeasu
5、re the mesiodistal width of each erupted tooth from contact point to contact point.12行业进步Space Analysis13行业进步0101 The space available will not change because of growth.0202All the teeth are normal in size0303Correct anteroposterior position of incisors Three assumptions14行业进步InteractionProtrusionRet
6、rusionCrowding15行业进步v Crowding and protrusion are different aspects of the same phenomenon.vIf there is not enough room to properly align the teeth,the result can be crowding,protrusion,or(most likely)some combination of the two.16行业进步17行业进步18行业进步19行业进步0101 The space available will not change becaus
7、e of growth.0202All the teeth are normal in size0303Correct anteroposterior position of incisors Three assumptions20行业进步v In a child with a well-proportioned face,there is little or no tendency for the dentition to be displaced relative to the jaw during growth.vBut the teeth often shift anteriorly
8、or posteriorly in a child with a jaw discrepancy.21行业进步22行业进步0101 The space available will not change because of growth.0202All the teeth are normal in size0303Correct anteroposterior position of incisors Three assumptions23行业进步v Symmetryv Space analysisv Estimating of unerupted permanent teethv Too
9、th size analysisDental cast analysis24行业进步 25行业进步Estimating of Unerupted Permanent TeethRadiograghicPrediction table methodsCombination26行业进步Undistorted radiographic image Compensate for enlargementPeriapical radiographsPanoramic radiographs.Measurement of the teeth on radiographs27行业进步 True width o
10、f primary molarApparent width of primary molarMeasurement of the teeth on radiographs True width of unerupted PremolarApparent width of unerupted premolar=28行业进步v Accuracy is fair to good depending on the quality of the radiographs and their position in the arch.v The technique can be used in maxill
11、ary and mandibular arches for all ethnic groups.Measurement of the teeth on radiographs29行业进步 Estimating of Unerupted Permanent Teeth RadiograghicPrediction table methodsCombination30行业进步Moyers prediction Estimation from proportionality tablesMeasuring the mesiodistal width of the lower incisors Pre
12、diction the size of both the lower and upper unerupted canines and premolars31行业进步 Estimation from proportionality tables32行业进步vNorthern European white childrenvNo radiographs are required,used for the upper or lower arch.Estimation from proportionality tables33行业进步 Estimation from proportionality t
13、ables34行业进步 Estimating of Unerupted Permanent TeethRadiograghicPrediction table methodsCombination35行业进步Combination of radiographic and prediction tableIt depends!36行业进步Comparison1Radiograghic2Most practicalNorthern European white childrenNo radiograghsNo reference table3MoyersTakana&JohnstonNorther
14、n European white childrenNo radiographsDepending on the quality of the radiographs and their position in the archFor all ethnic groups.37行业进步v Symmetryv Space analysisv Estimating of unerupted permanent teethv Tooth size analysisDental cast analysis38行业进步v Although the natural teeth match very well
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