1. Width of epiphysis identical in width to diaphysis
2. Lack of presence of the adductor sesamoid
3. Lack of epiphyseal capping
4. Lack of epiphyseal fusion
Evaluation of skeletal maturation indicators suggest patient is at degree 3-4, approaching top
pace of growth - good sized growth is remaining
What is the Stage and while will height increase occur?
1. Epiphyseal widening
2. Ossification (appearance of adductor sesamoid)
three. Epiphyseal capping
4. Epiphyseal fusion
What are the skeletal maturation indicators which may be used when evaluating the hand-wrist
movie?
1. Non-extraction in the mandibular arch
2. Maintaining the leeway space at the mandibular left deciduous second molar
3. Maximum anchorage at the mandibular molars to transport the mandibular anterior enamel to
the left and left dog and premolars distally
four. Slight IPR
Describe how mandibular crowding may be resolved without compromising the facial profile?
MAXILLA
-Vertical change turned into the end result of increase
-Retracted A factor due to remedy
MANDIBLE
-Pogonion become displaced more inferior than anterior (as anticipated from hyperdivergent
growth tendency)
MAXILLARY MOLARS
-moved mesially extra than anticipated from boom (extra movement became due to remedy)
, -erupted with increase and extruded barely greater than could had been expected from regular
boom
MAXILLARY INCISORS
-retracted due to remedy
-held vertically due to treatment
MANDIBULAR MOLARS
-erupted with increase (there may be no discernible treatment effect to the mandibular molars)
-moved mesial barely with growth (there may be no discernible remedy impact to the mandibular
molars)
MANDIBULAR INCISORS
-moved slightly ahead due to growth (there may be no discernible AP treatment effect at the
incisors)
-moved vertical as expected from growth (there may be no discernible vertical treatment impact
for the mandibular incisors)
Identify the hard tissue changes that resulted from increase and people that resulted from
remedy.
Dental abnormalities
1. Ankylosis of mandibular second deciduous molars
2. Supraeruption of the maxillary 2d deciduous molars
three. Mesioangulated mandibular proper 2nd premolar (visible on pan)
4. Mesial tipping of the mandibular first molars
five. Mandibular anterior crowding with lingually displaced left lateral incisor
6. Reduced attached gingiva on mandibular proper vital incisor
7. Deep overbite
Complications of ankylosis
1. Ectopic eruption of L5s
2. Tipping of adjacent tooth
3. Further submergence of ankylosed teeth
four. Perio bony defect
five. Impaction of L5s
6. Decreased arch length
7. Lateral open bite
eight. Extruded antagonist maxillary tooth
Identify the dental abnormalities and additionally the capability complications related to the
ankylosis associated with manibular second deciduous molars.
1. Steep sella-nasion relative to FH (cranial base)
2. Skeletal Class II
3. Normal maxilla in AP
4. Retrusive/retrognathic mandible
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