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1.Introduction. 2.Classification. 3.Mixed dentition analysis 1. Space analysis. 2. Mixed dentition period. 4.Methods of mixed dentition analysis. a)Moyers mixed dentition analysis. b)Tanaka Johnston mixed dentition analysis. c) Hixon & Oldfather prediction method. d) Huckaba mixed dentition analysis. 5. Method of Permanent dentition Analysis. a) Bolton's analysis
INTRODUCTION
Model analysis is the study of dental casts, which helps to study the occlusion& dentition from all three dimensions &analyze the degree & severity of malocclusion & to derive the diagnosis & plan for treatment.
CLASSIFICATION
Model analysis can be classified in the following ways 1.Based on whether the analysis is on the permanent dentition or on the mixed dentition. PERMANENT DENTITION ANALYSES. Ashley howes. Careys / Arch perimeter. Ponts. Linder Hearths. Korkhaus. Boltons.
2.Based on the arch in which the analysis is carried out ,they can be classified as. MAXILLARY ARCH Ponts Linder hearths KorkhausArch perimeter. MANDIBULAR ARCH Careys Hixon and Old father Peck and peck Staley Kerber
3.Based on principles of space analysis; a) NON RADIOGRAPHIC SPACE ANALYSES Moyers Tanaka Johnston Ballard and Wylie b) RADIOGRAPHIC ANALYSES Nances Huckabas c) COMBINATION OF RADIOGRAPHS AND PREDICTION CHARTS Hixon and Old father Staley kerber
a) 1st permanent molar and permanent incisors are erupted. b) The succedaneous permanent teeth are forming. c) Size relationship between unerupted permanent teeth and primary teeth. d) There is size difference in primary canines and molars and the succedaneous teeth. e) M-D width of primary canines and molars is greater than perm successors (leeway space).
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Three basic approaches to doing this. 1. Measurement of teeth on radiograph. 2. Estimation from proportionality tables. 3. Combination of radiographic and prediction table method.
1. RADIOGRAPHIC METHOD
HUKABAS MIXED DENTITION ANALYSIS RADIOGRAPHIC METHOD 1964
This requires an undistorted radiographic image, which is more easily achieved with individual PA radiographs than with Panoramic radiographs. E
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1. From the casts, on one side, measure the m-d widths of the permanent mandibular central and lateral incisor. 2.From the periapical radiographs, measure the m-d width of unerupted first and second premolars 3.Total the m-d widths of four(4) teeth. 4. Compare the measured value to estimated tooth size from the Hixon- Oldfather chart. Repeat steps 1 to 3 for the other side of the arch. ADV. Very accurate technique. LIMITATIONS. Only use for lower arch.
Hixon and Oldfather: most accurate. Tanaka and johnston : most practical. Radiographic method: for population other method. for population other than Caucasians. Which of these method is best for an individual patient work depends on circumstances. All prediction table work surprisingly.
IRWIN R, HEROLD J, RICHERDSON A (1995) They did a review of Methods that have been proposed for mixed dentition analysis , Studies comparing the different methods have shown that the method of Hixon & Oldfather (1958), as refined by Staley & Kerber (1980), is the most accurate. * Mixed dentition analysis forms an integral aspect of orthodontic diagnosis to determine whether the treatment plan is going to involve serial extraction, space maintenance, space gaining or simply periodic observation of the patient
REFRENCES: William R. Proffit 4th edition. Laura Mitchell 3rd edition. Moyers. S.M bhalajhi 4TH edition.