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      Occlusal characteristics and prevalence of associated dental anomalies in the primary dentition

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          Abstract

          Introduction: Morphological variations in primary dentition are of great concern to a pediatric dentist as it may pose clinical problems like dental caries, delayed exfoliation and also anomalies in the permanent dentition, such as impaction of successors, supernumerary teeth, permanent double teeth or aplasia of teeth. The present study was conducted to investigate the presence of dental anomalies in the primary dentition of 1000 schoolchildren in the 3–5 year-old age group in Faridabad.

          Materials and methods: One-thousand schoolchildren were examined using Type III examination (WHO, 1997) for primary molar relationship, occlusal characteristics, primate spaces, physiological spaces and other anomalies of teeth, including number and morphology.

          Results and conclusions: The prevalence of physiological spaces in maxillary and mandibular arches was 50.9% and 46.7%, respectively, whereas primate spaces were found in 61.7% of the children in the maxillary arch and 27.9% in the mandibular arch. The prevalence of unilateral anterior and posterior cross-bite was 0.1% and 0.8%, respectively, in the present study. The prevalence of hypodontia in the primary dentition was found to be 0.4% and the prevalence of fusion and gemination in the present study was 0.5%. Double teeth (fusion and gemination) and hypodontia were the most common dental anomalies found in the primary dentition in the present study.

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          Most cited references26

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          Double teeth. A retrospective study of 'geminated' and 'fused' teeth in children.

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            Malocclusion in the deciduous dentition of Caucasian children.

            In this study the occlusal characteristics of the deciduous dentition in a sample of young children were investigated to determine whether consensual trends exists, and if the occlusal characteristics in the primary dentition may be considered as acceptable predictors for occlusal relationships in the permanent dentition. Four hundred and seven boys and three hundred and eighty-two girls aged 4-6 years participated in the epidemiological study. Recording of the occlusal traits was made according to the method described by the Fédération Dentaire Internationale in 1973, adapted to the primary dentition. Lack of space was frequent (24 per cent in the upper anterior segments), as well as lateral crossbites (16 per cent), excessive overjet of 6 mm or more (6 per cent), Class II relationships (26 per cent) and anterior open bites (37.4 per cent). Obvious similarities could be seen with other investigations on occlusal traits of the primary dentition of Caucasian children. Cross-comparison with available data suggest that the development of the occlusion is a continuum for many aspects, with most of the major occlusal trends characterizing the permanent dentition in Europoid populations detectable at early stages. The striking difference in the primary dentition was the much higher prevalence of anterior open bites: this is the only figure expected to decrease dramatically in the permanent dentition. With due reservation inherent to the nature of epidemiological data on malocclusion and their interpretation, it is concluded that, provided the patient's cooperation is satisfactory, early attention may be given to malocclusion, but should mainly be focused on lateral crossbites and sagittal malrelationships.
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              Occlusion and tooth/arch dimensions in the primary dentition of preschool Jordanian children.

              To assess tooth and arch dimensions, occlusal relationships and the presence of spacing or crowding in primary dentition of Jordanian children. A list of 10 kindergartens was randomly selected in the governate of Irbid, Jordan. A total of 1048 children (2.5-6 years old) with complete primary dentitions were examined for occlusal relationships in three planes, and the presence of spacing or crowding. Of those, study casts were taken for 87 randomly selected 4-5-year-old children (39 girls, 48 boys). Measurements of tooth and arch dimensions were made using electronic digital sliding callipers. In general, males had larger mesiodistal tooth width and larger arch dimensions. Bilateral mesial step molar relationship was found in 47.7% of children followed by bilateral flush terminal molar relationship in 37% and bilateral distal step in 3.7%. Asymmetric right/left molar relationship was found in 11.6% of children examined. Class I canine relationship was found in 57% of children, followed by Class II canines in 29% and Class III canines in 3.7%. Fifty per cent of children examined had Class I incisors, 24.7% had Class II Division 1, 13.5% had Class II Division 2 and 11.8% showed reversed overjet. Ideal overbite was seen in 44.3% of children, reduced overbite in 21.8%, increased overbite in 28.2% and 5.7% had anterior openbite. Buccal crossbite was seen in 7% of the sample. Generalized spacing was found in 61.8% and 61.1% of children in the upper and lower arches, respectively. Anthropoid spaces were found in 70% of the upper arches and in 51% of the lower arches. Males had larger tooth/arch dimension than that of females in the primary dentition stage. Mesial step molar relationship was found in 47.7% of the subjects followed by flush terminal molar relationship in 37%. The majority of children examined had spaced primary dentition.
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                Author and article information

                Contributors
                Journal
                J Epidemiol Glob Health
                J Epidemiol Glob Health
                JEGH
                Journal of Epidemiology and Global Health
                Atlantis Press
                2210-6006
                2210-6014
                2015
                07 August 2014
                : 5
                : 2
                : 151-157
                Affiliations
                Department of Pediatric Dentistry, SRDC, Faridabad, India
                Author notes
                [* ]Corresponding author. Tel.: +91 9711886932.
                Article
                JEGH-5-2-151
                10.1016/j.jegh.2014.07.001
                7320486
                25922324
                6fd388ef-6d1d-4d09-8dc2-793a733b5f74
                © 2014 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd.

                This is an open access article under the CC BY-NC-ND license ( http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 14 April 2014
                : 8 July 2014
                : 9 July 2014
                Categories
                Article

                primary teeth,occlusion,gemination,fusion,hypodontia,cross-bite
                primary teeth, occlusion, gemination, fusion, hypodontia, cross-bite

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