8/6/2019 Examination Handout
1/24
Newpa'entexamina'on
8/6/2019 Examination Handout
2/24
8/6/2019 Examination Handout
3/24
Calcifica'on
Beginsat
Forma'on
Completeat
Erup'on
Maxillary
Erup'on
Mandibular
Exfolia'on
Maxillary
Exfolia'on
Mandibular
Central
incisors
4thfetal
month
1824
months
610
months
58
months
78years 67years
Lateral
Incisors
4thfetal
month
1824
months
812
months
710
months
89years 78years
Canines 4thfetal
month
3039
months
1620
months
1620
months
1112
years
911
years
First
Molars
4thfetal
month
2430
months
1118
months
1118
months
911
years
1012
years
SecondMolars
4thfetalmonth
36months 2030months
2030months
912years
1113years
PrimaryDen''onDevelopmentAAPDDentalGrowthandDevelopmentGuidelines2010
8/6/2019 Examination Handout
4/24
PrimaryDen''on
MostfavourablepaQernoferup'on ABDCE Sequenceismoreimportantthan'ming Timeoferup'ontocompleteroot
developmentis18months
8/6/2019 Examination Handout
5/24
Calcifica'on
Beginsat
Crown(Enamel)
Forma'on
Completeat
RootsComplete
at
Erup'on
Maxillary
Erup'on
Mandibular
CentralIncisors 3-4months 4-5years 910years 78years 67years
LateralIncisors Max1012months
Md34months
45years 11years 89years 78years
Canines 45years 67years 10years 1112years 911years
FirstPremolars 1824months 56years 1215years 1011years 1012years
SecondPremolars 2430months 67years 1213years 10-12years 1113years
FirstMolars Birth 3036months 1214years 5.57years 5.57years
SecondMolars 30-36months 78years 910years 1214years 1214years
ThirdMolars Max79years
Md8-10years
45years 1416years 1730years 1730years
PermanentDen''onDevelopmentAAPDDentalGrowthandDevelopmentGuidelines2010
8/6/2019 Examination Handout
6/24
Bitewingradiographs
Fordetec'onandmonitoringofinterproximalcaries.Proximitytothepulpofcariesorrestora'ons.Primarymolarfurca'on
pathology.
Frequencyisbaseduponcariesriskassessment.
BUTNOLESSTHANONCEEVERY24MONTHS
www.aapd.otg/media/policies_guidelines/E_Radiographs.pdf
8/6/2019 Examination Handout
7/24
Periapicalradiographs
Usedtoiden'fypathosis,toevaluatedevelopment,traumaordeepcariouslesions
Anteriorsandincidenceofsupernumeraries?Jus'fiedornot?
8/6/2019 Examination Handout
8/24
Panoramicradiographs
Toassessdevelopment,pathology,traumaNOTUSEDTODIAGNOSECARIES
8/6/2019 Examination Handout
9/24
Traumaandradiographs
Ini'alfilmasbaseline 34weeksposttraumatoassessperiapical
pathology 68weeksposttraumatoassessroot
resorp'on
8/6/2019 Examination Handout
10/24
PrematureTeeth
Erupted
8/6/2019 Examination Handout
11/24
Condi'onsConfusedwithPrimary
Teeth BohnsNodulesmucousgland'ssuefound
tothebuccalandlingualofmaxillaryalveolar
ridge DentalLaminaCystremnantsofthedental
laminafoundonthecrestofthealveolarridge
EpsteinsPearlstrappedepithelialremnantsfoundatthemidpalatalraphe.
8/6/2019 Examination Handout
12/24
DelayedErup'on
Trauma Impac'on Ankylosis Supernumeraries Pathology
8/6/2019 Examination Handout
13/24
EctopicErup'onofPermanentMolars
Incidenceofmaxillaryfirstpermanentmolars 23% Rareinthemandibulararch Selfcorrec'on66% (rarelyselfcorrectsajertheageof7)
8/6/2019 Examination Handout
14/24
Fusion
Usuallyhave2rootsandadoublepulpspacebutthisisvariable
Ojenassociatedwithmissingpermanentsuccessors
Resultsinadecreasednumberofteethinthearch.
Nottobeconfusedwithgemina'on YuenSetal.Doubleprimaryteethandtheirrela'onshipwiththeirpermanent
successors:aradiographicstudyof376cases.PediatrDent1987;9:42-48.
8/6/2019 Examination Handout
15/24
Gemina'on
twinningteethhave2crownsand1root.
Asingledentalfollicle,splitbeginsatincisal
edge,butstopsbefore
cleavageiscomplete.
8/6/2019 Examination Handout
16/24
8/6/2019 Examination Handout
17/24
Hypophosphatasia
inheritedmetabolicdisorder affectsthemineraliza'onofboneandteeth lowac'vityofserumandbonealkaline
phosphatase
Oneoftheveryfirstexpressionsofthedisordermaybetheprematurelossofprimary
teeth
8/6/2019 Examination Handout
18/24
Impe'go
StreptococcalorStaphylococcalinfec'on Secondarytotrauma Startasblistersfilledwithpusandthencrust
over
TreatwithBactroban(Mupirocin)
MethicillinresistantStaphaureusisbecomingaproblem
Shouldclearwithin2weekswithtreatment.
8/6/2019 Examination Handout
19/24
Maxillarycentraldiastema
4497%of6yearolds 3346%of9yearolds 720%of14yearoldsthereforeWAITTOTREAT E'ologiesNormaldevelopment
LowlingualfrenalaQachment
Excessiveskeletalgrowth
Insufficienttoothstructure
Habitie.ThunmbMidlinepathologyie.Mesiodens
Ar'ficial(rapidpalatalexpansion)
8/6/2019 Examination Handout
20/24
Habits
Pacifierssoothers,binkies,dummies,soosooorthodon'c
soothers
Thumbsanddigits blankets
8/6/2019 Examination Handout
21/24
Pacifier
Firstmonthoflifenopacifier 212monthspacifierusemay
protectfromSIDS
>12monthsmayleadtoahigherriskofo''smedia
Bewareofpacifiersdippedinhoney!
8/6/2019 Examination Handout
22/24
8/6/2019 Examination Handout
23/24
Grinding
AnatomicallyprimaryteethandtheTMJareflaQertoaccommodateforgrowthwhichleadstogrindingin
somekids.
Donotknowwhysomekidsgrindandothersdonot.
8/6/2019 Examination Handout
24/24
Top Related