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Measurement taken are as following: cleft palate (all or nothing), severe traumatic deviation (all or none), overjet (mm), overbite (mm), mandibular protrusion (mm), anterior open bite (mm), labiolingual spread (measurement of tooth displacement in mm) [9] [5] HLD index is used in several states in the United States, with some modifications to ...
The Index of Orthodontic Treatment Need rates overjet highly on its weighting system, second behind missing teeth. It then grades severity of overjet as: [12] Grade 3, Borderline need for treatment = increased overjet 3.5 mm (0.14 in) < 6 mm (0.24 in) Grade 4, Need for treatment = increased overjet 6 mm (0.24 in) < 9 mm (0.35 in)
The term overbite does not refer to a specific condition, nor is it a form of malocclusion. Rather an absent or excess overbite would be a malocclusion. Normal overbite is not measured in exact terms, but as a proportion (approximately 30–50% of the height of the mandibular incisors) and is commonly expressed as a percentage.
An overbite of 3-5mm [2] and an overjet of 2-3mms are considered to be within the range of normal. [ 13 ] To look at the ICP, articulating paper should be placed on the occlusal surface and the patient asked to bite together, which will mark their occlusal contacts.
Man-Suk Baek and others evaluated long-term stability of anterior open bite by intrusion of maxillary posterior teeth. Their results showed that the molars were intruded by 2.39 mm during treatment and relapsed back by 0.45 mm or 22.8%. The incisal overbite increased by 5.56 mm during treatment and relapsed back by 1.20 mm or 17%.
Trauma to anterior teeth: Those with an increased overjet are at an increased risk of trauma. A systematic review found that an overjet of greater than 3mm will double the risk of trauma. Masticatory function: people with anterior open bites, large increased & reverse overjet and hypodontia will find it more difficult to chew food.
The anterior ratio is known to be 77.2%. An overall ratio of more than 91.3% means that the mandibular teeth are bigger when compared to normal. A ratio smaller than 91.3% would mean the mandibular teeth are smaller than normal. Anterior analysis follows the same principle. Having a different ratio than normal is referred to as Bolton Discrepancy.
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