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| | ==Introduction== | | ==Introduction== |
| − | [[File:Dog teeth occlusion 2.jpg|right|200px|thumb|Occlusal assessment – mandibular incisors occlude on the palatal aspect of the maxillary incisors (known as a scissor bite), the mandibular canine interdigitates half way between the maxillary canine and third incisor, and the premolars interdigitate in a “picking shear” effect.<small>''© Lisa Milella 2013''</small>]]
| + | By definition, malocclusion is an abnormality in the position of the [[:Category:Teeth - Anatomy & Physiology|teeth]] ([[Normal Dental Occlusion|normal occlusion]]). The clinical significance of malocclusion is that it may cause discomfort and sometimes pain to the affected animal. In some cases, it may be the direct cause of severe oral pathology. |
| − | [[File:Dog incisor occlusion.jpg|right|200px|thumb|Occlusal assessment of the incisors of a dog.<small>''© Lisa Milella 2013''</small>]]
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| − | By definition, malocclusion is an abnormality in the position of the [[:Category:Teeth - Anatomy & Physiology|teeth]]. The clinical significance of malocclusion is that it may cause discomfort and sometimes pain in the affected animal. In some cases, it may be the direct cause of severe oral pathology. | |
| − | [[File:Mandibular prognathic bite.jpg|200px|thumb|right|Mandibular prognathic (undershot) bite]]
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| − | [[File:Mandibular brachygnathic bite.jpg|200px|thumb|right|Mandibular brachygnathic (overshot) bite]]
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| − | [[File:Wry bite 1.jpg|200px|thumb|right|Wry bite]]
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| − | ===Normal Occlusion===
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| − | The ideal occlusion can be described as the perfect interdigitation of the upper and lower teeth. In the normal dog, the ideal tooth positions in the arches are defined by the '''occlusal, inter-arch and interdental relationships''' of the teeth.
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| − | The '''ideal relationship''' with the [[Oral Cavity Overview - Anatomy & Physiology|mouth]] closed can be defined by the following:
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| − | :*Maxillary incisor teeth all positioned rostral to the corresponding mandibular incisor teeth.
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| − | :*Mandibular canine tooth is inclined labially and bisects the interproximal space between the opposing maxillary third incisor tooth and canine tooth.
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| − | :*Maxillary premolar teeth do not contact the mandibular premolar teeth.
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| − | :*The mesial crown cusp of the maxillary fourth premolar tooth is positioned lateral to the space between the mandibular fourth premolar tooth and the mandibular first molar tooth.
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| − | This is described as '''orthoclusion'''.
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| − | The length of a dog's jaw is most importantly determined by its '''genetic background'''. Problems exist commonly in dogs mainly due to the great variation in [[Skull and Facial Muscles - Anatomy & Physiology|skull]] types within the species. Other factors can influence jaw length during growth, such as diet, metabolism, trauma, infection and forces within the mouth.
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| | ==Signalment== | | ==Signalment== |
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| | '''Mandibular Prognathic Bite''': In the mandibular prognathic bite, often called ‘undershot’, the [[Skull and Facial Muscles - Anatomy & Physiology|mandible]] is longer than the [[maxilla]] and some or all of the mandibular teeth are rostral to their normal position. If the dental interlock prevents the mandible from growing rostrally to its full genetic potential, lateral or ventral bowing of the mandible may occur to accommodate the shortening in length. This results in an open bite and is characterized by increased space between the premolar cusp tips. In addition, the caudal angle of the mandible is caudal to the temporomandibular joint to accommodate the extra length of the mandible. | | '''Mandibular Prognathic Bite''': In the mandibular prognathic bite, often called ‘undershot’, the [[Skull and Facial Muscles - Anatomy & Physiology|mandible]] is longer than the [[maxilla]] and some or all of the mandibular teeth are rostral to their normal position. If the dental interlock prevents the mandible from growing rostrally to its full genetic potential, lateral or ventral bowing of the mandible may occur to accommodate the shortening in length. This results in an open bite and is characterized by increased space between the premolar cusp tips. In addition, the caudal angle of the mandible is caudal to the temporomandibular joint to accommodate the extra length of the mandible. |
| − | | + | <center><gallery widths=250px heights=180px mode="traditional"> |
| − | '''Mandibular Brachygnathic Bite''': A mandibular brachygnathic bite, often called ‘overshot’, and occurs when the mandible is shorter than normal. This often results in the mandibular canine [[Category:Teeth - Anatomy & Physiology|teeth]] contacting the [[Hard Palate|palate]], causing trauma. | + | File:Mandibular prognathic bite.jpg|Mandibular prognathic (undershot) bite |
| − | | + | </gallery></center> |
| | + | '''Mandibular Brachygnathic Bite''': A mandibular brachygnathic bite, often called ‘overshot’, and occurs when the mandible is shorter than normal. This often results in the mandibular canine [[:Category:Teeth - Anatomy & Physiology|teeth]] contacting the [[Hard Palate|palate]], causing trauma. |
| | + | <center><gallery widths=250px heights=180px mode="traditional"> |
| | + | File:Mandibular brachygnathic bite.jpg|Mandibular brachygnathic (overshot) bite |
| | + | </gallery></center> |
| | '''Wry Bite''': A wry bite occurs if one side of the head grows more than the other side. In its mildest form a one-sided prognathic or brachygnathic bite develops. In more severe cases, a crooked head and bite develop with a deviated midline. An open bite may also develop in the incisor region so that the affected teeth are displaced vertically and do not occlude. | | '''Wry Bite''': A wry bite occurs if one side of the head grows more than the other side. In its mildest form a one-sided prognathic or brachygnathic bite develops. In more severe cases, a crooked head and bite develop with a deviated midline. An open bite may also develop in the incisor region so that the affected teeth are displaced vertically and do not occlude. |
| − | | + | <center><gallery widths=250px heights=180px mode="traditional"> |
| − | '''Narrow Mandible''': In some animals, the mandible is too narrow with respect to the upper jaw. The result is that the lower canines impinge on the maxillary [[Gingiva|gingivae]] or the [[Hard Palate|hard palate]] instead of fitting into the diastema between the upper third incisor and upper canine on either side. The animal may not be able to close its mouth and injury to the gingivae or palatal mucosa commonly occurs. In severe, untreated cases an oronasal communication may develop over time. This condition is seen in both the primary (deciduous) and permanent dentition. Persistent mandibular primary canines will further exacerbate the condition, as the permanent mandibular canines erupt medially to their primary counterparts. The incorrect dental interlock will interfere with the normal growth in width and length of the developing mandible. The condition can also be caused by persistent primary mandibular canines in a mandible of normal width. <font color="red">(pic 7 malocclusion)</font color> | + | File:Wry bite 1.jpg|Wry bite |
| | + | File:Wry bite 2.jpg|Wry bite |
| | + | </gallery></center> |
| | + | '''Narrow Mandible''': In some animals, the mandible is too narrow with respect to the upper jaw. The result is that the lower canines impinge on the maxillary [[Gingiva|gingivae]] or the [[Hard Palate|hard palate]] instead of fitting into the diastema between the upper third incisor and upper canine on either side. The animal may not be able to close its mouth and injury to the gingivae or palatal mucosa commonly occurs. In severe, untreated cases an oronasal communication may develop over time. This condition is seen in both the primary (deciduous) and permanent dentition. Persistent mandibular primary canines will further exacerbate the condition, as the permanent mandibular canines erupt medially to their primary counterparts. The incorrect dental interlock will interfere with the normal growth in width and length of the developing mandible. The condition can also be caused by persistent primary mandibular canines in a mandible of normal width. |
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| | ===Dental Malocclusion=== | | ===Dental Malocclusion=== |
| | Dental malocclusion is malpositioning of [[:Category:Teeth - Anatomy & Physiology|teeth]] where there is no obvious skeletal abnormality, i.e. there is no jaw length or width discrepancy. | | Dental malocclusion is malpositioning of [[:Category:Teeth - Anatomy & Physiology|teeth]] where there is no obvious skeletal abnormality, i.e. there is no jaw length or width discrepancy. |
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| − | '''Anterior Crossbite''': This is a clinical term used to describe a reverse scissor occlusion of one, several or all of the incisors. The condition can be secondary to persistent primary incisors. However, there is probably a skeletal origin as well, since affected animals often develop a mandibular prognathic bite. In other words, an anterior crossbite in an immature animal may be the first sign of a developing mandibular prognathism. The cause can either be a dental malocclusion (i.e. linguoversion of the upper incisors) or a skeletal malocclusion (i.e. mandibular prognathism or maxillary brachygnathism). <font color="red">Pic8 malocclusion</font color> | + | '''Anterior Crossbite''': This is a clinical term used to describe a reverse scissor occlusion of one, several or all of the incisors. The condition can be secondary to persistent primary incisors. However, there is probably a skeletal origin as well, since affected animals often develop a mandibular prognathic bite. In other words, an anterior crossbite in an immature animal may be the first sign of a developing mandibular prognathism. The cause can either be a dental malocclusion (i.e. linguoversion of the upper incisors) or a skeletal malocclusion (i.e. mandibular prognathism or maxillary brachygnathism). |
| − | | + | <center><gallery widths=250px heights=180px mode="traditional"> |
| | + | File:Anterior crossbite.jpg|Anterior crossbite |
| | + | </gallery></center> |
| | '''Malocclusion of the Canine Teeth''': The two most common abnormalities in canine tooth position are: | | '''Malocclusion of the Canine Teeth''': The two most common abnormalities in canine tooth position are: |
| − | * Rostral displacement (mesioversion) of the maxillary canines (also known as lance canines). Persistent primary canines may be responsible for this condition. A breed predisposition has been reported in the Shetland sheepdog. <font color="red">(pic9malocclusion)</font color> | + | * Rostral displacement (mesioversion) of the maxillary canines (also known as '''lance canines'''). Persistent primary canines may be responsible for this condition. A breed predisposition has been reported in the Shetland sheepdog. |
| − | * Medial displacement of the lower canines. <font color="red">(pic10mal)</font color>
| + | * Medial displacement of the lower canines. |
| − | | + | <center><gallery widths=250px heights=180px mode="traditional"> |
| | + | File:Medial displacement of lower canines.jpg|Medial displacement of lower canines |
| | + | </gallery></center> |
| | '''Malocclusion of the Premolars and Molars''': Posterior crossbite is used to describe an abnormal relationship of the carnassial teeth, seen commonly in the dolicocephalic breeds, where the normal buccolingual relationship is reversed. | | '''Malocclusion of the Premolars and Molars''': Posterior crossbite is used to describe an abnormal relationship of the carnassial teeth, seen commonly in the dolicocephalic breeds, where the normal buccolingual relationship is reversed. |
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| | {{Learning | | {{Learning |
| | + | |Vetstream = [https://www.vetstream.com/felis/Content/Disease/dis02954.asp Dental malocclusions] |
| | |flashcards = [[Veterinary Dentistry Q&A 09]] | | |flashcards = [[Veterinary Dentistry Q&A 09]] |
| | }} | | }} |
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| | ==References== | | ==References== |
| − | Johnson, N. (2009) '''Dentistry 1''' ''RVC student notes''
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| | Verstraete, F. (1999) '''Self-assessment colour review of veterinary dentistry''' ''Manson Publishing'' | | Verstraete, F. (1999) '''Self-assessment colour review of veterinary dentistry''' ''Manson Publishing'' |
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| | + | {{Lisa Milella reviewed |
| | + | |date = 21 August 2014}} |
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| | + | {{Waltham}} |
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| | + | {{OpenPages}} |
| | [[Category:Teeth - Pathology]] | | [[Category:Teeth - Pathology]] |
| | [[Category:Dental Diseases - Cat]] | | [[Category:Dental Diseases - Cat]] |
| | [[Category:Dental Diseases - Dog]] | | [[Category:Dental Diseases - Dog]] |
| | [[Category:Developmental Dental Conditions]] | | [[Category:Developmental Dental Conditions]] |
| − | [[Category:To Do - Dentistry Images]] | + | [[Category:Waltham reviewed]] |
| − | [[Category:To Do - Dentistry preMars]] | + | [[Category:Lisa Milella reviewed]] |
| − | [[Category:LisaM reviewing]]
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