Pediatric Dentistry Clinical Photos - Growth and Development

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1 2 3 4 Amelogenesis Imperfecta, pitted hypoplastic.

1 2 Slight retrognathic skeletal profile, straight facial profile.

1 Distal shoe space maintainer.

1 2 Protrusive profile, excessive overjet.

1 Eruption of permanent bicuspid into space held by space maintainer.

1 Space loss of maxillary molar due to early loss of primary tooth without space maintenance.

1 Class III, anterior cross bite.

1 2 3 4 Peg lateral and missing lateral incisors.

1 2 Models of mixed dentition disto step/Class II molars.

1 2 3 4 5 Views of lingual holding arch being constructed on a model.

1 Thumb habit reminder.

1 Macrodont permanent central incisor.

1 2 3 4 5 Model views of permanent Class II, deep bite patient.

1 Thumb sucking appliance

1 Very high developing palatal vault

1 2 Supernumerary tooth, clinical pic of bulge and radiograph

1 Computer generated cephalometric drawing

1 2 3 4 5 6 7 Erosion due to Gastroesophageal reflux

1 Radiograph of mesial drift of permanent molar

1 Permanent molar and cuspid Class I

1 2 3 Mixed dentition crowding, midline shift, and mesially erupting maxillary cuspids

1 2 3 4 Supernumerary permanent lateral incisor

1   Ankylosis of 1st primary molar

1   Ankylosis of 1st primary molar, very significant.

1   Ankylosis of 1st primary molar and repaired cleft palate.

1   Deep dental bite in the mixed dentition.

1   E space, or Leeway space, demonstrated in radiograph.

1   Class I occlusion in the mixed dentition.

1   Moderate lower anterior crowding in late mixed dentition.

1   Good primary spacing in radiograph.

1   Straight profile in the mixed dentition.

1   Fluorosis

1   Class III (mesio step) occlusion in the primary dentition.  Difficult to see.

1   Congenitally missing #29, radiograph.

1 2    (1) Anterior cross bite (2) Supereruption into edentulous space in primary dentition.

1 2 3    Study models of Class II division 2 patients.

1 2 3   Study models of Class II division 1 in the mixed dentition.

Enamel hypocalcification due to traumatic intrusion of primary tooth.

Abnormal eruption sequence; patient is congenitally missing #24 and #25.

Retained first primary molar.

Band-loop space maintainer in traumatic occlusion on the disto-buccal.

Supernumerary teeth and progressive radiographs... when should have the supernumeraries been extracted? What is a typical problem if they are not extracted?

Retained primary roots due to incomplete resorption; no extraction is necessary.

Radiographs of amelogenesis imperfecta.

Tetracycline staining.

Disking of primary cuspids to allow improved alignment of permanent incisors; ideally, the patient would have less crowding than what is exhibited here.

Serial extraction case after extraction of mandibular primary cuspids and alignment of permanent incisors.

Fusion of primary central and lateral incisor.

Natal tooth.

Ankylosis of mandibular primary 1st molar.

Lingual eruption of mandibular permanent incisors.

4th Molars!!!

Class I molar and cuspid interdigitation.

Disto primary cuspid relationship, and a disto primary molar (although it is difficult to see in this photo).

Another Class I molar and cuspid interdigitation at orthodontic debanding. Note the gingivitis.

Class II molar and cuspid relationships.

Protrustive profile. Draw a line from the tip of the nose to the most anterior part of the chin.

Another protrustive profile. Note hyperactive mentalis muscle.

Retrustive profile.

Protrustive profile on a young boy. Protrusive profiles are extremely common on young children because of their small noses and chins.

Narrow, V-shaped maxillary arch.

Serial extraction case.

Cross-bite, maxillary central incisor.

Serial disking of second primary molars to allow improved eruption of 1st premolar.

Space loss due to early extraction without space maintenance of 2nd primary molars.

Amelogenesis Imperfecta?

Ankylosed primary central incisor due to trauma with palatally erupting permanent central incisor.

Lower lingual holding appliance.

Nice spacing, maxillary mixed dentition.

Nice spacing, mandibular mixed dentition.

Ectopic eruption, buccal, of maxillary second premolar.

Heavy maxillary frenum, midline diastema unlikely to close.

Very deep overbite.

Serial extraction case (4 first bicuspids).

Good Class I occlusion in the permanent dentition.

Another good Class I occlusion

Palatal holding arch

Unusual retained primary cuspid.

Supernumerary teeth.

"Band and Hook" space maintainer.

Band and loop space maintainer embedded into gingival tissue. Also note ectopic eruption of the permanent lateral incisor.

Distal shoe space maintainer at insertion and following eruption of the first permanent molar. A conventional space maintainer should now be constructed.

Lower lingual holding arch.