VARIANT ANATOMY OF TRANSITIONAL OCCLUSION DENTAL ARCH AT OPTIMAL OCCLUSAL RELATIONSHIPS

Abstract

Through the transitional bite period, the variability of the dental arch shape and size is due to the replacement of milk teeth with permanent ones, which feature different odontometric values. The aim of this study was to identify the main linear and angular parameters of dental arches, in view of the trusive position of the incisors with optimal functional occlusion. A stratified study was involved 76 children ages 8–12 years old, who were divided into three groups (protrusive, retrusive and mesotrusive dental arches). An analysis of cone-beam computed tomograms and plaster models of jaws was carried out, which was preceded by obtaining informed consents according to the Ethics Committee requirements. The study revealed certain features of the variant anatomy of transitional occlusion dental arch. The calculated factors allowed identifying the proportionality of the dental arch parameters to odontometric indicators. During that, the dental-diagonal factor (the ratio of the dental arch length to the incisor-molar diagonals) for the upper jaw was 1.06±0.01, for the lower arch being equal to 1.09±0.01, in all types of dental arches, which is a fact to be used in clinical orthography to predict the location of the dental arch incisor (central) point in case of shape anomalies, specifically in the anterior part. The angular parameters of the diagnostic dental pentagon will allow simulating the geometric and graphical construction of arches through the transitional occlusion period.