MIXED DENTITION ANALYSIS
WHY — to predict the crowding of maxillary or mandibular arch
Determines the space available vs the space required
It is the best investigatory method for serial extarcation
HOW (Moyer’s analysis) —𝒔𝒖𝒎 𝒐𝒇 𝒎𝒂𝒏𝒅𝒊𝒃𝒖𝒍𝒂𝒓 𝒊𝒏𝒄𝒊𝒐𝒓 𝒘𝒊𝒅𝒕𝒉 (𝒄𝒊+𝒍𝒊) / 𝟐
The size of unerupted permanent canines and PMs are predicted from the knowledge of
the size of M-D width of mand incisors.
Mxillary incisors are never measeared coz of high chance of variability. Mandibular is taken even to predict maxillary space discrepancy.
Best analysis done = Stanley kaber analysis
Tooth cause crowding in lower anterior region if early extracted: Primary mandibular first molar lower ie. D
Most teeth responsible for crowding is: Lower E & upper D
SERIAL EXTRACTION:-
C D 4 — order * if discrepancy > 10mm
Preferred — Dewel procedure
Done at 8-9 years only if there is crowding!
Anything before that extract ad give space maintainer.
Go for double extraction if age 8-9 and crowding not present
Advantages :
o Interceptive orthodontics
Easy ortho movement in future due to breakage of transseptal fibres — no relapse
o Helps eruption of permanent canine ?