CLASS I TYPE 5

DMD 4G
BRUAL, Rosita
CLARIN, Sheena Angela
DELA CRUZ, Ryan
GUILAS, Hans Christian
GERONIMO, Franz Nicole
NEGRANZA, Patricia Mae
PORTUGUEZ, Caryle Joyce
CLASS I TYPE 5
The permanent molar has drifted mesially
due to early extraction of second deciduous
molar or second premolar.
CLASS I
Normal mesiodistal relation of the
mandibular arch to the maxillary arch
Mesiobuccal cusp of the maxillary 1st
permanent molar is occluding in the
mesiobuccal groove of the mandibular 1 st
permanent molar
There is a slight mesial step
The profile is straight or slightly convex
The problem is dental in origin
Neutrocclusion (Lischer’s classification)
TYPE V
Classified by Dewey-Anderson as a
condition where there is drifting of molar,
resulting from premature loss of teeth.
CAUSES
Premature loss of deciduous second molars
Reduced mesiodistal dimension of
deciduous molars due to extensive caries
lesions
MESIAL DRIFT
Mesial drift of the first permanent molars
involves three separate kinds of tooth
movements:
Mesial crown tipping
Rotation
Translation
MODES OF MESIAL MOVEMENT
There are distinct differences in the mode of
mesial movement between the upper and
lower first molars caused by variations in the
crown shape
number of roots
occlusal relationships
ETIOLOGIC FACTORS
Early loss of primary tooth
Early loss of teeth will lead to dental arch
collapse, but it’s not the only cause for
crowding & malalignment.
Collapse will be due to :
Mesial drifting of posterior teeth.
Distal drifting of incisors aƒf canine &
first decidious molar loss.
ETIOLOGIC FACTORS
Congenitally missing tooth
It results from disturbance during initial
stages of tooth formation ,initiation and
proliferation.
Missing of teeth can be:
Complete (Anodontia).
Many teeth (oligodontia)
(Both are rare & are associated with
ectodermal dysplasia (systemic
abnormality).)
Few teeth (hypodontia) is more common.
ETIOLOGIC FACTORS
Traumatic displacement of teeth
Dental trauma can lead to development
of malocclusion in three ways:
Damage to permanent tooth buds from
injury to primary teeth.
Drift of permanent teeth a ff premature
loss of primary teeth.
Direct injury to permanent teeth.
 CASE HISTORY
Child’s History
Name of Child: Danilo K. Florentino
Birthdate: June 11, 2009
Age: 10 years and 3 months
Address of the Child: Blk 15 Lot 1 Brgy. San Luis
Antipolo City
Weight: 35 kg
Height: 3’11 ft
Name of Mother: Jesselin K. Florentino
Occupation of Mother: Housewife
Name of Father: Ferdinand Florentino
Name of Father: Domestic Helper
Familial History: According to the
mother, they have history of type 1
diabetes and prone to tooth decay on
the paternal side he has a history of
cigarette consumption.

Social History: The patient is fond of

eating sweet foods and beverages such
as candies, soda, gums and chocolates.
 Parental History
Do you or your spouse have None
asthma?
Do you or your spouse have diabetes? YES

Do you or your spouse have blood NONE

dysplasia?
Do you or your spouse have wear YES
dentures
Do you or your spouse have fear the YES
dentist?

Do you or your spouse have allergies? YES

 Prenata
l
History
Did you have a regular check up during YES
this pregnancy?
Did you have any illness during this pregnancy? NO
If yes, what sort and what drug therapy was
given?
Did you take multivitamins during this YES
pregnancy
 Natal
History
Did your child come out No, child was
delivered
normal? If not, what was his casarean
condition then? section
 Post Natal History
Did you breast feed you child? If yes how Yes, til 3 years
long?
Did you bottle-feed your child? If yes how Yes, til 2 years
long?
Did your child have a supplement of fluoride? No

Did your child have have illness

Clinical Examination
Intraoral Photograph
Study Cast Analysis
Photo Analysis
Orthopantogram Analysis
Cephalometric
Etiologic Factors
Treatment Planning
Probable Treatment Plan
Anchorage Used
Tissue Reaction
Home Care Instruction