The general dental practitioner is at the forefront when it comes to dealing with early occlusal development. In many instances there are situations where the practitioner is required to make decisions about orthodontic treatment needs, whether an early intervention may be called for or the referral to a specialist is required. This lecture discusses important points in occlusal development and landmarks the clinician should look out for. It discusses common eruption problems, how to address them and the role of the general dental practitioner in early detection of deviations from normal development. The timing for early intervention is also discussed.
1. Understand the normal sequence of events in the mixed dentition.
2. Recognize the main landmark events in occlusal development and eruption sequence.
3. Know how to identify deviation from normal and how to document it.
4. Understand common eruption problems, when and how to look for them.
5. Recognize early signs of impacted canines.
6. Know when and how to intervene early to prevent eruption problems.
7. Understand when a case can be managed by a general practitioner and when a referral to a specialist is required.