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Research Article| Volume 1, ISSUE 3, P188-194, September 1995

Leeway space and the resolution of crowding in the mixed dentition

  • Anthony A. Gianelly
    Correspondence
    Address correspondence to Anthony A. Gianelly, DMD, PhD, MD, Professor and Chairman, Department of Orthodontics, Boston University School of Graduate Dentistry, 100 E Newton St, Boston, MA 02118.
    Affiliations
    Department of Orthodontics, Boston University School of Graduate Dentistry, Boston, MA, USA
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Open AccessDOI:https://doi.org/10.1016/S1073-8746(95)80022-0
Leeway space and the resolution of crowding in the mixed dentition
Previous ArticleMaxillary adaptation to expansion in the mixed dentition
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      The leeway space provides adequate space to resolve crowding that is present in the mixed dentition in the majority of individuals. This space can be maintained by preserving arch length with a lingual arch as the primary teeth begin to exfoliate, unless conditions such as the premature loss of a primary canine require earlier intervention. A lip bumper can also be inserted after the eruption of the first premolars to preserve arch length.

      References

        • Moorrees C.F.A.
        • Chada J.M.
        Available space for incisors during dental development. A growth study based on physiologic age.
        Angle Orthod. 1965; 35: 12-22
        • Arnold S.
        Analysis of leeway space in the mixed dentition.
        in: Thesis for certification. Boston University, Boston1991
        • Movers R.E.
        • van der Linden F.P.G.M.
        • Riolo M.L.
        • et al.
        Standards of Human Occlusal Development.
        in: Monograph #5 Craniofacial Growth Series. Center of Human Development, The University of Michigan, Ann Harbor, MI1976
        • Gianelly A.A.
        Diagnosis of incipient malocclusions.
        J Am Dent Assoc. 1969; 79: 658-661
        • Baume L.
        Physiological tooth migration and its significance for the development of occlusion. Part III. The biogenesis of the successional dentition.
        J Dent Res. 1950; 29: 338-348
        • Singer J.
        The effect of the passive lingual arch on the lower denture.
        Angle Orthod. 1974; 44: 146-155
        • Owen D.G.
        The incidence and nature of space closure following the premature extraction of deciduous teeth: A literature survey.
        Am J Orthod Dentofacial Orthop. 1971; 59: 37-49
        • Sampson W.S.
        • Richards L.C.
        Prediction of mandibular incisor and canine crowding changes in the mixed dentition.
        Am J Orthod Dentofacial Orthop. 1985; 88: 47-63
        • Dorfman H.S.
        Mucogingival changes resulting from mandibular incisor tooth movement.
        Am J Orthod Dentofacial Orthop. 1978; 74: 286-297
        • Rigenberg A.M.
        Influence of serial extraction on growth and development of the maxilla and mandible.
        Am J Orthod Dentofacial Orthop. 1967; 53: 47-58
        • Osborn W.S.
        • Nanda R.S.
        • Currier G.F.
        Mandibular arch perimeter changes with lip bumper treatment.
        Am J Orthod Dentofacial Orthop. 1991; 99: 527-532
        • Bergerson E.O.
        A cephalometric study of the clinical use of the mandibular labial bumper.
        Am J Orthod Dentofacial Orthop. 1972; 61: 578-602
        • Nevant C.T.
        • Buschang P.H.
        • Alexander R.G.
        • et al.
        Lip bumper therapy for gaining arch length.
        Am J Orthod Dentofacial Orthop. 1991; 100: 330-336
        • Cetlin N.M.
        • Ten Hoeve A.
        Non extraction treatment.
        J Clin Orthod. 1983; 17: 396-413
        • Moin K.
        Buccal shield for mandibular arch expansion.
        J Clin Orthod. 1988; 22: 588-590
        • Nance H.
        The limitations of orthodontic treatment.
        Am J Orthod Oral Surg. 1947; 33: 253-301
        • Bernstein L.
        • Edward H.
        Angle versus Calvin S. Case. Extraction versus non-extraction. Historical revisionism. Part I.
        Am J Orthod Dentofacial Orthop. 1992; 102: 464-470
        • Case C.S.
        The question of extraction in Orthodontics.
        Am J Orthod Dentofacial Orthop. 1964; 50: 660-691
        • Tweed C.H.
        Clinical Orthodontics. Vol 1. CV Mosby, St Louis, MO1966
        • Tweed C.H.
        Indications for extraction of teeth in orthodontic procedures.
        Am J Orthod Oral Surg. 1944; 30: 405-428
        • Little R.M.
        • Reidel R.A.
        • Stein A.
        Mandibular arch length increase during the mixed dentition: Post retention evaluation of stability and relapse.
        Am J Orthod Dentofacial Orthop. 1990; 97: 393-404
        • Germane N.
        • Lindauer S.J.
        • Rubenstein L.K.
        • et al.
        Increase in arch perimeter due to orthodontic expansion.
        Am J Orthod Dentofacial Orthop. 1991; 100: 421-427
        • Peak J.D.
        Cuspid stability.
        Am J Orthod Dentofacial Orthop. 1956; 42: 608-614
        • Bishara S.E.
        • Chada J.M.
        • Potter R.B.
        Stability of intercanine width, overbite and overjet correction.
        Am J Orthod Dentofacial Orthop. 1973; 63: 588-595
        • Shapiro P.A.
        Mandibular dental arch and dimension.
        Am J Orthod Dentofacial Orthop. 1974; 66: 58-70
        • Kuftinec M.M.
        Effect of edgewise treatment and retention of mandibular incisors.
        Am J Orthod Dentofacial Orthop. 1975; 68: 316-322
        • El-Mangoury N.H.
        Orthodontic relapse in subjects with varying degrees of anteroposterior and vertical dysplasia.
        Am J Orthod Dentofacial Orthop. 1979; 75: 548-561
        • Sondhi A.
        • Cleall J.F.
        • BeGole E.A.
        Dimensional changes in the arches of orthodontically treated cases.
        Am J Orthod Dentofacial Orthop. 1980; 77: 60-74
        • Little R.M.
        • Wallen T.R.
        • Reidel R.A.
        Stability and relapse of mandibular anterior alignment-first premolar extraction cases treated by conventional edgewise orthodontics.
        Am J Orthod Dentofacial Orthop. 1981; 80: 349-365
        • Uhde M.D.
        • Sadowsky C.
        • BeGole E.A.
        Long term stability of dental relationships after orthodontic treatment.
        Angle Orthod. 1983; 53: 240-252
        • Glenn G.
        • Sinclair P.M.
        • Alexander R.G.
        Nonextraction orthodontic therapy: Post treatment dental and skeletal stability.
        Am J Ortho Dentofacial Orthop. 1987; 92: 321-328
        • Haas A.
        Long term post treatment evaluation of rapid palatal expansion.
        Angle Orthod. 1980; 50: 189-217
        • Sandstrom R.A.
        • Klapper L.
        • Papaconstantinou S.
        Expansion of the lower arch concurrent with rapid maxillary expansion.
        Am J Orthod Dentofacial Orthop. 1988; 94: 296-302
        • Adkins M.A.
        • Nanda R.S.
        • Currier G.F.
        Arch perimeter changes on rapid palatal expansion.
        Am J Orthod Dentofacial Orthop. 1990; 97: 194-199
        • McNamara Jr, J.A.
        • Brudon W.L.
        Orthodontic and orthopedic treatment in the mixed dentition.
        in: Needham Press, Ann Arbor, MI1993: 78-80
        • Burstone C.J.
        Perspective on orthodontic stability.
        in: Nanda R. Burstone C.J. Retention and Stability in Orthodontics. Saunders, Philadelphia1993: 45-61
        • Lutz H.D.
        • Poulton D.R.
        Stability of dental arch expansion in the deciduous dentition.
        Angle Orthod. 1985; 55: 299-315
        • McInaney J.B.
        • Adams R.M.
        • Freeman M.M.
        A nonextraction approach to crowded dentitions in young children: Early recognition and treatment.
        J Am Dent Assoc. 1980; 101: 251-257
        • Gorman J.C.
        The effects of premolar extraction on the long term stability of the mandibular incisors.
        in: Nanda R. Burstone C.J. Retention and Stability in Orthodontics. Saunders, Philadelphia1993: 81-96
        • Alexander R.G.
        Treatment and retention for long term stability.
        in: Nanda R. Burstone C.J. Retention and Stability in Orthodontics. Saunders, Philadelphia1993: 115-134

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      DOI: https://doi.org/10.1016/S1073-8746(95)80022-0

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      © 1995 W.B. Saunders Company. Published by Elsevier Inc.

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