Degeneracy: Its Causes, Signs and ResultsTalbot, Eugene S. (Eugene Solomon)
History
Degeneracy: Its Causes, Signs and Results
Talbot, Eugene S. (Eugene Solomon)
Abnormalities, Human; Degeneration; Heredity, Human
takes place that deformities of the dental arch result, the jaws vary from
two inches to one inch in width. As a rule, the teeth are the same size
to-day that they were thousands of years ago. This is due to the fact that
they are ante-natal and not influenced by post-natal systemic changes. The
jaws do not contract as a result of mouth breathing.[218] If the jaw be
arrested and be smaller in circumference than the teeth, a break takes
place in the dental arch and deformity results. Two types of deformity
occur, the V-shaped arch and the saddle arch. All other types of
deformity, not due to local causes, are modifications of these two. These
deformities always occur with the second teeth only. In these cases the
facial profile assumes the perpendicular line or arrested face, as
illustrated in the chapter on Degeneracy of the Face. They are never seen
before the sixth year, when the second set begin to erupt and are complete
with development of the second molars at 12. They may become exaggerated
later in life from want of room, the eruption of the third molar and want
of harmony in relation of the two jaws when closed.
[Illustration: FIG. 87.]
[Illustration: FIG. 88.]
[Illustration: FIG. 89.]
[Illustration: FIG. 90.]
There are three characteristics of the normal arch. Independent of
temperamental peculiarities, the line extending from one cuspid to the
other should be an arc of a circle, not an angle or straight line; the
lines from the cuspids to the third molar should be straight, curving
neither in nor out, the sides not approximating parallel lines. Absolute
bilateral uniformity is not implied in this, as the two sides of the
human jaw are rarely, if ever, wholly alike. A uniform arch necessitates
uniformity of development between the arch of the maxilla and the arch of
the teeth and a correct position of the individual teeth in their relation
to each other. When there is inharmonious development between the jaws and
the teeth, as may happen when one parent has a small maxilla with
correspondingly small teeth, and the other a large one, with
correspondingly large teeth, if the child inherit the jaw of one and the
teeth of the other, irregularities must follow. Such difference in
diameter between the arch of the maxilla and that of the crowns of the
teeth is a constitutional cause of irregularity. When there is a
difference between these diameters the line formed by the teeth must
either fall outside or within the arch of the maxilla and irregularities
of arrangements result. The primary division of irregularities is the
V-shaped and saddle-shaped arches. We have the V-shaped variety (Fig. 90,
one of the typical forms), where the apex of a triangle is formed by the
incisors, the base of the triangle being a line connecting the first two
molars. If, because of premature or tardy extraction, the first molars
move forward, or by coincidence of the arch of the maxilla and the arch of
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