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
the crown of the teeth in trying to accommodate itself to the lesser arch
of the maxilla, the arch becomes a broken line, forming an angle at the
incisors. This angle results from two causes: the thinness of the process
at this point and the diminution of resistance which must follow.
When the permanent bicuspids erupt under a favourable condition, so that
their greatest diameter is in a line with the greater diameter of both
cuspids and first molar, they will be held firmly in place, since the
greatest pressure is on this very line. On the other hand, when the
bicuspids are erupted after their proper time, while the cuspids progress
duly, and meeting no resistance fall into their proper places, but the
bicuspids adapt themselves as best they can to the space left for them,
and if the arch of the maxilla does not coincide with that of the crowns,
they must fall within or without the arch. Now, if the first molar have
moved forward, diminishing the space, the bicuspid must erupt either
within or without the arch.
[Illustration: FIG. 91.]
To understand why they are generally found within the arch, the shape of
the molar and cuspids must be kept in mind. A transverse section of their
crowns shows their proximal walls not to be parallel, but wedge-shaped,
their diameter being greater on the buccal than on the palatal side. When
the crowned bicuspid falls within the greatest diameter of these teeth,
finding more room within the arch, they naturally slip in the direction of
least resistance, _i.e._, toward the palate. A local cause for the same
condition is found in the fact that the crown of the bicuspids, before
their eruption, was held between the roots of the temporary molars, and,
as these form an arch of a smaller circle than that of the permanent
teeth, the bicuspids will be found generally inside the arch. From both
causes occurs an inward curvature, which is termed the saddle-shaped arch
(Fig. 91). It should be noted here that, since the V-shaped irregularity
is found anterior to the cuspid, the upper incisors are always projecting
beyond the lower; the saddle-shaped irregularity is invariably posterior
to the cuspid from an inward curve. The incisors never project. Both forms
contract the arch; the V-shaped anteriorly, the saddle-shaped posteriorly.
In both forms the forward movement of the first molar is the local cause.
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