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causes of SPACING
  Amin Abusallamah
Natural development
• Teeth are usually gapped when they first come
  through. The emergence of the canine.
Microdontia

• Small sized teeth create
  extra space available
  between teeth.
Missing teeth

• some children are
  born missing one or
  two teeth in their
  jaws. A missing tooth
  can cause spacing
Habits




thumb sucking        tongue thrusting
supernumerary
• Mesiodens which presence between the
  upper centrals cause mid line displacement..
Alveolar size
• alveolar size is the primary factors that
  determine the status of the permanent dental
  arch. If it too large        spacing.
Physiological spacing
                   (ugly duckling stage )

• The maxillary central incisors can
  also be quite distally inclined when
  they first erupt, which produces a
  midline diastema between them.

• the maxillary incisor apices being
  initially quite close together when
  lateral pressure from the erupting
  maxillary lateral incisors & canines .
Reverence




• mccdonald's
  pediatric dentistry
  text book

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