Dental Development Stages and Orthodontic Occlusion Criteria
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First Stage: Gum Pad (Birth to 2 Years)
This stage lasts from birth until the completion of the deciduous maxillary gum pad.
- Maxillary Gum Pad: Horseshoe shape.
- Mandibular Gum Pad: U shape.
- Transverse Division: Elevated ridges are divided into segments for future deciduous teeth.
- Lateral Sulcus: Located distal to the canine area.
Gum Pad Occlusion
Gum Pad at Rest: The pads are not in contact, and the tongue is projecting.
Occlusal relationships are described in three dimensions:
- Anteroposteriorly (Overjet): Anterior overjet; the mandibular lateral sulcus is posterior to the maxillary.
- Vertically: Anterior open bite; posterior segments (Segment D) touch.
- Transversely: The maxillary gum pad is wider than the mandibular (resulting in overjet).