Types of occlusal problem to refer in the mixed dentition:

  • Anterior or posterior crossbites with associated mandibular displacement
  • Class III in the mixed dentition
  • Class II/I malocclusion where there is an underlying skeletal II pattern.
  • Asymmetry in the pattern of tooth eruption (especially upper central incisors)
  • Severely hypoplastic/carious first molars of poor long-term prognosis
  • Lack of palpable canine bulges buccally at 10-12 years of age indicating palatal impaction
  • Hypodontia (missing teeth); supernumerary teeth
  • Submerged deciduous molars; impacted first permanent molars
  • Periodontal problems caused by severely ectopic tooth position
  • Severe crowding of incisors

For more Information you can download the BOS guidance booklet.


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