Priority IOTN
5i 5h 5a 5m 5p 5s
4h 4a 4b 4m 4c 4l 4d 4e 4f 4t 4x
3a 3b 3c 3d 3e 3f
2a 2b 2c 2d 2e 2f 2g
1
Grade Suffix
Malocclusio 5 4 3 2 1 letters
Occlusal trait
n
Missing teeth Overjet - recorded to the most prominent part of
5i a
M
the most prominent incisor
5h 4h b Reverse overjet with no masticatory or speech
problems
Ihs 5s c Crossbite
Overjet Displacement of contact points where teeth
5a 4a 3a 2a d
O
deviate from the line of the arch, worst
5m 4b 3b 2b displacement recorded, spacing inline of the arch
not included
abm 4m e Open bite
Cross bite Deep bite
4c 3c 2c f
C 4l g
h
Prenormal occlusion
Hypodontia
cl
Dissplacment Impacted due to lack of space
4d 3d 2d i
D 4t
4x
1 l
m
Posterior lingual crossbite
Reverse overjet with masticatory or speech
problems
dtx
Overbite Defects of cleft lips and palate
4e 3e 2e p
O 4f 3f 2f s Submerged deciduous teeth
Partially erupted teeth, tipped and impacted
ef t
against adjacent teeth
ODD 5p 2g x Presence of supernumerary teeth
DHC Description DHC Description
Impeded eruption of teeth (except for third molars) due to crowding,
5i displacement, the presence of supernumerary teeth, retained
3a Increased overjet greater than 3.5 mm, but less than or equal to
6 mm with incompetent lips.
deciduous teeth and any pathological cause.
Extensive hypodontia with restorative implications (more than one
5h tooth missing in any quadrant) requiring pre-restorative orthodontics
3b Reverse overjet greater than 1 mm, but less than or equal to 3.5
mm.
Increased overjet greater than 9 mm. Anterior or posterior crossbites with greater than 1 mm, but
5a 3c less than or equal to 2 mm discrepancy between retruded
contact position and intercuspal position.
Reverse overjet greater than 3·5 mm with reported masticatory and Contact point displacements greater than 2 mm, but less than
5m speech difficulties.
3d or equal to 4 mm.
Defects of cleft lip and palate and other craniofacial anomalies. Lateral or anterior open bite greater than 2 mm, but less than
5p 3e or equal to 4 mm.
Submerged deciduous teeth. Deep overbite complete on gingival or palatal tissues,
5s 3f
Less extensive hypodontia requiring pre-restorative orthodontics or
4h orthodontic space closure to obviate the need for a prosthesis.
2a Increased overjet greater than 3.5 mm, but less than or equal to
6 mm with competent lips.
Increased overjet greater than 6 mm, but less than or equal to 9 mm.
4a 2b Reverse overjet greater than 0 mm, but less than or equal to 1
mm.
Reverse overjet greater than 3·5 mm with no masticatory or speech
4b difficulties.
2c Anterior or posterior crossbite with less than or equal to 1 mm
discrepancy between retruded contact position and intercuspal
position.
Reverse overjet greater than 1 mm, but less than 3·5 mm with recorded Contact point displacements greater than 1 mm, but less than
4m masticatory and speech difficulties.
2d or equal to 2 mm.
Anterior or posterior crossbites with greater than 2 mm discrepancy
4c between retruded contact position and intercuspal position.
2e Anterior or posterior openbite greater than 1 mm, but less than
or equal to 2 mm.
Posterior lingual crossbite with no functional occlusal contact in one
4l or both buccal segments. 2f Increased overbite greater than or equal 3.5 mm without
gingival contact.
Severe contact point displacements greater than 4 mm.
4d 2g Prenormal or postnormal occlusions with no other anomalies
(includes up to half a unit discrepancy).
Extreme lateral or anterior open bites greater than 4 mm.
4e 1 Extremely minor malocclusions including contact point
displacements less than 1 mm.
Increased and complete overbite with gingival or palatal trauma.
4f
Partially erupted teeth, tipped and impacted against adjacent teeth.
4t
Presence of supernumerary teeth.
4x
