Understanding Dental Occlusal Classifications

Apr 27, 2025

Occlusal Classifications in Dentistry

Class 1 Occlusion

  • Identification:
    • Center or buccal groove of the mandibular molar aligns with the mesial buccal cusp of the maxillary molar.
    • Use a probe on the buccal groove of the mandibular molar to check its alignment with the maxillary first molar.

Class 3 Occlusion (Mesioclusion)

  • Identification:
    • Buccal groove of the mandibular molar is mesial to the mesial buccal cusp of the maxillary molar.
    • To confirm true Class 3, the distance from the mesial buccal cusp of the maxillary molar to the buccal groove of the mandibular molar should be at least the width of a premolar (e.g., 7 mm).
    • If less than the premolar width, it's a tendency towards Class 3.

Class 2 Occlusion (Distoclusion)

  • Identification:
    • Buccal groove of the mandibular molar is distal to the mesial buccal cusp of the maxillary molar.
    • Verify true Class 2 with a distance of at least the width of a premolar (e.g., 8 mm) between the buccal groove of the mandibular molar and the mesial buccal cusp of the maxillary molar.
    • If less than the premolar width, it's a tendency towards Class 2.

Key Points to Remember

  • Class 1: Buccal groove of the mandibular first molar should align with the mesial buccal cusp of the maxillary first molar.
  • Class 3 (Mesioclusion): Buccal groove is mesial to the cusp.
  • Class 2 (Distoclusion): Buccal groove is distal to the cusp.
  • True Occlusion vs. Tendency: Depends on whether the separation between occlusal surfaces is at least the width of a premolar.
  • For correct classification, always start from the buccal groove of the mandibular first molar and determine its relation to the mesial buccal cusp of the maxillary first molar.