THE COMBINATION OF FACTORS - EARLY LOSS OF UPPER TEMPORAL INCISORS AND MOUTH BREATHING - IN THE FORMATION OF RETENTION OF PERMANENT INCISORS. CLINICAL CASE

Author:

Бимбас Евгения1,Bimbas E.2,Шишмарева Анастасия3,Shishmareva Anastasiya4,Мельникова Мария3,Mel'nikova Mariya4,Кайем Васим1,Kajem Vasim2,Шишмарева Юлия1,Shishmareva Uliya2

Affiliation:

1. ФГБОУ ВО "Уральский государственный медицинский университет» Минздрава России

2. Ural State Medical university

3. Уральский государственный медицинский университет

4. Ural'skiy gosudarstvennyy medicinskiy universitet

Abstract

Subject. Demonstration of the clinical case retention of the upper permanent incisor and the stages of treatment. The aim of the study is to present in the clinical example the consequence of premature loss of upper temporal incisors and obstruction of nasal breathing in the form of retention of the upper permanent incisor. Methodology. The article describes the clinical case of treatment of the retention of a permanent incisor of the 9 years 11 months aged patient. The article presents a combination of the main factors for the occurrence of retention of incisors, such as premature loss of upper temporal incisors and the disruption of nasal breathing. The patient underwent a complete clinical examination with additional research methods, a phased treatment plan was drawn up. Complex orthodonto-surgical treatment on bracket system with forced diagnostic extrusion of the upper permanent incisor was carried out for 20 months. The article presents the phased dynamics of orthodontic treatment. Results. The upper permanent incisor was installed in the dentition as a result of the treatment, the upper jaw widened, a favorable closure of the dentition in the vertical plane was achieved, the jaw occlusion was preserved in class II, nasal breathing was improved. Conclusion. With early loss of upper temporal incisors, mouth breathing and contraction of the upper jaw, the use of a device with a screw along the middle line and artificial teeth is necessary, timely screening study - the analysis of orthopantomograms in children is necessary from 6 years to prevent the retention of teeth (in the period of an early replacement bite), which will allow to diagnose deviations in the development of the dentoalveolar system and start treatment in time.

Publisher

TIRAZH Publishing House

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