Application of the constitutional-typological approach in the study of the morphometric features of the dentition in people with the brachypalatinal type of the palatine arch

Abstract

The fundamental problem of precision medicine is the division of the population of sick and healthy people into separate individuals, differing in the likelihood of disease occurrence and the ability to respond to various types of therapy. This is mainly due to the individual, constitutional features of the structure, including the dentoalveolar system. The introduction of a constitutional-typological approach in a comprehensive study of the human dentition is an important task of modern dentistry, since it allows one to determine the characteristic morphological and functional characteristics of each individual individual to improve the methods of diagnosis and treatment of dentoalveolar pathology. The article examines the morphometric features of the dentoalveolar system in people with brachypalatinal («wide» and «low») type of palatine vault, as well as their relationship with the shape of dental arches and the size of the inter-incisal angle at a physiological occlusal norm. As a result of the study, the following regularity was determined: the brachypalatinal type of the palatine vault corresponds to «wide» dental arches of the brachygnathic type with an inter-incisal angle of more than 145 degrees. The value of the brachypalatinal index of the palatine fornix, as the ratio of the height of the palate to its width, exceeds 45 percent, and the gnathic index of the dental arches is 0.59 ± 0.03. The data obtained can be used in the clinic of orthodontics, orthopedic dentistry, maxillofacial surgery to assess the parameters of the hard palate, diagnose pathological forms of the palatine fornix and determine the effectiveness of the treatment.