オープンバイト

咬合障害はさまざまな形で起こる。そのひとつが開咬です。このような異常がある患者は2%にも上ります。1歳未満の子供では12%、6歳では5.6%、成人では1.8~2%と、かなり少ない割合です。

オープンバイトとは

開咬とは、前歯列または側方歯列が不完全に閉じている状態のことです。垂直的な隙間が形成されるため、審美的な問題だけでなく、機能的な障害も生じます。多くの場合、このような病態は他の咬合と合併することがあり、遠位開咬や中位咬合を治療する必要があります。

看板

開咬の視覚的徴候:

顎が下方に移動し、顔の下部が拡大; 半開きの口; 上唇は狭く、閉じる瞬間は張っている; 口蓋は下方に移動し、後方に下がっている; 鼻唇溝は滑らかになっている。

口腔内症状...

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内側咬合

中顎咬合は顎の閉鎖障害で、下顎がより前方に突出し、上顎の切歯と重なっている状態です。これは、患者に心理的な問題をもたらすだけでなく、適切な審美性がなく、外から欠陥が議論される可能性があるだけでなく、一般的に健康にも影響を与えます。成人や小児の中間の咬み合わせの治療は、長く困難なものです。筋機能体操、歯槽突起のマッサージ、矯正装置の使用、歯科専門医への定期的な受診など、あらゆる方面からの治療が必要です。

メシアルバイトとは

内側咬合とは、顎がきちんと閉じない咬合異常のことです。上の歯列に対して下の歯列が前に出ているため、視覚的にも目立ちます。

中顎咬合は、全体の10%までの集団で発生する(モンゴロイド人種でこの病態が観察されることが非常に多い)。また、遠位咬合と異なり、中顎咬合はあまり診断されません。
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クロスバイト

読み取り時間~7分 読み取り回数13499

交叉咬合は2%の患者に見られる。これは小児と成人です。多くのバリエーションがあり、このタイプの咬合が他の異常と組み合わさっていることもよくあります。不適切な咬合は治療可能ですが、標準からの逸脱に気づいたらすぐに治療を開始する必要があります。そうでなければ、治療だけでは不十分かもしれません。

クロスバイトとは

交叉咬合とは、上顎と下顎が水平面で閉じていること。片側または両側、前歯部または側⻭部の違反。咬合は交差した位置で起こり、歯列、個々の要素は重なり合っています。

交差咬合の徴候

目に見える症状の一つは、確かに顔の非対称性である:

唇の角の高さが異なるため、笑顔がずれている(曲がっている); 顎のラインが中心軸からずれている。

クロスビットにおける視覚的非対称性...

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Braces care

Reading time ~ 6 min. Number of reads: 8387

You've taken a step toward beautiful, straight teeth - you've had a braces system put in. Proper post-installation braces care is now a must. Otherwise, having finished a long orthodontic treatment, after removing braces, you may notice white spots on the enamel or traces of progressive decay. Therefore, it is necessary to take care of the teeth constantly, and during the wearing of the structure even more carefully. And after a few years, associated with minor inconveniences, restrictions in eating, you will get not only a corrected bite, but also healthy teeth.

Brushing before braces

Care for teeth with braces begins even before their installation. Oral sanitation and professional cleaning are performed. Hard tartar is removed using ultrasound, and soft plaque is removed using a pressurized jet with a special cleaning solution (AirFlow method). The surface i…

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Preparing for braces

Reading time ~ 1 min Number of readings: 1820

Having braces installed means that there will be additional risk areas where bacteria will gather to "build" plaque. These are the nooks and crannies under the ligature, around the brackets, etc. Remember that poor hygiene is the first step to a long list of dental diseases, among which caries is hardly the most harmless.

Preparing for braces is a serious undertaking that includes the following procedures:

Panoramic radiograph; Hormone testing (if necessary); Treatment of any existing tooth and gum disease; Removal of tartar; Professional hygienic cleaning by a dentist; Remineralization or fluoridation (if necessary); Removal of "extra" teeth, often symmetrical (if necessary).

The last point is indicated in order to evenly place all the teeth on a short jaw, or to make the facial oval more beautiful and harmonious. In some cases, toot…

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Braces for adults – types, stages of treatment

Reading time ~ 3 min Number of readings: 2445

Orthodontic treatment has "grown up" in the last ten years. Previously, braces were only fitted to teenagers who were brought to the doctor by their parents. Today, a large number of adults are consciously coming to the orthodontist to address problems with their bite and dental "irregularities".

When used:

For bite abnormalities

Installation and fabrication time:

90 minutes fitting 2 weeks fabrication

Treatment period:

90 minutes retainer 1.5 years of wear (individualized)

Features:

fast treatment minimum pain excellent appearance

Material:

metal, ceramic

Age restrictions

From 18 years of age (in our clinic)

The corrective principle is the same for child…

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Distal bite: causes and treatment methods

A malocclusion is a misalignment of the lower and upper jaw in relation to each other. Distal overbite is a fairly common type of this anomaly.

What is a distal bite

If the lower jaw does not develop properly, the upper jaw may prevail over it. That is, if the upper jaw strongly protrudes forward, and the lower jaw is underdeveloped, we can talk about a distal (prognathism) bite.

症状

With dental occlusion, the following facial features are characteristic:

large cheeks and cheekbones, the face appears convex; the wings of the nostrils look upwards; the profile is called "bird-like" because of the small lower jaw; because the lower lip is tucked under the front teeth, the mouth may often be half-open; the upper lip is more dense; the chin has a pronounced crease.

The patient speaks with whispering or mouthed, the more severe, the greater the degree of distal dentition. Postural abnormalities are characteristic.…

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Eliners or braces – which to choose?

Modern orthodontics offers very extensive options in the field of bite correction and teeth alignment. Technology is expanding and improving, and orthodontic systems are becoming more and more discreet and comfortable. Today, braces or eliners are used for treatment. Both technologies effectively cope with almost any orthodontic anomaly. Each has its own pros and cons. The principle of treatment methods do not differ much, the main difference between eliners and braces - in aesthetics, convenience of wearing.

What are braces?

Bracket-system - fixed orthopedic apparatus, consisting of locks with grooves (brackets), arc, which combines these locks into a single mechanism, additional elements - elastics, ligatures, through the grooves conduct the arc. The principle of operation lies in the ability of the metal arch to take the original shape. Straightening, it pulls the locks behind it, pulling the teeth to the desired position. The result is stabilized by fix…

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Bite correction in children

Reading time ~ 1 min Number of reads: 2169

The bite is formed from the first day of life and goes through several stages. When temporary teeth have changed to permanent teeth and a child's malocclusion is detected, the age of 11-13 years is optimal for correction.

Habitual mouth breathing leads to the development of anomalies of bowing of the dental rows. In this case, the formation of the speech apparatus is disturbed, bruxism appears, and chronic pain in the temporomandibular joints occurs.

Signs of malocclusion of the jaw:

facial asymmetry; large or small chin; crowding of the teeth; no canines or incisors, gaps in the tooth row.

Causes of irregularity:

mouth breathing; premature loss of temporary teeth; untimely eruption of permanent teeth; dental caries; short frenulum; trauma to the jaw; speech problems.

Dentistry has ways of treating dento-mandibular pathologies. The suc…

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Eating with braces: what can and cannot be eaten?

Braces are the most effective way to correct your bite. Treatment with braces is not only the doctor's work, but also the patient's own efforts. It is necessary to keep an eye on the structure, hygienic procedures should be performed regularly and carefully, and also to follow certain dietary rules. But do not think that semolina is all you can eat with braces. Strict restrictions are necessary only in the first days. Then the list of allowed products is expanded, although some prohibitions remain.

The right diet will help to protect the structure from breakage and maintain oral health.

What to eat with braces on the teeth?

As we have already said, much depends on the timing. In the first days after installation and every time the doctor tightens the arch, you will have to eat only pureed food: cream soups, yogurt, cottage cheese, jellies and mousses. Such a diet reduces the load and facilitates adaptation.

The first meal is…

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