Occlusion guidance using contemporary methods of orthodontic and orthopedic treatment, in deciduous, mixed and permanent dentition

Abstract

Introduction: According to JAPANESE JOURNAL OF CLINICAL DENTISTRY FOR CHILDREN, about 73 % of children are attested with all types of malocclusions, in deciduous, mixed and permanent dentition. The cause of those disorders are oral breathing, oral habits (thumb sucking, use of pacifier after 3 years since birth, nail biting, tongue thrust, etc.), diet (soft and processed food).

Preventing or avoiding those complications was the main reason of developing new concepts of treatment and prophylaxis. Using of myofunctional trainers, space maintainers, lip and tongue retractors,create possibilities of avoiding the late orthodontic treatment, which needs far more time than preventing and prophylaxis strategy. It is well known that development of maxilla-facial muscles in growth period are in close compliance with posture position of the body, oral and nasal breathing, mastication, deglutition, diction, teeth and bone morphology, that’s why it is very important to guide growth processes from the beginning.

Material and Methods: Includes the research based on clinical cases (18), documented using Photostatic analyze (90), radiology diagnostic, detailed explain of treatment and prophylaxis method, during X.2015-IV.2016 period.

Results and discussions: During the research on occlusion guidance, were examined 18 clinical cases, including clinical and laboratory explorations, diagnosis and treatment plan. From 18 cases, only 39 % respected indications and obtained good results, 39 % respected indications partially and accomplish insignificant changes and 22 % doesn’t comply indications and got a minimal result.

Conclusions: Our main objective of the study, was to evolve a strategy of preventive the development of malocclusions and avoiding it on primary stages. During the research we have mentioned, that one of the most important factor in occlusion guidance using contemporary methods it is patient discipline and the team work between orthodontist and patient. Following all indications and conscious attitude are the decisive aspects of successful treatment, which are difficult to reach with patient on early age.