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At least 991 records · Page 55Linked to original sources
PubMed1995

[The dental and skeletal effects of the jumping-the-bite plate and high-pull headgear combination. A clinical study of treated patients].

While planning treatment of the 30 patients with a dental and skeletal class II anomaly on which this study is based, the primary treatment goals were correction of the dental and skeletal structures and attenuation of vertical growth by means of influencing the maxillary skeletal structures and the resultant mandibular reaction. The desired treatment results were achieved in all patients. Even so, however, the effects on individual patients in respect to skeletal influences were markedly different. It was especially helpful that during therapy simultaneously with exerting influence on the maxillary base plane, the influencing of the occlusal plane occurred in the same direction. Through the additional application of high-pull headgear, maxillary growth was clearly restrained and the inclination of the maxillary base plane inhibited. Even difficult skeletal discrepancies, sagittal as well as vertical, can be treated with the bite-jump appliance in combination with a high-pull headgear. This also makes it possible to achieve protrusive repositioning of the mandible in patients with a pronounced vertical growth pattern without causing on open bite. In retrospective the patients' treatment plans proved to be completely appropriate, however, the fact should not be overlooked that changing the occlusal plane is essential for the realization of a positive therapeutic result.

Activator Appliances↗
PubMed1993

[Orthodontic studies in mouth breathing].

The diagnosis of dental malocclusions and skeletal deformities associated with an oral mode of breathing, requires a comprehensive orthodontic examination. The importance of dental occlusion and the skeletal morphology is stressed. Lateral sliding of the mandible when the centric occlusion shows the first contact in a cusp-to-cusp relationship; unilateral or bilateral cross-bite, due to the underdevelopment of the maxillary; the sagittal relationship of the jaws (class 1, 2 or 3); a vertical excess of the anterior facial height with postero-rotation of the mandible and open bite context. Cephalometric analysis provides a better understanding of facial architecture and allows a quantitative and qualitative appreciation of dento-skeletal dysmorphism.

Adolescent↗
PubMed1996

Post-retention results of spring-loaded posterior bite-block therapy.

In this study, ten patients who were treated with spring-loaded posterior bite blocks (SLPBB), were evaluated over a period of two years in order to test the effects of the appliance and the incidence of relapse. Successful treatment with SLPBB was achieved in skeletal and dental open bite cases. However, the use of acrylic bite blocks for retention during the post-treatment growth period, did not prevent relapse.

Cephalometry↗
PubMed1990

[Dysgnathias and apical S-sound formation].

From 800 patients with dysgnathias and from 90 probands with eugnathic bite those persons were selected, who had no sigmatism. The position of the tongue during the articulation of the sound S was proved at persons without sigmatism. Sigmatism is observed as highly significant more frequently at patients with dysgnathias than at probands with eugnathic bite. An apical kind of formation of the sound S is observed as significant more frequently at patients with dysgnathias than at persons without dysgnathias. Apical S is found as highly significant more frequently at the "open bite" than at the "lack of room" and at the "extended overjet". Apical S especially together with dysgnathias may be valued as a transition to a pathologic sound S.

Child↗
PubMed1982

Orthodontic force systems: individualized treatment with open-minded "Begg" technique.

Conventional Begg technique is efficacious for alignment, overbite reduction, and anchorage conservation, but it has a number of deficiencies. Biomechanical systems should be determined by the characteristics of each individual malocclusion, not by habitual application of the same recipe to every patient. Check elastics can increase the bite-opening potency of the appliance, thus permitting control of root movement at any stage. Ribbon arch wires can provide torque control for either bolstering or expending anchorage. Extraoral traction can provide anchorage, control of orientation of the dentition within the face, and simplify and/or shorten treatment in some cases.

Adolescent↗
PubMed1976

Patterns of occlusion in 3-year-old Danish children.

Occlusion and spacing patterns are described for 1,624 3-year-old children living in Gladsaxe, a suburb of Copenhagen. Normal transversal relations were found in 1,396 children, while 214 had crossbite, and 14 had scissors-bite. The sagittal and vertical occlusion were significantly different in the three groups. The sagittal occlusion characters were to a large extent identical in the second primary molar, the canine and the incisor regions in the individual child. Open bite was much more frequent in children with maxillary overjet greater than 4 mm than in children with maxillary overjet greater than or equal to 4 mm. Definite mandibular overjet was diagnosed in three children but 19 had a tendency towards mandibular overjet. The number of dummy suckers was very high and significantly higher among children with crossbite than amoung children with normal transversal relations. Crowding was found in the incisor regions, but very seldom, while total spacing existed in 34.5% of the maxillary and 24.3% of the mandibular arches.

Child, Preschool↗
PubMed1979

Sagittal split osteotomy in our experience. A follow-up study of 100 operated patients.

Sagittal split osteotomy is a tricky and time-consuming operation but gives excellent mobilization of the mandibular body for the purpose of positional changes. A follow-up study of 100 operated patients up to 3 years and more has demonstrated good and stable occlusion and subjective appraisal of improvement in appearance and bite. Negative effects of the operation are injuries to the inferior avleolar and lingual nerves. We are now of the opinion that sagittal split osteotomy is the method of choice only for correction of mandibular retrusion with or without open bite.

Adult↗
PubMed1987

Associations between occlusal characteristics and signs and symptoms of TMJ dysfunction in children and young adults.

Cross-sectional data were obtained from 1,342 subjects 6 to 17 years of age and analyzed for the prevalence of (1) specific types of occlusion, and (2) subjective symptoms and clinical signs of TMJ dysfunction. The results, as they pertained to occlusion and clinical signs, were as follows: functional shift was negatively associated with TMJ and muscle tenderness; open bite was positively associated with TMJ and muscle tenderness; excessive or negative overjets were more likely to have joint tenderness; older subjects with a cusp-to-cusp or a Class II molar relationship were more likely to experience TMJ and muscle tenderness, and restricted opening; and buccal crossbites had a significantly higher prevalence of joint sounds in older children. Results pertaining to occlusion and subjective symptoms were as follows: Class II molar relationship was positively associated with joint noise in the 6 to 8 and 15 to 17-year age groups; and subjects with negative overjet were more likely to report joint noise. Our conclusions were that (1) statistical associations exist between certain features of occlusion and TMJ signs/symptoms, and (2) such associations are greater in the older groups tested.

Adolescent↗
PubMed2003

Dental and occlusal changes during mandibular advancement splint therapy in sleep disordered patients.

The aims of this longitudinal, observational study were two-fold: first, to determine in adults with sleep disorders the extent of dental and occlusal changes following the use of a mandibular advancement splint (MAS) and, second, to determine the time course of these changes. One hundred adult subjects (87 males, 13 females) diagnosed with obstructive sleep apnoea (OSA) and/or asymptomatic snoring were treated with non-adjustable MAS. At the outset each subject was randomly assigned to a group and reviewed 6, 12, 18, 24 or 30 months after placement of a splint. There were 20 subjects in each group. Craniofacial changes were measured on lateral cephalometric radiographs taken at the initial and review appointments. When the changes in all subjects were examined, the SNA, ANB angles, ANS-PNS length and face height increased, and the mandibular first molars and the maxillary first premolars significantly overerupted. Significant retroclination of the maxillary incisors and proclination of the mandibular incisors were accompanied by reductions in maxillary arch length, overbite and overjet. When the changes over time were determined, the mandibular symphysis was significantly lower at all review periods. An increase in face height and reductions in overbite and overjet were evident at 6 months, and over-eruption of the maxillary first premolars and mandibular first molars, and proclination of the lower incisors were found at 24 months. Significant positive correlations were also found between the amount of anterior opening by the appliances and changes in overbite at 24 and 30 months. The appliance used produced small, unpredictable changes in the occlusion that tended to occur after 24 months' wear. It is postulated that the changes in overbite might be lessened by keeping the bite opening to a minimum.

Adult↗
PubMed2000

Effects of spring-loaded posterior bite-block appliance on masticatory muscles.

The effects of spring-loaded posterior bite-blocks on masticatory muscles were investigated to evaluate the correlation between masticatory muscles and craniofacial form in long-faced children. The appliance was used in 10 subjects (6 girls and 4 boys) with a chronological mean age of 10.40 +/- 1.12 years for the treatment of skeletal anterior open bite. Electromyographic activity of the anterior and posterior temporal and masseter muscles was recorded before and after treatment during postural position, maximal biting, chewing, swallowing, postural position with the appliance in the mouth, and maximal biting with the appliance in the mouth. After treatment, increases in SNB and overbite (P <.05, P <.001, respectively) and decreases in ANB, SNGoAr, and overjet parameters were found to be statistically significant (P <.05, P <.01). When the measurements related to muscle activity were examined, increases in anterior temporal postural (P <.05), anterior temporal chewing (P <.01), masseter chewing (P <.05), posterior temporal chewing (P <. 05), and masseter swallowing (P <.01) were found to be statistically significant. A positive correlation was found between ANB and anterior temporal postural and a negative correlation between SNGoAr and masseter swallowing. The increase in muscle activities was considered to occur as a result of the appliance used.

Cephalometry↗
PubMed2007

Orthodontic treatment experience and prevalence of malocclusion traits in an Icelandic adult population.

INTRODUCTION: The objectives of this study were to record the extent of orthodontic treatment and the prevalence of occlusal anomalies in an adult sample in Iceland. METHODS: The study was based on a random sample of 829 subjects, 342 men and 487 women, aged 31 to 44 years, who completed questionnaires about their orthodontic treatment experiences and were available for clinical examination. RESULTS: Complete dentitions in both jaws were present in 52.8% of the women and 45.3% of the men at the examinations. Significantly higher percentages of the women had received orthodontic treatment of some kind (24.3% compared with 16.9% for the men) and treatment with fixed appliances (16.0% compared with 9.5% for the men). Malocclusion traits were recorded with a standardized method, describing sagittal and vertical incisor relationships, sagittal and transverse molar relationships, and mandibular and maxillary space conditions. The results showed that 45.5% of the subjects had no malocclusions, 33.9% had 1 malocclusion trait, and 20.5% had 2 to 4 traits. The most frequent malocclusion traits were distal molar occlusion (27.7%), mandibular anterior crowding (13.4%), molar crossbite (11.9%), excessive overbite (11.8%), maxillary anterior crowding (7.1%), mesial molar occlusion (6.9%), and excessive overjet (5.3%). The prevalences of mandibular overjet, mesial occlusion, and scissors-bite were significantly higher in the men than in the women. CONCLUSIONS: The prevalences of malocclusion traits were similar in treated and untreated subjects, except for a significantly lower prevalence of overjet and a higher prevalence of molar crossbite in the treated group. Comparison with other studies showed low prevalences of overjet, overbite, open bite, and maxillary and mandibular spacing and crowding; other variables fell within the ranges of prevalence in previous surveys.

Adult↗
PubMed1995

An interactive consultation multimedia software for orthodontic patients.

Presentation of diagnosis and treatment planning for orthodontic problems by orthodontists is often a hurdle and a nuisance to most patients. The reasons are that it has much content which may be hard to understand without having expert knowledge related to the temporal change in dentofacial structures known as the growth, development and physiological aspects of masticatory apparatus. To complement this, we have developed an interactive consultation multimedia software for orthodontic patients. he design concept of the current software has three aspects. Firstly, since the software is operated by orthodontic patients themselves or by their parents, it enhances the operational feasibility. Secondly, it helps the patients choose the information in which they are interested. Thirdly, it emphasizes audio-visual understanding of orthodontic practice, including terminology. e used a hypertext machine with a 240MB hard disk drive, an 8MB RAM and a 13 inch color monitor. In developing the current software, we also used a video camera, a video color board, a microphone, and an image scanner together with an image recorder, a movie and sound data editing system, image scanning and editing, an image changer, a spread sheet and mathematical software. he current software consists of various multimedia such as images, sounds, characters, and biosignals. The "stack" of the software consists of three parts: a) "General Understanding of Occlusion" b) "Understanding Specific Types of Occlusion Exhibited by the Patient" c) "Orthodontic Terminology" When card A is selected the patient can choose either "Good Occlusion" or "Malocclusion." If "Malocclusion" is chosen, respective occlusal types are shown. The next card provides pathological conditions caused by respective malocclusion, e.g., gingivitis. After selecting card B which asks the patient, "What do your teeth look like?" the following buttons are provided: "Maxillary Protrusion," "Reversed Occlusion," "Crowding," "Open Bite," and "Spaced Arch." After selecting one of these, the card with an explanation of the respective malocclusion is shown according to the patient's physiological age. Finally, after card C is selected, a new card which has a list of orthodontic terminology is presented. Patients can search any term according to their choice to open a new card which gives a detailed explanation. e confirmed that the current consultation multimedia software can provide a comfortable environment to the patients and their families to learn where the orthodontic problems lie and how they could be solved.

Audiovisual Aids↗
PubMed1989

Muscle function and craniofacial morphology: a clinical study in patients with myotonic dystrophy.

The occlusal traits and the craniofacial morphology were studied in patients with an altered muscle function caused by myotonic dystrophy. Twenty-four adult patients were examined and compared with a matched group of healthy individuals. The condition of the masticatory muscles was evaluated by measuring the maximal bite force. The dental arches and the occlusal traits were analysed on dental casts. Lateral cephalograms were taken in the patients with myotonic dystrophy to study the craniofacial morphology. It was found that the patients suffering from myotonic dystrophy had weak masticatory muscles, which might be caused by the disease. A high prevalence of malocclusions (postnormal occlusion, anterior open bite and lateral cross bite) was found among these patients. Their craniofacial morphology showed a vertical aberration, characterized by a large angle between the mandibular and palatal planes and a steep mandible. These findings seem to be most pronounced in patients with an early onset of the disease and support the hypothesis that reduced muscle function may cause changes in the craniofacial morphology.

Adult↗
PubMed2003

Orofacial analysis on the Adriatic islands: an epidemiological study of malocclusions on Hvar Island.

The prevalence of malocclusion was studied on the Hvar island, Croatia. This island is characterized by high rates of endogamy, inbreeding and reproductive isolation. The sample for this study comprised 224 children, 126 males and 98 females from all schools on the island of Hvar (20.2 per cent of the total public school population). The sample was selected according to age, sex distribution, and demographic characteristics. The Angle Classes, overjet, overbite, crowding, spacing, and the type of anterior bite were examined. Class I buccal relationship was found in 47.3 per cent of the subjects, Class II in 45.1 per cent, and Class III in 5.4 per cent. Normal overjet was the most frequent finding (69.9 per cent). Normal overbite was seen in 42.5 per cent, deep in 49.1 per cent, and very deep in 2.7 per cent of the cases. Open bite was diagnosed in seven subjects (3.1 per cent) and edge-to-edge bite in six (2.7 per cent). The frequency of crowding was 57.1 per cent, normal relationships were observed in 34.9 per cent, and spacing in 8 per cent. The results of this investigation showed that the inhabitants of Hvar, who are characterized by a high rate of inbreeding and traditional diet, have more Class II malocclusions, deep bites, and midline shifts than the general Croatian population but not higher than other modern urbanized groups. Since the lack of chewing stress in this population cannot be considered as the main explanation for the above phenomenon, the genetic influence on the development of these occlusal traits in the inbred population of Hvar requires further investigation.

Adolescent↗
PubMed1990

Le Fort fractures without mobility.

The Le Fort fracture without maxillary mobility constitutes 9 percent of maxillary fractures observed over a 3-year period. A high Le Fort (level II or III) injury exists as a one- or two-piece incomplete fracture. The degree of fracture is insufficient to permit mobility of the maxillary alveolus. Frequently, an obvious unilateral zygomatic fracture is present. Physical findings consist of bilateral eyelid ecchymosis and malocclusion. The occlusal disturbance may consist of either crossbite, open bite, maxillary rotation, or lack of proper dental intercuspation. On CT scan, fractures are best demonstrated in the posterior and medial maxillary walls at the Le Fort I level; they are most obvious unilaterally with contralateral fractures that may be subtle. Bilateral maxillary sinus fluid is consistently present on CT. Treatment usually consists of observation and traction elastics but may require mobilization of the fragments followed by open reduction and rigid fixation.

Humans↗
PubMed2004

Effect of different masticatory functional and mechanical demands on the structural adaptation of the mandibular alveolar bone in young growing rats.

The influence of masticatory functional and mechanical demands on the structural adaptation of the alveolar bone has not been investigated in both animals and humans. The effect of two experimental factors, the insertion of a bite-opening appliance and the alteration of food consistency, was investigated in young growing rats, with a particular emphasis on three-dimensional (3D) bone microstructure. Thirty-six male albino rats were divided into two equal groups, fed with either the standard hard diet or soft diet, at the age of 4 weeks. After 2 weeks, half of the animals in both groups had their upper molars fitted with an upper posterior bite block, an appliance similar to those used in clinical orthodontics. The remaining animals served as a control. After another 4 weeks, the animals were sacrificed, and their left hemimandibles were excised. Bone mineral density (BMD) and bone microstructure parameters of the alveolar process were subsequently measured, using dual-energy X-ray absorptiometry (DXA) and micro-computed tomography (micro-CT). The alveolar process width was also measured. Both experimental factors led to significant shape and structure modification of the mandibular alveolar bone in the growing rat. The bite block applied a continuous light force, which was associated with an inhibition of alveolar process vertical growth and a significant increase of cortical thickness. Soft diet and the consequent reduction of the intermittent forces applied to the alveolar bone during mastication resulted in a reduction of bone mineral density, accompanied by decreased trabecular bone volume and thickness. This rat model could prove to be a useful tool for the in vivo investigation of the role of muscular forces on the shape and structure adaptation of bone.

Absorptiometry, Photon↗
PubMed2001

Selecting sleep-disordered-breathing appliances. Biomechanical considerations.

BACKGROUND: Dentists who wish to provide sleep-disordered-breathing therapy have many different mandibular advancement devices, or MADs, from which to select. Documented research directly about the variations in MADs is sparse. TYPES OF STUDIES REVIEWED: The author reviewed dental and medical literature dealing with biological and mechanical principles affecting the function of MADs. RESULTS: The author found that MADs vary in four major areas: freedom of mandibular movement, amount and rigidity of dental coverage, amount of mandibular advancement and amount of bite opening. Each of these areas appears to affect the appliance's efficacy, safety or both. The main potential detrimental effect of MADs is occlusal shifting. The author presents biological and mechanical considerations in an attempt to determine the optimum parameters for each of the MAD variation areas. The MAD must be constructed in a manner and with material that secures the mandible in its optimum position. The optimum mandibular position needs to be captured and transferred to the articulator with an accurate construction bite. CLINICAL IMPLICATIONS: MAD therapy may last a lifetime. Therefore, dentists must consider the efficacy and the safety of an MAD when selecting an appliance. Since occlusal shifting appears to be the main potential detrimental effect, dentists should consider all available means to monitor and minimize these changes.

Biomechanical Phenomena↗
PubMed1993

Two Class II, division 1 patients with congenitally missing lower central incisors.

Although orthodontic treatment objectives and procedures for apparent protrusion of the maxillary teeth vary among orthodontists and specific cases, the differences are even greater where there is disharmony of jaw relationship between the maxilla and the mandible. The two cases presented in this article resemble each other in appearance, but the growth patterns and reactions to appliance, as well as treatment progress, are quite different. The initial excessive overjet seemed equally severe. Treatment was started at the same age, both patients were eldest daughters, both had a convex type facial pattern and an abnormal perioral muscle function with mouth breathing. In addition to the marked overjet, deep bite, and Class II molar relationship, lower central incisors were missing, and second molars had not erupted. They both had a steep curve of Spee, disharmony between the upper and lower arch forms, and slight diastemata. The facial appearance has been improved significantly in both, and patient satisfaction is high. A Kloehn-type cervical headgear was used in both cases. Case 1 showed improvement in the relationship between the maxilla and the mandible with reduction of the overjet. However, in Case 2, the sagittal relationship became worse, and an open bite developed. The obvious question is why the big difference in treatment response? What role did clearing of the nasopharyngeal airway play?

Activator Appliances↗