Orthodontics – dentist carina sell

Orthodontics - dentist carina sell

Orthodontics of the dental practice Carina Sell in Giessen

For orthodontic / orthodontic treatment, we are happy to advise you, but the treatment itself should then be performed by a specialist dentist for orthodontics.

Additional information on orthodontics

Orthodontic treatment is used when treatment measures have to be taken to prevent or eliminate teeth-damaging habits (habits, orofacial dyskinesias) or in case of anomalies of the teeth or jaws before the age of 9 years.

It is rarely necessary to start treatment before the age of 4 years. Early treatment focuses on the cessation of habits, as it may make subsequent orthodontic treatment obsolete. Allen Habits has in common that they can affect both the tooth position as well as the development of the upper and lower jaw and their positional relationship.

If habituation cessation is no longer sufficient to reverse the influence on the teeth and jaw, then early treatment with orthodontic appliances will be necessary.

In cleft lip and palate or other extreme abnormalities of the facial skull, the start of treatment begins in infancy. They will not be discussed further below.

I. Early treatment to stop habits is one of the most common measures. Among the harmful habits are counted:

  1. Sucking: Thumb and other fingers act like an orthodontic device in the mouth. Maxillary incisors get pressure to labial (front), change their position and pull the front of the maxilla with. The lower incisors can be tilted accordingly orally (towards the oral cavity). Together with them, the lower jaw dodges in its rearward (dorsal) position and is simultaneously inhibited in growth. A so-called open-mouthed bite can develop in which the upper and lower incisors are no longer in contact with each other and the tongue can be stored between the rows of teeth to the front.
  2. Pacifiers: have a similar effect to sucking, but have the small advantage that they can be exercised more easily and earlier
  3. wrong swallowing pattern: during the so-called visceral swallowing, the tongue is pressed against the incisors with each swallow, instead of accumulating on the palate, as in so-called somatic swallowing. As a result, the upper and lower incisors deviate labially (front).
  4. Cheek biting and sucking: the teeth are inhibited on the corresponding side in their growth in length, the jaw can develop side unevenly due to the side-directed muscle movement
  5. Laying in the lower lip: either as a result of sucking or as a separate habit: similar to sucking, upper and lower incisors are soft, the lower jaw growth is inhibited, the lower jaw is relocated
  6. Lip sucking, pressing, biting: the upper incisors get pressure from labial (from the lip) and react with tilting to oral (to the oral cavity), if not all incisors have broken through, which in turn is a breakthrough obstacle for the following incisors can mean; In addition, the lower jaw gets into a caused by the steepness of the upper incisors forced return
  7. Speech disorders such. Lingual sigmatization (tongue-related s-sound deformities): sigmatic interdentalis (interdental lispes), addentalis (collision with the incisors) and lateralis (lateral lispes); Also, labiodental (lip function-related) sigmatisms have an effect on the malformation of the musculature on the Gebisssystem
  8. Habitual (habitual) mouth breathing; this is to be distinguished from mouth breathing in anatomically disturbed nasal breathing; however, nasal breathing may be hindered as the nose is less susceptible to growth
  9. Chewing on fingernails, pens and the like: has a similar effect as sucking

II. Early treatment with the aid of orthodontic appliances is required if the harmful habits have left lasting traces or if, for example, the following dysgnathias (jaw malformations) are present without the influence of a habit:

  • reverse anterior overbite (positive anterior teeth, lower jawbone); This can be due to the tooth, but also due to the mismatch between an under-developed upper jaw in normal lower jaw development or too large a lower jaw in normal upper jaw growth
  • Forced position of the mandible due to lateral crossbite (reverse dentition in the posterior region)
  • severe mandibular retraction: due to maxillary micrognathia (upper jaw too small) or mandibular macrognathia (mandible too large); As a result, the lower lip is embedded between the incisors, which leads to the amplification of the anomaly
  • by tilting the upper incisors to oral (to the oral cavity)
  • Breakdown of the support zones due to early loss of the lateral deciduous teeth
  • supernumerary teeth
  • accidents

I. Parking Habits

Habits should be stopped as early as possible in order to minimize the effects on the orofacial system and to avoid later orthodontic treatment as far as possible.

1. Measures against sucking on the thumb and other fingers should therefore be successful at the latest in the 4th year of life. Helpful are z. B. following procedures:

  • Abweich the thumb by offering a soother
  • this, in turn, can later be more easily abtrained
  • in the pharmacy available nail polish with bitter substances
  • prefabricated or custom-made oral atrial plate: is positioned in the oral forecourt (space between the lip and teeth), keeping the thumb and its effect away from the teeth; At the same time, the upper incisors are moved back to their original position by the pressure of the plate
  • Lutschkalender and other reminders: should illustrate success stories and thereby cause behavioral change

2. Measures against the wrong swallowing pattern: During visceral swallowing, the incisors are exposed a thousand times a day to incorrectly applied muscular forces. As early measures can be used:

  • Oral Atrial Plates: made-to-order or individually made, which are passive with tongue lattice or active with rotatable beadwork positioned in the palate space, which should train the tongue when swallowing in the correct position
  • Logopedic treatment (speech and swallowing therapy): targeted tongue exercises are designed to reprogram the misdirected swallowing pattern; Regular home training is indispensable.

3. Measures against mouth breathing: the consequences of habitual (habitual) mouth breathing for the orofacial system are far more serious than one might initially suspect. Due to the lack of filtering and warming up of the nose, the patient is more susceptible to infection, and due to a lack of lip activity and tougher, because dried saliva is more prone to caries. Lack of growth stimuli on the upper jaw and nose and the back displacement of the lower jaw with almost permanent mouth opening have a negative effect on jaw growth. Finally, there is also an imbalance of the muscles between tongue and lips, as the lips are untrained; The teeth are dependent on a balance of forces between inside and outside for a correct tooth position. The following treatment attempts are therefore indicated:

  • Oral Atrial Plate: reduces the ability to breath through the mouth, which offers the nose as a natural alternative increased again
  • Logopedic treatment: to train the lip muscles and deliberate behavioral change

4. measures against speech disorders: speech therapy

II. Early treatment with orthodontic appliances

1. Support zones broken down after premature deciduous tooth loss are prevented from further narrowing by gap holders: these are removable or stuck, the latter making oral hygiene somewhat more difficult, but guaranteeing a daily wearing time of 24 hours.

2. Reverse anterior overbite: an individually created so-called oblique plane guides the teeth into the correct position. With different growth tendencies in upper and lower jaw the lower jaw must behave by removable Plattenapparaturen in the growth, the upper jaw be promoted.

3. In case of strong mandibular back displacement, the upper arch of the maxillary arch is extended transversely (transversely) with a removable device in order to provide space for the lower jaw to advance.

Related Posts

Like this post? Please share to your friends:
Christina Cherry
Leave a Reply

;-) :| :x :twisted: :smile: :shock: :sad: :roll: :razz: :oops: :o :mrgreen: :lol: :idea: :grin: :evil: :cry: :cool: :arrow: :???: :?: :!: