|
Principles Of Prevention Tooth-jaw Anomalies And Strain
08-09-2009
To implement the main tasks of prevention ZCHA must be able to establish an unambiguous link between the morphological features and functional features of physiological bite, to be able to relate restbite with various stages of its formation.
Bite – the ratio of dentition (teeth) when closing with the largest number of contacts. Consequently, the norm – the notion of the correct position of teeth, the form of dentition and jaws, respectively, the ratio of mean bite and the period of its development until the formation of permanent dentition.
Contents of preventive measures defined by the presence of clinical signs and active causes leading to the development of malocclusion.
Preventive measures are divided into pre-and postnatal.
Activities on prenatal prevention in antenatal clinics by healthy pregnant woman.
The objectives of prevention ZCHA in this period are the elimination of occupational hazard, the establishment of the management regime of the day and nutrition of women, treatment of infectious diseases, combating toxicosis, dental health, dental education. During this period, possibly identifying a number of hereditary factors, but the methods of influence on the processes of heredity are under investigation.
Postnatal prophylaxis is carried out since the birth of the child and its content depends on age.
From birth to first baby teeth erupt (0-6 months.):
• Identification of congenital anomalies in the maxillofacial area;
• prevention of acute purulent diseases of the newborn;
• dissection shortened frenulum language;
• proper bottle-feeding the child (posture, the selection of nipples);
• identify early carved teeth and determine the indications for their removal.
Period of formation of milk occlusion (6 months. – 3 years):
• Monitoring dentition (the timing and sequencing, pairing, quantity, symmetry, shape, position, type of closure);
• plastic shortened frenulum language;
• prevention of caries and its complications;
• balanced diet, use in chewing hard food;
• prevention of systemic diseases;
• reorganization of the respiratory organs;
• prevention of harmful habits (finger sucking, pacifiers, nipples, foreign objects);
• Monitoring the function of language in swallowing (dental ranks closed, the tip of the tongue is located in the upper front teeth with a palatal side).
Period formed dairy occlusion (3 years – 6 years):
• plastic truncated or improperly attached frenulum language;
• prevention of dental caries and its complications;
• the presence in the diet of hard foods;
• Remove vyvlenie carved teeth;
• prevention of deformities of dentition defects in the dentition (primary edentia or removal of teeth on clinical indications) by the prosthesis;
• monitoring of the growth of the jaw bone (the appearance of the physiological and three diastemata to 5-6-year-old child’s age);
• selective mounds milk teeth (usually canines);
• monitor the ratio of dentition, the shape of dental arches;
• identifying the nature of speech articulation disorders;
• complexes miogimnastiki – to normalize the closing of the lips, the location of the lower jaw and tongue at rest and during function.
Frequency shift of teeth (6 – 12 years):
• prevention of dental caries and its complications;
• Monitoring of root resorption of deciduous teeth;
• monitor the eruption of permanent teeth (timing, sequencing, pairing, quantity, symmetry, shape, position, type of closure);
• removal carved teeth;
• Determining the indications for surgical treatment, associated with low attaching bridle upper lip, which was the cause diastema, short frenulum of the lower lip, tongue and the small vestibule of mouth;
• restoration of destroyed crowns of the first permanent molars and / or incisor teeth by prostheses after their injuries, caries or enamel hypoplasia;
• replacement of missing teeth, including at adentia through the prosthesis;
• elimination of harmful habits (sucking lips, cheeks, tongue, foreign objects);
• selective prishlifovyvanie nestershihsya knolls milk canines and molars;
• miogimnastika to normalize the closing of the lips, nasal breathing, posture.
The period of the emerging permanent dentition (12 – 18 years):
• treatment of maxillo-facial anomalies in order to reduce their severity;
• prevention of dental caries and its complications;
• prevention of periodontal diseases;
• removal of some teeth in orthodontic reasons;
• Remove or carved sverhkomplektnyh Impacted teeth, Odonto, cysts;
• rational prosthesis;
• plastic truncated or improperly attached bridles the tongue, lips, deepening shallow vestibule mouth.
Period formed permanent dentition (18 years and older):
• dental health and compliance with basic hygiene;
• restoration of destroyed crowns of teeth;
• replacement of missing teeth by prostheses;
• Removing parafunktsy (bruxism);
• Splinting of teeth with periodontal disease;
• preventing overloading of the supporting teeth in prosthetics;
• preservation of tissue prosthetic bed.
Most dental clinics are found in patients with associated malocclusion. Diagnosis of early symptoms associated with the identification of the etiological factors that determine their clinical characteristics and prognosis of disease.
For the development of dental system is very important functional state of muscles maxillofacial region, which either contribute to the normal development of occlusion, or violate it. Artificial feeding of children in the first year of life does not create the necessary functional load. In children with this method of feeding, swallowing prevails, and not suck function.
To prevent ZCHA associated with artificial feeding, recommend a wide range of tone for babies of different ages from 0 to 12 months, which imitate the mother’s nipple. Form nipples depends on its purpose, so for water, milk, juice, cereal, they are released different. Special nipples are for feeding children with congenital pathology.
Given the different state of the muscles of the maxillofacial area during sleep and wakefulness, pacifiers come in day and night. Each breast-feeding promotes training of masticatory, facial muscles and the growth of the mandible in length, ie, the formation of the physiological ratio of jaw.
| |
