Difference between revisions of "OrthoNeuroGnathodontics on 2° Class patient"

Titolo = OrthoNeuroGnathodontics on 2° Class patient

Sottotitolo = OrthoNeuroGnathodontic treatment on 2° Class patient, ipodivergente con Deep Bite

Presentazione = 12-year-old patient who shows to the  cephalometric examination, a underdevelopment of the jaw, which is small and not very projected, and imprisoned in the maxilla. The hypodivergent growth also determines a severe deep bite that does not allow the eruption of the upper canines in the presence of class 2 molar. The trigeminal electrophysiological tests (not reported here) ensured that the patient, in the conditions in which he presented himself for the Ortho-NeuroGnathodontic treatment, was in a State of System Coherence such that the occlusal imperfection could be corrected through classic orthodontic masticatory rehabilitation. If the electrophysiological responses had shown neuromotor discrepancies, a State of system decoherence would have been added to the occlusal imperfection to be treated with functional neuro-gnathological therapies to restore the state of System integrity (Figures 1, 2 and 3)

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Trattamento/Intervento = The 1st phase of the treatment consisted in restoring the maxillary spaces and volumes through molar distalization by means of NiTi Opencoil (nickel titanium open spring) between the first premolars and the molars which allows to obtain in addition to the recovery of the 1st molar class also the recovery on the sagittal plane of the space necessary for the canines. The use of class 2 elastics is essential to avoid the mesializing counter vector on the upper frontal group, as well as the lip bumper inserted in the tubes of the bands in the lower molars avoids the mesializing component on the lower arch through the lip thrust on the resin shield. (Figure 4)

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File:Caso clinico di 2° Classe con deep bite (2) - 1st phase of OrthoNeuroGnathodontic treatment (001).jpg|Figure 4: Lateral aspect of the 1st phase of OrthoNeuroGnathodontics treatment

File:Caso clinico di 2° Classe con deep bite (4).jpg|'''Figura 5''': Left view of the occlusal raisebite on 14 and 24 performed with the aid of trigeminal electrophysiology (image on the right side) and in particular through analysis of the jaw jerk. The upper trace indicates the right masseter.  

File:Caso clinico di 2° Classe con deep bite (5) - facial hypodivergent morphology, OrtoNeuroGnathodontics.jpg|'''Figura 7''': View of the pre and post treatment clinical case</gallery>

Follow up = Finalization of the clinical case with stabilization of the increased Occlusal Vertical Dimension and of the Centric Occlusal