Funkcionalni čeljustno - ortopedski pripomočki za obravnavo odprtega griza : diplomsko delo

Sojer, Erika (author), Ovsenik, Maja (mentor), Rojko, Franc (comentor)

Uvod: Odprti griz je nepravilnost v navpični ravnini, pri kateri zobje zgornjega in spodnjega loka niso v stiku. Čeprav se odprti griz lahko pojavlja tudi v stranskih področjih zobnih lokov, je ta nepravilnost najpogostejša v sprednjem področju. Lahko je dentoalveolarnega ali skeletnega izvora. Vzroki za nastanek odprtega griza so poleg nepravilne rasti in razvoja čeljustnic tudi odklonjene orofacialne funkcije. Poseben dejavnik za nastanek odprtega griza v mlečnem zobovju so sesalne navade. Odprti griz lahko zdravimo z ortodontskimi pripomočki ali kirurško. Med funkcionalne čeljustno - ortopedske pripomočke za obravnavo odprtega griza spadajo bionator po Baltersu zaščitnega tipa, regulator funkcije po Fränklu tipa IV in vestibularna ploščica. Namen: Namen diplomskega dela je predstaviti nepravilnost odprtega griza, vzroke za njegov nastanek in načine zdravljenja ter predstaviti funkcionalne čeljustno ortopedske pripomočke za obravnavo odprtega griza in njihovo izdelavo v laboratoriju. Namen je tudi predstaviti statistiko odprtega griza in uporabe aparatov pri obravnavi le tega, merjenje časa z napravo TheraMon ter analizirati začetne in končne študijske modele s programom Rapidform. Metode dela: Metode dela temeljijo na pregledu tuje in domače strokovne literature, člankov ter zbornikov s področja zobne in čeljustne ortopedije. Praktično bomo izdelali tri funkcionalne pripomočke ter pregledali statistiko pacientov, ki so leta 2014 zaključili zdravljenje na zavodu Orthos. Rezultati: Izdelali smo tri funkcionalne čeljustno ortopedske pripomočke za obravnavo odprtega griza, predstavili njihovo laboratorijsko izdelavo in vse slikovno dokumentirali. V aparate smo vstavili napravo TheraMon za merjenje časa nošenja aparata. Izdelali smo začetne in končne študijske modele, jih digitalizirali v tridimenzionalno obliko ter s programom RapidForm izmerili njihovo površino in volumen. Razprava in sklep: Funkcionalna čeljustno-ortopedska obravnava v zgodnjem razvojnem obdobju je bila pri vseh treh pacientkah uspešna, morfološka nepravilnost odprtega griza je bila odpravljena. Z napravo TheraMon lahko učinkovito spremljamo čas nošenja snemnih aparatov. Z objektivno metodo 3D analize oblikovnih značilnosti čeljustnic smo potrdili navedbe literature, ki trdijo, da lahko funkcionalni čeljustno - ortopedski pripomočki vplivajo na rast in razvoj čeljustnic. Pri pregledu statistike smo ugotovili, da je imelo odprti griz 19 % otrok s povprečno starostjo 11,2 let.

• Language: Slovenian
• Keywords: odprti griz, funkcionalni čeljustno - ortopedski pripomočki, odklonjene orofacialne funkcije, čas nošenja aparata
• Work type: Bachelor thesis/paper
• Organization: ZF - Faculty of Health Sciences
• Year: 2019
• PID: 20.500.12556/RUL-106074
• COBISS.SI-ID: 5573227
• Publication date in RUL: 23.01.2019

Secondary language

• Language: English
• Title: Functional jaw - orthopedic appliances for treating open bite : diploma work

Abstract

Introduction: Open bite is an irregularity in a vertical plane, in which the upper and lower teeth are not in contact. Although open bite may also occur in the side areas of the tooth arches, this irregularity is most common in the foreground. It may be of dentoalveolar or skeletal origin. In addition to the irregular growth and development of the jaw, the cause of the open bite can also be defective orofacial functions. Particular risk factor for the development of open bite in deciduous teeth are sucking habits. Treatment of open bite can be either surgical or with the help of orthodontic appliances. Functional jaw - orthopedic appliances, used for treating open bite, are the bionator according to the Balters protective type, the function regulator type IV and the vestibular plate. Purpose: The purpose of the diploma work is to present the irregularity of open bite, causes that lead to the development of open bite, different treatment methods, and to present functional jaw orthopedic devices used for treating open bite and their manufacture in the laboratory. The purpose is also to present statistical analysis of open bite and the use of appliances when treating open bite, the TheraMon device and analysis of the initial and final study models with the Rapidform program. Methods: We reviewed foreign and domestic professional literature, articles and journals in the field of dental and jaw orthopedics. We constructed three functional appliances and reviewed data for all the patients that have completed treatment at Orthos clinic by the end of year 2014.Results: We designed three functional jaw - orthopedic appliances for treating open bite, presented the construction of appliances in the lab and documented every step of the process. We inserted the TheraMon device into the appliances in order to measure the time the patient was using the appliance. We constructed initial and final study models, we then digitalized them in a three-dimensional format, and measured the surface and volume with RapidForm. Discussion and conclusion: Functional jaw - orthopedic treatment in the early developmental period was successful in all three patients. The morphological deformity of the open bite system was eliminated in all three patients. We can effectively monitor the wearing time of the appliances with the TheraMon device. With the objective method of 3D analysis of the design characteristics of the jaw, we confirmed that functional jaw - orthopedic devices can influence the growth and development of the jaw. When reviewing the statistics, we found that 19% of children with an average age of 11.2 years had open bite.

• Keywords: open bite, functional jaw - orthopedic appliances, defective orofacial functions, wearing time of the appliance