FIELD: medicine.
SUBSTANCE: invention relates to manual correction of maxillofacial muscles and can be used to prepare a patient for dental treatment of occlusion, carried out in eight stages, in which at the first stage the patient is interviewed and the survey results are recorded. At the second stage, posture is assessed and facial features are analyzed, including evaluation of parallelism of horizontal lines drawn through symmetrical sections of head and body relative to vertical axis of face and body, for which performing visual inspection and photographing of patient, note here that virtual grid is applied to determine parallelism and perpendicularity of horizontal and vertical lines. At the third stage, dynamic functional disorders are analyzed, performing sequential testing of swallowing, chewing, breathing, speech, opening of mouth, movements of lower jaw lateral and sagittal to identify zones of dysfunction and asymmetry, followed by digital nasal breathing spirometry. At the fourth stage, using the DIERS apparatus, static and dynamic disturbances of posture, pelvic rotation, shortening of the lower extremity are determined, violation of static-dynamic balance, curvature of the spine, rotation and displacement of all bone structures, disturbed step pattern, foot support profile, at the same time studies at the fourth stage on the DIERS apparatus include comparison of values in the state of unclosed teeth, in a bite, with a bite pad in the form of a spatula, with a bite register. At the fifth stage, ascending and descending dysfunctions and their effects on posture are assessed. Sixth stage involves manual correction of the maxillofacial muscles and neck muscles, as well as cranial sutures. At the seventh stage, an orthodontic apparatus is selected, for which therapeutic position of lower jaw is determined by making two occlusion registers in therapeutic position, when selecting an orthodontic appliance, ascending and descending dysfunctions and their effects on the posture with established registers are assessed and step test is carried out with installed registers with closed eyes along a straight line with length of 10 meters. At the eighth stage, the orthodontic apparatus is made on the basis of the registers selected at the seventh stage, and the orthodontic apparatus is installed in the patient.
EFFECT: method provides reducing the time for preparing the patient for the occlusion treatment, the time for treating the occlusion and high accuracy of the obtained bite due to the sequential diagnosis of the ascending and descending pathology with the help of occlusal-postural analysis by various tests and samples, as well as manual correction of the maxillofacial muscles, neck muscles and cranial sutures.
2 cl, 1 ex
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Authors
Dates
2024-12-23—Published
2023-12-01—Filed