FEATURES OF CLINICAL INSPECTION OF PATIENTS FROM BY THE AEDENTIA OF OVERHEAD LATERAL CHISELS

Abstract

Choosing the method of treatment orthodontic plays a decision role, as exactly he determines possibility of the use of space in a dental arc and establishment of present teeth in position. But not always a plan of treatment of agenesis of lateral chisels is obvious. Reason of it is a variety of clinical presentation, that is formed by not only position of adher-ent teeth and by the type of occlusion correlations but also form, color of adherent teeth, accordance of sizes of bases of jaws. An aim of our work is creation of diagnostic algorithm that would be based on the statistical analysis of basic di-agnostic data and would allow with the certain degree of authenticity to assert on factors forming of pathology in con-crete clinical case. Materials and methods. During an inspection there was certain correlation of molars for Engle and vertical ceil-ing in a frontal area, mean values of the vertical ceiling and symmetry of agenesis of lateral chisels of upper jaw. Result. Analysis correlation of symmetry of pathology with the class of Engle and size of the vertical ceiling by us it was not educed reliable connection between the articles of patients. Estimating symmetry pathology and occlusion correlations the estimation of color of central chisels was conducted and canines after a scale "Vita". Thus we deter-mined a difference in a color between central chisels and fangs, as this parameter is an important criterion at the eval-uation of potential success of substituting for lateral chisels by fangs for patients with acceptable to it an occlusion chart. Therefore among patients with acceptable to substituting for chisels fangs by an occlusion chart in majority a difference in a color between central chisels and fangs was adequate for such plan of treatment. Important is an estima-tion of correlation of level of gingival edge of canines and central chisels for patients. But in our view, it is necessary to consider by the height of line of smile and take the aesthetic necessities of patient into account, if all other parameters are adequate for the choice of substitution as variant of choice at the stowage of plan of treatment. Conclusions. Therefore using the described protocol of clinical inspection, their results and introduction in ortho-dontic practice will allow to simplify the process of diagnostics of aedentia of lateral chisels of upper jaw, decrease loading on a patient by avoidance of superfluous researches, to improve co-operation between profile specialists (or-thodontic, by a surgeon, orthopedist, internist).