EFFECTIVENESS OF MESIAL OCCLUSION TREATMENT IN PATIENTS WITH MAXILLARY DEVELOPMENTAL DEFICITS USING FIXED APPLIANCES IN COMBINATION WITH COMPACTOSTEOto mY SURGERY
DOI:
https://doi.org/10.35220/2523-420X/2024.2.13Keywords:
upper jaw, treatment, fixed appliances, adolescents, developmental deficitAbstract
The treatment of mesial occlusion in patients with maxillary developmental deficits is an important task of modern orthodontics, especially in adolescents. Compactosteotomy, as a minimally invasive surgical method, accelerates orthodontic treatment, allowing to achieve significant results in bite correction in a shorter time. The purpose of the study was to investigate the effectiveness of mesial occlusion treatment in patients with maxillary developmental deficits using fixed appliances in combination with compactosteomy surgery. Materials and methods. The study involved 23 patients with a permanent bite and incomplete growth, aged 13 to 18 years. The patients had a skeletal mesial occlusion, partially or completely due to a deficit in the development of the upper jaw, and had agenesis of the lateral incisors of the upper jaw. Patients were treated with fixed appliances in combination with compactosteomy surgery. A statistically significant difference between alternative quantitative features with a distribution corresponding to the normal law was evaluated using Student's t-test. The difference was considered statistically significant at p<0.01. Research results. It has been established that the use of fixed orthodontic appliances in combination with compactosteotomy in patients with a mesial bite and developmental deficits of the upper jaw allows to achieve significant skeletal changes and create the necessary space for proper placement of teeth. Conclusions. The combined use of fixed technique and compactosteotomy provides effective forward movement of point A, which is expressed in a significant increase in the ANB angle and normalization of the WITS index. This allows achieving stable results of mesial occlusion treatment, avoiding unwanted complications and creating the necessary space in the dentition without excessive cursing of the incisors.
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