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DIAGNOSIS AND TREATMENT OF NARROWING OF THE UPPER JAW
Qodirov J. M.
Nigmatov R. N.
Nigmatova I. M.
(Department of Orthodontics and Dental Prosthetics,
Tashkent State Dental Institute. Tashkent, Uzbekistan)
Summary
Diagnosis and treatment of malocclusion narrowing of the upper jaw is a challenge
for dentists who are trying to correct this malocclusion at an early age. Patients with
an can be diagnosed clinically and cephalometrically, but the diagnosis must be
considered in the context of skeletal and dental structure. Accurate classification of
this malocclusion narrowing of the upper jaw requires experience and training.
Narrowing of the upper jaw malocclusion develops as a result of the interaction of
many different etiological factors, including thumb and finger sucking, lip and
tongue habits, airway obstruction, and true skeletal growth abnormalities. Treatment
for narrowing of the upper jaw ranges from observation or simple habit control to
complex surgical procedures. Successful identification of the etiology increases the
chances of successful treatment.
An narrowing of the upper jaw is an abnormal bite occurring in a sagittal plane,
characterized by the absence of sagittal overlap between the maxillary and
mandibular teeth. Anterior narrowing of the upper jaw, especially skeletal bite, is
called "malocclusion stigmata".
Keywords:
narrowing of the upper jaw , etiology, treatment plan.
An narrowing of the upper jaw is an abnormal bite occurring in a sagittal plane,
characterized by a lack of vertical overlap between the upper and lower teeth. An
open bite can occur in the anterior and lateral regions and are called an anterior
narrowing of the upper jaw and a lateral narrowing of the upper jaw, respectively.
Diagnosis, treatment and successful retention of cured narrowing of the upper jaw
anomalies present a challenge to the technical ability and skill of clinicians. There
are many potential etiological factors including heredity, adverse growth patterns,
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ISSN: 2835-5326
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finger sucking habits, abnormal functioning of the tongue and orofacial muscles,
orofacial functional matrices and their interaction with skeletal components,
imbalances between jaw position, occlusal and eruptive forces, and head position. A
detailed understanding of the etiology and developmental process is thus essential
in its treatment. An anterior narrowing of the upper jaw can be defined as an
underbite between the incisal edges of the maxillary and mandibular anterior teeth,
with the posterior teeth in occlusion. Thus, in an anterior narrowing of the upper jaw,
there is no sagittal overlap between the upper and lower anterior teeth. Anterior
narrowing of the upper jaw is aesthetically unattractive, especially during speech
when the tongue is clamped between the teeth and lips. Anterior narrowing of the
upper jaw , especially skeletal.
Purpose of the study.
Based on anatomical and functional data, to study the
frequency of occurrence, features of the formation of the dental system in children
with a narrowing of the upper jaw and to develop recommendations for the
prevention of dental anomalies.
Material and methods.
The study included 156 patients aged 4-9 years. Boys 81
girls 75 applied to the Tashkent State Dental Institute at the Department of
Orthodontics and Dental Prosthetics in the period 2020 to 2023. All patients
underwent an external examination and examination of the oral cavity with the entry
of data from the medical record of the orthodontic patient; also, a questionnaire was
conducted among the parents to find out the life history of the patients (data on bad
habits, duration of breastfeeding, type of nutrition)
The etiology of anterior narrowing of the upper jaw is multifactorial. Narrowing of
the upper jaw can occur due to various hereditary and non-hereditary factors.
Narrowing of the upper jaw is the result of an interaction between these factors.
There may be narrowing of the upper jaw speech defects with hoarseness. There
may be associated upper respiratory tract infections. Hoarseness associated with
anterior open bite and gaps is called interdental sigmatism.
Research results.
The study revealed that narrowing of the upper jaw occurred in
49 children.Various types of CFA were found in 45 patients with infantile type of
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swallowing. Among patients with infantile type of swallowing, 5 children had bad
habits. Most patients with infantile type of swallowing had a history of
predominantly artificial feeding.
Conclusion.
The infantile type of swallowing in children 4-9 years old occurs in
31.41% of cases. The overwhelming majority of patients with infantile swallowing
have one or another type of CFA. The pattern of tongue movement during
swallowing has a direct impact on the growth and development of the maxillofacial
system and the position of the teeth in the alveolar processes of the jaws.
References
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Using the posterior distalization in patients with secondary deformation of
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Multidisciplinary medical journal. Vol. 8. № 1. February. 2017.- P.- 45-48.
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Prevalence of dental system anomalies and speech disorders in children bite of
Tashkent city /I.M. Nigmatova, R.N.Nigmatov, F.K.Inogomova //Proceedings of
the Third International Conference of European Academy of Science / December
20-30, 2018, Bonn, Germany.- 2018.- Р. 37-38.
3.
Диагностика эстетики улыбки при сужении верхнего зубного ряда.
//Давронова Р.Х., Нигматова И.М. /
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Сб.
Материалов IV
Международного конгресса стоматологов и VIII съезда стоматологов
Узбекистана «Актуальные проблемы стоматологии и челюстно-лицевой
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