EUROPEAN INTERNATIONAL JOURNAL OF MULTIDISCIPLINARY RESEARCH
AND MANAGEMENT STUDIES
ISSN: 2750-8587
VOLUME04 ISSUE11
49
DIAGNOSTIC METHODS IN CHILDREN WITH FALSE MESIAL OCCLUSION
Ruziyeva Kamola Axtamovna
Samarkand State Medical University, Uzbekistan
AB O U T ART I CL E
Key words:
X-ray cephalometric, mesial
occlusion.
Received:
06.11.2024
Accepted
: 11.11.2024
Published
: 16.11.2024
Abstract:
In the last decade, mesial occlusion has
been studied in many countries through the use of
modern diagnostic technologies for the timely
treatment of this anomaly. The basis for diagnosis
is an X-ray cephalometric examination of the facial
skeleton, which allows us to identify the leading
pathogenetic
mechanisms
and
conduct
differential diagnosis of combined forms of
anomaly, which cannot be carried out on the basis
of clinical data alone (N.G.Abolmasov, 1982;
E.N.Zhulev, 1986, etc.).
INTRODUCTION
In the last decade, mesial occlusion has been studied in many countries through the use of modern
diagnostic technologies for the timely treatment of this anomaly. The basis for diagnosis is an X-ray
cephalometric examination of the facial skeleton, which allows us to identify the leading pathogenetic
mechanisms and conduct differential diagnosis of combined forms of anomaly, which cannot be carried
out on the basis of clinical data alone (N.G.Abolmasov, 1982; E.N.Zhulev, 1986, etc.).
According to WHO, anomalies of the maxillofacial region in the USA occur in 65% of cases, in European
countries - 59.4%, in various regions of Russia they occur with a frequency of 30.9 to 76.5%, and in
Uzbekistan they are observed in 62% of cases.
Much attention has been paid to the study of the issues of diagnosis and treatment planning for one of
the most severe forms of dentition closure anomaly - mesial occlusion in the special literature
(F.Ya.Khoroshilkina, 1976; H.A.Kalamkarov, 1981; N.G.Abolmasov, 1982; L.S.Persin, 1983; E.N. Zhulev,
1986; A.S.Shcherbakov, 1987; N. Friede, 1987; Yu.A.Gioeva, 1991; O.S.Balgurina, 1996 and others).
VOLUME04 ISSUE11
https://doi.org/10.55640/eijmrms-04-11-09
Pages: 49-52
EUROPEAN INTERNATIONAL JOURNAL OF MULTIDISCIPLINARY RESEARCH
AND MANAGEMENT STUDIES
ISSN: 2750-8587
VOLUME04 ISSUE11
50
S.S. Murtazaev (2017) based on specialized cephalograms proved the peculiarity of the structure of the
facial skeleton, spatial orientation, as well as the interjaw, maxillary and interdental relationships
among representatives of the Uzbek population with normal bite and formed dentitions.
Objective: To evaluate modern diagnostic methods for the treatment of patients with mesial occlusion
METHODS
The study was conducted at the TSSI at the Department of Orthodontics for a year. 57 patients were
examined, including 37 (62.7%) girls and 22 (37.2%) boys aged 6 to 12 years.
To study the mesial occlusion, we conducted a clinical examination of the oral cavity. For diagnostic
analysis (OPTG, 3D X-ray, TRG ) were used
Fig.1. A 12–year-old patient - Photometry and TRG (1-2)
EUROPEAN INTERNATIONAL JOURNAL OF MULTIDISCIPLINARY RESEARCH
AND MANAGEMENT STUDIES
ISSN: 2750-8587
VOLUME04 ISSUE11
51
RESULT
During the examination of patients with false progenia, a clinical examination of the oral cavity was
performed. Based on these clinical studies, a TRG analysis was performed. According to the results of
the analysis, it was determined that (ANB=2), (SN.GoGn = 40
∘
, FMA = 29
∘
) protrusion of the incisors of
the lower jaw (IMPA = 99
∘
, 1.NB =35
∘
), retraction of the incisors of the lower jaw (1.NA = 18
∘
, 1-
NA=1mm) and the protrusion of the lower lip (Ricketts E-line 3 mm)
The pathogenesis of pseudomesial occlusion is based on violations of the size and shape of the
structures of the skeleton of the head, as well as violations of their mutual adaptation to each other. In
the foreground in the structure of the facial skeleton are an increase in the height of the part of the face
and the interdigital angle, a decrease in the depth of the face, shortening and distal displacement of the
upper jaw. In the lower jaw, the leading pathogenetic sign is a tendency to its excessive development
mesially.
CONCLUSION
Cephalometric analysis of the structure of the facial skeleton in case of pseudomesial occlusion made it
possible to clarify its main forms and their distribution. Mesial occlusion caused by macronathia of the
mandible is most common (18.8%). A combination of micrognathia and retrognathia of the upper jaw
is somewhat less common (16%). Prognathia of the mandible was detected by us in 13.8%.
Macrognathia of the mandible in combination with retrognathia of the upper jaw was observed in 10%
of the subjects.
Treatment planning for mesial occlusion should be based on anthropomechanical, X-ray studies, as they
are the basis during the study of patients with sagittal anomaly, a differentiated approach to choosing
the design of the device and a set of myohymnastic exercises depending on the features of the
pathogenesis of the anomaly.
EUROPEAN INTERNATIONAL JOURNAL OF MULTIDISCIPLINARY RESEARCH
AND MANAGEMENT STUDIES
ISSN: 2750-8587
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