EUROPEAN INTERNATIONAL JOURNAL OF MULTIDISCIPLINARY RESEARCH
AND MANAGEMENT STUDIES
ISSN: 2750-8587
VOLUME04 ISSUE11
43
DIAGNOSIS IN CHILDREN WITH AN OPEN BITE
Ruziyeva Kamola
Samarkand State Medical University, Uzbekistan
AB O U T ART I CL E
Key words:
Vertical anomalies, open bite.
Received:
06.11.2024
Accepted
: 11.11.2024
Published
: 16.11.2024
Abstract:
Recently, the city of Samarkand has
implemented a set of measures aimed at
improving, diagnosing and treating vertical
anomalies, namely open bite, and at the moment
many scientists and practitioners have begun to
study more deeply the factors leading to the
development of this anomaly. In clinical practice,
etiological factors, endogenous and exogenous
factors, as well as the living conditions of this
patient, taking into account the age of the patient,
are of particular importance. We carried out
preventive measures for children aged 6 to 15 in
37 patients with an open bite.[1,2]
Taking into account all aspects of this anomaly, we
set ourselves the task of diagnosing patients with
open occlusion using modern methods, taking into
account their age and type of anomaly.
open bite is considered as an independent form of
dental anomalies, and can be combined with other
disorders in the transversal or sagittal
direction.[3]
According to the literature, an open bite occurs in
62% of cases together with the mesial ratio of
dentition
An open bite is a serious anomaly of the maxillary
system. According to the results of a survey and
observation
by
Nigmatova
R.N.,
Shaamukhamedov F.A., Nigmatova I.M. (2017),
open bite was 1.4% among children aged 3-6
years. According to L.P. Grigoriev (1995), 1.12% in
children aged 7-16 years. 2.7% in the distribution
of anomalies of the maxillary system.[5,6].
VOLUME04 ISSUE11
https://doi.org/10.55640/eijmrms-04-11-08
Pages: 43-48
EUROPEAN INTERNATIONAL JOURNAL OF MULTIDISCIPLINARY RESEARCH
AND MANAGEMENT STUDIES
ISSN: 2750-8587
VOLUME04 ISSUE11
44
However, a number of researchers claim that by
the age of 9-10, the frequency of open bite
decreases, which is associated with the
elimination of bad habits that contribute to the
development of the anomaly, as well as with the
normalization of respiratory and swallowing
functions. In later adolescence, there may be a
repeated increase in the prevalence of open bite
due to late bone growth in the facial region of the
skull [4].
INTRODUCTION
All over the world, among the hereditary factors of underdevelopment in the frontal section of the
alveolar process, sleep also plays an important role in the growth and development of the child, because
during sleep, the child lies with his head thrown back and the increased size of the tongue volume is
macroglossia, which in the future can lead to the development of VDD.
An important causal factor in the development of VDD is the premature removal of the milk lateral teeth
in the lower jaw in children and the development of the phenomenon of Popov-Hodon with dental
alveolar elongation in the area of the upper lateral teeth
Taking into account all the above factors that led to the development of VDD, it is necessary to improve
the method of diagnosis and treatment aimed at preventing the development of this anomaly. To
improve the quality of early diagnosis and treatment of patients with dental anomalies with
predominant localization of disorders in the vertical direction by developing new preventive treatment
methods and modifying the methods of cephalometric analysis of the face and prediction of the occlusal
plane
In our study, the following tasks were identified: to determine diagnostic criteria using cephalometric
measurements; to determine the specific parameters of the dental complex in children with an open
bite, to determine the narrowing and shape of the dentition using anthropometric and graphical
examination methods;
METHODS
The study was conducted among schoolchildren in the city of Samarkand No. 70, No.69 aged 6 to 15
years. Of the 379 students surveyed, 37 were with an open bite, 16 of them boys and 21 girls, which is
9.7%, the average age of children was 6-15 years.
EUROPEAN INTERNATIONAL JOURNAL OF MULTIDISCIPLINARY RESEARCH
AND MANAGEMENT STUDIES
ISSN: 2750-8587
VOLUME04 ISSUE11
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The following examination methods were performed: clinical examinations (photometry), biometric
methods, X-ray examination (frontal and lateral TRG and cephalometric analysis) and the main
functions of the dental system were determined.
Biometric methods of Pon research were carried out to determine the degree of narrowing of the
dentition in adolescents with VDD during the period of removable and permanent bite, using plaster
models of patients, measurements of the width of the dental arches were carried out using measuring
points.
X-ray examinations were performed using OPTG and TRG, trg calculations were performed and these
results were analyzed, and it was revealed that when studying telerentgenograms of the head in a
lateral projection, it was possible to identify a mixture of the mandible, increases in B,NSe/MP, as well
as a decrease in the horizontal angle, inclinationirp/MP, NSe/Po,Is-SPp.
Fig.1 Patient O. 14 years old plaster model of the blanket method.
EUROPEAN INTERNATIONAL JOURNAL OF MULTIDISCIPLINARY RESEARCH
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ISSN: 2750-8587
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Fig.1 photometry of the same patient.
Fig.3 OPT of the same patient.
Fig.4 OPT of the same patient..
Fig.5 Patient D 17 years old
EUROPEAN INTERNATIONAL JOURNAL OF MULTIDISCIPLINARY RESEARCH
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OPTG Fig.6 Patient D 17 years old TRG
CONCLUSION
According to the results of a survey of 37 adolescents with the help of clinical and radiological studies,
it was revealed that open bite developed in children due to bad habits 5, investigative factor 3 and - in
7 children, rickety open bite. In the biometric analysis of control models by Pon, a narrowing of the
dentition was found in 12 patients. In the anterior part of the teeth according to Korkhaus, 4 cases of
protrusion and 6 cases of retrusion were detected,
X-ray (TRG) studies were also performed in which a change in the position of the mandible was
determined by increasing the angle B,NSe/MP,FMA and decreasing the horizontal angle,
inclinationirp/MP, NSe/Po ,Is-SPp,CF.
Considering all of the above research methods, which is aimed at early diagnosis and proper treatment.
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AND MANAGEMENT STUDIES
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