Treatment of sagittal sense anomalies
- Treatment of alveolar anomalies in the sagittal direction:
- SUPERIOR PROALVEOLIS
- Good prognosis if diastemas and moderate Over Bite
Differentiate between a proalveolus with or without an open bite
— without gap: correction of the proalveolus will reveal a certain degree of incisor overbite, so fixed treatment is necessary;
— with slight gaping: treatment using a removable plate is possible.
- deciduous teeth : HINZ mouth shields (tones the lips – helps the child stop thumb sucking, lower lip sucking, and helps re-educate nasal breathing)
- Mixed dentition
– Palatal plate and vestibular arch
-Etiological treatment: remove parafunctions + re-education of functions
- Adult teeth:
Plaque with vestibular arch in case of proalveolus with diastemas and with moderate overbite.
Multi-attachment therapy with extractions of 14 and 24 in the absence of diastemas, significant overjet and suprabite
- INFERIOR PROALVEOLIS
- Good prognosis if associated with diastemas
- lingual plate with vestibular arch.
- Plaque with Eschler band.
- Etiological treatment
If no diastemas: multi-attachment therapy
- TREATMENT OF BIPROALVEOLIS
- The aesthetic damage is significant;
- In case of biproalveolus with diastemas two removable plates in the maxilla and mandible with vestibular arches.
- In the absence of diastemas, treatment is carried out using multiple attachments with extraction of 4 pm.
- SUPERIOR RETROALVEOLIA
- Palatine plate with SCHWARTZ spring
- palatal plate with elevation planes and three-way cylinder to advance the incisor group and, if necessary, perform transverse expansion.
- The inclined plane also finds its indication if the articulation is reversed.,
- Quad’hélix Crozat
- if the anomaly is significant, fixed therapy is necessary
- INFERIOR RETROALVEOLIS
- Use the lipbumper incorporated on a lingual plate or welded on molar rings, it eliminates lip pressure, only the pressure of the tongue persists.
- If the correction does not occur spontaneously, we can use: an activatable lingual arch
- Multi-attachment therapy with Ricketts posteroanterior expansion arch .
Untreated cavities can damage the pulp.
Orthodontics aligns teeth and jaws.
Implants replace missing teeth permanently.
Dental floss removes debris between teeth.
A visit to the dentist every 6 months is recommended.
Fixed bridges replace one or more missing teeth.