Dr Maria Vasilyeva

Сhanging the bone structures in the skull and tongue position under the influence of the use of occlussal overlays lingual brackets.

It is known that dentoalveolar anomalies, especially of the Class II malocclusion, often appear on the esthetics of the facial profile in its lower third in the sagittal plane. But sometimes skeletal dental anomalies are accompanied by the discrepancies of the vertical proportions of the face, the front aesthetics of the face is changed with the deviation of the horizontal orbital and occlusal plane. Patients with symptomatic discrepancies often suffer from migraine headaches of unknown etiology. They have TMJ and muscular-articular dysfunctions. The possibility of leveling orbital plane and position of the Maxilla alignment in patients with malocclusion for orthodontic treatment without orthognathic surgery is a complex actual problem. 

Objective: Improving methods of correction of malocclusion through the identification and elimination of iatrogenic effects and the development of the algorithm application of occlusal overlays patients with on cranial and cranio-mandibular dysfunctions using orthodontic appliances. The most important task of the orthodontist to get long-term stability and aesthetic results.

Material and methods. Diagnosis included anamneoz collection, assessment of the occlusion of the dentition, determining the parallelism of the planes of the head the frontal cephalometric analysis. We used the equipment K7 Evaluation System (K7-myotronics) and
 Digital Occlusal Analysis T-Scan to get the results of bite functionality.

We carried out orthodontic treatment with the lingual appliances on adults 30 patients. Defined the indications for the choice of orthodontic treatment method (used occlusal overlays of the lingual brackets, microimplants or splint therapy) and osteopathic approach. 

The results of the study and conclusions. Resolved complaints of patients who achieved the alignment of the orbital, ear and occlusal planes parallel to each other, normalised occlusion of dentition, eliminated the imbalance of muscles of the maxillofacial area.

During the process of research of the patients with anomalies of orbital planes, we have come to the following solutions: in cases when the patients have complaints of main problems such as migraine headaches of unknown etiology, it is highly recommended to use special occlusal overlays or special splint therapy. If the patients have no these complaints, we would recommend canting with the help of orthodontic appliances (for example - intrusion with the help of micro implants).

A necessary component for the stability of orthodontic treatment is the position of the tongue and tension of the cranial structures, especially the Maxilla. Manual work with these structures and muscles, fascial techniques on the tongue and recommendations of exercises for the tongue, as well as a specific algorithm for grinding the occlusal overlays of lingual brackets, as a result contributes to the maximum functional occlusion, aesthetics of the face and correct the posture.