graduate student
Saint Peterburg, St. Petersburg, Russian Federation
Saint Peterburg, St. Petersburg, Russian Federation
Saint Peterburg, St. Petersburg, Russian Federation
Saint Peterburg, St. Petersburg, Russian Federation
employee
Saint Peterburg, St. Petersburg, Russian Federation
UDC 616.31
Relevance. Deep incisor disocclusion is characterized by excessive overlap of the upper anterior teeth with the lower anterior teeth and the absence of incisal-tubercular contact between the anterior teeth. The pathology occurs in two main conditions: without a decrease in the height of the gnathic part of the face and with a decrease. There are different opinions on the methods, materials and timing of orthodontic and orthopedic treatment of various forms of deep incisor disocclusion. Deep incisor disocclusion leads to a violation of aesthetics, causes serious functional and morphological changes in the masticatory apparatus, which are most clearly manifested in adulthood. In recent years, much attention has been paid to the comprehensive treatment of adult patients with deep incisor disocclusion due to its significant prevalence and, consequently, a high need for special treatment. Results. The article presents a clinical case of deep incisor disocclusion without a decrease in the height of the gnathic part of the face. The patient underwent morphometric and functional examination. The results of the analysis of tomograms of the temporomandibular joint showed that the position of the head of the lower jaw in the temporomandibular fossa corresponded to its distal position, but we did not observe any pronounced morphological changes in the elements of the joint. At the same time, the patient experienced discomfort when chewing, lateral movements of the lower jaw were blocked, which required disengaging the bite height with prosthetic structures: first, a bite disengaging plate with a bite pad in the area of the anterior teeth, then after 3 months, the included defects of the dental arches in the lateral sections of the upper and lower jaws were replaced with metal-ceramic bridge prostheses. Conclusion. The prosthetic treatment was highly effective and improved the functional indicators and facial features of the patient, changed the ratio of the elements of the temporomandibular joint, and led to the normalization of the tone of the masticatory muscles.
orthodontics, deep incisor disocclusion, morphometry, bite anomalies, teleradiography
1. Agashina M.A., Balahnichev D.N., Fischev S.B., Lepilin A.V., Dmitrienko S.V. Osobennosti parametrov zubnyh dug v dvuh ploskostyah s uchetom diagonal'nyh parametrov. Stomatologiya detskogo vozrasta i profilaktika. 2016;15(4):61-63. [Agashina M.A., Balakhnichev D.N., Fischev S.B., Lepilin A.V., Dmitrienko S.V. Features parameters of the dental arches in two planes with a given diagonal size. Pediatric dentistry and dental prophylaxis. 2016;15(4):61-63. (In Russ.)]. https://www.elibrary.ru/item.asp?id=27511472
2. Berezkina T.N., Fischev S.B., Sevast'yanov A.V., Rozhkova M.G., Pavlova S.G., Puzdyreva M.N. i dr. Lechenie distopii klyka verhney chelyusti primeneniem mikroimplanta i breket-sistemy: klinicheskiy sluchay. Problemy stomatologii. 2025;21(2):131-137. [Berezkina T.N., Fishev S.B., Sevastyanov A.V., Rozhkova M.G., Pavlova S.G., Puzdyreva M.N. et al. Treatment of Maxillary Canine Dystopia Using a Microimplant and a Bracket System: A Clinical Case. Actual problems in dentistry. 2025;21(2):131-137. (In Russ.)]. https://doi.org/10.18481/2077-7566-2025-21-2-131-137
3. Kondratyuk A.A., Fischev S.B., Fomin I.V., Subbotin R.S., Lepilin A.V. Osobennosti torka medial'nyh rezcov u lyudey s razlichnymi tipami zubnyh dug, po rezul'tatam analiza konusno-luchevyh komp'yuternyh tomogramm. Stomatologiya detskogo vozrasta i profilaktika. 2019;19(1):40-45. [Kondratyuk A.A., Fishchev S.B., Fomin I.V., Subbotin R.S., Lepilin A.V. Specially tore medial incisors in people with different types of dental arches according to the analysis of cone-beam computed tomograms. Pediatric dentistry and dental prophylaxis. 2019;19(1):40-45. (In Russ.)]. https://doi.org/10.33925/1683-3031-2019-19-69-40-45
4. Malygin Yu.M., Taybogarova S.S., Malygin M.Yu., Velieva N.I. Znachenie stroeniya al'veolyarnyh dug dlya differencial'noy diagnostiki distal'nogo prikusa. Ortodontiya. 2014;(3):10-14. [Malygin Yu.M., Taybogarova S.S., Malygin M.Yu., Velieva N.I. The significance of dentoalveolar arches structure for the differential diagnostics of distal occlusion. Orthodontia. 2014;(3):10-14. (In Russ.)]. https://www.elibrary.ru/item.asp?id=23288228
5. Ogir E.S., Persin L.S., Pankratova N.V., Kuznecova T.E., Pronina K.S. Znacheniya biopotencialov visochnyh i zhevatel'nyh myshc pri razlichnyh vidah okklyuzionnoy nagruzki u detey 7–12 let s fiziologicheskoy i distal'noy okklyuziey. Ortodontiya. 2013;(3):19-25. [Ogir E.S., Persin L.S., Pankratova N.V., Kuznetzova G.V., Pronina K.S. Values of biopotentials of temporal and masseter muscles under different occlusal forces in children 7-12 years with physiological and distal occlusion. Orthodontia. 2013;(3):19-25. (In Russ.)]. https://www.elibrary.ru/item.asp?id=22926259
6. Pavlova S.G., Fischev S.B., Klimov A.G., Sevast'yanov A.V., Rozhkova M.G., Puzdyreva M.N. i dr. Osobennosti ortodonticheskogo lecheniya pacientov s zuboal'veolyarnoy formoy glubokoy rezcovoy dizokklyuzii: klinicheskiy sluchay. Institut stomatologii. 2025;(1):58-60. [Pavlova S.G., Fischev S.B., Klimov A.G., Sevastyanov A.V., Rozhkova M.G., Puzdyreva M.N. et al. Features of orthodontic treatment of patients with dental alveolar deep incisive dysocclusion: a clinical case. Institut stomatologii. 2025;(1):58-60. (In Russ.)]. https://www.elibrary.ru/item.asp?id=82343036
7. Rozhkova M.G., Fischev S.B., Klimov A.G., Sevast'yanov A.V., Puzdyreva M.N., Pavlova S.G. Osobennosti diagnostiki i ortodonticheskogo lecheniya podrostkov s zuboal'veolyarnoy formoy distal'noy okklyuzii. Stomatologiya detskogo vozrasta i profilaktika 2024;24(3);313-319. [Rozhkova M.G., Fischev S.B., Klimov A.G., Sevastyanov A.V., Puzdyreva M.N., Pavlova S.G. Diagnostic considerations and orthodontic treatment approaches of adolescents with the dentoalveolar form of class ii malocclusion. Pediatric dentistry and dental prophylaxis. 2024;24(3);313-319. (In Russ.)]. https://doi.org/10.33925/1683-3031-2024-839
8. Baeshen H. The Prevalence of Major Types of Occlusion Anomalies among Saudi Middle School Students. The journal of contemporary dental practice. 2017;18(2):142-146. https://doi.org/10.5005/jp-journals-10024-2005
9. Botticelli S., Küseler A., Marcusson A., Mølsted K., Nørholt S.E, Cattaneo P.M. et al. Do infant cleft dimensions have an influence on occlusal relations? A subgroup analysis within an RCT of primary surgery in patients with unilateral cleft lip and palate. The Cleft palate-craniofacial journal. 2020;57(3):378-388. https://doi.org/10.1177/1055665619875320
10. Lin F., Ren M., Yao L., He Y., Guo J., Ye Q. Psychosocial impact of dental esthetics regulates motivation to seek orthodontic treatment. American Journal of Orthodontics and Dentofacial Orthopedics. 2016;150(3):476-482. https://doi.org/10.1016/j.ajodo.2016.02.024
11. Sherrard J.F., Rossouw P.E., Benson B.W., Carrillo R., Buschang P.H. Accuracy and reliability of tooth and root lengths measured on cone-beam computed tomographs. American journal of orthodontics and dentofacial orthopedics. 2010;137(4 Suppl):S100-S108. https://doi.org/10.1016/j.ajodo.2009.03.040
