A CLINICAL CASE OF FACIAL ASYMMETRY CORRECTION BY CONSERVATIVE METHODS
Rubrics: ORTHOPEDIC DENTISTRY
Authors:
1.
South Ural State Medical university
(Department of Prosthetic Dentistry and Orthodontics, Dentist-orthopedist)
employee
Chelyabinsk, Chelyabinsk, Russian Federation
employee
Chelyabinsk, Chelyabinsk, Russian Federation
2.
Center for the diagnostics of disorders of the TMJ and dental sleep medicine «Alfa-Stom»
Chelyabinsk, Chelyabinsk, Russian Federation
Chelyabinsk, Chelyabinsk, Russian Federation
3.
Yuzhno-Ural'skiy gosudarstvennyy medicinskiy universitet
(doktor medicinskih nauk, professor kafedry ortopedicheskoy stomatologii i ortodontii)
Chelyabinsk, Chelyabinsk, Russian Federation
Chelyabinsk, Chelyabinsk, Russian Federation
Type:
Article
Pages:
from 57
to 61
Status:
Published
Received:
25.02.2018
Accepted:
25.02.2018
Published:
25.02.2018
Subject area:
GRNTI 76.29 Клиническая медицина
Language:
Russian
Keywords:
nehirurgicheskaya plastika lica, disfunkciya VNChS
Abstract (English):
Predmet. V nastoyaschiy period vremeni v stomatologii poyavlyaetsya tendenciya na komandnuyu kompleksnuyu rabotu s ispol'zovaniem vseh vozmozhnostey stomatologii i smezhnyh specialistov, a takzhe resursov organizma. Dlya vybora pravil'noy taktiki okklyuzionnoy reabilitacii pacienta s transverzal'noy patologiey prikusa i sochetannym rasstroystvom visochno-nizhnechelyustnyh sustavov neobhodimo provesti predvaritel'nyy obratimyy ne invazivnyy diagnosticheskiy etap: sozdanie mnozhestvennoy okklyuzii v terapevticheskom polozhenii na kappe s kruglosutochnym rezhimom ispol'zovaniya do ustraneniya vseh simptomov i stabilizacii struktur VNChS. Cel'. Rassmotret' al'ternativnye puti resheniya ustraneniya asimmetrii lica do polucheniya priemlemogo esteticheskogo i funkcional'nogo rezul'tatov, ispol'zuya kompensatornye vozmozhnosti organizma, ne pribegaya k chelyustno-licevoy hirurgii. Metodologiya. Predstavlen klinicheskiy sluchay pacienta s bokovym smescheniem nizhney chelyusti i klinikoy disfunkcii VNChS, kotoryy otkazalsya ot vozmozhnogo hirurgicheskogo vmeshatel'stva v silu vozmozhnyh riskov i oslozhneniy. Rezul'taty. Cherez tri mesyaca posle nachala predvaritel'nogo etapa shinoterapii polucheno novoe stabil'noe sootnoshenie chelyustey, v kotorom otsutstvuyut boli i schelchki v visochno-nizhnechelyustnyh sustavah, sformirovana privychka dvuhstoronnego tipa zhevaniya, otmechen otlichnyy estetichnyy rezul'tat: ustraneno smeschenie podborodka vlevo, poluchen neozhidannyy effekt v normalizacii polozhenii glaz (pozhelaniem pacienta bylo sohranit' anonimnost', poetomu polozhenie poloski, zakryvayuschey glaza, maksimal'no povtoryaet zrachkovuyu liniyu). V svyazi s okonchaniem etapa i polucheniem opredelennosti v sootnoshenii chelyustey pacientu predlozheno neskol'ko vozmozhnyh variantov okklyuzionnoy reabilitacii. Vyvody. Dannyy primer pokazyvaet bol'shie kompensatornye vozmozhnosti organizma cheloveka, kotorye mozhno i nuzhno ispol'zovat'. Pri etom predvaritel'nyy etap diagnostiki, kotoryy pozvolil nayti al'ternativnye puti chelyustno-licevoy hirurgii, imeet mnozhestvo preimuschestv: nizkuyu stoimost', obratimost', vozmozhnost' ocenit' rezul'tat do nachala osnovnogo lecheniya. Obrazno govorya, my imeem opredelennyy «test-drayv» planiruemoy estetiki lica.
Predmet. V nastoyaschiy period vremeni v stomatologii poyavlyaetsya tendenciya na komandnuyu kompleksnuyu rabotu s ispol'zovaniem vseh vozmozhnostey stomatologii i smezhnyh specialistov, a takzhe resursov organizma. Dlya vybora pravil'noy taktiki okklyuzionnoy reabilitacii pacienta s transverzal'noy patologiey prikusa i sochetannym rasstroystvom visochno-nizhnechelyustnyh sustavov neobhodimo provesti predvaritel'nyy obratimyy ne invazivnyy diagnosticheskiy etap: sozdanie mnozhestvennoy okklyuzii v terapevticheskom polozhenii na kappe s kruglosutochnym rezhimom ispol'zovaniya do ustraneniya vseh simptomov i stabilizacii struktur VNChS. Cel'. Rassmotret' al'ternativnye puti resheniya ustraneniya asimmetrii lica do polucheniya priemlemogo esteticheskogo i funkcional'nogo rezul'tatov, ispol'zuya kompensatornye vozmozhnosti organizma, ne pribegaya k chelyustno-licevoy hirurgii. Metodologiya. Predstavlen klinicheskiy sluchay pacienta s bokovym smescheniem nizhney chelyusti i klinikoy disfunkcii VNChS, kotoryy otkazalsya ot vozmozhnogo hirurgicheskogo vmeshatel'stva v silu vozmozhnyh riskov i oslozhneniy. Rezul'taty. Cherez tri mesyaca posle nachala predvaritel'nogo etapa shinoterapii polucheno novoe stabil'noe sootnoshenie chelyustey, v kotorom otsutstvuyut boli i schelchki v visochno-nizhnechelyustnyh sustavah, sformirovana privychka dvuhstoronnego tipa zhevaniya, otmechen otlichnyy estetichnyy rezul'tat: ustraneno smeschenie podborodka vlevo, poluchen neozhidannyy effekt v normalizacii polozhenii glaz (pozhelaniem pacienta bylo sohranit' anonimnost', poetomu polozhenie poloski, zakryvayuschey glaza, maksimal'no povtoryaet zrachkovuyu liniyu). V svyazi s okonchaniem etapa i polucheniem opredelennosti v sootnoshenii chelyustey pacientu predlozheno neskol'ko vozmozhnyh variantov okklyuzionnoy reabilitacii. Vyvody. Dannyy primer pokazyvaet bol'shie kompensatornye vozmozhnosti organizma cheloveka, kotorye mozhno i nuzhno ispol'zovat'. Pri etom predvaritel'nyy etap diagnostiki, kotoryy pozvolil nayti al'ternativnye puti chelyustno-licevoy hirurgii, imeet mnozhestvo preimuschestv: nizkuyu stoimost', obratimost', vozmozhnost' ocenit' rezul'tat do nachala osnovnogo lecheniya. Obrazno govorya, my imeem opredelennyy «test-drayv» planiruemoy estetiki lica.
Keywords:
nehirurgicheskaya plastika lica, disfunkciya VNChS
nehirurgicheskaya plastika lica, disfunkciya VNChS
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2. Bilello G., Caradonna D., Caradonna C., Cuccia A. M., Manzella A. Correlazione tra i sistemi stomatognatico e oculomotore nel determinismo della postura. Mondo Ortodontico, 2009, no. 34, pp. 235-242.
