Clinical and Phonetic Features of Dentognathic Deformations, Their Orthodontic Treatment

Melnyk, A. O.; Filonenko, V. V.

doi:10.5772/intechopen.109636

Dentistry

2023

DOI: 10.5772/intechopen.109636

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Clinical and Phonetic Features of Dentognathic Deformations, Their Orthodontic Treatment

A. O. Melnyk¹,

V. V. Filonenko²

Abstract: The substantiation of the current task of modern dentistry is presented, which consists of increasing the effectiveness of the treatment of dentognathic deformations accompanied by phonetic disorders through a multidisciplinary approach to the development and application of a complex of diagnostic and therapeutic measures based on the determined and clarified etiopathogenetic connections of dentognathic deformations with phonetic disorders, and causal mechanisms of the development of dentognathic deformations … Show more

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Cited by 5 publications

References 10 publications

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The Relationship Between Orthodontic Treatment and Speech Therapy Correction in the Rehabilitation of Children With Cleft Lip and Palate

Filonenko,

Kaniura,

Yakovenko

2024

EUMJ

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The aim of the study: substantiation, approval and clinical practice implementation of a complex system to influence overcoming speech disorders in children with cleft lip and palate (CLP) with simultaneous conduct orthodontic treatment. Materials and methods. An examination of 97 children aged 4.5 to 14 years with unilateral CLP at the stages of multidisciplinary complex rehabilitation was performed. In all the subjects, dentognathic deformations violations of kinetic and kinesthetic praxis’s, speech defects and speech breathing, presence of nasalization were found. 48.5% of patients (n=47) underwent orthodontic treatment and corrective training with a speech therapist for 6–9 months. Results. Corrective work consisted of two stages: preparatory and main. Based on the calculation per child before the start of treatment, an average of 11 sound-speech errors were found among all the subjects. As a result of the work carried out to overcome speech disorders, the variability of errors in sound pronunciation among patients who were simultaneously undergoing orthodontic treatment with removable orthodontic appliances (n=31) and underwent corrective speech therapy training decreased by 4.1 times, with fixed appliances (n=16) – by 2.5 times. Conclusions. Speech disorders in children with CLP are most effectively corrected with early competent interdisciplinary interaction of a speech therapist and an orthodontist using innovative and original technologies, and the variability of speech devices with the use of an individual differentiated approach, which significantly improves the formation of the phonetic side of speech.

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The Relationship Between Orthodontic Treatment and Speech Therapy Correction in the Rehabilitation of Children With Cleft Lip and Palate

Filonenko,

Kaniura,

Yakovenko

2024

EUMJ

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Investigation of the force reactions’ magnitude around the mounts of orthodontic appliances in the process of orthodontic treatment of children with congenital unilateral cleft lip and palate

Filonenko

Kaniura

Копчак

et al. 2023

MTT

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For the purpose of orthodontic treatment of children with congenital cleft lip and palate, various orthodontic constructions are used. The use of removable appliances indicated for narrowing or shortening of the dental arches, anomalies of the individual teeth position. The question of determining the magnitude of force reactions around special devices (clasps) that are designed to fix appliances on teeth during treatment, under the conditions of the specificity of the development of the upper jaw and the impact of surgical interventions on it, requires detailing, which determined the purpose of this research. A three-dimensional 3D simulation model was created based on digital data of the spatial geometry of a sample of orthodontic appliance used for orthodontic treatment of children with congenital unilateral cleft lip and palate. Mathematical modeling methods were used to study the stress-deformed state of the appliance and estimate the magnitudes and distribution of the amplitudes of force reactions around its fasteners (clasps). Force reactions around of the supports of the orthodontic appliance when the screw is rotated from 0° to 360° (axial movement by 1 mm) are unevenly distributed, with a minimum value of force amplitudes of 10.3 N and a maximum of 30.9 N. It was noted that in the area of fasteners (clasps) placed more distally, the values are higher (30.9 N and 27.6 N) than in the medially placed fasteners (10.3 N and 12.5 N). It is also worth noting that on the side of the base of the appliance, which corresponds to the location of the small fragment of the jaw, the values of the force amplitudes are greater (30.9 N and 12.5 N) than on the side of the large fragment (27.6 N and 10.3 N). A significant dependence of the values of force reactions on the stiffness characteristics of the jaw and the type of force transmission from the orthodontic appliance to its areas was established. Keywords: 3D simulation model, force reactions, clasps.

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Multidisciplinary approach to the treatment of children with congenital cleft lip and palate in Ukraine

Filonenko,

Kaniura,

Bidenko

et al. 2023

MTT

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Children with congenital cleft lip and palate (CLP) develop a composite complex of anatomical, functional and aesthetic disorders that increase with growth and require comprehensive and multi-stage treatment. Treatment and diagnostic measures require a multidisciplinary approach to overcome the identified problems. The main task of orthodontic support for children with CLP at the stages of primary surgical interventions is aimed at preventing orthognathic surgical correction in the future, by optimizing the choice and tactics of orthodontic treatment within the framework of multidisciplinary comprehensive rehabilitation measures. The purpose of the work is the substantiation, approval and introduction into clinical practice of a complex of medical and diagnostic measures aimed at the rehabilitation of children with CLP. It confirmed that providing the necessary conditions for sucking creates optimal conditions for surgical intervention on the lip and palate. The tactics of orthodontic treatment depended on the period of development of the dentognathic apparatus, age, type of cleft, staging, timing and volume of surgical interventions, quality and methods of surgery, severity of deformations in the transversal and sagittal planes and components of the symptom complex of anomalies and deformations complicating the pathology, psychological and emotional child state, factors of parents and patients communication with the doctor, social and economic components. Removable and fixed orthodontic appliances are used in most cases at the initial stage of treatment for the treatment of dentognathic deformities, obtaining satisfactory sagittal and vertical overlap and normalization of transversal ratios. A separate area of rehabilitation was prevention and treatment of diseases of hard tissues of teeth and periodontal tissues. Speech therapy and psychological support started from 2–3 months. The proposed complex of treatment and diagnostic measures, determined in time, terms, sequence and volume, aimed at the rehabilitation of children with CLP, made it possible to obtain positive anatomical, functional and aesthetic results in 87.6% of children. Keywords: therapeutic and diagnostic measures, orthodontic treatment, speech therapy and psychological support, rehabilitation algorithm.

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Clinical and Phonetic Features of Dentognathic Deformations, Their Orthodontic Treatment

Cited by 5 publications

References 10 publications

The Relationship Between Orthodontic Treatment and Speech Therapy Correction in the Rehabilitation of Children With Cleft Lip and Palate

The Relationship Between Orthodontic Treatment and Speech Therapy Correction in the Rehabilitation of Children With Cleft Lip and Palate

Investigation of the force reactions’ magnitude around the mounts of orthodontic appliances in the process of orthodontic treatment of children with congenital unilateral cleft lip and palate

Multidisciplinary approach to the treatment of children with congenital cleft lip and palate in Ukraine

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