Search citation statements
Paper Sections
Citation Types
Year Published
Publication Types
Relationship
Authors
Journals
This study aims to present a clinical case and assess the efficacy of the Bimler C Elastic Modeler, a functional orthopedic appliance, in the early treatment of a patient diagnosed with mesiocclusion (mandibular prognathism) based on Bimler and McNamara Cephalometrics. Additionally, we aim to delineate the observed positive changes in facial expression during the course of treatment with this functional orthopedic appliance. The female patient, aged six years and nine months, manifested atypical swallowing, respiratory challenges, and allergic conditions such as rhinitis. Comprehensive examination further revealed facial asymmetry and a smile with lip asymmetry. Intra-oral examination exposed a rightward deviation of the mandible, crossbite, open bite, and mesiocclusion. The proposed intervention encompassed the application of the Bimler Elastic Modeler (BEM) functional orthopedic appliance. The documented treatment duration spanned 12 months, with ongoing monitoring every 2 or 3 months. The treatment, utilizing the BEM functional orthopedic appliance, coupled with exercises and adjustments, improved mandibular and tongue posture, enhancing overall chewing balance. The appliance effectively repositioned the mandible to a more balanced position approaching normocclusion, achieving this without causing pain or discomfort and without the necessity for elastic or constant forces. Given the crucial role of facial expression muscles in these activities, a pronounced enhancement in facial harmony was observed. These affirmative outcomes significantly contributed to heightened patient engagement throughout the treatment process and a concomitant enhancement in patient self-esteem, attributable to the documented aesthetic and functional ameliorations.
This study aims to present a clinical case and assess the efficacy of the Bimler C Elastic Modeler, a functional orthopedic appliance, in the early treatment of a patient diagnosed with mesiocclusion (mandibular prognathism) based on Bimler and McNamara Cephalometrics. Additionally, we aim to delineate the observed positive changes in facial expression during the course of treatment with this functional orthopedic appliance. The female patient, aged six years and nine months, manifested atypical swallowing, respiratory challenges, and allergic conditions such as rhinitis. Comprehensive examination further revealed facial asymmetry and a smile with lip asymmetry. Intra-oral examination exposed a rightward deviation of the mandible, crossbite, open bite, and mesiocclusion. The proposed intervention encompassed the application of the Bimler Elastic Modeler (BEM) functional orthopedic appliance. The documented treatment duration spanned 12 months, with ongoing monitoring every 2 or 3 months. The treatment, utilizing the BEM functional orthopedic appliance, coupled with exercises and adjustments, improved mandibular and tongue posture, enhancing overall chewing balance. The appliance effectively repositioned the mandible to a more balanced position approaching normocclusion, achieving this without causing pain or discomfort and without the necessity for elastic or constant forces. Given the crucial role of facial expression muscles in these activities, a pronounced enhancement in facial harmony was observed. These affirmative outcomes significantly contributed to heightened patient engagement throughout the treatment process and a concomitant enhancement in patient self-esteem, attributable to the documented aesthetic and functional ameliorations.
The Bimler type A utilizes forces derived from muscles, particularly the tongue, concomitantly, it acts as a systemic, dynamic and functional treatment, Bimler appliances transmit neural excitation throughout the system. The objective of this study was to present a clinical case and demonstrate the efficacy of the functional orthopedic appliance, specifically the Bimler A elastic modeler, in the treatment of a patient diagnosed with distoclusion (prognathism of the maxilla and retrognathism of the mandible) according to Bimler and McNamara cephalometry. The case involved a 9-year and 11-month-old male patient with atypical swallowing, respiratory issues, and allergic conditions such as asthma. Clinical examination and complementary tests revealed a large overjet, a narrow maxilla and mandible, an open bite, and distoclusion (retrognathism). The proposed intervention included the installation of the Bimler Elastic Modeler (BEM), type A. The treatment duration was 12 months, with ongoing monitoring every 2 or 3 months. The comprehensive approach, combining BEM type A, chewing exercises, and occlusal adjustments, resulted in orthopedic changes improved mandibular, tongue, lip, and head posture, as well as enhanced chewing balance. Importantly, the appliance effectively repositioned the mandible into a more balanced, normoccluded position without the need for elastic or constant forces. Beyond the orthodontic changes, the active engagement of facial expression muscles during these activities contributed to an overall improvement in facial harmony, achieving lip seal and notable enhancements in breathing. These positive changes extended to the patient’s daily activities and sports performance. The observed outcomes not only increased the child’s active participation in the treatment but also positively impacted self-esteem, driven by the aesthetic, functional, and psychological improvements experienced.
Anterior open bite (AOM) is understood as a negative distance between the upper front teeth and the lower teeth. This dental complication is part of malocclusions, ranking third in the ranking of most prevalent dental problems, thus corroborating the choice of this topic. This occlusopathy can be caused by intrinsic reasons, such as hereditary factors, and extrinsic reasons, such as harmful habits, which are the factors chosen for research. The purpose is to relate the literature review to a clinical case report treated, so that the professional knows how to work on prevention and treatment. Literary research was carried out through scientific articles and dissertations in online databases, such as Google Scholar, SciELO (Scientific Electronic Library Online) and BVS (Biblioteca Virtual em Saúde - Virtual Health Library) using descriptors present in DeCS (Descriptors in Health Sciences), and through data collection from the patient's dental records, radiographic folder, cephalometric examination and study models at the Dental Office located in the city of Varjão de Minas-MG. By analyzing the association between the literature review and the clinical case, it was possible to prove that harmful habits, when present, interfere with the development of the dentoalveolar process, taking into account their intensity, time and duration. Treatment can range from abandoning habits to orthodontic and/or surgical treatment. In the case of the A.P.P.S patient, 14 years old, female, with melanoderma, just abandoning her habits would not be enough, because there would not be a physiological correction due to her age at the time of treatment, so a fixed “Roth” prescription device was indicated. gluing spurs to avoid interposition of the tongue and digital suction. Intrusion of lower molars with distal steps and mini implants and extrusion of upper incisors with elastics, as described in the literature. The patient underwent a surgical procedure only to extract the third molars. The treatment was satisfactory, returning function and aesthetics to the patient. It can be seen that prevention is the best path when it comes to AOM caused by harmful habits, because when habits are abandoned while there is time, the body itself tends to correct the defect spontaneously.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.