22001 Toate dept nr ace Ylam sit Editurié CERMA me adr Deon Mate Sis Pace mig Agana sta en Ade Mics ISBN 9739066889 | ORTODONTIE SI ORTOPEDIE DENTO-FACIAL ~ GHID CLINIC $1 TERAPEUTIC — ‘Sub redactia Prof. Dr. VIORICA MILICESCU Autori: ECATERINA IONESCU TOANA DUDUCA MILICESCU ‘VIORICA MILICESCU Au colaborat: ‘STEFAN MILICESCU ‘OZANA ALEXANDRESCU ADRIANA ANTOCHT ANGELICA AICHIMOATE4 AUTOR . eater oes net de ere Dicptna de Oras Grape de aii, ser al Denes Buowess eet rma edo hc me seg ents sere atin ee Trane Doves Mise ~witeaseveiar i Diciin de ‘rosin si Ope deo i UME Col Daa Baste ee pei rte te echt song een; “Sect = Manoets Pope sitet sive Ie Dist de usm Ore dno fi ‘a Ca Dr toni peas smog eer oor Ovi Peper site averse Ia Din de casos Ocoee dt a, UME Col Dev Bae nec plied, etn, Vers Mien freee vein It Dip de ‘rasa One dene, LUMP ar Dr Ds ~ed i are “ee pina rm eel Serrano AvCoLABORAT: Stet Meee stent niet Dip de Frttet diate, "UMP Cal ne sit tin net pci somata ee ro ‘Ocana Aetanies repairer i Dips ée nie Onopei di Unive Tit Maree imei ondons det Adtlane Antic repro nei le Disp Onsione & Oropete deny aa, ‘UME Carl Da cei madsen oso Sosa Angels Aichimoae metic eet ened UMP Cet Devi, Bae cal 3 tment ine — % ‘CUPRINS Cv a _ ‘etn ae pasion orton orp dentrman cl. 1 aptott? a a 1 Spi = 2 Ne nicra reste ie — a ee 2S teaeoe 2 A etn paws ace APS eae ae geal op 3 rete ecg ce Etamtecaiee SEE te le aa Festool cee iestra pect Snes er : i eneSignor eae ee 1 Ss cee ace Mp oes cc np me ps 346 Sets ii Ade ME Ga seein Sah yee Ao Peron Sa moat S02 apn cate SN aes ee ea Ree done keen 42, Mossiat oe soa a ai cera gaara “442 Frincpsetemomentedinamice ale deol chica ls Capa Extmene complementre ST mate 22 bomen pte 315 Ete tei sani Biol tlbaie EE ‘32h Enea age $F Bice sop deg cg Sreeistoie anomalilor eatomadtane conn "ati nm = {Sa I ol SE ata arent — ee rene Ag ence 72 eee pe ssa (oa mind) = Tiers Sct se ne : Sees Gace opp a uo ‘ea note Pt pte Apri $1 Rectan re a et cad abo BS Dont pect ego - Ha Bcaet = A mE Micon andj oo SE ead ind So biticederae oe Billa sige on sa anaes Caer oma Se tt it er — a a = oe =8 9. ene ecg ei ae ie ee uesreaeen i ottoman z cam, rt Lo : x a cstv i “ish ac wes co esa) =o 38 eects 1 Ape eine opal or194 Aa Aa Meta 1843 San te et {6 Ronse exial cina as 2 1045 Aetna sen Bn spe amare ME ee sma a 11 Arta codons fe mecanicepopiv B88 TMI Blessed sre sn a LEE Bowens i de ag 2, 12 apie ne a cal a Gen ns ne PP nS a 3 ——- Covina Ll Afra pi exe a ii Ament Et 22 Aft ee EH ere ee 32 Nie fl eg opti 14 oe Apt de conte ~ we 18 Bs dew 14 Menno apy 185 Postionsora oth posione) 15 Covet se sas fn Captions Seema preeti de ex ie iste ae 182.Gxectac Biogas CUVANT INAINTE ‘Actath cane se doreste 4 fi un ghid de informe In cis terapvien anomailor dentate pet ce ce % peRase peat croton rope doc se enh ‘Sars pn pia expert! mal mul genera de care dace cat tine totais seems de segue, crinfle ol observable Stace remind sc ral as Peer {elective aptopate de ecesisi actae ale Hvar. Tarren ecestival daca a epor colaborsteriextea,medi rere radon stent ea expen nou pet ii 8s, ‘Sten avant uot Sislog Gb, benetc uc dar presi wort tombe 2001CAPITOLUL 1 RELATIA MEDIC - PACIENT IN ORTODONTIE SI ORTOPEDIA DENTO-MAXILO-FACIALA fn rele ew puceni, medical uobuie of manifest mul tacts totes, bam sn 1 vespet, dar gi ices i response open cue teapetce cele ma inate timp Brdnzl at of oct nian dina pina de gi fo de et srt net ta acl medica repre prceperes medical dea 36 ‘compara fava de blnay, Dota pe o cuoastre a photoset mult safer ‘Ace coon ma vb i pear species ash ae connpots ns mum paca eae de pace eiria ne ake {pectachstomilor dato manilae cae ta mje stn impune Ain teateent ce se finde pe peioade lng de timp. Pris din sete sponive, fla suede pecent i ortdonie repezid inte [pela de comaniare, de nlegese; de modu cum se reaiszh sess ‘sorte depinde fn pare nod scent sees tment ‘vests cop fn stioct conse situa stesant ott entre cpl lt i petra medic; evo de adapta ete respred Petra odie sta sees ete teint de responses prfesonls Be uncr, de dversle die ce spar i legit eu atl terapenc ‘Peat coi fest, agonal steseat consti sufeina, ei emotional Cconceisindi africa provine dix capaciotea copia dea pis brat Stabila pena recite sale" abc‘ecomaadsbil cnet eekturs med semi ert pty re, cn sc mel somatog et aes ea © baricr incre practician si copil; os ‘eterod foods a T pei omolog devine alt pen econ a nonaie vos En recent pint, penta ea acest sna ve si ofensas Coil divide aeatla oe medic ot print: medics Si divide ‘etait pine cop; Raven de nine sam nervoiate a pintelit ve poate tema coils inten pinta caine, medica se site malt mi conforab, tna rleat mai efsentcomportameotal s:proceluralteapetic, ‘Sowcce alec Mien” Sont ots situa unanim aseepate, end pezena unin sa aioe pin ncbinete storage eprenat el van al cop ateprescla fi reveal cop peyote Inet predointo eae simbite ext ca prin (waif), ~ fn op ce deficit mista, fosemotr, sa fein ceoice, rate infra pete i nleretile pcre le ofr pines ‘Cin se ecepat au sl resale va side toca nett ptinel nner cabinet, ate sc op le 8 percep in permanent recea acta (ma les In cope) Pett sistent de abet vor dialogs a impel ater (eu excpin mtivailor tet obiective), pena a na afect expaiata de (Scena cop fats de cova ce pine media! somatolg. Pring “atari rcomantits oltre, copia pote deen’ dere: conta Medic! siomaolog tebe fle fst stent ctcamspect sun ied apur embit pial, sau mama sl bunin, sa efnd pls aaah ‘Stolscent asst a i resent tm esbinet in pol tatamestuly saat (rverone a unoe fel potent, sau chiar real fe desfuaren ‘examen Maxim). Shc de esr ms ot soar pate medic. Buena pe eae © face medical tbs ft a oifcareacomportamentuli acini fot tetaeute de specail, aga fic fact dine un colabortor ev, Paci pciotla opi web oN stimalere eb aj tS evs consti deste, care permite cpl curs ele Ireoca dela comportamentl adopts la florea consent logit ‘rtonamentts (Bear, 1971) (Ga) ‘ure acta, mica ebule s- cunased peopel nt med de comparneat emot, sgl clarfie rescile comportamentle pe anili as fl et lpn atadiee fn momo Innit ou mika pace. Medical ustme Hi contocre npr enc oFintinistone, hdr, ccnp nl tes oct ss spot stay pins chin pit pent ep Maj col, (1963), eta de Gv, dau maton indict sets comportamna! mdi 8) sie a sivetel penton opt, ncercind yo neste Incare pote si punds, s se merece de coi eal cance bovine, 58 sabieasd ela sce tee ep a meres ‘up exe inten nfavorsbil«pinitor supe pls 1) 58 den copiuiexpisile pe eae Te cere, eu Ine, snp, Yipesines tsi de tote dpi sncvtate Sa ceard copa Promina de eolabors pean: 9) 5 fie hott im acini si mageve fi s8 cai Hezeaed cepts Iipresin a ov a fines ‘dyseevte alu fata de copil soeu pevitc ered Steming pe micul clea proecene pe mode fgem storitart Un mdi ean sige 4 sine, are anit copii et Injeloge fries eal aad 2 Invings. ve cltignIneederea copier va sigan ba ‘fr sponiancelaboares. “Li toue asta cbui st al adtegam aman ster rma pcenons a eabineti ntl tmp tot mas ml song oe ‘eounit a euoares abs haat, percept ce copie sibel det fosind eto eae pete Pear fae ft cxaeoredestiv este nesesar ca med ie ‘uns de aevirrl aati. fe envi umm pane argc (1972) 8 amen mao soar oma, crew le fos hata tx momen imisirit sau al nagter Evident, frecare individ Is are propria. so ‘onstngie genetic, de oie! ie. Teas cea eval eh eb eect Iincelecrat canta social, este determines trum grad inporan de Propitesate cfortur, conjugate eu cele ale prin, profesor ae tor pentane". Apel el etuleWt e «8 yore) nt met Paes face tsinte tare decors naturela cop si Inuengle moda social penta et desotarea natural ete tn mod ineiab u proces {oxi in care rele moi mal sex mat putin permanente adult cao ‘portant special x print Su ce care tute acetone, pret dn i Seerane ma ate eet aa ne ene pn oe ne te sa te pa econ sot P Laer DTN aed vss at cre dpe de tn ptr de scm shear ech SPUN peace cpl ier sn th are Pentrt S Caen cet Lire aig Sm werner tea tencraae Sistema ye eae ie coe ttm oe aa we natn Ronee arate Sarton potter aenrrerr rosetta arcana pes te am aa eee net nnn Ing av aati a fo Jr eProp Pte, ome st comin, wren eater ears ns meat intS mu avantajeza pnciental. Un diagnastic eoreect ceve © bw Frere ieropvmanct cet in conn vaca 0 HSE PEA Frcbule ft tnce sama cf To specialiten ee ee cacao (pan snot pi sive oi ees rea dons nonia a Gen ft sna, Toot, et de Soe fapeul 8, 5n stadiyl actual in medicind si implicit stim specinlt Sure asa de transforenari sab infivents proceselor tebnice eS emaiaet ie sf uccemtuene si mai mult responsabilitstes st se te enone pe en wis onto18. De asercoca tebe ave fn vedere fap ee ma woma ‘sist footnote cree secular (zeculs trend"), eae eterodong {Seca cere statr-ponderals copy eres cae ne ee te relating gn niet segment erann-fai,undeexxteree econ, Inet, Acct face 34 fatnim, de foto mule eri apomal coe ‘ecsittrmont dogs sa anon cae pe pacers tse cerelve aa fevomeae de ator, fied st mal necsie interventia teapeunen, somal ee pot st Deneficieze de 0 profilaic bine comdlsh soe deo {tame itrepi. De aces ertodntal rob fe ntat uo sio Fe de ae pans, in geaenl,anomalile spurte desto-mutine caraceto complete care neces sl ¢ terapeticg coplonn ‘odotic, chruzical, protect Subsiniade-ne de mule ee a liar aesvor metodo, efctnen sta teapot be nl eoe sims colar cu ceive de speci revi, seats ponte ds yecuerapeutce. 5 once, fn fone, este dloe use ric simple ‘5 tesla ce ma bond sini cel al pv net og rma el a serdar cel mai bu, st dao met pee, pace = cop + Von noasra esto preventive aceeacevam {ace tn orice tnprehrare Acsteinprspot rat ne cuprind fea Com sn, cams rar ana de no Gout $i oar wd ol ft tt cos in pains stapes recat Ini x sprang Lboock), (LIZATA /BSERVATIE CLINICA UT yO U RENT IN PRACTICA ORTODONTICA coma gota Nate coach —— Pesci. ee erat Ss — ‘cas oss _ ‘noel youl pelo “ee ie wine = = Deno ner ——— = ft ee on nnnPeete eee ee ee e TO ee ey oog Hie AO ot tee moro AE PROS Oa eee sg aya CAPITOLUL 2 ANAMNEZA ‘Amwmacza 6 face fa geinga de debut a tatsmentll, caja oni dae pi, prefer al mame, In pcienit coi, tn escent Cod anomaliao cre, peels pile ese acest Sinec Aten cnd no ete post prezera pio, se specifica nei ser pclae dtelenossare pe cre leva prim dela pit ‘iscuta en pais fice cu dire dac xe poi intro camer sepiah, menejtad sascptbitaten patent, pin st pistnd ‘evel peofisional, Tost Infrae owe de In pacin rin nares tor ffirate evaluates aspect medial, gn vr fice obit nor omen efevorbile lege de tatumeatleantroare an medic eae 9 Igri penal pnt la moment espestv (Code! detolori medical). Aranneza nto + ative pezzi 1 ttecedeste erede clare + smcedente personae 2.1 MOTIVELE PREZENTARIL ‘Prezenl pci cine de ote sictaren consis) de speciattate ue josfieate de tive cept grat nw stg 7 pce i ee record cones etodoock de ce medi retin alopecia. Aces west provi cel ma desea wr noch ORI, care sbordndopatologie ide Invent ff oeaizare oi stile apart dento-mani, ree: esi dinbe meciaisie extrstomatolopee, st mai ef ‘en linen eupindereoanomalirdeo-maxin;~ medi peda, ae sa + cvoliie deotomania een aoe ular de eon emo copia OMEN gen a eres ~ mei de fie ec, ‘msi fae cr diac ml mat oreo tl comet ‘organisms mae, ~ medic endotna ‘se I ia tee te evloi tnerma Indereat dee lee ‘moscue find implicate de leaps eadring 2 ‘Cama pecvet sexe sat bre de aire det a nivel ous rena, Som ova moment imports tn evolu dent peste ncn print "te peroads de faceput a erupiel nilor permanent ngheouren incisiilor iferi/superor, sa apa angrensjli sa ote inverse foetal; ~ mmpeioda finals erp deni! definitive pai ior cope, col mal lesen cain oped ‘Eat staf ete pint, Se dnt experenaneioara co imal copie in antecedents paral In Fame, sunt preocpa d= Ponte inslas uber modifi! de tip ingest dent, manta ‘seth exces te Fi solic cons de speciliate i Tacerarea de & preven aprifin anti respective, Pri devin sel primi gest de ‘rota a aerepi Inco ce piveste potential pcien adolescent ‘er an au, mova fionoie ested odin personal, Sublist ‘monifeto stare de nema vis is aspect facia cel mal dev ‘and stator eset in scktat sa elaine persone aprepia Din peipectva piologich = abd teapetice odonti, pnt mati, e repreins caapeia cen mai frst de pict, dorndus {crema respect foarte tit epee tripe Tndifeent de jones cael fae pe psn snes nam ais octet de etotooi, pina coma ae roll dei satura abe ‘tic orient sissies parma de desu vite coos. 2.2, ANTECEDENTE HEREDO-COLATERALE (AHO) tn cade anecedenslor Reedo-colateale, importante pent secilittennostrtsteteva re de stole: 2.2.1. Existenta infefilor specifice in familie = tuberelora~ 9 cat reraeecen ete rcuncscth fe plat ‘mondial ~ siflisul~ ce enoarte, de emer, o crete ngrioraone;~ SOA. sees wo pow SDn am ‘ie et go te neo — mod moral, Ja nivelul eutogting a eatitate patologies separatss, ‘asa 222.Bolilemamel Consitic © gmp ce i daca ont eget © inptne o vestige atest. Son ate i = endocine Inve seclttiia ope fern de ni aut In statis donee rime B str denture oa "ssh sine bur ge en noma), 22.3, Anatizaeredtra ct ‘samba rani fan, Ms nota aloe au concnona fcr ‘veda schema fail nal per rei fftuenenek > severe facial aso vein, ~ @pwte = prnmetie de devon Gmc a ul enum ~ngtiol goin, ‘ices apse dent-aniar oterinte genetic snk mien fn nsw maior, fist i comalogi roped dentare. Dare snore denna rocurescote ca avid transmis sett, oe pas 7 lia aded scopes = ogni! madilar anatomic: Tete fome de ocase dewhat,compesane de mast, sem vers, dlarmonidentoalveolres = uncokenomal dete de ums. ‘lb de tues carter eer nla aelogenea imperfect eres: = dentnogenee imperfect eer = mula Cap de Poo. editcs se reels pine fetodt eboptogeici si a cama sestfonailr cngsiae. Ttanenal apomaliloro wo posunlst cxacer ‘tar ost fl (a les cn anomoi nbrac n b liie eve, Ihngl dant pune o conten create ic de eid ind mat ‘ron est calor anomie cara anomalilor cere era, ‘Sinemet srborclegeeaoge Fig 1) bina mflosettermenal 3 seeigre", adndose pens spezerres cedar dou exe, smote ‘nonce ct mscan i) femiin com slizaz tert modes {emma © eminin, Generale se tear: ef omane, nee tslceea pins cine pra de anomat. Czsil fect 3 fpteant conveionl seater cee me, erp evar din pit ‘rae pls ual Apa ale anor afi epi ait apre cmvenhiconl iv fot oo Hers. naire rbrlal genetic rons nt el nts gettin cl ei pei ace nie rot fac tein acm ami, co mn sa ges tiga sceJo gory 1 este prezatth cohen nel scoped tansmiterit creda a eclotel 2.2.4. Conditii de muncé si viata ale familiel Met eters pinto, special mani ft cone ope se inpun afro pent pial etalon sesern Sendai cnc motel nase aha ‘sta tabegismal ocupa un loc iepportant. Bean Stam 2.3, ANTECEDENTE PERSONALE (AP) aS HH ance pase ne esa a et fziologice, cit ¥i cole petologice, eu refetice ‘specials antecede nn ‘Pessonale in legdtur$ cu snomatia dento-maxilara existent. mee 2.3.1, Antecedente personalefiologice (APF) 23.1.1. Naserea poate fi ~ ewsces oem) ~ Siscic anes) ~ pezetare pln ~ sical de comdon omc ifrepretungta uta normale 12 ~ 15 ‘aster ca aplicare de frees sau vd extract Te ancambe, tose scene si ae ee ams onc ep a pin 23. Alimentotia tn primul an de vies poste ~ aur (a in, pn 3-4 en, nd in spol blac I 8.9 fk ep diverse yi n Te nimoctia min 6 vical we oteraea dict feat co tena sat ca gut In al lien cu iberosl es imports oui opal spt tine 2.3.1.3. Date tn logdturd eu dezvoliarea coplului ‘Coterea se defines ex anabal pocesclor bole, conde Indi! de mutt bilogiet spec vee dui. Stain doen erin carte v eet caracteszata de pconde deere acs fie pesionde de wagoaz, sau de cetre fart let Penraoanlia a pnelglelor ete fcnlogice pe care le peerae on indivi in earl een, Se vor inves (pn dsc eu ea in pi: 1) ea de reste prin seus compa viel de stale « {ehimbsdior ve, simpl wou ener at 2 ata erent -oprzentin eaten de eetre nize dou pecoade deny: sp ecresta eronlogi = ietifiesres moment Jn cae pat frincipalce evenente bilgice in deeusul eer (iow ‘ep, car et pil pi fd a apt isd tempor permsaet ‘Pancplele moment Filo ole rei vont 1 ea infaniis de a nae a2 a5 jumatane (pa Bock 3 28 (dapt Woodside), pevoads. Im care crsterea scheltat cate emmiiatva. Aseastsperonds e fachoie oth cu dfntiares eit be ape: 1 ep joven: fcepe af deni temporare ss termi fo ‘pomentl up! lar de 6 an, Rat rete prin parte estat interval (peoads metic @ copii) est relive erat apt de o centre acceleai a aun pe a iterolla (apn fils copii). Ene canoes eu denumives de reser juvenile pus inermedar de reere: ean pepubetars debuts cy aprximatlv 2 an nine posest fear maki. Se caracizesn® pit eretxe Jn lngive & Tpombelon, In spec cle inferiwe, are dau aspectl tc al UMolesceatll alors desi. neropotonat stgsce, Peissai devia ER Acc cpa paket it ca momen al asl Se in eae poate pare: 915 on 4) taps puter: corespunde matt i tt en Sea, ew tmte eaters. {36 ah, beta va nga A ste taconite doc desta lini de vt nc ~ 1213 ani pentru fete, veo = 1S ai pene bac 2.32. Antecedente personae patologice (APP) 2.32.1. Antecedente personalepatologice general Ne nterseaa tote boli oie sufi, cu pellets cele da pin ~ tie wns ere Aispepsiite repetate; = se ela, Ish sects de leo esa «et sel fone sve fered nmin OMA esti c m Poi a pia andi ‘tel cop ic ete ae nave nfecto-coaginn nse len, ~ baie deat eden ne i ~ fect perifciste, fe, ble sage: = share pa tte wen, Hp de ‘see ine cpa ~ Sct wt ete ‘ct i to ee oe pers ca a eum docg (eget aencie, exits ii te rave medic Diawe ‘esi gentle Guise wegatv st amopea apart ect est ainsi ‘ul dsmettolice celal cunser find abit cr pn ezechliol mineral forfovealcic pe care it induce fivorizearh o patie is limita paologicaat « oxelo, Implicit a aslrlrgtubarte i Vola sistema deat Alipepsit repetate ctr, pein talbarrle de sbroie = ‘onetenioraimentag, su repercusiunt ssupre evolu nega nga grntt 6 orpaicnull, se gisegte sb in oem factor Fomor ito eae de catalan neti de ie tbl nfecto-contgione (rion, hepsi pena acest din asepsie: oll neuro psice ~ majoritea copier cu © astiat de butloge rent anomali dento-maslae asolate 0 tare (estes precast dent boli sanguine ~ inpertant a cunouate i Yedrea ence Inverveni cirri; Aoverveni curiae din sera ORL 2.322. Antecedentele personale patologice stomaiotogice cae se refer I a erupt primior din temporars starea odontals In dentin temporrd, eventoal, flmel sta epaielpinilor dnt permanent; esis edonile evolu aesior fa dni pecmancn smodifice prodontle (eisteniaseetora in fare su fe Iegitnk ea alte enue Isl perurbie funcporsle, dseac, modiite de posite forieul oporiet anomalii dento-mailere (moment nal acest evi pind Un data eine~ noma etn ce wana ct fervent su nu din pone de yodee ado, et inp ct ce tip de pura). ‘Pent tae ibointiie especie vrs cea aps 2.3.2.3. Obiceiwrile vcioase Once vio sn wel dne sete ae prt ‘euismod ilmp ey ‘determina apacifia unor ancenali dento-maxilae. ve "kona mat en pe i vii ‘modul lor de practicare, pariiculaitiile ce esa seer ce cette dct vn etry ear ve Sr decilep demain et depenen ea considerabilé de eitiva peramete: = ~~ rat sl vio eng ing gravitates tulburitilr este mai mare: “ " eerste rato oo selec psne” sec ys a pp ~ Sn =i sn pepe pre! anit _gravitates consecinjelor; = “cemins ~ th dept bic ios mii pre ‘hh i dtm be i ‘ctv india eal, acpi ea ‘inet vce fo somal eno mae, ~ vasa tp ite ine tert In 4a rv eet : nos ieee pot eve ct levi! ged prt spore At peo cre eae pp ‘eioatee ees pe dea ate pom ch nat opt cn ae cule vio wiper oa ape Ge). cbt ne pp Simp Pine bce vine poise ini co mare cheat marie cee at asp (nna ev ace a Simba we obey au heerpe (in etedra avi bale — dept sad lAteste bec). Majtstes ober vielone 0 iteprii itelasy (Se anoope, se ings nteo mist mal are sau mai mic de ‘Gecacomot ge, prezea net dn psondspecnsa (Langode). Atel ‘Moe repedinta pen pooniekto mdaliate de exists, deoues ft [gud posiitten de alimenae. Cop sae Tite de» ve ye tetge ngomotcl Ti itt de Lang). nto oaecae mar gees (seb ene o meat de mmifeware snow nse cops mis fied pecsents chiar gi coils ands, Din acexte motive, mae olor consider, pms pate «copii (24), suger eas ro sunifestare normal fi epreursis\ espa desvlan weir & ‘ows: desma, Aces ar poten expen de ce obi vos de prea degeta ete el mai fcvent itn bin vito de ager a eget proven vara oie ale arcnslonalvotodentare in fentie de modi infesttea sug ‘Ppa, de caratera continu san dccnna, de vet pn acre se facts eest cig tren ee. Super psical ombint ‘ect de pcioe pe eginnes roms rpeiar verse anterior bol Ring are ep conecighprolvectoeta fronals siperoat. Dact ‘fst de suesine se soe de nterpontia Tne arcade etenint fe Tage modificaren enfementonsth i inoclzis vertical pe zon8 ‘apectv, Deck dept ete cette ft palmar sus, presi pe 2008 ‘oincavt se spin 0 fs opust pe fa ves a froelor [Rte pe ngh cece deste determin i erode gaps oat Infrinen spo posterior a andbule (revognatie mania) Toma sla modslite de peactone a oben vsios de sages & degen polcele pone 1 aplloat eft palmacs pe fh inguala & {sci tfrion stand reducand sl incline or vibra {rodent omar neon) ‘Din tend ntgrpoitilor abtewope se femarck ms sntecpri nti ve rade, rand dep fect opens in vol, Sens ‘oa, ine, decand tmp ht intalien cea detcise “Sate de intepocite, Cu efecte smile, se po inerpune pasty au cy Te sendele dente, tp regia ie: buzn superiors seu inferior, obra te2 3 eadnlp porate dina ie son tna pox ov oo rst sna po povon ‘modificdri Ia nivelul aparatelai demto-maxitar. Astfel: " Sevmi a caplt hprteie detent ines toss mts (ras Span, ~ ert ou cape! ts hp een rome ‘nai (mma one ws ap, ~ drt ch tc ce epi pba ' impal zilei determiot asimetrii faciale. “ nse cis sowe nr repli oa ment 4 stain clr espns sete ota Tee els siete. rer CAPITOLUL 3 EXAMENUL CLINIC 3,1. EXAMENUL GENERAL ‘Jd Dezvoltare general Dezvoltes generals eapreias de obicel dup imac lsc pe care 6 re examinatore aeupr dimensunle corporle endl une sume catego de vies sex. Aste pocientl ete 1. normorom (erm) ead exist concordant Sire vis 2, hipesom (hiptrt: fad pucenu pare mai mic dest viet cxonolole 3 heron (pert: od subi pare mat maze dct vs 3.1.2. Tipul constitutional Ccrntrele individu (2) ~ refer consti indivi (cpu consittonale individual) care concur pe deo parte carcecie obiodte credit, deci Fencipalsi pede alia pars, modiiare medics ‘extor.Dop laifeares Ii Sheldon wort de: 1. pl etomort (nga = fal sul, I extemiatea cfc ete delice cap long), ce eters ane pstett drvots,anomai sens sil: "2 tpl endomor (get) red, eaictl cap nh, eu ten In elite tnsversall fn pnerl mv face anomalies sata: 3 pat mesamor! (tee) ~ eevee echilatd tansversls 6 spit apni tw ac tending fed spomai838 is. 2. Tint constiusonate a, ectomor b,endmare mesomert ot exit tip intermedia; in temenca sii se eonserinenek ima craters dominant Pena apecirendevolst gener i tpl consi! ete i i xarigces mscustur gorcrale, aun poste x pln ‘m repeos si tn picioare, SL aceat deorece manifetile uel spomali eotomaxilare mmm canontic stnct fo sfca facial. ldo stoi etiopatgenc inrinaa gfese coespodent iat nivel, Deexempi, espttrilr eal eros, pe nghenralia detonate ste comcterstie spectulateie ton, seaioem sop arden venebels, cin tics ev emopla dupa, pio ttre ponder 3.2. EXAMENUL FACIAL (EXTRAORAL) ev a reatiza un examen fs cee name i ar su posi ‘actor de ewe, tneping cu sbictvseal examinworll ‘contnsnd eu dificult eae de proses i motiliate pte mol ee "cesaacenonlra caret exact» prasigller pte anopomecice lite fn examen line 32:1. Punete antropometrice entra aprecires éezvolttisomulise dentomestofacile se fotouse puncte antopometiecutat, osoat, eprerntin depres sa rocmineté aati, nese ovate ase psf pac eomsrte in asc nor in coaventionae poi tno elemente moles facinecunosate sa ferineul genes de ponte atopometice. ‘Din mukinine deeper aiepanetic vate ah nro soe ef 5 In con sematolgih cnogtatohigie, vom preia ‘mcs ele canwcite mo floc, Ee reper um weper wil (iene pee orice tomatolog Din content dace le vom rupee: 1 ponete medane: tire ~ trchioe, option, glatela, mason, spin malt tveriart(osospinle serie, eaboszale, pet Aa f Down, proshoo, bias seperiar,stomion, ecizalesupesor, fecal fro, ial infer, nadentae, punta B al Bi Down, pogsion, gasthion ~ ontetioare- verte, sels, psterniu. spina maa pose ord (asospalis posts + puncte paamedine ~ ota, la, hetion + puncte trie ~ tragion,surclare, prion, zyaion, Kowion, {fowion, sveolon superie,alvelonfafeor, ecomalar stpein. ctomolre infra, istomolaesupeco,dstomoare inet. 3.2.41. Puncte antropometrice medane (ie. 3,$) Defi tor ponccriaedlane presupane loaiarc lr a 0 Snel de pam snsomicec linia melons, de ace, pet spite, acolo unde mu ete napa neeer, plac medi af stele. ig 4, Pance antopomrce rotate fs cfc craic nr Poel ‘ups Pir ese) (eh em)6 ‘A Antrloare Tichion Cr) ~ repeats intersect nici median cosa paat ‘a nivel iti gabe punt tegument foarte rela), piven (Oph) ~ ae afl nese net medane cx tangeta fn ‘marine info contr itr rpror (pet tegument cao, Sibel (0) ~ ee pac ma ae seca, aa mien mat rnd Nation (¥) x pct uta oe pats ne sa ofl as men in pas aap ee mec eat cor ast so fel ‘Si nce arias (8) «ee pc mer, ‘nunca pet mort le mee os oneal ce ata pie i tg Signe (= pt eget pt inte ssh ii mednt on patos op san eke a bio nt a neice eae ec opne ee ‘inferior al fosctor nazale, sei Fuca i Down ()~ ee psc el posted pe ov seis messi cos alego Cee 1M se ten oper nce tp der nod ‘intestate de pects ae ee ‘tin uc Sct Prion (7) on put Sesh, el mai ie yo tue selina macs, en fe tpi peace cl nr ae “abe peri) ts ra ak tee acuta i serine ina ds pet wpm Incl peor) =o aia ine ince ‘pri, vel enior marie cor eon ses} pe tlouoae ne vr mag ncie nea a oan ssn pa net cg Inc ier) ata elm sper ke ince co, el gir me es rnc es grog ‘Stonion St) psi terse ae teal ca a mo (punt mocoral vient recog). abil inerior 4) sal toes intel euateo mocosse a ‘wz inferioare ein med (pone egumeta) Iafradentale (14) coves a ik potion 8 arc nferiar ene pone alveolar, stat cel tl anterie pe limburl alveoli ineinisiy Infecc (pent maces, oss 9 ral) ‘Pact Bal tat Dont (B)~ este uncle si posto pe contra nto a sonpl able, ene medians, (pact esos radilogc) (limited owtl zal mandibular de proces alveolt, fn dept sx ‘ricetind-reapexrl nial infer ste respondent punch ‘Aal bi Down Pogonon (P9) ~ pancat eel msl amir al mextons, pe line media (punt estan, 20 alos) ‘Ghathion (Gn) pect cel a info posi de pe radar «mand, p ii median (pet egumentr soos). Pe wleeograc ‘rept cel mal inferior al eomtaraa ssi (put ratiolope). Vertes (¥) - ete puncte el mai ype al rani neura punct, tepumentr, ose radlogi). ‘Sellae (Se) ~ ete an pons geomet const, stat Ia jumstaten meta asi lye cet ds ee ate atic a ei ee Spamcop el ml pts al mei gears (pencteadloge)- ‘Opisokraion (Op) - ese pancal col mai poserie al setamel cccpta (gant tgimeniar, os grado. ‘Spina naala powercer (Nip) ~ ete puncal cel mal posterior at pala dr pea medians unct moeos esos). Pe eleradiogratic, ete intersect dt paltl dar s pertle anor al fose peigomarilae (pee aiobogio. 32.12. Puncte aniropometrice paramediane ‘orbital (r)- ete nc cel mai inferior pe margins lafesonr & biel (put egumenta, 08g raiclogi), ‘Alar (Al) pnt cel mal exter arp zatas ‘Ceo (GR) — pot extends josie dine but superior za infrioas vel nodull coms 32.1.3 Puncteantropometrce lateral (i. 34:5) ‘ig 5. Puncteanropometrie craniofacial tn norma tateala (ipa Mien” made) ‘Trapion (1) sf interes te mrgines info apo supraagians (pact tegument ‘Aricalre (A) -s6sfan neset geal teroare cv tangents supercar I conde atv etre (une nae). Prin (Po) = este pneu scare cepa ori dn ote devine tangent a contra superior al condi sudt extern (pet endioiog). ‘Zssion (2) ete pot cel msi exer de peared goats (qune tegument, ose doi) Contilion (a) » se un panes copa, flat a Intestate ‘segs afta postesiarh» mandible angel Ia maine superior ‘condi, parla cu eens de a Fraser (punt radiologic, Gonon (Go) ~ pet eal al nero, ek mn posterio elwsk teal de pe unghial mandible (pncttegumentar i eos). Pe tele dogmatic este panea de retire a nant co sectonea unghie marpiea posteiar wonghila (eet const adlgic). Reon superior ab ~ pone cll dala nivel bez nsx (pune enous of lope “incon nfroy flv) pont ft trcerea raul zoel naniulr fom ver, lente tango ermal (punt micos, wo radios) ‘Eeomolare superior (EKM) ~ panel cel mak extra nivel colli moral de 6a operon repalcn ezio-vesiblae (pans dentargratiolopo. "Belmar inferior cm) - parca cl ma exer nicl colt rol de 6 linen tn eps dit meine (pane dei robot ‘Dntomelare superior (DM) - panes cel ma potioe de pe fs cists emul moar sopei (et aries poze sala impel ‘ened nae, poet dents gi icogc). ‘isomolar inferior ()- pant cel mi poster dep al distal. 4 timatat molar inferior (punct desta 9 radiologic, cu eceleasi trent cr el spe. * 322. 3.2.2.1 Forma feel ‘Sopra e200 pita Tao, exit find plan fe pacers, Dap Poch (191), bidimensial fa poste aves urmstowele forme (ig 6: = QAQA pitt Fig. 6 Forme ae fe ones trpencas invert pentagonal.322.2. Simetria facial Simetin e define co protsiaca unui amen sail de a etna dn element eine erespndente ca ford dmensine x pace, snsamblal prezoned Stel © snumitt propaonine, concordant ‘monica plo sale. Simetia exe efalce, cil gi sehen, fate ste de echilits 2 suede craic, facile, mandala a entre, poet cu pap sll median i. 7). a Sy ia. 7 Simeon fecal Pent species smote, pacientlte mena f posi coc de ‘examine, respective clea verter vetal, perpendicular pes ‘be scunul dest ambeleeizonale de Ie Pana partle eu slat ‘ive iii. iar examinstrl se plaseans in fat pacienut. Se ‘aeiizsrs pial de simeic sau plvel median, prin son Gn ‘optvon) si subuas, cv stra wae gle fine de psc wantpet fail itr lecular bute Indep cu lout degete comizira bac oopilit Gig 15). Doct ‘eugene fannie ont for pe eo pine ‘tains vorti de hiperonie, Dae reas cid ne fopunem foots pas, evem on tons ronal ar dca rexel chi fo bali, verb deo hipetole, Fig 15, Apecerea onal obra inter ol buen. ~ fascicolaas exe al earl beni ~ se second ‘opel sume obra (ig. 16). Bxamiauorl pe pet {progres pe aeta,Daca nal rasinetn cava td ‘om pessoa certs de eam, verbi de hpetnin ‘ticular extern Dac eral ise dis caviate cals In cee 1 we ee ‘pal mick apse, eponem ct ete un Conus wormal_ Cid ‘opel mo yeuret afl be vein de pone ‘Fig. 16, Aorecieren toma orbicularal extern ol er Bxamenul limit ‘Ose specials tcbui acon exaenut ings, tort osi dominant a Hii deus fenton apa deto-snss mas- Tenia deg, fon, respira. Examen) Kingyal va fo wrest woul ein fom, = pie de reps = sini gat 1) Volum Forma ins: in panet de vedere volume, tinbe poste de dense = edie (normal). reds merolosie, tna: maroglosie (envio best ent tera apa eo Fibs Cvilent mit de vlim, de cele mai mult of nsinunduse pasv he tea dtor pai infin Fe dato macrogloih Ne ‘itrtawnce anmalitdeto-maxlre care Inde 0 ined de spt ‘pen volun! agua, mba pot prezeia vee de compesins Inaba spe nssvir infer I vel vfs Limi 1 mprenta dior tera pe margin sera ale im, simpesia amigo patie I vel dors imbi, Spree un element component al apart crtodonte re Tiga dora Libis (empresa gurubali, a sopra! de sexta spl palatine et).2 2) Petit de repaus a lmbi- tw od normal, nepal caps © poulie mote, eeespuretone plant de cco, vf) limi fied ssl rein prin ‘Ca deve de a aceasta pie pem at ‘Timbs p posi alt propels, ete consocna el ma edesen,« ns obstacle serene superior “inka Tn poate out in interior ares mandible se datos: 1) ie losopnisi(mezenn ul ea ingle) eae Inple tae pri cree nop, it misearie sloges, Dyfie obstnetie a nivel eile sespinorsperoae, pin wal msi hipersie sa pein vet mdevoide + sowoptora descr de Robin 1923, presi © ete alin cfs * nerpeeres inbred In eps, carats war anor ‘sce, cl ma sugestv excl clzia desi demctabo- lic fear repaus, mba poate acup pail de inclzi etal Ieccedi i chi sptineoespese fn labile deschise 3) Dinaiestngual ~ tn cuss sctele fuscia et ss eet es pound repaus a lamb, normal son pelle, eu volume inbi tovicitatea muscular igi ‘Ate, mb t poo ai de repeat va detvlisIn dinamo ‘sion’ exgerat supra Socuat inst superior, generind peace. eden nisi superiors, eevent asp de intecpuneen fae acede ‘bas infevioare fo deguiie fn sepa. Limba ta poi jus prin ‘rio exceiv Is nivel fe iter a seculsi mandibular vu ince « ‘reyee In exces a mana una proavecodentin inisiatfevourt. “onicten muscu lingule se aeiansprint-o tre de testo care anlzenza mje Hb. Se secomaods expel st ridice vis ‘bi spre nas. Dac seus, cu tot apo exanatrll, eri deo ‘ipeconi a migeilor limi; od reugete sama actu oe epanee scsi mijesi, aver un fous nar ick pote fe mip ven ‘ootoielingult. Fass do roputsic sau dp Ineralitate sent apres acclas mod, recomundod cola tpg cmb, eget cna ‘oc, feat nite bel et atl i. 17. ig 17. Examen miger de prope aeralae abi, 3.3.2, Respiratia corn mt ml ac wea ner a — Tana Tt Serr ern Segoe Sng sta ome ms cd Seems pn ree eer we i pn mean “ee ao ae acre ~ Rn i ht lp arts ein Ses lc aan te eee ermine“in timp pot si spurt cubarkn de bigaie cecil. co cones sepa atl copa Caractere obstruct roicenao-singiene ete i taboa clinic ‘octur, din pul somata, ewe reise din anamneci ew ajorl uate sine psi: ~ somate de tip sft, cu cater seep, Inteupte de moments de uses; ~ ‘ranspalsbueente: silres note = perma bit x sl serie foarte ft arate str de sen main 0 sare de oboe permaneats cop sim nevoin ered st in earl dine = setae, env apeciereapermeaial ilr rir supine se fac o seed ete cine de respi Test! Guin = ‘cul pensti naaclr palenul id sigur “nck xaminstorl ine citeva seconde eo natinele pesae La resp ‘tral zal dapat indepcasca pensar, marine Bevin ruse; I espe ‘ol ea evn fot let ‘Testu fra de vat tomce wn Fide vt te ne lng ons 1 Mga cast. Se ponte epeia dacs repr ene azald i dacd exe Patera, Testa aril de aburr: se afeaso opting cine crzomtal sa ‘sl piel in exp se ures nile (aptee) de bur Exist cain rast, are permit osprecere enact, de ine. (ind erodonta consad alba rept de tpl celordserise nto, clabrarea cu medeul ORL is exe ciate, 3.3.3 Deglutiia Enaninares det degli neces indepinare bzeor de ete ‘xaminnor aval sau cu un pect aia, recomancnde-s piel 8 “nahh exarioatorul umnete contac ineracuie i aetiitates Kibi Desluiis poste E ss 7 delta de pad somal, est cea care pint agit ot fag dorsal lib, In cofat cu bots psltnt visu patton fevincsivh wiperioar,arsdele denare find im contact fin scarce ‘mandible (ontmetia muse eto al mandible. design de ip Info bic Saghite ou abn ieepas eee cade io special fn 2000 anteriard. Depuiainfonti este nowmald Mo ‘pvlooda sup Bee, tn ee Lb interpas ore aradcle ante, fealizned cu ple mol vidal noceswr extage lupe dia calle fahcofore Meatneren deglutiie de tip nfl ph erin dior terpora este ntotdenuna pooch ‘etiologies afar sunt incriminate: + peminetizaren pu de dela din peioad sop la sin in Imiturare neuroma), + piederes dior anterior tempore (6 aa) concomiteat pease a + pede prcoce dior empora: 1 rapier permarsn * aune dene: i tempor eco, cn aes, ans anrpont spec vel msl + obstrcin a vest lllor reeprtr supeioure, protuzia inserts ings amerioea fin o necestte pen supnente ‘ani de ners: + sew, cams rf orion tibiae weate, e 20mn foal rpms + cblcelacvicioase de gee a degctlor oo inerpoii wor obese Inte sea pt geota dein if pe 20 espectiv + fenomene drone I nivel culated temporo-mandbalire; + tuora font: + depuis infatit ca o consciit = anomalilo deotomarior (ecliia GsehintSsmetboit). Te depuis ba poate aterpune nterarcac peo 2088 fdas en nie, siete sau uit ‘Depts infant poate fi anterior (ese mal ss): doa nal propria~ Inca ie lterpunce mbit pal deh ne reralutl ples dior Iota tempor, ox ml imp Insime erupt nee pease. 3.34 Masticatia ate despre fnctia masicatare seobin rin isu eu paces in inspec cai eat [Ne inereseaa masta pin unto aspect 1. inp acordat cet: 2 rural mastcater~ care expen fen matte, dar gral de stocurie a nilor, Aces post = rapidly = lentes: 3. tpuf masta (reir toto su mit: 4: nonle masts (mascara), 5, pefernle alimentaze(bmbosne, cu, isc ee.) 6 consstenta nines alinente des me Cl stati ocx, po fects texte tne spose, 3.35, Fonatia ‘atta fone nn, considers genre anormal eps fe fcr fate mportt de Itetinere, grave sa rec ¢ csr, Uso brie de fai unrest enor anoma ‘Converse ca paienl,punndl a epete emi cuvnt aust seat un text observes parcpares msi labial singe fa ronnie ape de once = exporve—¥,p ~ pled = Unio deal ~ paral m, ‘Tulbures global iii exe nomi sali 3.3.6. Fizionomia ste cea ma fect conde presenta fa seca: wi pce ou pin) fd lara de defete mite a nivel dorsi lend fot bn ss pnoctnd albus major le spa aa ‘Un aepect recat natn investiga de special este cela nerds anidndiae Uni nests, raportl dae be, dio ine. Problema tei fiom armonioase #24 mcarageaile este de importa copia i ele ez penta reintegrara socal a individu “Tolar, neste deloe de neghin fapal ef pentru oxtodoat, ete © mare repundere el uteri it spect fl, modifier I nivel! puitnd stage implica medio jaca, 3.37. Ocluzia terminala Repreinexcrsia mandi din porta de inoclue Riologie de repous in inerespidare mains. Examitarea te face inal din noma Intel, fndepitind bana infeicara si umd deta de deplsare 9 incisive infer mites de ichiere »gurk Peat a ori poz ‘enol plogiel reas pare piel span consume wv". {2s ptm obtine acess pou 6 pin eben maseuar,pcienleia (va secunde gn deh. atin emia post fe ~ rmeritzats = sera = sera 3.3.8 Analiza ocluzie! in dinamica Dat find fptl of odlele de stdin ofert posites apeciei cts satin Sn carl examen elie se va fOceo ele smh & ‘cae tiie la eperee pineal, urd eoraen ecto ca stain‘oie dea Arta ods se Gi Woes meee xe Sel cpinr ine linen uni om ia cst as Sone in eat eo {i reblie omit Cu tne nc ini aero cane ‘ie pope es yaw rns so Peltier couse pet das ee pt Cog oS din se cent na ‘ana resp era in ae te me eee ng etq cote ae Ter wd date amie dea pate digit erat lorcet ca ee ence et seco tesco oe ea 7. Te de pope «andl ~ eo et apt care, Incoeortofers poste notin clo pat fei pot premolar i moans ou ci ee Tine zona coals repesin prea oa pltna se Tinga) nr cee vente op, eens prin veotulars ~ lini ental eee (penta represint lina tian, nr pte eatin coed, se npn ceva wsinl despre dines crooloia eae dior tempor permaea 3.43, Ordinea si cronologia eruptci dinfilor temporati Ordines In eae s fice erupia diner tempora recone teva = ai infer rep ists estor super, cu eset inl sive tral sero ae apa ite er info se destigonrt ert, pe Ege de Ss ~ tncepe ural rats de 68 an be ein 1 20 de is ~ interval de eaten grape ete de an, a Tartan de epi etc apa aay nea, mol Scheme orinen si eronologie epi dinilor tempore sar Sa 6 nk ~ Incl erat Satan csv erat {elon = molar? 1 otal mola Deck fom denarkferpra evolcaat ie 6 si 90 de Nua (abet SS 344, Ordlinea si cronologia eruptiel dintilor permanenti Dinan ert dnl pemaneneecuoue citer erat + tified epi cea gsr i Speewededass 1 ERE tin ine gop eta noe de a: 1 ERS tel at (cl ea SOSIISRIS utr 25a er formset de mine «Seguro a elit et empert ahd ina edict al cw xe chp ce ep ail ae ee dig mo thors 12 wet crsoe~ mage met ~ port dain tnt ceaaa aL ‘eines at — aa ar a eT ReRaTT Taare Tat | ena? Teta ena T= Bal wal easy — [17 a8 a [a ae RY soho 3 ‘Asner crnologlarup deate ar putes fh rerezentta fn ae Fa Bala et Ip 34. Apel dintilor Apu dios face eu tee penta pote sail tipl de dette (ermporart mit a permanent vs dears ou i es ta ‘medina Cnt cad pt seer, posting ape sting inferior ‘ep nerioe sa eicepe ei ord sap secon in ‘ens aclor de easomic pd Ia van mata fr hn dap + mis rene pe aruda, semper sq nein aa ® a ia ia cape woolen co on temic, eupln cont ‘erin Je I omental prfreimacoare pa sng Inve paul docu: << Oo + pence rest radia, desuges semaslo conventional ntl respecte ef sem de aden tia de toate secilitile stomatlogce-V + ele ext se acts pial-un sma eunoset In stom tologie: X06 mention sepuacd pet: dit tempor ete acces em ve nteiz8 extn dedi st ut co ‘olde 1a nee de erp tl permanent 3.4.6, Starea de sindtate a dintilor. Afectiuni dentare 4) Lec gitretamente odontale + cara simp se aotessh prin hasten supa afectate Indirect ee profund su superfca: ; _® oo @» + earn competi uercan sue ps ere Peden acs pee Endo ts chon Boe+ penuvcai se Iuepesesupeaftele ox Ou, ape feta se prescrat mata dp obtaraie- AAG amalgam ) tratamenteprotetice + corwans deve nota pinta den cee (prin find el eaze marchers presen dior pe sen) 2 + pante, cn sn protec, est simboiett bo bas orizontals ce une dni pi de pant, marca cu vmboll corns ) lesiuni dstrofice - 0 pesizears + ipa diaries + locals lin p cote dots interes ) leciunitraumatice- se consemnes: = hoxaie + sacs . Patologie ortodontica dentara see existent te do gt tere dase, Diana ‘te spatial existent ine cel do lncsvt central ste mat ftecvent Indi Is aeada superior. Semnsl convent ‘ste oslgett ce dubia sent Ste ox do aii, pe ent 8 ota Valores sur Ta iit Be + spat redes pon inten otc Ju sg cae so fnlnse(deseaps del cae me spi) coed vat spate exitent ne og Hea in ne SS S + pntre modifica de poate unidentre a impure species {ncele sent spt mecio-disto (fa de isa medians), estilo (uo Hage fo denn arene i ‘apa posite ade plana chr), Cn dinele et depnsat italia so ular temenl epic (Ge exemple mezi-porie cl exte mame coroner deplete flo este werent de cia (de xemplavesioloincinre).Apreceres xe face cunoicng eines super, i med normal ant fia date, ‘eka, ana acsor resid ex perpen pe planl de ocr un Unght de 15° fteo mesiosncinae fat dela medians de Sts {nfror mess tot cu prpeiclra pe plana de clin gi Je a5" in ner (premolar molar) ores ew perpenitlara pe panel ‘Marcarea modifier de pote face pi sige In dein depart: mez vestibule iso vesiblo-poiie ~ mez pone lino pate poco lao poifhe fs tos aso - ae x ema convention rps Inte ea di in. Dee etaring dareme, toch ares eel do spre + tots entra preci ns lia nla cad se ouside poate depts dor ome, celal ind Tinin reads ost foe inurl act itt eset pe linn tea in inp ce ambele macht sunt dela. Roca se eaeas prin un sa do sgt ce dct machi ‘eplst deta de deplnare, preci n grade eo ij supeenumeca se cites tn pil posta near — teanspoct: se notre pin sige cae inde sci ozional nerdens. ‘3.8, Criterii de diferentiere a dinttor temporari si permanenti Cuncasteren vir de erp air eonoogin essa poses ‘sant sent eet a pute deren ni de lp de ce perme ‘Mal mult, uoee suai (erp precce sae ive, perth le od de eropie) sects cements devia xem de lative suche ingrevnenes pocesl identi dente. De seen v impane a usin disci a sth lc aloe rl hu pete pee tenahtil Cre generate de diferentere a daar eporat ~ elo ding de lapis es critic — ab pte, at compare eon dar petmanent lv asbui ale, ~ am dior empoar ete oblast, matt oma larg ees ce fee cai de ate a lk aided nal stu ele dood dimonsian’ fe cele. Tn compaaie a init permancai sunt mek al alomowal wera ext domingo. La mole ete pil sf existe wn ech al ‘Simensivior nl los ad cesta st voluminsi: nee ‘Sati dlomoteleolualemezi-dstal 6 vesbui-ord sone ‘ove ma bine eprezentte compara ex nitines oes = torfologia dine do apo ent ma pin mast dct = “nor peonanen hse ia ecepata existent lr ests fe ateueach tn apropicrea moment perma dt ‘i fenomenutu de wbrntneFaologes: = Teele vestibule soa nt mat lit fa def he tals pe ea o fede dimenslonl een ce Teen in tem ot sd iio fms de uae de eon eu ba I se = hnrfoosie esr vetlel ilar tempor este tesa ‘cdi nin penne scat se emarc prin a-ak “Smemvlanutme” (de ener verge spre oz 3 acer eponiaebarle, romeo secur et) = fasertia proof a vel cok descr l din en for o cuba bin encavien spe plil de cei, {cor nr compara cin cebu nor permanent ae fomeavd o concave evident cate plana de okie ‘liming improent eo nkmen dito wn wight ‘eta foot favorit ances ~ fe zona cries a dni epora sal © tein bse, in senza una at a plprencu sod, 3.482. Criterit de diferentere @ dintlor temporari de cet permanent pe grupe dentare: = end genpn from ‘int pexmanet nt sa ear mane cepeezetat marsogic deci redecealo, Peto ot mai fc corect eval, el mat ‘crs foc pfeil dienes mead, Atel nes eek Tempore ae Jinensunes mezi-dtals de 55-73 mm, det} 0 mesie de oroconuiy 65 mam, compart’ acs cena pening ae 8 feazai cceas imesione (eos) cu valerie -£0 mm dest moti 9 mum Incisive sera temperate line de 446mm, comedico Soa <=aoeen iano nena ‘ace tn smnbele destit are dimeusiuai mevio-dstle silage, ancot chiar Secale cence Senta temporura $1 9 mm pentru cea permanent. " = vr cee ear mettre ent oe cette een ponte reganen trl: Petra on preva ce eee ic neni invests th col cm pac ii emanate is ae int ma mat. Cei dot mela tempera mpc cu ti tempor 2008 de spin elie eer dete Koren, vols ~ loc zone de pijn — are o importa ena in sprcisea pogoosticui, dezvoltt st armonietetateadsln ales setae: Ee deft peron tn cree poe apreia dco ingens dew. {i de exitetseeropul rma va renavaspntan nv cian sg ‘imine constants doc n va sptca a weal Inte, Zona de sein a oar ce cueing canine molar tempor Spits repeat din ifeeas same diametelor mei samel diameteloe meziéste ae silo suecesoual permanen fas de dia empora’ cee compan sonace ‘rn temporac ere coset in Hterusasobdenumiea de bevy roe ~ spol dsponit sa saps de pai Acete frente sat pee 2 ‘Weadaspetonn de 09 mm dept Black, 1,7 mm dopa Maclin eat ‘Sead nferoara 1 mp Blk, 18 am dupa Marcille (Verne) otoe cat de Verna, consider et diferente sum ile Aino in ra de pias eoespondenlr le pemanco poste f de 3 tom in mania tn I manibalt. No sunt erent semaiiative fy fine de en ‘Nance aprecank pla de spain (eeway ~ space) flit de ards tempor nomad spi find de 17 am pen brian eon 6 {4209 mm pers amiared supevion (i, 20). nc de dnt Ingest en ral psd pia miu alien ein ft exces ig, 19. Spatial dsponbit- ,Leewsy space” (dup Nance) (ele dt de outa isnt propit. Be consti mela cen x poate eauat pe model pe adlogmfe. Cea ce ext mai eu de Drevin apeeit este pte de rele al maui, vita de ‘cate dria rp consecnele cris extrac precoce, Coeliis practic etc obo plsatd negates oe de pi ptr eviaicrorares spall aecesar epee a pence, (Ween) To magia super ela dine dimension tempocair ai moon exe umoarest Pm are prema aceea. dimensions caFrnel molar femporar, deci oul I ete sigan pe read cn ‘manent este 015mm sa mae dec canil tempos, pci Ps {Ste ex 22,5 mm mai mic det al does mola tempore. Congest {ebsites pe Seana Py de aces orinen erp stein Dac de extmpiu Pr, eupe isis cain tec ota eztv Pay vf ‘capt pin merinlzten My. Dil permanent fe ere misee fot repede ma als cd ene s My Dept eae, cal a ii ae sia) ‘spurt del va expe ectopic Aatelecopin cnn ope te ‘considera todeaun end conten ailor sau extalorpecore ‘zona de sprijin poate fg mare wel eroealoglneaversbile ners ecru din. ‘La mantels relaa lave din permanent si tempor ete mt msi favrbia Th ce pveste rxera de spit. As, al dies relat ‘eco et ml mare deft Pm, iar primal mole tempore ene mak mae dect Pm. Rama de a zon de prio reser de pai de 2-9 re fa de ram ee este mania de mpi a rl suprie Dich coeologin erupt ete cou caret (6. pany pn mala ‘ermaneoi asia spas pena mellizares cae va sigur aor lores, nar esse elements tbc amin fpf ola tempor sunt fn odie cresciadf dimeasonal cate dial, respectiv moll 1 tempore ese mai mie dect est cea doles att superior et nero. Premolr ploteas scat arctic oar a mandibalé Gn majorite ‘azul primal premolar find mai le dest eel deat doen, mal ale snc nd aces din yma are 3 usp, do ingot vetiba), enor grapul molorior permanent ~ca din accesiaai ce com least regiwnea tol, carers ete fptl ch sunt In cedine des ‘esc dimensional pre sta, rel molar de 6 ai et cel mai reser iv lal ancl ma Problem de cotune ott apart pe ons mola 2 tempera - molar 1 peemaaet i suai extrctie melarls 2 epoca forte prsoce sat fo eajm erupt motte de 6 ani Pe Joc mae ber dupa exrcin ‘mola 2temporar ponte evolia mola 1 permanent, unect ct © ‘ologie caroas care expune gal mult confriee lial 2 tempore CCuncestreaecorae clementecaractersice ne ext wt Ta apeices covspoitonre a aes dat. a Tuberc denart ‘Uneoran plas de odewtare Yo @herenires moll alue gt tube dete "uber dentarunt caspat supanomerar cre po dela forms- in aia state pn a euspii mar. net delimit ce pot ange pn fo Plans de cele, dine aspect de mole buroc” Se gee pe mar per Ione aa tempor part, de obicelnamele stor cre ear Teor tiopatogenice runt mil st ineresnte,avind ex eement ‘oma fenomenal rere ft ipor as este fetorl genes tutereulal Carbelli(C°) ~ 20 ait pe metal de 6 an perce, neco-palto, de objet ister dar poste apne eral + tabercualIi o (.") ~ pe mola de 12 ant supe, Irevowvedbalae. Ate 0 fecvens reduc siete, mal lex sineute: + taboo It Zeckerkandl (2°: pe primal malar de ape Infso,mezio- verbose Mali cin’ consider eae calul Zoceranal oi tbercalisupanumcra a roar tempor (beret! mexo-patinal sav mezio-vestula de ep moar enpore sapere tbercll meiopalatiat siemsnior ou aera Cabell = e pe al oien mar tempore sero iafeor, + tabercua sit ~ ropes a ela cusp al motor 1 Inferior in past stig 3.4.9. Varsta dentari ‘Bate unl in parser vite biloic liu de vita ecu ‘ests endocin, Maorisencerosttonilo opiiaa penis via oxo ca ‘nd cea mal levant care se pe co win neve nt-un sein ‘tomatologic pia radiopafla cu un apart isnt pun fl dent el doa aptelen o xpian, Flare parametn al vir biologie vira Bolgic ia aneambla se ported vittacronoloica. Virsa devia impane cunoosterea ‘tacts concep de erp ef foetie de crcteriscie ilogee ‘epee tp reponal, ip conetlaona), mek gegraid i die fet2 ‘ologil post prezenta modifica cmp eres prod a ccwoelc deep. ‘Vista dentars pate caster cd: + concordant eu vet voles; + sorta: nei ti om) poco (6 Ii, + 5 ani) mci ips aa sun pre et mini juss sau tet sett dn da eae care ternens vinta caelogct respecte poe teense pac- Expt precoce patoloich poste are fn higeiidsm,Wiperzo- nds, bert presoce, extoniata rar bolle feb. rap precocial, wider, it pernent serif lerine acuta ipl atta tempor ewe «dus le resebieosost ov faiituea ‘rape! itll permanent, Aces poate rape eu rin incomplet fomate char c ei’ hpoparice crore. ‘Erpiatndriata pase ft generat de fc endow (pol. ts, factor metab (ain), seston cleidocranint, mongotsm, teaplneaderate (pervs D,) cre due In otoeleozn pei slvela. pi Tl lt ident pre ca eal procrectr ‘roi petipiae ale dnir tempore sau a mirtraumatismelor ce pot {ce In cntecncerocc in mld rpc dau prmancat ‘Se poate conchide fot eupiaprecoce cits eupia fates too a facto eau eal, 3.4.10. Parodontiul ‘Le cop, a vita decrees fn gener pardon eines ‘Suferintaporodowal rons esol eu semaele csice de lecture exe ar fats Incopi Sarnee cai de afte unt ~ ~rbiiate = fami punsi ~ hipeewoie “Afecinwn paroowtlt consis spare i speci le copie st fern gece (Sabet, leceac et), afetini congenial sen I eae tcininisressh medicae sndeplepit. Examenal mcologic et indspen- SAbiL a epi cel tides parse inflate ipa, de eee ma ‘mule spontan a cust enp dup inlitrarea factonletiologle, Caste ‘lima feevert nine unt gina defected © erupia deta ncn = lesan pial nerate = brite debordote = ts “Toposae, safe purdontalé poste fi eatonat: ww neared inteagh—spetous a infront (TU = pe 20na font = roperiowr a inferior OF, ~ inzon trl oping ~ pein su infu LD doar In a sing dite Gnesi, cu lesine edo, bts ‘ie debra, rd pant de contact). 34.11. Iglena oral {aod normale nivel serviclor de profiles stable indice de place afta tablets al Slullo de coat, fant eu I in tenes pci I entamentl codon. ‘De mult oi fst in enumite conti, se face o apecer ein, comsideindise ef igina boca ee: = saistetoare = motions = sentfttoare ‘Meotinees une gene bce corespunzstoars exe neces, indie. ‘eat de pl part ertodote “ndieele CAOICO ‘Ace nde reprein raportrea sel datlor permanent en fee tio soma dar tron afin ate ‘C= eae, A= abst, = ober ~ penta dena pent, (Co eare,O= oburaio— pent dena empoar12 Bolta palatina Se examinees pin inspectic «se ayreinl ance, nea 6 forma: Apocerenadincini se poste fae did opependicalel pe ea sein, Jo eivell snc mame boi dn fine ce west Tita Cervical roeslor alveoli (Fig 20 (Se posi feo stom act pe mde de suc jute compass dimensional li Krkhaus) Wy Bolts plains poste fi joa pla sub Sm sine; fics, int pest 10-mofnkime. © ent bok ‘ne fds, avindarpactalconstucle fe zoe. pare dines poate pezeata dva fi lis plaid ponte aven vera anturioe (eeincv) abrupt ‘ete (modfcare consider ptogromonea in olin nine scoped resin), enact osost aang at suture medi-ag Gnteonek patie Si apotzcle palin ale onslo maxiare. Se lavergbeaa pin pare Fealland ou polesleo mies presline «parlor mol pes a putes aprecia mension wel ta ore palatin ponte fi mics chiar absen siti de fate bum sar ene te Tamers de more a crete transverse. Toto aert fellate forme (medi mare) re beer pe adele CAPITOLUL 4 MODELUL iN ORTODONTIE SI ANALIZA LOR Amaia de ste arsdeor denture sa ocune fete diet ur pacino psi clemeste de dealt gnesiguans Uncr pet ne fn pericl stoner paientle dori opus ef isremestle de Interne ov pot sterlaate Se impine ate efectsen sudo pe ode cae, dep sont examene complesviare, arti analiza lsc ‘trai, aeeietind padeat fy eideta extedonet sa a uatanent, fc ‘Stu ind et obinees weor modes corecte a reaizez8 pe baza uae {ice cinie densi de imperiats, reapectvamprerares,cosiserin bio luc ncear prerentre acetates ica tl de model, 4.1, AMPRENTA IN ORTODONTIE, Amprenaes sped pein fn cline a stamens oadoai, find, ear, prima intervene terpeutcs din vine eopil, aecesiind slit, fot cp 6st plod pate pei ‘Amprenintes in cop, oy se relieaat dup thnk asedntoore smypot dai, comport eva patie e in de + yr paciental~ampretntea I rte mii se aacna co “apt de lege w cope iit: petra next impane e insite apes ss explice cop ote manele tah ampere siete ile pere + ffl de vor ~ mul al ccentat In cpt de a tees elles pote nants chia ana priate elesw ‘ceva ese d ampeatre onl alsevitndimpingren battles de amprentposecoe) si pri asgurces ‘olahorr cu pies + dpa lvl dena ce women tf amprentat de cle mal 1 lke or este retentiv datrth poster diner (en © ‘onecits a anemic dnt-mesilae) sIalunlor exons © ste special se cavine copilr cv depict Ibio- ‘naslo pains, Is care ampretre ete Syseunats aor ‘existe unr te de eomonicarebuco-pzald chiar 3 ‘ne mirstmnl postopera. fn asst ea? we poste care ba amreniafatool + eect stomatalogie al cpl ane nett alter cxsteat ca rezananieregave sopra atl medical. Peuruconfectionceaaputlor etodontice se elena amprente {otale ee repodac areca dena fo ttuiteprocesle avec, bls alain ‘i ocodontie se wlizeack amprens partial ui sctor desea, ‘ui singur dite sau doar a sprafetelo vettalsre einer ambelor ‘ead nora ge poceeor veal azo frontal pat model de stud de dimension mil, pet confection wor apart de tip special s peat reparaia paatelorordontic. 4 snl de excep, In paceait cu mleosto su tne schidet Pima, 6 efecuara 0 amprenta fractional, respectiv famprestaea separa a sctonror de ards, econstiree modell fein se ulcior, na fie ree gree ena repuaile apart onodontce mobllzaile $1 mobile se vuitoesch on tip speci de amen, suproamorenta ~ material de fmpen a ingot ss sub Sor una vl scopes aia apr “neon don zn interes. “Amprceare nest 0 soeesiane de ape obligor 4.1.1. Pregatirea pacientutui Conn tn explionen manor In care va f asp i efotares tone cai bee. 44.2. Alegerea si proba portamprentel Se face dap estnensl cine al eeadelor pout a pute sege poranpteneie de dimensiane coresponzitoue. De obese utlzeat Tings unvertsle por dena. Acstea se robes In caviatea bal prefer itt oon inferiart pear eee mai ufr de supra. Lingus tebuie ab ccumece seadle leo distant de nproximatiy 4-5 mm, pind zona setetuberoiart 5 cetrmoler infect ist ajune8 pins ‘pospe de funded 3, fc af czeze biel piri mo Linguiemetlice pot adapt ev tral eter oradoati le ia pas obi st corspunda daeasoal ‘Pro ng a caviztn call ete bliguoi nest peta a ‘bjoe fe fal oamprent it lide, dr pent free copsl ‘ex manevele anprenii, observind totodt 5 capaci de reac 8 Tingle svete po retentive (x pererati sa dale 00 eetetve (care pin diverse modality pot. devens rtenve pwn tail de emprent cee ma eososcas nna posite de ‘etetvzate find borden magi linge © bands de escola se selicai aeregulate de sets) 4.1.3, Materiale de amprenta ‘succesele tehoolople din domenial matellelor au feat ea amprentle din ips si matte leroplaice a8 devin store. Aste, ampents Tn credo so inca mate elasice de ipa alginate (mah tes ec pie aid, cae confers preci att model defer it ‘sll de ii (statin trate smbeler mole dupe sng amen) ‘condi respect anomtor condi Ia prepare ¢ matlab In “Matra desma 66 peep de cite asisenta medical, de efelya de consiventh cits dps care se repurizeat uniform Figur pn eau linge apa sc nett co mtn uct, sehiin= nce ni radeon,% ‘oma ao poocipare coll acest va fine sb bli ovis oni, mesons deliel i pris 2 evn evetalele epee’ les de ‘fle de vom. 4.4, Amprentarea propriv-zisi “Amite ines neeps eu orcad feist I cae pool lel de vores a me: Pen aezat, ea 788 ff paienti, co inden mint sng depinenrd comiors dsp SFodsce ingara eu una in amt ewiten cal 3 pci, apa [Pinto migee do ote set! lngi. dep. fost indepth we ‘oma ong, Scenes nga api simltn pe embele arcade ‘mre pots (2a rocomolr se aneir, copes lem sa Ineit 58 rdmind sais sifern ve lingua si aeada alveolo desta ‘Pacem ete invita ie ba pe alt i antero,n inp eine ‘he menints cw aml inio tndexa peacoat pe marines rats mance. Se verfisuifrtaten stent esta dacs ‘te cca completa i also repnea font near. “Amprenaree veael superonr exe sia exe inferior. bx corals tn ene tubvroiiile supe preidete sou Bolts foarte ads, Senimes introducer ingul sapit ea inden o cana de materia de npc (etrtberolar in bos plata Lingua se inode lf {ecadaInfericard se coneeDt i ae alle Tent si progres, iopre ostrioe see entero, eteprind ins spe. Dupe spires Hing fe veifet yesbulol superior co degetle mini sting, ftindwse cu {easaa dep mater sub bua sperioa, a nevi. In vestibla teal Teciad tn sptele ples se lect capulpcintl ins ngs ct Indexarle ambelor mini ir capol este menina alee cb fata sing, Se present compet ingore aad se exect smanevea Valsalva "a pie ce depict Iie malo-pltine inte de angen tare 1 ve irode nF celloek uml sau vat, Impiectn-se ‘Sf ptrndere materia dampens fn foul marae “Chimp Se ampeeiaterepezntat Ye masilarl superior de weads exc bli pati fo ttt, proce aveolte pki fund de Se vetulr tubeostsie mas, fen Bazi cle Ie, Sr 1 ‘Fortitude wend Gent, zoos revemol, vernal alveolar pnt ls nl vestibular fel baz ifsc, fa inert mandible ns fo aol dese parang renal ii Despradeen ameter de pe ctgel aca face dela zone cette mal meds vet nef aera limita foil ae, 4.1.5. Controlul amprentel ime de iit arto pet turnare (Ina imp et sort) epreta tebe bine eps gt Dlgmovia veri pin sma ‘nestor tvementons, in vodeen aie une mode cares ees cod medical = omele6preumele pacientti = daca ampecesi ‘ig. 25. Confomatorl ai Korba 42.4, Tipuri de modele 4241. Modell de were Avind tn vedere opal ef mule apart ortdoatice sn ele componente ae scestrss felis pe acerterndele, tec chs Innit ealite ve inptoe, ere ere modlulat de here azage Ti fund pu do apareocdoatie de materiale dn care nceta se sien, modell de her cei wear peg speciale; acsca vr fi specifints er de cite ori va fi anu, In captlle spre apantete 424.2. Modell de studin Aliza de nets a eal dnt 9 oli fect diet in ‘gua pacfontls, przins elemento de difcukae sl nesiguraaia Reproacnd fl sta din caviatea tcl i ce wel planus mods! ofedposbiiaten taut edi amimuatt, dar posites ‘raat ri compar a eclatelo tataentlsl oreo.8 Desi evamene complemen 8 Ina fn aaa clinics ono, ‘costing pie! fm evident edt sa fn tatamen fir dele de stu. fa pls, ete un eaman¢ modi jain, de seca tebe put pe teat dortatratamentt etodoatc # ft te ant de Ta trminren ‘ramentll acter Brae Sl ide Grva). 42.43. Modelul de reconsttuire plastid (tg. 25) sexsi el ct x ee ou de fe et Seles fear at nt slr intemal dap evens traci fleute ted permanen a cop orton, Tarmce wat ~ tn ampreta espectvs (cbs din alga a pra far ‘ound past din molno nu in imprest or ce simone a mode exe a episai pn I ee Dupf demulae se obine wn mate Ia eee pe sectoral ce 20 Ineresezt, cere deme sn nie co tl mode pt sl de each, Acesa pert tae ci dm in sete! espa ap ee 4 pesail av fost numer peat Weaifewe.Separnen se face ce silra wei pte ns it ep lame sb ec, ead gt ‘Sse redem pea mt dense mended Fig. 26. Mode dereconstinire plastica 424-4 Modetut setup Este totum mode! de reontie pct Ia care tt int st separa de social modells Aceste mogele sunt flose penta confections une aprateontadatice de cement (poronstral) ‘Pent tilizares acniora exo nected dopicares modell Se Talos pent dupicre acelai meal ea pent model duit dis rotten deta hirocoot! eves soa eves). “Aa, dup anptenares ce materia de dpc = toa dia gps foarte dirs distro ein epsidics don area dentt espectiv pats ‘corona cam [em sa cle! dar Dup piza mater cu was eno Indopises apres ff dtercrald. Acasa Ya foe final pete obineres rest modell. Apo se seconesck itil Tepid tlnspe dita ftw ale dimensanea lr mezio-deals. Pane apicls 8 fect dite se modsinss toaconie (eminior ridin amit die ‘monsradcla), Dp pers tn acerag manic stator dor, seta fe repun in poi lala Sn amprenl Se tourd cers Ine clementle ‘este, deptsnd apex cam cu 2 mm. Pe acest stat de card se rests ert ten peut ca material socal! medeluu sf adere de rin prise. Dep pia acess st dame uancaa fara de creer & oi aio, fe eset fe In nberator. Dae pena eect tn ort, tebicianal ent rebut scam dota ines date de ‘poli sa de aborator scent lmao de cite rete nevi, — é é Fig 27 Modla setup 42.4.5. Typodontal (simulator! de arcada) Eten tip mai special de model, care simulans sits aveol- entra din cavitten bass, ca plas detae au etna efelor> ‘inate, Se Floste pens conforma acl nor apart fnew tH Aide pene inns anit tebic de teraple oon fs “Typodents ig 28) et reprenenia de: ~ dou och meta se dn material pate prove ete "un joe ie forma de poeoes pero inferior) ~ podiunea avec resale cack pial i plas jhenbu! scl aeadeledetae aici preci lvele ‘corespunetoare clo 14 ia uel arcade, in metic i lain ans inmate pla, pe care Dot fi fame an se fines were accesories (abuso si Sacks. partsioe ne eat typodonul, in nee, cara e moi Is Htertate ds deplnare dnfioe fe funcie de free pe cate le deleneard wel (asl Se pot asfel pune fn evidems depose desta i imenstatea eestor, fetrvenind-se Un coafonmares srl pe stra spar nei son seevorable a esti, ‘Fis, 28. Typodont (catalog Mase) 4.3, ANALIZA TRIDIMENSIONALA A ARCADELOR PE MODELELE DE STUDIU Planuri de referings ‘Alloa dimensional «arcade ola ce raportene a cle ‘sciplae apie, lant Ta anata paral dental ig. 2, Plame de refrain orodone:Ipanalmelo-sgtal, 2 plan ‘ronersl 3 pla vera 2, Plana meio-saptal~roveresrs models diners anterior spre 2. Planal transversal ~ echivalind cx pla orizontal, ote 3 Plan vertical ~ cchvaleat ev plana fot dia anton, ete suit plan sberlin eodoni pesr cet eng! a puns cel tal poteror el alt esl proeminente ebeonll. perpendicular pe ele 43.1. Forma areadelor ear. Asa cum am peczat fe jl vtstel de 2 ai i jumiiate segy ened eovpin deni! tempore gi se constaie ara ‘ne intro evo nal w frm de semicee (30) sic si ed @ eae <<) Fig 90 Arcade demare emporare deforms normal ttt spas molar de 6 anise schlmt i forma arse sete forte wonma find considerte cea de parabola penta aad ‘pero of semi petr rads friart i. 3 Fig Arcade dentarepemanente de forms nonals Te coud ptoogce fonnele teaser pt f modifica: EVEIREAE EMEA Fig, 32. Moifcar oe forelor arcalelordentore sscada fn .V" fngustats fa eglanea Bont, ma aes 2003 caniilor: poste H scent de © meziosotie a invor zat, (ig. 328) cade fe crept presi eo incsvo-anin lati nes Inte emcee ona premolar opts ig. 328) cada in," ~ ne na ator are de se ar one eral pall cn mala eta spe nia medians (i 320) areada fn MM ~ ete dls de inelii cent, wor tee Inerali In palsto-poib, er icin tcl senna ‘erihulo- pore, form ce pote accentuate rotaile ena. In genera, emf o ara acura (Gi. 32D) = secade fn" arco diner ela ead ae ‘0 meziosexibeloscae a ince centr. Fos poate sultsccett dad pe ings retap sr onal, reais Plato poss ncevor aera vesto-psii anit. $ cena forms series read scar. (G52) ~ sadn tn per"~ we patoguomonteaplatizaca seas tn ‘ve frontal sot sera In nie dep, pnd frecvent soca cu zone ata dept au divergete stl ite forna de arcade apa ma rcvent i rade lnferoar (fg. 2)‘veudh to spenagoa” — prealats © eagulane fo regines foelsvloe $i deat engl im 2m cio, ov ole aera divergent dist (fg, 320) forme asocie ~ pe © Hemiaradt se shite o force ptagon-aspea, ete) 4.32. Simetria arcadelor dentare Denia a spreciasmeta ardor dete se ipa 2 aves pete sporaceun plan de refering. Acetate epee devia medians eee ows maior Linia medlant «mania ropetioe we ca per ator jimaaren stage dine rg patie se ele de-a doe pers, pale median, ir poster, ptzctul mucoral ce corespunde apne naale psteour, punctl cea el mai pomesor lel Ah la ete dine Faletal dui palatal mole, pe Hain uedank (ig. 38) Co indicia ‘uplimenta, floss junds dane dnt cele dol fvee patie a foramen caecum guuracers) de ena medina La asa fei, Panu mediowapl este acepnt ca find dependent ded pie mc fren! mb rene Bue near Pig 98. Lia medina iar ‘Simetia aradlor te atid sus simetoscop din tse Korkhaa. Aces ete ue doc in mater pastc tense de fon ‘etwas, dat ene eu kt inet (Ge 34). in ene eae et Smee deviate Bestest incre ariel ast ol = a is Sinenesopa se syapone pest Hina median a modeler fg 58) Pi 38 Aare ‘arcade superioare ‘Asimeria sail ce pecolpei proecave, pep olin me ana, mor puncte ence de peel dots Remicade, Act vie “rere dettace (ingle sa Ge grup) spe mez ai ‘ecvent) st speeds, i pone intricksv este, unor,deplaa dregs a ‘ng ft de nia modians (este melvol pet ete na exe Feat a seperaneie peat tina medians). Asimetea weesvewsala se evident prin masurares stn celor in, a nel ng te ft dena means Ts pea simevoscopulaeeiereaasimetie eresliests cs og ‘easpacol, warslaalsperpndicler pe nia median de In puncte incsv sre posterior. Manevra se rept pea eld avem sguat ate clei este desigu oepecere mat elaiva 43.3 Dezvoltarea arcadelor limersinea dent, Inind ea elon sua diameter merio-divale lea incor vperon cape name inca (S.1), pl ews co se define ie ioe de denvotare wads ~ de ‘iste indie rca dn sepectntaiv sot indi It Font si Kerkhaas ~ penta arecicen devotii teaver weal = ai ot Kora Chateau ~ pent devote sagt Iodiit de dervoite tend ~ dn aa fost determina pe dap pecmcnt Indi de dozvtate a acadlr pun in evident crea date ‘Snensinea dato i devon radeor. 43.3.1 Indi de dezvoltaretransversald Indi i Pont Desi Poot seslnt determina compartvsweads— dn ums acon eto, ents arcad friar exinand cercetarea Korot, Fadi de apeciee del taster unt canoseu In ies indi Pot esi mferare exe necosar un corps fo rg miimetik Sua mee (S.) ‘Suma iocsvt reprint sms dametelor maim mesio-dsle le celoe pate incisv secon pemeeni. Misurares se realize petra ‘eens incsv In parte pe fp cea ma eceiils, ev arr compass invgnat de Kerk, cu ws stan ciguit sa ewan comps erin deg un vet metalic (poe mine de erin) seo rig miles. Timed ormal, ms ics este sent ~ face 28-35 mm repezetted normodeaties sub 28mm ~ exe considera micron: = peste 35 mm~ exe past macrdentia Pour calle ue nie ere wentard presen el pti ut lncsiy permanent, Gindoe acceas Yloue omologlut sii, i petra ‘ein nv Cental san lateral) se aang sau se seade 15-2 mm, ‘iret stilt ine inset atc mod orn, inkl etal ae amet meriodistal de 8? om ares eral de 6—8 mm. ‘Pensa caren groplincisir exis int nail obi nivel insite, acca sin nll valor stl elle Se le end 1.5mm dia elcainiler cena. Design mots ‘ac ater de exoare, dr, ind cont enfin devine porta Distantainterpremolarsyperisard (LP. saa DP.) ~ sa dimes teansversal anterior (DTA) ese dsiana mst in cena soft feterespdian aprile premolar superar Pig. 360). istantaintermalard superlora ~ (M. sax DM) stu dismal transversal posterior, (DTP) repent itn surat a cea Imerouspdian(osta cena) al molto do 6 an pei (5.364) Dusana inerpromalardieriara ~(.p. sau dpa) sae amet) ‘eanvesl ane cca nit septesits ta portal el Ps ‘etibulara sict de eentc ne pil al dole promo, Inve ctrl (ig. 368) isang itemolardifooara (um. sau de) amet ase ster (tp) info specs masa eval ure meio= ‘etl (cento ves ol malar de an infeed. Cd ard cusp sib, se lsat vil emir dt-veribua (e364) ‘Athdicide decctare —. Indetde deere nasil transversal ig. 36 Masirarea indir de decotare transversal sagt a ‘calor.= Tncanat dene mise masta dlamewlor msverale atone face ye mart empora in nclea reper Ia premola eperoresd ‘eal intercuspidan al primal oar tempera afro punt cel mai ‘esr al ini de oete epi aden mola tempwa) cee cont, ual aor prefers tome de amet tansvesl aeior (aa gen) dct sta inteeremolrs. Misti efectae pe mol ‘empiri resupuno dierent normal de 2—~3 man, deosovepemsari ep (a0 dit permanent) nde eau acd emperae Valorie normale ale scestor dames we esuleara dap wrmtoncle Sore lei Pont + Pent dmeuele antowre, estas interpreta at la soda sopedous eta con ifviou wrap= SUB wete.dgrestebst 5 Pena dameteleposricae (stants inexmolas superiors nfesonsy ratdim= SLO se tat Gon) eL Pedes Lipee (Gnd vb de tt ipo cat, nrenonazancn wt en Poe Se face ifreja Tove valor caloulae (eee reprecitt norma ‘xz dependert de sua incisive mist, care po 8 mega Gos ontve (2. Difrentele negative denott 9 dezette trnvertalt insta, ‘re pout predominant aero nicl recat LP peu ferent ma a, predominant peseionr (ele molar LM an. cu difrete ‘mac ats ingustare uniforms Diferetele pontine pleas penta o ata ari, bnetnees, cu vate divest in praia antvioe (Ca grave eres intereeeeaate: +42 mm se considera miele variabliii nooale, cn ust nein de es ser ines, 9 +42 mm tuba mic reductiepin teapl simple, (a fancied mp eile), aca aunt ere ite, ps chine astral; 2 9 44-10 mms modi medi 9 eit pave, ear, depts Ta rome, enfin de tant ent > peste #- 10 ran burt sunt foarte gave, neces tex complexe, asocite (oodou, cures, protec), emt ‘etd cree enlictone. Sia nein as Ponti per alibi 9 a ovaloare eal doar esta cn cards mca am microti pte 5 mmsb 28, ~ incciopiadinir a nivel con foe mssuttrle remo Iasi sao mele; = jn meaizarea doior dia grpal Ineral (MPC), pi erdre peecce a dino din 2na de spe, (© mena separts ete Aeon tii ul Poot no vos bvolud date carcteristelor popleit pe care se fort eabort (opal predominant Weabiceal) Korda face core pent popula ‘ermand care prernt © predominent daioefai. sinetzate me po labels eft ye erhometrlpreent Jn tsa Keebaus. Sls pops ia Romina exist eens investigate de Bobo i sada i, Crstloveu 5 zon Tiegu Murs, Eves Coc i Schostera Cla freee permit willzes indie fi Pot, poplailewind cases antrpelogice 43.3.2 Indilt de dezvoltaresogitalt Indic de deavolare spit readsorcomparstiv cu denice enuar leap de momele ht Kerk gi Chae. Petra mow, se lize smeroscopl sv, a ipsa exsist compas. Larginen premolar mpeizar 1. P) slang arent eteror (LA een dp Kerns stata sap ai aan de apt locale spe: ta inet cu anew teremelr e968) ormla pent lugines premolars spect et * s4stoo. ‘0 Lee act Ln Be ra et areas ence sive ar forms inl serio ema alk ‘ulus promolirs100 Tangier coos (cM) eli Chace pein mast tne dns apn tic pn a a pe line ec a nt et cn Tn stan Incr pe oemait pits ob rtp el xa pe ‘olin gonial ee bara prment Pg36B) atta agint larson rl ce pa ol: EeMas. 1x03 Langnea rmolr inferior pe sod ces mai elisa ment oe pn cs ei iit ‘eds oe dans ince 36 Co neigh se ent p dita ecole Ig nea pee) uefa ris ee ist ol (et legis ‘lar i compl sone mean dans dea nel (Ceo so ifr a en repre amferind cap peo Pee rad fin ome ee: 12, 2 2 (om) spat ie a, ne incl spo inner det de prlni angie mad roar hm) 368) semis ph ae Jeep en aed pra se aor ip ema Im 2088-4 of deeb tai peek le 2 am repaid ie at de pc oli amine eri to pee ‘Connie lilo noma elt) plies) ae Sora pr dp bel um (wear un | casa eesian | Yay) TS [Ober tpn Waa we pe LPeale.-2 Ts fara tndloe weadt-dah, deivalaren endear w tsi ponte peda pe inte teat Astle pot pot lngimen # inn wcndela fancied adlinclae ize ee, Pest lajimea pins) lange arcade! se wisest dou elagi anopotopc, sane: “"raportal Kerkhaus apreciank limes arcade sveolare supeioae (Blow Eke) reports Ut lajimea mating & fj (Giemetrel iigomatie on ZZ). one, Bum Ea = 72) 2 Lirpmca maxima arcade poate aura fe ffl vestiblne leno ek mai dept de ino medians = indicts ui nara Gide ce poate f pict in toate tre de demi) sa fae fle verbal ale ‘molar de 6 ai = indiele i Ferien, ~ rapertal Dreyforaprecaah vagimcs arcade slvede (P= Als) natncines fe: (ALN A) respeciv AwNAW Prats: 43.3.3. Indicete Bolton [Nu se tito eurnt Im pacticn cies. Coreass dezehiiele esto-atveolze cu eaileceozl, dnd us sup informational pent supenncoperres frontal. Pen acestindice se face sui dimerlor mero dase celer 12 ij mandibular cares Impasse meteor elr 12 di taal 5 mete ca 100 ‘Un proce de 91.3%, du mor, permite rela oclrae toatl ‘mole normale. Un peocet inferior a pled pent un exces maa. ‘Report se ponte fce sper gripe! otal (cai ~ cao) un "mpot de 77.2% assur epoarte sata vein normale. Ua rpor mat nue det un exceevalometre dnt aii.‘Formula por culate pesimetola vwcaderoperoar cv dnt peumanent et cee ca peat ada africa: PG) =e 2x. ie baz peimetocopc, dp ect None l Carey ok Vernsca), precum si po bua expeienjei pertonale, se reomand trmstonele eter de apecere progaoscu lidar empetce le noah dst aves ta dena mia > pln In min ~ expectavd ex tates otedont; est ost liniere sponta rupli frontline ce woart Inghessre dentro cu permutren dnr in 2oen de sprinunde mca empora sont ri mai decit premolar He si mm-—rtamee ntodonti conscut tina ery aradlor) sa extrac, inividulizatea fend- te facie do asoieres eu alle anoiali(edileni Fevoalveos euogani mandibatsr ete) pasta $ Condile rocialeconomice le caput dea ta ‘wtameat de lng dara pest th ~erecemand exact + ta dentia permanent: de a3 aS mam indica exasian focar sa I san de focal de Inphauiz, in fone de suai ii Pexincroseopia pe tacts se poste proved dnt mezo- Asia at permanente cecrpi (C4PAI¥PM2), probable de alii In ‘spi erstet sau necsaral de spuiu pe sine, exe © mead de ‘amis simp, acces reir pei eared err minim font 6 aplicatt bn veviile de opeciitte ca mend do examina in ‘iagnostiul nema dnto-aolare eines det la eatia mit ‘Spermanents (Verse) Perimaria sectoriia (Fe. 32) FBve © medalist de misurar «pect existent sur cx ‘compas vgment le ara de ite do an Wel i afl segrictl incscenal 9 ata ee, api tig eemeatal canx-remolar dep spo sting, fScnds-ce apo sums. Masurzca dlr (ametvele mez isle per nfl fae Ia fle Ie ene ation‘Pig 37 Primera sectoral dupa Bra Cocorta) 434 Analiza tridimensionala a arcadelor Corooraea dar pived fama ardor, mets lini de sterols uanveral i sail pei fn lal, Secizawea devo neal ofrindeementesenitice pnts caged In seng sia rade sapecoars ierioh po + normale atc nd: ~ forma rede! ete norma ng ora J wal incisor perio perpsniclas pe pam de celui ee de 15" far anal nto ire etpenciculara pe lal de etaie de +5 ~ Ferma de area V, celal adees, pentagon: sgh incisive supeirt a inferior perpendilica po lab de oli feeveat ete mary, ~ fecad post sine sto nu (pea mie sap): indict be tangime in exces (+: ~ fom de tee, M, W; = Waghil atelor incisor da pecendiatre po plant do cli xt miso, unear acgaivat tunel cnd arcade ae forma e espera Mi ~ sett sa aimee grr eat, eto), ~ indi de ongime nega) Ta sens ironversi + rome: form sraicor, de parabola semis; = imei paent dnt de trie etl vrai norma; ead V omega, Ui Sere eu sme ~ angbil font de ate dor ert cu perpen pe Plano! de ocane pose fi mieten negatat, ele st ‘Sivergznte (somal, unghiol este 5 clin stele dino, petunia aoe cena), nics Poot eu eee negative: + rgte: “aaa In serie (permanent sa mix) sxele dine ltr po forma an angi mal mare de 3c petpeicuas pe plana de elie ~ tnd it Pot en eee poiive. Iesene erica seamalizeazi modeee (sper infer) a vel lanai de oclze sepa ent care ead. ‘Acedia superior (Mods) se api pe © suprafs plant vse obser contact dar ea acensin, Arad pone ie: normal ~ 6d ing ating sprfasplans. ce fm montresdalor ap Gysi, prin: ~ murginc incizal inci cea cusp calle caspdapltna ol pimior prema ambi casi ai premolrlor di cupid metiopatina al motrin de 6 ant + sntinporii foot sa supra tral cid modell basuleaza snero-postrior pe suprafss plans. Ya supaponiia eas ea laferion lee exten npc naa rota tetera dimension etl. + supeapoii frontal xa inraporite laterals I are al ots ‘imal molar (au dar ue euspid) sting precoce paul ar elos int sunt ast, Tn infaprita trae doen tl oe fer este diminst; tm prapoia fons ma ve modified dmce Sunes ej infro. Arcade infscurd se pete inn atc ‘api a el Spee, ene pate * normale encase normal, + secestat~ prin sapeapoaie rom sa infioposite tera + invert (conve) ~ pce sprapocitie leas inspiron: + fnlinie desu orion Raza apical $i baca corenart ‘Ba apical este ircumernfa proces velar de te nivel ‘svexrlr (init apicle) dete. Bras (area) corona ete dat de proces alveoli in weimes ceria xatnu! clinic endobuca, inspec sl puparen fndioe de sae ‘estibulae Janie! apexlor dete, examen! direct al made Ini de dezvolarefcnsns analiza acest dl parame, In mod sera, taza apical superisr ee mal mi doc za ‘corona a area intrioar, apartle sat Invert, Form si dimcestns bare apical et determi de ce deo, de deavotaeninfastutr mse. ‘Cd baz pial ene mic, is oat Dini vsti, relia compara oe coronas mae vn il rade dn aca capo {ofl ore. Useibazeapcale Ings tm ses transversal eens o wed scan fn sens sap, sta nfavrabil tater de le So ssl de deschidee cles ell de rec Ciba apices este lag, di sent icin ot, evigennd pwc ots coroner mie, cuexpunerss fle vestibular sleeker ‘ca In examinares axial Baza apical mae et favorai atanewor de lrgie. informa de probate nie cle dou componente ‘te dat de oropsntomogtama.Siguen densa bac apne ase ‘agile oferit de tlerdiogai de pat (In ead examenctan ce ements se obec cts aw, 44, ANALIZA TRIDIMENSIONALA A OCLUZIET 4.4.1, Octuzia de obignuintd Tnvepstara ocuvel de obo se fee th scopul de « oie ontia corectt de celule « color dost modkle, ‘dentich cv oes ‘scien, eta obigatore pet analiza ole i se wel plan. ist amoi care execu acest fs (Chia) ott angen fe ‘copul poctont elo dnt mole In och Ie aboratacEste santo ar sock, dar a aver sigur erent manoper ‘Ado variant, penta cae opt, este cra 3 yi nit, ind avem deja modeled sala Svea Coca), meted care i oneal ‘permite err se sit minine, faregovares o face duptprocedeat Robo, modifica, Frosteul ecomand decupara une plo emicipice dato pact decor ro. de Ingimes arcadelor deste, dar ma lk dect aces, Nol peter in ‘motive economice) decupares we! beni linear ear at de eprom 2m de nines arene’ dente, ces plstifas dessupa edi te (4 forma cade. Marginesextret vn epson apoximatv 2° tn ia cede lr mazpnea orate mis elt soldrzata pri onsen. ‘ern momeatl conformal pe aeads Du ites exer de icdere eu fn intercuspidnve aioe apis ea pe cade infront 22 ‘spent Se rceste aod cern gra pacien cet de apna act ‘ce te vou fet a se deforma se examines. fn mod ners. nee nde exist contact ieercadc (ou h tonle de inoue, cera ete fora sna ramne fo ole foarte sbjre, oes ce consti un pet ‘per de crete amanoperet. Ia carl wor oe de notarie ver, ‘splice vor ipi mal mule fei de eas, oon rexpectv, peu ese tea fregises ecu ‘Apo, cam se pie pe mods ole ise sero sunt ‘estbuar complet, pour ee meva cnt nerarenfce ‘Se corsenct api oclvin pe modele, co tapoatele ochzale ole ‘cesta nivell a eel putin dood repere spite esp tae foul tansversl, de obi! iia modioh, Deca reperee wd coreg, 22 pet msnopersoe. Pen evntglaien fn ee fee poston le socio wu sat Ta continua (eta ce ntampi feveat fn praction cre) su In event Vises pled sau tracaani cell de acai, reeomandien maeaes pe ‘model rin dou lin vec in contcuare (de objeto rial op, nivel molaior de 12 anime pteclre) a pocitet meteor occ Fits I fmol tin, oper ete splint in exists wer pltcwe do cart peatrieate dp forma sradelor, conform pe tel ‘iene de ara CConcrdnat perfect real date masilar, ales 4 dit sragonia co conecint a dezvaliilorsrmonioe efecto cect Sefer uur fneiloapaatu ere maria se mien pero ‘chide funeional Aces dere Haren vere itso speci etodont pe pevioudn watament orton: de asta cons evi nce presente cova non desperaporl interred deb safle pint Is dtniivares eve sremali dena. Lanafee aprile dine cle dus mas eet sve cesele, prin intermedi) micase pagal ar mite mandible sant predominant vena. Eloi speratiadeto-mailie exe depen end de asec importa acest, ete poate fi ~ eclaiepland ~ abel crete bine devote; os infos ‘ind tn const eu mifsul cel superior: et forma ces ‘nai favo ue vat normal apart eto, ~ cluze tn acoperiy~ zest mange, cu a deel git (Geaste inferiard cate ageath inepon. estes, upericae ua anuit pad de sepraacopess pate eva iter in funjie de poise de dervolene wi posonae ‘mando et forma cea mai de nit, 1 laze tn weap de ete = crests sence patric ezvoiat verical so aces pe ea ineinrt:evlacaa, cel ma dese spe oclenie adn cope ~ oetuce progend ~ eras infort © deptzete po oot super evolocr4 apeoape iotdemina etre progam sancti ~ tae cap ta cap ~ crete sven, dst de tau, 56 Indies rin michile or pe ae plan: eon eve eh, find influent defacto es, et deel gese 4.42. Principalele momente dinamice ale dezvoltarii ocluziel Petr putes diseaptlopcl fm forme incipient de nomalal ‘neva, cae pote nbn ferme a mit ce puoi, se inpene ‘cononseres momento rice dervlaen eta ~tamayere rnd copa opie poteroa i rape cu rman stogntitlfinologie al noa-nscutat (ose: trie dt de goals faceat), Bate ine canon spect de “tia adel” al nownfecot imagine le care concurs ‘erognatiza imensane elas etal ioe. imped sepa ~ pi sine anol, eter ‘tls se rede ec near, np agin pic ‘roacote dita prima erika iologica manda ‘ipa epuria dine dese ei cape: apa dnflor tempera ~ trope a | dap nate, chad oa contutle fe ts sero infer; coatinus ‘in spain molnlor T temporar, cae reaizant pm Tere» eli! ol este stains a2 an 9 jumsate, ott ce erupia molar TL deta tempor ie Fseputal erties mitt, ocuia se meatine In sivlol canis. ‘olarlr Ig tempo, eae se mimes di neat enh owee de sin tempore le ccs, cre pore & fvalint-o Kerkaus, motv pen ere este cunoseuth bp Morar de speciniatesub demumies de oes de spi © ‘clot Kota. Imegrte sestor zone we, pe ‘oll de x meine eceza I pratt corespnzaor, pe ‘scold pst noo anteroposterior meio distal pl ‘ecearenis sheesionalle actor ron, respect eas, femolal T's. Distntis 2ooeor de spin pee proces ‘eiowse 6 nettre sa refaceen Tor erect. dar ma les rire grecose del acest nivel fet aplicares nor meine de spi, de Ik migra spi Reeser ‘rips sseexonilor acest zone va ave eset ial Sin cae va rape eae eco, cepetvcaninal mopro st premolar liner,Tne 4 i @ poh dsorts devs normale i ple agial temnsveril 8 atelor melee, api, n zma fronts Inerdtce ‘ste ara muita fenomen de dastomisaefilogicd--ea sera pegs mailer pentru erupia frontal permacen, ot dimensizne meci- tals mai mar decir tempore pe cee alowne Ie een Fig. 38 Dletesorea flog ~ lop dent! mise ~ incepe I 6 i se che 12 ei, da cu apn ola TE permanent pierre ima, lz enpor. o oeests peroneal de 6 a ropes moment portant ima oki, ea realize ca de dous cea mal npn ae ocr apa dentitel permanente ~ pepe is 1213 ai, ott ce ‘ropamola permanent. ci se cliar8 tei are up nit tor rele uli fae de ecre ‘Azalia cls none acest moments, se fae th ect 3 plac ‘poi: ale tnvere veil tt stati ct ina vind eo repte de refering rapes nome nterarsce 44.3, Relatille normale gi patologice ale ocluzi Si anaaa clase feta eal we plant (agit, ranevct sera) Ja dentin permanent mish temper In veil acl reper: mola (éeap, ngs), cain (espn, gs) la grup inci, ‘eu exeepjinraponrtlor mole 20s spi, ude a deni terspor se alizea nol postatea™ ‘Plana pastacel exe oper ler tae le molar tempor vi ia none aes,Plml pac normal ent fp eas esis espct fna dst « mela Ieper infront ei) (32 mm fe apres dal n ell sper, deowrece, tdi Permanent, incsval cel infor et oot mn mle dine de pe acai ticulnd dor cw sing snags (Gp, 39), eosin, nesses ops Pig. 39,Plonl postal reapta meal (norma!) Ca stu paslgie ene lan postctel In apa mecaict(acentust rials) — ‘eporl frost nti (eri) he cel sprit cu ‘al mult de2 mi se fnnjete de obi side moditicacen ‘apoatlrf oon rota (8 4) v ar > Hse postal ays dia ~ ody al sh Teper intr se ft poser (st) Se nce 8 = nmol Tengen spon ete stance ac noes remain ceumperond Slap Soren mali Ibe repo rapoare dao i 41)" > v ‘i! 41, Plana potato noapic, len posttest dreaput— fa inte fate normals sttgi dependent do ele dou evenimente orate dea ‘ren de 4S an ig. 42) Fis 42 Plan postctal nine reap (Cd exit aisemizar ql shiasine filo lanl postlacteal a line eg volun pe oe, pentry ca mola de 6 ni nee exe [upc imaosoast nine In su, snes ore de mesilzate po a dln molar temperar, cae le taser I pial molar, lar abeacanen cssiloe spe pemite vlan spa dite cain Inferior rca tempore. Ast, molar de 6 at iferion joes te plana! 82 ‘suze, va arin gal inteeuspen al cel info, tbilndse wn ‘port somal (1g 43) ig. 48, Bolu plana porate vera spre normal 3, apoarele de else fn cle uc plana pile pean ore de arial pcre fe vor deta ‘De mentions port sn angen fea eliia ate 3 2 tee ator, Olea refer a aim de 2 perehl master 443.1 Octusia te sens saital Repose de clue plan sgl analieac din nom tral + La nivelal molertor se snakzasa raportsl moaior de 6 si — fla de ccluse 4 tui Angle, cae = concidestposkia primi molar parmsaent aperice Fi efind expo mitre, nga normal nal ~ toca Ince sg itepion (esa) al ml de 6 an afr aclees a dep spit mews al olrh de ai saperin(g. ) LT D Fis, 4 Report normal ~ ner report talent snl intercon al mola de 6 ‘i inferior ete da ffs de ewpida meso vestibule al laude 6 a supero. (6. 45) M D Pig 45, Reporal tata ~ report evil d para intescuspidian al molar de 6 st inferior eate mesial ft de csp meviovertbla a roar de Gan perio. (46)~ rapt normed neva ed viens eee wtcleneh ‘nspaal ie insane caneal sapere. i 47) " P ° Fig 47, Raped normal ~ ner ~ sopod diatiza ~ fod vito eninta intesoreniuleas sta de epai ininvItera-cainsupero. i. 48) u Xp » ~ suport mein eae vil cain inferior aiuleaas ‘meus de reper spero. (i. 4) u Xp » Fig 48. Report! mec. ~ normal a fata vesbale a insislloe ineon vne in ona cas plata sini spero i. 50) v ° Fig 30 Rela normal. ~ oct sagild ead save fn veibolen 4 icsvilor infer fs plata or sper exst a pt de noel ig, 31) v ° ~ report ner: ‘contact iterdentr fn ae feo ngula) ‘locale supe (fg $2) v °MeO + ioc sgt ~ ie fja raldw econ ‘aj de incl ig. $3) : "i? ig 53 Report imer cu occ saat ~ copa cop ~ considera nomatin situs net cures ‘chr (noma cella epere. Lan eaporase ‘cote otdeauna sub chserafic. La fee teams ntodmtic st fan de nomi tala pote agrecin, ‘tun por noma aan. fg $8) v ° Fis 54 Report cap la cop. 443.2. Oclucia in sens transrersal + Ta nivel molar se anatzsn§ ot zon lateral inci pe- mols oli tempor, Raper de ze pote ~ normal, neta: chnd eum vestibuls i molar (re ‘lao sau maior tempor Inet arcteea In ofl ntercuspidien al dine aera super (55) Fie, 38. Raporel normal = ner ~ cap la cap ear eral vestibule info’ acta ee ‘uspll vesbula supenin (f, 56) v ° ~ lingua ~ paral ~ co cura eaten stolen ‘x cui palatal supeini. 57) v ° ‘ig. 57. Rapor later linac pars. ~ toca eu conte deter nd ni superior eptpese ii inti’ ps contact ri ele one i 58) v ° Fig, $8. Raport lateral lena cx contact dent. ~ fir outac dear cd ate fle re le spa (6g 9)Fle 98 Raper lateral tna ta eu inact Inferos acca cx eupii vest n ngor Intra super. 60) v ° ofl: age foarte ra; enti Lingst a daior ‘oe spe. St apr invere ttle po ft su fies contuet dent 61) Fie 61 Raport tral ver total @~c contact denar: bc nica, ea nivel eantlloe rapt pote ~ evil ~ cid fan vesibulrt a cain fet vine in ‘onic cu fa plaaa a canis. ug ~ tnguaia, on tno tranversal, end aie fh ves ‘na coninl infers ats pains nto peri evisu pain de ioctnie = vers Incare foal ifsc vine contact ca fu vetlel peri = mvs cu noche raven: ef cain Info 9 ftavestbulat iio superior exia an eps “La nivel propo ines: Se antzet eoscerdans nlor medians, fntnd cont de media mail, dela iment super, de medians manda! inks ~ nora a ete iaferont coincide ce spears sienna mandible cu medi rates. (a iat ptoosc: ever ie interincsesiperiore aa de mela masa, ld pln excl pecoce Gecisiv Intel tempoct, cin ‘engrar) sn sano ali eet ee ein meant ~ eerie irre feroare fata de mats manna 1 ever Unie iene inferioare faye de ina inter Inco sperioar (5g 62) ie. 62, Derea line imerinctv iferiare 443.3. Oclucia tn sens vrtiad ‘La nivel molar pore ptf Inferior de ete molt suprion u nshimen ana eedeste rie de swprancoperire ox ex fede grade sopancoperte— ex. 12 U1 cits tens eanvera sia ~ iocace vertical: sans cd ne fits oe a melee lotro faa cclozalt» masa pein exist wo spate + de inocu car se misono min et tuted samen eat dio erp, cae no a jos int Is pac e ovhaie, ioclucin este uansiore #1 ebeie specu clice prs: realizea2 ri aventaunu pe mate di in zoele sera: stagonisti, pain In mun pr arin, juan 8 sriculeze det cu lesa ane eden La nivel canine gi groputl ini ess acelcs!norme de Imerpecure. apostle otf ‘normal ~ exameaulintesedetcor nse fn isk pela otis ~ examen enlcrnoori 123 = exams de abort 5 Examenul pediatric Reprein ovrgs nporuts px informe pec asp eneorpacill s difrttr conde terpeice borate ec (imi al de vit. Dezvotres apt deniomesiar finde anak Tepitra ca dervotte generat ext fue rae i ee devote sete poate sven ramet neon ues deol gpa en n Jnr. De mole on asenenea impart store fa ectiph, pend 9 ‘este de nasa tt ups pia 5.1.2, Examenul genetic Devine necesnt ee de eite one confaitin cu un pace! ev 0 ‘snomnbe congentlt specs de mpi geek Cu sgn cle sume stat, relarea pers a pemieo cuneate per vein ela ese cau rua existe one: poiiti de agrvae fest shor eapeatice fa semenes star 5.1.3. Examenul endocrinologie Devine dine fae msi wl fo practcn invest ertootice sue anomali prezamindocamponeeopatgeics endoctingI ar edingrost, sordatea eel a cx clas va ade fattest 5.1.4, Examenul foniatric Presupane; dincclo de eel efecrat in cad investigate su drei anton, o examinr de ete letutt de ate gop. Nc ‘a paticpa I taboraen unl dignotc dr, maine, treo ‘cua tn ramen, date de modifies de protic cae une ta‘iin cara unol tame! onodoni cuvette itegn polconsaos seciive fs met sui un asf de exon Iogopedic vata de on ‘etament de reduce fnitics de durin, mice fe pce tetaneonc tcc pci allo adapt ipo. foe ects near & molifleite pasta denen 5.1.5. Examenele de laborator ot ven necesae in psc dsgnoticase fete gserale ‘area pute partir deeetrenoportuli denon, dr fe sea eitrventi circle mai ample eae santos ua indigent 82, EXAMENELE SPECIFICE, ‘Examenel speifie sunt reprezaeate, png ode antgrezen late examen dole, atopeogic el fst Copa = exameoul moslelor ~ exnmenlrtiotoge ~ examene!anopotgi cu sematgras) ~ examen fee ‘52.1. Examenul radiologic Ivenigatinendllogicn repens Feta enodonte elemeate de baz pene invenp observa, lagnodic dese tape, permed sztilitea ui tilaat beco-éntar complet. $f acca mal ale dana {pti ct examcaul tint singur280ce mai pene infermatit yeast opi dest cara autor. fe dea empresa mit, nel buco-deatae ese tro permasenth remanlere, Deal mperst ot Peemanest bei comsteate ea nds ata timp eit omer ft nee De cen, arionia deevotet detrei sme webu a fza bist ue eva prec crete tament! iilog: In cop ed date peste pe 1» dentin tempoar nec vest * pots dnitr ~ sail snot fiiloioe ~ topogratia pulp sl adiclaa ~ stil devo esuitoreaiose ~ mpoarele sit ~ dans — ply ~ stu zonelrrevent oiculrisie roe iterdentane » denta ermanend,penuu eae stad! radolgic a denied mite ‘ot sigur investiga eae permite ss observe: shen dar perenoni a dimpotiv, resents dni ‘supranumens ~ oii inesosoas a iilorprmancni = sea deevlivit gemenilor~ exitnia anomalilor set: ‘lor cocoate sat rade ~ repr ini tempera er pot sk detemnine exten si patologi plpeparodonale sree oroae ~ stil processed reste detvolare rpoanele eemesear anstomce cu dit ‘Aviad i vedere puiculaie anor, progrostal de eolie al ses obi Ia competes examen clink cv unalradologie de ‘inj, enor ciarcu crater specif. Acosta dn ur, esptv examen radiologic, muse va state! fe iodt examen cline pe eae ‘complet ie benefit tot al pacer, S211. Radiografia cx film retrotveolar ‘A fossa tn 1907 de Cisryse boa denvolt aerioe 4s Dies (1911, motiv peat eae mal ee eunosit sub deumica de sncident Dicsk", Acet tp de radiogafie, care se defiteste pein tei ‘aceite: reralvol (le aest Tn spsile dite), iomece ‘ntoradas~ een ce pent otmagine sponge de cee dimensiunc evces real n plan veri ez ese considers ata ce fd caps Si frnizeze dace cele mai compne dope di, crete lvelere i formative anatonice vecie. Calialeanalice deosetite de srctan fe wn prezen cea mal spe mets de digo fn storagei 5.2.12. Incidenta Clarck Metode Gx dous fie, conossth sub diverse denuniss Cac, Pondres sn chiar exentres. te ometo ear satiety sedis yestibolar sa rat al dar Sacag. Reaizaren ee taser pe nil paras ‘Se fe dt adografi al epei:pime nicer toga cca <3 dona i incteaexcentit La efectren exe de-e de ope ‘owe sss de radii depen dco x tne, pe ml ons ‘poate dink element snstemice we sch ane, cce pepe do ‘nse vor eps ases circ cu sua de adele spropine Stal _ndigen se vor dele n cei oposk. Asie cle dows ruiografi se xaminesrs compuratv fapoarele dtl inchs ex adacnle nor ‘wen, Does ye cc! de dole fil imaginen dtl ete depts fo ‘cel sen ov deplsseacoru, inclu ete ols deck depen ee inves inline vss. Peat ma eonduce lier ornate, ‘x blgnori ase preci dct in cr fot neat ible an dons expunere eis ita icra ald fi. In Og 69 se dca on dnt prantimerar ey voile overs (ne anstfichcare "ochenzt era incsivu ental permanent, pote ee a fot pect Concirionind an pita spune cic pnts areca danse 4 anomalies, oropantmograma este saperioas so Mendard de radiogatit etoalveobe, peor lealarn i mal ales precept or Incas (spranumert sa cin sein pormald) se pore sprope ligation ieee Clare salen tse 52.13 Radiografit oclucale Nd prpendiait pe incident ecavelar8 amet ot cath, reprein de fap, 0 pete a nlorf Inga at Yr Prin feast incident se completent exponen mdologiekendsbucls cs reper dine des eemaiileastomicevecine Raograta cu fim Inrcrone (etibulr a cal) alr inci ‘Accent rece toe nerve chisel asp ior inci goal especie pei oleae pecs pir tego ese veins. Fgnn 66 wt po pli ‘Spramancar ina ehea cia pop be peste coxa Fig 6 Radiograie cfm ola 5.2.14, Ortopamtomograma ‘fost intodast de PAATERO (ett de CHATEAU), fee pst iiss expire acl fm ana desturat 8 nea et ‘espectvo prvire de aseanbleaamlerarad, find robb ell mt vain al acest tp de adopai Pe cntopntomramt se evden matlrl superior se if proces velar apeie#infre, cele dovk aeade rps dn ‘le nd poste Se analiza pe un sng lm ot cee a pts ‘x mami de 1 adlogafi dete grap In sere (FRU 198)‘opastmgrans fe ifomatit imports dean * erdlarea seve sdezvotl prin compares radiogefilor * vita demira = ca inher al vite ito pena freien sce ete important gral demise 9 arcu dior tempor (gel tor de Hain ta “eve momen se deze steal dora * gradu de erupt sinilor permenett Gtrosoun si * iets de epic » date pecmaocai, ca poems de ‘rove su amie ancmailor date mit + sor dite dn pene ce tempore + lezaole sesamin dont + waamenti endodoator, compliaile peri * sstimacea numtcut, posite dimensni coforma gh stdilor devout daira grmeaior present po antes * somalile mame (i supranumerr st onodoni oma, ctr ce pot sprue deta mses eve fis exe ease wilt peat declare pieces « mene ‘nomi snes ins seria eine complication * srucurile amsomicefnvecinate (nis, bse gee con veo, foe nasal, ATMs + sonscinfelecxnotilar sn perder precoc ale ior * foerzeans depistaes, diagnostaren, evoltin,pogseseat ‘vous eases lemoteindapenatile stu ac, bilopies paccmatevtuia eeu tb * Gephstee dete dite eadontic (onopantmogeme fect ysis) ie tomogra, mainte elementlor de sutra toe ae ee 4 pent parame dei! ete puta peter ee ee ie ea elo ee mo in mpcneacrtopantomepiane vradografireneaseine. Prez i ig. 67 stupa ol pce ca Wifi soprananerar ~ out nd infroura, reprezantin al ues premalar (bile pe etopaatom>- ‘rms) une In reads period loca evolu incisive cent e pe porien dept, contrat foarte pala pe eropantomgrams, dit exis de ‘ine delimit pe login setcevecark Te ate de sti, co petra dignowticorn pecs « elisilor eatare sh peridentare, ertopantonnogrna trie at fie completa. pein ‘adiogai revoaveoa. Petre aaa reel davai oroae fn rtpatmngraic us pone subs nse leradiogaih Fig 87. Onapantomograma gi Bx retroaveolae 5215. Teleradiografia Teldlopais wealzas de Cares i 1922, genet de Brod) sande Gi de Fi), eects mods cbccvt apo cist ‘noni, deoures furizazt pe o inguth imapie Seucure st rpouele oe clementckr apart denon ie ele, Ansa de yoo ‘mh lInelaresle manrclr soll nile ot 8 aufel sat In ‘alse aid wt dipped il uni atzeatin consent. Telrdiografia oft posites spreciert drei! de ere « ‘centr earl estar (gia ealealresunpharlo pe cre120 fac cu plana de ef), seacunle acct Smeal tare Be Seaver cantative em, poze, drt x soe a acetrs, plot Ips pout preveden posible de ces i mor eu vir se (Grogonte de ees) a seclra clecate le operat dene nena, <éeextem deste In anoailedeto- mare Teves telerdiogaied sera Isola boloay fe curs sestament,contiuic un mile obieav de mare valowe tn apredeeh ‘ficken metodlor terapetie floss. Tn rate sent reine el pei de telraiografic pot ails def, cen mu felsi find pins Es evidentaza tlre de dere {ae plan veal si sail a masivell fii ele ma rake in ‘mat despre tr, deta gd de dezvoharedl stutter esoae ce esos somalia, Prlrae tliat diversified Ins xia © ‘metodsenitark omologindvse tous pone antopometice pe tli afc els tiers de interpreta peat stable ight de saomi dup mete dete ‘Mubitdinea media pial asin neal, pate io a ek metode de ha rea mics meta angular mete spp Meteda mere pesspane msarte ect mens eee seanente sais: a growl noe port ol diane dine dud epete ‘rome. moi au combs. met eae este simp tn cota ex Pee ‘notte pracicianae Ea frizeso nfmatt prsie dpe recren, ota segments paul dento mae, Tatas, neat moa ote f pled pe nur args, det dacs erst tbe de vale peat Aiecare tr si repisn tn pate. ere permits compare chen a ‘vedere iolerpredit uno rez. Pe de as pa, ese 0 meta exe eco ml tp Merl smear ee poste metadn co i Soild ma opis 1 permisnd 0 apc ealiatva a eit de erento mires ‘nor alt angola cre alse elaine bara crn, ee dad ‘manila chi pai ol Majette ticle deni in aces ‘mo: eaprespun: cenit de marae eleradigrafe threats do merece reste ovine, eceptt In lin eta de evel a ‘acest spins paral dentosmatine, det nly element de proguaes center (ig. 6) a Fig 68, Piet U.G. 11 an dectel leradiorefi x wpraperea oben elerentgencefalogramel evidential 0 prograie mandir nelomic soca cif mandala ‘Metoda supropeneri ces mal sgh meta peates pstiian. neces, maf de martes cores Solent lero enna nor aloane peice pens populsin respetv nic pe an det ‘atte ables, resiate pe fale tonspret, se aplich peste dees tclerationrafie, seine fereilecantativ i ealiatve existe Ib ‘wl ivetips, Consretn ses abioane a carpet sites tic Speco angulated cla mensane nomial. Dieses de btn wn tel de sabloae mt diminsesak importants thn, © Inter ogi wae afl de sad elaborate a fot atc Penis peels wants a fot reste atl de sablne (6 eee cops pend tel mie, pe aes unr sede sac Tigi nscale pote ni de nore eric sya det i oe subi iovestiga, masore fect fn ‘eles cod: tr bt ara fegulie sae dei. Penrice sae stl st pat pore Se interpreta coopera care. a is neaga mal poring de a aca teerdiogrte st nt ts Sxznos He, pao copiers peso intr pete dtl dup un dia meeDanco fs wr net adogafoe ene poo pce, aor fo de cbr, Aces date vor ava ee lags i mn rein oe in eras Comcane»oe 2. Examenul antropologie si somatograma Antoolgi sige Sts sta ost eg sts hr mpen spi it ene med pe ovo 3 cpt en oie a eg ‘rp ft ses ict, pi pages aps seen vant re plea a ies pepo tee ina can netfee Aaropsop neh nein i pe rh Ps shor tt ari soe eon sms piney 191, tle sssopogl mtn: ne, npn men! ates ‘ct opr nope sod Rae Mew ee Ianto ere tops oni Stal saoraons st teomsnita gow, ase amoyote teste sis wt gps pecs moma enor, ele exerci far ann nama cena dense det iMate pe et ee Se etl mat opal dog pom cpoue tee tn ease eas woe ‘tsa nel apo denomer Dimless ‘Soin sine I tes agro ape see in-ear ep es tence pn ‘Seve sont ge demas sbllves dagrontcln de ip onal su constijona anu: polgi en considerate o eve de praetor: “nahi gear: = fone ff, mare, ibis, asl, nee ches = ects para Atel, obi de eneie do Neca (1836) ae mare” delimitindse ssc flboa, ab, ope, near, notin contest de Levingstone (0960), cae cousidrt elm muse ntnes cee care at ites defi orc" (Declraia arapra taclor ONU~ 1954 = Carctrele atone ca acl abate ce carcteiznn erupe ‘trina une, deta ate cpu regloae” (medier tea, oreo iar, ia, nord) ‘arco individual ln f pl consonl. Somatograma ese rpeeenarea gralch medio atmee a tele de variable a paramere efecta pe gree de vist se. cuprinaiad date de antoponetie seer facial Meurer anropometic, at marcas pincer tne tt * nivel panier exons care sega pi resins pe ole ms. > inrodaceo sere do factor de err, cr in Sede examinator fe de ‘roses panilor mol. Catal fctor de eos, resto elzate otf elevant, cu conn cx pace asl ee le mls Ib icon i, de lire acocaiechiga de special, care permis rtd ett de eae, cama gf cata, posi calla, Pe somaio- Somaogra peri geen variabilitis morfologice «apr eotormaxia Sn curl eval Alogactics9¢ onlogenctice, stabind ratte de variate normal extremist ele 3 zeal tin a aport cu devolare soma geserald er, tpal pions sozl vrata socal Cater sormoprameise pot ttl lbwae eiutive. de iim ret, le put deno-manr (69 as)ee la 22 debi de BatBxamenal fot pest Sent, cop documenar wi dngone. Ince toe nor ne : ‘emir fat, extarleintacrle (Ng. 70) Pete cee - 1, ‘Renu fotos, pacieral cae pee pouic @ Genoese ce ont de la rani poral cu sla, ia edna pepe pe so ‘ea pear bjinees acest pons ete eflonata eflsat, Fig. 70 Fotografia de fade poi pacientua vor anal pin risma ‘misurttonlor rtepomerice: im seu scop, vor fi rmtete et elon deematogro ei de ponte antopoogie, pest a sven repel procs oi obit fregtrate (, Nis, Pg. Or, Go et) puncte eae vor ‘eamiteaprecicren propor etal, mdeuraren unghie Tacideni teal ds posites examin pe! be pl facia, 2 tote slementee a de grays atone contin vk pi prion ‘modifi esetcediamen creer dapat! Sentosa Mioterventa oedema init Tosidenta din sara frontal ete cig Se fm aoomaie tans ‘vera de tpl asim fail eu poet de pore malar soa ou vat, fencional stn anatomic) Be inca reslizaren a tet cls (ge. tive: ual este plat ca muro, cele dout se seclonea pe hats ‘mean, umlnd fap cele dou jam sting ele dot fata rept ete un cen. Verena te indivi stn. f nal amen, full se rept acenst pobre ex eu eit eaadcd ate indivi ct ma seman, validate eit ttamentaa18 CAPITOLUL 6 TERMINOLOGIA ANOMALIILOR DENTO-MAXILARE ‘Anomalile dento-masiare pero alure decetere, devote ‘swe wodeliresclemeslor apart dent meni. ufc ow doo, ee nonologi, pot de pote —vzind implantes doe pe node arcade _sbazele maiare sa masiareor fe bcs crm ~ rien caza in eae aul nor proce ole ‘0 maxiate sunt modifies i plan sagt, tasversl, ‘eta In detrital ne fvonres clue rian de deze elomertle pati demas Acoma dented tam, ise de ermal Pen ngs et rn covet snail dot, tng hanced ‘uc ices ml pov aceasta oon dep ere pra mulaio, totor peel chica cle plana sping is Hig. 71 Ponaie spite Plana mediosagi — sas onan pe Hala dant sero-posterog = lana econ repress de errr de I Fran {ops namele orgs ta care destyurat congresut de ator in cae 9 sce acest plan ind de orientre ‘stones rani ce net uncle pron nani ~ plana acer ~ cae state organi dnt pate eal (is nr exe perpendicalar pe precedente “Termeni ow penta pestan somalia wnt Frat “ints pefix cae inc seal ott = sineonridca cre defies vel moi, Gian califativ~ care precioardeaacel par a ‘efomi 6.1. SENSUL ANOMALIET Seal talburi se apreinf plana de referinta mace, scideloralveolare + supe de in flosind unmatowele pete = tnsene sagitat ‘ro poo ata dpa spre anterior init) - pena ‘avi, vole ats din elon rata ov ara deplacten spre possi Cp) seir (mera) ner rice (a) lor, = mesio~ petra dep slr pen dea = papa dasa | port We pla de oxic sos = ae ‘pes pnt apes pond aloe + peice napecie modifiares tricimensionala masilarulut Sav nu! grup de din:10 62. SEDIUL ANOMALIET seein pin acl ca: dlenie— pean 2 SK ee enn mei 6. PARTICULARITATILE ANOMALILOR nt inte ri ate sist a ‘eee peicat sree volcraig eres inn “tga Smee frontal : cee _ eile doe apes ate ws nvm ated py cere | find dite. (corpo. tat wa seal) fn afc i = sets | te lore |e sina eine se repos {escie wa feevent tome ecg | eat cus Pen copa ene tmcool de ety g), i Fig. 72.=12 piat-pcie 22 tn vest peri ‘hd clea af tn cubur arcade = vesabattnctina | ce machin ncaa ese proectat = oretnetinast | actin) spe vestiblar a oral rotate dentare en date ponte rota jr isa and “bole mach deplsnte sau doar 0 mucie poste fdeplaats, ‘ela ig pein rade. I exe stordatle fce co lina arcade unghie a ciel valoae te apreiat grade. ‘Rou deface eden rnd fae nc deplees sl diecta deat, (ig. 73) £% Fig, 72. ste meco patio rotapia incisor centrale. + nla median — i riper cu cae se dense velop di Splat penis medians, = dope ii epara ina medians, 1 pelonetingt | pert ta gh pe easel fe on sx fae ina medians + lanl de ecanl—n ance de acess x tig supropeit— iad dail depee peu! de occ = tnfapocn— Sad gnu planal de ola. Amelie earl (epi, ri nmi eri) a iat se cent a ean ctdonic ac emai ope, cm 1) diastema ~ esp spoil exist Snce inci cena ‘epee su inesins Dy nclca ~ care rps 4 pednees ua dnt i oF pone termenl de eat© sctopia ~sceerinth era ue dts i fara Tne woe Gore estar suse cay, 4) reel ~ et etnteren ao 4 wld ce «co nin ete wel te cv ui vec eres fc ee ‘sare fe schim focal ca incsivd Tater au pecan 2 int ramamerr = sore eet ne ton mae de i fa de mune oss £8 egenca~ repre abr i sat mal mor da ee {nd ink a sens tal car i wma find cet Si sub demumies de anos "nai dear =o slag dt ete ison mai Ic ermal icone wn pp dete ocak Jimita normalului: . 2 sigomtom denar~ claw dt te denis ma a ‘ect aa; macodee~ cnt un gip ded cae ob lima dineasont roma 1 erp precoce~ rp deeper prac ‘raul inainte de termenul normal; “mee eral td ep wa report ca ‘malt dupa termeaul normal ™ CAPITOLUL 7 CLASIFICAREA ANOMALITLOR DENTO-MAXILARE Privite ml np e snp, eros” Cn nicht eval mea, nomalile detonate fot ancl ite iia presi ‘cou sl XD neat sell XX, odath ex dervoares ue via indi, ea dara mari aglomec de pops In ceo ‘intent activins infomation ide comasiai, pot buna fntonae ‘pws dentormaor deveniod afl ecejle penta Indeplies ‘ctv sci. Dest forte mumerise precopte pens super ‘snonioedeoto-manie a eit o clare woteyenetore cae Tecan defines inti nega variate boul ini, sae ‘od pind lclasiicaea predeesonor 7.1. CLASIFICAREA OCLUZIONISTA A LUI ANGLE (scoala americana) Pama cline 4 anomalilor deato-maxdne seeps intemal cask din 1800 gi apaie Ia Angle. Fa folnete dept etry porta laser cose alert pt esficnren elon ast Anse” Thaceans clusifcre sont clase de mallu Casa 1 Se caacerizeas ra poste nome (ata) lvl ‘eel coridal menio-erblar al morte rperior de 6 ant1 sclera primal van weal intone do sll (hod ote Angle) f aceasta clasts nents ee moa enio-matite situate mez de metal de ne * Clasaa tha Fresno monte dsoat Is ie maior 6 nt Gepet Jeti dept pot el per, nen cena Aout aoe sie, ens i ma eines Shvsnea (da I) ee nero pnt tne ‘sociale cu eden onal soci etna ans sper ah Pig. 74, Cla a teat Stbitveamen 2 (tee 122) ‘Tizate i retrodentia fromtalitor: supror Ce on cha acopert (i. 75). Fig. 75.Ctsaa har? Casa a Wha (e765 Se carcternct . en pore mcs sv lord 6 ant Tespectiv pozitionarea. reperului inferior mezial fatt de cet “ i ‘levi lui Angle au mai adsugnt dou subdivisiun: faves Subdiviiunea It ese exist 0 progr infesiour,ssciata uncon ca proaveni rode, consecint uel ester a mandible arpa co ‘naa so infsn aco ereditar euro endocin Subaivchmee «Hai cre exieth wn fs pognatisn anita, ‘poaree mesile ste claret dnorind-ze nedervotit maxilrl Peron, cao conseciai facrle general reditas neure-eadoers) saa 1 exorlocll. Aceasta clase foarte simplex deavansul ea ep ‘ters posits motrilor do 6 ani, cae cote vib totes mi ects ‘crmpesiniea fection enogiel rfmine inst © clusificare de refers Toate fol lle noses 7.2. CLASIFICAREA PE SINDROAME (scoala germani) Caitears pe sineame apecned agnostic de ammae opt ind eee sciatic nui eel anal dn tele rp ott tog Sindromul de compres de maxi cu do fre cscs npn ete pose cute esr fol vgs wt vertu e- Ince fc puncte cont (tr vel scxtnghne deni.‘sompresici de maxilar este dete ae ‘niin cto fnctoo aac tse ibe manilar datorate transrnitei, tei) A A comps Simromel de oa deschh cso ane ca ern istncconts i inerpr ama gave madame Sindromat progcale~ co se dou anne cee, ‘em npn hereon a ei ‘se tein i get torn * eedevolen moti peor Arilor ceeditar gi neuro-endocrini eet * ptosis eg ‘acon conta oe ed Sindromut de incongrenta dent sven St etn deameiadeatorne ~ fhitebenie ma econ ene o cones neti ‘sce eat 6 gett fancy > ee spagiere — teat fete Anotalie monccaurale Ti cae se fea Pore coca et et soli deste a Ine (de mde, do lmensaae ete) (Se muna, 73. CLASIFICAREA aia CLINICK A scout (Gras Cauhepepropene 0 elsificae«enomslilor Gata fa wel ‘rope, lland temmel ce dizamoale fate elementele stuctarale se ‘paras demo manila Dizarmonite de baz ‘a acears gop int amie acre unt bust rapoatl fake twzle muilcor ql ine acon aza ceil. Asetedaarmont sa decalje de br se dareant in special factor ered iat respite ‘cal sau tbe masiewor apravekzh aces anomall; proaie, evopnil edognail fe pte din costs ero Dizarmonile dento-alveolare tn cat nt anomie relate pin modiicsen apr dine Simensiunen sclera dif: Dizarmoniilesstemulul dentar Sunt snomalile dete de mi, frm, lum, pot; I se de ai factor ea pox jaca wn ol gern. 7.4. CLASIFICAREA CLINICO-ANTROPOLOGICA (FIRU) Porind eI lsc feoti fancene del erignceemonsrs iter seucturior viscosa, deintarcaantopometic 4 aces tors, modal de frmuce 5 de eres parla aceon eemete ety de 1 mes de eretere diet ale masiarelor, alveoli 6 td sama de plane convetoasle fn eae 3 direst spt Fru groped noma deat-mailae dps seis dea de deri noon a5 clase ce reprint atars clin w clef amine esanmosiimantee: | se fece ead prin aaron alvelae, (Sos deta cre be = dioamonit dente & gop: | ogre sae nenmnnee, ~dizermonit deato-alveolae; | {arin faaas atcoper ~ dizwmoaldetce olte ‘Ocara et 0 sen ro om, de fap, eens convent terior ape a divest componente le masv facial etl 45). Tate Semin, eoptosena bette terapetie ate dente marere = een ems ee oe — = 7 == ae ice |e free |e (oie) le Ci Totes Taio! nat a noma deno-nair [ Baten [ee | Fee | aaa ‘a | papa“ a ee ane | pate wee | mu oe ox, [2a [ages earl, | | OR |e = ae fh ‘Repreiat gpa acomallr dental in care rapontele dee tea cent ne usar st modi, Sil acestorapomai f onsite bara maxiarelor (gail, Formal ciice ale aiarmonilr Inula fn care prodomind caliatea de creglere fe datorese factor fred sau neworendocnl, Direc do ereyere = baci lor pole f infos ns de facto fonction ‘Lemania pte fi: * dizarmonitaratomie date de deavohares Ib exces sau In eta aces (progeai sun reognit natomice) sat + iarmoni fncioel ead madibul ese normal dz, far ere poilonatt In propuie sas 0 retopusie (oss su rep fnctcone) Dizarmoaile alveotare 4 dentare de grup (Aisslvcolit) Se refer I neconardnts date acadle alveoli ele sa la neconcondsa dite bra maarclor (az alel 6 prtunesalveslart (buen corona), Se tres Pecvent factor Fanon Devolars cantata erator alveolar 9 ito caer masurd forma lor este deterninats gi de fact eer san weiroendocin & eal alveolar emia schema ereditart ce pono india de divers acon (metabolic, newo-eadotn, Infector, et). Factor fusion, [eterna de restr a reader seal do migrce al gropul de ‘i otal on aera ‘Atcadele Gntare sapute mai ale fctelorfenconall detomina sestecturen bagel coro proces veal ‘Dizarmonil dento-alveolare Reflect incongriei dine dimensinen arcade bec i dimen: omen dni fed eunoscatedout fre cnc: “= fncongrucatadentoalveslar i Inghestire~ ma freevent: ~ sacongrenia dento aves ex sptes Ambo aspect lsc sant: priare— led ete impticattdimearanes mal mare sav mat ‘it dior In apet exo ect, secure wie ake anomai‘Acote avons uo cau ps set logenety, dar tence Dizarmontitedentareteolate pot fs 49 care sunt impic fain ine 28 aa tb tr de dete observins edna fat ene moro ugnostial anomalilr dentormany Derrolaes eat el eam i pa pay ese crit lies suns pense ss CAPITOLUL 8 TRATAMENTUL ORTODONTIC: PRINCIPH TERAPEUTICE. APARATELE ORTODONTICE, 8.1, PRINCIPULE TRATAMENTULUI ORTODONTIC Traamental ortodontc urmiret reaisves unui ecilibry moro factional al apart deat- mila in eae diet x tpl contro Inraportcu momenta i cae intevie, tare erodoni pot roflactic~ presenti ~ atte stl terapetice ca Indeptrea ste contsarres factor ce er puien determine entomarilare (ex. tatamente generale sjutatnie, slimentaie pnzitae,asigursca moma a fancier apes dental Vasa de eles peny ttamentil de tip roilatic su preventiv oe onde pin 6 an. Tera profile dspune de; ‘miloace teapeuce medicle goerle~ vzcarslberte totic, euro endocrine toc; 2) miloace erapenicefnclonle~ vies rorliteaes ma vstnit orofacial prin anrenameot mse, pedecnr fanonals,tndepsravea oicetulrvicionze: 3) mioace terapoutie leas co-denae~vies2 tates lesion dente;12. Fenech, at ane _cchuziei to cazut pierderii precoce « dinfilor, vee Terapia preventivs beneficiaza de: “ age pieareren rmonouctwan 3) mijloace ortodoati ae ‘vestibulard, gutiert cu plan fnctinat) ™ See fy oi ea Prin procese carioase, tau oem {stercepti—constnd ta supine ae : stole eu sepa de madifen avocite ptr recht ‘ip ued tempoar ete ps {secon dip incre ‘Sptre contr oct, etnies sandibult ~ pi sft ecletve tn spec pe Seon: stl devs nese sl cos de 4~ 5 ani, apdetind deja diastemé coast ae i cin pee step ic ag Poin istry aul de erupt al dintilor permanent ~ risen pros mnie So mas a a pa ve ag ‘in nghesuioe dente rote pee evslin seca oe Carey ~ ce te iia tunel ind snomala ene prezens ‘Trwaevtal cua, ub aspect adil anomaldentosmasae arc stl paictal owe *peeoe— fn stad ncpon le snot ia vse i ale pcm Se plaeact fate 7-19 i In aceas poiadt ‘rz et fn pli reere fr pascal prepuberal ee de Fimprtas tani I rapa teepetc.Astel pe Mag ‘ernie crite, aperture macasico-rodoatd foe: ‘al a give maxim indica + tari ~ nat evdete al somal In vse marae prcenul, So aden psindaor de educre «pte Taide cress dps 1-14 aan cae inion una watament rempune wlzates inegull arsenal rapt fuctie de fries anomnlis,Pentr sents apart i, edacrea umerict clrrgla ertodootics i chiraia gales I ‘hteefrecvent indent, Reval fal ine ao stuse de feta, co qrevenizes s9u atouares complicuilor. Ca esi biologie eopinde do le pascal entra la Sub spect oblectvlor pe are tba eating ramen oto- + stolgic ~-ndesind-tecatzeloy care generat enon eno as + mofo-inctons~ visd somalia i conseinele acess Exit mulple posit erapetc fn sbordares anomailrdetor ‘masts, Hae acesten terpin cx aparte ortodontice are 0 pondere ovsdeail: practic trent aaomaliloe dentomailce mi poate fi earl denofiunen de apa eodonc. ‘Realizarea apartlor etodentce seu a unor pti componente, le scutes vite teneant dent Pentre a ileg neces imperiaes ‘ne reall crete» apartlrertodonice sefetelenegtve cr pa {a azul nor execu incorete, imprecise, consider il euoasterea nor tapecte le free oxtodoaoe (ete tape Je enn resane a trpia vtec),#2 FORTELE ONTODONTICN Pa nee et son smureeate ‘We aparacului dento- 2 eeb Sens cn Scomningpetenaete oe men Seek Serene dealt a accents “etna tonne (evilt, meta sau combinati). on santtpintestt women en soem ure inact yt Pent 8 ose modice a sic secuon pee ‘maxilar este importants telat dint rea epresie ete mister ce ntl tmp ton aloo, se dplseact spe lanl de ocuate fa nest, «tind migear, moat cate depts eae se produce pe anda alveoli In nivelel margin bere Ete migenee sapteat cel mal cr de obit, avd vedere ct face ‘sara d erp ditch, specu pote de eric a scestla, Tots, aceasta ete 0 dete eet densa, ena oadoaice care pote dace no wectaepermaneat = sporulei dear, deowree fete de miprt st sab Stucturte petra arezsta forsee cae tn ot sou dle sin alveott.Egresines va transforma Inteags merbeant © zond de actin Cu ofr wort, contin erp sna increta, vloare de 10-25 pint, va putea stn epuneres de fest exon pe ptctele ono tesa, x S Y ig, 78. Deplsareade-a bangla ongtinal a dnt ~ Mieares de inrerhne este in ses invers precedent ext imigeares ere Intmpina maimm de resiteos din porn lth si eeastadoerece membrana psiodntlé et mate oesite acts rezsteforeoreeluzle. Toi, pn fore fontinse, ages, © pot induce rxeria 4 remade Tigamentclor pevodontale, condicind Is. mirewes de ingresiune a dna. Inwdaren dintel tn peioads de ‘bjnsts pin pieicre azestr ent de a pricipe Inerepic facade restr vera oneal «fete 8.3.3. Miscarea de rotatie - ene migcares in cae ditle se Snvite jar eat maze, 20 achisea aul capa de fre (Hg. 79). Un cp de fre presopae aplicacs = dou fre de mame eal, dar ee ‘tioned tn sensu opus, Peau a bse © igen de ot pur, Une (efor bul fe pr ae ee [La monorail, a cor riding este aproape rotund, pete scons mica, testi peidenure pemese © dseiue ulformt © flee, lt Ia pincer, ca rics ovale wi mole, miyceen de rote provoactotorsiane so acumulare de bee i uaghil de oa Tero dence revere, de peste 4, gar inverse eat, te iis mov pent ear el ur mo cemand [acest mga, arc maxim a ici se sopepane peste Gamera mic al avest rodutade-se zone de cme dage dave sos alvcla svi le Tigamencloralvelo-Genare, Acenta ee mtival pot cave De Nevreze‘oman econarca acne figment de jr mph dace poura ‘eajstareporodotal i nou pote a intel. Te are nore srs oe © procedure ring tn xml severe de oi dente Ie pacientes, 83,4. Migearea de basculare (tc asic sa verte) -este ‘© mise near corona dtl se deplaeard de putea ops eres De apt corn icon se depaseack saline fn ens Iver a rpc pune erudite fe 60) Fig. 80, Barclorea devia ‘Aptian ui tl de fre spuneligameilpecodogt a teasone pastes frei esane de pats opus fe, Ol aveola reacionerd ‘a presse pin ezoraic sau I ensue rin pace ose 8 bscarea ecotolatd~puncal e pica fa se Ia ‘trea 10m corona, cena de rt 1-2 man pial decent 4 renseott Dil ee cs crvaa a capa a ‘oxi cin fn sens overs. Un exempta pent aca tp de dela ete cul vet une lsu, ' basculares conta panel de alcatel ete plant 4s inca 5-7 mm de ceatl de resisted iret ds rote ‘te Is niet apex. Dintele se taclinh ew corona te slzecta fore ar racing, to earl ide, wo 0 depleeaea ele. Ua exemple in acest sens ete teruzes grapult owt in protic tol oe tnd aplca en 8.3.5. Deplasarea radiculara (niscarea de rereae sa tage) (tg. 81) ete 0 miecesemakoue cu mipeze de ncn, acre cron ete menus pelo, iar ridicina se depcask veatiblo-ol, Panic de Arlee eel se dept pair ctrl de roti ete deplaa corona {ade cearu de rezstens In func de deja teq-is pate produce © deplaae vestibelark a orl. Exemple In acest cons sot mize de ‘ergo produ ave ior ronal cw tora ara rectangle, Fig 81. Miscarea de torque 8.4, APARATELE ORTODONTICE. CLASIFICARE ‘ratamental anomie deoto-mualae ao ponte fi separet de tian de apart etodonc. “Apatele todomticerepresints aos const eae Bi exerctt otiuen esupra elementelr componente ale sparta dento-mstil, fe ia fre mecaoie (ata) pe eae le geaccas, fie pis moifeacea ‘4 dinjrea fortelor natal, x ul, npinipl de reveal su cnet aon actual, exist o mae vrcatesacetor constuct caefoce pronpeimposibitoclaifiae fei sstematicd dar i cupriezSoure oe. [Ein fst msi mae cet dup care se pot gropa spake erode um ef 1. model de ancora: 3 sei zoetor de pin plc forts 4 mitrsole din ere we conferonoas para8.4.1¢ Dupa modul de ancorare i rads dente, com dest de majortaen strlen cea ma sip clear, orate entodentice se npr in Aparate moblizabile ~ unt ple rtdontice, ropezetin ace socate ‘acre I acada desta ca str elemeiclor de eeorare tad fl idepate apne noice moment de ete pci Aperate mobile ~ secs apascle lipste de elemente de sacorse, mentneres lef caitea Bacal fine fn mo tefl prin Intenedia contac musa, elo propa aparaclorfnchnale Aparate fice ~ respect accle spate cae srt fixate la cada ead pre lent ce - 84.2. Dupa tipal fortel declansse spurte etodontice se ‘ropa Aparate ortodontice mecanice sau active ~ care decaseass {oxje rtodontice dup apicaren In cvs ba, chia stile fn eae apratal euto-masiar mens foie Aparate functionate ~ case destanscazh fore nami pein Intecmedil contacts mscuae, fed lips de elements de ancora; Aparate pasive care spicste i cavitaten belt fe meatin 0 siwate. existent, prevenind. iatalares enomaied dent maxilare (neajntoral de spaju), Be mein ela obtau ex ae milonce cto (apart de cones) Aparate miste — in consti sir, tn funeie de mae gi bisivel tempentce, se gisei eleente care le comer proc rmecaice, it clement cael confer alii fancioole 84.3. Dupa sediul zonelor de sprijin i de aplicare a fortelor, apancleotdontice sin: Aparateintraorate ~ 20a do spin de splice a forlor xen feteriol cai bale, 1s rae tiara ok wn = 0 a cen ate ca ce - se a cei te nena rude ae soc etn ee oa ow pea ToS (sels merc on £44. Dupii materialele din care sunt confectionate, sould sot “Aerate din matraeplastice- gui sit ito seston ‘Avarate met setter) : “arate mise components tt ae aie icone nent (iene prc arta prise fe core pe gtr ren agratelor erttontice ‘Mentionien Xt vom fos pena decries ap prim cir, ce ind, nga cea eblinit ea, cs al simpy da Sofie de gest pes nelegre,168 CAPITOLUL 9 APARATELE ORTODONTICE MOBILIZABILE (PLACILE ORTODONTICE) rene nae coe ic momen de ceeds as cen spt fos orden santos sane at ‘momenta! aplicici lor In cavitatea bueals. nee je dite cle cit aml lence ce 1 contd pope Avanaiele eparatlor mobicabite Asn le etodnice I ive ‘et re inert aa colo meas di i et hssnee a ~ out sopesctac de sees ie rected aie a ped ~ Mrs este pat sls a wea spert de 1 oaselor mance wo , adit 165, ~ alu de clement meni (civ) ls pot adluga i ‘cemporente cu ace fanctiualt min asl aris indice (ior espe; ~ ein pre iter, seyret fer et ont prin permit igen bul gus: = purtarea lor nu imped fectuorea uotmetelr odo, ~ eee element de cig cam ef surbul, po fh wcite op su felis ~ tehnien de confection este simpli ar repartile ¢ wane formes fre os desta wigs, ‘ctl acetor apa rimine matress In compare cu ale tipa Devavantajele aparatelor mobizabile: “calm mare dcavana ez ia fp pot Tide din caves bacald de ete paiet, exstnd ssl ca aesta ima poste apratal sc eatenecra = spirin wnr modifi I vet mucnese prado a Pacite oriodontce,flost nial ca aparate de cote (a jum tata scott tect) penta meniersreulatelor obits en spate xe (place Hawey, su eunescut, ncepind ex decenia lIV-le al cet so, © dezvolace extaordinar. Apatiiariflaloe sre impure aprospe teneralizare a piiloranodonic, mal als tm Europa Cental st de Nox, eoarce sunt mal ete, se confectonens wor, urea cia In ebinet Frcamentareseinifics» princpilr tata rodent prin plc se leapt de namele Ini A.M. Schvar, ca pe parcireul chor desi 3 limagist tit numercas variate de apart lemeatle componente ae pliclorotdoatce st represent de ~ boxe placi16 ~ slementede ancorare ~ nespectce (uz pic) = specifce (rg spurte) ~ temente de actin Oy— ecu = fnetionte 9.1. BAZA PLACE eqs pec pt nce sn age tt tne ces de ce scr find congo ase ‘pn carcino es aie Socal ace “Inia ex St pice aati ale a veces eager les em pia ‘orto Avid nee ef ev een col pate ‘snintesprtiel eat pset sen eet In pte dea, tsi xpos nine pnt asa adit ll spose eet pt ea net pe ep tpl since eer pn ma cet be ae, ar icra ne mente tac pat ep Fotis ft mle oli est. La mal ne a Sf ope tee n s fn e fe e Pantie cercroue om est part poet ‘nivelal frenului timbii a ress ‘ Ines epee vera nine) ast od somal eb ang pn eum ea cra eer St, nin eres sto cece mete snp pout spe! nite nr eee, tal ‘cin Bus ph i mace» se st ‘sonra eae neni eae spr onan Le ie reins hl ntl pe, ‘Siti dito mpi oy ems I ee Sto pl pte piece ter etna fa ce Sr dace oe nn tl st aes ct ‘ins ip weaned pnt asl sem De 161 Ssemeni le indian medical, baze plact seopert uncle cement de fete fum afi arcu sounds) shidind dirs de actse eestor “Grasinee baz! plicit eo alt coordonats importa, Ace tecuie te ifort bn edt pea mall da Spat mi, drs iba tons 0 dimensions eae st sigue resena aparaal gi porionarea eeespanrtone a eeailorelementelor de encores acne. Inglbares Scestcs fn groimes plc tebuie nse fact Ta mijlocal gros say ai peoupe de fe ener, ptrnzind ta ein din baz pic pi neue {asic fa shia opuatu de cttre medic pe fga de borate. Acs hucra ‘ener, mi ls, plasa nero unde fcinres oa spe oll ‘nui nveolo-denter nue oer, pent permite inca apart, Interven (lef) pe faa inert. La placa faferou, In special ln cet revi cu grab dian, bars pi ese recorandabil fie mai gros evi amt rsstees pasta Fata interna (mucosal) bet picitweble 6 vn contac ition ‘uniform cn mcoasa cimpelat masa, 8 ma prezite espera, af Teprdact toate detail anatomic. Suprafjeexerndtbvie +f Ge wtedh 5 ct msi pana, ou wecesk Fine, es deve, fra poz face ine sti ‘Been pics reieaeA din seit (emo, ft, baroplimeriza) incor so divers oles. Exist ast posbiiate inserti sacs ror miei elements Muorecente sau ago colorate de aimale, pst, fate, ‘She dun spect plc, prea sparen, marind ancl de rae ale Scestui. Baza plcior rtdontice pote leat din dows sau ma male Fragments unt te ele prin cement de action (nodal desetone tle bari pli in care era 4 areca fertelor ertodoatice vor ft detne {asuteapouldetinat clementelor de eine), Line de setane treble respecte desenl si exploitinyIrotowe di ext. le subi tangante, ist, nd eliza ups confeetionsres pest 9.2. BLEMENTELE DE ANCORARE ALE PLACILOR ORTODONTICE. Ancora est clement sca a concepereapiclrotsonie, Geen dpinrnd in mod diet ficient rape prin acest ip desparate feoca cue apa de ancora ele mal mare, xa fice este a16 reset. fn gener, ona do ae ar ee recomandabil fi al ae 2 20 de side, _ Ameer picllor crtonice tebe sl indepinssct anumie ue insta opt ee a vents tt me cee eg et 3. 8 aibt o amplasire ei nl ancrany pesca ee ‘stabilitatea plécilor; acne ‘open tnt cet cape docs, 5. in conde cone tence dea te nn eit ena oa ‘sen mde eames Guafemmadersianec ee Some semmas ~necce nf—p o set ‘orale ale dintioe i lt ertodonti element dn meal) ue (element seri) 92.1. Crogetete Cor ne “Sr i Re me ees anh st a ea on = erogetul i lta” a si a a at mao ‘tea a pes = eget Js croft inp ~ oj sing motes 2.2.1. Crosete care folosee peniru ancorare reentivitatea triunghiuluiinterdentar Crosea Sth (rosea tn pleatard, cu pelt, tn bua) ate cel msi smpla yi msi feovent wit, siguind lice ‘nadootie o fear bond sable (i. $2) Dat ied fat ex incieca dentare nsens ver, oe Ese un eroget usr de confinat eat arn ea de detrorce spouts nlocul dec a eavitate bal ‘Acest eset se compe di: ‘creates era (0g: 82 8) cae oie spas, respetv ules acivs sb forms une acl rote a cel deasune ‘yaiazt fn fine de mtrimesisanghiiel nerdy, id postions sap pancl de conact. Dutt forme! reunite, pelea mu folosefle Ip ttle retentiviaten enonghils imerdenta, ci dae aonelesubecusori oferie de hile ~ 0 parte interment (fg. £2 0) (8 lpi ee bl ‘eteate) ene Tncles steada dente prin niga masticSES se eS emma enone rnc ne AH apie pe Be eae re dents acai respec ga a 848) ~ exrentaes renna et e comts, ee a mrteir a cee (x cone ums ‘ me Sibir ; ‘Aceasta se compune din doi umeri (rmezial 6 S=PSSt sat San cu ate pltrunde in bara pi in demi. se compu ie Crop seis doi gi ‘Goad one ws comet on ee proximo esl Be omens oboe) i me inti vecini (la nivelut zonelor subecwstoriale) sii wn viet ce os cengiee nen a pa ‘patrunde in triunghiul interdentar, sub punctul de contact. cena dn MCD wn ry ae SN end in Ferre pate ave na aaa ma te lg elma lost egies moon, ft esti {filnd cel cx dowd sigeti. ‘Westibular 53 ac Pe lings ancor ward sub gee contectic ‘ne de oralizare w dintioe amar so? Pt beatul elastic = partite (conexiuni) intermediare (fig, 84 ¢) care unese sige Honea ot cin stem de 07, a "* Afi in vestibuloposie, Se ‘tre ele pial eSror nuns este dependent de mumaeul sigetilor. P88. Crosend prs "mb ec) dere sia Crepe tn dees Fig. 84. Croset Schwarz — vedere veribulard gi vedere ocluzald Este asematior ‘cle (peor) cae we fore Sih ‘rasa cle al crops Schwa co oat sige exe uma: 8° forma una tae pine pele iad stuns ta pul eae petal ite cain ene Hescet ite fe 12: distal de matarul eo iii ose nae roftads tay EASE da) vrata pin spatial dgire molar de 6s ct de 12 ani un dit q Secontecions cant Petals snstonaag, eh itr. Ge talc ma creole 12 ao ent os sls oa aan na tee te 6 ld a a tron ap Varin de dimension 0 Fest prefabicat ine ‘Gre pemolra i orl e 6 ni tvs Cem Starrett ty Bs sat ict pial ert al Exe ur con pe arnt eet et es nn sme sare ara peck pin cuanensnet FCCC Utlizay, avang Setvrocr ar pee plano de ocluzie aul vestibular, _ anc actin ent A tbe cape Si ain tt tt ae ‘SH enice. Ca pec fe sh ctv oe de weg interest ct a ral saben le lr prone melee 2 4 in vec‘win dio cur pcs acacoeo er el omit nd erst dies ee tr tin eres deers hci sete ac pea se deine de cy Ss confections din en de wpa cates 0.7 wm eu tert ol lee sia pSchnar (elet ete presi pe fe eee inte io rea nga, pent sae toe loreal Scheer ae cv ml Incae de fracture fiocuiren st neces supciarpremne nem "ep in cabinet exe pen cu cece pois ne Cpe evan eer: 5,86) ng ° PaO consti rope Schwa, floc etanet cand leet conte suit laren sor op mei a eters de crojtil In sigeath (Geet In: mul es Fig, 8S. Creal Sc @ Shar tn remsagets (vedere vesiular) ty, ee ease mils digo, eros pesinié uma stat ‘Aaah omens mri ex In dns de feria resanan ‘rsa of ta acon, onesies dls scones og Ww pe cae inconjoct cope (fg 86.A), Peat depanes “Gas roger preins wntcl stat meal, coexinnesmezal ind to ‘contac ffeil» premolar un, a conexinnea tena distal Trditacs de fa sé «uRimal dine fcadat de erojet (ig 6.) By ® tn ig, 86. Crop Schwere semizagaia (vedere ocala) Sub aciuen act cot exe posit ota node dite spas eeplsii fra ontdoctics find doar dingpre vestibular, po fan roxio vestibular a dst, Pests » Smpledia rotjin secundaed ext ‘blignode o contafo orale. Aceista poste fun are secunda nine seu, ace in contact ct aca! fit pcximal a ina, dar disp orl fn ‘zeta de deplore, fle sts za piel, eu aclag cont inti ex “inet, pe cae medial va fce fue pera laste ds. Atel incl este ations fr seas imp vestbue gical ig. 86.51) 9.2.1.2. Crosete care folosese pentru ancorare retentivitjile ‘anatomice ale dinlor roped Adame (i 5 oloee peste see dvergenta etre elu feeorapoximale tle dine, Ese indiet peat ancoraren spsratelor ontodontice, co pedilegie peat dng iol (a special pe molt de 6 ank pease ‘mene pe poi or, fpedicnd migrrea mai ales mezal, fa ieteile ecooe se zc de spin trsporare)- Pot fst utlizat gn sitanile ‘nie ate asaele deste st intgr pe din incomplet erspi su pe tin tempor cae oft retentvitte descbit ses medidans we Fat 4 2 pr ae Fle, 87. Cros Adams — vedere ocuals; vedere vestibular a ot ae ojo atl, cu atl epete pe ‘viind urmstosrele pari componente (varianta clasio): me ou rr coe) emia est Xe sled pe exe oe aneets wens Bs nd de rene car parang ntsc ee ~ su ple fase) iste nwae fo esta * sot le dita Recne peo see a ee ahs al carl vit au tetas af ape consi ctl ena = mre shen sta ea) ~ & pare (concn) coral ewe eed pel a sive ene agate sean ee pare dooce cea th ty 7 ose Ade ceonet el sia Sel ete cose sii MM moa, "> Crop oma pel nei an trp 88) ee cea na et comps fn ate orotate Inacators pelt decease ohne ‘mezio-vestibulart @ molarului incomplet erupt. weet CSO is, 88. Cropt Adams oxo pelt (up Adams) Cropland acto Adan pn enue modi ie fone ae poe ffs pena nctnen una ie sau px acs Internals (clement delapor de fa Kind teal de eave), Aces ‘iets pot nee ua dt plots, ae poate cofeetl pric aoe agit vbr pri cu ucts (ig Be. fe coneiann vet ‘etal in mila cas poste rar 0 Del rear ss ses shoue eget Schwarz (fg. 89 Pe aca eooexune cena, cla ‘opm pti pin ear cp, ton su tbaour conse ig 890), ig, $9. Crogete Adams de tractus dpa Adam): eu cl aunt 1 bul central eu cle Crogeal Adams apie pe dol dint vec: conesiunes cot lucid pest spatial nerdentar determin do cet odin ‘Cre Adar se confeionsrt din semi de wipla elastic, cx iametu de 07mm sa din sr de Oram peer eoytele de pe dni tempore, premolar, se la indcai mee ‘Croce Adams a0 sess 9 pefarcate, pe mami dere I funiede iia mesi- dial a dni Cropetl Jactzon te un erogetinelareae, n ciaa fopsi ct ofet o band tine ‘clr etodoetice, 6 folaete dest! desu (i 90) Fig. 90, Crot Jacaonalin. Li nivel nl oo mie care. emit bere 2 aan cae adc impectae a subecustoisle pe fe m “tba, La ive fej wetblre ca oa prorat fret o mie bool Ini sp cervical de I~ 1.5 mun lls de 1mm, devennd pena kis ime rapraccuntaril Pariuscasobecusioalt st bel i eonfers ncoraefmbursis: bela id un rd mal mae de eat, oda Sfernd posbisen de activa adapt sport ‘ig. 92. Crosee simpli modincaten vader oluala ‘Are scles india cx gi erst simpla si se confetoneza din sem elated diametal 6 0,7 mim, Inet etodontc alia etait ancorte aprtlor motiiabile propre a fost ineadrat in aciesi grup datos struct see metaee. Inerevind dintle pe treimen sn medic (oa o tandlets) oft @ bunk acre pie traf ave de contact eu ace exe nda siti cnie fn ewe exit in iol firs tenis eastomice. Sliarizarea inca bra lie se face pen lobar fn aeastaeaetle tbls, cae se adn dps © model ef mai festa I orl diel lr extemal se eonformenzs pero retenticcoresponzatoaein cena fore Incl ertdontcasgurind o ancora buns, ete urat m ala pe i ica i en prt la disjantore, 9.2.2. Gutlerele Sunt considerate, de multi specials oa mai ecient modaline de fof cluzalso vesbatars adic Intern contact tim ca opaftele desterm rect wet gio hie rica mevoioga dno po Se 8 tr pone eens a ts ie ‘macgionl,rimfnind la © distaold de 1-1,5 mm de el * Pile vile pot cottons ae eee clg eternal in nine socieoce ec ae ‘santulul gingival, se face o foiere fina, ae Pe Mes anconres fore bus, pte dau poskiitaten > mei ais provisos de oli deren stadt dete ci slut areolar Gi ctozh tetnte, Mandi pose etl ea ~ post pontiac etna) oc nema tia rosea) in poce nome 2 ft dete de ete cs te ands tess bir in gu, sd nestope de gud Stim dot. care vor evolu pe verical i leuindsercens ‘ue hes ps hones fst Se ~ sora mith peo hema ner in gtd ar an ns Se) see "es rodontie acer prin gee pt hee deo leet de ton tarde cel ce ned stolen weal Coy Dis pet deve ti, gute fet sana uso pu ome nab fe neo de interpre peg ee 9.3 ELEMENTELE DE ACTIUNE ALE PLACILOR ORTODONTICE mere de time apie etadonice nee cae fortele ortodontice. Ele se difercatiazs in: “a slement cu acne mecaner-otetontt dhs oto ‘scl Cots, verre, a elemento cu ace funcional plan clit, seal Hagel 9.3.1. Elemente de actiune cu proprietii mecanice 93.11. Sarubul ortodontic cl mal fl clement de cine fort gia ca protip fora cd ke Angle, econ de dots jin et Sten Fora cnndonca pene odeclanes ae tn exact ventas Inne elaneuor comport le para ean cu ae ple vine contact lnensitaen sel ee eit pent iid rere Intivt gor, igamentcr holo dtre peso eo ela a amt pei cit eae pr de element de sae esa grb {nd tte bin clea vee i, ‘Situs oadonce eps eo am extrem de vec cst conte tite nd rl fete pat dnt Sura orodone de dare cle pet lace sper 2 cerpane in 90 eed re eae (93) cae ene dps fel otc eecepitnd fag pal ~ dou ied hd Cg 8) ae ence ples cena pnd cae nan tet rtd Ta eae ea Inn son se doplr late ele plane ~ icin ler Gg 930) we Set cla st tances ines wath fe eat. Zonn cena ein eta ee a Yelaminne ee abu edo prea pepe Gil, pmol eta et eee (shee seid ce est ae aah) Sunbate teue su a ng rove et pi Asc dot stone spre) ae nese oi i Serr eae ee mini me 3 mt Sint cep de" tas an le os ana i ral cre rb Para lee eel eat et lo eaecomps on jit se onc prope alo a tent etn ek Ossnn jas a Santee es 9 pra (rc coma din se ves ces tps panda ncn cnm nt lions (crash rte Bose), igo’ Wat 9 Poe esa ee matin rin get di pla ck i vr et oe ca ‘tc nc ete, op eees na ‘baza pic o stgestl care indics x ti pi ce ives re pt (© sigeatd prefabricatA din plastic colorat. vs ” 6 ty ig 95 Surublortodontic (a ame lateral, bie de ghia, cfr) teat prude dare se mi ‘suruburi, dintre care amietim: aammaee ‘reba tn ama tare prvi evo ala. Testy Uege edominnt atacand I apt ane ca {cull fom dV, Acct up de Se ee nn eeeee ‘construcie fie ea dows piese distincte. me Fis, 94, Sub» balan sinetriceatlog Leone) 1 7 grab alana pup asimctic cx variant precedent, cu bra neg 95), ef ‘Fig, 95 Sur balama asec dito singurd piesa (catalog Leone) surubal de deplaare segmentrd ~ 0 ice exist fe dos ete esi de dplesae, cel capi ind Boca, pein stvarea sorb se pimeazd fngmeatal cae conte etl, respect fagmentl mic (Be 10). Se foloee peta sali dente. Fig 96. Serubwr de deplore aun grup deg (atlog Leone) urubul dachis (de ichidre a rater) ~ co 0 prove fost ross in plas pe zon atv on el realizczInhiderea unr spat “enate sn edentate prin plasters dope rita proimal ig. 97 e, Fig. 97. Sur de ncdere a sptilor (catalog Leone) purubutcompus monomarilar (seu tridiectional) ~ rn fom eT, cu ane corcoment pe wansversaa gp saga asta pnt avee dou puncte de ative pent Lrg simetied a acadchSimp 8 svnace spel imi aa a pace esa pea staat asinctic Secae sector laparaa puted aun nonin Im peicade de imp iets ‘urabat compus bimaxiler ye scivt dts a mass manda | Rr monodentar~de spec uns cine Intron ela Insirbszt 0 tit ee in conti! ea fs omit tae estbulartindol ete float aia i, 90h 0 egies amber arcade: pote fi Fig 99. Sous pera dsunctie(eatlog Leo) Serb pei oul unde ee apt src de nee, de am Me Sectoe a baat si confert peor ono: mai ai de stone. Ase, dict ete neces, Ta ai i Sonic ve econ is 0) Fig, 100 Laie simenica et tot teaeverl, placa Large asmerica ~ arb ete some ‘ind sccinat panmedian, lagen mic cap cet unmet f deplasy ig. 101) Pig, 11. Largve sine. sein cat - pe tm mnie rt ep in i, font rapex", (fig. 102). fons ape Fh. oD setae inrapes pena deplaareseneroart grap! nt= leptasaree spre vetibdar dora premolar molar de ‘pee heniaread: in siulacn paral star meso fale; girbul vf plasat tt ereneverial iar seciues v0 sector nL") rgmestl mie coprinend mama seta respectv (i. 103). ‘ig 103. Sectane seca eu deplsorva vestibular a premolar ~ laine sector ~ pri images utr inesivo-anine + tml ot a ech pon gabe tro ect saga, ma exct plant pe rafal mia sete, bel ple ~ cciae dentist cw cea dn igor aterour, speci In "ig. 104) ig 104 Seche sectorila en dstanarea fragment me ~ epasara vestibular dar sata ein siulren pai » ‘tui mediopalatine ya ce iniivo-caiae = pont ene sorbet plast ble eu cit ectine abe, cu geo ‘tebe dela copa fragmenta mic (95105) is, 105, Deplararea vestibular dita fhgmentat mi. a ses Targre radars arcade (vst ens), pin simularea ttt toedl-galaie 4 incsho-asie, tere pli ete Sections fn Y, find prviat eu dovtgarabuc afeateoblic In ana can piel premolie#ewe formes mpeuns un ep 90" 105) LiF AN Fig 10 Scenes or arcade = larsive predominentantriard — se foloseqt gual In ‘lima eines psi ind p nla median (8.107. Fie. 107. Lirie predominant an rioara ‘ura bala’ din dou plese = tnchidereasptilor se olsee survbue speciale desc, core acioneays pein mca de rezone poz oscas, tend ft ete paren ce soneand a Fdepast,setunes plc ind sects ig. 108) Fig, 108, nchidereaspnitor