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EXAMINATION
P R E C E P TO R : -
Presened by:-
D R . PAYA L S H A R M A ( H . O . D )
Kumar adarsh
D R . S H A L A J B H AT N A G A R
It is very well known that normal function of the stomatognatic system
promotes normal growth and development of the oro-facial complex.
Improper functioning of the stomatognatic system can result in various
malocclusions.
Br-Bo=rotational component
MMr-MMo=sliding component
Evaluation in sagittal plane
Class III malocclusion
Mandibular prognathism-true/pseudo
forced bite
Pseudo forced bite-those true skeletal class III
malocclusion where,due to partial dentoalveolar
compensation of the skeletal dysplasia in the anterior
region (labial tipping of the upper & lingual tipping of the
lower incisors),the mandible occludes at the end of the
closing path by means of an anterior sliding action.
If one reconstructs the tipping of the anterior teeth in a
pseudo-forced bite,these cases have a pronounced
negative overjet.
Evaluation in vertical plane (Hotz &
muhlemann,1952)
Evaluation in transverse plane
LATEROGNATHY LATEROCCLUSION
THE PATH OF CLOSURE IS THE MOVEMENT OF THE MANDIBLE
FROM REST POSITION TO HABITUAL OCCLUSION.
ABNORMALITIES OF THE PATH OF CLOSURE ARE SEEN IN SOME
FORMS OF MALOCCLUSION.
Mirror test.
Cotton test.
Water test.
Observation.
A double sided mirror is held between the
nose and the mouth.
Fogging on the nasal side of the mirror
indicates nasal breathing.
Fogging towards the oral side indicates oral
breathing.
Fogging on both sides indicates oro-nasal
breathing.
A butterfly shaped piece of cotton is placed
over the upper lip, below the nostrils.
If cotton flutters down, it indicates nasal
breathing.
This test can be used to determine unilateral
nasal blockage.
The patient is asked to fill his/her
mouth with water and retain it for a
period of time.
While nasal breathers accomplish
this with ease, mouth breathers find
the task difficult.
References:-
Graber T.M,Rakosi T,Petrovic A.G;dentofacial orthopedics with functional appliances,2nd edition
Rakosi T,Jonas I,Graber T M;color atlas of dental medicine orthodontic-diagnosis
Xubair,Graber,Vanarsdall,Vig;orthodontics current principles and techniques;5th edition
Okeson J.P;management of temporomandibular disorders & occlusion;6th edition
Rahn A.O,Heartwell C.M;textbook of complete denture;5th edition
Thank you