Osteopathic correction in combined therapy of patients with dentomaxillofacial anomalies

Goal of research - to evaluate the results of combined therapy of distal occlusion in patients aged 6 to 12.Materials and methods. 30 patients aged from 6 to 12 with a dentoalveolar overjet were examined. Patients were divided into two groups (main and control), depending on the treatment used. In the main group (12 cases), combined therapy (instrumental orthodontic and osteopathic treatment) was performed. In the second group (18 cases), only instrumental orthodontic treatment was performed. The study of sagittal and transversal parameters of teeth and dentition was carried out on the cast models of jaws. X-ray examination (orthopantomography of the jaws and teleradiography of the patient's head (lateral view)) was performed in order to determine the reason of the occlusion anomaly (slightly distal position of the lower jaw). Orthodontic treatment in both groups was performed with the help of the Fränkel Functional Regulator Type I. Patients of the main group underwent osteopathic correction according to the following scheme: once in two weeks during two months, then once in three-four weeks, in accordance with the individual plan.Results. Patients from the main and control groups had the same initial level of somatic dysfunctions. As a result of combined therapy in 8,0±0,3 months there was a positive dynamics in changes of anthropometric indicators, face profi le, and posture of patients from the main group. The number of somatic dysfunctions decreased. In the control group, similar results were obtained in 12,0±0,5 months. Thus the treatment in the control group was 1,5 times longer (p=2,61, p<0,01).Conclusion. Osteopathic correction signifi cantly reduces time of treatment of dentoalveolar overjet caused by slightly distal position of the lower jaw. Correction of dentoalveolar overjet decreases of somatic dysfunctions.

зубочелюстно-лицевые аномалии, остеопатическая коррекция, ортодонтическое лечение, функционально-действующие аппараты, dentomaxillofacial anomalies, osteopathic correction, orthodontic treatment, functional regulator

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