RESULTS CHILD ORTHODONTIC REHABILITATION WITH CHRONIC OSTEOMYELITIS MAXILLA HISTORY OF

Abstract

Chronic osteomyelitis in children poorly understood disease. Moreover, insufficient data on patients’ rehabilitation, it underwent. Chronic osteomyelitis is more common in the age of 8-10 years, the more interesting the clinical case of rehabilitation of the child who has had chronic osteomyelitis of the upper jaw to the right at the age of 4 years. In most cases chronic form of osteomyelitis in children occur соmplex dentoalveolar deformations, facial aesthetics violation. To eliminate the disease apply complex orthodontic and surgical interventions, dentures. We explored the possibility of forming a physiological ratio dentoalveolar arches using orthodontic rehabilitation of a child who has had chronic osteomyelitis at an early age. Monitoring and treatment of the patient was carried out at the age of 4-15 years. In the treatment of used removable orthodontic appliances replacement dentition defect, non-removable orthodontic appliances, orthopedic extraoral traction. For the control treatment and the results of the analysis were used different types of X-ray examination: a panoramic picture, computed tomography, as well as calculations of models of the jaws and face and smile detection photometry. During treatment persists infantile type was eliminated, to form a neutral type of jaw relations, create conditions for the eruption of permanent teeth on the modified disease right half of the upper jaw. A detailed analysis of the results showed that the effectiveness of orthodontic treatment depend on its early start, the sequence and scope of the orthodontic treatment, care, timeliness, as well as the activity of a doctor and patient cooperation.

Keywords

malocclusion / osteomielitis / children / rehabilitation

References

[1] Дьяченко С.В., Авдеев А.И., Дьяченко В.Г. Экспертиза ятрогении. СПб.: Лидер; 2015.

[2] Rikhotso Е., Reyneke J.P., Ferretti C. Osteopetrosis: literature review and report of three cases. SADJ. 2008; 63 (5): 302-7.

[3] Schnabel A. Unexpectedly high incidences of chronic non-bacterial as compared to bacterial osteomyelitis in children. Reumatol. Int. 2016; 36 (12): 1737-45.

[4] Renapurkar S., Pasternack M.S., Nielsen G.P., Kaban L.B. Juvenile Mandibular Chronic Osteomyelitis: Role of Surgical Debridement and Antibiotics. J. Oral. Maxillofac. Surg. 2016; 74 (7): 1368-82.

[5] Berqlund C., Ekstromer K., Obtahi J. Primary Chronic Osteomyelitis of the Jaws in Children: An Update on Pathophysiology, Radiological Findings, Treatment Strategies, and Prospective Analysis of Two Cases. Case Rep Dent. 2015. doi: 10.1155/2015/152717.

[6] Хорошилкина Ф.Я. Ортодонтия. Дефекты зубов, зубных рядов, аномалии прикуса, миофункциональные нарушения в челюстно-лицевой области и их комплексное лечение: учебное пособие для системы послевузовской подготовки. М.: МИА. 2010.

[7] Персин Л.С., Елизарова В.М., Дьякова С.В. Стоматология детского возраста. М.: Медицина. 2008.

[8] Алимова М.А., Персин Л.С. Разработка стандартов оказания стоматологической амбулаторно-поликлинической помощи больным, страдающим зубочелюстными аномалиями и предпосылками их развития. Ортодонтия. 2012; 1: 44-5.

[9] Ferretti C., Rikhotso E., Muthray E., Reyneke J. Interim reconstruction and space maintenance of mandibular continuity defects preceding definitive osseous reconstruction. J. Brit. Oral. Maxillofac. Surg. 2013; 51 (4): 319-25.

RIGHTS & PERMISSIONS

Eco-Vector