Молодежный инновационный вестникМолодежный инновационный вестник2415-7805Федеральное государственное бюджетное образовательное учреждение высшего образования "Воронежский государственный медицинский университет имени Н.Н. Бурденко" Министерства здравоохранения Российской Федерации7224Conference ProceedingsTREATMENT APPROACH PATIENTS WITH DISTAL BITE, TAKING INTO ACCOUNT THE TYPE OF GROWTH OF THE JAW BONESErkinovnaGavhar Aripovadr.aripova@mail.ruhttps://orcid.org/0000-0002-7374-9827RasulovaShakhnoza Rasuljanovnadr.rasulova91@gmail.comhttps://orcid.org/0000-0002-7060-2168Tashkent State Dental institute30062022114144151002202216032022Copyright © 2022, Erkinovna G.A., Rasulova S.R.2022<p>The aim of the study is to conduct diagnostic studies that allow us to scientifically substantiate the development of an integrated approach to diagnosis, taking into account the component of vertical growth in patients with distal occlusion.</p>
<p>Correlations of vertical and horizontal ratios of the jaw bones have been revealed, which will allow the orthodontist to predict the likelihood of aggravation or self-regulation of the problem. Thus, the conducted diagnostic studies allowed us to scientifically substantiate the development of an integrated approach to diagnosis, taking into account the component of vertical growth in patients with distal occlusion.</p>distal bitevertical growth typeprognathicanthropometric methodcephalometricdiagnosticsдистальный прикусвертикальный тип ростапрогнатическийантропометрический методцефалометрическийдиагностика<p>Distal occlusion, being a common anomaly, has a negative impact on the patient's psyche, contributing to impaired speech, chewing and facial aesthetics [1,3].<br />According to various researchers, the successful treatment of distal occlusion is directly related to the condition of its development, including the type of growth of the facial skull [2,4,5].<br />The purpose of the study: <br />To substantiate the tactics of treatment of patients with distal occlusion, taking into account the type of growth of the jaw bones. <br />Material and methods of research:<br />43 patients with distal occlusion of the dentition aged 12 to 22 years who applied for treatment at the TSSI Orthodontics clinic from 2015 to 2021 were examined.<br />Patients with distal occlusion were divided into 2 groups:<br />Group I patients with vertical growth type;<br />Group II patients with horizontal growth type.<br />Clinical, anthropometric, photometric, X-ray cephalometric methods and their statistical analysis were used as research methods.</p>
<p>The results of the study In group I patients, through the Kim ODI indicators (less than 74.5 6.07), Jarabak ratio (less than 62%), Jarabak gonial angle (more than 122), maxillary angle (more than 26), lower gonial angle more than 77, a tendency to open bite was determined.In group II patients, the above indicators were noted with a tendency to a deep bite with a low angle. Based on the cephalometric indicators of patients of the first group, the flattening of the occlusal plane, its rotation counterclockwise stimulates the movement of the lower jaw forward.In group II patients, the clockwise rotational inclination of the occlusal plane contributes to the displacement of the lower jaw back and down and further deterioration of the anteroposterior ratio of dentition and jaw bones.</p>
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<p>Conclusion.Based on the results of the study, taking into account the type of growth of the jaw bones, we can draw a conclusion that allows us to develop tactics for the treatment of patients with distal bite, predict the likelihood of aggravation or self-regulation of the problem. Resume.The conducted studies allowed to substantiate the approach to the treatment of patients with distal occlusion, taking into account the type of growth of the jaw bones. Growth factors determine the likelihood of aggravation or the possibility of self-regulation of problems in patients with distal occlusion of the dentition.</p>[Вакушина Е.А. Распространенность, диагностика и лечение зубочелюстных аномалий и деформаций в подростковом и юношеском возрасте / Е.А.Вакушина // Автореф. дис. канд. мед. наук : 14.00.21 / Ставроп. гос. мед. акад. Воронеж, 1999. - 18 с.][Зудина М.Н. Тактика ортодонтического лечения детей с дистальной окклюзией,обусловленной нижней ретро-и микрогнатией / М.Н. Зудина // Автореф.дис.канд.мед.наук: 14.00.21 /Моск.мед.-стомат.ун-т. М., 2000. -24с.][Меграбян О.А., А.М. Конькова. Особенности лечения пациентов с дистальной окклюзией зубных рядов в различные возрастные периоды обзор литературы) Acta medica Eurasica. 2018. № 4 19-20с.][Насимов Э.Э. Диссертация на тему: « Совершенствование методов диагностики и лечения дистального прикуса» ,ТГСИ, г. Ташкент, 2019г. -9с.][McNamara JA. A method of cephalometric evaluation. Am J Orthod. 1984;6:449]