Limme M
Centre Hospitalier Universitaire, Institut de Dentisterie, Liège, Belgique.
Acta Otorhinolaryngol Belg. 1993;47(2):197-208.
The diagnosis of dental malocclusions and skeletal deformities associated with an oral mode of breathing, requires a comprehensive orthodontic examination. The importance of dental occlusion and the skeletal morphology is stressed. Lateral sliding of the mandible when the centric occlusion shows the first contact in a cusp-to-cusp relationship; unilateral or bilateral cross-bite, due to the underdevelopment of the maxillary; the sagittal relationship of the jaws (class 1, 2 or 3); a vertical excess of the anterior facial height with postero-rotation of the mandible and open bite context. Cephalometric analysis provides a better understanding of facial architecture and allows a quantitative and qualitative appreciation of dento-skeletal dysmorphism.
诊断与口呼吸方式相关的牙列错颌和骨骼畸形,需要进行全面的正畸检查。强调了牙合关系和骨骼形态的重要性。正中牙合在尖对尖关系中显示首次接触时下颌的侧向滑动;由于上颌发育不足导致的单侧或双侧反牙合;颌骨的矢状关系(安氏1类、2类或3类);前面部高度垂直过大伴下颌后旋及开牙合情况。头影测量分析能更好地理解面部结构,并能对牙-骨骼畸形进行定量和定性评估。