The use of myofunctional devices froggymouth in the complex treatment of patients with acquired maxillomandibular anomalies on the background of oral habits
DOI:
https://doi.org/10.33295/1992-576X-2023-5-46Keywords:
Sleeping Habits, Tongue Habits, Cephalometry, Myofunctional Devices, Labiotherapy, StressAbstract
The aim of the study. Improving the effectiveness of the complex treatment of maxillomandibular anomalies among the patients with pathological occlusion, existing primary swallowing and oral habits.
Research methods. The cross-sectional study involved 45 relatively healthy children and 180 children with oral habits, maxillomandibular anomalies and oral habits. A clinical examination was conducted, where an important point was an extaoral examination, determination of the way of swallowing and breathing, determination of the condition of the temporomandibular joints. The patients were given a secret questionnaire in order to identify stress factors that affect the body. The relationship between the presence of a stress factor and the appearance of changes in the maxillofacial area was studied. The results of the cephalometric study were evaluated and compared with the results of the clinical examination.
Scientific novelty. The results of the examination and photo report confirm pronounced disproportions from one jaw, where there is located an oral habit. The use of FroggyMouth (France) myofunctional devices in the complex treatment of children with maxillomandibular anomalies against the background of oral habits associated with primary swallowing is a necessary step. The results of a cephalometric study confirm the presence of an acquired rather than a congenital deformation of the facial skeleton. It is indicated that after the treatment, the cephalometric characteristics of the jaw bones and the muscular apparatus normalize in patients.
Conclusions. Our study showed that oral habits are often the result of primary swallowing, which is important for the formation of a bite, and stressful factors in which the patient lives stimulate the progression of the oral habit. 3D cephalometric examination should be included in the basic methods of diagnosis of acquired deformities of the maxillofacial area. It provides the doctor with an understanding of whether the patient has a congenital or acquired deformity. The treatment plan should be etiopathogenetic. Myofunctional devices are aimed to form new swallowing skills. Cooperation between the doctor and the patient is very important. Taking into account all stages of labiotherapy should be included in the complex treatment. The results of a clinical and laboratory study show the effectiveness of using FroggyMouth devices in the complex treatment of patients with maxillomandibular anomalies against the background of oral habits.
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