RESUMO
BACKGROUND: Occlusion alterations can be associated to bad habits (such as thumb sucking, oral breathing, atypical swallowing and labial interposition) which can lead to functional anomalies. CASE REPORT: Three cases are reported with the good results of myofunctional and orthodontic therapy. CONCLUSION: When there are bad habits, orthodontics should be combined with a myofunctional therapy.
Assuntos
Má Oclusão/terapia , Terapia Miofuncional/métodos , Aparelhos Ortodônticos , Adolescente , Criança , Feminino , Humanos , Masculino , FonoterapiaRESUMO
AIM: Bad habits result in altered functions which with time can cause anomalies of the orofacial morphology. To solve these problems, orthodontic treatment can be supported by myofunctional therapy in order to recover the normal functionality of the oral muscles. The aim of this study is to assess the need to treat patients with neuromuscular disorders, from both the occlusion and the muscles condition approach in order to obtain the balance needed for the stability of treatment. MATERIALS AND METHODS: A sample of 23 patients with atypical swallowing was included in this study, some of them presented thumb sucking and oral breathing. After case history collection, in order to make a correct orthodontic and functional diagnosis, correction of anomalies was carried out since they could compromise the success of the therapy (maxillary contraction, oral breathing, and short lingual fraenum). Then a different therapeutic approach was applied on the basis of the specific dental features. RESULTS: Both from the diagnostic and therapeutic point of view, important results were achieved especially through muscle analysis with dynamometer and surface electromyography. CONCLUSION: Orthodontic therapy, in the presence of bad habits, is not enough to solve orthodontic issues, it must be combined with a myofunctional treatment. The success of the therapy is granted only when patients and their family comply with the treatment and all factors which can prevent success of the therapy are removed.
Assuntos
Transtornos de Deglutição/complicações , Má Oclusão/etiologia , Hábitos Linguais/efeitos adversos , Adenoidectomia , Adolescente , Cefalometria/métodos , Criança , Pré-Escolar , Queixo/patologia , Eletromiografia , Feminino , Sucção de Dedo/efeitos adversos , Humanos , Freio Lingual/anormalidades , Freio Lingual/cirurgia , Lábio/fisiopatologia , Masculino , Respiração Bucal/complicações , Contração Muscular/fisiologia , Dinamômetro de Força Muscular , Tono Muscular/fisiologia , Terapia Miofuncional , Mordida Aberta/terapia , Sobremordida/terapia , Técnica de Expansão Palatina , Planejamento de Assistência ao Paciente , Fonoterapia , TonsilectomiaRESUMO
AIM: The aim of this study is to report three cases that needed myofunctional and orthodontic treatment and the good results achieved after the therapy. Orthodontic treatment alone, in presence of bad habits, is not enough to solve the orthodontic issues, so it needs to be combined with myofunctional treatment.