10254
In orthodontic practice, special devices are quite successfully used to correct severe bite defects.
This is especially true in cases of mesial anomaly. Face masks are devices with two support clamps. As a rule, one is attached to the frontal part of the head, the second to the chin.
The Dilyar mask is a popular design of this type. Effectively aligns the position of the dentition. The arc is attached to the organs using threads that provide the necessary tension force and control the reliability of the device.
Indications
The device belongs to non-oral dental models; the need for their use is determined by the following indications on the recommendation of a specialist:
- mesial deviation of the bite with a pronounced anterior position of the lower element of the jaw row;
- correction of abnormal tooth fragments;
- inhibition of development and growth of one jaw relative to the other;
- as an additional therapy option when undergoing a course of treatment with braces.
How does such a system work?
The system is quite simple - in the chin area and in the forehead area (maybe in the forehead and cheeks) unique pads are installed that act as supports. Between them there are vertically located arcs made of metal. And intraoral arches, loops and hooks are already fixed on them. Correction of the position of the teeth or one of the jaws is entirely carried out by tension.
“A face mask as an independent device for the treatment of defects of the dental system is usually prescribed to children. To solve such problems at an older age, it is used as an additional device that can be prescribed by a doctor during a course of treatment with braces. In such situations, a mask is usually used to correct the position of the lateral teeth. The duration of the course usually does not exceed 4 months. There is no need to be afraid of such a device - it does not cause any pain or particular discomfort, while helping to achieve excellent results.”
Potapov Dmitry Sergeevich dentist-orthodontist, work experience - more than 8 years
You don’t need to wear this design all day; you don’t have to send your child to school or go to work with it. To achieve the desired and at the same time lasting effect, it is enough to wear the system for 10-16 hours a day - the exact duration of wearing will depend on the degree of complexity of the anomaly.
Contraindications
The main contraindications to choosing this option for eliminating bite defects are:
- age of the patient - the device “works” only with children and adolescents, in whom the structure of the maxillofacial apparatus is not yet fully formed, and the bone tissue is susceptible to changes in the direction of growth;
- chronic diseases of the brain, disruption of the vestibular apparatus;
- respiratory dysfunction;
- mental disorders, epilepsy;
- hypertension in the acute stage.
It is worth noting that despite the rather extensive list of prohibitions on wearing the product, the pathologies listed above are quite rare in childhood.
This practically does not limit the use of the device for the correction of malocclusions.
Correction of bite in children
Incorrect closure of the dentition, both congenital and acquired, is a common pathology. According to the FDI, maxillofacial deformity to varying degrees of severity occurs in 88% of the population and leads to breathing problems, chewing food, facial expressions, and speech.
The disease is prone to progression and needs correction. Correction of bite in children in the dentistry of Megadent Clinic is carried out using a wide variety of methods. They will be discussed in today's article.
Advantages
Due to the specific design, the Dilyar mask has a number of advantages:
- Only one part of the device is located directly in the oral cavity - the thread, which is also quite easily removed. There are no bulky systems in the mouth that press on the mucous membrane and cause discomfort;
- simple dismantling of the external elements of the device - a specialist only needs to show how to use the device once, and the baby’s parents will be able to do it themselves;
- despite the apparent bulkiness, the product is comfortable to wear and its presence on the patient’s face is practically not felt, the effect of its presence is comparable, perhaps, to the presence of sunglasses on the bridge of the nose;
- with correct and regular use of the mask, a stable and long-term result is achieved - the position of the organs of the jaw row returns to a normal state, and the closure of the jaws occurs fully.
What is the vestibular plate, types and purpose.
Let us consider here in great detail the orthotic device.
At this address https://orto-info.ru/sistemyi-vyiravnivaniya-zubov/kappyi-elayneryi/byinina.html you can see photos of Bynin’s mouth guard.
Flaws
The device also has its disadvantages:
- low aesthetic level , due to which the device has to be used exclusively at home;
- a rather long course of treatment - due to the fact that the design is not used around the clock, the effect of its use is somewhat reduced, and the wearing time, accordingly, increases;
- the duration and complexity of adaptation is caused by the massiveness of the structure and the relative limitation of visibility. The person gets the feeling that the device is in the way. At the same time, it distracts the child’s attention from other, more interesting things and actions;
- the psychological factor is the presence of a constant desire to remove the mask, so this aspect of the issue is a mandatory requirement for the success of treatment.
If you follow your desires and often neglect to wear the device, there will be no result.
Types and purpose
By type of design, masks are classified as extraoral orthodontic devices. Among the variety of similar products, several common devices used for bite correction can be identified:
- Dilyar mask;
- Petit mask;
- Tubunger mask.
Each face mask in orthodontics has its own characteristics, but in general they are based on the same principle of creating mesial and horizontal traction. The Dilyara apparatus is an indispensable device for the treatment of mesial occlusion. But at the same time, the indications for use indicate that with reverse incisal overlap, the width of the sagittal gap should not exceed 2 mm. And the permissible mesial displacement of the lower molars should be no more than 1 cusp.
Before deciding to use the device, the physiological characteristics of the patient are taken into account - the profile must be concave. Age is also taken into account, since the highest effectiveness is observed in primary and mixed dentition.
Wearing the Dilyar face mask does not cause any difficulties, which explains the popularity of its use for correcting malocclusion. For patients, wearing it is also associated with a certain comfort: the absence of intraoral orthodontic structures, ease of care of the device.
Varieties
Each type of model is characterized by its own range of preferences, and can be recommended in the presence of a certain occlusion pathology.
In addition, this type of orthodontic devices is classified according to the method of fastening and tensioning the thread.
Moreover, absolutely all of the options discussed below belong to the category of therapeutic, mechanically active, orthodontic devices.
Universal mask with chin support
This version of the device is used most often because it perfectly stretches the jaws in the required direction.
With this method of support, the pressing force is concentrated in the area of the upper dentition, which makes it possible to qualitatively correct the mesial bite.
The device stimulates accelerated growth of the upper jaw, which accordingly increases the angle of the lower jaw. The basis of the therapeutic effect is the formation of extraoral traction.
Mask with cheek support
The design provides support fastenings on the forehead and cheeks, with the main fastening force falling precisely on the buccal area.
The device is adjustable depending on the size of the face. The mask is indicated for the correction of excessive crowding of teeth, as well as in the presence of pronounced interdental spaces in the lower jaw, mainly in its frontal area.
Indications for use of the Luri Apparatus and its manufacturing technology.
In this publication you will find characteristics of the Mershon Apparatus.
Follow the link https://orto-info.ru/sistemyi-vyiravnivaniya-zubov/lechebno-profilakticheskie-apparatyi/basharovoy.html if you are interested in the manufacturing procedure of the Basharova Apparatus.
Vertical mask large or small
Made from high-quality alloy steel and indestructible plastic. The choice in favor of such a device is made in case of a removable (in its early stages) or deciduous bite.
It has the main indication – all forms of incisor diocclusion (direct, deep, sagittal). Depending on the completeness of the diagnosis, the size of the structure is selected.
This takes into account the angle of the jaw, its length, width and depth of the jaw apparatus.
Horizontal mask large or small
The scope of application of this type of model is the correction of pronounced mesial occlusion (according to the international classification according to Engle, this is the third class).
Qualitatively corrects the mesial displacement of the molars of the lower jaw row up to one tubercle, as well as when diagnosing sagittal spaces or reverse overlaps of the incisal zone that do not go beyond the 2 mm limit.
Treatment by a speech therapist
A consultation with a speech therapist revealed excessive mobility of the lower jaw, an infantile type of swallowing, uneven functioning of the tongue muscles on the right and left (dyspraxia), and deviation of the tongue to the right. Orthodontic treatment together with correction of the tongue muscles will give a more stable result. Speech therapist T.B. Zukor prescribed the girl a complex of articulatory gymnastics aimed at stabilizing the position of the lower jaw, achieving uniform work of the tongue muscles and stabilizing the lower jaw. The patient can perform this complex independently, visiting a speech therapist to correct the results.
Principle of operation
The design features of the device provide convenient two-sided fastening, between which metal arcs are located vertically; their operating principle is quite simple.
If a thread is attached to an arch attached to the chin and frontal area, securely fixing it on the desired tooth, then as a result of such tension the product will be firmly fixed on the face, and the organs to which the threads are attached will gradually align their position according to the given tension trajectory.
The principle of operation of the device resembles the action of a rocker with two support zones. The role of the rocker is played by the thread, which, by creating tension, provides a double result.
By attracting the arc to a person’s face, it will not allow the product to come off during treatment, and at the same time, it has a therapeutic effect on the abnormal organs to which it is attached.
If the child’s age is quite young, only a facebow will be enough, and if we are talking about older teenagers or an adult patient, they are worn in combination with braces, mainly to correct pathologies of the lateral masticatory organs.
Terms and rules of wearing
The time period for using the structure is about 3-4 months. More specifically, the treatment period is determined by the specialist, based on the degree of development of the pathology, and the need for the device to influence the teeth and jaw rows.
Since, due to aesthetic imperfections, a person does not have the opportunity to wear the model all the time, it is highly advisable to devote as much time as possible to this process while at home.
You need to try to ensure that the average number of hours per day when treatment is carried out is at least 10-12. This can be achieved if you use the device while you sleep and for several hours while you are awake.
After the device is removed, it must be thoroughly cleaned and hygiene measures taken to care for the oral cavity must be observed.
Orthodontic treatment plan
The goal of orthodontic treatment was to correct the mesial bite and align the canines. The girl's teenage years were quite favorable for orthodontic treatment, since all processes in the body during the period of growth occur faster and easier. Using the opportunities of adolescence and taking a comprehensive approach to orthodontic treatment, you can do without tooth extraction and achieve a stable result.
According to the osteopath, osteopathic techniques can make the palatal suture more mobile in order to create the opportunity to move the upper jaw forward and stimulate its growth. This is necessary to correct the mesial bite in this case, caused by underdevelopment and posterior position of the upper jaw. The speech therapist will create a set of exercises to normalize the functioning of the tongue muscles and stabilize the position of the lower jaw. On the part of the orthodontist, a face mask will be used to change the position of the upper jaw, which will need to be worn first for 14 hours a day, and then for about eight. Correction with braces will also be carried out.
The Damon brace system has been proposed for treatment. The self-ligating mechanism allows the brackets to move along the arch without unnecessary friction, with little force applied. This has a beneficial effect on the health of tooth roots, treatment time is reduced, and a more stable result is obtained.
Price
Depending on the design features of the model and the way it is attached, the cost of such a mask will vary in the price range from 4,000 to 9,500 thousand rubles.
Thus, a universal model with a standard fixation method will cost about 4-5 thousand, and the cost of a large vertical or horizontal version will reach 8-9 thousand rubles.
At the same time, the cost of the services of a specialist who will monitor the treatment ranges from 20-30% of the price of the device itself.
Delyar's mask
Correction of malocclusion
Orthodontists.ru
As individual as the types of malocclusions are, so are the methods for their correction. For this reason, there are so many varieties of orthodontic devices for the treatment of malocclusions. In addition, even the same type of orthodontic appliances can have different designs. It depends on the desired effect in each specific case.
Delyar's mask
refers to the so-called therapeutic orthodontic devices. However, all modern equipment that is used in orthodontics, according to its purpose, can be therapeutic, preventive and retention. In this case, medical equipment is used for active treatment (as the name suggests), that is, straightening crooked teeth. Preventive equipment is aimed at preventing the occurrence of further curvature, and retention equipment is aimed at preserving the effect obtained from orthodontic treatment and strengthening it.
According to their mechanism of action, therapeutic orthodontic structures can be mechanical, functional, combined and surgical.
Depending on the intended purpose of use, this medical equipment can be:
- restraining
- moving,
- expanding,
- extending,
- replacing
- formative.
According to the listed classifications, the Delyar mask can be classified as a mechanical active therapeutic orthodontic structure. Devices of this type can be very different. At the same time, the Delyar mask belongs to removable orthopedic devices. Thanks to this characteristic, they are very convenient for patients, since the mask can be removed and cleaned, and oral hygiene is also easier to maintain.
Forecast
The prognosis for the complete elimination of bite defects using this type of orthodontic leveling structures is quite optimistic.
If you follow the specialist’s recommendations and choose the right device option, you can completely get rid of pronounced anomalies after just a few months.
As for small children, the result comes after several weeks of therapy.
The principle of operation of the Dilyar mask and the expected result can be seen in the video.
Duration of treatment with Dilyar mask
The degree of complexity of the defect to be corrected determines the duration of active use of the product. As a rule, this period is about three to four months.
One of the main conditions for the effectiveness of the method used is the systematic, 12-14-hour wearing of the Dilyar mask per day.
The device is stored in a special container where it is placed after hygienic treatment. It comes down to washing the structure in warm water and soap and drying it.
Good treatment results with the Dilyar mask are guaranteed with the correct selection of its model and full compliance with the rules of use.
2019 © Good Dentistry - a network of dental clinics. Dental services near Verkhnie Likhobory metro station, Mitino metro station, Tushinskaya metro station, Rechnoy Vokzal metro station, Otradnoye metro station, Shchelkovskaya metro station
This page is for informational purposes only and is not a public offer.
