RU2016110205A - METHOD FOR IMPROVING THE QUALITY OF DIAGNOSTICS AND TREATMENT OF DENTAL JAW ANOMALIES - Google Patents

Claims (32)

A method for improving the quality of diagnosis and treatment of dentoalveolar anomalies, containing a clinical examination of the patient, including orthopantomography, teleretgenography with decoding of TRG of the head in lateral projection in the Dolphin Imaging program (USA), after which the following diagnostic points are applied to the image, according to their anatomical location: Porion (Po) - the highest point on the contour of the external auditory opening. Orbitale (Or) - the lowest point of the lower edge of the orbit, PT Point - the intersection of the lower boundary of the circular opening and the posterior wall of the pterygo-maxillary fissure, Sella (Se) - the midpoint of the Turkish saddle, Nasion (N) - a point on the anteroposterior margin of the nasolabial suture in the mid-sagittal plane, Basion (Ba) - the lowest point of the clivus, corresponding to the front edge of the large occipital foramen, S.T. Glabella is the most anterior point of the frontal bone, Pronasale is the most prominent anterior point of the tip of the nose, Subnasale - the junction of the nasal septum and upper lip, A-Point (A) - the anterior point of the apical basis of the upper jaw, located at the deepest point of transition from the anterior nasal spine to the alveolar process, B-Point (B) - the anterior point of the apical basis of the lower jaw, located at the place of greatest depth of the curve at the border of the body of the lower jaw and the alveolar part, Pogonion (Pog) - the most front point of the chin protrusion, Gnation (Gn) - the intersection of the front and lower contours of the chin, Mention (Me) - the most prominent point of the lower contour of the chin, Gonion (Go) - the point of the angle of the lower jaw at the point of intersection with the bisector of the angle formed by the tangents along the lower edge of the body and the posterior edge of the lower jaw branch, Articulare (Ar) - located on the posterior-upper edge of the lower jaw branch, in the place where this edge contacts the temporal bone, Condylon (C) - the most protruding point on the posterior contour of the head of the lower jaw, Spina nasalis anterior (ANS) - anterior nasal spine, Spina nasalis posterior (PNS) - posterior nasal spine, U6 Occlusal - top of the mesial-buccal tuber of the first molar of the upper jaw, L6 Occlusal - top of the mesial-buccal tuber of the first molar of the upper jaw, U6 Distal - the distal surface of the upper first molar, U6 Mesial - mesial surface of the upper first molar, L6 Distal - the distal surface of the lower first molar, L6 Mesial - mesial surface of the lower first molar, L1 Tip - top of the lower central incisor, L1 Root - the top of the root of the lower central incisor, U1 Tip - top of the upper central incisor, U1 Root - the top of the root of the upper central incisor, values of 37 parameters are determined from the set points: SNA (°), SNB (°), ANB (°), FMA (MP-FH) (°), FH-SN (°), Facial Plane to SN (SN-NPog) ( °), Saddle / Sella Angle (SN-Ar) (°), Lower Gonial Angle (Na-Go-Me) (°), Facial Axis-Ricketts (NaBa-PtGn) (°), Gonial / Jaw Angle (Ar- Go-Me) (°), Wits Appraisal (mm), Anterior Cranial Base (SN) (mm), Maxillary length (ANS-PNS) (mm), Go-Pg (mm), Pog-NB (mm), Anterior Face Height (NaMe) (mm), Upper Face Height (N-ANS ') (mm), Lower Face Height (ANS-Me) (mm), Lower Face Height (ANS-Me) (mm), UAFH / LAFH Ratio (N-ANS / ANS-Me) (%), Posterior Face Height (SGo) (mm), PA Face Height (S-Go / N-Me) (%), Ramus Height (Ar-Go) (mm), Articular Angle (°), U1-SN (°), IMPA (L1-MP) (°), Interincisal Angle (Ul-Ll) (°), Occ Plane to SN (°), L1 Protrusion (L1-APo) ( mm), U6-PT Vertical (mm), L1-MP (LADH) (mm), U6-PP (UPDH) (mm), L6-MP (LPDH) (mm), Overbite (mm), Overjet (mm) , U1-NA (°), L1-NB (°), U1 - Palatal P lane (°), they compare the individual values of the patient’s parameters with the norm, identify deviations, and taking into account the parameters that have deviations from the norm, make a diagnosis and make a treatment plan, at the end of the course of treatment, repeat x-ray examinations, study 37 parameters again and compare them with the initial values, evaluate the dynamics of changes in the indicators and, based on this, make a forecast about the duration of treatment and, in the case of normalization of the change in parameters, make a conclusion about the results of treatment.