Bony maxillary protrusion, correction of the anterior protrusion of the maxilla

1. Bony maxillary protrusion should be combined with orthognathic surgery and orthodontics**, the direction of orthodontic tooth movement is different from that of giving up surgery and simply giving up orthodontics, unless you decide to permanently give up surgery, you can accept orthodontics.

Otherwise, orthodontics at this stage will bring difficulties and disadvantages to future surgical options.

2. Bony maxillary protrusion, that is, the maxillary bone is overdeveloped, or relatively fully developed, resulting in the upper jaw being too full and protruding, which is a bone problem, not a dental problem, not suitable for orthodontics**, the effect of orthodontics is relatively small, if you accept the effect is small, think clearly or correct, of course, it is also possible. It is important that you think informed and rationally.

3. If your doctor says that there is improvement, you should ask him in detail and specifically how much he has improved and to what extent.

In short, ask more questions before correction, it will be beneficial to yourself, so as not to regret yourself.

4. Reply to your supplement: Even if a bone nail is used, it will only be of little help to patients with bony protrusion, and the effect is still limited. Ask the doctor how much you still protrude after you do it.

There is no data of orthodontists in Yinchuan in the orthodontic member data of the Chinese Orthodontic Association, so I can't recommend a doctor to you.

Bony maxillary protrusion can only be solved by surgery, and general correction is ineffective, so it is recommended that the landlord does not spend this money, it will only be wasted, it is better to save the money, and then through surgery, it will be solved at one time.

The maxillary protrusion, deep overbite or opening and closing, the lips are open in a normal resting state, and the incisors are exposed2 3 or more. More exposed gums when smiling.

In order to recede the protruding maxilla to its normal position, the tooth was extracted 2 weeks before the operation, followed by an osteotomy.

1) An incorporating of the same length can be made in the direction of the upper part of the vestibular sulcus above the maxillary vestibular sulcus parallel to the long axis of the tooth, and the incorporating of the same length can be made in the anterior center along the direction of the labial frenulum.

2) Incision of the periosteum, peeling up and on both sides of the periosteum with a stripper, revealing the anterior nasal spine, the lower edge of the piriform foramen and the bottom of the nose to reach the outer edge of the maxilla.

3) Mark the osteotomy line of the jaw with methylene blue, go up along the apical direction to the plane of 5 10 mm at the lower edge of the piriform foramen, and go diagonally inward and upward to the piriform foramen to mark the width of the amputated bone, which is generally 5 8 mm.

4) Cut the anterior wall of the maxilla along the marked osteotomy line with a melon-shaped drill bit, and when it is close to the mucoperiosteal surface of the palate, you can first insert the stripping ions along the medial surface of the osteotomy plane close to the palatal bone, peel off the mucoperiosteum out of a small tunnel, and place the peeling ions in it to protect the palatal mucoperiosteum. After amputating both sides, the nasal septum vomer and the anterior part of the maxilla are chiseled off with a small bone chisel. Note that when chiseling the vomer, the surgeon's right hand should be extended to protect the palate.

5) After the maxilla is completely severed, after adjusting the biting relationship to normal, it is fixed with micro steel plate screws or simple steel wire ligation dental arch plate.

One. The lower jaw is in normal position, and the anterior part of the upper jaw is prominent;

Two. The upper lip appears short, the lips are not easy to close, and the lips are open and the teeth are exposed;

Three. The lower anterior teeth are too high, often accompanied by crowding of the anterior teeth, and deep coverage or degree.

Four. In severe cases, the teeth bite on the palate side of the upper anterior teeth, the neck of the tooth, or the soft tissue of the upper palate and cause inflammation.

Five. Linear cephalometry showed that both the angle and the angle of the mandibular process were larger than the normal range, and the angle was normal. If only the arch protrudes forward, the angle is normal, but the angle is larger than normal.

Manifestations: 1Patients with maxillary protrusion appear to have a short upper lip and the upper anterior teeth are obliquely protruding and exposed outside the mouth.

2.Congenital absence of individual teeth results in a short mandibular arch and a narrow maxillary arch.

3.The maxillary arch is narrow, the palatal cover is arched high, and the lower anterior teeth bite on the lingual carina of the crown and neck margin of the upper anterior teeth or on the soft tissue of the upper palate. The lower lip is pressed against the lingual side of the upper anterior teeth.

4.Bad habits, such as thumb sucking, can cause the upper palate and upper front teeth to move forward, while the lower front teeth and lower jaw to move backwards, making the upper jaw more prominent.

5.The posterior tooth relationship is mostly distal and neutral, and a few are neutral.

Protruding maxillary jaw gives a bad feeling. It's particularly unsightly, especially for girls, and if they look like this, they feel very embarrassed. I stopped going shopping.

Because of this, many people are afraid to speak, and now medically it is possible to correct maxillary protrusion, and the process of maxillary protrusion correction is very simple and safe. It can be completed in a few days, giving you confidence and giving you a satisfactory answer.

1. Maxillary protrusion correction begins to design osteotomy line for your body under general anesthesia, so you don't need to be afraid or hurt.

2. The mucosal incision of vestibular sulcus incision should not be too long, and the second step of maxillary protrusion correction needs to be completed carefully.

3. Correction of maxillary anterior process close to the bone surface to separate the anterosteum of the maxilla.

4. Cut off the bone plate after the cheek alveolar according to the osteotomy line designed before maxillary protrusion correction.

5. After determining the two ends in a suitable position, connect the wound with titanium nails and suture the wound.

Bony bimaxillary protrusion is the protrusion of the maxilla and mandible, that is, the pouting or tooth protrusion that ordinary people usually say, the maxilla and mandible are protruding, and it is more difficult to close the mouth up and down, and it is particularly difficult to close the mouth, which is the bimaxillary protrusion. The main reason is genetic factors, among which there are more bony binky protrusions.

For patients with bony bimaxillary protrusion, the Department of Stomatology requires early correction, and early correction is to be corrected during the replacement period, or adolescence such as 12-15 years old is the first period of correction, and it is necessary to seize the first period to correct. During the rapid development of the jaw, patients often ask how long the correction will take, two years or three years. If you grasp the ** period for two years, it can generally be corrected.

If there is a patient who is married and looking for a partner, but the object dislikes that the mouth can't be closed and unsightly, so it comes to correct, at this time, orthodontics alone, orthodontic correction, and orthodontic appliances are not effective, and orthognathic is also needed, and orthognathic jaw is to break the upper and lower jaws, the jaws to move, and to do titanium plates, so that the trauma will be relatively large, and the difficulty is also greater. Therefore, patients with protruding manbits are required to seize the ** stage of early adolescence for correction.

Yours is bony and has a bulging maxilla.

This year, I have an extra tooth in my upper right jaw and my mouth is protruding, and I want to have orthodontics. After the examination, it was found that the temporomandibular joint was ringing and the opening was deviated, there was a sound of eating, the surface of the right lower wisdom tooth was damaged, and the upper jaw protruded Removed the right lower wisdom tooth I have not yet gone to the hospital to check the temporomandibular joint problem I am eating and usually the teeth are aligned with 7 9**, and there is a joint sound when opening and closing and eating. On the other hand, when the upper and lower anterior teeth of 5,6** are aligned, there will be no sound when the mouth is opened and closed.

My temporomandibular joint problem is estimated to have occurred in the last six months, is it related to the misalignment of the teeth? **Condition: Right lower wisdom tooth removed, temporomandibular joint has not been examined History:

No help I could have imagined: Misaligned teeth, abnormal temporomandibular joints, and improved protrusion of the mouth.

The plywood can change the occlusal position, so that the original habitual occlusal memory position can be erased, and the upper and lower teeth can be restored to the comfortable position of the joint, so that the occlusal relationship is corrected by the occlusal plate, and a new position is presented, and this position is used as a benchmark to reproduce and establish the occlusion. This is called occlusal reconstruction.

The maxilla is located in the middle of the face, one on the left and one on the right, and is connected to each other to form a scaffold for the midface. The maxilla has bony prominences connected to the body and four adjacent bones, such as the frontal process is connected to the frontal bone, the zygomatic process is connected to the zygomatic bone, the palatal process is connected to the left and right in the suture of the middle palate, and the alveolar process is the bone of the part where the tooth is located.