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Age-related changes of jaws and soft tissue profile are important both for orthodontists and general dentists. Mouth profile is the area which is manipulated during dental treatment. These changes should be planned in accordance with other components of facial profile to achieve ultimate aim of structural balance, functional efficacy, and esthetic harmony. Through this paper, the authors wish to discuss age changes of the hard and soft tissues of human face which would help not only the orthodontists but also oral surgeons, prosthodontists, pedodontists, and general dentists.
Age-related changes of jaws and soft tissue profile are important both for orthodontists and general dentists. Behrents [1] reported that craniofacial growth does not stop in young adulthood but is a continuous process even into later ages. The units of change are small but change in the craniofacial skeleton has become the operational concept rather than termination of the process.
(iii) Function. In a child, nasal part of the face is underdeveloped because of overall small body and lung size at that stage. Correspondingly, respiratory function has low demands. The nasal part of the face and the pharyngeal space has to enlarge in response to increased demands on respiratory function imparted by increasing overall body and lung size. For the nasomaxillary space to enlarge, nasomaxillary complex has to grow out from beneath the anterior cranial base. Then both the jaws have to grow to accommodate erupting deciduous and subsequently permanent dentition and enlarging muscles of mastication. These factors impart a vertical height and a depth to the face [6].
The mouth is unique, in that the teeth are well secured to the bone ends but come through epithelium (mucosa). A leg or wrist, for instance, has no such structure to help with a closed reduction. In addition, when the fracture happens to be in a tooth bearing area of the jaws, aligning the teeth well usually results in alignment of the fracture segments.[citation needed]
Many alternatives exist to secure the maxillary and mandibular dentition including resin bonded arch bars, Ivy loops (small eyelets of wires), orthodontic bands and MMF bone screws where titanium screws with holes in the head of them are screwed into the basal bone of the jaws then secured with wire.[citation needed]
Closed reduction with direct skeletal fixation follows the same premise as MMF except that wires are passed through the skin and around the bottom jaw in the mandibule and through the piriform rim or zygomatic buttresses of the maxilla then joined to secure the jaws. The option is sometimes used when a patient is edentulous (has no teeth) and rigid internal fixation cannot be used.[citation needed]
The best treatment for condylar fractures is controversial.[25] There are two main options, namely closed reduction or open reduction and fixation. Closed reduction may involve intermaxillary fixation, where the jaws are splinted together in the correct position for a period of weeks. Open reduction involves surgical exposure of the fracture site, which can be carried out via incisions within the mouth or incisions outside the mouth over the area of the condyle. Open reduction is sometimes combined with use of an endoscope to aid visualization of fracture site. Although closed reduction carries a risk of the bone healing out of position, with consequent alteration of the bite or the creation of facial asymmetry, it does not risk temporary damage to the facial nerve or result in any facial scar that accompanies open reduction. A systematic review was unable to find sufficient evidence of the superiority of one method over another in the management of condylar fractures.[25] Paediatric condylar fractures are especially problematic, owing to the remaining growth potential and possibility of ankylosis of the joint. Early mobilization is often recommended as in the Walker protocol.[26][27]
Evenone missing tooth can affect your bite. At first, you may not noticeanything except food getting stuck in the gap, but over time, yourteeth will shift to fill in the gap. This can cause your teeth to hiteach other in the wrong spot when eating or talking, which increasesthe risk of chips or cracks. Both a dental bridge and dental implantwill stop this from happening.
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