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5

L9

ANOMALY
OF
THE JAWS

Assocait.Prof. Dr. Said Gaira Ph.D.


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INTRODUCTION :
May be : Genetically or Acquisitive
On the teeth or on the bones or on the face

ETIOLOGY :
Are chemically or physically or ifections (this is prenatal), and traumatically .
Chemically reasons :
Cytostatics, antibiotics, such as salicylatics, antipyretics, and analgetics.
Physical reasons :
very dangours
such as X-ray, radiotherapy and ionic ray.
Infections factors :
Such as viral infections, for example virus rubeoly, also toxoplasmosis, and
syphilis infections.
Teratogenic factors :
Such as hypovitaminosis and also hypervitaminosis, sometimes hypoxie fetus.
Hormonal factors :
Central due to regulation by adenohypophysis ex. hormon for growth
Hyperpituitarismus : for child gigantismus, and for adult acromegaly.
Hypopituitarismus : Infantilismus or nanismus.
Hypothyroidismus : Cretinismus or myxedema (skin containg more
mucopolysacharids acides) dry skin. For adult, may be macroglossy,
macrocheily, and big nose.
Bad habitus :
Parafunction.

Examination :

Clinically
X-ray (cefalometrics x-ray),CT
scan analysis models

Age of the treatment :

girls between 16-17 years


boies between 17-18 years
Orthodontics-Surgical treatment and surgically.

1. Progeny true:
dental (opaque bite), and alveolar and mandibular(sceletal).
2. Progeny nontrue :
Pseudoprogeny unilateral or relative(laterogeny).
For anomaly alveolar progeny :
Operation on the mandibular alveol :
Alveolotomy : For frontal section or portion. (Hullihen; 1849).
Operation on the body of the mandible :
They are osteotomy or ostectomy(Dingman operation), (Toman operation).
Operation on the mandibular ramus :
Horizontal osteotomy of the mand. ramus.(Lindman and Kosteck).
Sagital osteotomy of the mand. ramus.(Obwegeser)
Operation on the articular condyle.

Microgenic type :
Operation on the body of the mandible : (osteotomy). or on the ramus.
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Anomaly prognatic types :


Prognathy :
Operation for the protruding upper frontal teeth.:
Alveolotomy on the frontal portion of the maxill. alveol: or Corticotomy ( DAL
Ponta, Kufner)
Or Operation Cohn-Stok and Wassumund.3-3
Or operation Cohn-Stok-Kufner.3-8
Micrognathy or Retrognathy types anomaly :
Operation: Corticotomy or Alveolotomy or Osteotomy on the frontal portion of
the maxilla, or Osteotomy of the maxilla(totally osteotomy of the midfacial area
or lower osteotomy of the maxilloorbitale area).
Vertical anomaly :
opennig bite (MORDEX APERTUS) : Slanting open bite.
Sceletal = true or temprary non-true, hypertony by bad habitus
Operations:
Osteotomy on the frontal portion of the maxilla Wassumund or operation by
SCHUCHARDT or by KUFNER
Fixations of the fracture by interoseal wire, or miniplate and IMF, controlle
postoperative (very important), x-ray.
Physiotherapy.

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