The document discusses various oral habits that can interfere with facial growth and cause malocclusion. It describes habits like digit sucking, tongue thrusting, mouth breathing, lip biting, nail biting, cheek biting, bruxism, abnormal posture, and self-mutilation. For each habit, it discusses the causes, effects on dental development and jawbones, diagnosis, and treatment options like counseling, reminders, appliances, and exercises to help correct undesirable oral behaviors.
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This Presentation tells 4th Stage of Comprehensive Orthodontic Treatment in Orthodontics, Retention, which is used to Prevent Relapse after Orthodontic Treatment.
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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
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Description :
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
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Habits and its management / dental implant courses by Indian dental academyIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
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This Presentation tells 4th Stage of Comprehensive Orthodontic Treatment in Orthodontics, Retention, which is used to Prevent Relapse after Orthodontic Treatment.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Description :
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Habits and its management / dental implant courses by Indian dental academyIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
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Stages of deglutition and tongue thrustingprincesoni3954
The presentation features the types and stages of deglutition; types, etiology, classification, diagnosis, clinical findings and management of tongue thrusting.
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Welcome to Indian Dental Academy
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an any other group age
Poor oral hygiene among older people has traditionally been manifest in high level of tooth loss, dental caries, and periodontal disease as well as xerostomia and oral cancer
1- Bone:
= Increasing age is associated with progressive reduction in bone mass resulting in osteoporosis
= atrophy of alveolar bone is related mainly to tooth loss and increase by age that resulting in:
- Absence of denture
- Loss of facial height
- Upward and forward posturing of mandible
= loss of alveolar bone occurs more rapidly in mandible than maxilla
= level of cyclo-oxygenase 2(cox2) enzyme, which play essential role in bone repair, decline dramatically with age, this explain the delayed bone healing in older age
2- T M J:
= The main age changes related to remodeling of the articular surface and disc in response to functional changes following tooth loss
= remodeling may result in disc displacement, particularly anterior displacement
= the retrodiscal tissue may show decreased vascularity and cellularity and increased density of collagen
= in severe cases displacement may lead to perforation of the disc resulting in progressive damage
3- Nerve and musculature:
= continued muscle function in a major requirement for the maintenance of speech and mastication, in all patient with advancing age, there is reduction in total muscle mass which occurs through a reduction in the number of muscle fiber rather than a major reduction in muscle fiber size
= by age there is a loss of motor unit specially over 60 age
= manifestations:
- Reduced masticatory force
- Reduce muscle strength
- Lengthening of chewing process
- Changes in chewing behavior
4- Oral mucosa:
= the clinical appearance of the oral mucosa in older patients is indistinguishable from younger one, however changes by time as:
- Mucosal trauma
- Mucosal disease
- Salivary gland hypo-function
Can alter the clinical features and character of oral tissues
= the stratified squamous epithelium become thinner, loss of elasticity and atrophies with age with increased oral disorders
5- Sensory changes:
= it is known that taste and smell sensitives changes throughout life and often decline with aging
= these changes can make the foods become tasteless resulting in reduction in appetite
= diminution of taste results from degeneration of taste buds and reduction of their total numbers
= elderly people cannot detect the pleasantness of food compared with younger people, this can lead to the older people to added more ingredients such as sugar or salts to food stuff that can lead to adverse health effect
6- Salivary glands:
Dry mouth –xerostomia and diminished salivary glands output are common in older age, some cases have decreased salivary output due to high intake of drugs as:
- Anti-depressant
- Anti-hypertensive
- Cytotoxic and anti-parkinsonism
Some cases with neck cancer may exposed to irradiation which cause:
- Severe and permanent salivary hypo-function
- Xerostomia
Some disease as: Diabe
Understanding Tooth Eruption and Shedding in Children - Springdale Dental Cen...SpringdaleDentalCent
Embark on a captivating journey of tooth eruption and shedding in children. Discover the wonders of growing pearly whites for a lifetime of healthy smiles.
Oral Habits play a major role in determining the growth of the face by exhibiting their effect on the dentition. Learn about these harmful habits and the ways to correct them by suitable treatment plans.
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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
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Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
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Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
Pedia oral habit
1. Oral habits
• Habit is a fixed practice produced by
constant repetition of an act.
• Undesirable habits which may interfere
with the regular pattern of facial growth &
result into malocclusion.
3. A natural & normal reflex of infants use thumbs, fingers,
pacifiers and other objects to suck. This brings about a
feeling of security especially during difficult periods.
Most stop by age 2 and should be discouraged if not be age
4.
Prolonged thumb-sucking can cause crowded crooked teeth,
or bite problems.
Breaking the Habit:
1. Wait till the time is right. (low stress)
2. Praise them when they are not
3. Focus on the cause (underlying anxiety)
4. Motivate your child
5. Use a reward system
6. Reminders (band-aid around the thumb)
5. Digit habit
-This is the majority of oral habits. Finger sucking is more than
thumb sucking.
-2/3 of these stop by age 5.
-The dental changes occur with digit sucking are based on:
.Intensity (force).
• Duration (amount of time).
• Frequency (how often) .
• Position of thumb during sucking
• Associated muscles contraction
• State of child’s health.
• Associated hand pressure.
• Stage of osteogenic development.
4-6 hours of force /day necessary to cause tooth movement
Intermittent sucking with high intensity less harm than
continuous sucking more than 6 hour
6. Etiology of sucking habit:-
1. Physiological ( mouth used to investigate
everything).
2. Imitation of other children.
3. Feeding problems ( bottle feeding, deficient
feeding & transition from liquid to solid food).
4. Attract attention (when the presence of new
baby).
5. Emotional problems (child’s insecurity or
maladjustment )
7. Effects on the jawbone
-Upper front teeth flare out and tip upward while lower
front teeth move inward.
- "open bite".
-If a child stops thumb sucking before loss of primary front
teeth & permanent front tooth eruption, most or all harmful
effects disappear within six months.
-If the habit persists through permanent front tooth
eruption lead to lasting damage: flared or protruded upper
teeth, delayed eruption of upper or lower front teeth, and
open bite.
- Result in chewing difficulties, speech abnormalities, and
an unattractive smile.
8. Thumb sucking classified into: -
1.Phase I: - ( subclinical significant change)
form 3 months to 2 years. As the infant use
rubber pacifier & considered normal.
2.Phase II: - from 2 years- 4 years of age
cause temporary changes as decrease
overbite & increase over jet.
3.Phase III: -( active sucking habit)
persistence of the habit after 4 years &
cause malocclusion.
9. -Dental changes are similar to the digit habit (maxillary incisor
flaring, constricted maxilla often associated with a post
cross-bite, lingualization of lower incisors, and an anterior
open bite).
-Dental changes resolve with early discontinued usage.
-Most children discontinue the use of the pacifier on their own
by the age of 3-4 yrs.
-Pacifier use usually ends earlier than digit sucking, but it’s
uncommon that a child will stop using the pacifier and
replace it with a digit.
Treatment
1. Manufacture pacifier similar to mother’s nipple.
2. Discontinued pacifier gradually under the control of parent.
Pacifier habit
10. 1. Displacement of the child’s permanent teeth due to the
uneven forces placed on the teeth by the thumb.
2. The upper and lower front teeth may not approximate with
each other.
3. The upper front teeth may flare out.
4. The open bite or lack of approximation of upper and lower
front teeth may result in speech difficulties during
pronunciation.
5. As a result of the flared out or protruding front teeth the
child may end up fracturing these teeth more often.
6. Protruding and uneven teeth change the facial appearance.
This can cause an inferiority complex in the young mind
SYMPTOMS
11. DIAGNOSIS :-
1. Child above the age of 4 with protruding anterior teeth
affected by thumb sucking.
2. A detailed history about the habit.
3. The frequency and duration of this habit help in
evaluating the extent of the habit.
4. Presence of callous formation on the back of thumb or
finger & low grade of virus infection on the skin.
The thumb used by the child normally appears to be
very clean compared to the other finger.
12.
13. Types of intervention:
Counseling
Reminder therapy (like a bandage around
the digit)
Distraction therapy (doodling when
board)
Fixed or removable crib appliance with
palatal acrylic
Quad helix with a palatal crib (usually
worn for 6 months)
14. 1.Psychological Method:
Guided the child consciously over a period. This is
possible only if the child is psychologically willing and
wants to stop the habit.
Children often combine thumb-sucking habit with other
secondary habits such as hair pulling or nose probing.
Frequently making the secondary habit impossible to
perform can break the primary habit.
It is very important not to criticize the child. The child
needs a lot of support and affection. He should be told
about the ill effects of sucking the thumb to reinforce
his determination to stop thumb sucking.
2.Substitute for sucking habit using chewing gum
3.Visual aids the effect of habits video tap, film poster
15. 4. Reminder therapy: -
A . Extra oral method:
Painting the child’s thumb or finger with an
unpleasant tasting substance.
Tapping the thumb with plaster.
Glove can be taped to wrist.
Painting the girl’s finger or thumb by nail polish.
B. Reward therapy
C. Intra oral methods:
This is done by fabricating appliances, fixed or
removable
16. Reward therapy
Personalized calendar used to motivate the child to stop sucking
habit. By putting stick or stars on the days that child avoid
sucking.
17. Home reminder treatment:-
- Placing gloves on child’s finger before
bedtime.
- Paint thumbs and fingers with various foul-
tasting substances.
- Wrap bandages around the offending digits.
- One method which might help is to tie/roll a
used x ray film on the elbow of the child so that
child can not bend the hand after tape the
edges of the film to avoid sharp ends.
18. 1. Child understanding
2. Parents’ cooperation
3. Maturity of child ( stage of teeth eruption).
4. Good orientation
5. Friendly rapport.
19. “Fixed palatal crib“
The crib consists of semicircular stainless steel wires connected to
supporting steel bands or rings. The half-circle of wires fits
behind the child's upper front teeth, barely visible in normal
view. The bands are fastened to the upper primary second
molars. Used for 4-6 months & check every 2-4 weeks
Crib construction , and cements the appliance. 8 to 10 millimeters
of open bite, can close within a few months.
- Crib wires prevent the thumb or finger from touching the gums
behind the front teeth and on the palate (roof of the mouth),
turning a pleasant experience into an unpleasant one. Deriving
no satisfaction from the activity, the child has no incentive to
continue.
- Instructions (avoiding gum chewing, hard and sticky candy,
popcorn, peanuts). Not pull on the crib with fingers. Thorough
tooth brushing after each meal.
20. -After crib placement, is checked in 2-4 weeks, and then seen
every 1-2 months until the appliance is removed.
-Improvement in front tooth position is typically noted within
two weeks after crib placement. It takes 4-6 months for the
open bit to close and the front teeth to straighten. However, is
left 9- 12 months to prevent relapse of the habit.
- The ideal time is when upper front primary teeth become
loose, just prior to eruption of permanent front teeth. This
usually occurs just before or after age six.
“Fixed palatal crib“
21.
22.
23.
24. The appliance is used in early & late mixed
dentition in child who desire to stop the habit.
• A modified six sided roller from Teflon is
constructed to slip over stainless steel wire
which is soldered to molar orthodontic bands (
maxillary first permanent molar or second
primary molar).
• The roller is placed in the most superior aspect
of the palate to avoid eating or speech
disturbance.
• The child can turn the roller instead of sucking.
• The appliance used for 3-6 months
25.
26. • Oral screen
• Active oral screen ( for anterior or posterior
region).
• Passive oral screen
• Double oral screen
• Oral screen with anterior ring
• Oral screen with holes
•
27.
28. In normal swallowing the tongue touch the
palate papillae of anterior teeth & dorm
surface of the tongue in contact with the
palate and lips are tightly closed together
While abnormal swallowing teeth are
separated, tongue thrust forward between
upper & lower anterior teeth, dorm
surface of the tongue away from the
palate and lips are separated.
29.
30.
31. Etiology of tongue thrust,
• Associated with sucking habit.
• Open mouth with protruded anterior teeth.
• Premature loss of deciduous anterior teeth.
• Respiratory obstruction due to large tonsile
• Macroglossia as in acromegaly.
• Ankyloglossia.
• Prolonged artificial feeding.
• Muscular imbalance.
32.
33. Tongue thrust classified into
• Simple tongue thrust (tongue thrust & teeth in
occlusion).
• Complex tongue thrust (tongue thrust & teeth apart).
• Retained infantile swallowing (abnormal swallowing
reflex).
Diagnosis: -
• Contraction of temporalis muscles during swallowing.
• Defect in the arch
34. Tongue thrust
-This a characteristic of the infantile and transitional
swallowing which are normal for neonates.
-Tongue thrust often sustains an open bite, but does
not cause one.
Protrusion of anerior teeth
open bite
Lisping
Narowing of maxillary arch
35. Treatment
1. Functional therapy: -
The child practice to swallow with the tip of tongue place against
incisor papillae. The holding sugarless mint against the incisor
papillae until it melt.
2. Appliance therapy: -
the use of mandibular lingual arch with horizontal crib or spurs for
4-9 months according to the severity of the case. Double oral
screen. Correction of protruded teeth by active oral screen or
extra oral force.
3. Speech therapy to correct speech disturbance.
36. -Due to mandibular posture/lip incompetence or nasal airway obstruction.
1. Obstructive mouth breathing
• In respiratory obstruction as atrophic rhinitis.
• Hypertrophy of turbinate caused by allergies.
• Deviated nasal septum.
• Narrow nasal passage.
• Adenoids.
• Enlarged tonsils.
• Chronic infection of mucous membrane of nasal passage.
2. Habitual mouth breathing
As a habit persist after removal of nasal obstructions
3. Anatomical mouth breathing
• Hypotonic upper lip
• Protruded anterior teeth.
• Associated with class II division I.
• Secondary to sucking habit.
37. Diagnosis
Mouth breather has a typical appearance of
adenoid face have :-
• long narrow face
• protruded anterior teeth
• open & dry lips
• lower lip extend behind upper teeth
To differentiate between habitual & obstructive mouth
breather ask the child to breath with his eyes closed with a
cotton piece in front of the nostrils.
38. In nasal breather the mirror will could with
condensed moisture during expiration
In nasal breather the size of the external nares are
changed
Oronasal breather the size of the external nares not
are changed & alar muscles inactive
39.
40. 1.Treatment of the cause before correction
of malocclusion
2.Passive oral screen in habitual moth
breather.
3.Active oral screen to correct protruded
anterior teeth
Myofunctional exercises Lip exercises with a
piece of cardboard held loosely in horizontal
position to improve lip seal
41. Etiology
• Psychological disturbance
• Hypotonic lower lip
• Associated with thumb sucking
• Compensatory activity from excessive over
jet or open bite
• Abnormal relation between the upper
lower & jaws class II d I.
42. Diagnosis
1. Abnormal mentalis muscles activity (puckering up of chin
during swallowing.
2. Hyperactive vermillion border.
3. Accentuated labio-mental sulcus.
4. Chronic herpes with red inflamed & chapped lip.
Treatment
1. Treat cause.
2. Lip exercise by extending upper lip over incisors & placing
the lower lip forcibly over the upper lip.
3. Oral screen .
4. Lip plumber to drawing the lower lip away
43. -Uncommon before age of 3 years
-Causes :
• release normal tension due to increase stress.
• gain attention of parents.
Effects :-
No malocclusion may be attrition in severe case. The
finger nail beds may be damage.
Treatment :-
Chewing gum,
taping finger,
the use of nail protect materials.
44. Bruxism:-
It is unconscious and involuntary habit of clenching or
grinding teeth.
It is usually done on a subconscious, reflex-controlled level
with the patient unaware of doing it.
It can take place at night when asleep or during the day.
As it is related to stress.
It can affect the teeth, muscles, jaw joints
(Temporomandibular joints) & the appearance of the face.
45. The causes of bruxism
The etiology of bruxism is a combination of
psychic stress (overwork, worry, and
tension), as well as various irregularities in
the biting surfaces of the teeth, high
restoration or deep bite, malocclusion.
Emotional bases, nervous & irritable child.
Excessive tooth wear caused by bruxism is not the
same as normal tooth wear.
46. The symptoms of bruxism
1. Attrition of teeth (worn down, and become shorter).
Occlusal wear: The constant grinding of the teeth can
cause a significant loss of tooth structure from the
biting surfaces of the teeth.
2. The teeth will become flattened, and the
creamy/yellow dentine will be visible.
3. If bruxism is not treated, the teeth may be worn down
to the level of the gums.
4. Teeth have a tendency to chip as a result of the
grinding.
5. Tenderness and pain may be felt in the muscles and
jaw joints on waking in the morning.
47. 6. Eating become painful (restricted jaw movement).
7. Teeth become sensitive, painful & loose, as results of
worn down or cracked by grinding.
8. Extensive tooth wear cause the jaws to close down too
far, resulting in facial changes.
9. Unsightly creasing at the corners of the mouth.
10. Development of prominent jaw muscles. The jaw
muscles become painful due to their constant
contraction.
11. The sound of grinding teeth can disturb other people.
12. Headache--is caused by a disturbance in the
circulation in the muscles.
13. TMJ pain.
The symptoms of bruxism
48. 1.Relieve the causes of the stress (psychological
and medical) Behavior modification relaxation
training/ tranquilizer.
2. The dental treatment directed to preventing further
damage to the teeth, and to the repair of the worn
down teeth. Occlusal adjustment of high filling or
malocclusion.
3. The preventive treatment is to use a night guard.
4. The use of muscle relaxants.
5. Moist heat applied to the affected jaw muscles and
anti-inflammatory drugs.
Night plastic mouth guard is constructed. to prevent
the teeth from grinding against each other.
Treatment of Bruxism
49. Night guard:
1.Impressions are taken of the upper and
lower teeth.
2.Night guards are designed to cover the
biting and chewing surfaces of the teeth
usually the upper.
3.They made from a soft plastic or a hard
acrylic material.
50. It is repetitive acts result in physical damage to the
child as pushing away gingival tissue from labial
surface of anterior teeth.
It is rare habit in normal child but in 20% of mentally
retarded child.
Emotional disturbance play a role in this habit.
Effect : -
Stripping of free & attached gingiva and bone may be
exposed.
Treatment: -
1.Behavior modification.
2.Use of restrain, protective padding & sedation.
3.Extraction of affect tooth.
51. It is holding upper labial frenum between permanent
teeth .
Effect :-
Increase the diastma between interior teeth
Treatment
1. Frenectomy
2.Passive oral screen.
52. It is biting of cheek opposite to the occlusal plane of the
teeth.
-Causes :
1.In nervous child.
2.Cuspal interference
3.High restoration.
Effect :-
Trauma to the cheek causing ulceration & pain
Treatment:-
1.Remove the cause.
2.Vestibular oral screen.
53. In teenage girl
Effect :-
Notched upper incisor tooth or teeth.
Treatment
Calling attention to harmful results.