Documente Academic
Documente Profesional
Documente Cultură
ABNORMAL
FUNCTION
OF
STOMATOGNATHIC
SYSTEM
Functions of
stomatognathic system :
2.
3.
4.
5.
6.
4.
5.
6.
7.
8.
Lips- tongue.
Cheeks-tongue
Eruption Of teeth-Masticatory Muscles, Masseter,
Medial Pterygoid .
Air pressure on skin and nasal cavity-tongue in
closed mouth, air pressure in open mouth.
Masseter elasticity of periodontal ligament
suprahyloid muscles.
Internal pterygoid- same as masseter.
External pterygoid in anterior movement-posterior
one third of temporalis.
Suprahyoid group, digastricus, muscles of neck in
lateral movement-external pterygoid of other side.
1.
2.
3.
2.
3.
4.
In An Infant
1
4
5
2.
3.
4.
5.
6.
Swallowing / Deglutition
1. Infantile Swallow
o
Characteristics :
1.
2.
3.
2.
3.
4.
5.
2. Mature Swallow
Phases of swallowing or
deglutition:
Deglutition occur in four phases
1. The preparatory swallow
2. The oral phase
3. Pharyngeal phase
4. The esophageal phase.
HABITS
PRESSURE
III
NON PRESSURE
BITING HABIT
COMPULSIVE
IV
NON COMPULSIVE
Classification :- Habits
Thumb Sucking
Finger Sucking
Frenum Sucking
Tongue thrusting
Pacifier or dummy sucking
Lip Biting
Nail Biting
Cheek biting
Pencil or Foreign object sucking
Lip Sucking
Knuckle Sucking
Tongue thrusting
Mouth Breathing
Clenching
Bruxism
Occupational Habit
1.
Etiology:
Physiological Problems
e.g. (1) Enlarged adenoids,
(2) Deviated septum
2.
Emotional problems
e.g. (1) Excessive parental demand
(2) Birth of Sibling
(3) Teasing, Criticism physical abuse
(4) Prolonged or repeated separation from parents
1. Duration
2. Frequency
3. Intensity
2. Mechanical aids
Habit breakers can be of two types
A.
B.
Removable appliances
Fixed appliances
Rakes
Sharpened fork
Soldered grate appliance
upper lingual arch
(3)Chemical approach
Use of bitter tasting or foul smelling
preparation places on the thumb.
Definition :
Classification
I) According to moyers
a)Normal infantile swallow
b)Normal Mature swallow
c)Simple tongue thrust swallow
d)Complex tongue trust swallow
e)Retained infantile swallow
Etiology :
infections.
d) Prolonged duration of tenderness of gum or
teeth can result in a change in swallowing
patterns to avoid pressure on the tender zone
e) Tongue held in open spaces during mixed
dentition.
3).Maturational :
4).Mechanical Restrictions :
(a) Presence of certain condition such as
Marcoglossia
Constricted dental arches
Enlarged adenoids
5).Neurological Disturbance
Hyposensitive palate
Moderate motor disability
6).Other Factor
Anaesthetic throat
Brain injury
Faulty Orthodontic treatment
Abnormal sleeping habits
Sleeping towards one side
Oral Sensory deficiency.
Clinical Features
a.
b.
c.
d.
e.
(a)Habit interception
1.
(b)Treatment of malocclusion
.
Removable or
Fixed orthodontic appliances
Mouth Breathing
Classification :
1.
2.
3.
Anatomic
Obstructive
Habitual
Causes
of Mouth
breathing
narrow maxilla
c) Inflammatory reaction of nasal mucosa
with oedema
d) Allergic reaction of nasal mucosa
e) Obstructive adenoids
Clinical Features
SCREEN
BRUXISM
Definition :
Bruxism defined as
gnashing and grinding of the teeth for
non-functional purposes
Etiology
1)
2)
3)
4)
5)
Clinical features
a)
b)
c)
d)
e)
f)
Treatment
1)
2)
3)
4)
5)
6)
Psychotherapy
Autosuggestion and Hypnosis
Relaxing exercise and physiotherapy
Elimination of oral pain & discomfort
Occlusal therapy.
Classification
1.
2.
Clinical features
a) Proclined upper anteriors and retroclined lower
anteriors
b) Hypertrophic & redundand lower lip
c) Cracking of lips
Treatment
1.
2.
Correction of malocclusion
e.g. If there is a class II division I malocclusion or
excessive over jet problem
The abnormal lip activity
Age of occurrence
Etiology
Effects
Dental effects
Crowding, rotation and
Attrition of incisal edges of the incisors
( mandibular)
2. Effects on the nails
1.
Management :
1)
2)
3)
4)
THANK YOU