Analiza razvoja poremećaja zagriza pri nosnoj opstrukciji u djece

master's thesis

• Title (english): Analysis of the formation of occlusal disorders in children with nasal obstruction
• Author: Luka Banjšak
• Mentor: Goran Geber (mentor)
• Committee member: Goran Geber (predsjednik povjerenstva)
• Committee member: Robert Trotić (član povjerenstva)
• Committee member: Davor Vagić (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Chair of Otorhynolaringology); Zagreb
• Defense date and country: 2017-11-28, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine

Abstract

Nosna opstrukcija obično definira fiziološki ireverzibilno stanje u kojemu je strujanje zraka kroz nos otežano. Znanstvenici već dugi niz godina raspravljaju o povezanosti između nosne opstrukcije i malokluzija i dentofacijalnih deformacija. Istraživanja pokazuju da se odmah nakon pojave nosne opstrukcije aktivira refleksni mehanizam prelaska na primarno disanje na usta. Poznato je da disbalans sila jezika i obraznih mišića uzrokuje pomak zubi iz normookluzije i dentofacijalne promjene. Moderna se ortodoncija temelji na upotrebi umjerenih i dugotrajnih sila na zube, a na isti način djeluju i okolna tkiva ako su dugo u nefiziološkom položaju. Posljedice su negativan utjecaj na obrazac rasta gornje i donje čeljusti u djeteta, narušena estetika lica, a posredno su moguće čak i psihološke traume. Vrlo je važan rani utjecaj terapeuta kako bi se spriječilo razvijanje dugoročnih posljedica. Potrebno je prvo otkriti i ukloniti uzrok nosne opstrukcije, a nakon toga ortodontskom intervencijom djelovati u svrhu normalizacije obrasca rasta. Holistički pristup prema pacijentu usko je povezan s uspješnošću liječenja. Bliska suradnja otorinolaringologa, pedijatra i stomatologa vrlo je je bitna.

Abstract (english)

Nasal obstruction is usually defined as a physiologically irreversible state in which the air flow is difficult through the nose. Researchers have been debating about the relationship between the nasal obstruction and malocclusion as well as dento-facial deformities for a number of years. Research shows that right after the nasal obstruction appears a reflex mechanism is triggered which shifts the nasal breathing habit to mouth-breathing habit. It is well know that a misbalance between the forces of the tongue and buccal muscles cause the teeth to reallocate from normal occlusion position and dento-facial changes start to occur over time. Modern orthodontics are founded on the usage of mild and long-lasting forces on teeth. Surrounding tissues have the same impact if a non physiological position is maintained for a prolonged period of time. Consequences include: negative influence on the growth pattern of both upper and lower jaw, decreased level of facial aesthetics and even psychological traumas in some cases. It is very important for the physician to intervene at an early stage to stop the
development of long term consequences. Firstly, the nasal obstruction cause must be identified and removed and then orthodontic treatment with the goal to normalize the growth pattern must be administrated. A holistic approach towards the patient is tightly linked to the treatment success. The child’s otorhinolaryngologist, paediatrician and dentist need to work closely together.

• Keywords: nosna opstrukcija; poremećaj zagriza; oralno disanje; razvoj poremećaja
• Keywords (english): nasal obstruction; occlusal disorder; mouth breathing habit; development of disorder
• Language: croatian
• URN:NBN: urn:nbn:hr:127:528038
• Study programme: Title: dental medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica dentalne medicine (doktor/doktorica dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2018-01-23 09:36:31