MANAGEMENT OF THE CLEFT OF THE ALVEOLAR ARCH, EITHER UNILATERAL OF BILATERAL

1954 ◽  
Vol 14 (4) ◽  
pp. 281-286 ◽  
Author(s):  
Wm. L. SHEARER
Keyword(s):  
2013 ◽  
Vol 2 (3) ◽  
pp. 170 ◽  
Author(s):  
Ozgur Pilanci ◽  
Can Cinar ◽  
Samet Kuvat ◽  
Muzaffer Altintas ◽  
Zeki Guzel ◽  
...  

1996 ◽  
Vol 33 (4) ◽  
pp. 312-317 ◽  
Author(s):  
Katsuaki Mishima ◽  
Toshio Sugahara ◽  
Yoshihide Mori ◽  
Masayoshi Sakuda

The palatal forms in 20 infants with a complete unilateral cleft lip, and palate (12 with a Hotz plate and 8 without, selected at random) were studied from birth until 18 months of age. Using techniques developed previously, the degree of curvature In the palate and the magnitude of migration of the maxillary segments were measured three-dimensionally. Furthermore, using a newly developed method to approximate a set of the points on the alveolar ridge to a circle in a plane, the form of the alveolar arch was evaluated. Results from the group with a Hotz plate revealed that the plate possesses four effects not seen in the group without a Hotz plate. The size of the palate was larger, and the sagittal gap between the two segments of the maxilla was smaller. These results suggest that the appliance could stimulate the growth of the segments and could prevent collapse of the maxillary arch from the force of lip closure. Third, the steepness of the segments toward the nasal cavity was smaller, possibly occurring because the appliance prevents tongue intrusion into the cleft. Fourth, the magnitude of migration of the lesser segment toward the cleft edge of the major segment was larger. This result suggests that the appliance could guide the growth of the maxillary segments to narrow the cleft width until 18 months of age.


2020 ◽  
Vol 19 (4) ◽  
pp. 10-14
Author(s):  
Z. Masna

The individual face shape, the ratio of its proportions, the articulation capabilities of each person to a significant extent depend on the characteristics of occlusion and occlusion, in turn, are determined by the size, shape and ratio of dental, alveolar and basal arches. Two of them - alveolar and basal - pass at the corresponding levels of the alveolar areas of the jaws, which means that it is almost impossible to correct them, therefore they play the role of landmarks for setting the dental arch during dental prosthetics. A full-fledged aesthetic and functional restoration of the maxillofacial region after prosthetics largely depends on the dentist taking into account the individual morphological characteristics of the jaws, their cellular areas and specifically the morphometric parameters of the collar and basal arches. In order to determine the possible variants of the shape of the alveolar and basal arches of the upper jaw and the patterns of their ratio during the routine dental examination, 55 people (27 men and 28 women) aged 21-60 years with preserved maxillary dentition were examined. It has been established that the alveolar and basal arches of the upper jaw can have the shape of five geometric shapes: an oval, a semicircle, an ellipse, a trapezoid or a square. In this case, the shape of the collar and basal arches can coincide or be combined in various combinations. The analysis of the obtained results showed that in men the alveolar arch most often had the shape of an oval (70%), in women - an oval or semicircle (43%, respectively). With the aim of possible variants of the alveolar and basal arches form determination and peculiarities of their correlation 55 individuals (27 men and 28 women) in age of 21-60 years with the preserved teeth row were examined during planned dental examination. All examined were patients of the “Dental clinic of dr. Dakhno” (Kyiv). Computer tomographic investigation was made to these patients according to medical indications, scanning was made parallely to the occlusal plane. Image reconstruction was conducted with the use of highly dimentional bone algorithm. Alveolar and basal arch form of the upper jaw were determined on the images. It was established that alveolar and basal arches of the upper jaw can have a form of five geometrical figures: oval, semicircle, ellipse, trapeze or square. Form of the alveolar and basal arches can match or can combine in different combinations. Received results analysis testified that alveolar arch has a form of the oval in men and oval or semicircle – in women. Basal arch in men also most frequently has a form of oval, less often – semicircle, square and trapeze. In women basal arch more often has a form of trapeze or semicircle, less often – oval or square. In men alveolar and basal arches form matched in 41% of cases, in women – only in 31% of cases among total amount of all examined individuals. Most often alveolar and basal arches matched in the form of oval and semicircle, only in one case arches of the trapeze form matched in man, in woman – square form. Maxillary alveolar and basal arches form variants analysis let to determine areas, where distance between alveolar crests was maximal. Most variable this index was in individuals with the oval form of the alveolar arch on the level of 16-26, 17-27 or 18-28 teeth. Peculiarities of the alveolar and basal arches form of the alveolar process of the upper jaw in male and female individuals are characterized with expressed individual variability. These peculiarities consideration during dental prosthesis let avoid series of complications connected with the pressure redistribution on the osseous tissue of the jaws during articulation. 


2021 ◽  
Vol 5 (1) ◽  
pp. 30-36
Author(s):  
Theresia Tarigan ◽  
Ismet Danial Nasution

The alveolar ridge consists of denture bearing mucosa, sub-mucosa and periosteum, and residual alveolar bone. After tooth extraction, the remaining alveolar bone undergoes a remodeling process that leads to morphological reduction and alteration, which results in the change in alveolar ridge forms. However, it does not change alveolar arch shapes. This literature review aimed to analyze the relationship of alveolar arch shapes with complete denture retention. According to House (1958), alveolar arch shapes classified into three classes: Class I-square, Class II-tapering, Class III-ovoid. Those three alveolar arch shapes have a difference in the denture bearing area, with the largest denture bearing site on Class I-Square alveolar arch shape. Some factors that influence complete denture retention are adhesion, cohesion, interfacial force, oral and facial musculature, atmospheric pressure, undercut, rotational insertion path, parallel walls, and gravity. The alveolar arch shapes can affect retention regarding the size of the denture bearing area.The alveolar arch forms with a wider denture bearing area provide more considerable surface contact between the denture and mucous membranes. The forces resulting from those factors of retention might produce more excellent complete denture retention. The square arch shape is the alveolar arch shape with the largest denture bearing area. Hence, the square arch shape is believed to have the best complete denture retention.KEYWORDS: arch shape; retention; complete denture; denture bearing area 


2001 ◽  
Vol 55 (2) ◽  
pp. 179-186
Author(s):  
Mika Toyoda ◽  
Hiroshi Baba ◽  
Hisato Ishii ◽  
Toshikazu Takao ◽  
Tetsuo Okayoshi ◽  
...  
Keyword(s):  

2020 ◽  
Vol 13 (2) ◽  
pp. 164-168
Author(s):  
Prakash Baral ◽  
Rami Shrestha ◽  
Subash Sapkota ◽  
Sapana Koju ◽  
Binod Chaudhari

Introduction: Maxilla and Mandible have an alveolar process that bears socket for root of teeth. When the teeth fall or gets extracted there is resorption of alveolar process. The teeth alignment determines the shape of alveolar process. The objectives of the study was to assess the distribution pattern of anatomical shape of arch projected by alveolar process in Maxilla and Mandible and to compare the anatomy of arch amongst the population of Aryan and Mongoloid communities. Methodology: A total number of 856 people with intact anatomy of alveolar arch were included in the study. Anatomy of alveolar arches were assessed and noted for all. The brass wire was contoured according the shape of alveolar arch of patients and the shape was observed and noted down. Result: The study result showed there was significant difference in frequency distribution of ‘U’, ’V’ and ‘Ovoid’ shape alveolar arch form in maxilla and mandible. There was significant difference in distribution of ‘U’ and ‘V’ shape alveolar arch form in maxilla and ‘U’, ‘V’ and ‘Ovoid’ shape arch form in mandible between mongoloid and Aryan communities. Conclusion: ‘U’shape alveolar arch was seen more frequently in mandible where as “V” shape and ‘Ovoid’ shape arch in maxilla. ‘U’ shape alveolar arch was more frequently seen in Mongoloid communities and ‘V’ shape was more frequently seen in Aryan communities. There was no significant difference in comparison of frequency percentage of various types of arch form between the Male and Female.  


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