Cranio-Faciale Disfunctie

Object

Titel

Cranio-Faciale Disfunctie

Subtitle

Cranio-Faciale Disfunctie, met name de maxillo-mandibulaire disfunctie (de overbeet)

Author(s)

F. Gottenbos & S. Schenk

Abstract

"Onderwerp
(alleen in het Engels)
This study is concerned with clinical-anatomical, biomechanical and radiological properties of the cranial bones.
It was initiated in order to explore the influence of the treatment of the sphenobasilar synchondrosis (SBS) on malocclusion caused solely by maxillary dental protrusion.
We started with researching the macroscopic anatomy of the cranial bones, specially the base of the skull (occiput and sphenoid), ethmoid, vomer and maxilla.
William Garner Sutherland, D.O., made an important discovery about the central nervous system (CNS). He called the inherent motion of the CNS the primary respiratory mechanism, PRM.
The spinal and cranial dura and its reduplications respond to the inherent motion of the CNS and fluctuation of CSF (cerebrospinal fluid) and move through the biphasic cycle, influencing the bones of the cranium and the sacrum.
Keeping in mind that the sphenoid in the cranial base works in conjunction with the occiput, the ethmoid, the vomer and the maxilla, we wanted to research the influence of treatment of the sphenobasilar synchondrosis (SBS) on the maxilla.
In this study we treated 26 children, six to twelve years old.
Each child had a malocclusion, caused only by maxillary dental protrusion, class II, part I.
We focused ourselves on the treatment of the SBS and did not give a full osteopatic treatment to the target group in order to be sure what results treatment of the SBS would have on the maxilla.

Methode
Literatuurstudie: Embryologie en anatomie van de cranio-faciale botstukken, histofysiologie van de suturen
Uitleg orthodontische benadering
Uitleg osteopathische benadering
Uitleg praktijkonderzoek
Uitleg resultaten en analyse

Resultaten
In the target group, 26 children, the protrusion was reduced after nine treatments in six months.
The larger the protrusion was in the start of the treatment, the more the protrusion was reduced at the end.
Statistics also show that, should the treatment be continued, the results would improve.

Conclusies
Maxillary dental protrusion is not considered to be a disease, but more a nuisance.
Osteopatic treatment, given in the age between six and twelve years, may help to improve the maxillo-mandibulary occlusion.
Orthodontic treatment usually starts at the age of twelve years, when the grow of the teeth is completed.
A control group of 20 children was examinated by the dentists and by us, but was not treated.
There was hardly no difference in the protrusion at the end of the examination period.
Our final conclusion is that the older in age, the less effective the treatment will be.
"

Date Created

Oktober 2000

Type

Pilotstudy

number of pages

85

Keywords

Overbeet, maxillo-mandibulaire occlusieproblemen, maxilla, mandibula, SBS/SSB, suturen, gebit, orthodontie, protrusie, malocclusie