Y. Makedonova, A. Vorobev, A. G. Pavlova-Adamovich, A. Osyko, A. Poroshin
{"title":"The relationship between the facial type and the state of chewing muscles in children with cerebral palsy","authors":"Y. Makedonova, A. Vorobev, A. G. Pavlova-Adamovich, A. Osyko, A. Poroshin","doi":"10.33925/1683-3031-2023-586","DOIUrl":"https://doi.org/10.33925/1683-3031-2023-586","url":null,"abstract":"Relevance. The modern development of practical dentistry and the emergence of new techniques and methods of diagnosis and treatment determine the necessity and expediency of studying the anatomical features of the head, skull, structure of dental arches, and dental segments in general. Knowledge of the patterns and characteristics of the skull structure and their relationship with morphometric, clinical and functional parameters will allow the diagnosis of various forms of maxillofacial disorders based on comorbidity.Materials and methods. The study examined 30 children aged 6 to 12 y.o. to determine the relationship between the type of face and the state of the chewing muscles in children with cerebral palsy. Maxillofacial anthropometric measurements were made, e.g., the bitragional length (t-t) and the distance between the tragion and subnasale landmarks (t-sn); the gnathic index of the face was calculated, and the mouth opening range was measured. The surface electromyography determined the mean biopotential amplitude of the right and left proper masticatory and temporal muscles using the \"bruxism\" test.Results. The anthropometric measurement data indicate the prevalence of a brachygnathic facial type in children with cerebral palsy. The electromyographic study data evidence spasticity of the masticatory muscles.Conclusion. The obtained data indicate functional overload of the chewing muscles. Masticatory muscles' hypertonicity determined the brachygnathic facial type in children with cerebral palsy.","PeriodicalId":196403,"journal":{"name":"Pediatric dentistry and dental prophylaxis","volume":"201 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115642434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. A. Lytkina, L. Sarap, A. O. Gegamian, A. Zeibert, K. O. Kudrina
{"title":"Comparison of early caries diagnosis methods","authors":"A. A. Lytkina, L. Sarap, A. O. Gegamian, A. Zeibert, K. O. Kudrina","doi":"10.33925/1683-3031-2023-543","DOIUrl":"https://doi.org/10.33925/1683-3031-2023-543","url":null,"abstract":"Relevance. The question of diagnosing tooth decay and, thus, determining treatment methods is still very topical. There is a large number of techniques available for the diagnosis of dental caries in modern dentistry.Objective. The study aimed to compare different caries diagnosis methods to determine the most effective carious lesion detection.Material and methods. We examined in total 45 subjects, 1248 permanent teeth and 5700 tooth surfaces. The dental examination included three diagnostic techniques for each patient: visual-tactile, ICDAS II and quantitative light-induced fluorescence (QLF). The data were processed and presented graphically using Statistica 12.0 (Stat-Soft) and Microsoft Office Excel 2017 software.Results. According to the DMFS index, in the visual-tactile group, the \"D\" (decayed) was 3.00 ± 0.02 and the \"F\" (filled) was 1.93 ± 0.02. Caries intensity in this study group was 6.27 ± 0.58. The ICDAS II examination detected the average caries intensity of 6.93 ± 0.56 (p1-2 < 0.001). There were 3.47 ± 0.02 (p1-2 < 0.001) carious lesions. The \"F\" score was 2.13 ± 0.01 (p1-2 = 0.024). The QLF diagnostic method showed 7.44 ± 0.54 (p1-3 < 0.001, p2-3 = 0.006) as the mean intensity of caries in permanent teeth; there were 3.84 ± 0.02 (p1-3 < 0.001, p2-3 = 0.015) carious lesions and the \"F\" was 2.27 ± 0.01 (p1-3 = 0.018, p2-3 = 0.520). The \"M\" score was 0.27 ± 0.01 (p1-2 = 0.999, p1-3 = 0.999, p2-3 = 0.999), according to all applied techniques.Conclusion. The QLF method had the highest sensitivity and was superior to the visual-tactile method and ICDAS II.","PeriodicalId":196403,"journal":{"name":"Pediatric dentistry and dental prophylaxis","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121054049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Shevchenko, L. Kiselnikova, T. Zueva, N. I. Juraeva
{"title":"Assessment of restoration quality of permanent teeth in children with different caries resistance degree","authors":"M. Shevchenko, L. Kiselnikova, T. Zueva, N. I. Juraeva","doi":"10.33925/1683-3031-2023-581","DOIUrl":"https://doi.org/10.33925/1683-3031-2023-581","url":null,"abstract":"Relevance. Caries prevalence and intensity in permanent teeth of children are increasing with age. It is common knowledge that secondary caries causes 57% of restoration replacements in children. Studying the risk of secondary caries onset in the child's permanent teeth is relevant.Purpose. To study the marginal fit of restorative material (composites and compomers) in permanent teeth of children with different caries resistance degrees.Materials and methods. One-hundred-and-three children (167 teeth) aged 6 to 15 y.o. had clinical and laboratory examinations and treatment. All children had dentine caries of permanent teeth (K02.1) treated. The carious cavities were filled with compomer and composite material. We clinically assessed the restorative marginal integrity in each patient based on the intensity of the carious process by G.Ryge (1998) and laser fluorescence 1 and 2 years after the filling of cavities.Results. In children with average caries intensity and compomer restorations, the rate of restorations with secondary caries signs reached 72%, while the high caries intensity group demonstrated 32%. The group with average carious process intensity and composite restorations did not show any secondary caries signs; in the group with high carious process intensity, inadequate marginal integrity of restorations was in 41% of cases.Conclusion. Compomers are recommended for caries treatment in permanent teeth of children with high carious process intensity, while composites are for children with average carious process intensity. Laser fluorescence allows for the identification of diagnostically reliable data detecting the loss of a significant amount of restorative material to the level of dentin-enamel junction.","PeriodicalId":196403,"journal":{"name":"Pediatric dentistry and dental prophylaxis","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129095183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"“Dental Health” preventive program as a stage of rehabilitating children with cognitive developmental disabilities","authors":"N. Tarasova, V. Galonsky, V. V. Aliamovskii","doi":"10.33925/1683-3031-2022-22-4-307-313","DOIUrl":"https://doi.org/10.33925/1683-3031-2022-22-4-307-313","url":null,"abstract":"Relevance. One of the paramount directions of preventive dentistry is the development of the author's methods of organization and implementation of dental diseases prevention programs in children with cognitive developmental disabilities, allowing for prevention customization, taking into account the features of child development with disabilities, as well as the combination of many objective factors. The study aimed to increase the efficiency of mentally-retarded children's rehabilitation by improving the dental disease prevention program.Materials and methods. The study involved 140 children diagnosed with moderate mental retardation and comparatively analyzed two methods over three years. Group 1 included 71 subjects aged 8-11 years trained according to \"Dental Health\", the author's dental and hygiene education program, developed and adjusted to the psychophysical needs of the child development. Group 2 consisted of 69 subjects, trained according to the dental and hygiene education program provided only by the teachers during classes on household chores. We evaluated the effectiveness of the \"Dental Health\" prevention program introduced into the specialized educational process by the following indices DMFT, simplified oral hygiene index (OHI-S); PMA index modified by Parma assessed the condition of the gums. Statistical data were processed using the IBM SPSS Statistics 18.0 application sof tware package.Results. The effectiveness analysis of the author's program for children with moderate mental retardation revealed that the level of oral hygiene in the children increased from \"poor\" to \"good\" (2.1 ± 0.3 points to good 0.2 ± 0.1 points); gingival inflammation decreased from 24.6 ± 0.5% to 14.4 ± 0.2%. Classes on dental education and hygiene training helped children with cognitive developmental disabilities to orient better in self, time and place; helped to improve memory, increase vocabulary, form new knowledge and skills, and gradually form effective communication based on the child's intellectual deficiency severity.Conclusions. The developed educational program \"Dental Health\" for dental diseases primary prevention in children with cognitive developmental disabilities allowed the formation of stable oral care skills, proved by a good score of oral hygiene indices.","PeriodicalId":196403,"journal":{"name":"Pediatric dentistry and dental prophylaxis","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131854699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. Alekseeva, L. Kiselnikova, Y. A. Ostrovskaya, I. Danilova
{"title":"Assessment of some incipient caries risk factors in adolescents","authors":"I. Alekseeva, L. Kiselnikova, Y. A. Ostrovskaya, I. Danilova","doi":"10.33925/1683-3031-2022-22-4-291-298","DOIUrl":"https://doi.org/10.33925/1683-3031-2022-22-4-291-298","url":null,"abstract":"Relevance. Risk assessment of carious lesion onset remains relevant due to the high incidence rate. The article presents the data on the impact of permanent dental enamel functional condition and microbial factor on incipient caries onset in adolescents.Purpose: The study aimed to investigate the etiology and pathogenesis risk characteristics of incipient caries onset in adolescents.Material and methods. The study included 90 adolescents aged 11-17 y.o. from Penza city. At the clinical stage, we studied adolescents’ permanent teeth vulnerability to caries; then, we formed the study groups according to WHO criteria (Group 1 – moderate, Group 2 – high, Group 3 – the very high intensity of caries) and Group 4 included children of the same age without caries. Vital staining and electric pulp testing with the “DentEst” device (Geosoft, Russia) detected white spot lesions. The OHI-S and enamel acid resistance test (TER-test) evaluated the level of oral hygiene. The laboratory stage determined the number of mixed saliva cells contaminated with bacterial microflora (microflora contamination coefficient) to define the bacterial load in the mixed saliva of the examined adolescents.Results. Besides high clinical rate of white spot lesions (intensity rate 3.10 ± 0.05 and demineralization degree 5.90 ± 0.08 μA) linked to poor oral hygiene level according to OHI-S (2.80 ± 0.13), the examined children of Group 3 (very high caries intensity) revealed a decrease in enamel acid resistance (TER-test 6.50 ± 0.22) and increased bacterial load of mixed saliva – microflora contamination coefficient (48.12 ± 0.80%). Differences with the same parameters in Group 4 (without caries) were statistically significant (P < 0.05). The study of the statistical relationship between enamel demineralization degree and the level of mixed saliva bacterial load (microflora contamination coefficient) detected a positive correlation between the studied parameters of moderate and high power and received the following correlation coefficient values in Group 1 (R = 0.46), 2 and 3 (R = 0.73 and R = 0.78) respectively.Conclusion. Assessment of some risk factors for white spot lesion onset and monitoring of changes may include the analysis of clinical and laboratory data on the hard-dental-tissue condition and mixed saliva bacterial load determination (microflora contamination coefficient).","PeriodicalId":196403,"journal":{"name":"Pediatric dentistry and dental prophylaxis","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133303111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Digital analysis of stomatognathic system morphofunctional condition in patients with distal occlusion before and after treatment with the Twin Block appliance","authors":"T. V. Shiryaeva, N. Oborotistov, A. A. Muraev","doi":"10.33925/1683-3031-2022-22-4-261-268","DOIUrl":"https://doi.org/10.33925/1683-3031-2022-22-4-261-268","url":null,"abstract":"Relevance. For many years studies have evaluated the possibilities of modifying the growth of the maxillofacial complex during orthodontic treatment with functional appliances. Despite the large number of studies devoted to orthodontic treatment of distal occlusion in children and adolescents, there is no consensus among orthodontists on the appropriateness, timing and tactics of such treatment.Material and methods. The article presents the results of the treatment of distal occlusion in children and adolescents aged 7-18 years using the Twin Block appliance. The study included clinical, anthropometric, radiographic and functional research methods.Results. The course of treatment eliminated distal occlusion in all groups; in Group 1, the length of the mandibular body was 64.4 ± 2.8 mm before the treatment and 69.6 ± 2.4 mm after the treatment (p = 0.016); in Group 2, the length of the mandibular body was 69.7 ± 6.6 mm before the treatment and 72.5 ± 6.9 mm after the treatment (p = 0.019); in Group 3, the length of the mandibular body was 69.8 ± 5.6 mm before the treatment and 74.0 ± 4.3 mm after the treatment (p = 0.005). The temporomandibular joints did not show pathological changes; most patients (70%) did not demonstrate anterior position of the condyles after the treatment.Conclusion. Orthodontic treatment of patients aged 7-18 years with distal occlusion using the Twin Block appliance is an effective treatment method. The orthodontic treatment with functional appliances is most reasonable during the period of peak growth when significant skeletal changes are possible to obtain.","PeriodicalId":196403,"journal":{"name":"Pediatric dentistry and dental prophylaxis","volume":"149 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116045565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. Fomenko, E. Maslak, V. A. Sidoruk, A. L. Kasatkina, I. Timakov
{"title":"Surgical treatment of jaw inflammatory odontogenic cysts in primary teeth: a retrospective analysis","authors":"I. Fomenko, E. Maslak, V. A. Sidoruk, A. L. Kasatkina, I. Timakov","doi":"10.33925/1683-3031-2022-22-4-299-306","DOIUrl":"https://doi.org/10.33925/1683-3031-2022-22-4-299-306","url":null,"abstract":"Relevance. Odontogenic cysts in children are the most common bone pathology. The study aimed to conduct a retrospective descriptive analysis of inflammatory odontogenic cysts cases associated with primary teeth in children.Material and methods. The study analysed the medical records of children diagnosed with \"radicular cyst associated with a primary tooth\" from 2015-2020. We studied the following characteristics, namely, sex, age, location of the process, condition of the teeth in question, surgical treatment techniques and outcome. The data obtained were processed by methods of variational statistics. The Student t-test assessed the significance of differences.Results. The study analysed 60 cases of inflammatory odontogenic cysts in children aged 6 to 13 years. Cysts were more often associated with the primary lower second molars previously treated with the resorcinol-formaldehyde resin therapy. The period from the tooth treatment to the cyst diagnosis was 3 to 5 years. The treatment of cysts applied methods of a gentle and traditional cystotomy. Fifty-one children (85.0%) had follow-up examinations. All children showed bone tissue restoration during the period of 4 to 12 months and spontaneous eruption of permanent teeth in 3-8 months. Only 4 cases (7.8%) required orthodontic correction of permanent teeth position.Conclusion. Primary lower molars, previously treated with resorcinol-formaldehyde resin, are the most common cause of jaw inflammatory odontogenic cysts in children. Low-traumatic surgical methods preserving the follicles of permanent teeth are highly effective (88.2%).","PeriodicalId":196403,"journal":{"name":"Pediatric dentistry and dental prophylaxis","volume":"61 7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130580561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Special aspects of treatment and adaptation of children with autism spectrum disorder at a dental appointment (literature review)","authors":"E. Ekimov, G. Skripkina, K. I. Gaidomak","doi":"10.33925/1683-3031-2022-22-4-314-322","DOIUrl":"https://doi.org/10.33925/1683-3031-2022-22-4-314-322","url":null,"abstract":"Relevance. Children with autism spectrum disorder (ASD) have poor self-care skills; they depend on sweet food, and their sensory integration is impaired. All of the above leads to poor oral hygiene. High rates of dental disease in these patients require searching for the most effective treatment and prevention methods. Special programs based on clinical manifestations and behaviour modification have been developed for children with ASD to adapt to dental appointments and oral hygiene education. In addition to traditional hygiene education, modern techniques, including electronic devices, are increasingly being introduced. Unfortunately, not all children can get used to dental manipulations, and the dentist has to resort to sedation or general anaesthes ia.Objective. To present up-to-date information about children's adaptation methods to dental appointments, prevention and treatment of oral diseases.Materials and methods. The literature analysis on the topic was the main study method. Publications were searched in the Medline PubMed and E-library databases by the keywords: 'treatment and prevention of diseases', 'children with ASD', 'adaptation' and 'hygiene education', according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines.Results. The comprehensive approach to oral-disease treatment in children with ASD under general anaesthesia and sedation enables us to achieve excellent results with optimal comfort for both the patient and the pediatric dentist. The advantage of these methods is that the doctor can perform a larger volume of treatment and preventive measures during one visit.Conclusion. Children with autism need prevention and treatment of dental conditions. Available prevention programs need to be adapted to their disease and personality characteristics, using various methods of hygiene education.","PeriodicalId":196403,"journal":{"name":"Pediatric dentistry and dental prophylaxis","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121865754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Kuletskaya, E. Tikhomirova, E. Slazhneva, V. Atrushkevich
{"title":"Xerostomia in patients with diabetes mellitus (pilot study)","authors":"K. Kuletskaya, E. Tikhomirova, E. Slazhneva, V. Atrushkevich","doi":"10.33925/1683-3031-2022-22-4-282-290","DOIUrl":"https://doi.org/10.33925/1683-3031-2022-22-4-282-290","url":null,"abstract":"Relevance. Saliva performs some essential functions indispensable for oral health. Patients with diabetes mellitus (DM) often complain of xerostomia. Long-term dry oral mucosa in diabetic patients adversely affects the quality of life and causes speech. chewing. swallowing. and taste problems; it leads to multiple caries and inflammatory periodontal diseases.Aim. To evaluate the detection rate and determine the x erostomia nature in patients with DM.Materials and methods. The interview and survey included 251 patients aged 18-82 y.o. with Type 1 DM. latent auto-immune diabetes in adults and Type 2 DM. The patients informed the study of DM duration. current therapy duration. xerostomia presence and nature. The patients’ records provided information about the established diagnosis. age. glycohemoglobin (HbA1c). body mass index (BMI). and prescribed DM therapeutic regimen. The data were statistically analysed using the StatTech v. 2.4.8 software. Results. 134 (53.4%) patients complained of a transient dry mouth associated with blood sugar levels increase; 6 (2.4%) patients noted dry mouth if blood sugar levels decreased; 30 subjects (12.0 %) and 10 subjects (4.0 %) reported constant and stress-associated dry mouth. respectively (р > 0.05). Patients over 80 declared dry mouth associated with blood sugar decrease more often than patients aged 45-64 and 65-80 y.o. (р = 0.002*; р45-64 – over 80 = 0.012; рover 65 – over 80 < 0.001); 21.1% of patients aged 65-80 noted permanently dry mouth (р = 0.028). Patients with persisting xerostomia (permanent dry mouth and stress-associated dry mouth) had statistically significant. higher BMI of 33 (31-37) kg/m2 (р = 0.019) and 36 (34-41) kg/m2 (р = 0.002). respectively. The higher glycohemoglobin level increase was more statistically significant in patients with DM. who reported dry mouth associated with glucose increase. The evaluation of xerostomia nature vs to diagnosis. sex. DM duration. drug therapy scheme. and smoking did not reveal any statistically significant differences.Conclusion. Xerostomia presents an additional problem for patients with DM. Patient education and the selection of individual products for oral care by dentists may improve oral health parameters in the long run.","PeriodicalId":196403,"journal":{"name":"Pediatric dentistry and dental prophylaxis","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134521374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"FAGGA appliance for treatment of sagittal discrepancies in adults: a clinical case","authors":"D. D. Yaakub, A. Oksentyuk, O. Admakin","doi":"10.33925/1683-3031-2022-22-4-323-327","DOIUrl":"https://doi.org/10.33925/1683-3031-2022-22-4-323-327","url":null,"abstract":"Relevance. Skeletal Class III malocclusion is one of the most frequent and challenging problems in orthodontics. This pathology affects both the maxillofacial area function and aesthetics of the patient. Surgery is the most common solution to this problem. The clinical case describes an alternative treatment method using the FAGGA appliance.Clinical case description. The clinical case describes an increase in the upper jaw sagittal dimension in an adult patient who presented for orthodontic correction. The patient was offered treatment with the fixed FAGGA appliance. The treatment resulted in the upper jaw premaxillary zone increase by 3.7 mm, an SNA-angle increase by 2.89 degrees, and positive changes in the facial profile and aesthetics.Conclusion. The described treatment method allowed for the improvement of the aesthetic and functional parameters and the achievement of normal overjet. The patient continues treatment with a bracket system.","PeriodicalId":196403,"journal":{"name":"Pediatric dentistry and dental prophylaxis","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130455067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}