Prognatism mandibular

Question 1

Clasificare scoala germana

Answer 1

• sdr progenic adevarat (dezv in exces a mandibulei)
• sdr progenic fals- deficit dezv maxilar/poz ant a mandibulei

Question 2

Clasificare Moyers?

Answer 2

• Osoasa
• musculara
• dentara

Question 3

Dupa Boboc

Answer 3

• Prognatie mand prin macrognatie
• Pseudoprognatie mandibulara: deficit dezv maxilar/rel intermax anormale/modificari ax dd(ocluzie inversa F, angrenaj inv frontal)

Question 4

Teorii asupra transmiterii ereditare a prognatismului mandibular

Answer 4

• AR
• AD
• transmitere poligenica

Question 5

Tulb endocrine ce duc la prognatism adevarat?

Answer 5

• Hipersecretie STH- acromegalie juvenila/adulta
• hipotiroidism-indirect- pozitia lb in arc mandibular si macroglosie din mixedem juvenil

Question 6

Cum se transforma un prognatism pseudo intr-unul adevarat?

Answer 6

• modificari ATM
• modificari directii transmitere forte in functiile ADM

Question 7

Sindroame genetice cu prognatism adevarat

Answer 7

1. Crouzon
2. alcoolic fetal
3. Gorlin
4. condro-distrofie fetala

Question 8

Sindrom Crouzon

Answer 8

• hipertelorism
• strabism
• hiperplazie mediofaciala
• proeminenta nazala prognatism
• malocluzie

Question 9

SIndrom Gorlin

Answer 9

• Prognatism
• ANomalii vertebrale, osoase, cutanate, neurologice, oftalmice

Question 10

Factori etipatogenici in Prognatism prin retrognatism maxilar: (x7)

Answer 10

• ereditatea
• lipsa centre osteogenetice secundare de crestere
• pozitie atipica formare muguri/tulburari proces eruptie dentara
• dezechilibru intre grupe musculare ext/int
• obstructie CRS
• Cicatrici posttraumatice sau postchirurgicale
• Modificari realtii ocluzie (inversa frontala, angrenaj invers)

Question 11

Factori etipatogenetici in Prognatism mand prin pozitionarea dau deplasarea anterioara a mandibulei

Answer 11

1. Factori dentari (lipsa abraz fiz, contacte premature/interferente/tulb procese eruptie)
2. Obiceiuri vicioase:ticuri de propulsie, atitudini posturale diurne(impingere ant a mentonului) sau nocturne (dormit in hiperflexie)
3. Tulburari functionale: RO, deglutitie atipica-pozitionare ant a mandibulei cu limba in arc mand)
4. Macroglosie
5. Disfunctie musculara

Question 12

Factori etiologici Prognatism prin modificarea axelor dentare

Answer 12

1. Tulburari eruptie (decalaj temporal Inc Inf-Inc sup, eruptie vest a Inc Inf/eruptie oralizata IS, obstacole
2. Formare muguri sup in pozitie palatina
3. Deficit spatiu la maxilar
4. Obiceiuri vicioase
5. Cicatrici posttraumatice

Question 13

In prognatismul prin retrognatie, in ce sensuri e afectata dezvoltarea maxilarului?

Answer 13

in sens antero-post

in sens transversal

In formele grave- in sens si vertical

Question 14

CAre e cea mai grava forma de prognatie adevarata?

Answer 14

asocierea ocluziei deschise cu ocluzia inversa totala cu inocluzie sagitala