22001 Toate dept nr ace Ylam sit Editurié CERMA me adr Deon Mate Sis Pace mig Agana sta en Ade Mics ISBN 9739066889 | ORTODONTIE SI ORTOPEDIE DENTO-FACIAL ~ GHID CLINIC $1 TERAPEUTIC — ‘Sub redactia Prof. Dr. VIORICA MILICESCU Autori: ECATERINA IONESCU TOANA DUDUCA MILICESCU ‘VIORICA MILICESCU Au colaborat: ‘STEFAN MILICESCU ‘OZANA ALEXANDRESCU ADRIANA ANTOCHT ANGELICA AICHIMOATE4 AUTOR . eater oes net de ere Dicptna de Oras Grape de aii, ser al Denes Buowess eet rma edo hc me seg ents sere atin ee Trane Doves Mise ~witeaseveiar i Diciin de ‘rosin si Ope deo i UME Col Daa Baste ee pei rte te echt song een; “Sect = Manoets Pope sitet sive Ie Dist de usm Ore dno fi ‘a Ca Dr toni peas smog eer oor Ovi Peper site averse Ia Din de casos Ocoee dt a, UME Col Dev Bae nec plied, etn, Vers Mien freee vein It Dip de ‘rasa One dene, LUMP ar Dr Ds ~ed i are “ee pina rm eel Serrano AvCoLABORAT: Stet Meee stent niet Dip de Frttet diate, "UMP Cal ne sit tin net pci somata ee ro ‘Ocana Aetanies repairer i Dips ée nie Onopei di Unive Tit Maree imei ondons det Adtlane Antic repro nei le Disp Onsione & Oropete deny aa, ‘UME Carl Da cei madsen oso Sosa Angels Aichimoae metic eet ened UMP Cet Devi, Bae cal 3 tment ine — % ‘CUPRINS Cv a _ ‘etn ae pasion orton orp dentrman cl. 1 aptott? a a 1 Spi = 2 Ne nicra reste ie — a ee 2S teaeoe 2 A etn paws ace APS eae ae geal op 3 rete ecg ce Etamtecaiee SEE te le aa Festool cee iestra pect Snes er : i eneSignor eae ee 1 Ss cee ace Mp oes cc np me ps 346 Sets ii Ade ME Ga seein Sah yee Ao Peron Sa moat S02 apn cate SN aes ee ea Ree done keen 42, Mossiat oe soa a ai cera gaara “442 Frincpsetemomentedinamice ale deol chica ls Capa Extmene complementre ST mate 22 bomen pte 315 Ete tei sani Biol tlbaie EE ‘32h Enea age $F Bice sop deg cg Sreeistoie anomalilor eatomadtane conn "ati nm = {Sa I ol SE ata arent — ee rene Ag ence 72 eee pe ssa (oa mind) = Tiers Sct se ne : Sees Gace opp a uo ‘ea note Pt pte Apri $1 Rectan re a et cad abo BS Dont pect ego - Ha Bcaet = A mE Micon andj oo SE ead ind So biticederae oe Billa sige on sa anaes Caer oma Se tt it er — a a = oe =8 9. ene ecg ei ae ie ee uesreaeen i ottoman z cam, rt Lo : x a cstv i “ish ac wes co esa) =o 38 eects 1 Ape eine opal or194 Aa Aa Meta 1843 San te et {6 Ronse exial cina as 2 1045 Aetna sen Bn spe amare ME ee sma a 11 Arta codons fe mecanicepopiv B88 TMI Blessed sre sn a LEE Bowens i de ag 2, 12 apie ne a cal a Gen ns ne PP nS a 3 ——- Covina Ll Afra pi exe a ii Ament Et 22 Aft ee EH ere ee 32 Nie fl eg opti 14 oe Apt de conte ~ we 18 Bs dew 14 Menno apy 185 Postionsora oth posione) 15 Covet se sas fn Captions Seema preeti de ex ie iste ae 182.Gxectac Biogas CUVANT INAINTE ‘Actath cane se doreste 4 fi un ghid de informe In cis terapvien anomailor dentate pet ce ce % peRase peat croton rope doc se enh ‘Sars pn pia expert! mal mul genera de care dace cat tine totais seems de segue, crinfle ol observable Stace remind sc ral as Peer {elective aptopate de ecesisi actae ale Hvar. Tarren ecestival daca a epor colaborsteriextea,medi rere radon stent ea expen nou pet ii 8s, ‘Sten avant uot Sislog Gb, benetc uc dar presi wort tombe 2001CAPITOLUL 1 RELATIA MEDIC - PACIENT IN ORTODONTIE SI ORTOPEDIA DENTO-MAXILO-FACIALA fn rele ew puceni, medical uobuie of manifest mul tacts totes, bam sn 1 vespet, dar gi ices i response open cue teapetce cele ma inate timp Brdnzl at of oct nian dina pina de gi fo de et srt net ta acl medica repre prceperes medical dea 36 ‘compara fava de blnay, Dota pe o cuoastre a photoset mult safer ‘Ace coon ma vb i pear species ash ae connpots ns mum paca eae de pace eiria ne ake {pectachstomilor dato manilae cae ta mje stn impune Ain teateent ce se finde pe peioade lng de timp. Pris din sete sponive, fla suede pecent i ortdonie repezid inte [pela de comaniare, de nlegese; de modu cum se reaiszh sess ‘sorte depinde fn pare nod scent sees tment ‘vests cop fn stioct conse situa stesant ott entre cpl lt i petra medic; evo de adapta ete respred Petra odie sta sees ete teint de responses prfesonls Be uncr, de dversle die ce spar i legit eu atl terapenc ‘Peat coi fest, agonal steseat consti sufeina, ei emotional Cconceisindi africa provine dix capaciotea copia dea pis brat Stabila pena recite sale" abc‘ecomaadsbil cnet eekturs med semi ert pty re, cn sc mel somatog et aes ea © baricr incre practician si copil; os ‘eterod foods a T pei omolog devine alt pen econ a nonaie vos En recent pint, penta ea acest sna ve si ofensas Coil divide aeatla oe medic ot print: medics Si divide ‘etait pine cop; Raven de nine sam nervoiate a pintelit ve poate tema coils inten pinta caine, medica se site malt mi conforab, tna rleat mai efsentcomportameotal s:proceluralteapetic, ‘Sowcce alec Mien” Sont ots situa unanim aseepate, end pezena unin sa aioe pin ncbinete storage eprenat el van al cop ateprescla fi reveal cop peyote Inet predointo eae simbite ext ca prin (waif), ~ fn op ce deficit mista, fosemotr, sa fein ceoice, rate infra pete i nleretile pcre le ofr pines ‘Cin se ecepat au sl resale va side toca nett ptinel nner cabinet, ate sc op le 8 percep in permanent recea acta (ma les In cope) Pett sistent de abet vor dialogs a impel ater (eu excpin mtivailor tet obiective), pena a na afect expaiata de (Scena cop fats de cova ce pine media! somatolg. Pring “atari rcomantits oltre, copia pote deen’ dere: conta Medic! siomaolog tebe fle fst stent ctcamspect sun ied apur embit pial, sau mama sl bunin, sa efnd pls aaah ‘Stolscent asst a i resent tm esbinet in pol tatamestuly saat (rverone a unoe fel potent, sau chiar real fe desfuaren ‘examen Maxim). Shc de esr ms ot soar pate medic. Buena pe eae © face medical tbs ft a oifcareacomportamentuli acini fot tetaeute de specail, aga fic fact dine un colabortor ev, Paci pciotla opi web oN stimalere eb aj tS evs consti deste, care permite cpl curs ele Ireoca dela comportamentl adopts la florea consent logit ‘rtonamentts (Bear, 1971) (Ga) ‘ure acta, mica ebule s- cunased peopel nt med de comparneat emot, sgl clarfie rescile comportamentle pe anili as fl et lpn atadiee fn momo Innit ou mika pace. Medical ustme Hi contocre npr enc oFintinistone, hdr, ccnp nl tes oct ss spot stay pins chin pit pent ep Maj col, (1963), eta de Gv, dau maton indict sets comportamna! mdi 8) sie a sivetel penton opt, ncercind yo neste Incare pote si punds, s se merece de coi eal cance bovine, 58 sabieasd ela sce tee ep a meres ‘up exe inten nfavorsbil«pinitor supe pls 1) 58 den copiuiexpisile pe eae Te cere, eu Ine, snp, Yipesines tsi de tote dpi sncvtate Sa ceard copa Promina de eolabors pean: 9) 5 fie hott im acini si mageve fi s8 cai Hezeaed cepts Iipresin a ov a fines ‘dyseevte alu fata de copil soeu pevitc ered Steming pe micul clea proecene pe mode fgem storitart Un mdi ean sige 4 sine, are anit copii et Injeloge fries eal aad 2 Invings. ve cltignIneederea copier va sigan ba ‘fr sponiancelaboares. “Li toue asta cbui st al adtegam aman ster rma pcenons a eabineti ntl tmp tot mas ml song oe ‘eounit a euoares abs haat, percept ce copie sibel det fosind eto eae pete Pear fae ft cxaeoredestiv este nesesar ca med ie ‘uns de aevirrl aati. fe envi umm pane argc (1972) 8 amen mao soar oma, crew le fos hata tx momen imisirit sau al nagter Evident, frecare individ Is are propria. so ‘onstngie genetic, de oie! ie. Teas cea eval eh eb eect Iincelecrat canta social, este determines trum grad inporan de Propitesate cfortur, conjugate eu cele ale prin, profesor ae tor pentane". Apel el etuleWt e «8 yore) nt met Paes face tsinte tare decors naturela cop si Inuengle moda social penta et desotarea natural ete tn mod ineiab u proces {oxi in care rele moi mal sex mat putin permanente adult cao ‘portant special x print Su ce care tute acetone, pret dn i Seerane ma ate eet aa ne ene pn oe ne te sa te pa econ sot P Laer DTN aed vss at cre dpe de tn ptr de scm shear ech SPUN peace cpl ier sn th are Pentrt S Caen cet Lire aig Sm werner tea tencraae Sistema ye eae ie coe ttm oe aa we natn Ronee arate Sarton potter aenrrerr rosetta arcana pes te am aa eee net nnn Ing av aati a fo Jr eProp Pte, ome st comin, wren eater ears ns meat intS mu avantajeza pnciental. Un diagnastic eoreect ceve © bw Frere ieropvmanct cet in conn vaca 0 HSE PEA Frcbule ft tnce sama cf To specialiten ee ee cacao (pan snot pi sive oi ees rea dons nonia a Gen ft sna, Toot, et de Soe fapeul 8, 5n stadiyl actual in medicind si implicit stim specinlt Sure asa de transforenari sab infivents proceselor tebnice eS emaiaet ie sf uccemtuene si mai mult responsabilitstes st se te enone pe en wis onto18. De asercoca tebe ave fn vedere fap ee ma woma ‘sist footnote cree secular (zeculs trend"), eae eterodong {Seca cere statr-ponderals copy eres cae ne ee te relating gn niet segment erann-fai,undeexxteree econ, Inet, Acct face 34 fatnim, de foto mule eri apomal coe ‘ecsittrmont dogs sa anon cae pe pacers tse cerelve aa fevomeae de ator, fied st mal necsie interventia teapeunen, somal ee pot st Deneficieze de 0 profilaic bine comdlsh soe deo {tame itrepi. De aces ertodntal rob fe ntat uo sio Fe de ae pans, in geaenl,anomalile spurte desto-mutine caraceto complete care neces sl ¢ terapeticg coplonn ‘odotic, chruzical, protect Subsiniade-ne de mule ee a liar aesvor metodo, efctnen sta teapot be nl eoe sims colar cu ceive de speci revi, seats ponte ds yecuerapeutce. 5 once, fn fone, este dloe use ric simple ‘5 tesla ce ma bond sini cel al pv net og rma el a serdar cel mai bu, st dao met pee, pace = cop + Von noasra esto preventive aceeacevam {ace tn orice tnprehrare Acsteinprspot rat ne cuprind fea Com sn, cams rar ana de no Gout $i oar wd ol ft tt cos in pains stapes recat Ini x sprang Lboock), (LIZATA /BSERVATIE CLINICA UT yO U RENT IN PRACTICA ORTODONTICA coma gota Nate coach —— Pesci. ee erat Ss — ‘cas oss _ ‘noel youl pelo “ee ie wine = = Deno ner ——— = ft ee on nnnPeete eee ee ee e TO ee ey oog Hie AO ot tee moro AE PROS Oa eee sg aya CAPITOLUL 2 ANAMNEZA ‘Amwmacza 6 face fa geinga de debut a tatsmentll, caja oni dae pi, prefer al mame, In pcienit coi, tn escent Cod anomaliao cre, peels pile ese acest Sinec Aten cnd no ete post prezera pio, se specifica nei ser pclae dtelenossare pe cre leva prim dela pit ‘iscuta en pais fice cu dire dac xe poi intro camer sepiah, menejtad sascptbitaten patent, pin st pistnd ‘evel peofisional, Tost Infrae owe de In pacin rin nares tor ffirate evaluates aspect medial, gn vr fice obit nor omen efevorbile lege de tatumeatleantroare an medic eae 9 Igri penal pnt la moment espestv (Code! detolori medical). Aranneza nto + ative pezzi 1 ttecedeste erede clare + smcedente personae 2.1 MOTIVELE PREZENTARIL ‘Prezenl pci cine de ote sictaren consis) de speciattate ue josfieate de tive cept grat nw stg 7 pce i ee record cones etodoock de ce medi retin alopecia. Aces west provi cel ma desea wr noch ORI, care sbordndopatologie ide Invent ff oeaizare oi stile apart dento-mani, ree: esi dinbe meciaisie extrstomatolopee, st mai ef ‘en linen eupindereoanomalirdeo-maxin;~ medi peda, ae sa + cvoliie deotomania een aoe ular de eon emo copia OMEN gen a eres ~ mei de fie ec, ‘msi fae cr diac ml mat oreo tl comet ‘organisms mae, ~ medic endotna ‘se I ia tee te evloi tnerma Indereat dee lee ‘moscue find implicate de leaps eadring 2 ‘Cama pecvet sexe sat bre de aire det a nivel ous rena, Som ova moment imports tn evolu dent peste ncn print "te peroads de faceput a erupiel nilor permanent ngheouren incisiilor iferi/superor, sa apa angrensjli sa ote inverse foetal; ~ mmpeioda finals erp deni! definitive pai ior cope, col mal lesen cain oped ‘Eat staf ete pint, Se dnt experenaneioara co imal copie in antecedents paral In Fame, sunt preocpa d= Ponte inslas uber modifi! de tip ingest dent, manta ‘seth exces te Fi solic cons de speciliate i Tacerarea de & preven aprifin anti respective, Pri devin sel primi gest de ‘rota a aerepi Inco ce piveste potential pcien adolescent ‘er an au, mova fionoie ested odin personal, Sublist ‘monifeto stare de nema vis is aspect facia cel mal dev ‘and stator eset in scktat sa elaine persone aprepia Din peipectva piologich = abd teapetice odonti, pnt mati, e repreins caapeia cen mai frst de pict, dorndus {crema respect foarte tit epee tripe Tndifeent de jones cael fae pe psn snes nam ais octet de etotooi, pina coma ae roll dei satura abe ‘tic orient sissies parma de desu vite coos. 2.2, ANTECEDENTE HEREDO-COLATERALE (AHO) tn cade anecedenslor Reedo-colateale, importante pent secilittennostrtsteteva re de stole: 2.2.1. Existenta infefilor specifice in familie = tuberelora~ 9 cat reraeecen ete rcuncscth fe plat ‘mondial ~ siflisul~ ce enoarte, de emer, o crete ngrioraone;~ SOA. sees wo pow SDn am ‘ie et go te neo — mod moral, Ja nivelul eutogting a eatitate patologies separatss, ‘asa 222.Bolilemamel Consitic © gmp ce i daca ont eget © inptne o vestige atest. Son ate i = endocine Inve seclttiia ope fern de ni aut In statis donee rime B str denture oa "ssh sine bur ge en noma), 22.3, Anatizaeredtra ct ‘samba rani fan, Ms nota aloe au concnona fcr ‘veda schema fail nal per rei fftuenenek > severe facial aso vein, ~ @pwte = prnmetie de devon Gmc a ul enum ~ngtiol goin, ‘ices apse dent-aniar oterinte genetic snk mien fn nsw maior, fist i comalogi roped dentare. Dare snore denna rocurescote ca avid transmis sett, oe pas 7 lia aded scopes = ogni! madilar anatomic: Tete fome de ocase dewhat,compesane de mast, sem vers, dlarmonidentoalveolres = uncokenomal dete de ums. ‘lb de tues carter eer nla aelogenea imperfect eres: = dentnogenee imperfect eer = mula Cap de Poo. editcs se reels pine fetodt eboptogeici si a cama sestfonailr cngsiae. Ttanenal apomaliloro wo posunlst cxacer ‘tar ost fl (a les cn anomoi nbrac n b liie eve, Ihngl dant pune o conten create ic de eid ind mat ‘ron est calor anomie cara anomalilor cere era, ‘Sinemet srborclegeeaoge Fig 1) bina mflosettermenal 3 seeigre", adndose pens spezerres cedar dou exe, smote ‘nonce ct mscan i) femiin com slizaz tert modes {emma © eminin, Generale se tear: ef omane, nee tslceea pins cine pra de anomat. Czsil fect 3 fpteant conveionl seater cee me, erp evar din pit ‘rae pls ual Apa ale anor afi epi ait apre cmvenhiconl iv fot oo Hers. naire rbrlal genetic rons nt el nts gettin cl ei pei ace nie rot fac tein acm ami, co mn sa ges tiga sceJo gory 1 este prezatth cohen nel scoped tansmiterit creda a eclotel 2.2.4. Conditii de muncé si viata ale familiel Met eters pinto, special mani ft cone ope se inpun afro pent pial etalon sesern Sendai cnc motel nase aha ‘sta tabegismal ocupa un loc iepportant. Bean Stam 2.3, ANTECEDENTE PERSONALE (AP) aS HH ance pase ne esa a et fziologice, cit ¥i cole petologice, eu refetice ‘specials antecede nn ‘Pessonale in legdtur$ cu snomatia dento-maxilara existent. mee 2.3.1, Antecedente personalefiologice (APF) 23.1.1. Naserea poate fi ~ ewsces oem) ~ Siscic anes) ~ pezetare pln ~ sical de comdon omc ifrepretungta uta normale 12 ~ 15 ‘aster ca aplicare de frees sau vd extract Te ancambe, tose scene si ae ee ams onc ep a pin 23. Alimentotia tn primul an de vies poste ~ aur (a in, pn 3-4 en, nd in spol blac I 8.9 fk ep diverse yi n Te nimoctia min 6 vical we oteraea dict feat co tena sat ca gut In al lien cu iberosl es imports oui opal spt tine 2.3.1.3. Date tn logdturd eu dezvoliarea coplului ‘Coterea se defines ex anabal pocesclor bole, conde Indi! de mutt bilogiet spec vee dui. Stain doen erin carte v eet caracteszata de pconde deere acs fie pesionde de wagoaz, sau de cetre fart let Penraoanlia a pnelglelor ete fcnlogice pe care le peerae on indivi in earl een, Se vor inves (pn dsc eu ea in pi: 1) ea de reste prin seus compa viel de stale « {ehimbsdior ve, simpl wou ener at 2 ata erent -oprzentin eaten de eetre nize dou pecoade deny: sp ecresta eronlogi = ietifiesres moment Jn cae pat frincipalce evenente bilgice in deeusul eer (iow ‘ep, car et pil pi fd a apt isd tempor permsaet ‘Pancplele moment Filo ole rei vont 1 ea infaniis de a nae a2 a5 jumatane (pa Bock 3 28 (dapt Woodside), pevoads. Im care crsterea scheltat cate emmiiatva. Aseastsperonds e fachoie oth cu dfntiares eit be ape: 1 ep joven: fcepe af deni temporare ss termi fo ‘pomentl up! lar de 6 an, Rat rete prin parte estat interval (peoads metic @ copii) est relive erat apt de o centre acceleai a aun pe a iterolla (apn fils copii). Ene canoes eu denumives de reser juvenile pus inermedar de reere: ean pepubetars debuts cy aprximatlv 2 an nine posest fear maki. Se caracizesn® pit eretxe Jn lngive & Tpombelon, In spec cle inferiwe, are dau aspectl tc al UMolesceatll alors desi. neropotonat stgsce, Peis