[A study on periodontal implications of the therapy for dento-maxillary anomalies]

Dento-maxillary anomalies are the results of a deviation of growth processes, or of the development of the dento-maxillary apparatus. From the viewpoint of their frequencies the dento-maxillary anomalies hold the third place in the list of stomatological affections. The great variety of clinical manifestations of dento-maxillary anomalies has determined definition of therapeutical attitudes, in the frame of which therapy with orthodontal devices has an important place. This type of therapy exerts its effects also by implicating the parodontium, and this by at least two different mechanisms:-the induction of changes in the structures of the dento-maxillary apparatus by a direct parodontal mechanisms; as an element in the overall regulation of the growth of the dento-maxillary apparatus. The treatment with orthodontial devices should be conceived in such a way that it will protect the parodontium from the deleterious effects of these devices. The data presented further were obtained from 2 groups of patients and concern the improvement of the efficiency of treatments with orthodontal devices, and the protection of the parodontium during treatment. The first group was investigated in 1988, and criteria for the selection of participants in the second group were established. In the first group a total of 109 subjects were included, aged between 5 and 20 years, in whom stomatologic procedures were started in January 1988. These subjects were followed until the month of November of the same year. The most frequently encountered anomaly was maxillary compression (endalvellia) in 70 subjects. With regard to the condition of the marginal parodontium clinical exploration showed that 57 subjects had not underwent changes.(ABSTRACT TRUNCATED AT 250 WORDS)