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Preventive orthodontic approach for functional mandibular shift in early mixed dentition: A case report
Divya S Sharma1, Samiksha Srivastava2, Shobha Tandon3
1Dept of Pediatric & Preventive Dentistry, Modern Dental College & Research Centre, Indore MP, India.
Undetected malocclusion, especially premature contacts in the primary canine region, can cause functional mandibular shifts. Early intervention through selective grinding and myofunctional exercises can correct this, leading to balanced occlusion and improved temporomandibular joint (TMJ) function.
Area of Science:
- Dentistry
- Orthodontics
- Temporomandibular Joint Disorders
Background:
- Malocclusion during early mixed dentition can significantly impact the growth and function of the stomatognathic system.
- Premature contacts in the primary canine region are a common cause of functional mandibular shifts.
- Self-correction of such malocclusions is infrequent, necessitating early intervention to prevent temporomandibular joint (TMJ) issues.
Purpose of the Study:
- To highlight the significance of evaluating functional occlusion alongside static occlusion.
- To present a case study of functional mandibular shift caused by faulty canine guidance.
- To demonstrate the effectiveness of selective grinding and myofunctional exercises in managing malocclusion.
Main Methods:
- Assessment of static and functional occlusion.
- Identification of premature contacts in the primary canine region.
- Intervention using selective grinding and myofunctional exercises.
Main Results:
- Correction of faulty canine guidance and elimination of premature contacts.
- Restoration of balanced centric occlusion that coincided with centric relation.
- Resolution of functional mandibular shift.
Conclusions:
- Examination of functional occlusion is crucial in diagnosing and managing malocclusion.
- Early intervention for premature contacts can prevent TMJ problems and normalize mandibular function.
- Selective grinding and myofunctional therapy are effective in treating functional mandibular shifts.
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