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Difference between revisions of "Introduction/Landing/Malocclusion Rethought"
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<h1 style="margin:.2rem 0; font-size:2.2rem; line-height:1.2;">Malocclusion Rethought</h1> | <h1 style="margin:.2rem 0; font-size:2.2rem; line-height:1.2;">Malocclusion Rethought</h1> | ||
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From | From “Malocclusion” to a broader paradigm: <b>Occlusal Dysmorphisms</b>. | ||
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[https://www.masticationpedia.org/index.php/Introduction 👉 Read the full chapter] | |||
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< | == Malocclusion Rethought == | ||
< | |||
The term "Malocclusion," derived from the Latin ''malum'' ("bad"), was first introduced by Edward Angle to define an improper “closure” of teeth.<ref>Attributed to [[:wpen:Edward Angle|Edward Angle]], the father of modern orthodontics.</ref> Yet, the notion of "bad closure" remains ambiguous in medical contexts. | |||
A PubMed search for "Malocclusion" yields over 33,000 articles,<ref>Pubmed, ''[https://www.ncbi.nlm.nih.gov/pubmed/?term=%22malocclusion%22 Malocclusion]''</ref> but without clear consensus on its definition. Smaglyuk et al. stress the importance of an interdisciplinary approach in diagnostics,<ref>{{cita libro | |||
| autore = Smaglyuk LV | |||
</ | | autore2 = Voronkova HV | ||
| autore3 = Karasiunok AY | |||
| autore4 = Liakhovska AV | |||
| autore5 = Solovei KO | |||
| titolo = Interdisciplinary approach to diagnostics of malocclusions (review) | |||
| url = https://www.ncbi.nlm.nih.gov/pubmed/31175796 | |||
| opera = Wiad Lek | |||
| anno = 2019 | |||
}} 72(5 cz 1):918-922.</ref> yet a query for "interdisciplinary diagnostics of malocclusions" returns only four articles,<ref>Pubmed, ''[https://www.ncbi.nlm.nih.gov/pubmed/?term=interdisciplinary+diagnostics+of+malocclusions Interdisciplinary diagnostics of malocclusions]''</ref> underscoring a major gap in the literature. This suggests a paradigmatic shift may be underway, as described in Kuhn’s phase 4 model. | |||
{{q2|Diagnosis, treatment strategies, and prevention of anomalies and dento-facial deformities should consider the organism as a whole, particularly in children whose structures are still developing.}} | |||
A clinical case illustrates this complexity: a patient presented with a unilateral posterior crossbite and anterior open bite. Literature suggests orthodontic appliances and sometimes orthognathic surgery are indicated.<ref>{{cita libro | |||
| autore = Reichert I | |||
| autore2 = Figel P | |||
| autore3 = Winchester L | |||
| titolo = Orthodontic treatment of anterior open bite: a review article--is surgery always necessary? | |||
| url = https://www.ncbi.nlm.nih.gov/pubmed/23949448 | |||
| opera = Oral Maxillofac Surg | |||
| anno = 2014 | |||
}} Sep;18(3):271-7.</ref> Crossbite correction is equally important due to its functional link with open bite.<ref>{{cita libro | |||
| autore = Miamoto CB | |||
| autore2 = Silva Marques L | |||
| autore3 = Abreu LG | |||
| autore4 = Paiva SM | |||
| titolo = Impact of two early treatment protocols for anterior dental crossbite on children’s quality of life | |||
| url = https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5962250/pdf/2176-9451-dpjo-23-01-00071.pdf | |||
| opera = Dental Press J Orthod | |||
| anno = 2018 | |||
}} Jan-Feb; 23(1) 71–78.</ref> In this case, however, the patient refused treatment, claiming function was unaffected. | |||
Electrophysiological testing revealed functional symmetry in the masticatory system despite occlusal discrepancies. Findings included: | |||
<gallery mode="slideshow"> | |||
File:Occlusal Centric view in open and cross bite patient.jpg|'''Figure 1a:''' Malocclusion with open bite and right posterior crossbite. | |||
File:Bilateral Electric Transcranial Stimulation.jpg|'''Figure 1b:''' Motor-evoked potential symmetry in masseter muscles. | |||
File:Jaw Jerk .jpg|'''Figure 1c:''' Jaw reflex test confirming functional balance. | |||
File:Mechanic Silent Period.jpg|'''Figure 1d:''' Mechanical silent period indicating neuromuscular coherence. | |||
</gallery> | |||
These results challenge the reductionist view of malocclusion, showing that **neuromuscular balance may coexist with occlusal asymmetries**. Hence, diagnostic strategies must integrate occlusion with neurophysiology to avoid oversimplification. | |||
< | <blockquote>''Occlusal Dysmorphisms, not simply Malocclusion — an entirely different paradigm.''</blockquote> | ||
</ | |||
{{Bib}} | |||
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[https://www.masticationpedia.org/index.php/Introduction#Dental_Malocclusion 👉 Explore the full section in the Introduction] | |||
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