Abnormal bite, incorrect growth of teeth -modern dentistry is able to correct these pathologies. For this purpose, special orthodontic constructions are used, which include the Brückl apparatus.
What does the device look like?
Аппарат представляет собой съемную конструкцию, it is put on the lower jaw and fixed with the help of clasps to the last chewing teeth. For the lower incisors, the device is equipped with a vestibular arch, for the upper ones - with an inclined plane.
If it is difficult to imagine how the Brückl apparatus is arranged, the photo will help to get a more complete picture of this therapeutic structure.
What is used apparatus, the principle of its action
Apparatus Brückl is designed to normalizethe position of the teeth with mesial bite. Such an anomaly of the structure is characterized by excessive bulging forward of the lower jaw in relation to the upper one. At the same time there are pronounced external signs: the chin pushed forward, the concave profile of the face, the lower teeth, when closing, face the upper ones. Such a bite, in addition to an unaesthetic appearance, also causes physical discomfort: pain, crunch, and clicking in the facial joint. To correct this anomaly, the Brückl apparatus is used. It has the following elements: an inclined plate, an outer arc, fasteners — clasps and hinges that hold the structure in place. The plate is the basis of the device, is installed on the lower jaw on the inside.
It is not tight to the teeth. The upper teeth are in contact with the outer part of the plate. Compressing the loop allows you to adjust its slope. By pressure on the incisors level the bite and bring it back to normal.
Application features
The apparatus of Brückl is intended to correctpathological bite. It is usually used for anomalies, when the teeth of the upper jaw are directed inward, and the lower jaw is pushed forward. The device is selected strictly individually, for this pre-made impression of the jaws, because the design must fit the patient exactly, is designed to correct the wrong structure, but not harm.
Аппарат Брюкля применяется для лечения взрослых people with already formed facial bones. For children, this method of bite correction is not suitable, since there are more effective methods for them. In severe anomalies, the device is used in combination with other structures, for example, having elastic traction or chin caps. The use case of the design is determined by the orthodontist after the examination.
Contraindications
Apparatus Brückl contraindicated in some typesabnormal bite, for example cross. Its use in this case can be harmful: there will be problems with the joints, jaw shift. Depending on the features of the structure, the alignment of either the frontal part or only the upper teeth can be shown. Not recommended for use in childhood.
Advantages and disadvantages
The orthodontic apparatus of Brückl has both advantages,and cons of use. The advantages can be attributed to its combination, the effect on the lower (moves distally), and the upper (vestibular) jaw. The device is removable, which makes it easy to use and care for it and the oral cavity. It is made from safe materials, does not harm health, is not toxic. Does not require special care, keeping it clean does not take much time and labor. The device is made to order, individually for each patient. Installation is quick and painless.
An important plus is an affordable price.It consists of several components - consultation of a specialist, the device itself, the installation process, may vary depending on the status of the clinic and the quality of the material used. The disadvantages of the apparatus include its narrow range of application - it is only suitable for correcting the mesial bite, and sometimes additionally requires the sharing of other structures.
Manufacturing process
После осмотра ротовой полости пациента ортодонт establishes the degree and type of occlusion anomaly, and then makes a conclusion about the need to use the Brückl apparatus. Making begins with removing the wax cast from the jaws. A model of the mandible is created, by which the principle of the apparatus installation for a given patient is determined. Calculated areas of the location of structural elements, try on the alleged arc and clasps. After a successful arrangement of the structure on the working model, its wax basis is created, the angle of inclination of the plane is calculated. It should overlap the incisors of the lower jaw.
After this wax base is applied.directly in the patient's mouth, is aligned and corrected taking into account the imprint of the upper jaw. The angle between the planes should be more than fifty degrees, which contributes to the correct distribution of the force acting on the cutters. After a successful fitting, the blank is cast, the wax is replaced by plastic. At the time of manufacture, the patient only needs a visit to the fitting, the rest is done by specialists.
Installation and wearing rules
To install the structure producedpreliminary fitting, adjustment of loops and arches. The Brückl apparatus undergoes drug-cleaning, after which it is placed in the oral cavity of the patient. The design should sit perfectly, not deliver discomfort, otherwise additional adjustment is carried out. Therefore, it is better to immediately tell your doctor about your feelings or inconveniences, without leaving his office. If pain or discomfort appeared already after some time after installation, you should immediately rush to a specialist for consultation to prevent undesirable consequences. During treatment with the device, you must follow some rules:
- come to an appointment with a specialist according to the schedule set by him (you may have to bring care products with you, the doctor will tell you what, if necessary);
- follow all the recommendations of the attending physician;
- gradually get used to wearing the device (firsttime after installation, you do not need to wear it all the time without removing it: alternating two hours of wearing with a two-hour rest, and so on until we are completely adapted to the device);
- if nausea occurs, rinse mouth with salt water;
- when pain or redness of the mucous membrane occurs, immediately go to the doctor for correction;
- rinse the mouth and rinse the device after each meal;
- not to use chewing candies and gum while wearing the device;
- give up tough food.
The period of wearing is determined by the doctor depending on the complexity of the anomaly, but mostly it varies within one and a half to two years.
Care during treatment
Apparatus Brückl requires carefulrelationship, constant care and maintenance. The accumulation of food remnants provokes the growth of bacteria in the oral cavity, which is especially pronounced when wearing medical structures. This leads to gum disease, disease and tooth decay. In order to avoid such problems, you must follow the basic rules of care, which will soon become a habit after installation. Brushing your teeth should be done with a paste recommended by a doctor (if there were no recommendations on this, take a remedy for weak gums to avoid bleeding) and a brush of medium hardness.
Очистку самого аппарата нужно делать при помощи special means for orthodontic constructions (they can be purchased at the pharmacy). Use also a brush or brush made for this purpose. A good rule is to get used to rinsing your mouth with mouthwash to more completely kill bacteria, as well as anti-inflammatory drugs to prevent inflammation and more quickly adapt the mouth to a foreign object.