Abnormal bite, improper growth of teeth - modern dentistry is able to correct these pathologies. For this, special orthodontic structures are used, which include the Brückl apparatus.
What does the device look like?
The device is a removable structure, it is put on the lower jaw and attached with clasps to the last chewing teeth in a row. For the lower incisors, the device is equipped with a vestibular arch, for the upper incisors - an inclined plane.
If it's hard to imagine how the Brückl apparatus works, the photo will help you get a better idea of this treatment design.
What is the device used for, how it works
The Brückl apparatus is designed to normalize the position of the teeth in the mesial occlusion. Such an anomaly of the structure is characterized by excessive forward protrusion of the lower jaw in relation to the upper. At the same time, there are pronounced external signs: a chin pushed forward, a concave profile of the face, the lower teeth, when closed, are in front of the upper ones. Such a bite, in addition to an unaesthetic appearance, also causes physical discomfort: pain,crunch, clicking in the facial joint. To correct such an 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 apparatus, it is installed on the lower jaw from the inside.
It doesn't fit snugly around the teeth. The upper teeth are in contact with the outer part of the plate. The compression of the loops allows you to adjust its inclination. By pressing on the incisors, the bite is leveled and brought back to normal.
Application features
Brukl's apparatus is designed to correct pathological 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 a cast of the jaws is first made, because the design must exactly fit the patient, is designed to correct the wrong structure, but not harm.
The Brückl apparatus is used to treat adults with already formed facial bones. This method of correcting the bite is not suitable for children, as there are more effective methods for them. In severe anomalies, the apparatus is used in combination with other structures, for example, those with elastic bands or chin guards. The option of using the design is determined by the orthodontist after examination.
Contraindications
The Brückl apparatus is contraindicated in some types of abnormal bite, for examplecross. 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 children.
Pros and cons
The Brückl orthodontic appliance has both pros and cons of use. The advantages include its combination, the effect on both the lower (moves distally) and the upper (vestibular) jaws. The device is removable, which makes it convenient to use and care for it and the oral cavity. It is made of safe materials, does not harm he alth, is not toxic. It 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 the 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 device include its narrow range of applications - it is suitable only for correcting the mesial occlusion, and sometimes additionally requires the joint use of other structures.
Production process
After examining the patient's oral cavity, the orthodontist determines the degree and type of bite anomaly, after which he concludes that it is necessary to use the deviceBruklya. Production begins with the removal of a wax cast from the jaws. A model of the lower jaw is created, which determines the principle of installing the device for a given patient. The zones of the location of the structural elements are calculated, the alleged arcs and clasps are tried on. 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 that, the wax base is tried on directly in the patient's mouth, 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 incisors. After a successful fitting, the workpiece is plastered, the wax is replaced by plastic. During manufacturing, the patient only needs to visit the fitting, everything else is done by specialists.
Installation and wearing rules
To install the structure, a preliminary fitting is performed, adjustment of the loops and the arc. The Brückl apparatus undergoes medical cleaning, after which it is installed in the patient's oral cavity. The design should sit perfectly, not cause discomfort, otherwise additional adjustment is carried out. Therefore, it is better to immediately tell the doctor about your feelings or inconveniences without leaving his office. If pain or discomfort appeared after some time after installation, you should immediately rush to a consultation with a specialist to preventunwanted 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 definitely tell you which ones, if necessary);
- follow all the recommendations of the attending physician;
- gradually get used to wearing the device (the first time after installation, you do not need to constantly wear it without taking it off: alternate two hours of wearing with a two-hour rest, and so on until complete adaptation to the device has passed);
- when nausea occurs, rinse mouth with s alt water;
- when pain or redness of the mucosa occurs, immediately go to the doctor for correction;
- rinse mouth and rinse device after each meal;
- do not eat chewing candy and gum while wearing the device;
- give up hard food.
The period of wearing is determined by the doctor depending on the complexity of the anomaly, but basically it varies between one and a half to two years.
Care in Treatment
Brukl's apparatus requires careful attitude, constant care and maintenance. The accumulation of food debris provokes the growth of bacteria in the oral cavity, which is especially pronounced when wearing medical structures. This leads to inflammation of the gums, disease and tooth decay. To avoid such problems, you need to follow the basic rules for care, which soon aftersettings will become a habit. Teeth should be brushed with a toothpaste recommended by a doctor (if there are no recommendations for this, use a product for weak gums to prevent bleeding) and a medium-hard brush.
Cleaning of the device itself should be done with the help of special tools for orthodontic constructions (they can be purchased at the pharmacy). Also use a brush or brush made for these needs. A good rule of thumb is to learn to rinse your mouth with rinses to more completely destroy bacteria, as well as anti-inflammatory drugs to prevent inflammation and more quickly adapt your mouth to a foreign object.
