Ortodonzia Bologna - Poliambulatorio San Felice

Dott.ssa Silvia Marchionni: medico chirurgo specialista in odontostomatologia

Used instruments

Instruments

Computerised instruments are used in order to carry out a test and obtain data that is absolutely scientific and comparable:

The data obtained using these appliances facilitate the dialogue with the patient as they are visible on screen, thus allowing to analyze the problems that are present and the intervention possibilities.

A DIAGNOSIS THAT IS AS ACCURATE AS POSSIBLE IS THE CORNERSTONE OF A CORRECT ORTHODONTIC THERAPY

The formulation of a correct diagnosis is based on the research of as much information as possible on the patient’s stomatognathic apparatus and on the postural system in order to develop a that rehabilitates not only the smile’s aesthetics but restores the correct functional and muscular balance compatible with the individual muscle-skeletal characteristics.
The achieved result ought to be in harmony with the general context that is the sole guarantee, in time, of the stability of the obtained occlusion corrections
This implies the need to use sophisticated computer investigation systems such as the force platform and kinesiograph that aim at examining the patient by testing first the mandibular dynamics in order to highlight which movements are impeded, restricted or even prevented by the malocclusion followed by posture, the body dynamics.

During therapy the tests are repeated and compared every 6 months in order to assess the obtained improvements, not only for what concerns the dental alignment and the face harmony, but most of all the recovery of mandibular functionality and the disappearance of incorrect postural attitudes.
Thus, with all the modern equipment made available to the orthodontist by the most advanced it is possible to obtain a significant aesthetic and functional recovery.


THE KINESIOGRAPH

The kinesiograph allows the registration of the mandibular dynamics thanks to the application of a magnet positioned at the level of the lower central incisors. The movement of the jaw induces a movement of the magnet that is picked up by sensors and recorded on the computer.
It is possible to analyze the mandibular movement, the presence of articular disorders, and the relations existing between the body system and the stomatognathic apparatus can be assessed as well as how they interact. This appliance allows obtaining a graphical representation of the mandibular movement, making it possible to monitor the therapy’s effects.

The kinesiograph consists of a magnet positioned at the level of the lower incisors and by a mask with sensors. The kinesiograph graph is the graphical representation of the mandibular movement.

 

The FORCE PLATFORM

Allows the computerised measurement of pressure alterations during podalic pressure. The results are displayed by means of a colorimetric scale proportioned to the pressure’s value.

STATIC ANALYSIS

The patient steps on the platform in a natural and relaxed position for the evaluation of podalic pressure. This allows calculating the surfaces and loads for each foot, localising the body’s barycentre and the ratio between this and the pressure centres for each limb.

Besides, my means of testing the plantar pressure, the force platform surveys the many incongruities and problems present in the articular districts that are above the foot up to the temporo-mandibular articulation.

DYNAMIC ANALYSIS

The patient is asked to walk on the platform’s sensors for the evaluation of pressure, surface and the location of the area of greater podalic support. This test is repeated after inserting cotton wool (cd. Messermann test) between the dental arches in order to check if any changes have occurred since the previous registration.

The FORCE ANALYSIS studies in detail the orthostatic postures for bipedal and monopedal pressure; the displacement of the pressure centres of each limb are calculated with the body barycentre to highlight the patient's fluctuations and evaluate the postural system.

COMPUTERISED POSTURAL MORPHOLOGIC ANALYSIS

It is an optical scanning system for the assessment the morphology global structural of the patient, is carried out at the front, back and side. It allows analysing the back to verify the presence of scoliosis on the vertebral column, the inclination of the shoulders and of the pelvis.


COMPUTERISED CEPHALOMETRIC ANALYSIS

It is a software that, thanks to the acquisition of the patient’s photographs and X-rays, it allows to make a diagnosis, to plan the therapy sharing the therapeutic objectives with the patient.

The possibility of obtaining the evaluation of the treatment's progression from the comparison of the images acquired during therapy is extremely important.


Computerised photo analysis: for the monitoring of the therapeutic progresses