EXPERIENCE OF USING THE INTERDISCIPLINARY COMPREHENSIVE APPROACH IN THE TREATMENT OF DISTAL OCCLUSION

Currently, an interdisciplinary comprehensive approach is widely practiced in medicine, which allows assessing the general condition of the patient, improves the quality of medical care. Orthodontic patients usually need a consultation with a pediatrician, ENT doctor, speech therapist. This approach forms a single algorithm for diagnosis and treatment, which helps to obtain positive results in a short time.

Aim – to apply an interdisciplinary comprehensive approach to the treatment of distal occlusion in a patient after adenotomy

We describe the experience of using an interdisciplinary comprehensive approach to the treatment of distal occlusion in a patient after surgery for adenoid hypertrophy. Diagnosis and treatment of the patient for dental diseases was carried out in this clinic, at the same time he was observed in other medical institutions on issues of providing pediatric and otolaryngological medical care, and underwent classes with a speech therapist.

The diagnostics showed the presence of myofunctional disorders - mouth breathing, infantile type of swallowing and tongue thrusting between the dental arches. We prescribed orthodontic hardware treatment to the patient, and taking into account the orthodontic diagnosis, the patient was referred for consultations to a pediatrician, ENT specialist, speech therapist. Using hardware orthodontic treatment, we achieved physiological closure of the teeth in the lateral sections of the dental arches and excluded myofunctional disorders in the patient. The otolaryngologist who observed the patient did not conclude that there was no relapse of adenoid hypertrophy. The pediatrician observed the patient for concomitant diseases, recommendations were given. The speech therapist - defectologist used myogymnastic exercises that helped eliminate myofunctional disorders.

Today, there are frequent cases of lack of comprehensive, structured plans for examination and further interaction between doctors of various profiles (orthodontist, otolaryngologist) and speech therapists, myofunctional therapists.

In such cases, time and resources are not used with maximum efficiency, and the risk of incomplete diagnosis of myofunctional disorders increases, which affects the overall result and quality of life. To eliminate the negative consequences of incomplete diagnosis and insufficient coordination in patient management, it is necessary to develop special methodological recommendations for an interdisciplinary comprehensive approach to the treatment of patients with ENT pathology, including after surgery for adenoid hypertrophy.

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