Dados do Trabalho

Título

Improvement of the quality of life, sleep and behavioral attitude through the treatment of malocclusion with Functional Jaws Orthopedic

Introdução

Functional Jaws Orthopedic Treatment (FJOT) started in 2019, at 3 years old when the patient presented with difficult behavior, irritability, lack of lip sealing, ankyloglossia, impaired sleep, anterior crossbite, mandibular prognathism; with a diagnosis of 92% blockage of the upper airways and indication for adenoid surgery. Four months after the start of treatment, there was a change in the therapeutic posture between the maxilla and mandible; reversing of the anterior crossbite; lip sealing; restful sleep; lip frenulum surgery; considerable improvement in behavior; the upper airway space also expanded and then the Otorhinolaryngologist ruled out the need for adenoid surgery. Currently, patient is 6 years old, uses a functional orthopedic device to maintain the therapeutic change between the jaws in order to accompany her harmonic growth and craniofacial development.

Objetivo

The objective of this study is to present a clinical case of a child patient with compromised sleep quality and breathing, who after undergoing FJOT, showed improvement in the malocclusion, respiratory condition, improved behavior and sleep quality.

Métodos

Tree years folow up Functional Jaws Orthopedic Treatment with Bimler C Appliance, klammt Elastic Activator therapy and Simões Net Work 3, conjunction with upper lip and tongue frenulum surgery, besides periodic evaluation of the upper airway space with the Otorhinolaryngologist.

Resultados

The malocclusion was improved through the change in the therapeutic posture between the maxilla and mandible, reversing the anterior crossbite, lip sealing, improvement of the upper airway space, peaceful sleep, considerable improvement in behavior, and the Otorhinolaryngologist ruled out the need for adenoid surgery.

Conclusões

In conclusion, we recognize that Functional Jaws Orthopedic Treatment improved the quality of life of this patient, but at the same time, we recognize that FJOT is still foreign within Sleep Medicine and Sleep Dentistry and thus interdisciplinarity is required for the benefit of our patient's quality of life.

Palavras -chave

Quality of Life, Malocclusion, Breathing, Upper Airway Space.