Dr. Oksana Afanasieva
Dr. Oksana Afanasieva, Russia, Moscow.
Associate Researcher of CRID (Central Research Institute of Dental and Maxillofacial Surgery)
Postgraduate orthodontic program at the Moscow State University of Medicine and Dentistry (MSUMD), Russia in 1997-1999.
Studied dentistry at the Moscow Medical Stomatology Institute (MMSI), Russia in 1992-1997.
Scientific interests include clinical orthodontics, assessment of stability of lingual orthodontic treatment, on base of functional measurements of vessels, bones and muscles.
Speaker of 3M. Expert on Incognito system. Private practice limited to orthodontics.
- ESLO Titular Member since 2012
- ESLO Active Member since 2010
- The Member of Professional Society of Orthodontists of Russia
- The Member of the Dental Association of Russia
- The Member of European Orthodontic Society
Title: The paradox in the practice of orthodontics when simple seems complicated and vice versa.
Aim: To study the functional response to treatment of neutral and distal malocclusion by fixed lingual, individual, manufactory-produced orthodontic appliances.
Methods: this study involved 45 adult patients, diagnosed by anthropometry, TRG lateral, T-Scan, EMG and densitometry.
Patients have been studied for several years for the indication of the distribution of the occlusal balance. The changes in the tone of the masticatory muscles and bone density was analysed in this regard. A significant difference was observed between the group of patients with occlusive pads on the upper canines and without them. However, the most interesting was the dependence of the results from the complexity of the pathology: the more difficult it seems case, the better the functional adaptation of the body to our intervention.
What is the secret of this paradox? The secret is in the amount of labour invested by us in the treatment of disease, which seems to be more or less difficult.
Results: Comparative results of treatment showed that the improvement in functional status after treatment often occurs with patients in severe cases.
Conclusion: Patients with mild and complicated malocclusion require from the orthodontist equal attention and participation. The best functional results are obtained when we put a lot of work into the process of treatment.