Lip bumper

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A lip bumper is a dental appliance used in orthodontics, for various purposes to correct a dentition by preventing the pressure from the soft tissue. Lip bumpers are usually used in orthodontic treatment where the patient has a crowded maxillary or mandibular teeth in an arch.

Contents

Orthodontics

A lip bumper can be used for expansion of the teeth in the mandibular arch. In orthodontics, tooth-size discrepancy phenomenon occurs when there is crowding presented. As a treatment, either extractions of teeth or expansion of the arch can be done to correct the tooth-size discrepancy. A lip bumper is placed in front of the anterior teeth to keep the pressure of the lips and cheeks away from the front teeth and back teeth respectively. [1] As cited by Werner et al., [2] the lip bumper can be used for reducing lower anterior crowding, increasing arch circumference, and move the permanent lower molars distally for the purpose of keeping anchorage. [3]

Specific changes that occur because of this appliance including anterior teeth tipping forward, molar teeth tipping backwards and the increase in width of the arch formed by the lower teeth. The wire is kept 1.5 - 2.0mm from the front surface of the anterior teeth. Recently, advances have been made to use lip bumpers with mini-screws for distalization of the upper back teeth. [4]

A Korn lip bumper is a maxillary lip bumper which was developed by Korn and Shapiro. [5] This lip bumper is made up of .040in stainless steel wire and involves multiple loops. This lip bumper sits high in the maxillary vestibule and 2-3mm away from the attached gingiva. This type of bumper is often used with a bite plate.

Side-effects

Side-effects caused by lip bumpers include the possible disruption in the eruption pattern of the 2nd molars in the mandibular arch. [6] The pressure of the lips on the lip bumper, causes the 1st molar to tip distally which effects and causes the impaction of the 2nd molar. [7] [8]

Related Research Articles

Hypodontia is defined as the developmental absence of one or more teeth excluding the third molars. It is one of the most common dental anomalies, and can have a negative impact on function, and also appearance. It rarely occurs in primary teeth and the most commonly affected are the adult second premolars and the upper lateral incisors. It usually occurs as part of a syndrome that involves other abnormalities and requires multidisciplinary treatment.

<span class="mw-page-title-main">Malocclusion</span> Medical condition

In orthodontics, a malocclusion is a misalignment or incorrect relation between the teeth of the upper and lower dental arches when they approach each other as the jaws close. The English-language term dates from 1864; Edward Angle (1855-1930), the "father of modern orthodontics", popularised it. The word "malocclusion" derives from occlusion, and refers to the manner in which opposing teeth meet.

Dental anatomy is a field of anatomy dedicated to the study of human tooth structures. The development, appearance, and classification of teeth fall within its purview. Tooth formation begins before birth, and the teeth's eventual morphology is dictated during this time. Dental anatomy is also a taxonomical science: it is concerned with the naming of teeth and the structures of which they are made, this information serving a practical purpose in dental treatment.

Occlusion, in a dental context, means simply the contact between teeth. More technically, it is the relationship between the maxillary (upper) and mandibular (lower) teeth when they approach each other, as occurs during chewing or at rest.

<span class="mw-page-title-main">Crossbite</span> Medical condition

Crossbite is a form of malocclusion where a tooth has a more buccal or lingual position than its corresponding antagonist tooth in the upper or lower dental arch. In other words, crossbite is a lateral misalignment of the dental arches.

Cephalometric analysis is the clinical application of cephalometry. It is analysis of the dental and skeletal relationships of a human skull. It is frequently used by dentists, orthodontists, and oral and maxillofacial surgeons as a treatment planning tool. Two of the more popular methods of analysis used in orthodontology are the Steiner analysis and the Downs analysis. There are other methods as well which are listed below.

Serial extraction is the planned extraction of certain deciduous teeth and specific permanent teeth in an orderly sequence and predetermined pattern to guide the erupting permanent teeth into a more favorable position.

Bolton Analysis is a tooth analysis developed by Wayne A. Bolton to determine the discrepancy between size of maxillary and mandibular teeth. This analysis helps to determine the optimum interarch relationship. This analysis measures the Mesio-distal width of each tooth and is divided into two analyses.

Little's Irregularity Index is an index used in the field of Orthodontics to measure the crowding of Mandibular anterior arch. The index was first proposed by Robert M. Little in 1975 in his paper The Irregularity Index: A quantitative score of mandibular anterior alignment.

<span class="mw-page-title-main">Anchorage (orthodontics)</span> Way of resisting tooth movement in orthodontics

Anchorage in orthodontics is defined as a way of resisting movement of a tooth or number of teeth by using different techniques. Anchorage is an important consideration in the field of orthodontics as this is a concept that is used frequently when correcting malocclusions. Unplanned or unwanted tooth movement can have dire consequences in a treatment plan, and therefore using anchorage stop a certain tooth movement becomes important. Anchorage can be used from many different sources such as teeth, bone, implants or extra-orally.

Elastics are rubber bands frequently used in the field of orthodontics to correct different types of malocclusions. The elastic wear is prescribed by an orthodontist or a dentist in an orthodontic treatment. The longevity of the elastic wear may vary from two weeks to several months. The elastic wear can be worn from 12 to 23 hours a day, either during the night or throughout the day depending on the requirements for each malocclusion. The many different types of elastics may produce different forces on teeth. Therefore, using elastics with specific forces is critical in achieving a good orthodontic occlusion.

Activator Appliance is an Orthodontics appliance that was developed by Viggo Andresen in 1908. This was one of the first functional appliances that was developed to correct functional jaw in the early 1900s. Activator appliance became the universal appliance that was used widely throughout Europe in the earlier part of the 20th century.

Frankel appliance or Frankel Functional Regulator is an orthodontic functional appliance which was developed by Rolf Fränkel in 1950s for treatment to patients of all ages. This appliance primarily focused on the modulation of neuromuscular activity in order to produce changes in jaw and teeth. The appliance was opposite to the Bionator appliance and Activator appliance.

Molar distalization is a process in the field of Orthodontics which is used to move molar teeth, especially permanent first molars, distally (backwards) in an arch. This procedure is often used in treatment of patients who have Class 2 malocclusion. The cause is often the result of loss of E space in an arch due to early loss of primary molar teeth and mesial (forward) migration of the molar teeth. Sometimes molars are distalized to make space for other impacted teeth, such as premolars or canines, in the mouth.

Intrusion is a movement in the field of orthodontics where a tooth is moved partially into the bone. Intrusion is done in orthodontics to correct an anterior deep bite or in some cases intrusion of the over-erupted posterior teeth with no opposing tooth. Intrusion can be done in many ways and consists of many different types. Intrusion, in orthodontic history, was initially defined as problematic in early 1900s and was known to cause periodontal effects such as root resorption and recession. However, in mid 1950s successful intrusion with light continuous forces was demonstrated. Charles J. Burstone defined intrusion to be "the apical movement of the geometric center of the root (centroid) in respect to the occlusal plane or plane based on the long axis of tooth".

Open bite is a type of orthodontic malocclusion which has been estimated to occur in 0.6% of the people in the United States. This type of malocclusion has no vertical overlap or contact between the anterior incisors. The term "open bite" was coined by Carevelli in 1842 as a distinct classification of malocclusion. Different authors have described the open bite in a variety of ways. Some authors have suggested that open bite often arises when overbite is less than the usual amount. Additionally, others have contended that open bite is identified by end-on incisal relationships. Lastly, some researchers have stated that a lack of incisal contact must be present to diagnose an open bite.

Orthodontic indices are one of the tools that are available for orthodontists to grade and assess malocclusion. Orthodontic indices can be useful for an epidemiologist to analyse prevalence and severity of malocclusion in any population.

The Herbst appliance is an orthodontic appliance used by orthodontists to correct class 2 retrognathic mandible in a growing patient, meaning that the lower jaw is too far back. This is also called bitejumping. Herbst appliance parts include stainless steel surgical frameworks that are secured onto the teeth by bands or acrylic bites. These are connected by sets of telescoping mechanisms that apply gentle upward and backward force on the upper jaw, and forward force on the lower jaw. The original bite-jumping appliance was designed by Dr. Emil Herbst and reintroduced by Dr. Hans Pancherz using maxillary and mandibular first molars and first bicuspids. The bands were connected with heavy wire soldered to each band and carried a tube and piston assembly that allowed mandibular movement but permanently postured the mandible forward. The appliance not only corrected a dental Class II to a dental Class I but also offered a marked improvement of the classic Class II facial profile.

References

  1. Akwan, Yulie Emilda; Paramita, Ayulistya; Juniar, Eriza (2019-04-29). "The Use of Lip Bumper in Lip Sucking Treatment". DENTA. 11 (2): 104. doi: 10.30649/denta.v11i2.104 . ISSN   2615-1790. S2CID   196575519.
  2. Werner, S. P.; Shivapuja, P. K.; Harris, E. F. (1994-01-01). "Skeletodental changes in the adolescent accruing from use of the lip bumper". The Angle Orthodontist. 64 (1): 13–20, discussion 21–22. ISSN   0003-3219. PMID   8172391.
  3. Grossen, J.; Ingervall, B. (1995-04-01). "The effect of a lip bumper on lower dental arch dimensions and tooth positions" (PDF). The European Journal of Orthodontics. 17 (2): 129–134. doi:10.1093/ejo/17.2.129. ISSN   0141-5387. PMID   7781721.
  4. Mendes Júnior, Tadeu Evandro; Lima, Anderson Barbosa; Mendes, Tadeu Evandro; Mendes, Camila Vas Tostes; Rosário, Henrique Damian; Paranhos, Luiz Renato (2015-01-01). "Distalization controlled with the use of lip-bumper and mini-screw as anchorage: a new approach". International Journal of Orthodontics (Milwaukee, Wis.). 26 (1): 29–32. ISSN   1539-1450. PMID   25881381.
  5. "Flexible Lip Bumpers for Arch Development - Journal of Clinical Orthodontics". www.jco-online.com. Retrieved 2016-08-11.
  6. Ferro, Fabrizia; Funiciello, Gloria; Perillo, Letizia; Chiodini, Paolo (2011-05-01). "Mandibular lip bumper treatment and second molar eruption disturbances". American Journal of Orthodontics and Dentofacial Orthopedics. 139 (5): 622–627. doi:10.1016/j.ajodo.2009.07.024. ISSN   1097-6752. PMID   21536205.
  7. "The effect of a lip bumper on lower dental arch dimensions and tooth positions" (PDF).
  8. Hasler, R (2000-02-01). "The effect of a maxillary lip bumper on tooth positions" (PDF). The European Journal of Orthodontics. 22 (1): 25–32. doi: 10.1093/ejo/22.1.25 . ISSN   0141-5387. PMID   10721242.