405 - A Malocclusion Pediatric Dental Case Succesfully Treated with a Comprehensive Transdisciplinary Approach

Abstract: This presentation discusses the case of a 7-year-old female patient. The patient was approached through step-by-step standard management and a transdisciplinary treatment. The resolution required a postural analysis after detecting a relationship between malocclusion, eye and postural related issues (strabismus, backbone & feet misalignment). The patient was treated with aligners and derived to traumatologist (podiatry) and optometrician for a trans disciplinary therapy based on the integral diagnosis. The patient showed a good predisposition to treatment and her reason for consultation was “to adjust her teeth.” After the integral diagnosis and studies (including among others panoramic RXs, teleradiograph, cephalogram and backbone analysis) the functional examination indicated bruxism and teeth clenching. Also, a visual convergence analysis showed a marked ocular deviation on the left side (with significant laterality) and a postural analysis (with/without aligners) indicated left shoulder rotation with a left foot a bit forward matching the left side knee and a longer left arm. The treatment approach considered all these conditions with transdisciplinary strategy. The malocclusion treatment (with aligners) considered the causal effects arising from the postural diagnosis and was coordinated with the transdisciplinary treatment. Previous evidence showed that postural conditions are important to ensure long run treatment results in pediatric patients.

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