Académique Documents
Professionnel Documents
Culture Documents
2010
CUPRINS
I. PARTEA GENERAL
n capitolul 1 sunt prezentate anomaliile dento-maxilare: clasificare,
frecven, etiologie, diagnostic pozitiv i diagnostic diferenial. Clasificarea
anomaliilor dento-maxilare s-a axat n mod tradiional, din 1890 - sub puternica
influen a lui Edward Angle - doar pe relaiile n plan sagital dintre cele dou
maxilare. Azi clinicienii folosesc sistemul Angle diferit, transfernd baza
clasificrii molare la nivel scheletic. Introducerea teleradiografiei de profil n a
doua jumatate a secolului XX i utilizarea ei pe scar larg de ctre ortodoni a
permis aprecierea difereniat a caracteristicilor dentare i scheletice asociate
anomaliilor dento-maxilare.
Frecvena anomaliilor dento-maxilare i distribuia acestora variaz n
funcie de grupul rasial, naional i etnic.
Foarte rar n etiologia anomaliilor dento-maxilare se poate indica un
singur factor etiologic specific, de cele mai multe ori anomaliile dento-maxilare
apar ca urmare a aciunii conjugate a mai multor factori care influeneaz
creterea i dezvoltarea nu numai a aparatului dento-maxilar ct i a
organismului n totalitate. Aceti factori pot fi factori generali (ereditate, factori
neuro-endocrini, metabolici) care determin potenialul, cantitatea, durata i
ritmul de cretere, i factori loco-regionali care pot influena mai ales direcia de
cretere. Perturbarea acestor influene va determina apariia unor anomalii a
cror manifestare clinic va depinde de predominarea unora sau altora dintre
factorii amintii.
Diagnosticul anomaliilor dento-maxilare se pune pe baza examenului
clinic, analizei modelului de studiu, examenului fotostatic i examenului radiologic
(ortopantomografie i teleradiografie de profil).
Pentru o mai bun nelegere a etiologiei respiraiei orale - considerat
un factor etiopatogenetic al anomaliilor dento-maxilare - capitolul 2 cuprinde o
prezentare succint a unor date de anatomie i fiziologie ale aparatului
respirator.
Capitolul 3 prezint metodele de diagnostic ale respiraiei orale att din
punct de vedere ortodontic ct i ORL precum i date din literatur pe tema
relaiilor dintre creterea cranio-facial i tipul respirator urmrite sub urmtoarele
aspecte: posibiliti de evaluare a spaiului respirator nazofaringian, relaiile dintre
postura capului, osul hioid i sindromul de obstrucie nazal, apneea de somn i
alergiile.
DATE PERSONALE
Prenume, nume: Anca Draovean
Naionalitate: romn
Locul i data naterii: Tg.Mure, 02 iulie1974
Domiciliul: Tg.Mure
Adresa de e-mail: ancadrasoveanu2002@yahoo.com
STUDII
1993-1999 Facultatea de Medicin Dentar, UMF Tg.Mure
1989-1993 Liceul Al.Papiu Ilarian Tg.Mure
EXPERIENA PROFESIONAL
Noiembrie 2006 prezent, doctorand fr frecven UMF Iuliu Haieganu
Cluj-Napoca
Iunie 2009 - medic primar ortodonie i ortopedie dento-facial
Martie 2004 - medic specialist ortodonie i ortopedie dento-facial
Februarie 2004 prezent, asistent universitar la Disciplina Pedodonie-
Ortodonie, UMF Tg.Mure
Februarie 2001 - martie 2004 , medic rezident ortodonie
Octombrie 2000 februarie 2004, preparator universitar la Disciplina
Pedodonie-Ortodonie, UMF Tg.Mure
Ianuarie 2000 octombrie 2000, medic stagiar stomatolog Spitalul
Judeean Tg.Mure
PREGTIRE POSTUNIVERSITAR
1. Workshop Dentists for all children (DENFAC), 23-27 septembrie, Iai;
2. Curs teoretic i practic de perfecionare postuniversitar: Arcul drept i
filosofia Edgewise, Prof.Jaques Faure (Universitatea Touluse, Franta), 21-
23 iulie 2003, Braov;
3. Curs de perfecionare n tehnica fix: Tratamentul anomaliilor din clasa II/2
cu extractii de premolari , Prof.Jaques Faure (Universitatea Touluse,
Franta), 6-10 septembrie, 2004 Tg.Mure;
4. Curs de perfecionare n terapia ortodontica fix: Tratamentul clasei a III-a
prin tehnica straight-wire, Dr. Marc Geserick ( Forestadent, Germania) , 13-
14 mai 2005 Braov;
5. Curs de perfecionare n terapia ortodontic fix: Tratamentul ortodontic la
adult, Dr. Marc Geserick (Forestadent, Germania), 11-12 noiembrie 2005
,Iai
6. Curs de perfecionare n terapia ortodontic fix: Introducere n tehnica
straight-wire. Rezolvarea unui caz Angle I fr extracii Dr. I Horvath,
(Ungaria)12-14 noiembrie 2009, Arad
7. Curs de perfecionare n terapia ortodontic fix: Tratamentul clasei a II-a
Angle cu extracie de 4 premolari Dr. W. Gruner (Dentaurum, Germania),
12-15 iunie 2010, Sinaia
PARTICIPRI LA CONFERINE
1. Al VII- lea Congres National de Ortodontie, A 9-a Reuniune a Colegiului
Edgewise Tg.Mure 9-12 mai 2001
2. Al VIII- lea Congres Naional al Asociaiei Romne de Ortodonie Iasi 3-5
aprilie 2002
3. Al XI- lea Congres Naional al Asociaiei Naionale Romne de Ortodonie
Constana, 8-9 septembrie 2006
4. Al XII- lea Congres al Asociaiei Naionale Romne de Ortodonie Cluj-
Napoca, 7-9 iunie 2007
5. Prima Conferin a Doctoranzilor n Medicin i Farmacie Trgu Mure 9-
11 iulie 2008
6. Al II- lea Congres Internaional al Asociaiei Romne de Arc Drept Trgu
Mure 25-27 septembrie 2008
7. Al XIV- lea Congres al Asociaiei Naionale Romne de Ortodonie cu
participare internaional Trgu Mure 13-16 mai 2009
8. A Treia Conferin a Doctoranzilor n Medicin i Farmacie Trgu Mure 8-
10 iulie 2010
PREZENTRI ORALE
1. Draoveanu A, Ursu C, Draoveanu C: Evaluarea cefalometric a spaiului
respirator nazofaringian. Sesiunea cadrelor didactice ale UMF Tg Mure
decembrie 2008
2. Draoveanu A, Pcurar M, Bic C, Martha K, Ursu C: Influena dimensiunii
spaiului respirator nazofaringian asupra anomaliilor n plan sagital .
Sesiunea cadrelor didactice ale UMF Tg Mure decembrie 2009
ABSTRACT
2010
CONTENT
3. Which are the effects of mouth breathing and nasal obstruction on the
development of dentofacial apparatus?
According to the studies in the field, the relations between breathing
pattern and malocclusions are grouped into 3 theories:
a. The nasal obstructive phenomena determine modifications of the
airway space and of the nasal and mouth cavity pressures, which
cause characteristic facial, dental and skeletal modifications.
b. The malocclusions do not represent a direct consequence of breathing
disorders but they appear as a consequence of the muscular
unbalance between the external and internal dental channel,
unbalance which is produced in case of an opened lip orifice.
c. The malocclusions are not influenced by the breathing pattern, they are
determined genetically.
The issues mentioned above have also represented some of the
working assumptions which I took into account when I began the
elaboration of this thesis.
I. GENERAL PART
The 1st chapter presents the malocclusions: classification, frequency,
etiology, positive and differential diagnosis. The classification of
malocclusions was traditionally based since 1890 - under the powerful
influence of Edward Angle only on the sagittal plane relationships between
the two jaws. Nowadays clinicians use the Angle system differently,
transferring the basis of molar classification on skeletal level. The introduction
of cephalometry during the second half of the 20th century and its usage on a
large scale by orthodontists allowed a different appreciation of the dental and
skeletal features associated to malocclusions. [4]
The frequency of malocclusions and their distribution vary according to the
race, nationality and ethnics.
Very rarely only one specific etiological cause may be indicated in the
etiology of malocclusions, most of the times the malocclusions appearing as a
consequence of the contingent action of more factors which influence the
increase and development of dentofacial apparatus as well as of the whole
body. These causes may be general (heredity, neural-endocrine, metabolic
factors) which determine the potential, quantity, duration and rhythm of
increase, and environmental, which could influence especially the increase
direction. The disturbance of these influences will determine the appearance
of anomalies whose clinical occurrence will depend on the prevalence of
some of the factors referred above.
The diagnostic of malocclusions is established on basis of the clinical
examination, analysis of the study cast, photostatic and radiological
examination (ortopantomography and cephalometry).
For a better comprehension of the mouth breathing etiology which is
considered an etiopathogenetic cause of malocclusions the 2nd chapter
contains a brief presentation of anatomy and physiology information regarding
the respiratory apparatus.
The 3rd chapter deals with methods of mouth breathing diagnosing methods
from orthodontic and ORL points of view as well as information of specialty on
the subject of the relationships between craniofacial increase and breathing
pattern under the following aspects: possibilities of evaluating the
nasopharyngeal free airway space, the relationships between the head
posture, hyoid bone and the syndrome of nasal obstruction, sleep apnea and
allergies.
PERSONAL DETAILS
First name, surname: Anca Draovean
Nationality: Romanian
Place and date of birth: Trgu-Mure, July 2, 1974
Place of residence: Trgu-Mure
E-mail: ancadrasoveanu2002@yahoo.com
STUDIES
1993-1999 Faculty of Dental Medicine, University of Medicine and Pharmacy
from Tg. Mure
1989-1993 Al. Papiu Ilarian High School, Tg. Mure
PROFESSIONAL EXPERIENCE
November 2006 present, Phd student (Medical Science, Dental
Medicine) Iuliu Haieganu University of Medicine and Pharmacy from Cluj-
Napoca
June 2009 principal dental specialist in orthodontics and dentofacial
orthopedics
March 2004 - Specialist in orthodontics and dentofacial orthopedics
February 2004 present, Assistant Professor Department of Pedodontics-
Orthodontics, University of Medicine and Pharmacy from Trgu-Mure
February 2001 - March 2004, Special training in orthodontics
October 2000 February 2004, Teaching Fellow in the Department of
Pedodontics-Orthodontics, University of Medicine and Pharmacy from Trgu-
Mure
January 2000 October 2000, Intern Dentist at Trgu-Mure County
Hospital
POSTGRADUATE PREPARATION
1. Workshop Dentists for all children (DENFAC), September 23-27, Iasi
2. Postgraduate course: Straight Wire Technique, Prof. Jaques Faure (Touluse
University, France), July 21-23, 2003, Braov
3. Postgraduate course: Treatment of class II/2 malocclusions with extraction
of bicuspids, Prof. Jaques Faure (Touluse University, France), September
6-10, 2004, Tg.Mure
4. Postgraduate course: Treatment of class III malocclusion - straight wire
technique, Dr. Marc Geserick (Forestadent, Germany), May 13-14, 2005
Braov;
5. Postgraduate course: Orthodontic treatment in adults, Dr. Marc Geserick
(Forestadent, Germany), November 11-12, 2005, Iai
6. Postgraduate course: Introduction in straight-wire technique. Treatment of
Class I malocclusion without extractions, Dr. I Horvath (Hungary),
November 2-14, 2009, Arad
7. Postgraduate course: Treatment of Class II malocclusion with extraction of
four bicuspids, Dr. W. Gruner (Dentaurum, Germania), June 12-15, 2010,
Sinaia
ORAL PRESENTATIONS
1. Draoveanu A, Ursu C, Draoveanu C: Cephalometric evaluation of
nasopharyngeal free airway space. Scientific Teachers Session University
of Medicine and Pharmacy, Tg-Mure, December 2008
2. Draoveanu A, Pcurar M, Bic C, Martha K, Ursu C: The nasopharyngeal
free airway space size influence on the sagittal malocclusions. Scientific
Teachers Session - University of Medicine and Pharmacy, Tg-Mure,
December 2009