[Approach to the study of the downward movement of the mandible].
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Biomedical subjects
Publications and source records attributed to H Blocquel.
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The aim of this work was to study the architectural relationships between different squeletal and dental pieces participating in the mastication, and to prove their fixity. We have at our disposition a collection of teleradiographies taken from profile on the same subject, over the course of several years; 3000 of them have been selected. With the help of tracings, where are drawn 36 degrees angles; or 72 degrees and 108 degrees; we systematize our locations. Together with our ten experimenters, we have noticed the existence of a parallelism between the graphic representations of the Bouvet occlusal plane, the sphenoïdal planum (sphenoïdale bone) and the course of the second trigeminal branch (trigeminus nerve) in its infra-orbital section. The angle of those different marks with the superior clivus (quadrilateral strip of the sphenoïd) (dorsum sellae) still measures 72 degrees. It is equal to 108 degrees with the graphic representation of the third antero-inferior pterygoïd process. (pterygoïdeus process). The angle between the superior clivus and the pterygoïd process still measures 36 degrees. These works are new contributions to the orthodontic, occlusodontic or prosthetic conceptions.
We use three X ray radiographics pictures for every child at two different ages and we make the orthogonalization's step. The orientation of the "D.S.O." straight in "3" is studied with the "pterygo-clivien tripod", stable superposition's structure during growth.
101 children, each of them with two teleradiographies, were selected. The first X-ray was taken at the time of the mixed dentition, the second one, when the permanent dentition was established. The purpose of the research is to show the oscillations of the palatine and mandibular planes, and their link to the movements of the first permanent molars. The palatine plane is found to swing between -7 degrees and +5 degrees with an average of -0.97 degree. The posterior part of that plane rocks downwards in 51% of the children. The limits are -7 degrees and -1 degree, with an average of -3.2 degrees. In 22%, the plane rocks upwards between +1 degree and +5 degrees with an average of +3.1 degrees. In 27% it moves parallel to itself. The posterior part of the mandibular plane varies between -6 degrees and +5 degrees, with an average of -1.1 degrees. It rocks downwards in 48% of the cases, between -6 degrees and -1 degree with an average of -3.9 degrees. In 22% of the children, this plane rocks upwards between +1 degree and +5 degrees with an average of +2.5 degrees. In 30%, it moves parallel to itself. The overall result is that the more the posterior part of the palate, or of the mandible moves downwards, the more the first permanent molars get straight or move forwards.
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The growth's study, from skull's radiographics, needs the use of superposition's structures. Three X-ray radiographics pictures from the front, from profile and from under are retalling by a soft. This orthogonalization's step has been realized for every child at two different ages. The reconstruction of the "clivus" straight and "pterygoïde" straights from three views gives the "pterygo-clivus triedre" which stability is studied for time.
In order to know better the unrolling of the growth, we dispode several radiographics elements which is sometimes difficult to connect with themselves. Using the computer, may give us the solution to this problem. We describe here a soft which authorizes the 3D reconstruction dating from X-ray radiographic pictures. During step called orthogonalization, the three pictures from the front, from profile and from under, are retalling by the soft. When it's realized, any visible point from two views will automatically be visible in the third view.