| DENTAL ASPECTS IN PLAYING TRUMPET, TROMBONE, HORN, TUBA AND OTHER BRASS |
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Dental Conditions
ANGLE CLASS 1:
Dentists, especially orthodontists,
use to classify the relation of upper and lower set of teeth / jaw .Regular
situations with properly developed jaws and an even line of teeth is regarded
as the normal bite, described as ANGLE - CLASS 1. See this picture .
THIS SHOULD BE THE DESIRED DENTAL
CLASS OF THE BRASS INSTRUMENTALIST . |
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ANGLE CLASS 2:
More or less this one has a
so called overjet, that means, the upper frontal teeth are standing in
front of the lower ones for up to a couple of millimeters and the lower
dentition bites deep into the upper jaws space.
This class comes along with two divisions.
CLASS 2 can impact lots of problems for its owner, and not just trumpet
playing related ones. |
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ANGLE CLASS 3:
Kind of vice - versa of
CLASS 2. Reverse overjet. The lower set of teeth is placed in front of
the upper one. Also, not very funny for airhorn artists. See picture below. |
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FRONTAL OPEN BITE:
A situation, making it impossible
to close frontal teeth for a sharp cutting bite. Upper and lower incisal
teeth remain distant to eachother, while lateral teeth do contact. Can
raise some problems in playing special horns. Picture. |
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DIASTHEMA:
A space between middle incisal
teeth, could be a handicap when occuring too large. Sample picture shows
situation. |
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Now,there are lots of diagnostic findings
of combinations or alterations of what you have seen so far. Teeth and
jaws, lips etc.can be recognized as individual as fingerprints. Beside
this, we know about a huge amount of different diagnosisis like crowded
teeth etc..
And , there is still another truth:
One cannot neglect human body´s capability to adapt a lot to many
alterations of ideal standards. So it may be possible to play the horn
well in spite of limited physiological or anatomic deviations.
In fact, cases shown above can primarily
make it difficult to place the mouthpiece in a comfort, useful and precise
way. Accordingly, in the worst case it may happen that the player
injures soft tissues or teeth etc., i.e.,by using too much arm pressure
while trying to force playing high register notes.
There are still some more major diseases
not only musicians suffer from. Countless people lose their teeth in case
of
PERIODONTITIS
what means a loss of tooth holding
tissue namely mandibular and maxillar bone, gum and special tissue which
connects root surface of tooth and bone. P. is primarily caused by a smear
layer of microorganisms and their metabolic products initializing inflammation
of gum by lack of maintenance. Secondary, an inflammation induced resoption
of jaw bone around the roots of teeth will appear, worst, if assisted by
functional disorders. If you detect bleedy dark red gum with a tendency
to shrink ("teeth are becoming longer by the time") run - don' t walk -
for a dental appointment.
Did the P. develop to be one of the
chronical type, you will find loosened teeth in most cases. Feel the amount
of loosening by placing a fingertip on the cheekside of the crown of the
concerning tooth while moving it by a little biting onto with a medium
force. Ask your dentist if this movement is out of physiological, healty
range already.
Picture of severe destruction can
be seen here.
Again: Refusing treatment of periodontic
diseases leads into complete loss of teeth, no way out. P.needs early detection
and there is not really a direct relation to your age, except most severe
cases happen to develop faster when people are 40 years and older. |
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BRUXISM AND DISEASES OF TMJ: CRANIO
- MANDIBULAR DISORDER
Very impressing a class of neuro-physiological
misfunction-based diseases shows damages of teeth and / or the temporo-mandibular
joint. Again, more or less movable teeth ( see above) may be found.
Further symptoms associated with bruxism:
- In some cases you hear and feel
(!) crackings close to your ears while opening and closing mouth. These
symptoms are coming along with excessive parafunctional biting and grinding
of teeth during sleeping or when being under stress.
- Pain in teeth, jaws, muscles of
face, neck, shoulder, back etc., muscles hurt when getting pressed
- Feeling tired and down etc.
Causative:
- Some cases use to have a certain
psychological component, the patient works out his problems on his teeth
and muscles
- Habits like chewing pencils etc.
- Believe it or not, there are certain
hints in literature: Playing a wind instrument may be recognized as a special
habit (parafunction) and may lead into bruxism
- Crowded teeth, wrong placement of
teeth, bad contacts between single or more of upper and lower teeth
- Some say, orthodontic situation
described under Angle Class 2 may induce bruxism
Bruxism may cause diseases of the temporo-mandibular
joint while it stresses related tissues.
With a couple of more symptoms we
put things together to CMD: cranio-mandibular disorder.
Pic: Crunching teeth will cause loss
of tooth material. Edges became sharp. |
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Copyright Dr. Jochen Dornbusch 1999
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