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    Long Face Syndrome

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    Disha Nighot
    This document discusses long face syndrome, which is characterized by a long, narrow face with an incompetent lip and Class II malocclusion. It is caused by factors like mouth breathing, enlarged tonsils, and tongue thrusting that obstruct the airway and influence facial development. Clinical features include a long face, gummy smile, and flattening of the cheeks below the nose. Treatment involves preventing etiological factors, removing airway obstructions, expanding the palate, and corrective jaw surgery with orthodontics to shorten the vertical face dimensions and achieve competent lips.

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    Long Face Syndrome

    Uploaded by

    Disha Nighot
    2K views35 pages
    This document discusses long face syndrome, which is characterized by a long, narrow face with an incompetent lip and Class II malocclusion. It is caused by factors like mouth breathing, enlarged tonsils, and tongue thrusting that obstruct the airway and influence facial development. Clinical features include a long face, gummy smile, and flattening of the cheeks below the nose. Treatment involves preventing etiological factors, removing airway obstructions, expanding the palate, and corrective jaw surgery with orthodontics to shorten the vertical face dimensions and achieve competent lips.

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    This document discusses long face syndrome, which is characterized by a long, narrow face with an incompetent lip and Class II malocclusion. It is caused by factors like mouth breathing, enlarged tonsils, and tongue thrusting that obstruct the airway and influence facial development. Clinical features include a long face, gummy smile, and flattening of the cheeks below the nose. Treatment involves preventing etiological factors, removing airway obstructions, expanding the palate, and corrective jaw surgery with orthodontics to shorten the vertical face dimensions and achieve competent lips.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    2K views35 pages

    Long Face Syndrome

    Uploaded by

    Disha Nighot
    This document discusses long face syndrome, which is characterized by a long, narrow face with an incompetent lip and Class II malocclusion. It is caused by factors like mouth breathing, enlarged tonsils, and tongue thrusting that obstruct the airway and influence facial development. Clinical features include a long face, gummy smile, and flattening of the cheeks below the nose. Treatment involves preventing etiological factors, removing airway obstructions, expanding the palate, and corrective jaw surgery with orthodontics to shorten the vertical face dimensions and achieve competent lips.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 35

    LONG FACE

    SYNDROME
    DEFINITION
    A malocclusion characterized by a long,
    narrow face; steep mandibular plane
    angle; and Class II Division 1
    dental/skeletal relationship with anterior
    crowding lip incompetence and associated
    mouth breathing.
    Class II division 1
    malocclusion

    INCOMPETENT LIPS
    STEEP MANDIBULAR PLANE ANGLE
     Typical forward
    angulation
    of head of a
    person with
    Long Face
    Syndrome with
    steep mandibular
    angle.
    ETIOLOGY
    POSTNATAL CAUSES… INFLUENCE NORMAL DEVELOMENT
    OF DENTO-FACIAL COMPLEX

     OBSTRUTION OF AIRWAY due to…


     Enlarged tonsils
     Dysplasia and inflammation of nasal
    mucosa
     Uncontrolled allergies
     Narrow nostrils
     Constantly open lips (mouth breathing)
     Adenoid or localised benign tumour
     Narrow palate
    CONTD…
     SLEEP APNEA –sleep disorder characterised
    by
    pauses in breathing during
    sleep
     TONGUE THRUST
     THUMB SUCKING.
    Gradual development of the syndrome…..

    1. 1.IMPAIRED RESPIRATION

    2.OPEN MOUTH BREATHING

    3.DROOPING OF MANDIBLE

    4.EXTRUSION OF MOLARS

    5.OPEN BITE

    6.INCREASED VERTICAL DIMENSION

    7.LONG FACE SYNDROME


    OROPHARYNX IN LONG FACE SYNDROME
    CAUSING OBSTRUCTION OF AIRWAYS.
    ENLARGED TONSILS CAUSING
    OBSTRUCTION IN AIRWAY
    TONGUE THRUST
    ANTERIOR CROWDING DUE TO
    THUMB SUCKING
    CLINICAL FEATURES
    CLINICAL FEATURES
     Long face
     Gummy smile
     Incompetent lips
     Flattening of cheeks at the base of the nose
    making the nose appear larger than normal
     Short upper lip or drooping lower lip
     Any of the clinical features related to the
    etiological factors mentioned previously
     Expressionless face due to severely active
    facial muscles
    GUMMY SMILE
    INCOMPETENT LIPS
    FLATTENING OF CHEEKS AT THE
    BASE OF THE NOSE
    SLEEP APNEA AND SHORTER
    UPPER LIP
    LARGE TONGUE OF THE SAME
    PATIENT (CAUSE OF SLEEP APNEA)
    DIAGNOSIS BY CEPHALOMETRIC
    EXAMINATION….

     Amount of nasopharyngeal space

     Size of adenoids

     Long face associated with breathing


    TREATMENT
    TREATMENT

    PREVENTIVE

    SURGICALAND ORTHODONTIC
    CORRECTION
    PREVENTIVE TREATMENT
    Includes…
    Prevention of various etiological
    factors

    Application of various
    orthodontic appliances for the
    same
    ORTHODONTIC APPLIANCE FOR TONGUE
    THRUST AND THUMB SUCKING HABIT
    MOUTH BREATHING HABIT

     REMOVALOF NASAL OR PHARYNGEAL


    OBSTRUCTION

     INTERCEPTION OF THE HABIT- - adhesive


    tapes can be used to seal the lips while
    sleeping

     RAPID PALATAL EXPANSION– for expansion of


    the pterygoid plates and to increase the
    nasal air flow and decrease the nasal air
    obstruction.
    SURGICAL REMOVAL OF
    ENLARGED TONSILS
    RAPID PALATAL EXPANSION ALSO
    EXPANDS THE PTERYGOID PLATES.
    SURGICAL AND ORTHODONTIC
    TREATMENT
     Surgical reduction of facial height and proper
    alignment of teeth by orthodontic means
     By properly planned and executed Le Fort I
    maxillary osteotomies, the vertical dimensions
    of the face can be shortened to improve the
    esthetic balance between the nose, upper lip,
    teeth, and chin and achieve lip competency
      Variable open-bite and nonopen-bite
    maxillary deformities in forty adults with the
    long face syndrome were corrected by Le Fort
    I osteotomy and orthodontic treatment.
    LE-FORT 1 OSTEOTOMY
    THANK YOU 

    -PRESENTED BY
    -DISHA NIGHOT
    -ROLL NO. 14

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