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ePaper created 2015-08-28, 13:01:48 | version 1.38.0
I 43 opinion _ significance of teeth I cosmeticdentistry 2_2015 information from the persons concerned, but one gains insight into these secret corners of the fam- ily when one is a family dentist for many years. Mandibular central incisors (Fig. 10) predicate the importance of the patient’s parents in daily life. The informative value of maxillary incisors is, however,fargreateraccordingtomyobservation. Lateral incisors represent the temperament of the person and his or her reactions to archetypes (= attitude towards parents; Fig. 11). If the right maxillary lateral incisor is in protrusion, it means the person is able to defend his or her freedom in thefamily,butisusuallyindisputewiththefather (Fig. 12). Similarly, on the left side (tooth #22), this position indicates opposition to the mother (Fig. 13), as was confirmed by both of the patients shown in the figures. If both teeth #12 and 22 are in protrusion and overlap the central incisors, the patient tends to have an edge over his or her parents. In contrast, retrusion, microdontia or total anodontia(Fig.14a)oftheseteethisanindication of subordination, often both in the family and in society. For example, my questions directed at the child in Figure 14b with anterior crossbite of theprimarylateralincisorswerealwaysanswered by his mother and the child did not interject. Thus, orthodontic, prosthetic or implant treat- ment allows these patients a much better start in current society (Figs. 15a & b) and a stable position in the family. Canines reflect the changes through which a person has gone. They erupt in times of great growth and at the beginning of adolescence (Fig. 16). The right maxillary canine represents the presentation of personality outwardly. The left maxillary canine represents attitude towards change(Fig.17).Therightmandibularcanineisan expression of what we wish to achieve outwardly. The left mandibular canine is a reflection of our internal transformation (Fig. 18). The canines are generallyperceivedbyothersasasymbolofvital- ity and superiority. People with small canines or canine in managerial positions often have in its placeanimplant,oradentalrestorationtorebuilt the tooth. I have also observed in these teeth the retroactive effect of tooth position evident in a change in the patient’s emotional behaviour, as withthelateralincisors.Ashygirlwitharetracted right maxillary canine completely blossomed and gained confidence after orthodontic treatment. Of course, she made her parents anxious because they suddenly had a completely different child at home. It was probably not the only cause, but in my practice I often see similar examples of the retroactive effect of tooth alignment. When a patient has his or her teeth aligned throughorthodontictreatment,theoriginalinfor- mation is lost (Fig. 19). However, if the underlying issue is not resolved, for example a mother still dominates her daughter, who did not manage to disappear into world (tooth #21 overlapped tooth #11) or, conversely, the daughter of this mother unconsciously does not want to grow up to be a woman because she likes fulfilling the role of the good child, when such a patient stops wearing retainers to maintain the tooth position after re- moval of the fixed appliance or does not have his or her teeth fixed by some kind of splint, the teeth will quickly relapse apparently without cause._ Editorialnote:Thisisthefirstofatwo-partarticle. Acompletelistofreferencesisavailablefromthepublisher. Dr Stanislav Cícha Milešovská 1766–7 130 00 Prague 3 Czech Republic cosmeticdentistry _contact Fig. 19Fig. 18 13000 Prague 3