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1.
Orthod Craniofac Res ; 23(2): 223-228, 2020 May.
Artículo en Inglés | MEDLINE | ID: mdl-31889381

RESUMEN

OBJECTIVES: The purpose of this study was to assess the accuracy of linear measurements performed in multiplanar reconstructions (MPR) and sagittal reconstructions (SR) of the left hemiface obtained from cone-beam computed tomography (CBCT) with 3D® Dolphin Imaging software by comparing them with the same measurements made on lateral cephalograms and on dry skulls. SETTING AND SAMPLE POPULATION: Lateral cephalograms and CBCT (with voxels of 0.25, 0.3 and 0.4 mm) were taken of 10 dry skulls. MATERIALS AND METHODS: Linear distances were measured using the software's electronic rulers. Measurements performed on dry skulls using a digital caliper were considered the gold standard. The measurements were performed twice by two evaluators. RESULTS: No significant difference was found in the measurements performed with the different imaging modalities and on the dry skulls. The highest mean error was observed in the lateral cephalograms, followed by MPR and SR. CONCLUSIONS: Cephalometric measurements performed on multiplanar and sagittal reconstructions from CBCT, with different spatial resolutions, are accurate when compared with the measurements obtained in lateral cephalograms.


Asunto(s)
Tomografía Computarizada de Haz Cónico Espiral , Cefalometría , Tomografía Computarizada de Haz Cónico , Imagenología Tridimensional , Reproducibilidad de los Resultados
2.
Lasers Med Sci ; 32(2): 263-274, 2017 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-27885521

RESUMEN

The aim of this study was to analyze the effect of laser or LED phototherapy on the acceleration of bone formation at the midpalatal suture after rapid maxilla expansion. Forty-five rats were divided into groups at 7 days (control, expansion, expansion and laser irradiation, and expansion and LED irradiation) and into 14 days (expansion, expansion and laser in the 1st week, expansion and LED in the 1st week, expansion and laser in the 1st and 2nd weeks, expansion and LED in the 1st and 2nd weeks). Laser/LED irradiation occurred every 48 h. Expansion was accomplished with a spatula and maintained with a triple helicoid of 0.020-in stainless steel orthodontic wire. A diode laser (λ780 nm, 70 mW, spot of 0.04 cm2, t = 257 s, SAEF of 18 J/cm2) or a LED (λ850 ± 10 nm, 150 ± 10 mW, spot of 0.5 cm2, t = 120 s, SAEF of 18 J/cm2) was applied in one point in the midpalatal suture immediately behind the upper incisors. Raman spectroscopy and histological analyses of the suture region were carried and data was submitted to statistical analyses (p ≤ 0.05). Raman spectrum analysis demonstrated that irradiation increases hydroxyapatite in the midpalatal suture after expansion. In the histological analysis of various inflammation, there was a higher production of collagen and osteoblastic activity and less osteoclastic activity. The results showed that LED irradiation associated to rapid maxillary expansion improves bone repair and could be an alternative to the use of laser in accelerating bone formation in the midpalatal suture.


Asunto(s)
Láseres de Semiconductores/uso terapéutico , Maxilar/patología , Maxilar/efectos de la radiación , Técnica de Expansión Palatina , Hueso Paladar/efectos de la radiación , Fototerapia/métodos , Espectrometría Raman , Suturas , Animales , Colágeno/metabolismo , Inflamación/patología , Masculino , Ratas Wistar
3.
J Clin Pediatr Dent ; 40(3): 247-50, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-27472574

RESUMEN

Deleterious oral habits, such as non-nutritive sucking or tongue thrusting, if not intercepted at an early stage can cause complex malocclusions. This manuscript describes a clinical case report of a successful interception of a severe anterior dental open bite caused by thumb sucking and tongue thrusting habits. The case involved a six-year-old female patient treated with the use of palatal spurs and maxillary removable crib followed by monitoring the development of dental occlusion. At the end of the interceptive phase acceptable results were achieved, showing the efficacy of the treatment undertaken as well the importance of an early intervention to remove harmful oral habits.


Asunto(s)
Mordida Abierta/terapia , Diseño de Aparato Ortodóncico , Ortodoncia Interceptiva/instrumentación , Cefalometría/métodos , Niño , Femenino , Succión del Dedo/terapia , Estudios de Seguimiento , Humanos , Hábitos Linguales/terapia , Resultado del Tratamiento
4.
Lasers Med Sci ; 29(3): 859-67, 2014 May.
Artículo en Inglés | MEDLINE | ID: mdl-23430219

RESUMEN

The aim of this study was to analyze the effect of laser or light-emitting diode (LED) phototherapy on the bone formation at the midpalatal suture after rapid maxilla expansion. Twenty young adult male rats were divided into four groups with 8 days of experimental time: group 1, no treatment; group 2, expansion; group 3, expansion and laser irradiation; and group 4, expansion and LED irradiation. In groups 3 and 4, light irradiation was in the first, third, and fifth experimental days. In all groups, the expansion was accomplished with a helicoid 0.020" stainless steel orthodontic spring. A diode laser (λ780 nm, 70 mW, spot of 0.04 cm(2), t = 257 s, spatial average energy fluence (SAEF) of 18 J/cm(2)) or a LED (λ850 nm, 150 mW ± 10 mW, spot of 0.5 cm(2), t = 120 s, SAEF of 18 J/cm(2)) were used. The samples were analyzed by Raman spectroscopy carried out at midpalatal suture and at the cortical area close to the suture. Two Raman shifts were analyzed: ∼ 960 (phosphate hydroxyapatite) and ∼ 1,450 cm(-1) (lipids and protein). Data was submitted to statistical analysis. Significant statistical difference (p ≤ 0.05) was found in the hydroxyapatite (CHA) peaks among the expansion group and the expansion and laser or LED groups. The LED group presented higher mean peak values of CHA. No statistical differences were found between the treated groups as for collagen deposition, although LED also presented higher mean peak values. The results of this study using Raman spectral analysis indicate that laser and LED light irradiation improves deposition of CHA in the midpalatal suture after orthopedic expansion.


Asunto(s)
Láseres de Semiconductores/uso terapéutico , Enfermedades Maxilares/terapia , Técnica de Expansión Palatina , Animales , Regeneración Ósea/efectos de la radiación , Terapia Combinada , Durapatita/uso terapéutico , Luz , Terapia por Luz de Baja Intensidad , Masculino , Maxilar/fisiopatología , Maxilar/efectos de la radiación , Fototerapia , Ratas , Espectrometría Raman
5.
Am J Orthod Dentofacial Orthop ; 145(2): 203-6, 2014 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-24485735

RESUMEN

INTRODUCTION: Physical attributes, behavior, and personal ornaments exert a direct influence on how a person's beauty and personality are judged. The aim of this study was to investigate how people who wear a fixed orthodontic appliance see themselves and are seen by others in social settings. METHODS: A total of 60 adults evaluated their own smiling faces in 3 different scenarios: without a fixed orthodontic appliance, wearing a metal fixed orthodontic appliance, and wearing an esthetic fixed orthodontic appliance. Furthermore, 15 adult raters randomly assessed the same faces in standardized front-view facial photographs. Both the subjects and the raters answered a questionnaire in which they evaluated criteria on a numbered scale ranging from 0 to 10. The models judged their own beauty, and the raters assigned scores to beauty, age, intelligence, ridiculousness, extroversion, and success. RESULTS: The self-evaluations showed decreased beauty scores (P <0.0001) when a fixed orthodontic appliance, especially a metal one, was being worn. There was no statistically significant difference between the 3 situations in the 6 criteria analyzed. CONCLUSIONS: A fixed orthodontic appliance did not affect how personal attributes are assessed. However, fixed orthodontic appliances apparently changed the subjects' self-perceptions when they looked in the mirror.


Asunto(s)
Belleza , Cerámica , Aleaciones Dentales , Materiales Dentales , Cara/anatomía & histología , Juicio , Diseño de Aparato Ortodóncico/psicología , Adolescente , Adulto , Factores de Edad , Actitud Frente a la Salud , Cerámica/química , Estudios Transversales , Aleaciones Dentales/química , Materiales Dentales/química , Extraversión Psicológica , Femenino , Humanos , Inteligencia , Masculino , Persona de Mediana Edad , Soportes Ortodóncicos , Alambres para Ortodoncia , Distancia Psicológica , Autoimagen , Sonrisa/psicología , Deseabilidad Social , Acero Inoxidable/química , Adulto Joven
6.
Am J Orthod Dentofacial Orthop ; 144(5): 698-704, 2013 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-24182586

RESUMEN

INTRODUCTION: The purpose of this study was to compare the sensitivity of diagnoses of buccal bone coverage in anterior teeth between axial and sagittal reconstructions using cone-beam computed tomography. METHODS: Five dry skulls were clinically evaluated to detect bone defects in the anterior maxilla and mandible to establish a gold standard. The skulls were prepared and placed on a Kodak 9000 3-dimensional scanner (Trophy, Marne La Vallée, France) for image acquisition. The images were processed and reconstructed using Kodak Dental Imaging software 3-dimensional module (version 2.4; Kodak Dental Systems, Atlanta, Ga). All bone defects were identified and recorded. RESULTS: In the sagittal and axial reconstructions, regions without bone coverage were diagnosed in 91.03% of cases as "cortex not seen" or "minimum thickness, fine, without marrow bone." CONCLUSIONS: Cone-beam computed tomography can help in the diagnosis of lack of bone coverage on the buccal surfaces of anterior teeth. There was no difference in the performance of the axial and sagittal reconstructions.


Asunto(s)
Pérdida de Hueso Alveolar/diagnóstico por imagen , Proceso Alveolar/diagnóstico por imagen , Tomografía Computarizada de Haz Cónico/estadística & datos numéricos , Mandíbula/diagnóstico por imagen , Maxilar/diagnóstico por imagen , Adolescente , Adulto , Médula Ósea/diagnóstico por imagen , Diente Canino/diagnóstico por imagen , Humanos , Procesamiento de Imagen Asistido por Computador/estadística & datos numéricos , Imagenología Tridimensional/estadística & datos numéricos , Incisivo/diagnóstico por imagen , Masculino , Sensibilidad y Especificidad , Ápice del Diente/diagnóstico por imagen , Raíz del Diente/diagnóstico por imagen , Adulto Joven
7.
Dental Press J Orthod ; 27(2): e2220291, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35703615

RESUMEN

INTRODUCTION: In several conditions, outcome stability is a great challenge for Orthodontics. Previous studies have reported that relapse commonly occurs along the years after orthodontic treatment finishing. OBJECTIVE: The aim of the present study was to evaluate in the long-term transversal dental arch changes of Class II division 1 patients treated with cervical headgear and fixed appliance. METHODS: Plaster study casts of 20 patients treated with cervical headgear without dental extractions were 3D-scanned and evaluated in three distinct times: initial (T1), immediate post-treatment (T2) and long-term retention (T3 - minimum 20 years). Transversal teeth distance of maxillary and mandibular canines, premolars and first molars were measured. RESULTS: A statistically significant increase during treatment was observed for all maxillary teeth transversal distances (p< 0.05). In turn, a significant reduction was observed in the long term (p< 0.05). For the mandibular teeth, canine transversal distance presented statistically significant constriction in the retention period (p< 0.05). Mandibular first molars distance was significantly expanded by treatment (p< 0.05) and remained stable in the long term. The changes observed for the other teeth or other times were considered not statistically relevant. CONCLUSIONS: For the accessed sample, transversal changes occurred during treatment and retention phases in Class II division 1 patients treated with cervical headgear and fixed appliance. Relapse was considered statistically relevant, even with the institution of a retention protocol.


Asunto(s)
Aparatos de Tracción Extraoral , Maloclusión Clase II de Angle , Diente Premolar/cirugía , Cefalometría , Humanos , Maloclusión Clase II de Angle/diagnóstico por imagen , Maloclusión Clase II de Angle/terapia , Recurrencia , Resultado del Tratamiento
8.
Dental Press J Orthod ; 24(3): 88-98, 2019 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-31390455

RESUMEN

Tooth crowding and protrusions demand rigorous attention during orthodontic planning that includes the extraction of first and second premolars. Some characteristics, such as dentoalveolar bone discrepancies, maxillomandibular relations, facial profile, skeletal maturation, dental asymmetries and patient cooperation, are important elements of an orthodontic diagnosis. This study discusses the options of treatments with extractions and describes the correction of a Class I malocclusion, bimaxillary protrusion, severe anterior crowding in both dental arches and tooth-size discrepancy, using first premolar extractions.


Asunto(s)
Maloclusión Clase I de Angle , Ortodoncia , Diente Premolar , Cefalometría , Humanos , Ortodoncia Correctiva , Extracción Dental
10.
Photomed Laser Surg ; 25(3): 214-9, 2007 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-17603863

RESUMEN

OBJECTIVE: The present study aimed to assess the effect of the use of the CO(2) laser on the treatment of gingival hyperplasia in orthodontic patients wearing fixed appliances. BACKGROUND DATA: Gingival hyperplasia is a condition very frequent in patients undergoing fixed orthodontic treatment. Amongst the treatments available for this is the use of surgical lasers. METHODS: Ten patients entered this study and signed an informed consent. Seventy-five anterior teeth with gingival hyperplasia were selected for laser surgery. Prior to surgery, the length of the crowns were measured using a digital caliper, and depth of the pocket was probed. The hyperplasic gingival was removed with a CO(2) laser under local anesthesia. Immediately after surgery, measurement of the length of the crowns and probing were carried out and were repeated. RESULTS: The results were statistically analyzed and significant differences were detected regarding the length of the crown (p = 0.000) and depth of the gingival sulcus (p = 0.000). CONCLUSION: It is concluded that the use of the CO(2) laser was effective in the treatment of gingival hyperplasia.


Asunto(s)
Hiperplasia Gingival/cirugía , Terapia por Láser , Aparatos Ortodóncicos , Humanos , Aparatos Ortodóncicos/efectos adversos , Resultado del Tratamiento
11.
Dental Press J Orthod ; 22(6): 68-73, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-29364382

RESUMEN

INTRODUCTION: Plaster dental casts are routinely used during clinical practice to access maxillary dental arch form and assist on fabrication of individualized orthodontic archwires. Recently introduced, digital model technology may offer a limitation for the obtainment of a dental physical record. In this context, a tool for dental arch form assessment for chairside use is necessary when employing digital models. In this regard, paper print of the dental arch seems thus to be useful. METHODS: In the present study, 37 lower arch models were used. Intercanine and intermolar widths and dental arch length measurements were performed and compared using plaster dental casts, digital models and paper print image of the models. Ortho Insight 3D scanner was employed for model digitalization. RESULTS: No statistically significant differences were noted regarding the measurements performed on the plaster or digital models (p> 0.05). Paper print images, however, showed subestimated values for intercanine and intermolar widths and overestimated values for dental arch length. Despite being statistically significant (p< 0.001), the differences were considered clinically negligible. CONCLUSION: The present study suggests that paper print images obtained from digital models are clinically accurate and can be used as a tool for dental arch form assessment for fabrication of individualized orthodontic archwires.


Asunto(s)
Arco Dental/anatomía & histología , Arco Dental/diagnóstico por imagen , Procesamiento de Imagen Asistido por Computador/métodos , Imagenología Tridimensional/métodos , Mandíbula/anatomía & histología , Modelos Dentales , Impresión Tridimensional , Análisis de Varianza , Moldes Quirúrgicos , Procesos de Copia , Técnica de Impresión Dental , Humanos , Mandíbula/diagnóstico por imagen , Modelos Anatómicos , Ortodoncia/instrumentación , Ortodoncia/métodos , Reproducibilidad de los Resultados , Programas Informáticos , Tecnología Odontológica
12.
Dental press j. orthod. (Impr.) ; 27(2): e2220291, 2022. tab, graf
Artículo en Inglés | LILACS-Express | LILACS, BBO - odontología (Brasil) | ID: biblio-1384679

RESUMEN

ABSTRACT Introduction: In several conditions, outcome stability is a great challenge for Orthodontics. Previous studies have reported that relapse commonly occurs along the years after orthodontic treatment finishing. Objective: The aim of the present study was to evaluate in the long-term transversal dental arch changes of Class II division 1 patients treated with cervical headgear and fixed appliance. Methods: Plaster study casts of 20 patients treated with cervical headgear without dental extractions were 3D-scanned and evaluated in three distinct times: initial (T1), immediate post-treatment (T2) and long-term retention (T3 - minimum 20 years). Transversal teeth distance of maxillary and mandibular canines, premolars and first molars were measured. Results: A statistically significant increase during treatment was observed for all maxillary teeth transversal distances (p< 0.05). In turn, a significant reduction was observed in the long term (p<0.05). For the mandibular teeth, canine transversal distance presented statistically significant constriction in the retention period (p<0.05). Mandibular first molars distance was significantly expanded by treatment (p<0.05) and remained stable in the long term. The changes observed for the other teeth or other times were considered not statistically relevant. Conclusions: For the accessed sample, transversal changes occurred during treatment and retention phases in Class II division 1 patients treated with cervical headgear and fixed appliance. Relapse was considered statistically relevant, even with the institution of a retention protocol.


RESUMO Introdução: Em várias condições, a estabilidade dos resultados é um grande desafio para a Ortodontia. Estudos prévios relataram que a recidiva ocorre, comumente, ao longo dos anos, após o término do tratamento ortodôntico. Objetivo: O objetivo da presente pesquisa foi avaliar as alterações transversais da arcada dentária em longo prazo de pacientes Classe II, divisão 1, tratados com aparelho extrabucal cervical e aparelho fixo. Métodos: Modelos de gesso de 20 pacientes tratados com AEB cervical, sem extrações dentárias, foram escaneados e avaliados em três momentos distintos: inicial (T1), pós-tratamento imediato (T2) e acompanhamento de longo prazo (T3, mínimo de 20 anos). A distância transversal entre os caninos superiores e inferiores, pré-molares e primeiros molares foi medida. Resultados: Foi observado aumento estatisticamente significativo durante o tratamento para todas as distâncias transversais dos dentes superiores (p < 0,05). Por sua vez, foi observada redução significativa em longo prazo (p < 0,05). Para os dentes inferiores, a distância transversal intercaninos apresentou constrição estatisticamente significativa no período de contenção (p < 0,05). A distância dos primeiros molares inferiores aumentou significativamente com o tratamento (p < 0,05) e permaneceu estável em longo prazo. As alterações observadas para os outros dentes ou outros tempos foram consideradas sem significância estatística. Conclusões: Para a amostra estudada, as alterações transversais ocorreram durante as fases de tratamento e contenção em pacientes Classe II, divisão 1, tratados com aparelho extrabucal de tração cervical e aparelho fixo. A recidiva foi considerada estatisticamente significativa, mesmo com a instituição de um protocolo de contenção.

13.
Dental Press J Orthod ; 21(1): 24-33, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-27007758

RESUMEN

It gives me great pleasure to interview Dr. Hyeon-Shik Hwang, an innovative orthodontist who has developed many creative techniques over his career. Dr. Hwang was born in Korea and received his DDS and PhD degrees from Yonsei University in Seoul. He is professor and chairman of the Department of Orthodontics at Chonnam National University School of Dentistry, Gwangju, Korea. Dr. Hwang, as a faculty at the university hospital, has maintained a successful clinical practice for more than 25 years. He has treated many adult patients focusing on esthetics and periodontal health and has developed many clinical techniques to improve the effectiveness and efficiency of treatment to the benefit of both the patient and practitioner. Dr. Hwang is also interested in the evaluation of facial asymmetry two- and three-dimensionally. As one of the early adopters of cone-beam volume imaging, he has given special emphasis on the management of surgical cases. He is married to Jung-Un Park with whom he has two sons. His favorite hobbies are photography and listening to music. When I was presented to him in a congress, it was a great pleasure meeting someone who I already admired for his singular work. Later on, his humbleness and knowledge made me marvel at him even more. I hope that all readers of Dental Press Journal of Orthodontics also enjoy the teachings from this brilliant Korean orthodontist! Guilherme Thiesen - interview coordinator.


Asunto(s)
Enfermedades Periodontales , Estética Dental , República de Corea
14.
Dental Press J Orthod ; 18(3): 159-63, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-24094027

RESUMEN

The use of a standardized terminology in the medical sciences is essential for both clinical practice and scientific research. In addition to facilitating communication between professionals, it enhances the reliability of comparisons made between studies from different areas, thereby contributing to a higher level of scientific evidence. Examples of attempts made to standardize the terminology in other areas dedicated to the study of craniofacial morphology can be found in the literature. On the other hand, one can find in the orthodontic literature a variety of terms that render the consensus and communication between orthodontists and other researchers even more problematic. As an example, one could cite the use of the terms brachyfacial, mesofacial and dolichofacial, which form part of a cranial index terminology used to describe facial types. Thus, a reflection on the origin and differences of the terms used to describe the human facial phenotype may pave the way toward a consensus regarding the meaning that best represents the craniofacial patterns.


Asunto(s)
Cefalometría/normas , Cara/anatomía & histología , Desarrollo Maxilofacial , Cráneo/anatomía & histología , Terminología como Asunto , Clasificación , Huesos Faciales/anatomía & histología , Humanos , Comunicación Interdisciplinaria , Somatotipos
15.
Ortho Sci., Orthod. sci. pract ; 16(64): 116-118, 2023. ilus
Artículo en Portugués | BBO - odontología (Brasil) | ID: biblio-1551968

RESUMEN

Resumo Introdução: As ligaduras elastoméricas, também conhecidas popularmente como "elastics", são amplamente utilizadas na ortodontia fixa há bastante tempo. Contudo, além da função de apreender o arco aos slots dos bráquetes, elas também podem ser utilizadas para correção de pequenas giroversões dentárias. Diversas marcas comerciais já desenvolveram um modelo específico de acessório elastomérico para desempenhar essa função, nomeado como "rotator"; porém, por ter um tamanho padronizado, acabam provocando sobrecorreção do movimento em determinadas situações da prática clínica. Descrição da técnica: Desta maneira, o objetivo deste artigo é ilustrar a utilização e versatilidade dos famosos "elastics", posicionados de três formas diferentes nas aletas dos bráquetes, para realizar a correção de pequenas giroversões unitárias na ortodontia fixa. Conclusão: A versatilidade de seu uso permite diferentes magnitudes de correção com praticidade (AU)


Abstract Introduction: Elastomeric ligatures, popularly known as "elastics" have been widely used in orthodontic treatment with fixed appliances for a long time. However, in addition to the function of fixating the archwires to the bracket slots, they may also be used for the correction of minor tooth rotations. Various commercial brands have developed a specific model of elastomeric accessory to perform this function, known as "rotation wedge". However, as they are of a standardized size, they end up causing overcorrection of the movement in certain clinical situations. Technique description: This article aimed to illustrate the use and versatility of the famous "elastics", positioned in 3 different ways on the bracket tie wings to effectuate correction of small single tooth rotations in orthodontic treatment with fixed appliances. Conclusion: The versatility of their use allows different magnitudes of correction with practicality. (AU)


Asunto(s)
Ortodoncia Correctiva , Soportes Ortodóncicos , Elastómeros
16.
Dental Press J Orthod ; 18(2): 61-8, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-23916433

RESUMEN

OBJECTIVE: To evaluate the influence of bonding and debonding of orthodontic brackets on dental in-home bleaching, taking into account three different adhesive systems. METHODS: Forty-four bovine incisors were divided into four groups according to the primer system used for orthodontic bracket bonding. Following the debonding of orthodontic brackets, the teeth were stored in staining solution for 96 hours. Then, teeth were whitened using 10% carbamide peroxide for two weeks at a 6-hour-a-day regime. Standardized digital photographs were taken at the following intervals: T0 (initial); T1 (after debonding); T2 (after pigmentation); T3, T4 and T5 representing 1, 7, and 14 days of bleaching. Repeatability and stability tests were carried out to check the method accuracy. Images were analyzed using Adobe Photoshop 7.0 software considering (L*a*b*) color coordinate values and a modified color difference total (ΔE'). RESULTS: The results of this study (ANOVA and Tukey; p < 0.01) demonstrated that after 7 days of bleaching, experimental groups showed significantly less teeth whitening compared to the control group. However, there were no significant color differences between the groups after 14 days, according to values of lightness (L*). CONCLUSIONS: Regardless of the adhesive primer system applied, bonding and debonding of orthodontic brackets alters the outcome of tooth whitening in the first 7 days of bleaching, however it has no influence on the whitening of the dental structure after 14 days of in-home dental bleaching with 10% carbamide peroxide.


Asunto(s)
Recubrimiento Dental Adhesivo/métodos , Cementos Dentales/química , Desconsolidación Dental/métodos , Soportes Ortodóncicos , Peróxidos/química , Blanqueadores Dentales/química , Blanqueamiento de Dientes/métodos , Urea/análogos & derivados , Análisis de Varianza , Animales , Peróxido de Carbamida , Bovinos , Colorimetría , Urea/química
17.
Dental Press J Orthod ; 18(5): 64-9, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-24352390

RESUMEN

INTRODUCTION: Advancement genioplasty has been increasingly indicated for the correction of anterior mandibular deficiency as it balances the patient's profile and generates functional changes. OBJECTIVE: Thus, the aim of this study was to assess the effects of advancement genioplasty in the oropharyngeal size and in the position of the hyoid bone and tongue. METHODS: The sample comprised 22 lateral cephalometric radiographs of 11 individuals who had undergone advancement genioplasty alone. Eleven of these radiographs depicted the immediate preoperative period (T0) and the other 11 the postoperative period after at least four months (T1). The radiographs were scanned and exported to the Radiocef Studio 2.0® software (Radio Memory Ltda., Belo Horizonte, MG, Brazil). The landmarks were then identified and automatically measured by the program. RESULTS: The results showed statistically significant differences between the horizontal position of the hyoid bone and tongue and in the oropharyngeal size. The hyoid bone and tongue were repositioned anteriorly after surgery (p = 0.01), thereby increasing the dimension of the oropharyngeal airspace (p = 0.01). CONCLUSIONS: The oropharyngeal dimension increased as the tongue base and hyoid bone were repositioned more anteriorly.


Asunto(s)
Mentón/cirugía , Mentoplastia , Hueso Hioides/fisiopatología , Avance Mandibular , Orofaringe/anatomía & histología , Orofaringe/patología , Lengua/fisiopatología , Adolescente , Adulto , Cefalometría , Femenino , Humanos , Masculino , Persona de Mediana Edad , Músculos del Cuello/fisiología , Tamaño de los Órganos , Estadísticas no Paramétricas , Resultado del Tratamiento , Adulto Joven
18.
Dental press j. orthod. (Impr.) ; 22(6): 68-73, Nov.-Dec. 2017. tab, graf
Artículo en Inglés | LILACS | ID: biblio-891114

RESUMEN

ABSTRACT Introduction: Plaster dental casts are routinely used during clinical practice to access maxillary dental arch form and assist on fabrication of individualized orthodontic archwires. Recently introduced, digital model technology may offer a limitation for the obtainment of a dental physical record. In this context, a tool for dental arch form assessment for chairside use is necessary when employing digital models. In this regard, paper print of the dental arch seems thus to be useful. Methods: In the present study, 37 lower arch models were used. Intercanine and intermolar widths and dental arch length measurements were performed and compared using plaster dental casts, digital models and paper print image of the models. Ortho Insight 3D scanner was employed for model digitalization. Results: No statistically significant differences were noted regarding the measurements performed on the plaster or digital models (p> 0.05). Paper print images, however, showed subestimated values for intercanine and intermolar widths and overestimated values for dental arch length. Despite being statistically significant (p< 0.001), the differences were considered clinically negligible. Conclusion: The present study suggests that paper print images obtained from digital models are clinically accurate and can be used as a tool for dental arch form assessment for fabrication of individualized orthodontic archwires.


RESUMO Introdução: os modelos de gesso são usados rotineiramente, durante a prática clínica, para avaliação da forma da arcada inferior e para auxiliar na confecção de arcos ortodônticos individualizados. A tecnologia dos modelos digitais, introduzida recentemente, pode oferecer uma limitação na obtenção de um registro físico da arcada dentária. Assim, quando se utilizam modelos digitais, faz-se necessária uma ferramenta clínica para obtenção da forma da arcada. Com essa finalidade, poderia-se imprimir, em papel, uma imagem da arcada dentária obtida a partir do modelo de gesso. Métodos: nesse estudo, 37 modelos da arcada inferior foram utilizados, nos quais foram realizadas medições das distâncias intercaninos, intermolares e comprimento da arcada; sendo, então, comparadas entre modelos de gesso, modelos digitalizados com um scanner Ortho Insight 3D e imagens impressas em folha de papel A4. Resultados: não foram encontradas diferenças estatisticamente significativas nas medidas realizadas nos modelos de gesso e modelos digitais (p > 0,05). As imagens impressas, contudo, mostraram valores subestimados para as distâncias intercaninos e intermolares, e superestimados para o comprimento da arcada. Apesar de serem estatisticamente significativas (p< 0,001), as diferenças foram consideradas clinicamente insignificantes. Conclusão: o presente estudo sugere que as imagens obtidas por meio dos modelos digitais e impressas em papel são clinicamente acuradas e podem ser utilizadas como uma ferramenta auxiliar na confecção dos arcos ortodônticos individualizados.


Asunto(s)
Humanos , Procesamiento de Imagen Asistido por Computador/métodos , Imagenología Tridimensional/métodos , Arco Dental/anatomía & histología , Arco Dental/diagnóstico por imagen , Modelos Dentales , Mandíbula/anatomía & histología , Ortodoncia/instrumentación , Ortodoncia/métodos , Programas Informáticos , Moldes Quirúrgicos , Reproducibilidad de los Resultados , Análisis de Varianza , Técnica de Impresión Dental , Tecnología Odontológica , Procesos de Copia , Impresión Tridimensional , Mandíbula/diagnóstico por imagen , Modelos Anatómicos
19.
An Bras Dermatol ; 86(4): 773-7, 2011.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-21987148

RESUMEN

In recent years, facial esthetics excellence has become a major focus in health professional offices and for the public worldwide. Among the main concerns of the patients is lip augmentation, since it has been associated with beauty and youth. This procedure has been increasingly performed and studied by dermatologists and plastic surgeons. Although good outcomes for lip augmentation have been achieved with different techniques, literature shows several complications and collateral effects. This paper demonstrates, through two clinical cases, how Orthodontics may be an excellent tool to assist in lip augmentation, highlighting the need for an interdisciplinary approach to enhance a more effective strategy to achieve facial esthetics goals.


Asunto(s)
Labio/anatomía & histología , Ortodoncia Correctiva/métodos , Adulto , Humanos , Masculino , Resultado del Tratamiento
20.
Photomed Laser Surg ; 28 Suppl 2: S79-83, 2010 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-20932152

RESUMEN

OBJECTIVES: The aim of this research was to investigate the influence of low-power laser on tooth movement in rats. BACKGROUND: Tooth movement is closely related to the process of bone remodeling. The biologic result, with the application of a force to the tooth, is bone absorption on the pressure side and neoformation on the traction side of the alveolar bone. The laser photobiomodulation is capable of providing an increase in cellular metabolism, blood flow, and lymphatic drainage. METHODS: Thirty young-adult male Wistar rats weighing between 250 and 300 g were divided into two groups, control and experimental, containing 15 animals each. The animals received orthodontic devices calibrated to release a force of 40 g/F, with the purpose of moving the first upper molar mesially. Low-intensity laser, wavelength 790 nm, was used in the experimental group; the dose was 4.5 J/cm(2) per point, mesial and distal, on the palatal side, 11 J/cm(2) on the buccal side, and this procedure was repeated every 48 h, totaling nine applications. The active movement was clinically evaluated after 7, 13, and 19 days. RESULTS AND CONCLUSION: The results showed no statistically significant difference, p = 0.079 (T0-T7), p = 0.597 (T7-T13), and p = 0.550 (T13-T19) between the laser and control groups on the amount of tooth movement in the different times evaluated. It may be concluded that laser phototherapy, with the parameters in the present study, did not significantly increase the amount of tooth displacement during induced orthodontic movement in rodents.


Asunto(s)
Terapia por Luz de Baja Intensidad , Técnicas de Movimiento Dental , Animales , Masculino , Aparatos Ortodóncicos , Conejos , Ratas , Ratas Wistar
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