RESUMEN
INTRODUCTION:: the treatment of Class III malocclusion in early age is one of the greatest challenges for orthodontists, and the establishment of more effective treatment method is a constant concern for these professionals. Thus, the objective of this systematic review is to verify the effectiveness of the therapy protocol for alternate rapid maxillary expansion and constriction (Alt-RAMEC) in the early treatment of Class III malocclusion. METHODS:: searches were performed in the following electronic databases: Cochrane Library, Medline (EBSCO and PubMed), SciELO, LILACS and Scopus. The following inclusion criteria were used: in vivo studies conducted with early intervention (patient in craniofacial development phase) with the use of the Alt-RAMEC protocol. Reviews, case reports, editorials, and studies with syndromic patients or under use of systemic drug were excluded. Duplicates were also excluded. The studies were assessed for methodological quality using the Cochrane tool for assessment of risk of bias, and classified as high or low risk of bias. RESULTS:: 53 articles were found. Duplicates exclusion was thus performed and 35 articles remained. After inclusion analysis, only 5 matched the criteria. Two articles were classified as low risk of bias and three as high risk of bias. It was observed that the Alt-RAMEC enable protraction in less time and with better results, promoting greater effectiveness in the protraction treatment of Class III malocclusion. CONCLUSIONS:: Although there is positive evidence of the effectiveness of early treatment with the Alt-RAMEC protocol in patients with Class III malocclusion, further studies are needed to confirm its effectiveness using long-term methodology.
Asunto(s)
Maloclusión de Angle Clase III/terapia , Técnica de Expansión Palatina , Humanos , Revisiones Sistemáticas como Asunto , Resultado del TratamientoRESUMEN
To evaluate the influence of mesofacial, brachyfacial and dolichofacial facial patterns on giving an individual the profile of a crime suspect in the eyes of public security agents.This study had a cross-sectional design, conducted with public security agents of both sexes (n=100), where images of facial composites (police sketches) of individuals with different facial patterns (mesofacial, brachyfacial and dolichofacial) were used. With these images in hand, a questionnaire was created, divided into three parts: the first in which all the images were presented together, allowing comparison among them; the second, in which each image was evaluated separately followed by questions and the third that consisted on a visual analog scale that presented a bar with marks going from 0 to 100, where 0 represented the untrustworthy individual, 50 the individual who could be trusted, and 100 a very trustworthy individual. When all the data had been obtained statistical analyses were performed using the Chi-square and Friedman tests. The level of significance adopted was 5% (α=0.05). The dolichofacial individual was associated with security agents as the most prone to commit crimes and became more insecure and distrustful when compared to the mesofacial and brachyfacial individuals (p <0.001). The dolichofacial profile had a negative influence on the judgment of security agents who attributed to it, a character suspected of a crime and a low level of trustworthiness
Avaliar a influência dos padrões faciais mesofacial, braquifacial e dolicofacial em conceder um perfil de suspeito a cometer crimes aos olhos dos agentes de segurança pública. Este estudo teve delineamento transversal, realizado com agentes de segurança pública de ambos os sexos (n = 100), onde imagens de retratos- falados de indivíduos com diferentes padrões faciais (mesofacial, braquifacial e dolicofacial) foram utilizadas. De posse dessas imagens, foi criado um questionário, dividido em três partes: a primeira em que todas as imagens foram apresentadas juntas, permitindo a comparação entre elas; a segunda, em que cada imagem foi avaliada separadamente seguida de perguntas e a terceira consistiu em uma escala analógica visual que apresentava uma barra com marcações de 0 a 100, onde 0 representava o indivíduo não confiável, 50 o indivíduo em quem se podia confiar, e 100 um indivíduo muito confiável. Após a obtenção dos dados, foram realizadas análises estatísticas utilizando os testes Qui-quadrado e Friedman. O nível de significância adotado foi de 5% (α = 0,05). O indivíduo dolicofacial foi associado pelos agentes de segurança como o mais propenso a cometer crimes e passou mais insegurança e desconfiança, quando comparado aos indivíduos mesofacial e braquifacial (p<0,001). O perfil dolicofacial influenciou negativamente no julgamento dos agentes de segurança que atribuíram-lhe caráter suspeito a cometer crimes e baixo grau de confiabilidade.
Asunto(s)
Percepción Social , Crimen , Cara , JuicioRESUMEN
ABSTRACT Introduction: the treatment of Class III malocclusion in early age is one of the greatest challenges for orthodontists, and the establishment of more effective treatment method is a constant concern for these professionals. Thus, the objective of this systematic review is to verify the effectiveness of the therapy protocol for alternate rapid maxillary expansion and constriction (Alt-RAMEC) in the early treatment of Class III malocclusion. Methods: searches were performed in the following electronic databases: Cochrane Library, Medline (EBSCO and PubMed), SciELO, LILACS and Scopus. The following inclusion criteria were used: in vivo studies conducted with early intervention (patient in craniofacial development phase) with the use of the Alt-RAMEC protocol. Reviews, case reports, editorials, and studies with syndromic patients or under use of systemic drug were excluded. Duplicates were also excluded. The studies were assessed for methodological quality using the Cochrane tool for assessment of risk of bias, and classified as high or low risk of bias. Results: 53 articles were found. Duplicates exclusion was thus performed and 35 articles remained. After inclusion analysis, only 5 matched the criteria. Two articles were classified as low risk of bias and three as high risk of bias. It was observed that the Alt-RAMEC enable protraction in less time and with better results, promoting greater effectiveness in the protraction treatment of Class III malocclusion. Conclusions: Although there is positive evidence of the effectiveness of early treatment with the Alt-RAMEC protocol in patients with Class III malocclusion, further studies are needed to confirm its effectiveness using long-term methodology.
resumo Introdução: o tratamento da má oclusão de Classe III em idade precoce é um dos maiores desafios para os ortodontistas, e a descoberta de métodos de tratamento mais efetivos é uma preocupação constante para esses profissionais. Assim, o objetivo da presente revisão sistemática é verificar a eficácia do protocolo de expansão rápida da maxila e constrição alternadas (Alt-RAMEC) no tratamento precoce da má oclusão de Classe III. Métodos: foram realizadas buscas nas bases de dados eletrônicas Cochrane Library, Medline (EBSCO e PubMed), SciELO, LILACS e Scopus, obedecendo aos seguintes critérios de inclusão: estudos in vivo em que foi realizada intervenção precoce (pacientes em fase de desenvolvimento craniofacial) com o uso do protocolo Alt-RAMEC. Foram excluídos, além das duplicatas, os relatos de caso, revisões, editoriais e estudos com pacientes sindrômicos ou sob uso de drogas sistêmicas. Os estudos foram avaliados, quanto à qualidade metodológica, por meio da ferramenta Cochrane para Avaliação de Risco de Viés, e classificados como alto ou baixo risco de viés. Resultados: foram encontrados 53 artigos e, após removidas as duplicatas, restaram 35 artigos, dos quais 8 foram lidos na íntegra, mas apenas 5 se enquadraram nos critérios de inclusão. Desses, apenas 2 foram classificados como tendo baixo risco de viés e 3 como tendo alto risco de viés. Observou-se que o Alt-RAMEC promove a protração em menor tempo e com melhores resultados, assim como possui maior efetividade no tratamento da má oclusão de Classe III. Conclusões: apesar das evidências positivas da efetividade do tratamento precoce de pacientes com má oclusão de Classe III usando o protocolo Alt-RAMEC, ainda são necessários mais estudos em longo prazo para confirmar sua efetividade.