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1.
Int J Oral Implantol (Berl) ; 13(3): 291-298, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32879933

RESUMO

AIMS: Immediate fixed full-arch implant-supported prosthetic rehabilitation of the severely atrophic maxilla is a challenging treatment modality with favourable patient interest. The delivery of the treatment is challenging due to the difficulty in providing adequate posterior implant positioning with high primary stability in the absence of alveolar bone distal to the maxillary lateral incisors. Current trends in posterior implant placement and immediate loading include the placement of zygomatic implants or distally tilted implants placed anterior to the sinus cavity. The development of an extended-length subcrestal angulated implant gives an additional option to provide posterior occlusal support for reconstruction of the severely atrophic maxilla with an immediate full-arch fixed prosthesis. MATERIALS AND METHODS: This article describes a trans-sinus nasal protocol for fixed full-arch rehabilitation in the severely atrophic maxilla when the residual alveolar bone does not extend distally from the permanent maxillary lateral incisors. The extended-length distally tilted implant transverses a simultaneously augmented sinus cavity and engages the anterior maxilla and bone of the lateral nasal wall. RESULTS: The placement of an extended-length distal tilted implant placed the implant head at the crest of the alveolar ridge in the first permanent molar position, promoting favourable prosthetic biomechanics for a full-arch fixed prosthesis. Passivity of fit of the fixed prosthesis was achieved due to the 24-degree subcrestal angulation feature of the implant and use of multi-unit abutments.


Assuntos
Implantes Dentários , Seios Paranasais , Arco Dental , Prótese Dentária Fixada por Implante , Humanos , Maxila
2.
Indian J Dent Res ; 31(3): 382-388, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32769271

RESUMO

Context: Anterior open bite is a complex condition involving a combination of various dental and skeletal components in three dimensions. The data on the differences and changes in the transverse relation in individuals with anterior open bite are limited. Aims: To assess the dental arch widths in individuals with anterior open bite using study casts and facial widths using frontal cephalogram and to compare these widths with that of individuals without anterior open bite. Materials and Methods: Eighty adults [40 with and 40 without anterior open bite, mean (standard deviation) age = 20.68 years] were selected. The study group was divided into skeletal (n = 19) and dental (n = 21) open bite groups according to Jarabak's ratio. Posteroanterior cephalograms and study casts were analyzed. Results: The mean width of zygomatic arch (112.18 mm) and condylar region (100.55 mm) in the control group was significantly higher (P < 0.05). The mean gonial width in the skeletal open bite group (81.143 mm) was significantly (P < 0.05) lesser than the dental open bite group (84.842). The maxillary intercanine width for the skeletal open bite group (36.48 mm) was significantly (P < 0.01) higher than that of the dental open bite group (34.26 mm). Conclusion: A transverse deficiency was seen in in the zygomatic and condylar regions in adults with anterior open bite. Individuals with a skeletal open bite showed a narrow gonial and wider maxillary intercanine width compared with individuals with dental open bite.


Assuntos
Mordida Aberta , Adulto , Cefalometria , Arco Dental , Humanos , Maxila , Radiografia , Zigoma
3.
J Clin Pediatr Dent ; 44(3): 185-189, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32644898

RESUMO

Infraocclusion occurs at an early age and becomes worse with age, causing increased damage in young children. Extraction of affected teeth is the preferred treatment modality for prevention of possible complications. It is rare for a primary molar to temporarily exhibit secondary failure of eruption, followed by regeneration of full eruptive capacity. This report was written to describe two patients who experienced spontaneous eruption of an infraoccluded primary molar at approximately 7 years of age. While watchful waiting is not always a suitable treatment option, we propose that extraction be deferred until the first permanent molar erupts, unless significant problems occur.


Assuntos
Dente Molar , Dente Decíduo , Criança , Pré-Escolar , Arco Dental , Humanos , Erupção Dentária
4.
Wiad Lek ; 73(6): 1103-1107, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32723934

RESUMO

OBJECTIVE: The aim is development and analysis of regression models of linear dimensions necessary for the construction of the correct form of dental arches in young men with a wide face, depending on the features of odontometric and cephalometric indicators. PATIENTS AND METHODS: Material and methods: Primary computed tomographic indices of tooth size and cephalometric parameters of 44 young men with normal occlusion were obtained from the data bank of the National Pirogov Memorial Medical University, Vinnytsya. Face type was determined using the Garson morphological index. In licensed statistical package "Statistica 6,0" developed regression models of linear dimensions necessary for the construction of the correct form of dental arches. RESULTS: Results: As a result of researches, it is established that all 18 reliable models of the sizes used for construction of the correct form of dental arches, depending on peculiarities of odontometric and cephalometric indices with a coefficient from 0.645 to 0.944 are constructed. Built models in adolescents with a broad face type more often include odontometric than cephalometric indicators. The most commonly used odontometric indices are: the width of the crowns of the teeth in the mesio-distal and vestibulo-oral directions, as well as the distance from the middle of the cutting edge to the apex of the root of the teeth in the vestibulo-oral direction. CONCLUSION: Conclusions: In adolescents with a broad type of face with normal occlusion, all 18 possible reliable regression models of reproduction of the individual characteristics of the dental arches of the upper and lower jaws were determined and analyzed.


Assuntos
Arco Dental , Dente , Adolescente , Cefalometria , Face/anatomia & histologia , Humanos , Masculino , Mandíbula
5.
Prog Orthod ; 21(1): 28, 2020 Jul 28.
Artigo em Inglês | MEDLINE | ID: mdl-32719906

RESUMO

AIM: The aim of the present study was to compare the accuracy of the actual space obtained through interproximal enamel reduction (IPR) compared to the amount of IPR planned through the digital setup during clear aligner treatment (CAT). MATERIALS AND METHODS: A total of 10 clinicians were randomly recruited using the Doctor Locator by Align Technology (California). For each clinician, four consecutive patients treated with CAT and manual stripping were selected for a total of 40 subjects and 80 dental arches. For each patient, the amount of planned IPR and the amount of actual IPR performed were recorded. Each arch was considered individually. For each arch, the mesio-distal tooth measurements were obtained from second to second premolars. RESULTS: No systematic measurement errors were identified. In 25 cases, stripping was planned and performed in both arches; in 4 cases only in the upper arch and in the remaining 7 cases only in the lower arch. The difference between planned IPR and performed IPR was on average 0.55 mm (SD, 0.67; P = 0.022) in the upper arch and 0.82 mm (SD, 0.84; P = 0.026) in the lower arch. The accuracy of IPR in the upper arch was estimated to be 44.95% for the upper arch and 37.02% for the lower arch. CONCLUSION: Overall, this study showed that the amount of enamel removed in vivo did not correspond with the amount of IPR planned. In most cases, the performed IPR amount was lower than planned. When considering the actual amount in millimeter, these differences may not be considered clinically relevant.


Assuntos
Esmalte Dentário , Aparelhos Ortodônticos Removíveis , Dente Pré-Molar , Arco Dental , Humanos
6.
Braz Oral Res ; 34: e040, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32520075

RESUMO

This study aimed to identify factors associated with the need for complete dentures in one dental arch or both, among the elderly population. The cross-sectional household study was conducted with a representative sample of elderly people (65 years or older) in the state of São Paulo, Brazil, in 2015. The dependent variable was the need for complete dentures (in one arch or both), and independent variables were socioeconomic and demographic conditions, social capital, self-perception of oral health and access to dental services. Simple and multinomial logistic regression models tested effect measures (p < 0.05). A total of 5,948 elderly people participated. Results indicated that those with greater chances of needing a complete denture in one arch were male (OR = 1.54; CI95%:1.04-2.29), with fewer household goods (OR = 2.25; CI95%:1.50-3.38), lower monthly household income: R$501-1500 (OR = 3.44; CI95%:1.27-9.35), R$1501-2500 (OR = 4.11; CI95%:1.50-11.27), R$2501-4500 (OR = 2.76; CI95%:1.10-6.95), self-reported need for a complete denture (OR = 4.75; CI95%:3.08-7.35), ≥3 years since last dental appointment (OR = 1.80; CI95%:1.06-3.05), and dissatisfaction with last dental appointment (OR = 1.80; CI95%:1.06-3.05). There were more chances of the need for complete dentures in both arches among older elders (OR = 1.44; CI95%:1.06-1.88), with lower monthly household income: R$ < 501 (OR = 4.45; CI95%:1.71-11.60), R$501-1500 (OR = 4.01; CI95%:2.14-7.51), R$1501-2500 (OR = 2.95; CI95%:1.64-5.32), < 3 years of education (OR = 1.45; CI95%:1.13-1.85), feeling unhappy (OR = 2.74; CI95%:1.35-5.57), self-reported need for a complete denture (OR = 8.48; CI95%:5.75-12.50), dissatisfaction with their mouth (OR = 2.38; CI95%:1.64-3.46), ≥3 years since last dental appointment (OR = 4.28; CI95%:2.85-6.43), and dissatisfaction with last dental appointment (OR = 4.28; CI95%:2.85-6.43). The several dimensions of the determinants of the need for a complete denture reflect the influence of both demographic and socioeconomic aspects, social capital, self-perception of oral health and access to dental services.


Assuntos
Prótese Total/estatística & dados numéricos , Determinação de Necessidades de Cuidados de Saúde/estatística & dados numéricos , Idoso , Idoso de 80 Anos ou mais , Brasil , Estudos Transversais , Arco Dental , Feminino , Acesso aos Serviços de Saúde/estatística & dados numéricos , Humanos , Modelos Logísticos , Masculino , Saúde Bucal/estatística & dados numéricos , Autoimagem , Fatores Socioeconômicos , Inquéritos e Questionários
7.
Bull Tokyo Dent Coll ; 61(2): 103-120, 2020 Jul 04.
Artigo em Inglês | MEDLINE | ID: mdl-32522935

RESUMO

Narrowing of the maxillary dental arch is a major cause of occlusal abnormalities in cleft lip and palate patients. Although the dental arch may be expanded in such cases, relapse will often occur during the subsequent retention period. In this study, the stability of expansion of the maxillary arch was investigated by examining 3-dimensional change in the maxillary arch during the treatment and post-retention periods. Three-dimensional measurements was performed on maxillary plaster models obtained from 8 unilateral cleft lip and palate patients (mean age, 12.5 years) who had undergone maxillary arch expansion using an edgewise appliance and quad helix (CLP group). The controls consisted of 8 unilateral cleft lip and alveolus patients (mean age, 12.9 years). Measurements were made during the pretreatment, post-treatment, and post-retention periods. In the CLP group, horizontal relapse was observed in the alveolar and dental arches between the second premolars, together with vertical relapse on the cleft side of the central incisor, lateral incisor, and canine. The sites where relapse occurred demonstrated decreased growth before orthodontic treatment. A correlation was observed between the extents of expansion and relapse. These findings suggest that excessive horizontal or vertical tooth movement in areas showing developmental failure should be avoided in order to increase stability after orthodontic treatment.


Assuntos
Fenda Labial , Fissura Palatina , Criança , Arco Dental , Humanos , Maxila , Técnica de Expansão Palatina
8.
J Contemp Dent Pract ; 21(4): 377-382, 2020 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-32584272

RESUMO

AIM: This study was conducted for evaluating and comparing the mesiodistal width of upper anteriors in different malocclusions and its relation with various arch forms. MATERIALS AND METHODS: In total, 60 subjects with different malocclusions were examined. Mesiodistal width was measured for the anterior teeth using digital vernier caliper. 3M Unitek arch form template and two-dimensional (2D) model were superimposed to find out primarily the relation of arch form in specific malocclusion to the sum the mesiodistal width of the maxillary of anterior teeth and secondarily the relation of sum of the mesiodistal width of the maxillary anterior tooth with different arch forms. RESULTS: The ovoid arch form was common in class I malocclusion with mean mesiodistal width of 50.43 mm. The tapered arch form was the common type in both class II and class III malocclusion with mean mesiodistal width of 49.96 and 45.15 mm, respectively. CONCLUSION: The mean of anterior mesiodistal width for Angle's class III individuals was 45.15 mm considerably less than that of class II subjects and class I subjects, which signifies that the tooth material was more in the anterior region of the subject of class I followed by class II and class III malocclusions. CLINICAL SIGNIFICANCE: The performed study presents various maxillary dental arch forms observed in various malocclusions (Angle's class I, class II, and class III). The ovoid and tapered arch forms exhibited the common occurrence, while the square form was the rarest.


Assuntos
Má Oclusão de Angle Classe II , Má Oclusão de Angle Classe I , Má Oclusão , Arco Dental , Humanos , Maxila , Estudos Retrospectivos
9.
Am J Orthod Dentofacial Orthop ; 157(5): 611-618, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32354434

RESUMO

INTRODUCTION: This study aimed to compare the 3-dimensional force system produced by transpalatal arch (TPA) mechanics with that produced by a continuous arch (CA) on the expansion of maxillary first molars. METHODS: A patient's model with 2 molars in 4-mm crossbite had orthodontic appliances bonded to all teeth. The first and the second molars were connected to two 3-dimensional load cells to compare the forces in the transverse and anteroposterior planes (Fx and Fy) and the rotational moments (Mz) produced in both molars by the expanded TPA and by 0.016-in nickel-titanium CA. The data were evaluated using 6 independent t tests, and the net moment at the molar's center of resistance was also calculated. RESULTS: All forces and moments were different at both molars. At the first molar, CA produced Fx of 2.60 N, Fy of -0.08 N, Mz of -5.16 N·mm, and Net Mz of -5.68 N·mm, whereas the TPA produced Fx of 2.87 N, Fy of -0.60 N, Mz of -22.08 N·mm, and Net Mz of -25.09 N·mm. At the second molar, the TPA did not produce significant forces and moments, whereas the CA produced Fx of -1.00 N, Mz of 3.95 N·mm, Fy of -0.84 N, and Net Mz of -0.67 N·mm. CONCLUSIONS: Based on our findings in a clinical set up with the specific horseshoe TPA and archwire tested, with the TPA used only on the first molars and the CA used from one second molar to the other, the mechanics produced different expansion forces at the first molar. The TPA produced a larger rotational side effect on the first molar, whereas the CA produced side effects on the second molar.


Assuntos
Má Oclusão , Técnicas de Movimentação Dentária , Arco Dental , Humanos , Dente Molar , Desenho de Aparelho Ortodôntico , Aparelhos Ortodônticos
10.
Am J Orthod Dentofacial Orthop ; 157(5): 619-630, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32354435

RESUMO

INTRODUCTION: This study aimed to examine the role of dentofacial morphology in discriminating semi-isolated indigenous groups. These populations present a similar pattern of dietary habits. Studies in human genetics have reported a large intertribal genetic distance and low intratribal variation. METHODS: This study was conducted following the Strengthening the Reporting of Observational Studies in Epidemiology guidelines. Face dimensions were measured through facial photogrammetry, and dental arches and tooth size were evaluated using plaster models. A total of 98 subjects in the permanent dentition and belonging to 4 indigenous groups were analyzed: Arara-Iriri (n = 20), Arara-Laranjal (n = 33), Assurini (n = 25), and Xicrin-Kayapó (n = 20). The random and systematic errors were verified using the Dahlberg formula and the intraclass correlation coefficient (ICC), respectively. In order to evaluate the discrimination of the variables to identify the indigenous groups, a discriminant analysis was performed (P <0.05). RESULTS: A small causal error (Dahlberg, 0.13-1.81) and excellent replicability (ICC, 0.75-0.99) for face dimensions as well as for models (Dahlberg, 0.10-0.68; ICC, 0.94-0.99) were observed. The discriminant analysis allowed the identification of 4 populations by facial and dental arch dimensions and tooth size. Dentofacial biometry revealed an accuracy of 98% for females and 100% for males, which confirms a high intragroup homogeneity and considerable intergroup heterogeneity for dentofacial features. CONCLUSIONS: Biometric measurements of the human face added with tooth size and dental arch dimensions are very useful to identify remote indigenous populations with high accuracy. Supported by previous studies in human genetics, these findings reinforce the role of genetic variation in the determination of dentofacial features.


Assuntos
Biometria , Grupos Populacionais , Arco Dental/anatomia & histologia , Face/anatomia & histologia , Feminino , Humanos , Índios Sul-Americanos , Masculino , Fotogrametria
11.
BMC Oral Health ; 20(1): 97, 2020 04 07.
Artigo em Inglês | MEDLINE | ID: mdl-32264943

RESUMO

BACKGROUNDS: Intraoral scanner (IOS) accuracy is commonly evaluated using full-arch surface comparison, which fails to take into consideration the starting position of the scanning (scan origin). Previously a novel method was developed, which takes into account the scan origin and calculates the deviation of predefined identical points between references and test models. This method may reveal the error caused by stitching individual images during intraoral scan. This study aimed to validate the novel method by comparing the trueness of seven IOSs (Element 1, Element 2, Emerald, Omnicam, Planscan, Trios 3, CS 3600) to a physical impression digitized by laboratory scanner which lacks linear stitching problems. METHODS: Digital test models of a dentate human cadaver maxilla were made by IOSs and by laboratory scanner after polyvinylsiloxane impression. All scans started on the occlusal surface of the tooth #15 (universal notation, scan origin) and finished at tooth #2. The reference model and test models were superimposed at the scan origin in GOM Inspect software. Deviations were measured between identical points on three different axes, and the complex 3D deviation was calculated. The effect of scanners, tooth, and axis was statistically analyzed by the generalized linear mixed model. RESULTS: The deviation gradually increased as the distance from scan origin increased for the IOSs but not for the physical impression. The highest deviation occurred mostly at the apico-coronal axis for the IOSs. The mean deviation of the physical impression (53 ± 2 µm) was not significantly different from the Trios 3 (156 ± 8 µm) and CS 3600 (365 ± 29 µm), but it was significantly lower than the values of Element 1 (531 ± 26 µm), Element 2 (246 ± 11 µm), Emerald (317 ± 13 µm), Omnicam (174 ± 11 µm), Planscan (903 ± 49 µm). CONCLUSIONS: The physical impression was superior compared to the IOSs on dentate full-arch of human cadaver. The novel method could reveal the stitching error of IOSs, which may partly be caused by the difficulties in depth measurement.


Assuntos
Arco Dental , Técnica de Moldagem Odontológica/instrumentação , Maxila/diagnóstico por imagem , Desenho Assistido por Computador , Arco Dental/anatomia & histologia , Modelos Dentários , Humanos , Processamento de Imagem Assistida por Computador , Imageamento Tridimensional
12.
Orthod Craniofac Res ; 23(3): 351-356, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32248634

RESUMO

OBJECTS: Palatally displaced canines (PDC) might represent condition causing several clinical problems, such as roots resorption and malocclusion, and can develop palatal canine impaction. Some interceptive treatments such as rapid maxillary expansion were suggested in order to foster maxillary canine eruption. Among expansion protocols, no data are available about differences between rapid and slow maxillary expansion on maxillary canine eruption. The aim of this study was therefore to evaluate α-angle changes in palatally displaced canines using rapid and slow maxillary expansion compared to untreated control patients. SETTING AND SAMPLE POPULATION: The final sample comprised 19 patients treated with rapid maxillary expansion (RME group), 17 treated with slow maxillary expansion (SME group) and 22 control patients (Control group). MATERIALS AND METHODS: α-angle was measured on panoramic films to detect canine inclination at the beginning, and at the end of maxillary expansion treatment or observation, time and changes over time were compared. RESULTS: In the comparisons among groups, RME group was the only group showing a decrease in α-angle measurements that was statistically significant also when compared to the other groups, except for the left side when compared to SME group. CONCLUSION: RME treatment significantly and positively affected canine position when compared to SME treatment and control group.


Assuntos
Arco Dental , Técnica de Expansão Palatina , Dente Canino , Humanos , Maxila , Erupção Dentária
13.
Niger J Clin Pract ; 23(4): 456-463, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32246650

RESUMO

Aims: The purpose of this study was to observe the stresses of all-on-four implant designs in an edentulous mandible in the implant, surrounding bone, and monolithic ceramics. Materials and Methods: In mandibular all-on-four implant models, anterior implants were placed vertically, and posterior implants were differently inclined. On the full-arch fixed prosthetic restoration monolithic zirconia framework, monolithic lithium disilicate was prepared as the superstructure. Model 1M (1M-15.5); posterior implants angled at 15° to the occlusion plane and a cantilever length of 5 mm, Model 2M; (2M-15.9), Model 3M; (3M-30.5), and Model 4M; (4M-30.9) were prepared. A total of 300 N bilateral force was applied at an angle of 30° and oblique to the occlusion plane. Stress values on dental implants, abutments, the surrounding bone, and prosthetic restorations were calculated. Results: The highest stress concentration was observed in the 2nd connector region between the canine and the 1st premolar tooth in the monolithic zirconia frameworks (457.21 MPa). Stress concentration in the cortical bone was 60.93 MPa in posterior implants. Stress was higher in posterior angled implants than straight implants. Stress at posterior angulation increased by 21 MPa in implants angled at 15°. Conclusion: In bilateral loading, the force applied to anterior implants does not have a significant effect on the bone structure. Stress concentration increases in posterior angled implants and surrounding bone. Moreover, stress concentration increases as the length of the cantilever, the weakest part in all-on-four implants, increases. As posterior implant angulation increases, stress concentration level and localization are affected.


Assuntos
Cerâmica/química , Implantes Dentários , Prótese Dentária Fixada por Implante/métodos , Imageamento Tridimensional/métodos , Titânio/química , Zircônio/química , Dente Pré-Molar , Arco Dental/fisiologia , Modelos Dentários , Planejamento de Prótese Dentária , Análise do Estresse Dentário , Análise de Elementos Finitos , Humanos , Mandíbula/fisiologia , Estresse Mecânico
14.
J Orofac Orthop ; 81(4): 229-238, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32291482

RESUMO

PURPOSE: The purpose of this study was to evaluate the arch form changes in class II Caucasian patients treated with Invisalign® (Align Technology, San José, CA, USA). METHODS: A total of 27 class II patients, for whom a maximum of 4 mm arch expansion was planned, were selected. Both maxillary and mandibular digital casts were compared at three different times: pretreatment (T0), accepted set-up (T1), and retention phase (T2). Each digital model was imported into GOM Inspect© software (GOM GmbH, Braunschweig, Germany) to identify teeth crown facial axis (FA) and cusp points to create a coordinate system. In each model the origin of the coordinates was located at the contact point of central incisors and a system of Cartesian axes was constructed. Using the FA points, an average arch form was obtained for each clinical step and then the following comparisons were performed for each class group: T0-T1, T0-T2, and T1-T2. RESULTS: T1 showed wider maxillary and mandibular dental arches compared to T0 with maximum movements observed in the premolar regions (maximum movement 1.94 mm for tooth 15; P < 0.0001). In the T1-T2 comparison, a more buccal position of tooth 22, tooth 23, and tooth 24 (maximum movement 0.56 mm; P < 0.05) and a more lingual position of tooth 37 (maximum movement 0.81 mm; P < 0.01), tooth 36, and tooth 47 were observed at T1 with respect to T2. CONCLUSIONS: Although Invisalign® treatment resulted in a significant increase in arch width according to the prescription, some of the outcomes were different than those planned especially in relation to the final position of the lower molars.


Assuntos
Arco Dental , Aparelhos Ortodônticos Removíveis , Cefalometria , Alemanha , Humanos , Maxila , Técnicas de Movimentação Dentária
15.
Am J Orthod Dentofacial Orthop ; 157(4): 454-465.e1, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32241352

RESUMO

INTRODUCTION: The aim of this systematic review was to identify, evaluate, and provide a synthesis of the available literature on the effects of lip bumper (LB) therapy on the mandibular dental arch of children and adolescents. METHODS: MEDLINE, Scopus, Web of Science, Cochrane Library, and Lilacs were systematically searched without restrictions up to May 2019. Risk-of-bias assessment was performed using Cochrane's tool for randomized controlled trials (RCTs) and the Risk of Bias in Nonrandomized Studies of Interventions tool for non-RCTs. The Grading of Recommendations, Assessment, Development and Evaluation tool was used to assess the quality of the evidence. RESULTS: After examination of the full texts, 6 studies were included. One RCT presented unclear risk of bias, and 5 non-RCTs presented serious to moderate risk of bias. LB therapy resulted in a buccal inclination of the incisors, distalization of the permanent first molars, and distal inclination of the permanent first molars, which increased perimeter and arch length. An increase in the arch width with greater gain in the interpremolar and/or deciduous molar distance and less gain in intercanine and intermolar distances was also reported. LB therapy increased the risk of second molar impaction with inclination >30° and the risk of ectopic eruption when treatment time was >2 years. The level of the evidence was graded as very low for variable arch length and second molar eruption disturbances. All other outcomes were graded as having low level of evidence. CONCLUSIONS: Owing to the low level of certainty identified, the conclusions should be considered cautiously. Increase in arch perimeter and width was attributed to the proclination of the incisors, buccalization of the deciduous molar and premolar areas, and distal inclination of the molars. However, there was an increased chance of impaction and ectopic eruption of permanent second molar after treatment with LB.


Assuntos
Lábio , Aparelhos Ortodônticos , Adolescente , Cefalometria , Criança , Arco Dental , Humanos , Mandíbula , Dente Molar
16.
J Orofac Orthop ; 81(3): 192-208, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32253459

RESUMO

AIM: The aim of this study was to analyze dental and soft tissue profile development in children with normal occlusions to establish age- and gender-specific reference intervals for German children during their active growth period. SUBJECTS AND METHODS: The study group consisted of a sample of 31 untreated Caucasian subjects with normal occlusions. Dental casts were analyzed at four different stages of dentitional development. Extraoral profile photographs were available for 19 subjects at stages T2-T4. In these subjects 11 angular measurements and 14 indices were analyzed. Statistical comparisons of gender-specific differences were performed by Mann-Whitney U tests (p ≤ 0.05). RESULTS: Upper and lower posterior and total arch perimeters were recorded to be significantly larger in male subjects until the late mixed dentition. Subsequently, there was a tendency toward larger dimensions in males for those parameters. Upper and lower intercanine, interpremolar and intermolar widths were significantly larger in males throughout the entire observation period. There were no statistically significant gender differences with regard to most angular measurements in the dental arches, including molar rotation, palatal volume, overbite, overjet and molar relationship at later dental stages. CONCLUSION: In untreated subjects with normal occlusion, dental arch and soft tissue parameters can be considered age-dependent. For some dental parameters, gender-specific differences were found that should be taken into consideration during diagnosis and treatment planning of growing children. The obtained longitudinal data of untreated children provide useful information for orthodontic diagnosis, treatment planning and future research projects.


Assuntos
Arco Dental , Má Oclusão de Angle Classe II , Cefalometria , Criança , Dentição Mista , Humanos , Masculino , Maxila , Dente Molar
17.
J Orofac Orthop ; 81(3): 220-225, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32266438

RESUMO

PURPOSE: To understand whether two different designs of Haas-type rapid maxillary expander (H­RME) might have a different influence on canine eruption. PATIENTS AND METHODS: In all, 108 subjects seeking orthodontic treatment were selected and divided into two groups-H­RME with bands on the upper second deciduous molars (GrE), H­RME with bands on the upper first permanent molars (Gr6)-and were also compared to an historical untreated control group (CG) of 29 subjects. Panoramic x­rays (OPG) were performed before and after RME (T0-T1: 16 ± 7 months) and the upper canine angulation to the midline ("α" angle) was measured on both pre- and posttreatment OPG. RESULTS: A significant improvement of the canine position (decrease of the α angle) following RME in subjects with mixed dentition was reported in both treated groups, although the different design of the RME did not significantly affect canine angulation. Canine angulation in untreated subjects with transversal discrepancy did not improve significantly. CONCLUSION: Using RME in the early mixed dentition appears to be an effective procedure to increase the rate of eruption of maxillary canines, but the position of the bands on the upper second deciduous molars or on the upper first permanent molars and the significant different expansion of the upper dental arch at the canine level does not significantly influence the canine angulation following early treatment therapy.


Assuntos
Técnica de Expansão Palatina , Dente Decíduo , Arco Dental , Maxila , Dente Molar
18.
J Prosthodont Res ; 64(4): 498-505, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32063531

RESUMO

PURPOSE: This analysis focused on periodontal health in shortened dental arches (SDAs). METHODS: In a randomized controlled clinical trial, patients with missing molars in one jaw and at least one premolar and canine on both sides were eligible for participation. In the partial removable dental prosthesis (PRDP) group (n = 79), molars were replaced with a precision attachment retained PRDP. In the SDA group (n == 71), the SDA up to the second premolars was either left as is or restored with fixed dental prostheses. Outcome variables were vertical clinical attachment loss (CAL-V), pocket probing depth (PPD), bleeding on probing (BOP) and plaque index (PLI). For CAL-V and PPD, the changes at six measuring points per tooth were analyzed. For BOP and PLI, patient related rates were calculated for each point in time. Statistical methods included linear regression analyses. RESULTS: In the intention-to-treat (ITT) analysis for CAL-V in the study jaw, the 10 year patient related mean changes were 0.66 mm in the PRDP group and -0.13 mm in the SDA group. The resulting mean patient related group difference of 0.79 mm (95% CI: 0.20 mm-1.38 mm) was significant (p = 0.01). There were no significant differences in the ITT analyses for PPD. For BOP and PLI, significant group differences with more favorable results for the SDA group were found. CONCLUSIONS: In view of lacking substantial differences for CAL-V and PPD, the overall differences were considered of minor clinical relevance. The results add confirmatory evidence to the shortened dental arch concept and its clinical viability (controlled-trials.com ISRCTN97265367).


Assuntos
Prótese Parcial Removível , Perda de Dente , Dente Pré-Molar , Arco Dental , Humanos , Dente Molar
19.
Beijing Da Xue Xue Bao Yi Xue Ban ; 52(1): 124-128, 2020 Feb 18.
Artigo em Chinês | MEDLINE | ID: mdl-32071475

RESUMO

OBJECTIVE: To analyze the relationship between the width of the maxillary anterior teeth and the anterior arch perimeter, to analyze the change rule of the width of the anterior teeth and the anterior arch perimeter, when altered the convexity of the anterior arch, with the width of the maxillary anterior arch keeping constant, and to provide a reliable basis for later digitized and personalized aesthetic analysis of front teeth. METHODS: In the study, 61 front teeth complete and well-arranged models had been selected from the working models after the prostheses in Department of Prosthodontics, Peking University School and Hospital of Stomatology, including 22 male models and 39 female models. A photograph was taken from the occlusal surface of each model using the fixed magnification with a single lens reflex camera. The width of anterior teeth, the width of anterior arch and the convexity of anterior arch had been measured using the Photoshop software. The ratio of the width of the anterior teeth to the width of the anterior arch was calculated. Keeping the width of anterior arch unchanged, the layer free transformation function used to add or decrease the curvature of the anterior arch from 1-5 mm, each circumference of the anterior arch was measured. According to the proportion of their anterior teeth in the anterior arch perimeter, the width of each anterior teeth crown under different convexities of anterior arch was calculated. SPSS 23.0 was used to analyze the ratio of the width anterior teeth to the anterior arch perimeter and correlation between the convexity of the anterior arch and the width of the anterior teeth. RESULTS: The percentages of the median length of the anterior arch in the central incisor, lateral incisor and canine were 36.2%±1.3%, 30.2%±1.5%, and 33.6%±1.4%, respectively. The proportions were normal distributions and not related to the perimeter of the anterior arch. When the width of the anterior arch was constant, there was a positive correlation between the convexity of anterior arch in the range of 5 mm and the width of anterior teeth or the front arch circumference. With each increase or decrease of 1 mm of the convexity of anterior arch, the width of the middle incisor increased or decreased by about 0.18 mm, the half circumference of the anterior arch increased or decreased by about 0.50 mm. CONCLUSION: The width of the anterior teeth in the middle-distal direction remained stable in the anterior arch circumference. Within a certain range, when the width of the maxillary anterior arch remains unchanged, the width of the anterior teeth and the perimeter of the anterior teeth are positively correlated to the convexity of the anterior arch.


Assuntos
Dente Canino , Incisivo , Arco Dental , Feminino , Humanos , Masculino , Maxila , Odontometria , Software
20.
J Orofac Orthop ; 81(2): 89-99, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32006046

RESUMO

PURPOSE: The aim of this study was to examine possible parameters correlating to the shape of the curve of Spee (COS) by analyzing multiple setups of the same Angle class I patient case. METHODS: In all, 65 setups of the same Angle class I patient case were constructed. We measured the depth of the COS, length and width of the dental arch, steps, rotations, spaces and symmetry of the constructed setups. With a correlation analysis, possible relationships between the depth of the COS and measured parameters were evaluated. RESULTS: The COS in the constructed setups was more exaggerated than in the reference case but none of the measured parameters correlated to the depth of the COS. The largest deviation was found on the mesiobuccal cusp tip of the first molar (-0.5 ± 0.4 mm left side; -0.8 ± 0.5 mm right side). This study found a negative correlation between the length and width of the lower dental arch (r = -0.61). While maintaining Angle class I, a large spread width of the depth of the COS, the dental arch width and length was shown. CONCLUSION: The different manifestations of the COS in this study show the freedom of arrangement of the individual tooth morphology without exhibiting a correlation to parameters of the dental arch.


Assuntos
Má Oclusão de Angle Classe I , Cefalometria , Arco Dental , Humanos , Mandíbula , Dente Molar
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