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1.
J Orofac Orthop ; 79(1): 39-47, 2018 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-29330612

RESUMO

PURPOSE: The present study evaluated electromyographic activity (EMG), masticatory performance, and tongue strength in children without and with orthodontic treatment needs. PATIENTS AND METHODS: A total of 90 children were screened and divided into the following groups: Group I (no treatment needed; mean age: 8.00 ± 0.43 years; n = 26), Group II (few malocclusions, treatment needed; mean age: 8.89 ± 0.43 years; n = 28), and Group III (slight-to-borderline treatment needed; mean age: 8.44 ± 0.22 years; n = 36). Orthodontic treatment need was classified on the basis of IOTN-DHC (Index of Orthodontic Treatment Need - Dental Health Component). The electromyographic Trigno EMG Systems was used for muscle analysis and the Iowa Oral Pressure Instrument (IOPI) was used to measure tongue strength. Data were analyzed using normality tests and one-way analysis of variance with a Bonferroni post hoc test (p ≤ 0.05). RESULTS: EMG in almost all mandibular movements was higher in Group III with statistically significant differences compared to position at rest: right masseter (p = 0.03); protrusion: left temporal (p = 0.02); saliva swallowing: left temporal (p = 0.05) and water swallowing: orbicularis oris mouth, right upper segment (p = 0.05). Lower masticatory performance was found in Group III, but the difference compared to Group I and II was not significant. There were no significant differences between the groups in terms of tongue strength. CONCLUSIONS: Children with borderline orthodontic treatment needs show functional disorders of the stomatognathic system.


Assuntos
Assistência Odontológica para Crianças , Necessidades e Demandas de Serviços de Saúde , Má Oclusão/terapia , Ortodontia Corretiva , Anormalidades do Sistema Estomatognático/terapia , Criança , Eletromiografia , Feminino , Alemanha , Humanos , Masculino , Má Oclusão/classificação , Má Oclusão/diagnóstico , Anormalidades do Sistema Estomatognático/classificação , Anormalidades do Sistema Estomatognático/diagnóstico
3.
Spec Care Dentist ; 37(5): 258-262, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28845899

RESUMO

Pfeiffer syndrome is a rare fibroblast growth factor receptor-related craniosynostosis with variable clinical presentations. We describe new dental findings of hypodontia, microdontia, dilacerations, and radicular dentin dysplasia in a 19-year-old girl, and discuss the oral health management.


Assuntos
Acrocefalossindactilia/diagnóstico , Cardiopatias Congênitas/diagnóstico , Anormalidades do Sistema Estomatognático/etiologia , Anormalidades do Sistema Estomatognático/terapia , Consanguinidade , Feminino , Humanos , Linhagem , Fenótipo , Adulto Jovem
4.
Dev Period Med ; 21(2): 144-153, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28796986

RESUMO

According to epidemiological data, muscular dysfunctions of the masticatory system occur in 15-23% of the population. Preventive examinations of functional disorders of the stomatognathic system are, therefore, of particular importance. A distinct group of patients exposed to dysfunctions in the area of the masticatory organ locomotor apparatus comprises those with genetic diseases characterised by disorders in collagen formation. One of such diseases is osteogenesis imperfecta (OI) and dentinogenesis imperfecta that usually goes together with the former. AIM: The objective of this work was to evaluate the frequency with which particular disorders of the masticatory organ locomotor apparatus occur within the group of patients with osteogenesis imperfecta. MATERIAL AND METHODS: The study was performed on patients of the Orthopaedic Clinic of the Polish-American Paediatric Institute in Kraków. The mean age of the children was 7.9 years. In all the cases, a genetic diagnosis of OI has been confirmed. The research methods were based on an in-depth interview on family diseases, pregnancy, postnatal period, feeding, subjective assessment of dysfunctions in the stomatognathic system. An examination of the deformations in the stomatognathic system and the skeleton was conducted, as well as an examination of the trauma and tone of the jaw. The relationship between breastfeeding and swallowing and speech disorders was also evaluated. The impact of intubation on mandibular ranges was investigated. RESULTS: The results obtained were subjected to statistical analysis on the basis of which conclusions were drawn concerning disorders in the stomatognathic system which tend to occur in children with OI. The renunciation of breastfeeding significantly contributes to sucking and swallowing disorders, rumen disorders, as well as biomechanical disorders in the temporomandibular joint. A significant dependence between breastfeeding and swallowing problems was found, whereas there was no such dependence with respect to speech impediments. CONCLUSIONS: The results of the research conducted led to the following conclusions: 1. Among pediatric patients with OI there are disorders in the stomatognathic system. The most common dysfunctions are: abdominal, swallowing and sucking disorders, abnormal muscle structure of the rumen and biomechanical disorders in the temporomandibular joints. Breastfeeding significantly contributes to swallowing disorders. 2. The therapeutic process involving children with OI requires the cooperation of specialists in orthopedics, pediatrics, physiotherapy, orthodontics and neurologopedics to carry out comprehensive diagnostics and treatment tailored to the individual needs of the patient. 3. In order to draw final conclusions, there is a need for more research by means of objective tools, such as EMG and a condensate recorder.


Assuntos
Osteogênese Imperfeita/complicações , Anormalidades do Sistema Estomatognático/etiologia , Adolescente , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Anormalidades do Sistema Estomatognático/patologia , Anormalidades do Sistema Estomatognático/fisiopatologia
5.
J Biomech ; 60: 57-64, 2017 07 26.
Artigo em Inglês | MEDLINE | ID: mdl-28743370

RESUMO

The aim of this study is to investigate the biomechanics for orthodontic tooth movement (OTM) subjected to concurrent single-tooth vibration (50Hz) with conventional orthodontic force application, via a clinical study and computational simulation. Thirteen patients were recruited in the clinical study, which involved distal retraction of maxillary canines with 1.5N (150g) force for 12weeks. In a split mouth study, vibration and non-vibration sides were randomly assigned to each subject. Vibration of 50Hz, of approximately 0.2N (20g) of magnitude, was applied on the buccal surface of maxillary canine for the vibration group. A mode-based steady-state dynamic finite element analysis (FEA) was conducted based on an anatomically detailed model, complying with the clinical protocol. Both the amounts of space closure and canine distalization of the vibration group were significantly higher than those of the control group, as measured intra-orally or on models (p<0.05). Therefore it is indicated that a 50Hz and 20g single-tooth vibration can accelerate maxillary canine retraction. The volume-average hydrostatic stress (VHS) in the periodontal ligament (PDL) was computationally calculated to be higher with vibration compared with the control group for maxillary teeth and for both linguo-buccal and mesial-distal directions. An increase in vibratory frequency further amplified the PDL response before reaching a local natural frequency. An amplification of PDL response was also shown to be induced by vibration based on computational simulation. The vibration-enhanced OTM can be described by mild, vigorous and diminishing zones among which the mild zone is considered to be clinically beneficial.


Assuntos
Anormalidades do Sistema Estomatognático/terapia , Técnicas de Movimentação Dentária/métodos , Dente/fisiopatologia , Adolescente , Criança , Simulação por Computador , Análise de Elementos Finitos , Humanos , Modelos Anatômicos , Modelos Biológicos , Ligamento Periodontal/fisiologia , Vibração
6.
Indian J Dent Res ; 28(1): 105-108, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28393824

RESUMO

Tessier facial clefts are among the rarest facial clefts reported in literature and many contradicting issues have always been rising over the management and surgical approaches involved during the craniofacial cleft repair. Among the craniofacial clefts Tessier no. 4 is an extremely rare facial anomaly, and there are very few evidence which clearly describe the surgical approaches and techniques. Often these type of craniofacial clefts yield very poor surgical results, and they require multidisciplinary sequential corrective surgeries. This article presents a rare case of an 18-month-old baby with bilateral Tessier no. 4 clefts and its successful rehabilitation.


Assuntos
Fenda Labial/cirurgia , Fissura Palatina/cirurgia , Procedimentos Cirúrgicos Ortognáticos/métodos , Anormalidades do Sistema Estomatognático/cirurgia , Bochecha/anormalidades , Bochecha/cirurgia , Fenda Labial/classificação , Fenda Labial/diagnóstico por imagem , Fissura Palatina/classificação , Fissura Palatina/diagnóstico por imagem , Anormalidades do Olho/classificação , Anormalidades do Olho/diagnóstico por imagem , Anormalidades do Olho/cirurgia , Olho Artificial , Pálpebras/anormalidades , Pálpebras/cirurgia , Humanos , Imageamento Tridimensional , Lactente , Comunicação Interdisciplinar , Colaboração Intersetorial , Masculino , Ducto Nasolacrimal/anormalidades , Ducto Nasolacrimal/diagnóstico por imagem , Ducto Nasolacrimal/cirurgia , Anormalidades do Sistema Estomatognático/classificação , Anormalidades do Sistema Estomatognático/diagnóstico por imagem , Retalhos Cirúrgicos/cirurgia , Técnicas de Sutura , Tomografia Computadorizada por Raios X
7.
Arch Oral Biol ; 75: 37-47, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-28040606

RESUMO

Steinert syndrome, also called myotonic dystrophy type 1, is a genetic disorder with autosomal dominant transmission characterized by myotonia and a multisystemic clinical picture that affects several tissues of the human body. The most common systemic phenotypes are: muscular, cardiac, respiratory, CNS, ocular, gynecological, digestive, orthopedical, as well as cognitive and psychological symptoms (cognitive decline). Muscles involved in voluntary movement are highly affected by myotonia especially distal muscles of upper limbs. These patients also show changes in face, chewing and pharynx muscles that can lead to swallowing and speech problems, dysphagia and in most cases to food aspiration and suffocation. Poor oral hygiene resulting from reduced motor mobility and reduced saliva flux can lead to gingival inflammation and periodontal disease. Other oral manifestations include disturbances at the temporomandibular articulation, dental occlusion changes and reduction in teeth number as a result of caries. Main causes of death are pneumonia and cardiac arrhythmias. The etiopathogeny of this syndrome is still not clear, conditioning the existence of a specific treatment for this disease. Nowadays, treatments consist on the release of the existing symptoms, in an attempt to give a better life quality to patients. It is very important to implement actions that can prevent complications and consequently decrease death. Treatments should be applied in an early stage of the disease. Bronchoscopy and artificial respiration should be used to prevent pneumonia, and regular electrocardiographic monitoring should be done to evaluate defects in the conductive system. Several approaches have been applied to rehabilitate swallowing dysfunction and avoid aspiration like videofluoroscopy, postural techniques and adjustment of diet type. It is the aim of this paper to clarify the ethiology, diagnosis, systemic and oral characteristics of the syndrome, as well as to discuss treatments to be applied according to patients affected organs.


Assuntos
Doenças da Boca/etiologia , Distrofia Miotônica/complicações , Distrofia Miotônica/fisiopatologia , Deglutição , Transtornos de Deglutição/etiologia , Cárie Dentária/etiologia , Humanos , Distrofia Miotônica/diagnóstico , Distrofia Miotônica/terapia , Saúde Bucal , Higiene Bucal , Doenças Periodontais/etiologia , Prognóstico , Anormalidades do Sistema Estomatognático/etiologia
8.
J Craniomaxillofac Surg ; 44(8): 919-24, 2016 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-27325544

RESUMO

PURPOSE: The objective of this case series was to determine the oral, dental and craniofacial features of patients with EvC syndrome. MATERIAL AND METHODS: Eight patients with EvC syndrome were enrolled. A complete family history, pedigree analysis, detailed medical history were collected. Findings of clinical examination, including craniofacial and orodental manifestations, and radiological investigations were thoroughly studied. RESULTS: All eight patients had characteristic face, hypertrophic frenulum, conical and peg-shaped teeth, hypodontia of deciduous and/or permanent teeth and also skeletal dysplasia, small chest, short stature and hypoplastic nails. Additionally dysmorphic filtrum, serrated appearance of gingiva, diastema, enamel hypoplasia, microdontia, taurodontism, single rooted permanent molar, delayed eruption and high caries rate were observed with varying degrees. Cephalometric evaluation revealed skeletal Class III growth pattern in four subjects and Class II growth pattern in one subject. CONCLUSION: Evaluation of craniofacial and orodental anomalies of EvC syndrome is required for accurate differential diagnosis from other congenital syndromes.


Assuntos
Síndrome de Ellis-Van Creveld , Face/anormalidades , Anormalidades do Sistema Estomatognático , Adolescente , Criança , Cárie Dentária/complicações , Cavidade Pulpar/anormalidades , Síndrome de Ellis-Van Creveld/complicações , Feminino , Humanos , Masculino , Anormalidades Dentárias , Turquia , Adulto Jovem
10.
BMC Pediatr ; 15: 27, 2015 Mar 29.
Artigo em Inglês | MEDLINE | ID: mdl-25880084

RESUMO

BACKGROUND: The high frequency of alterations of the stomatognathic system associated with premature birth may suggest that prematurity is an important risk factor in the development of this system. Prematurity has an incidence between 6-11% of births and is associated with factors such as genetic, maternal conditions (obstetric problems, nutritional status, infections) and antenatal care. In addition, undesirable situations, such as changes in enamel and the development of the skeletal structure, also appears to be associated with prematurity. This study aimed to look for changes in the stomatognathic system at five years of age associated with premature birth. METHODS: We estimated the prevalence of developmental disorders of the stomatognathic system in the primary dentition of preschool children at five years of age. Changes in preterm infants (n = 32) compared with term born (n = 381) were evaluated . Clinical examinations and questionnaire with sociodemographic and health of mothers and children information. Gestational age, birth weight, head circumference, Apgar score and mechanical ventilation, were collected from the medical records to birth records. The explanatory variable was preterm (<37 weeks gestational age). RESULTS: Prevalence of 7.7% of preterm infants was found. Of these, 40.6% had atresic palate, 56.2% malocclusion and 21.8% enamel hypoplasia. Forty (9.6%) children were not breastfed at the breast, and 26 (65.0%) had some type of malocclusion, showing association between not breastfeeding with an abnormal development of the stomatognathic system. The group of preterm infants showed five times more changes in head circumference and three times more mechanical ventilation use at birth. Change in head circumference at birth and mechanical ventilation has a significant association between groups of preterm and term infants. CONCLUSIONS: Mechanical ventilation at birth directly contributed to an increased risk of developmental disorders of the stomatognathic system in preterm infants, especially dental hypoplasia. Non-breastfed children had a higher risk of developing malocclusion. Alterations in head circumference were related effective on dental malocclusion. The results suggest that changes in the stomatognathic system are influenced by premature birth and points to the imperative need of using methods of preventive.


Assuntos
Recém-Nascido Prematuro , Anormalidades do Sistema Estomatognático/epidemiologia , Nascimento a Termo , Brasil/epidemiologia , Aleitamento Materno , Cefalometria , Pré-Escolar , Humanos , Recém-Nascido , Estudos Longitudinais , Prevalência , Respiração Artificial , Fatores de Risco , Classe Social
12.
Artigo em Chinês | MEDLINE | ID: mdl-26462354

RESUMO

OBJECTIVE: To establish a model of three-dimensional (3-D) cephalometric analysis to study dentomaxillofacial deformities. METHODS: Between January 2012 and October 2013, 15 patients with dentomaxillofacial deformities were treated using 3-D cephalometric analysis in orthognathic surgery plan. There were 7 males and 8 females with an average age of 23.6 years (range, 17-37 years), including 4 cases of mandibular protrusion with maxillary deficiency, 4 cases of maxillary protrusion with mandibular deficiency, 2 cases of long face syndrome, and 5 cases of facial asymmetry. CT images were reconstructed by Mimics software. The anatomical landmarks were located, the reference planes and analysis planes were defined and the 3-D coordinate was established. The distance and degree between landmarks and analysis planes which defined in the measure project were measured. RESULTS: Based on the 3-D CT quantitative analysis methods, cephalometric analysis project was defined in the 3-D coordinate. 3-D cephalometric analysis provided a convenient and precise method for the clinical measurement of dentomaxillofacial morphology, and reduce the time in preoperation analysis. CONCLUSION: The model of 3-D CT cephalometric analysis can provide precise information in the diagnosis and treatment planning of orthognathic surgery.


Assuntos
Cefalometria/métodos , Imageamento Tridimensional/métodos , Cirurgia Ortognática , Anormalidades do Sistema Estomatognático/diagnóstico por imagem , Adolescente , Adulto , Feminino , Humanos , Masculino , Mandíbula/diagnóstico por imagem , Maxila/diagnóstico por imagem , Modelos Anatômicos , Ortodontia Corretiva , Tomografia Computadorizada por Raios X/métodos , Adulto Jovem
13.
Artigo em Inglês | MEDLINE | ID: mdl-22819331

RESUMO

The oromandibular and limb hypogenesis syndrome is characterized by aglossia or hypoglossia presenting with limb anomalies. In this case report, we describe congenital hypoglossia associated with glossopalatine ankylosis and middle finger hypomelia, a type III-D malformation in the Hall Classification. The orthodontic and surgical treatment consisted of 3 maxillary expansions, mandibular surgery, and dental alignment. This extensive treatment resulted in acceptable function and esthetic appearance; however, because of lingual hypoglossia, it did not effect perfect occlusion.


Assuntos
Anormalidades Múltiplas/terapia , Dedos/anormalidades , Ortodontia Corretiva/instrumentação , Anormalidades do Sistema Estomatognático/terapia , Adolescente , Feminino , Humanos , Técnica de Expansão Palatina/instrumentação , Síndrome
15.
J Soc Bras Fonoaudiol ; 24(2): 119-24, 2012.
Artigo em Inglês, Português | MEDLINE | ID: mdl-22832677

RESUMO

PURPOSE: To compare the orofacial functions (chewing, swallowing and speech) in children with asthma and healthy children. METHODS: A cross sectional study including 54 children of both genders with ages between 7 and 10 years was conducted. Twenty-seven of these subjects composed the experimental group, and were subdivided into two severity levels of asthma: Group I - mild intermittent and persistent asthma; Group II - persistent moderate to severe asthma. Twenty-seven healthy children were included in the control group (Group III). Speech-language pathology evaluation used the adapted Orofacial Myofunctional Assessment Protocol. Adaptation consisted in the exclusion of the structural part of the test, since this was not the aim of the study. The structural part was excluded because it was not the aim of this study. RESULTS: It was found alterations in oral functions, with significant differences between the three groups. These alterations showed no correlation with asthma severity, since the highest rate of alterations was found in Group I (mild asthma). CONCLUSION: Regardless of the severity level, children with asthma have altered patterns of chewing, swallowing and speech.


Assuntos
Asma/complicações , Deglutição/fisiologia , Mastigação/fisiologia , Anormalidades do Sistema Estomatognático/fisiopatologia , Asma/fisiopatologia , Estudos de Casos e Controles , Criança , Estudos Transversais , Feminino , Humanos , Masculino , Índice de Gravidade de Doença , Anormalidades do Sistema Estomatognático/etiologia
16.
BMJ Case Rep ; 20122012 Apr 23.
Artigo em Inglês | MEDLINE | ID: mdl-22604765

RESUMO

The Bardet-Biedl syndrome (BBS) is a human genetic disorder with an array of clinical features affecting many body systems. BBS is a pleiotropic disorder with mostly monogenic causes. It is also considered a primary ciliopathy syndrome. It is characterised by obesity, pigmentary retinopathy, polydactyly, mental deficiency and hypogonadism and recently a sixth feature, renal disease, has also been described. Since none of the diverse symptoms of BBS by itself is diagnostic of the disorder and many of the symptoms only become apparent over time, diagnosis of the BBS is often delayed until about 9 years of age when visual problems first appear.


Assuntos
Síndrome de Bardet-Biedl/diagnóstico , Anormalidades do Sistema Estomatognático/diagnóstico , Adolescente , Consanguinidade , Diagnóstico Diferencial , Humanos , Masculino
17.
Acta Med Okayama ; 64(5): 345-9, 2010 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-20975769

RESUMO

This article reports the successful surgical-orthodontic treatment of an elderly patient with dentofacial deformity and signs and symptoms of temporomandibular disorder (TMD). The patient was a 63-year-old woman with a concave profile due to mandibular protrusion. To correct skeletal deformities, the mandible was posteriorly repositioned by employing intraoral vertical ramus osteotomy (IVRO) following presurgical orthodontic treatment. After active treatment for 31 months, the facial profile was significantly improved and satisfactory occlusion was achieved. In addition, TMD symptoms of clicking sounds on the left side and difficulty in mouth opening were resolved. Regarding the findings of magnetic resonance imaging, anterior disc displacement in the opening phase was improved in the temporomandibular joint on the left side. Furthermore, stomatognathic functions were also improved without any aggravation of age-related problems. In conclusion, surgical repositioning of the mandible using IVRO leads to both morphological and functional improvements even in elderly patients.


Assuntos
Mandíbula/cirurgia , Osteotomia/métodos , Anormalidades do Sistema Estomatognático/cirurgia , Feminino , Humanos , Mandíbula/diagnóstico por imagem , Pessoa de Meia-Idade , Radiografia , Anormalidades do Sistema Estomatognático/diagnóstico por imagem , Transtornos da Articulação Temporomandibular/diagnóstico por imagem , Transtornos da Articulação Temporomandibular/cirurgia , Resultado do Tratamento
18.
Minerva Stomatol ; 59(3): 117-27, 2010 Mar.
Artigo em Inglês, Italiano | MEDLINE | ID: mdl-20357738

RESUMO

Cleidocranial dysplasia (CCD) is a rare disorder which is inherited as an autosomal genetic trait. It is characterized by defective ossification, delayed bone and tooth development, stomatognathic and craniofacial abnormalities, and it is caused by mutations in the RUNX2 gene that is responsible for osteoblast differentiation. The purpose of this review is to collect and analyze data in the literature on orofacial typical manifestations of the syndrome and to present knowledge of the eziopatogenics mechanisms of the CCD. Clinical, genetic, aetiopathogenetic studies on this syndrome were compliled through a systematic approach using Medline. This review reports the cranio-facial features and dental characteristics of the CCD on the basis of all data in the literature. This review pays particular attention on the eziopatogenics mechanisms of CCD and summarises the results of the most recent studies. Access to detailed review of the etiopathogenic mechanisms of CCD is a fundamental support for clinicians as it can allow to make an informed assessment regarding the most effective choice of therapy. The review shows how an interdisciplinary approach is necessary for an appropriate treatment since CCD patients suffer from a skeletal third class, transverse deficiency of the maxilla, supernumerary permanent teeth and deficient eruption of impacted permanent teeth.


Assuntos
Anormalidades Múltiplas , Displasia Cleidocraniana/complicações , Displasia Cleidocraniana/etiologia , Anormalidades Craniofaciais/complicações , Anormalidades do Sistema Estomatognático/complicações , Humanos
19.
Gesundheitswesen ; 69(10): 577-81, 2007 Oct.
Artigo em Alemão | MEDLINE | ID: mdl-18040967

RESUMO

In the context of the dental preventive medical examinations of the public health service, the orthodontical data-gathering in children's day-care centre and schools, in contrast to the diagnoses of caries disease, was made was based so far on a non-uniform methodology. In order to provide in future, also in the orthodontical sector, data material that is usable for comparative national and local health reporting, a uniform methodology should form the basis for the data acquisition. The present study makes a contribution to this objective. A goal of the work was to test two different collection instruments for their suitability as objective tools in the context of the preventive dental medical examinations. The occurrence and the severity level of dentofacial anomalies as well as the orthodontic treatment status of Thuringian school children of defined age groups (9 to 11 years old, 12 to 13 years old) were recorded and the orthodontic treatment need was determined. In the younger age group valid the orthodontical groups of indications (OGI) were found for the first time in Germany; in the older group we tested the already long established Dental Aesthetic Index (DAI) and equipment application recommended by the World Health Organization (WHO). The work was a component of the task spectrum of the WHO Collaboration Centre "Prevention of Oral disease" of the Health Centre for Preventive Dentistry at the Centre for Tooth, Mouth and Jaw Dentistry of the Friedrich Schiller University of Jena in Thuringia. As investigation region, a rural area ("Landkreis Eichsfeld") of Thuringia was choosen. The study was arranged into a sociological and a clinical-epidemiological part. Altogether 1845 pupils were recruited from national schools. The questionnaire was based on the WHO-initiated "International Collaborative Study of Oral Health Outcomes" (ICS II study). The investigations took place in the context of the preventive medical examinations of the public health service. The results were based on the answers and findings of 691 probants of the group of the 9-11 years old (AG 1) and 774 probants of the group of the 12-13 years old (AG 2). The sociological results of both age groups reflected social restrictions regarding the presence of dentofacial anomalies in an order of magnitude of 20% in the AG 1 and 7.3% in the AG 2. In the AG 1 11.4% confirmed an orthodontical treatment and 47.9% of the probants examined indicated a desire for treatment. On the other hand, the proportion of orthodontically treated in AG 2 amounted to 31.1% and 37.8% expressed a desire for treatment. Dentofacial anomalies determined with the help of the OGI in the AG 1 as the most frequent were in the form of a distal bite (sagittal stage/group of D) with 55.5% of the examined pupils being documented. However here severity development stages 1 and 2 outweighed. Proportionally followed: confining (group E) with 21% and the vertical stage/deep bite (group T) with 7.8%. All other groups were represented by only small proportions, craniofacial anomalies (group A) were not diagnosed. Anomalies with severity development 1 and 2 were determined in 64.1% of the examined children. In the AG 2 examined with the DAI, the anomalies of space conditions with 58% exceeded anomalies of occlusion conditions with 38.9% and anomalies of dentition with 9.8%. An urgent orthodontical treatment need was determined in the AG 1 with 35.9% of the probants (severity development 3 to 5) and in the AG 2 with 16.8% (DAI values over 32). In the AG 2 too, over 60% DAI values from 13 to 25 were determined, 26% exhibited DAI values between 26 and 31. During the statistic evaluation the "Statistical Package found for Social Sciences (SPSS)" version 11.51 S with a significant level of 5% was used. Derived from the results of our analysis, the recommendation can be made that the methodology of the Orthodontical Groups of Indications for the employment is to be regarded as a possibility with dental preventive medical examinations in the public health service as a suitable equipment and so far allows the subjective estimate of the orthodontical treatment necessity to be made.


Assuntos
Indicadores Básicos de Saúde , Programas de Rastreamento/métodos , Ortodontia Corretiva/estatística & dados numéricos , Odontologia Preventiva/estatística & dados numéricos , Anormalidades do Sistema Estomatognático/epidemiologia , Anormalidades do Sistema Estomatognático/reabilitação , Adolescente , Criança , Feminino , Alemanha/epidemiologia , Humanos , Masculino , Prevalência , Anormalidades do Sistema Estomatognático/diagnóstico
20.
Am J Med Genet A ; 143A(8): 881-3, 2007 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-17366580

RESUMO

We report a patient with Schimmelpenning syndrome with two previously unreported oral manifestations: multiple pigmented malformed teeth and an adenomatoid odontogenic tumor of the anterior mandible. Also found were multiple complex odontomas, bilateral maxillary fibro-osseous lesions and recurrent central giant cell granulomas of the jaws.


Assuntos
Anormalidades Múltiplas/diagnóstico , Anormalidades do Sistema Estomatognático/diagnóstico , Pré-Escolar , Feminino , Humanos , Neoplasias Mandibulares/diagnóstico , Nevo Pigmentado/diagnóstico , Tumores Odontogênicos/diagnóstico , Síndrome , Anormalidades Dentárias/diagnóstico
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