Manobras simplificadas para otimizar a movimentação dentária na Ortodontia corretiva / Comprehensive procedures to optimize tooth movement in corrective orthodontics

Os autores, por meio de revisão bibliográfica e apresentação de casos clínicos, mostram algumas manobras que devem ser feitas nas fases inicias do tratamento ortodôntico com a finalidade de facilitar o seu andamento. A sequência começa pela solução dos problemas transversais, dos problemas verticais, descruzamento de incisivos e termina com a comparação de métodos para a retração de caninos nos casos com extrações de pré-molares.

The authors, by means of bibliographic research and clinical case description want to show some procedures that should to be developed in early stages to speed up the orthodontic treatment. The sequence begins with the solution of transversal problems followed by vertical disorders, incisor sagital relationship and ends with the choice of cuspid retraction in bicuspid extraction cases.

Aplicações do laser diodo na Ortodontia - relatos de caso / Diode laser in Orthodontics - case report

Este artigo tem a finalidade de demonstrar, através do relato de casos clínicos, as indicações do laser de diodo de alta intensidade na Ortodontia. A literatura sugere que esse laser pode ser utilizado em cirurgias periodontais de tecido mole, como gengivectomias e gengivoplastias e, também na obtenção da microestética associada aos tratamentos ortodônticos. As vantagens da utilização desse laser são baixo custo em relação aos outros lasers de alta intensidade, portabilidade do aparelho, redução do sangramento e do tempo operatório, menor formação de cicatriz e redução bacteriana. Conclui-se que o laser de diodo de alta intensidade é indicado como coadjuvante no tratamento ortodôntico

The purpose of this article is to demonstrate, through the presentation of clinical cases, the indication of high power diode laser in Orthodontics. Literature suggests that this laser can be used in soft tissue surgeries such as gingivectomies, gingivoplasties, and also in the achievement of microesthetics associated to orthodontic treatment. The advantages of the diode laser are low cost related to other high power lasers, portable device, lack of bleeding and less surgical time, less scar tissue formation and bacterial reduction. It was concluded that high power diode laser can be indicated as a helpful device in orthodontic treatment

Association between infant feeding duration and the terminal relationships of the primary second molars

This study was developed to assess the effect of prolonged bottle feeding and breastfeeding on the anteroposterior relationship of the dental arches in 3-6-year-old children attending preschools in the eastern zone of São Paulo city. Methods: The association between infant feeding duration (artificial and natural) and occlusal characteristics were evaluated in 485 childrenat the stage of complete primary dentition, who attended municipal preschools in the eastern zone of São Paulo city. The information related to types and duration of child breastfeeding was investigated by means of questionnaires filled out by parents/guardians. The occlusal characteristics corresponding to the terminal relationships of the primary second molars were classified as vertical plane (VP), mesial step (MS) and distal step (DS). Logistic regression analysis (p < 0.05) was applied. Results: Considering the right and left sides, DS was diagnosed in 9.7% of the cases, MS in 14.2% and VP in 76.1%, without significant differences between sides and genders. The association between the presence of DS and the age of bottle-feeding and breastfeeding cessation was significantly high (p < 0.001). The older the child when bottle-feeding ceased (3-4 years old) and the shorter the breastfeeding duration (<3 months), the greater the chances of the child presenting DS. Conclusions: Breastfeeding duration is one of the factors that could influence the development of DS because the longer the breastfeeding duration, the higher the percentage of children who were not bottle fed, ranging from 5.8% (among children who interrupted breastfeeding before the age of 3 months) to 63.8% (after 12 months of age).

O perfil dos cirurgiões-dentistas da cidade de São Paulo na prática da prevenção de cáries e doenças gengivais / The dentist surgeons profile of São Paulo city in the prevention of dental caries and gingival diseases

Introdução: Este trabalho de levantamento de dados baseou-se em questionários entregues a cirurgiõesdentistas na cidade de São Paulo, com retorno de 339 questionários válidos, visando avaliar a prevenção de cáries e doenças gengivais por eles realizada. Métodos: O questionário continha 9 questões referentes a informações demográficas e clínicas. Para fins de análise de resultados foram considerados como básicos os seguintes procedimentos preventivos: orientação de escovação, orientação de dieta, aplicação de selantes de fóssulas e fissuras, evidenciação de placa bacteriana, uso de flúor e motivação do paciente. Resultados: A grande maioria dos respondentes (97,6%) afirmou realizar prevenção, porém apenas 0,3% empregam os 6 métodos avaliados neste estudo. Verificou-se, ainda, a influência do sexo e do tempo de formado nessa prática preventiva, sendo que as mulheres realizam mais prevenção do que os homens e os dentistas recém-formados (até 5 anos) empregam menos métodos de prevenção que os formados há mais tempo. O flúor e a orientação de escovação foram os métodos mais utilizados, enquanto que a orientação de dieta foi o menos empregado. Conclusões: A prática de prevenção pelos cirurgiões-dentistas da cidade de São Paulo sofre influência do sexo e do tempo de formado, sendo os homens e recém-formados os que empregam menos métodos de prevenção de cáries e doenças gengivais, comparativamente aos demais grupos.

Introduction: This data survey study was based on questionnaires delivered to dentist surgeons of the city of São Paulo, with a total return of 339 valid questionnaires. The aim of this study was to evaluate dental surgeon practice of caries prevention and gum disease control. Methods: The questionnaire contained 9 questions referring to demographic and clinical information. For result analysis purposes, the following preventive procedures were considered as basic information: 1. tooth-brushing instructions, 2. diet instructions, 3. pit and fissure sealants , 4. dental plaque verification 5. use of fluoride, and 6. patient motivation. Results: Most of the answers (97.6%) asserted that they carry out preventive procedures, but only 0.3% utilizes all 6 methods of prevention analyzed in this study. Gender and years of graduation were also observed, women performing more preventive procedures than men, and recently-graduated dentists (5 years or less) performing fewer preventive procedures than dentists who had graduated earlier (over 5 years). Fluoride use and tooth-brushing instructions were the most common methods used, while diet instruction was the least performed preventive method. Conclusion: Preventive procedures carried out by dental surgeons of São Paulo were influenced by sex and years of graduation, recently-graduated males being the ones who least carried out caries prevention methods and gum disease control, when compared to the other groups in this study.