Otimização do Sorriso com Restaurações Diretas de Compósito Resinoso Nanoparticulado / Optimization of the Smile using Direct Resin Nanocomposite Restorations

Com o conhecimento das análises faciais, do sorriso e da harmonia dental, associados ao avanço das técnicas e materiais restauradores, tornousepossível solucionar alterações dentárias com a realização de restaurações diretas. Entre os tratamentos para restabelecer o equilíbrio dosorriso e a harmonia da beleza da face está o tratamento de fechamento de diastemas e a reanatomização por meio de restaurações diretas emdentes conóide, girovertidos e mal alinhados no arco dental. Baseados nas informações acima, o objetivo deste relato de caso foi apresentara otimização do sorriso com restaurações diretas, utilizando resinas compostas. Paciente gênero feminino, 14 anos de idade, procurou aUniversidade Paranaense ? UNIPAR com queixa de espaços entre os dentes. Após avaliações clínicas e radiográficas e com o objetivo demelhorar de forma rápida e conservadora, foram realizadas restaurações diretas nos elementos 11 e 21, modificando por meio do fechamentode diastema. Além disso, o proporcionamento restaurador do incisivo lateral conóide (12) e do canino (23), para suprir a agenesia do elemento22 foi realizado. Foram utilizadas resinas compostas nanoparticuladas, associadas a um sistema adesivo convencional. O resultado alcançadodemonstrou a possibilidade eficaz de tratamento restaurador direto, para devolver a harmonia do sorriso prejudicado por alterações de forma eposição, com a vantagem de ser uma técnica rápida, conservadora, reversível e de menor custo, quando comparado com restaurações indiretas.

Analysis for evaluating facial esthetics associated with the evolution of restorative materials and techniques allows solving dental changes byusing direct restorations. Among the treatments to restore balance and harmony of the smile from the face of beauty is the treatment of diastemaclosure and reanatomização through direct restorations in conoid teeth, and misaligned girovertidos the dental arch. Based on the above,the purpose of this cstudy was to optimize a smile by direct restorations using composite resins. The patient, female, 14 years old, sought theParana University (UNIPAR) complaining lack of space for her teeth. After clinical and radiographic evaluation, with the goal of improvingquickly and conservatively, direct restorations in elements 11 and 21 were done to close diastema. Moreover, the proportioning restorer of theconoid lateral incisor (12) and canine (23) to supply the agenesis of element 22 was performed. Nanoparticulate composites were associatedwith conventional adhesive. The result demonstrated the possibility of effective direct restorative treatment to return the smile harmony harmedby changes in teeth shape and position, with the advantage of being a fast, conservative, reversible and less costly technique as compared toindirect restorations.

Pacifier-sucking habit duration and frequency on occlusal and myofunctional alterations in preschool children.

The objective of this study was to evaluate the association of pacifier-sucking habit with occlusal and oral myofunctional alterations in preschool children. Eighty-four 2- to 5-year-old children participated in the study. Data on duration and frequency of pacifier use were collected from parents or guardians. Occlusal and oral myofunctional characteristics were examined by a dentist and a speech therapist, respectively. Chi-square tests and Poisson regression were used to analyze the data. The occlusal characteristics that were significantly associated with a pacifier-sucking habit were anterior open bite, altered canine relation, posterior crossbite, increased overjet, and malocclusion. The oral myofunctional characteristics that were significantly associated with a pacifier-sucking habit were resting lip position, resting tongue position, shape of the hard palate, and swallowing pattern. The strongest associations were for anterior open bite (prevalence ratio [PR] = 11.33), malocclusion ( PR = 2 .33), altered shape of the hard palate ( PR = 1.29), and altered swallowing pattern (PR = 1.27). Both duration and frequency of pacifier-sucking habit were associated with occlusal and oral myofunctional alterations. These results emphasize the need for pediatric dentists to advise parents and caregivers about the risks of prolonged pacifier use and refer children to professionals for multidisciplinary assistance to minimize these risks whenever necessary.

Pacifier-sucking habit duration and frequency on occlusal and myofunctional alterations in preschool children

The objective of this study was to evaluate the association of pacifier-sucking habit with occlusal and oral myofunctional alterations in preschool children. Eighty-four 2- to 5-year-old children participated in the study. Data on duration and frequency of pacifier use were collected from parents or guardians. Occlusal and oral myofunctional characteristics were examined by a dentist and a speech therapist, respectively. Chi-square tests and Poisson regression were used to analyze the data. The occlusal characteristics that were significantly associated with a pacifier-sucking habit were anterior open bite, altered canine relation, posterior crossbite, increased overjet, and malocclusion. The oral myofunctional characteristics that were significantly associated with a pacifier-sucking habit were resting lip position, resting tongue position, shape of the hard palate, and swallowing pattern. The strongest associations were for anterior open bite (prevalence ratio [PR] = 11.33), malocclusion (PR = 2.33), altered shape of the hard palate (PR = 1.29), and altered swallowing pattern (PR = 1.27). Both duration and frequency of pacifier-sucking habit were associated with occlusal and oral myofunctional alterations. These results emphasize the need for pediatric dentists to advise parents and caregivers about the risks of prolonged pacifier use and refer children to professionals for multidisciplinary assistance to minimize these risks whenever necessary.

Educação permanente em saúde para técnicos de saúde bucal e auxiliares de saúde bucal: relato de experiência / Permanent health education for oral health technicians and oral health auxiliaries: report of experience

RESUMO O trabalho relata a experiência da I Oficina sobre Educação Permanente em Saúde (EPS) para Técnicos em Saúde Bucal (TSBs) e Auxiliares em Saúde Bucal (ASBs) de Maringá (PR), organizado pela Universidade Estadual de Maringá e pela Prefeitura Municipal Utilizando uma situação problema, foram realizadas discussões a partir de um caso fictício. Do total de 76 participantes, 37% conheciam a EPS, 29% a realizavam e 94% gostariam de saber mais sobre o assunto. Verificou-se que as informações relacionadas à EPS são restritas, que há grande interesse dos TSBs e ASBs sobre o tema e é de fundamental importância a inclusão destes profissionais nas discussões do processo de trabalho para a qualificação da atenção.

ABSTRACT The paper reports the experience of the First Workshop on Continuing Education in Health (EPS) for Oral Health Technicians (TOH) and Oral Health Auxiliaries (AOH) of Maringá (Paraná, Brazil), organized by Universidade Estadual de Maringá and City Hall. Using a problem situation, discussions took place from a fictitious case, From a total of 76 participants, 37% knew EPS, 29% performed it and 94% would like to know more. It was found that knowledge about EPS is restricted, there is great interest of TOH and AOH on the subject and is of fundamental importance to include these professionals in discussions of the work process for the qualification of attention.