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1.
J Clin Exp Dent ; 10(9): e883-e890, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30386521

RESUMO

Background: Orthopedic rapid maxillary expansion (RME) is a common treatment of choice for managing transverse deficiency of the maxilla. This approach may have desired and undesired skeletal, dental and periodontal effects that may be assessed clinically or through imaging techniques. This study aims to investigate the dental, skeletal and periodontal effects of orthopedic RME using the soft-tissue cone-beam computed tomography (CBCT) technique. Material and Methods: The sample consisted of 10 patients (5males and 5 females) aged between 10 and 14 years (mean age: 12.5 years) treated with Hyrax orthopedic device. CBCT scans set for the registration of soft tissue (ST-CBCT) were taken from each patient before (T1) and 120 days after (T2) RME. Skeletal (n=10), dental (n=1) and periodontal (n=4) parameters measured in ST-CBCT were compared between T1 and T2 using t-test within a significance level of 5%. Results: The skeletal parameters with statistically significant increase (p<0.05) in T2 were the width of the buccal alveolar bone crest, the external width of the dental arch at the level of buccal cusps, and the width of the dental arch at the level of most prominent dental surface contour. Representing the dental parameter, the inclination of the anchor teeth was statistically significant for premolars (p<0.05). The only statistically significant outcome in periodontal parameters was the decrease in buccal bone plate thickness of first molars (p<0.05). Conclusions: Dentists must be aware of the ST-CBCT technique for the analysis of hard and soft tissue after orthodontic and orthopedic treatments. This technique revealed that the RME reached optimal skeletal and dental effects with minimal periodontal side effects. Key words:Cone-beam computed tomography, imaging, orthodontics, orthopedics.

3.
Eur Arch Otorhinolaryngol ; 274(1): 35-44, 2017 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-27028016

RESUMO

Postsurgical changes of the airways have become a great point of interest because it has been reported that maxillomandibular advancement surgery can improve or eliminate obstructive sleep apnea; however, its treatment effectiveness is still controversial. The purpose of this systematic review and meta-analysis was to assess the effectiveness of maxillomandibular advancement surgery to increase upper airway volume in adults, comparing before and after treatment. Bibliographic searches of observational studies with no restriction of year or language were performed in the electronic databases PubMed, Scopus, ScienceDirect and SciELO for articles published up to April 2015. After verification of duplicate records, 1860 articles were examined. Of these, ten met the eligibility criteria, of which three were excluded for having poor methodological quality. The other seven articles were included in the systematic review and six in the meta-analysis, representing 83 patients. One study whose data were not given in absolute values was excluded from the meta-analysis. The meta-analysis showed a statistically significant difference between the averages of upper airway volume before and after surgery {7.86 cm3 [95 % CI (6.22, 9.49), p = 1.00)}. Clinical evidence suggests that the upper airway volume is increased after maxillomandibular advancement surgery.


Assuntos
Avanço Mandibular/métodos , Faringe/cirurgia , Apneia Obstrutiva do Sono/cirurgia , Humanos , Estudos Observacionais como Assunto
4.
J Clin Sleep Med ; 12(11): 1527-1533, 2016 11 15.
Artigo em Inglês | MEDLINE | ID: mdl-27568908

RESUMO

STUDY OBJECTIVES: Although volumetric changes of the upper airway occur following surgical advancement of the maxilla, few studies investigated these changes using three-dimensional imaging techniques. Thus, the goal of this study was to verify whether the surgical advancement of the maxilla affects the volume of the upper airway and to determine any association of these volume changes with sex and age. METHODS: Preoperative and postoperative cone-beam computed tomography (CBCT) scans of 14 patients (8 male and 6 female) who underwent maxillary advancement to correct skeletal class III deformities were assessed to determine the postoperative volumetric changes in the upper airway. Preoperative and postoperative airway volume measurements were compared by means of paired t-test, which was also used to compare airway volume between genders. Pearson correlation coefficient was used to verify whether a correlation between age and upper airway volume was present. RESULTS: Maxillary advancement produced significant upper airway volume increases (mean 20.94%, p < 0.05) on nearly half of our sample. However, sex and age did not seem to influence upper airway volume in our sample of skeletal class III patients. CONCLUSIONS: Surgical advancement of the maxilla may produce significant volume increases in the upper airway of skeletal class III patients regardless of sex and age.


Assuntos
Obstrução das Vias Respiratórias/cirurgia , Tomografia Computadorizada de Feixe Cônico/métodos , Maxila/cirurgia , Procedimentos Cirúrgicos Bucais/métodos , Faringe/diagnóstico por imagem , Adulto , Fatores Etários , Obstrução das Vias Respiratórias/diagnóstico por imagem , Feminino , Seguimentos , Humanos , Masculino , Nasofaringe , Orofaringe , Faringe/fisiologia , Fatores Sexuais
5.
Eur J Dent ; 10(1): 116-120, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27011750

RESUMO

OBJECTIVE: To analyze a possible correlation between different measures in the definition of vertical facial types. MATERIALS AND METHODS: This is an analytical observational study about 95 lateral teleradiographs of Caucasian individuals with normal occlusion, of which 54 were male (56.84%) and 41 female (43.16%), aged between 15 years and 2 months old and 21 years and 4 months old. Facial types were divided into dolichofacial, mesofacial, and brachyfacial, according to the standards established by different authors. A relationship between these measurements was verified using total agreement analysis and the Kappa method, with the interpretation suggested by Landis and Koch. RESULTS: Kappa was considered fair for Jarabak X VERT (0.22 and 60%) and slight for Jarabak X SN. GoGn (0.06 and 36.8%). CONCLUSIONS: Cephalometric studies often present different interpretations on the description of vertical facial types. In this study, the lowest agreement was between Jarabak and SN.GoGn. Such difference in interpretation may lead to distinct therapeutic approaches and thus different results.

6.
Eur J Dent ; 9(3): 352-355, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26430362

RESUMO

OBJECTIVE: This study was aimed to evaluate the perception of orthodontists and of lay people about the facial profile and its possible correlation with cephalometrics parameters. MATERIALS AND METHODS: A total of 20 evaluators were divided into two groups (10 orthodontists and 10 people with no relation to such area - lay people). They were asked to evaluate the photographs of 25 young males and of 25 young females, aged 17-24-year-old (mean age of 22.3 years, standard deviation 2.41 years). Photographs were randomly arranged in a photo album. The evaluators rated each photograph by means of a scale ranging from "good" to "deficient" based on the pleasantness of their facial profile. Nasolabial angle, Holdaway's H-line and the distance from H-line to nose tip were measured, in order to verify a possible relation between these soft tissue profile cephalometric measurements and the subjective ratings. RESULTS: The kappa statistics test showed a concordance of 0.23 among orthodontists and 0.24 among lay people. Regarding the perception of orthodontists and lay people on facial profile, no significant divergence could be detected. For the correlation between cephalometric parameters and subjective ratings, there was a statistically significant correlation between the measures H and H-nose and the rating ascribed to the profile. CONCLUSIONS: It was concluded that smaller the difference from the normal cephalometric pattern, the higher was the rating given to the profile, demonstrating an important relation between subjective and objective criteria.

7.
Biosci. j. (Online) ; 31(3): 976-981, may./jun. 2015.
Artigo em Inglês | LILACS | ID: biblio-963906

RESUMO

The cephalometric analysis has assisted orthodontics in describing face features in terms of numbers/angles, but these results are not always consistent with ideal individual patterns. Some orthodontists have made use of subjective analysis as an auxiliary method in the diagnosis; however, the consistency of the reproducibility of these methods has been questioned. Hence, this study aimed to verify whether the diagnosis of sagittal facial patterns can be accomplished with a reliable reproduction. This is an analytical observational study including an initial sample of 120 teleradiographs and 120 photographs in lateral norm of patients from the Graduate Program in Dentistry, Faculty of Health of the Methodist University of São Paulo. First, a previously calibrated examiner separated the photographs into three Sagittal Facial Patterns (Pattern I, II and III). Thus, it was obtained three groups comprising 45 photographs for the Pattern I; 45 photographs for the Pattern II and 30 photographs for the Pattern III. After this initial selection, the cephalometric analysis of 120 teleradiographs was performed using measurements of ANB and SN-GoGn angles. From this second analysis, it was selected only the photographs in which the result of subjective analysis matched the cephalometric analysis, totalizing a final sample size of 52 photographs. These 52 photographs were separated and set on an album to be reassessed by 19 orthodontists, in order to observe or not an agreement between the facial patterns among professionals. The kappa test analyzed the level of agreement of 19 professionals in relation to the cephalometric reference. The degree of agreement between professional judgment and cephalometry was found to be 73.08%, and the result of the kappa test was 0.59 (moderate agreement). Taken together, the accuracy in the diagnosis of facial pattern by means of subjective facial analysis demonstrates that the subjective method is reliable for clinical use.


A análise cefalométrica auxiliou a ortodontia a descrever numericamente as características da face, mas nem sempre estes resultados condizem com os padrões individuais ideais. Alguns ortodontistas utilizam análises subjetivas como método auxiliar no diagnóstico, porém a reprodução do método é discutida. Sendo assim, o trabalho objetiva verificar se o diagnóstico do Padrão sagital da face é possível de ser realizado com reprodução confiável. Trata-se de um estudo observacional analítico com uma amostra inicial de 120 telerradiografias e 120 fotografias em norma lateral de pacientes pertencentes ao Programa de Pós-Graduação em Odontologia da Faculdade da Saúde da Universidade Metodista de São Paulo. Primeiramente, um avaliador, previamente treinado, separou as fotografias nos Três Padrões sagitais da face (Padrão I, II e III). Dessa forma obtiveram-se três grupos compostos por 45 fotografias no Padrão I; 45 fotografias no Padrão II e 30 fotografias no Padrão III. Após essa seleção inicial foi realizado a análise cefalométrica das 120 telerradiografias desses pacientes utilizando as medidas dos ângulos ANB e SN.GoGn. A partir dessa segunda análise foram selecionadas apenas as fotografias em que o resultado da análise subjetiva coincidiu com a análise cefalométrica resultando em um novo número amostral final de 52 fotografias. Estas 52 fotografias foram separadas e montadas em um álbum para serem reavaliadas por 19 ortodontistas com o intuito de observar ou não a concordância dos Padrões Faciais entre os profissionais. Para a análise de dados utilizou-se o Teste Kappa com o intuito de analisar o nível de concordância dos 19 profissionais com a referência cefalométrica. Dessa forma, o grau de concordância entre a avaliação profissional e a cefalometria encontrado foi de 73,08% sendo o resultado do Teste Kappa de 0,59 - considerado moderado. Conclui-se que existe exatidão no diagnóstico do padrão facial por meio da analise subjetiva da face, o que demonstra que este método subjetivo é confiável para a utilização na prática clínica.


Assuntos
Ortodontia , Cefalometria , Diagnóstico , Face
8.
Int J Orthod Milwaukee ; 26(1): 29-32, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25881381

RESUMO

An increasingly number of patients with Angle Class II has been seeking orthodontic clinics to have their malocclusion treated. Herein, it is presented a new method of promote distal movements in maxillary molars with a combination of limp-bumper (LB) and mini screw. This technique was proven to be fast, practical and with low-cost, thus favoring both the professional and the patient.


Assuntos
Procedimentos de Ancoragem Ortodôntica/instrumentação , Desenho de Aparelho Ortodôntico , Técnicas de Movimentação Dentária/instrumentação , Criança , Diastema/terapia , Humanos , Incisivo/patologia , Masculino , Má Oclusão de Angle Classe II/terapia , Dente Molar/patologia , Procedimentos de Ancoragem Ortodôntica/métodos , Técnica de Expansão Palatina/instrumentação , Planejamento de Assistência ao Paciente , Retrognatismo/terapia , Técnicas de Movimentação Dentária/métodos
9.
Braz. j. oral sci ; 14(1): 66-70, Jan-Mar/2015. tab, graf
Artigo em Inglês | LILACS | ID: lil-745775

RESUMO

To measure torque angle values of brackets designed for canines, comparing it to their prescription values. METHODS: One hundred and sixty maxillary -2o and mandibular -11o canine brackets of Roth prescription from the following brands were selected: Abzil, Eurodonto, Morelli and Ormco. The brackets were set in wax and images were obtained by scanning. Reference points were determined over these images, lines drawn and the torque angle was measured. The Student's t-test and the Wilcoxon signed-rank test were used at a significance level of 5%. RESULTS: For maxillary canine brackets, the medium torque angle values were: Abzil -0.93o ± 0.88o; Eurodonto 0.13o ± 0.34o; Morelli -2.56o ± 0.50o, and Ormco -1.16o ± 1.27o. For mandibular canine brackets, the values were: Abzil -11.76o ± 0.40o; Eurodonto -10.40o ± 0.25o; Morelli -11.18o ± 0.56o, and Ormco -11.36o ± 0.30o. For maxillary canine brackets, the brands Abzil, Morelli, and Ormco presented statistically diferente values from those indicated for prescription. For mandibular canine brackets, the brands Abzil, Eurodonto, and Ormco presented statistically different values from the prescribed ones. CONCLUSIONS: Some marketed brands present differences between the torque angle found in the brackets and those recommended in the prescription. However, these differences are clinically acceptable...


Assuntos
Humanos , Braquetes Ortodônticos , Ortodontia , Torque
10.
Int J Orthod Milwaukee ; 25(1): 57-60, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24812744

RESUMO

Fixed protruding appliances are interesting tools for correction of Class II dental malocclusion in adult and growing patients. The appliances most commonly used for this purpose are: Herbst, Forsus and Jasper Jumper. The present clinical case report shows an alternative called Twin Force Bite Corrector which was used for 3 months by a patient aged 10 years and 6 months associated with the Andrews prescription fixed appliance (Abzil 3M). After treatment, malocclusion was found to be adjusted to Class I dental occlusion in a single stage.


Assuntos
Má Oclusão de Angle Classe II/terapia , Aparelhos Ortodônticos Funcionais , Aparelhos Ativadores , Cefalometria/métodos , Criança , Feminino , Seguimentos , Humanos , Avanço Mandibular/instrumentação , Desenho de Aparelho Ortodôntico , Planejamento de Assistência ao Paciente , Técnicas de Movimentação Dentária/instrumentação
11.
Biosci. j. (Online) ; 30(1): 297-303, jan./feb. 2014. ilus, tab
Artigo em Português | LILACS | ID: biblio-947005

RESUMO

A busca por uma face bela e harmônica é objetivo de grande parcela da população. Por esta razão, é fundamental que os profissionais da Odontologia, especialmente os ortodontistas, sejam capazes de diagnosticar alterações faciais e, assim, propor tratamentos adequados aos anseios de seus pacientes. Para que isto seja possível, odontólogos e leigos necessitam possuir conceitos de beleza semelhantes. O objetivo deste trabalho foi determinar se as medidas faciais de Arnett e Bergman são coerentes às percepções estéticas de cirurgiões-dentistas (ortodontistas e clínicos gerais) e leigos. Para isto, utilizou-se uma amostra composta por 50 indivíduos, sendo 26 mulheres e 24 homens. Um especialista em ortodontia mensurou cinco medidas dentre as utilizadas por Arnett e Bergman em radiografias cefalométricas de perfil. De acordo com estas medidas, cada indivíduo foi classificado em consonância com número de medidas dentro da norma: perfil muito agradável, agradável, aceitável, desagradável e muito desagradável. Em uma segunda etapa, foram formados três grupos (leigos, clínicos gerais e ortodontistas), de 20 avaliadores cada que, por meio de um álbum de fotografias de perfil facial, classificaram o grau de agradabilidade facial segundo a escala (VAS) adaptada. A análise das proporções observadas nos graus da escala de avaliação para os diferentes avaliadores foi conduzida utilizando-se o Teste chiquadrado de Pearson (p>0,05). Entre as proporções dos avaliadores e os valores padrões de Arnett e Bergman foi utilizado o teste exato de Fisher (p>0,05). Os resultados demonstraram que, pela classificação segundo às medidas de Arnett e Bergman, pacientes com perfil muito agradável foram classificados da mesma maneira em 0%, 1,66% e 5% pelos leigos, clínicos gerais e ortodontistas, respectivamente; com perfil agradável em 3,75%, 16,88% e 18,75% pelos leigos, clínicos gerais e ortodontistas, respectivamente; com perfil aceitável em 35%, 34,73% e 36,67% pelos leigos, clínicos gerais e ortodontistas, respectivamente; com perfil desagradável em 32,5%, 40%, 30,5% pelos leigos, clínicos gerais e ortodontistas, respectivamente; e por fim, com perfil muito desagradável em 15,45%, 15,45% e 10,45%, pelos leigos, clínicos gerais e ortodontistas, respectivamente. Foi possível concluir que não há similaridade entre a percepção estética dos diferentes grupos de avaliadores com as medidas propostas por Arnett e Bergman.


The search for a beautiful and harmonic face is a goal of a large portion of the population. With this purpose, it is essential for dental professionals, especially orthodontists, to be able to diagnose facial changes and, thus suggest appropriate treatments to the demands of their patients. To make this possible, dentists and lay people need to have similar concepts of beauty. The aim of this study was to determine whether Arnett and Bergman facial measures are consistent with aesthetic perceptions of dentists (orthodontists and general practitioners) and lay people. It was used a sample of 50 subjects, including 26 women and 24 men. A specialist in orthodontics measured five measures among those used by Arnett and Bergman on lateral cephalometric radiographs. According to these measures, each individual was classified based on the number of measures within the norm: very pleasant, pleasant, acceptable, very unpleasant and unpleasant profile. In a second phase, three groups were created (laypeople, general practitioners and orthodontists), with 20 examiners each. By means of an album of photographs of facial profile, they rated the degree of facial pleasantness according to an adapted scale (VAS).The analysis of the proportions observed according to the different degrees of the scale for the different examiners was performed using Pearson chi-square test (p> 0.05).In order to evaluate the proportions by the examiners and the default values by Arnett and Bergman, Fisher's exact test was used (p>0.05).The results showed that based on the classification by Arnett and Bergman, lay people, general practitioners and orthodontists categorized in the same manner: patients with a very pleasant profile in 0%, 1.66% and 5%, respectively; patients with pleasant profile in 3.75%, 16.88% and 18.75% respectively; patients with acceptable profile in 35%, 34.73% and 36.67% respectively; patients with unpleasant profile in 32.5%, 40%, 30.5%, respectively; and finally, patients with a very unpleasant profile in 15.45%, 15.45% and 10.45%, respectively. It was concluded that there is no similarity between the aesthetic perception of the different groups of examiners with the measures proposed by Arnett and Bergman.


Assuntos
Cefalometria , Estética , Face , Ortodontistas
12.
Braz. j. oral sci ; 12(4): 357-361, Oct.-Dec. 2013. tab
Artigo em Inglês | LILACS | ID: lil-701327

RESUMO

AIM: To verify the presence of Bolton anterior and total discrepancy in Brazilian individuals with natural normal occlusion and Angle's Class I and Class II, division 1 malocclusions. METHODS: The sample was divided in three groups (n=35 each): natural normal occlusion; Class I malocclusion; Class II, division 1 malocclusion. Of the 105 Caucasian Brazilian individuals, 24 were boys and 81 were girls aged from 13 to 17 years and 4 months. The mesiodistal width of the maxillary and mandibular teeth, from the left first molar to the right first molar, was measured on each pre-treatment dental plaster cast using a digital caliper accurate to 0.01 mm resolution. Values were tabulated and the Bolton ratio was applied. The Kolmogorov-Smirnov test was used to verify if data were normally distributed (p>0.2). For comparison between the values obtained and those from the Bolton standard, Student's t test was used and one-way ANOVA was used for comparisons among the 3 groups, with a significance level of 5% (p<0.05). RESULTS: For groups 1, 2 and 3, respectively, the total ratio found was 90.36% (SD 1.70), 91.17% (SD±2.58) and 90.76% (SD±2.45); and the anterior ratio was 77.73% (SD 2.39), 78.01% (SD 2.66) and 77.30% (SD 2.65). CONCLUSIONS: There was no significant difference among the groups regarding the values indicated in the Bolton ratio.


Assuntos
Humanos , Masculino , Feminino , Adolescente , Anormalidades Dentárias/diagnóstico , Má Oclusão de Angle Classe I/diagnóstico , Má Oclusão de Angle Classe II/diagnóstico
13.
Dental Press J Orthod ; 18(3): 113-7, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24094020

RESUMO

INTRODUCTION: After promulgation and wider dissemination of the Code of Consumer Protection (CCP), there was an increase in the number of legal conflicts between patients and dentists, leading these health professionals to increasingly guard themselves from possible lawsuits. As such, it becomes critical the preparation of an adequate and complete clinical record, even though the keeping time remains uncertain. OBJECTIVE: To review the literature and discuss the keeping time of orthodontic records versus the legal time for their prescription, as well as to propose a model of a Term upon Completion of Dental Treatment. CONCLUSIONS: It is advised to return part of the clinical records to their rightful owners by means of an itemized receipt. The Term upon Completion reflects the patient's awareness and could be considered by the CCP as the initial term of the prescription time, because it implicates that the patient recognizes the quality of service provided and satisfactory results achieved.


Assuntos
Defesa do Consumidor/legislação & jurisprudência , Registros Odontológicos/legislação & jurisprudência , Ortodontia/legislação & jurisprudência , Direitos do Paciente , Decisões da Suprema Corte , Controle de Formulários e Registros , Humanos , Fatores de Tempo , Estados Unidos
14.
RFO UPF ; 18(2): 230-234, Mai.-Ago. 2013.
Artigo em Português | LILACS-Express | ID: lil-720748

RESUMO

A perícia ocupacional em Odontologia é uma função indispensável no contexto atual das relações sociais e entre empregado e empregador. Por meio dela é que a justiça tem subsídios técnicos capazes de determinar o devido fim para questões trabalhistas e criminais. Objetivo: este estudo procurou destacar, interpretar e comentar a legislação que qualifica e direciona a função do perito no ambiente de trabalho. Revisão de literatura: além da interpretação dos incisos das leis inerentes, foi realizada uma busca em base de dados digitais. Considerações finais: foi possível verificar a importância do trabalho do perito em diversos foros, principalmente na avaliação da extensão dos danos causados aos trabalhadores por acidentes e doenças de ordem bucal decorridas do labor desses profissionais e na prevenção de tais problemas.


Occupational assessment in Dentistry is essential for the current context of both social and Employee-Employer relations. It provides the courts of justice with technical inputs that allow determining the proper order for labor and criminal issues. Objective: this study aimed to highlight, interpret, and discuss the legislation that qualifies and guides the role of the expert in the work environment. Literature review: hence, in addition to the interpretation of the clauses of inherent laws, we carried out a digital database search. Final considerations: it was possible to verify the importance of the expert's work in several forums, especially in assessing the extent of damage to employees due to accidents and oral diseases resulting from their work, and preventing these sort of problems.

15.
Dental press j. orthod. (Impr.) ; 18(3): 113-117, May-June 2013. ilus
Artigo em Inglês | LILACS | ID: lil-690006

RESUMO

INTRODUCTION: After promulgation and wider dissemination of the Code of Consumer Protection, there was an increase in the number of legal conflicts between patients and dentists, leading these health professionals to increasingly guard themselves from possible lawsuits. As such, it becomes critical the preparation of an adequate and complete clinical record, even though the keeping time remains uncertain. OBJECTIVE: To review the literature and discuss the keeping time of orthodontic records versus the legal time for their prescription, as well as to propose a model of a Term upon Completion of Dental Treatment. CONCLUSION: It is advised to return part of the clinical records to their rightful owners by means of an itemized receipt. The Term upon Completion reflects the patient's awareness and could be considered by the CCP as the initial term of the prescription time, because it implicates that the patient recognizes the quality of service provided and satisfactory results achieved.


INTRODUÇÃO: após a promulgação e maior divulgação do Código de Defesa do Consumidor (CDC), aumentou o número de conflitos legais entre pacientes e cirurgiões-dentistas, fazendo com que o profissional da saúde passasse a se resguardar cada vez mais quanto ao risco de eventuais processos. Para sua defesa, é indispensável a elaboração de um prontuário clínico adequado e completo, porém, o tempo que esse deve ser guardado é uma incógnita. OBJETIVO: o objetivo do presente estudo é rever a literatura e discutir sobre o tempo de guarda da documentação ortodôntica versus o prazo de prescrição legal, além de propor um modelo de termo de conclusão de serviços odontológicos. CONCLUSÃO: aconselha-se a devolução de parte dos documentos clínicos ao seu legítimo dono mediante recibo discriminado. O "Termo de Conclusão" traduz o conhecimento da conclusão do tratamento pelo paciente e poderia ser considerado termo inicial do prazo prescricional pelo CDC porque nesse consta que o paciente reconhece a qualidade do serviço e o resultado satisfatório.


Assuntos
Humanos , Defesa do Consumidor/legislação & jurisprudência , Registros Odontológicos/legislação & jurisprudência , Ortodontia/legislação & jurisprudência , Direitos do Paciente , Decisões da Suprema Corte , Controle de Formulários e Registros , Fatores de Tempo , Estados Unidos
16.
Rev. dental press estét ; 7(2): 52-61, abr.-jun. 2010. ilus, graf
Artigo em Português | LILACS, BBO - Odontologia | ID: lil-557484

RESUMO

O objetivo desta pesquisa foi avaliar a influência de um sistema luminoso led/laser - com 6 leds de 470nm e 3 diodos lasers infravermelhos de 830nm de 0,2W de potência - sobre o peróxido de hidrogênio a 35% (Lase Peroxide 35% Sensy, DMC Equipamentos) e a 25% (Lase Peroxide 25% Sensy, DMC Equipamentos) em 10 voluntários. Os agentes clareadores foram aplicados com espessura próxima a 1mm em cada arcada de um mesmo paciente: peróxido de hidrogênio 35% na arcada superior e 25% na arcada inferior. O conjunto led/laser foi aplicado por 1 minuto, intercalado com intervalo de 1 minuto sem irradiação luminosa, por três vezes. Então, esperou-se 4 minutos para o gel ser substituído. Esse protocolo foi repetido três vezes nas hemiarcadas direitas. Nas hemiarcadas esquerdas, o gel clareador não sofreu irradiação luminosa, protegido por uma placa divisora de arcadas, permanecendo pelo mesmo tempo que nas hemiarcadas direitas (10 minutos, por 3 vezes). Após sete dias, os voluntários retornaram para avaliação da percepção do grau de clareamento e de sensibilidade. De acordo com a avaliação do pesquisador e dos pacientes, através do questionário, não houve diferença perceptível do grau de clareamento entre as hemiarcadas direita e esquerda (com e sem aplicação de sistema luminoso, respectivamente), para ambas as concentrações de gel clareador (25 e 35%). Também foi relatada similaridade no grau de sensibilidade entre as hemiarcadas.


Assuntos
Humanos , Peróxido de Hidrogênio , Lasers , Clareamento Dental , Sensibilidade da Dentina , Inquéritos e Questionários
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