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1.
Eur J Paediatr Dent ; 22(3): 225-229, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34544252

RESUMO

AIM: The mammalian Cranio-Facial-Respiratory Complex (CFRC) comprises several different biological tissues that collectively function under coordination from the central nervous and cardiorespiratory systems, primarily to breathe, eat and drink as well as integrating the sensory and motor systems for speech, communication and protective mechanisms. Anthropologists have long recognised that lifelong exposure to modern feeding regimens of readily available and highly processed foods, changes in breastfeeding and weaning, can impact expression of various phenotypic traits affecting the CFRC quite differently than does lifelong exposure to more traditional ancestral feeding regimens, typical of hunter-gather/foraging in non-Western-exposed cultures. The aim of this study is to highlight the role of the paediatric dentist in a multidisciplinary approach in which professionals working in and around the CFRC can actively prevent tooth decay and skeletal-dental malocclusion in the light of evolutionary oral medicine. RESULTS: As a result of changes in the environment, in the food quality, in eating and feeding practices starting from day one, two oral diseases of civilisation, tooth decay and skeletal-dental malocclusion, have both relatively recently reached worldwide epidemic proportions and afflict people of all ages. CONCLUSION: A multidisciplinary approach in which professionals working in and around the CFRC can actively promote prevention or reversal of dento-skeletal and myofunctional disorders, diagnose them when present and coordinate the appropriate therapy and life long maintenance programme.


Assuntos
Cárie Dentária , Má Oclusão , Animais , Aleitamento Materno , Criança , Comportamento Alimentar , Feminino , Humanos
2.
Eur J Paediatr Dent ; 22(3): 248-250, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34544256

RESUMO

Breastfeeding is the best practice to ensure proper nutrition, correct growth of the craniofacial complex and overall health of the baby with optimal breathing, feeding and sleeping functions. Many mothers face breastfeeding problems due to the baby's difficulty in latching, especially if the lingual frenum is restricted. Early detection and understanding of some of the root causes of those difficulties will lead to an early intervention, thus getting the babies on the right tract of their full potential of growth and development.


Assuntos
Aleitamento Materno , Terapia Miofuncional , Feminino , Humanos , Lactente , Freio Lingual/cirurgia , Mães
3.
J Biol Regul Homeost Agents ; 35(3 Suppl. 1): 155-166, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34289675

RESUMO

It is widely recognized that the physiology of childbirth labor largely depends on the interaction between three factors: a) the force generated by uterine contractions; b) the structure and characteristics of the birth canal and c) the fetus. Harmony between these three variables determines the initiation of maternal dynamic phenomena and the establishment of an optimal maternal-fetal balance in which both warrant for a correct delivery timing. The present study considered the above known factors and assessed if any other factor, still not recognized, could also play a role, and eventually modify the timing of delivery during the expulsive period. In particular, we focused our attention on the role played by the temporomandibular joint and dental occlusion on maternal body balance and on the stability of muscular reflected forces. The importance of assessing the temporomandibular function and the dental occlusion lies in the fact that any alteration in chewing or in temporomandibular joint (TMJ) mobility and occlusion brings to relevant modifications on the vertebral column and pelvic girdle. Our hypothesis is based on the evidence that those women who have any kind of alteration in their dental occlusion, can have an altered capability of pushing during the expulsive period, as the force applied on the pelvic floor is not expressed. Moreover, recent studies have highlighted a relationship between temporomandibular dysfunctions and sleep apnea syndrome and between sleep apnea syndromes and pregnancy. These relationships are explored in this study.


Assuntos
Oclusão Dentária , Contração Uterina , Feminino , Humanos , Gravidez , Articulação Temporomandibular
4.
J Biol Regul Homeost Agents ; 35(3 Suppl. 1): 167-178, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34289676

RESUMO

The practice of piercing has been used since ancient times, and nowadays is coming back in fashion among adolescents and young adults. Teenagers wearing oral piercings are frequently observed during routine examination, and there are, also, recurrent harmful consequences attributed to the devices. Unfortunately, piercings are usually placed by unlicensed individuals, lacking the appropriate anatomical knowledge, and therefore unable to provide sufficient information regarding the potential risks, especially when compared to the ones known by the patients. In this regard, the relevant legislation is frayed both vertically (that is within the framework of State and Regional competences), and horizontally (within the competences between the various regions). With the present study, through an accurate review of the literature and the description of two case reports, we underline the importance of informing both the patients and the dental professionals about the dental consequences undergoing the application of piercing. Both patients examined presented the common complications related to the application of piercing. The aim of this study is to underline the importance of being informed for both the dental professional and the person who undergoes piercing about its consequences for the whole oral system as well as the possible risks of infections and complications. We want to underline the key role of the dentist as a promoter of prevention of oral disorders as well as being able to deal with the possible complications which may occur.


Assuntos
Piercing Corporal , Retração Gengival , Doenças da Boca , Adolescente , Piercing Corporal/efeitos adversos , Humanos , Lábio , Língua , Adulto Jovem
5.
J Biol Regul Homeost Agents ; 35(3 Suppl. 1): 179-184, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34289677

RESUMO

The review of literature shows that 48,22% of the autotranspated teeth were orthodontically treated. A 13-year-old male patient presented a destructive decay in the element 3.6, which was underoccluded. To maintain the arch space and the quantity of bone necessary for a potential implant, it was decided to perform an autotransplantation of the impacted element 3.8. Tooth autotransplantation is a valid and durable alternative to the prosthetic and the implant solutions with high success rate.


Assuntos
Dente Serotino , Dente Impactado , Adolescente , Assistência Odontológica , Humanos , Masculino , Dente Serotino/diagnóstico por imagem , Dente Serotino/cirurgia , Transplante Autólogo
6.
J Biol Regul Homeost Agents ; 35(3 Suppl. 1): 185-195, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34289678

RESUMO

The factors that characterize posture are neurophysiological, biomechanical, psychoemotional. Neurophysiological factors concern the modulation of tone, muscle tone is the result of a series of neuropsychological processes within the tonic-postural system. The tonic-postural system can become unbalanced for various reasons, including a tight lingual frenum. The aim of this pilot study was to evaluate the benefits of frenulectomy by laser on body posture and on the scapular (shoulders) anteroposterior movement. Twenty-four healthy subjects were selected, between the ages of 10 and 26 years (mean age 15.22) who presented a short lingual frenum and a low posture of the tongue and jaw. They were examined using the Marchesan Protocol for Lingual Frenum and the Spinometry® Formetric and underwent laser frenectomy by diode laser (Siro Laser Blu. 660 nm) without any post-surgery complications. The release of the frenulum immediately brought benefits to patients, reorganizing the physiological modulation, and the movement of the tongue within the normal parameters of temporomandibular kinematics which were within physiological parameters. Frenectomy improved the anterior-posterior flexion of the scapulas (shoulders) in the sagittal plane but a larger sample is required to have statistically significant results.


Assuntos
Freio Lingual , Doenças da Língua , Adolescente , Adulto , Criança , Humanos , Lasers Semicondutores , Freio Lingual/cirurgia , Projetos Piloto , Postura , Adulto Jovem
7.
J Biol Regul Homeost Agents ; 35(3 Suppl. 1): 197-204, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34289679

RESUMO

The study analyzes how and if temporomandibular joint symptoms are influenced by different types of orthodontic therapy. Two-hundred-and-thirty-six adult orthodontic patients treated by different clinicians, were asked to complete a survey in which factors as the age, the gender and the type of device were considered. The questions were about the typical symptoms of temporomandibular disorders, in particular headache, bruxism, clenching, pain while opening the mouth and joint's noise. It was highlighted if these symptoms changed during the therapy and if they increased or decreased. The answers to our questionnaire revealed that the only statistically significative difference was related to bruxism, because we found a higher rate in patients treated with aligners than patients treated with metal braces, so we can suggest the fixed technique in the orthodontic patient who suffers of bruxism, even if further studies are required.


Assuntos
Bruxismo , Transtornos da Articulação Temporomandibular , Adulto , Cefaleia , Humanos , Inquéritos e Questionários , Articulação Temporomandibular , Transtornos da Articulação Temporomandibular/etiologia , Transtornos da Articulação Temporomandibular/terapia
8.
Eur J Paediatr Dent ; 22(2): 163-167, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34238010

RESUMO

AirwayCentric approach to prevention of dentofacial disorders. The correct development of functions is important for the prevention of dentofacial disorders from the first days of life. The first and foremost function, to which all others are adapting, is nasal breathing. The AirwayCentric® method focuses on nasal breathing during early development and throughout childhood to promote: Neurobehavioural development and the brain, development of the craniofacial and respiratory complex, correct dental occlusion, proper and restful sleep and to improve performance and life overall. By working at the same time on orofacial functions and structures, many dentofacial disorders can be prevented.


Assuntos
Terapia Miofuncional , Criança , Humanos
9.
Eur J Paediatr Dent ; 22(1): 80-81, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33719489

RESUMO

Culture, industrialisation and the shrinking human face: Why is it important? Over the past 300,000 years, not only has the way we consume food from birth through our lifetime changed, there have also been changes related to the methods of food preparation, availability, processing, and storage. These diet-related factors, along with other epigenetic factors, have led to a widespread increase in orofacial myofunctional disorders (OMDs) and resultant human malocclusion phenotypes (HMPs) worldwide. Currently there is an increasing need for resolution of HMPs in early childhood and associated OMDs. This review will include reports of cases and describe the nature of the problem and strategies for effective solutions.


Assuntos
Má Oclusão , Terapia Miofuncional , Criança , Pré-Escolar , Humanos
10.
Eur J Paediatr Dent ; 21(2): 157-162, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32567949

RESUMO

AIM: The aim of our study was to explain how tele-orthodontics represents the only way to perform orthodontics during a period of restriction as the one subsequent to COVID-19 emergencies: To do this, we report a case study and explore the proposal of a model of tele-orthodontics, considering the advantages of this modality in the immediate post-emergency phase and in the future daily practice. MATERIALS AND METHODS: Study design: Our study involves 30 patients, who had undergone different orthodontic therapies in a traditional way, and that the clinician continued to follow by means of tele-orthodontics. Given the obvious limitations of tele-practice, a comparison with patients who did not undergo any follow-up or underwent only in-office follow-ups could not be possible. The communication tools used in our study and proposed in our model of tele-orthodontics are videocalls, dedicated applications, intraoral and extraoral photos taken by the patients and instant messaging. RESULTS: Tele-orthodontics allowed to perform some orthodontic follow-ups with less chairside time, reduced time spent by the patients in the dental office from up to 45 min, less risk of infection, fewer to no missed appointments, specific troubleshooting solutions, and more follow-ups with odontophobic patients. Overall, tele-orthodontics balanced the disadvantages of less personal contacts and in-office visits. CONCLUSIONS: The need to respect safety distance and the fears patients have about the risk of infection make tele-orthodontics a fundamental tool during a pandemic lockdown and in its immediate post-emergency phase. Tele-orthodontics demonstrated to be a viable tool to continue at least some orthodontic care in times of emergency, but it may be considered an appropriate solution and addition even in normal times to ease therapy demands for both the orthodontist and the patient, while reducing time and money spent, without an excessive decrease in orthodontic quality.


Assuntos
Ortodontia , Betacoronavirus , COVID-19 , Infecções por Coronavirus , Emergências , Humanos , Pandemias , Pneumonia Viral , SARS-CoV-2
11.
Eur Rev Med Pharmacol Sci ; 24(2): 930-934, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-32017000

RESUMO

OBJECTIVE: The objective of this work is to compare cellular toxicity in vitro of two resins for orthodontic use: an auto-polymerizable composite and a photo-polymerizable composite. MATERIALS AND METHODS: Samples were obtained by joining a couple of steel orthodontic brackets by using auto-polymerizing or photo-polymerizing resin. We used a halogen lamp, a mini LED lamp and a fast LED lamp used for orthodontics cure for 40 seconds. The 3T3 Swiss cellular line of fibroblasts was used. The samples obtained were used to determine the cellular toxicity in vitro using the Neutral Red Up-take (NRU) and the 3-(4,5-dimethylthiazol-2-Yl)-2,5-diphenyltetrazolium bromide (MTT) assay. RESULTS: Toxicity of the extract appraised at a low level at MTT and NRU assays. There were statistically relevant differences between the toxicity induced by the auto-polymerizing material and the toxicity induced by the photo-polymerizing composite material, polymerized with the blue-light lamp (p < 0.001) and with the mini LED lamp (p < 0.05). CONCLUSIONS: From the data collected in this study, we can conclude that both resins show a low level of cytotoxicity that, in the case of photochemical polymerizing resin, depends on the characteristics of the lamp.


Assuntos
Resinas Acrílicas/toxicidade , Resinas Compostas/toxicidade , Fibroblastos/efeitos dos fármacos , Metilmetacrilatos/toxicidade , Cimentos de Resina/toxicidade , Células 3T3 , Animais , Fibroblastos/patologia , Teste de Materiais/métodos , Camundongos
12.
Eur J Paediatr Dent ; 20(3): 204-208, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31489819

RESUMO

AIM: This cross-sectional study was carried out to evaluate the prevalence of malocclusion and associated factors in preschoolers with the aim of assessing the existence of an association between bad habits and mouth breathing with the most severe malocclusions. MATERIALS AND METHODS: A sample of 1616 children aged 3-6 years was visited by applying the Baby ROMA index, an orthodontic treatment need index for preschool age. The following were searched: the prevalence of malocclusion, the association of bad habits and mouth breathing with malocclusion, how often are found in association and how this association is statistically significant. Chi-square and Fischer test were applied to verify the statistical significance of the association between the variables. RESULTS: The data show that 38% of the sample need orthodontic treatment and 46% have signs of malocclusion of less severe degree that require a close monitoring and the elimination of risk factors so that they can improve spontaneously with growth. Moreover the prevalence of bad habits and oral breathing increases with increasing severity of the malocclusion, and sucking habits and oral breathing are both closely related to anterior open bite, posterior crossbite and increased overjet. CONCLUSIONS: In the context of prevention and early treatment of disorders of the craniofacial growth, bad habits and mouth breathing, being risk factors of malocclusion, should be intercepted and corrected early on to prevent the development of malocclusion, or the worsening of existing ones. From this point of view it is important to follow the patients with a multidisciplinary approach.


Assuntos
Má Oclusão , Respiração Bucal , Criança , Pré-Escolar , Estudos Transversais , Sucção de Dedo , Hábitos , Humanos , Lactente , Itália , Prevalência
13.
Eur J Paediatr Dent ; 20(1): 67-72, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30919648

RESUMO

In this article, the authors propose a specific Myofunctional Therapy Protocol for patients with altered lingual frenulum. In such cases tongue muscles are hypofunctioning and their range of motion is reduced. To compensate for this limitation, dysfunctional lingual motor patterns are established, such as the use of some muscles at the expense of others; this negatively affects the development and functions of the stomatognathic system. The Myofunctional Therapy Protocol presented in this pilot study was developed with the aim of making the muscles of the tongue, the floor of the mouth and the soft palate more coordinated, and increasing muscle contraction strength, in order to produce improvements on the muscle tone, on orofacial and nasal functions and a better wound healing and functional recovery in the case of surgical therapy (frenulotomy).


Assuntos
Freio Lingual , Terapia Miofuncional , Músculos Faciais , Humanos , Projetos Piloto , Língua
14.
Eur J Paediatr Dent ; 19(3): 243-246, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30063159

RESUMO

In this article the authors propose a specific myofunctional therapy protocol for children with Down syndrome. For these patients, who usually present with atypical swallowing problems, mouth breathing and lip incompetence, the use of a myofunctional therapy protocol with specific exercises has been shown to improve orofacial and nasal functions. In addition to the functional results, such as the correction of the atypical swallowing, restoration of lip competence, breathing improvement and reduction of nasal rhinorrhea, there were also aesthetic results. This protocol can be useful to improve the quality of life of these patients.


Assuntos
Síndrome de Down/reabilitação , Terapia Miofuncional/métodos , Adolescente , Criança , Transtornos de Deglutição/reabilitação , Feminino , Humanos , Masculino , Respiração Bucal/reabilitação , Projetos Piloto , Resultado do Tratamento
15.
Acta Otorhinolaryngol Ital ; 38(2): 160-165, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29967561

RESUMO

SUMMARY: The primary aim of this study was to illustrate the prevalence of facial skeletal discrepancy in an Italian sample. Another aim was to evaluate the effectiveness of the sagittal skeletal discrepancy classification in order to establish a morphologic pattern of growth useful for diagnosis and prediction of therapeutic results. The authors considered a sample of 732 patients (426 females and 306 males) aged between 6 and 17 years old. Cephalometric parameters were evaluated in order to establish a relationship between sagittal skeletal discrepancy and the classification of facial rotations (Lavergne and Petrovic). Facial types with neutral mandibular growth direction were the most prevalent, and were most observed in classes I and II; the latter was more represented than others in our sample. Facial types with posterior mandibular growth direction were the most prevalent in class III. Sagittal skeletal discrepancy classification is not able to establish a specific facial type or predict an individual responsiveness to treatment.


Assuntos
Má Oclusão/classificação , Adolescente , Criança , Estudos Epidemiológicos , Feminino , Humanos , Masculino , Má Oclusão/epidemiologia , Estudos Retrospectivos
16.
Acta Otorhinolaryngol Ital ; 38(2): 166-169, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29967562

RESUMO

SUMMARY: Eagle's syndrome is a condition associated with the elongation of the styloid process or calcification of the stylohyoid ligament, clinically characterised by throat and neck pain, radiating into the ear. In this report, we describe the case of a 60-year-old woman who presented with a severe unilateral trigeminal and glossopharyngeal neuralgia. The patient was subjected to conservative therapy for four months and did not report improvement of the symptoms. After several consultations with different physicians, a diagnosis was accomplished by radiological investigation (multidetector computer tomography with multi-planar reconstructions and 3D volumetric reconstructions). Surgical styloidectomy was performed, with subsequent sudden remission of symptoms. Eagle's syndrome represents a commonly unrecognised nosological entity, clinically characterised by non-specific cranio-facial pain. Differential diagnosis includes glossopharyngeal and trigeminal neuralgia, temporal arteritis, migraine, myofascial pain dysfunction and cervical arthritis. Eagle's syndrome should always be suspected, mostly in adult women when the pain is unilateral and not responsive to painkillers.


Assuntos
Ossificação Heterotópica , Osso Temporal/anormalidades , Feminino , Humanos , Pessoa de Meia-Idade , Ossificação Heterotópica/diagnóstico , Ossificação Heterotópica/cirurgia , Osso Temporal/cirurgia
17.
Acta Otorhinolaryngol Ital ; 34(4): 283-7, 2014 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-25210224

RESUMO

Goldenhar syndrome is a congenital condition that includes anomalies of the derivatives of the first and second brachial arches, vertebral defects and ocular abnormalities. It is also known as oculo-auriculo-vertebrale syndrome (OAVS), hemifacial microsomia, or first or second brachial arch syndrome. It was first described by Van Duyse in 1882 and better studied by M. Goldenhar in 1952. Its treatment requires a multidisciplinary approach. Herein, we describe the value of 3D-CT evaluation in a patient with Goldenhar syndrome, with particular regard to planning diagnostic and therapeutic approach. A 7-year-old boy with Goldenhar syndrome with definite post-natal genetic diagnosis was referred to our Department of Radiology for neuroimaging of the temporal bone. By 3D-CT evaluation of this young patient we observed the asymmetry of the condyles with the right one dysmorphic, short and wide; the auricle of the right ear was replaced by a dysmorphic rough; the right middle ear had a hypoplastic tympanic cavity and the internal auditory canal of right ear was atresic. In our experience, 3D-CT is a powerful diagnostic instrument and offers many advantages: volumetric reproduction of cranium and soft tissues, no overlap of anatomic parts that limits the visibility of various structures, high precision and assurance of images, and a constant and easily reproducible reference system. In our case, 3D-CT offered a very complete evaluation of all malformations of mandibular and temporal bone that characterize this syndrome and representing an important step for ENT and orthodontic therapeutic approaches.


Assuntos
Síndrome de Goldenhar/diagnóstico por imagem , Imageamento Tridimensional , Tomografia Computadorizada por Raios X , Criança , Humanos , Masculino , Mandíbula/diagnóstico por imagem , Ortodontia Corretiva , Otolaringologia/métodos , Osso Temporal/diagnóstico por imagem
18.
Eur J Paediatr Dent ; 15(2 Suppl): 184-6, 2014 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-25101498

RESUMO

BACKGROUND: Occlusion alterations can be associated to bad habits (such as thumb sucking, oral breathing, atypical swallowing and labial interposition) which can lead to functional anomalies. CASE REPORT: Three cases are reported with the good results of myofunctional and orthodontic therapy. CONCLUSION: When there are bad habits, orthodontics should be combined with a myofunctional therapy.


Assuntos
Má Oclusão/terapia , Terapia Miofuncional/métodos , Aparelhos Ortodônticos , Adolescente , Criança , Feminino , Humanos , Masculino , Fonoterapia
19.
Eur J Paediatr Dent ; 13(4): 321-3, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-23270292

RESUMO

AIM: Bad habits result in altered functions which with time can cause anomalies of the orofacial morphology. To solve these problems, orthodontic treatment can be supported by myofunctional therapy in order to recover the normal functionality of the oral muscles. The aim of this study is to assess the need to treat patients with neuromuscular disorders, from both the occlusion and the muscles condition approach in order to obtain the balance needed for the stability of treatment. MATERIALS AND METHODS: A sample of 23 patients with atypical swallowing was included in this study, some of them presented thumb sucking and oral breathing. After case history collection, in order to make a correct orthodontic and functional diagnosis, correction of anomalies was carried out since they could compromise the success of the therapy (maxillary contraction, oral breathing, and short lingual fraenum). Then a different therapeutic approach was applied on the basis of the specific dental features. RESULTS: Both from the diagnostic and therapeutic point of view, important results were achieved especially through muscle analysis with dynamometer and surface electromyography. CONCLUSION: Orthodontic therapy, in the presence of bad habits, is not enough to solve orthodontic issues, it must be combined with a myofunctional treatment. The success of the therapy is granted only when patients and their family comply with the treatment and all factors which can prevent success of the therapy are removed.


Assuntos
Transtornos de Deglutição/complicações , Má Oclusão/etiologia , Hábitos Linguais/efeitos adversos , Adenoidectomia , Adolescente , Cefalometria/métodos , Criança , Pré-Escolar , Queixo/patologia , Eletromiografia , Feminino , Sucção de Dedo/efeitos adversos , Humanos , Freio Lingual/anormalidades , Freio Lingual/cirurgia , Lábio/fisiopatologia , Masculino , Respiração Bucal/complicações , Contração Muscular/fisiologia , Dinamômetro de Força Muscular , Tono Muscular/fisiologia , Terapia Miofuncional , Mordida Aberta/terapia , Sobremordida/terapia , Técnica de Expansão Palatina , Planejamento de Assistência ao Paciente , Fonoterapia , Tonsilectomia
20.
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