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1.
Oral Maxillofac Surg Clin North Am ; 32(1): 39-51, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31699583

RESUMO

Although all dentofacial deformities involve deviation of skeletal and dental units that require correction, the timing and method of treatment can vary considerably. Growth is a key consideration when managing dentofacial deformities, because it has a direct impact on the timing and method of management. Some deformities may be intercepted and managed during growth, whereas others can only be definitively managed after cessation of growth. This article focuses on clinical considerations of growth in managing dentofacial deformities, and discusses methods of growth evaluation and interceptive orthodontic management strategies in different types of dentofacial deformities.


Assuntos
Deformidades Dentofaciais/cirurgia , Má Oclusão/cirurgia , Ortodontia Interceptora , Procedimentos Cirúrgicos Ortognáticos , Ortopedia , Humanos , Má Oclusão/diagnóstico , Planejamento de Assistência ao Paciente
2.
Qual Life Res ; 28(9): 2491-2500, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31203563

RESUMO

PURPOSE: Socioeconomic inequalities are recognized as a major problem with people in low socioeconomic groups having worse subjective oral health outcomes, including oral health-related quality of life (OHRQoL). However, only a few longitudinal studies assessed the impact of contextual and individual socioeconomic determinants in adolescents' OHRQoL. We estimate the impact of socioeconomic inequalities on adolescents' OHRQoL over a 2-year period. METHODS: This study followed up a random sample of 1134 12-year-old schoolchildren for 2 years in Brazil. OHRQoL was assessed by the Brazilian version of the Child Perceptions Questionnaire for 11- to 14-year-old Children (CPQ11-14) at baseline and follow-up. Participants were clinically examined for dental caries, gingival bleeding, and malocclusion. The schoolchildren's parents answered a questionnaire regarding socioeconomic status, social capital, and adolescents' use of dental service. Socioeconomic contextual variables were collected from official city publications. Multilevel linear regression models fitted the associations between socioeconomic factors and overall CPQ11-14 scores over time. RESULTS: A total of 747, 14-year-old adolescents were reassessed for OHRQoL (follow-up rate of 66%). Adolescents with lower mean income school's neighborhood (P < 0.05), household income (P < 0.05), and maternal schooling (P < 0.05) had higher overall CPQ11-14 scores. Female sex, attending a dentist by toothache, dental caries, and malocclusion were also associated with higher overall CPQ11-14 scores. CONCLUSIONS: Adolescents from low socioeconomic background reported worse OHRQoL at 2-year follow-up compared to those from high socioeconomic background. Actions toward health inequalities need to address socioeconomic factors in adolescence.


Assuntos
Assistência Odontológica/estatística & dados numéricos , Cárie Dentária/diagnóstico , Disparidades nos Níveis de Saúde , Saúde Bucal/estatística & dados numéricos , Qualidade de Vida/psicologia , Classe Social , Adolescente , Brasil , Criança , Estudos de Coortes , Estudos Transversais , Feminino , Humanos , Masculino , Má Oclusão/diagnóstico , Análise Multinível , Pais , Índice Periodontal , Características de Residência , Instituições Acadêmicas , Fatores Socioeconômicos , Inquéritos e Questionários
3.
Arch. Health Invest ; 8(3): 157-163, mar. 2019. graf
Artigo em Português | BBO - Odontologia | ID: biblio-1006966

RESUMO

As maloclusões são classificadas como o terceiro maior problema de saúde bucal no mundo, perdendo apenas para cárie e doença periodontal. A mordida cruzada posterior é definida como a relação anormal vestíbulo-lingual de um ou mais dentes da maxila, com um ou mais dentes da mandíbula, quando os arcos dentários estão em relação cêntrica, podendo ser uni ou bilateral. Objetiva-se Realizar uma revisão de literatura sobre a mordida cruzada posterior. Foi feita uma seleção de artigos científicos a partir das bases de dados Lilacs e Scielo utilizando os descritores "Mordida Cruzada" e "Diagnóstico de Mordida Cruzada". Foram incluídos trabalhos publicados entre 2000 a 2018. Dos 694 artigos encontrados e delimitados pelos critérios inclusivos, foram selecionados 49 artigos como amostra, que apresentaram a temática elencada para a pesquisa e que foram discutidos nos seguintes tópicos: a) Epidemiologia; b) Etiologia; c) Diagnóstico; d) Tratamento. As causas da mordida cruzada posterior são multifatoriais e seu diagnóstico precoce é fundamental uma vez que, a literatura mostra resultados satisfatórios, através de medidas interceptativas com um prognostico favorável quando o tratamento ocorre precocemente. O tratamento da mordida cruzada posterior de origem funcional, por contato prematuro em dentes decíduos, dentoalveolar e esquelético consiste, respectivamente, em desgaste seletivo, expansão dentoalveolar e disjunção maxilar(AU)


Malocclusions are classified as the third biggest oral health problem in the world, second only to caries and periodontal disease. The posterior crossbite is defined as the abnormal vestibular and lingual relationship of one or more teeth of the maxilla, with one or more teeth of the mandible, when the dental arches are in centric relation, being unilateral or bilateral. Objective: To perform a literature review on posterior crossbite. A selection of scientific articles was made from the Lilacs and Scielo databases using the descriptors "Cross Bite" and "Cross Bite Diagnosis", using as inclusion criterion works with year of publication between 2000 and 2018. Of the 694 articles found and delimited by the inclusive criteria, 49 articles were selected as a sample, which presented the theme listed for the research and which were discussed in the following sessions: a) Epidemiology; b) Etiology; c) Diagnosis; d) Treatment. The causes of posterior crossbite are multifactorial and its diagnosis must be meticulous, since it is of fundamental importance to recognize them and know how to apply interceptive measures to treat, since the results are satisfactory when planning an appropriate treatment early. The treatment of posterior crossbite of origin by premature contact in deciduous, dental and alveolar and skeletal teeth consists, respectively, of selective wear, dental and alveolar expansion and maxillary disjunction(AU)


Las maloclusiones se clasifican como el tercer mayor problema de salud bucal en el mundo, perdiendo sólo para la caries y la enfermedad periodontal. La mordida cruzada posterior se define como la relación anormal vestíbulo-lingual de uno o más dientes de la mandíbula, con uno o más dientes de la mandíbula, cuando los arcos dentales están en relación céntrica, pudiendo ser uni o bilateral. Objetivo Realizar una revisión de literatura sobre la mordida cruzada posterior. Se realizó una selección de artículos científicos a partir de las bases de datos Lilacs y Scielo utilizando los descriptores "Mordida Cruzada" y "Diagnóstico de Mordida Cruzada", utilizando como criterio de inclusión trabajos con año de publicación entre 2000 a 2018. De los 694 artículos encontrados y delimitados por los criterios inclusivos, se seleccionaron 49 artículos como muestra, que presentaron la temática elaborada para la investigación y que fueron discutidos en las siguientes sesiones: a) Epidemiología; b) Etiología; c) Diagnóstico; d) Tratamiento. Las causas de la mordida cruzada posterior son multifactoriales y su diagnóstico debe ser minucioso, ya que es de fundamental importancia reconocerlos y saber aplicar medidas interceptativas para tratar, ya que los resultados se muestran satisfactorios cuando se planea un tratamiento adecuado precozmente. El tratamiento de la mordida cruzada posterior de origen por contacto prematuro en dientes deciduos, dentoalveolar y esquelético consiste, respectivamente, en desgaste selectivo, expansión dentoalveolar y disyunción maxilar(AU)


Assuntos
Má Oclusão/etiologia , Má Oclusão/terapia , Má Oclusão/epidemiologia , Aparelhos Ortodônticos , Má Oclusão , Má Oclusão/diagnóstico
4.
Compend Contin Educ Dent ; 40(2): 100-106, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30767551

RESUMO

Digital smile design (DSD) used in combination with an esthetic pre-evaluative temporary restoration is a reliable means of minimizing the removal of tooth structure when ceramic veneers are being placed. When patients present with poorly aligned teeth, the use of clear aligners may be considered to properly position the teeth based on the desired outcome. This article, which illustrates a method to systematically diagnose, plan, and stage treatment for a smile makeover, describes the merging of DSD with clear aligner therapy to enable clinicians to recognize digitally where to position the teeth using orthodontic movement. This approach allows the desired esthetic design to be attained while enabling minimal tooth reduction.


Assuntos
Simulação por Computador , Facetas Dentárias , Estética Dentária , Má Oclusão/terapia , Técnicas de Movimentação Dentária , Adulto , Cerâmica , Modelos Dentários , Feminino , Humanos , Má Oclusão/diagnóstico , Sorriso
5.
Pesqui. bras. odontopediatria clín. integr ; 19(1): 4583, 01 Fevereiro 2019. tab, graf
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-997973

RESUMO

Objective: To evaluate and compare sensitivity and specificity of ANB, Wits, APDI and AF-BF to diagnose sagittal skeletal malocclusions, in children between 6 to 12 years old, using ROC curves, a widely accepted method for the analysis and evaluation of diagnostic tests. Material and Methods: A descriptive-comparative study of diagnostic tests was conducted. From a population of 3,000 children, a non-probabilistic sample of 209 was selected. The clinical classification of the patients as class I, II or III, made by a group of experts based on the visual inspection of models and photographs, was chosen as the gold standard. After calibration (ICC>0.94) the variables were measured in cephalograms. Eight ROC curves were plotted (I vs II, and I vs III for each one of the variables). The area under the curve was measured and compared (Ji-square test). Cut points were established. Results: To discriminate Class I from II, ANB showed the largest area under the curve (AUC) (0.876) and the cut point (best sensitivity and specificity) was at 5.75°. To discriminate class I from III, Wits showed the largest AUC (0.874) with a cut point of -3.25 mm. There were no statistical differences between the AUC for the four variables (p=0.48 y p=0.38 for class I-II and I-III). Conclusion: ANB and Wits performed better for the diagnosis of class II and III, respectively. Cut points in children were different from those reported in adults.


Assuntos
Cefalometria/métodos , Curva ROC , Má Oclusão/diagnóstico , Má Oclusão de Angle Classe II/diagnóstico , Má Oclusão de Angle Classe III/diagnóstico , Distribuição de Qui-Quadrado , Epidemiologia Descritiva , Análise de Variância , Colômbia
7.
Alcohol Alcohol ; 54(1): 56-61, 2019 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-30281068

RESUMO

Aims: Fetal alcohol spectrum disorder (FASD) is a developmental disorder caused by maternal alcohol intake (prevalence: 0.77%). Malocclusion has been described in case reports of patients with FASD, but reliable evidence for associations between FASD and malocclusion is not documented. Malocclusion is defined as tooth irregularity (prevalence: 14.6%) or incorrect relationship between the jaws such as lateral crossbites (prevalence: 3.1%). The purpose of this study was to investigate possible associations between malocclusion and FASD. Short summary: FASD prevalence is high and diagnosis is very difficult; Malocclusions can give additional hints for FASD diagnosis; Patients with FASD show growth deficits concerning the maxilla; Early and consistent orthodontic supervision and therapy can prevent facial asymmetries in FASD patients. Methods: Thirty patients with FASD and 30 patients of a healthy control group were examined. Inclusion criteria were mixed dentition, verified FASD/absence of FASD (control group), exclusion criteria were orthodontic treatment and disorders other than FASD. The extent and type of malocclusion were quantified with the peer assessment rating (PAR) index based on an analysis of orthodontic plaster models. In addition, anthropometric data such as gestational age, body weight and height at birth as well as present body weight, height and head circumference at examination date were assessed. Results: The PAR index showed a significant increase in malocclusions in FASD patients compared to the group that were not diagnosed with FASD (P = 0.002). FASD patients showed particular differences in the upper transversal dimension with a higher prevalence of crossbites (P = 0.018) and a lower head circumference (P < 0.001). Body weight (P < 0.001) and height (P < 0.001) were significantly lower for FASD patients at time of birth, but not at the present examination date (weight: P = 0.329; height: P = 0.496). When relating weight and height measures to age using percentile curves of physiological growth, clinically relevant discrepancies could be found for FASD patients. Conclusions: Our results show that malocclusion can provide additional evidence for FASD diagnosis. When FASD is diagnosed in a child, early referral to an orthodontist is advisable to stimulate maxillary growth and consequently prevent further malocclusions.


Assuntos
Consumo de Bebidas Alcoólicas/efeitos adversos , Consumo de Bebidas Alcoólicas/epidemiologia , Transtornos do Espectro Alcoólico Fetal/diagnóstico , Transtornos do Espectro Alcoólico Fetal/epidemiologia , Má Oclusão/diagnóstico , Má Oclusão/epidemiologia , Criança , Pré-Escolar , Estudos Transversais , Feminino , Humanos , Masculino , Gravidez , Estudos Prospectivos , Fatores de Risco
8.
Indian J Dent Res ; 29(6): 711-715, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30588996

RESUMO

Background: Skin is the largest human organ, which performs a dynamic role in life. The ectodermal layers of the skin found on the palm with intricate lines are stable throughout life and have grabbed scientific attention. Any disturbances during their formation might possibly have the likelihood of a person developing malocclusion. Aims and Objectives: The aims of this study were to evaluate and compare the dermatoglyphic pattern with various skeletal malocclusions. Materials and Methods: The study was carried out on 40 outpatients reported with an age group of 18-20 years divided into four groups as follows: Group: I - 10 (Class I occlusion), Group: II - 10 (skeletal Class I malocclusion), Group: III - 10 (skeletal Class II malocclusion), and Group: IV - 10 (skeletal Class III malocclusion). The fingerprints were recorded using scanner exclusively designed for diagnostic purpose of the study. The collected data were analyzed using SPSS statistics software Version 23.0 to find which groups had significant differences. Results and Conclusion: Increased frequency of arch pattern was present in participants with Class I malocclusion, and loop patterns were observed in those with Class I occlusion and Class III malocclusion and whorl patterns in Class II malocclusion with P < 0.05. Dermatoglyphic pattern remains constant throughout life and it can be used as a noninvasive aid in determining the development of malocclusion at a very early age.


Assuntos
Dermatoglifia , Má Oclusão/diagnóstico , Má Oclusão/genética , Adolescente , Adulto , Feminino , Previsões , Estudos de Associação Genética , Humanos , Masculino , Adulto Jovem
9.
Orthod Fr ; 89(4): 371-386, 2018 12.
Artigo em Francês | MEDLINE | ID: mdl-30565556

RESUMO

INTRODUCTION: Discontinuation of orthodontic treatment has iatrogenic, psychological, ergonomic and financial consequences. The objective of this study was to investigate early risk factors (prior to installation) of discontinuation of orthodontic treatment. MATERIALS AND METHODS: We performed a case-control study between a group of patients who dropped their orthodontic treatment ("A") and a randomly selected group of patients who had completed their orthodontic treatment ("NA"). The two groups were compared, with descriptive, uni and multivariate analyzes. The risk factors assessed were age, gender, socioeconomic status, type of treatment, dysmorphism, malocclusion, need for treatment, compliance. RESULTS: In the dropout group 55 patients were included ("A") and 100 in the non-abandoned ("NA") group randomly selected. The subject at risk of abandonment was a girl of less than 11 years of age with a low socio-economic level with antero-posterior and vertical skeletal dysmorphisms, a molar class II, a teeth crowding, a small aesthetic prejudice or, on the contrary, very important, complex treatment (with extractions or with surgery) and having delays or missed appointments before the installation of the orthodontic appliance. CONCLUSION: Patients' motivation needs to be strengthened for both extremes: treatments that appear simple and conversely for complex cases requiring strong cooperation.


Assuntos
Má Oclusão/diagnóstico , Má Oclusão/terapia , Ortodontia Corretiva , Cooperação do Paciente , Recusa de Participação , Adolescente , Adulto , Estudos de Casos e Controles , Criança , Diagnóstico Precoce , Feminino , França/epidemiologia , Humanos , Masculino , Má Oclusão/epidemiologia , Pessoa de Meia-Idade , Ortodontia Corretiva/psicologia , Ortodontia Corretiva/estatística & dados numéricos , Cooperação do Paciente/psicologia , Cooperação do Paciente/estatística & dados numéricos , Prognóstico , Recusa de Participação/psicologia , Recusa de Participação/estatística & dados numéricos , Fatores de Risco , Fatores Socioeconômicos , Fatores de Tempo , Falha de Tratamento , Resultado do Tratamento , Adulto Jovem
10.
Orthod Fr ; 89(4): 387-396, 2018 12.
Artigo em Francês | MEDLINE | ID: mdl-30565557

RESUMO

INTRODUCTION: Most malocclusions are dysfunctional in origin and multidisciplinary care appears essential to correct as well as to maintain the orthopedic treatments performed. However, some "re-"educational therapies do not always deliver the desired results and the persistence of dysfunctions can thus compromise the stability of long-term results of orthodontic treatments. MATERIAL AND METHOD: Through a review of the literature, this article analyzes the former and current theories regarding maxillofacial rehabilitation. RESULTS: The two theories explaining failures in maxillofacial rehabilitation still need to be considered today because, so far, there are few data on the subject. DISCUSSION: The current evolution in the neurosciences makes it possible to achieve a better understanding and an improved technique regarding this type of reeducation, thus promoting greater adaptability on the part of the therapist.


Assuntos
Má Oclusão/diagnóstico , Má Oclusão/reabilitação , Procedimentos Cirúrgicos Bucais , Humanos , Má Oclusão/epidemiologia , Procedimentos Cirúrgicos Bucais/efeitos adversos , Procedimentos Cirúrgicos Bucais/métodos , Prognóstico , Fatores de Risco , Falha de Tratamento , Resultado do Tratamento
12.
Rehabil. integral (Impr.) ; 13(2): 59-65, Diciembre 2018. tab, graf
Artigo em Espanhol | LILACS | ID: biblio-986452

RESUMO

Introducción: En su evolución, la DMD afecta el sistema estomatognático, situación no explorada en nuestro país. Objetivo: Describir características clínicas orales y asociación con edad, en pacientes con distrofia muscular de Duchenne (DMD). Pacientes y Método: Estudio descriptivo, transversal en 81 pacientes con DMD del Instituto Teletón Santiago, reclutados desde agosto a noviembre 2017, con consentimiento informado. Se efectuó examen clínico diagnóstico para determinar la presencia de caries clínicas (índice ceod/COPD), índice de higiene (Índice Green y Vermillion Simplificado), presencia de maloclusiones y asociaciones de variables orales con edad. Resultados: 65,4% de los pacientes no presentaban caries ni restauraciones, registrándose un promedio COPD = 1,7 ± 1,2 y ceod= 2,1 ± 1,6. El índice de higiene oral promedio fue de 1,9 ± 0,8 considerado como regular. 67,9% de los pacientes presentaba alguna maloclusión, existiendo una relación esta- dísticamente significativa entre presencia de mordida cruzada y grupo etario (p < 0,05). Conclusiones: La menor presencia de caries clínica en pacientes con DMD a lo referido en bibliografía para pacientes sanos, podría atribuirse a los controles periódicos odontológicos otorgados por Instituto Teletón San- tiago. El aumento de las maloclusiones con el avance de la edad, podría ser un indicador del progreso de la enfermedad, ya que los cambios en la función muscular masticatoria son dependientes del tiempo y producen aumento del ancho transversal mandibular originando las maloclusiones más prevalentes como la mordida cruzada y abierta. Palabras clave: Distrofia muscular Duchenne, caries, higiene oral, malo- clusiones.


Oral characteristics of patients with Duchenne muscular dystrophy (DMD). Descriptive study Introduction: In its evolution, Duchenne muscular dystrophy (DMD) affects the stomatognathic system, a condition that has not been studied in our country. Objective: To describe the oral clinical characteristics and age-related association in patients with DMD. Patiens and Method: Cross-sectional des- criptive study including 81 patients with DMD of Instituto Teletón Santiago, recruited from August to November 2017, with informed consent. A diagnostic clinical examination was performed to establish the presence of clinical cavities (DEFT, DMFT index), oral hygiene index (Green and Vermillion, simplified), presence of malocclusions, and age-related associations. Results: 65.4% of patients did not have caries or restorations, showing an average of DMFT = 1.7 ± 1.2, and DEFT= 2.1 ± 1.6. Average oral hygiene index was 1.9 ± 0.8.which is considered regular. 67.9% of the patients had some type of malocclusion, with a statistically significant relation between the presence of cross bite and age group (p < 0.05). Conclusions: Lower presence of clinical caries in DMD patients as referred to in bibliography for healthy patients, could be due to periodic dental controls provided by Instituto Teletón Santiago. Increased ca- ses of malocclusions with age may be an indicator of progress of the disease, because changes in the function of mastication muscles are time-dependent, and increase transverse jaw width, causing more prevalent malocclusions such as cross bite and open bite. Key words: Duchenne muscular dystrophy, caries, oral hygiene, malocclu- sions.


Assuntos
Humanos , Masculino , Pré-Escolar , Criança , Adolescente , Adulto , Saúde Bucal , Distrofia Muscular de Duchenne/complicações , Diagnóstico Bucal , Higiene Bucal , Epidemiologia Descritiva , Distrofia Muscular de Duchenne/fisiopatologia , Má Oclusão/diagnóstico
13.
Dental Press J Orthod ; 23(5): 75-81, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30427496

RESUMO

INTRODUCTION: Numerous cephalometric analyses have been proposed to diagnose the sagittal discrepancy of the craniofacial structures. OBJECTIVE: This study aimed at evaluating the reliability and validity of different skeletal analyses for the identification of sagittal skeletal pattern. METHODS: A total of 146 subjects (males = 77; females = 69; mean age = 23.6 ± 4.6 years) were included. The ANB angle, Wits appraisal, Beta angle, AB plane angle, Downs angle of convexity and W angle were used to assess the anteroposterior skeletal pattern on lateral cephalograms. The sample was classified into Class I, II and III groups as determined by the diagnostic results of majority of the parameters. The validity and reliability of the aforementioned analyses were determined using Kappa statistics, sensitivity and positive predictive value (PPV). RESULTS: A substantial agreement was present between ANB angle and the diagnosis made by the final group (k = 0.802). In the Class I group, Downs angle of convexity showed the highest sensitivity (0.968), whereas ANB showed the highest PPV (0.910). In the Class II group, ANB angle showed the highest sensitivity (0.928) and PPV (0.951). In the Class III group, the ANB angle, the Wits appraisal and the Beta angle showed the highest sensitivity (0.902), whereas the Downs angle of convexity and the ANB angle showed the highest PPV (1.00). CONCLUSION: The ANB angle was found to be the most valid and reliable indicator in all sagittal groups. Downs angle of convexity, Wits appraisal and Beta angle may be used as valid indicators to assess the Class III sagittal pattern.


Assuntos
Cefalometria , Má Oclusão/diagnóstico , Adolescente , Adulto , Cefalometria/métodos , Cefalometria/normas , Feminino , Humanos , Masculino , Má Oclusão de Angle Classe I/diagnóstico , Má Oclusão de Angle Classe II/diagnóstico , Má Oclusão de Angle Classe III/diagnóstico , Reprodutibilidade dos Testes , Sensibilidade e Especificidade , Adulto Jovem
14.
J Pak Med Assoc ; 68(11): 1596-1602, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30410135

RESUMO

OBJECTIVE: To determine and compare the median dental age among males and females and in subjects with dental Class I, II and III malocclusions. METHODS: The retrospective study was conducted at Aga Khan University Hospital and comprised dental records of patients from July to December 2016 who were aged 9-16 years and had complete dentition excluding third molars. The sample was divided according to dental malocclusion which was further categorised according to chronological age groups. SPSS 21 was used for data analysis. RESULTS: Of the 270 sbjects whose radiographs were studied, 135(50%) each were males and females. Children aged 11-12 years showed a statistically significant difference (p=0.03) in the median dental age among genders. There was a strong positive correlation in the dental and chronological ages in the males (p<0.001) and females (p<0.001) sample. Median time of eruption of mandibular second permanent molar in different malocclusions was 11 years and 2 months. CONCLUSIONS: There was a strong positive correlation between chronological and dental ages for males and females. Females subjects were dentally advanced compared to the male subjects aged 11-12 years. ..


Assuntos
Determinação da Idade pelos Dentes/métodos , Má Oclusão/diagnóstico , Mandíbula/diagnóstico por imagem , Radiografia Panorâmica/métodos , Centros de Atenção Terciária , Dente/crescimento & desenvolvimento , Adolescente , Criança , Feminino , Humanos , Masculino , Mandíbula/crescimento & desenvolvimento , Reprodutibilidade dos Testes , Estudos Retrospectivos , Dente/diagnóstico por imagem
15.
Br Dent J ; 225(6): 491-496, 2018 09 28.
Artigo em Inglês | MEDLINE | ID: mdl-30264798

RESUMO

The orthodontic-oral surgery interface is important for the multidisciplinary management of patients presenting with complex dental anomalies. This article provides an overview of anomalies of eruption and transpositions, their diagnosis, aetiology, presenting features and the different management options. It also highlights the role of the general dental practitioner (GDP) in identifying such anomalies and the importance of timely referral to specialist care.


Assuntos
Anormalidades Dentárias , Anquilose Dental , Dente Impactado , Humanos , Má Oclusão/diagnóstico , Má Oclusão/etiologia , Má Oclusão/terapia , Anormalidades Dentárias/diagnóstico , Anormalidades Dentárias/etiologia , Anormalidades Dentárias/terapia , Anquilose Dental/diagnóstico , Anquilose Dental/etiologia , Anquilose Dental/terapia , Erupção Dentária , Dente Decíduo , Dente Impactado/diagnóstico , Dente Impactado/etiologia , Dente Impactado/terapia
16.
BMJ Case Rep ; 20182018 Sep 18.
Artigo em Inglês | MEDLINE | ID: mdl-30232069

RESUMO

22q11.2 deletion syndrome (22q11.2DS) is one of the most common microdeletion syndromes, with an incidence of approximately 1/2000-1/4000 live births; it is thought to be mainly attributable to a de novo deletion. The clinical phenotype of this syndrome is highly variable. Certain craniofacial and oral features are common to most patients with 22q11.2DS, including a high prevalence of dental caries; abnormalities of tooth shape, eruption and number; and enamel defects such as hypomineralisation and hypoplasia. This report focuses on the dental features and management of an 8-year-old boy with 22q11.2DS. Dental treatments were carried out under general anaesthesia. In summary, facial dysmorphism and common dental manifestations are typically noticeable in patients with this syndrome. Therefore, dentists need to be aware of the dental features of this condition in order to refer them to the adequate specialists. Cooperation among and experience with different specialties are mandatory to improve quality of life for patients with 22q11.2DS.


Assuntos
Cárie Dentária/diagnóstico , Síndrome de DiGeorge/complicações , Má Oclusão/diagnóstico , Anestesia Geral/métodos , Criança , Cárie Dentária/diagnóstico por imagem , Cárie Dentária/cirurgia , Síndrome de DiGeorge/diagnóstico , Síndrome de DiGeorge/genética , Humanos , Comunicação Interdisciplinar , Masculino , Má Oclusão/prevenção & controle , Radiografia Panorâmica , Arábia Saudita/epidemiologia , Erupção Dentária , Resultado do Tratamento
17.
J Vet Dent ; 35(3): 167-177, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30168378

RESUMO

This case report describes diagnosis, treatment, and outcome of maxillofacial trauma in a 9-week-old shih tzu. In addition to an open left mandibular body fracture and a right condylar process fracture, there were several relatively stable and minimally displaced right maxillary fractures. The torn soft tissues associated with the left mandibular body fracture were sutured closed, and a tape muzzle was placed. Due to sufficient fracture healing at the 2-week recheck examination, the tape muzzle was removed. The 6-week reexamination confirmed continued healing and recovery. Anesthesia was performed at the 5.5-month reexamination when the dog was 8 months old, revealing the presence of persistent deciduous teeth, linguoverted, malformed, and partially erupted permanent teeth, and asymmetric skeletal malocclusion (in addition to the breed-specific mandibular mesioclusion). Persistent deciduous teeth and linguoverted and malformed permanent teeth were extracted to allow for normal opening and closing of the mouth without traumatic occlusion. Long-term follow-up is recommended in juvenile dogs with maxillofacial injuries in order to prevent, recognize, and treat dental complications resulting from the trauma.


Assuntos
Mordeduras e Picadas/veterinária , Cães/lesões , Má Oclusão/veterinária , Fraturas Mandibulares/veterinária , Animais , Mordeduras e Picadas/etiologia , Mordeduras e Picadas/terapia , Masculino , Má Oclusão/diagnóstico , Má Oclusão/cirurgia , Fraturas Mandibulares/diagnóstico , Fraturas Mandibulares/cirurgia , Traumatismos Maxilofaciais/diagnóstico , Traumatismos Maxilofaciais/cirurgia , Traumatismos Maxilofaciais/veterinária , Resultado do Tratamento
19.
Ital J Pediatr ; 44(1): 100, 2018 Aug 22.
Artigo em Inglês | MEDLINE | ID: mdl-30134958

RESUMO

OBJECTIVE: The relation between nasal flow and malocclusion represents a practical concern to pediatricians, otorhinolaryngologists, orthodontists, allergists and speech therapists. If naso-respiratory function may influence craniofacial growth is still debated. Chronic mouth-breathing is reported to be associated also with a characteristic pattern of dental occlusion. On the other hand, also malocclusion may reduce nasal air flows promoting nasal obstruction. Hereby, the aim of this review was to describe the relationship between rhinitis and malocclusion in children. METHODS: An electronic search was conducted using online database including Pubmed, Web of Science, Google Scholar and Embase. All studies published through to January 30, 2017 investigating the prevalence of malocclusion in children and adolescents (aged 0-20 years) affected by rhinitis and the prevalence of rhinitis in children with malocclusion were included. The protocol was registered at PROSPERO - International prospective register of systematic reviews under CRD42016053619. RESULTS: Ten studies with 2733 patients were included in the analysis. The prevalence of malocclusion in children with rhinitis was specified in four of the studies ranging from as high as 78.2% to as low as 3%. Two out of the studies reported the prevalence of rhinitis in children with malocclusion with a rate ranging from 59.2 to 76.4%. CONCLUSION: The results of this review underline the importance of the diagnosis and treatment of the nasal obstruction at an early age to prevent an altered facial growth, but the data currently available on this topic do not allow to establish a possible causal relationship between rhinitis and malocclusion.


Assuntos
Má Oclusão/epidemiologia , Obstrução Nasal/epidemiologia , Rinite/epidemiologia , Adolescente , Distribuição por Idade , Criança , Pré-Escolar , Comorbidade , Feminino , Humanos , Masculino , Má Oclusão/diagnóstico , Má Oclusão/terapia , Obstrução Nasal/diagnóstico , Obstrução Nasal/terapia , Prevalência , Prognóstico , Rinite/diagnóstico , Rinite/terapia , Medição de Risco , Distribuição por Sexo
20.
Rev. Odontol. Araçatuba (Impr.) ; 39(2): 47-53, maio/ago. 2018. ilus
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-913521

RESUMO

A mordida cruzada anterior é uma maloclusão, na qual ocorre um relacionamento vestibulolingual anormal entre os incisivos superiores e inferiores. O diagnóstico precoce realizado pelo odontopediatria evita o comprometimento estético e funcional do sistema estomatognático ao longo do crescimento infantil. Alterações das bases ósseas, musculares, dentárias, traumatismo, perda precoce de dentes decíduos, hábitos de sucção e postura são considerados fatores etiológicos. A atenção precoce do odontopediatra na identificação da mordida cruzada anterior deve ser pautada na experiência e embasamento científico. O organismo infantil em crescimento sugere neste momento pequenas intervenções, as quais podem impactar em resultados futuros valiosos para a promoção de saúde e qualidade de vida do paciente infantil. O tratamento desta maloclusão deve ser iniciado tão logo a alteração seja identificada, e para isso é essencial a identificação e classificação clínica da maloclusão. Atualmente conta-se com diversos dispositivos ortodônticos, de indicações variadas para o tratamento precoce da maloclusão. O odontopediatra, por ser o profissional que atua em dentições decíduas e mistas deve estar apto a exercer a intervenção ortodôntica precocemente para reestabelecer a saúde e promover qualidade de vida ao pequeno paciente(AU)


The anterior crossbite is a malocclusion, in which an abnormal vestibulolingual relationship occurs between the upper and lower incisors. The early diagnosis performed by pediatric dentistry avoids the aesthetic and functional impairment of the stomatognathic system throughout child growth. Alterations of bone, muscle, dental bases, trauma, early loss of deciduous teeth, sucking habits and posture are considered etiological factors of this malocclusion. The early attention of the pediatric dentist in the identification of malocclusion should be based on experience and scientific background. The growing infant organism at this time suggests small interventions, which may impact valuable future outcomes for oral and general health promotion. The treatment of this malocclusion should be started as soon as the alteration is identified, and for this the identification and clinical classification of the malocclusion is essential. Several orthodontic devices are currently available, with varied indications for the early treatment of malocclusion. The pediatric dentist, because he is the professional that works in deciduous and mixed dentitions, must be able to exert orthodontic intervention early to restore health and promote quality of life for the small patient(AU)


Assuntos
Humanos , Feminino , Pré-Escolar , Odontólogos , Má Oclusão/diagnóstico , Má Oclusão , Odontopediatria , Sistema Estomatognático
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