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1.
Rev. Flum. Odontol. (Online) ; 2(67): 213-224, mai-ago.2025. ilus
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-1577010

RESUMO

As drogas utilizadas para prevenção de convulsões podem impactar na movimentação dentária durante o tratamento ortodôntico. O objetivo deste estudo foi avaliar a influência de drogas anticonvulsivantes no tratamento ortodôntico. O desenho deste estudo é uma revisão narrativa da literatura onde uma busca eletrônica foi realizada sem restrição de idioma e data em três bases de dados (PubMed via MEDLINE, SCOPUS e BVS). Foram utilizados os seguintes termos para o PubMed e BVS: anticonvulsants drugs AND orthodontic movement e para o SCOPUS: anticonvulsants AND drugs AND orthodontic AND movement. Uma pesquisa complementar foi realizada nas referências bibliográficas dos estudos incluídos. Os artigos indicaram que o uso de medicação anticonvulsivante favorece o desenvolvimento de hiperplasias gengivais, xerostomia e alterações no metabolismo ósseo que modulam a taxa de movimentação ortodôntica. Dentro das limitações desta revisão, concluiu-se que não há contraindicações para tratamento ortodôntico em pacientes utilizando anticonvulsivantes, no entanto os ortodontistas devem estar cientes dos potenciais efeitos adversos advindos do uso desses medicamentos para que possam adotar medidas para mitigar esses riscos.


Drugs used to prevent seizures can have an impact on tooth movement during orthodontic treatment. This study aimed to evaluate the influence of anticonvulsant medications on orthodontic treatment. The design of this study is a narrative literature review in which an electronic search was carried out without language or date restriction in three databases (PubMed/MEDLINE, SCOPUS, and BVS). The following terms were used for PubMed and BVS: anticonvulsants drugs AND orthodontic movement and SCOPUS: anticonvulsants AND drugs AND orthodontic AND movement. A complementary search was carried out on the bibliographical references of the included studies. The articles indicated that using anticonvulsant medication favors the development of gingival hyperplasia, xerostomia, and alterations in bone metabolism that modulate the rate of orthodontic movement. Within the limitations of this review, it was concluded that there is no contraindication for orthodontic treatment in patients using anticonvulsants. However, orthodontists should be aware of the potential adverse effects arising from the use of these drugs so that they can adopt measures to minimize these risks.


Assuntos
Aparelhos Ortodônticos , Ortodontia , Terapêutica , Anticonvulsivantes
2.
BMC Oral Health ; 24(1): 1375, 2024 Nov 14.
Artigo em Inglês | MEDLINE | ID: mdl-39543622

RESUMO

BACKGROUND: Although malocclusion is the third most prevalent oral health condition, orthodontics is not part of the minimum list of mandatory specialties to be offered in the Dental Specialty Centers of the Brazilian public health system, but rather as optional. Since the acknowledgment of this field as a part of the Brazilian Unified Health System (SUS), access to orthodontic procedures has become optional by municipal governments. Therefore, this study analyzed the evolution of orthodontic procedure provision within SUS from 2011 to 2022. METHODOLOGY: We conducted a retrospective observational study of time series analysis trends on the number of orthodontic procedures and municipalities offering them. The presentation of findings followed the recommendations of the Reporting of Studies Conducted using Observational Routinely Collected Data. Secondary data from 2011 to 2022 were collected from the SUS Department of Informatics. Orthodontic procedures were organized by year, region, state, and municipality. The study applied descriptive analyses, and the Prais-Winsten generalized linear regressions for time series analysis. RESULTS: The quantity of municipalities offering orthodontic procedures have shown a small increasing during period analyzed (from 128 to 157). Northeast and South macro-regions have increased consistently the municipalities with orthodontic offering. All regions showed stable trends for each procedure, except for the South, which exhibited increasing rates of space maintainer placement (Annual Percentage Change (APC): 72.95; 95% CI: 31.6, 127.3) and maintenance sessions (APC: 15.40; 95% CI: 4.5, 27.5). The study showed decreasing trends for appliance removal in the South (APC: -38.07; 95% CI: -47.1, -27.5) and Northeast (APC: -25.19; 95% CI: -36.5, -11.9) regions. CONCLUSION: From 2011 to 2022, there was a small increase in number of municipalities offering orthodontic procedures in the Brazilian public health system, in addition to a stationary trend for almost all types of procedures.


Assuntos
Ortodontia , Brasil , Humanos , Estudos Retrospectivos , Ortodontia/estatística & dados numéricos , Ortodontia/tendências , Programas Nacionais de Saúde/estatística & dados numéricos , Má Oclusão/epidemiologia , Má Oclusão/terapia
3.
Dental Press J Orthod ; 29(4): e2424102, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39230111

RESUMO

OBJECTIVE: To report and rank orthodontic finishing errors recorded in the clinical phase of the Brazilian Board of Orthodontics and Dentofacial Orthopedics (BBO) examination and correlate pretreatment case complexity with orthodontic treatment outcomes. MATERIALS AND METHODS: This single-center cross-sectional survey collected retrospective data from the clinical phase of BBO examinations between 2016 and 2023. The quality of orthodontic clinical outcomes of each case was assessed by means of the Cast-Radiograph Evaluation (CRE), while case complexity was evaluated using the Discrepancy Index (DI), both tools provided by the American Board of Orthodontics. Survey items were analyzed using descriptive statistics, and a correlation analysis between total CRE and DI scores (p<0.05) was also performed. RESULTS: A total of 447 orthodontic records was included. Orthodontic finishing errors were often observed, and no case was completely perfect. In the total CRE score, an average of 15 points was discounted for each case. Most frequently found issues involved problems with alignment, buccolingual inclination, marginal ridge, and occlusal relationship. The median DI score for initial case complexity was 22.0 (range 10.0 - 67.0). There was no significant correlation between the DI and CRE scores (p=0.106). CONCLUSION: Orthodontic finishing errors are inevitable, even in well-finished board-approved cases. Rotation, excessive buccolingual inclination, and discrepancies in marginal ridges are the most frequently observed areas of concern, in that order. Moreover, while case complexity, determined by DI, can impact orthodontic planning and pose challenges for clinicians, the study did not consider it a determining factor in predicting treatment outcomes.


Assuntos
Ortodontia , Humanos , Estudos Transversais , Estudos Retrospectivos , Brasil , Ortodontia Corretiva , Conselhos de Especialidade Profissional , Má Oclusão/classificação , Má Oclusão/terapia , Má Oclusão/diagnóstico por imagem , Feminino , Masculino
4.
Rev. Flum. Odontol. (Online) ; 3(65): 143-156, set-dez.2024. ilus, tab
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-1567951

RESUMO

O avanço tecnológico revolucionou a prática odontológica, com os alinhadores ortodônticos emergindo como uma escolha altamente popular entre pacientes que buscam tratamentos estéticos e confortáveis. No entanto, apesar de sua crescente demanda, permanecem questões cruciais relacionadas à eficácia e análise dimensional desses dispositivos. Este artigo oferece uma análise abrangente das características químicas, físicas e mecânicas dos alinhadores ortodônticos, iluminando a influência vital do processo de termoformação e da espessura nas propriedades desses materiais. Compreender profundamente essas características é essencial para aprimorar a eficácia e a durabilidade dos alinhadores ortodônticos, contribuindo, assim, para o sucesso e a evolução dos tratamentos ortodônticos modernos. Neste estudo, exploraremos: 1) as propriedades químicas dos materiais e como elas afetam a biocompatibilidade e a resistência à degradação; 2) as características físicas, incluindo textura de superfície, transparência e sua influência na adaptação bucal e no conforto do paciente; 3) as propriedades mecânicas, como flexibilidade e rigidez, e como essas características afetam a distribuição de forças de movimentação dentária; 4) a influência do processo de termoformação na precisão e reprodutibilidade dos alinhadores, bem como sua relação com a qualidade do tratamento; 5) a análise crítica da espessura dos alinhadores e seu papel na capacidade de aplicar forças adequadas para a movimentação dentária. Ao abordar esses aspectos, este artigo visa oferecer uma visão holística das complexidades envolvidas na fabricação e uso de alinhadores ortodônticos. Esperamos que esta revisão contribua para uma compreensão mais profunda desses dispositivos e promova avanços significativos na ortodontia, beneficiando tanto os profissionais quanto os pacientes.


Technological advancement has revolutionized dental practice, with orthodontic aligners emerging as a trendy choice among patients seeking aesthetic and comfortable treatments. However, despite their growing demand, crucial questions remain regarding these devices' effectiveness and dimensional analysis. This article offers a comprehensive analysis of the chemical, physical, and mechanical characteristics of orthodontic aligners, illuminating the vital influence of the thermoforming process and thickness on the properties of these materials. Understanding these characteristics in depth is essential to improving the effectiveness and durability of orthodontic aligners, thus contributing to the success and evolution of modern orthodontic treatments. In this study, we will explore 1) the chemical properties of materials and how these properties affect biocompatibility and resistance to degradation; 2) the physical characteristics, including surface texture, transparency and their influence on oral adaptation and patient comfort; 3) mechanical properties, such as flexibility and stiffness, and how these characteristics affect the distribution of tooth movement forces; 4) the influence of the thermoforming process on the precision and reproducibility of the aligners, as well as its relationship with the quality of the treatment; 5) critical analysis of aligner thickness and its role in the ability to apply adequate forces for tooth movement. By addressing these aspects, this article aims to offer a holistic view of the complexities involved in manufacturing and using orthodontic aligners. We hope this review will contribute to a deeper understanding of these devices and promote significant advances in orthodontics, benefiting professionals and patients.


Assuntos
Aparelhos Ortodônticos Removíveis , Ortodontia , Técnicas de Movimentação Dentária , Torção Mecânica , Fenômenos Químicos
5.
Medisan ; 28(4): [1-10], ago. 2024. ilus
Artigo em Espanhol | LILACS, CUMED | ID: biblio-1582770

RESUMO

Se presenta el caso clínico de una adolescente de 18 años de edad, quien se accidentó en una motocicleta y fue remitida a la Escuela de Medicina Dental de la ciudad de Torreón, Estado Coahuila de México para la colocación de implantes dentarios. El tratamiento ortodóncico incluyó 2 fases: inicial, con la instalación de una prótesis parcial removible provisional y correctiva, donde se colocó una aparatología fija superior e inferior mediante la técnica de Roth. Con este tratamiento fueron corregidas la maloclusión, la ausencia dentaria y la pérdida ósea. Se logró una transmigración dentaria y a los 22 meses de evolución, la paciente alcanzó una oclusión funcional.


The case report of an 18 years adolescent is presented, who had an accident in a motorcycle and she was referred to the Dental Medicine School of Torreón city, Coahuila State in Mexico, for the placement of dental implants. The orthodontic treatment included 2 phases: initial, with the installation of a removable, provisional and corrective partial denture, where an upper and lower fixed appliance was placed using the Roth technique. Malocclusion, tooth absence and bone loss were corrected with this treatment. A dental transmigration was achieved and after 22 months of evolution, the patient achieved a functional occlusion.


Assuntos
Adolescente , Traumatismos Dentários , Ortodontia , Implantes Dentários , Estética Dentária
6.
Int. j interdiscip. dent. (Print) ; 17(2): 97-101, ago. 2024. tab, ilus, graf
Artigo em Espanhol | LILACS | ID: biblio-1569242

RESUMO

Introducción: El ángulo ANB de Steiner entrega la relación entre el maxilar y la mandíbula en sentido anteroposterior y es una de las medidas cefalométricas más aplicadas en ortodoncia. Su identificación precisa podría presentar dificultades, influyendo directamente en el posterior estudio cefalométrico, diagnóstico y plan de tratamiento. El objetivo de esta investigación fue comparar la medición del ángulo ANB de Steiner entre estudiantes de pregrado de odontología y postítulo de ortodoncia de la Facultad de Odontología de la Universidad de Chile 2020. Materiales y Métodos: Por medio del programa Adobe Photoshop CS6 (Adobe System ®), se solicitó a los estudiantes la identificación de los puntos Nasion, A y B en 5 telerradiografías laterales de cráneo. Al aplicar los criterios de inclusión y exclusión se reclutaron 15 estudiantes de cada grupo. Luego se unieron los puntos mediante trazados, se midió el ángulo ANB de Steiner y se utilizó el coeficiente de correlación intraclase (ICC) para determinar el grado de acuerdo. Resultados: Se encontró un coeficiente de correlación intraclase ICC promedio de 0.97 entre ambos grupos de estudiantes. Conclusión: No hay diferencia estadística en la determinación del ángulo ANB de Steiner entre estudiantes de pregrado de odontología y postítulo de ortodoncia.


Background: The Steiner ANB angle measures the relationship between the maxilla and mandible in the anteroposterior direction and is one of the most applied cephalometric measurements in orthodontics. Its precise identification could pose difficulties, directly influencing the subsequent cephalometric study, diagnosis and treatment plan. The aim of this research was to compare the measurement of the Steiner ANB angle between dental student and postgraduate students in orthodontics from the Faculty of Dentistry of the University of Chile 2020. Materials and Methods: Using the Adobe Photoshop CS6 program (Adobe System ®), the students were asked to identify the Nasion, A and B points in 5 lateral cephalogram of the skull. By applying the inclusion and exclusion criteria, 15 students were recruited from each group. The points were then joined by tracing, the Steiner ANB angle was measured, and the intraclass correlation coefficient (ICC) was used to determine the degree of agreement. Results: An average ICC intraclass correlation coefficient of 0.97 was found between both groups of students. Conclusion: T here is no statistical difference in the determination of the Steiner ANB angle between undergraduate students of dentistry and postgraduate students of orthodontics.


Assuntos
Humanos , Cefalometria/métodos , Má Oclusão/diagnóstico por imagem , Mandíbula/diagnóstico por imagem , Maxila/diagnóstico por imagem , Ortodontia , Estudos Transversais , Mandíbula/anatomia & histologia , Maxila/anatomia & histologia
7.
Dent Med Probl ; 61(3): 427-438, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38958635

RESUMO

BACKGROUND: There are several publications that show the efficacy of surgical interventions in accelerating the rate of tooth movement in orthodontics. Consequently, possible adverse effects must also be evaluated. OBJECTIVES: The aim of the present study was to compare the perception of pain and root resorption between orthodontic treatment with a surgical acceleration intervention vs. conventional orthodontic treatment. MATERIAL AND METHODS: An electronic search was conducted in the MEDLINE, Scopus, Web of Science (WoS), ScienceDirect, Cochrane Library, and Virtual Health Library (VHL) databases up to September 12, 2022. Randomized or non-randomized, controlled, parallel-arm or split-mouth clinical trials were included. Fixed-and random-effects meta-analyses were performed with regard to heterogeneity. The risk of bias (RoB) was assessed using the RoB 2.0 and ROBINS-I tools. RESULTS: A total of 1,395 articles were initially retrieved, 40 studies were finally included in the review and 15 studies were eligible for quantitative analysis. The meta-analysis showed a significant difference in pain perception between acceleration surgery vs. conventional orthodontics at 24 h (p = 0.040); however, this difference was not significant at 7 days (p = 0.080). Overall, the patients who underwent any acceleration procedure presented significantly less resorption as compared to those who were applied conventional treatment (p < 0.001). A similar significant difference was found in retraction movements (p < 0.001) and alignment movements (p = 0.030). CONCLUSIONS: In the first 24 h, surgical interventions for the acceleration of tooth movement produce a greater perception of pain as compared to conventional orthodontic treatment, but the perception is similar after 7 days. Acceleration surgery results in less root resorption - in alignment movements, and especially in retraction movements.


Assuntos
Reabsorção da Raiz , Técnicas de Movimentação Dentária , Humanos , Técnicas de Movimentação Dentária/efeitos adversos , Reabsorção da Raiz/etiologia , Ortodontia
8.
Dental Press J Orthod ; 29(2): e242370, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38865516

RESUMO

INTRODUCTION: Soft skills represent a range of personal skills, attitudes and characteristics relevant to success and adequate work performance. OBJECTIVE: This study aimed to evaluate the knowledge and usage of soft skills in Orthodontics. METHODS: The participants answered a questionnaire containing 27 objective questions on awareness and frequency of soft skills in their professional activities. Participants were also asked to rank the soft skills in a crescent order of importance. The sample was divided into subgroups: A) residents in Orthodontics; B) orthodontists with less than 5 years of experience and C) orthodontists with more than 5 years of experience. Intergroup comparisons were performed using the Kruskal-Wallis test. Sexual differences were compared using Mann-Whitney test (p< 0.05). RESULTS: The sample of this observational study comprised 129 experienced orthodontists and residents in Orthodontics (92 women, 37 men) with mean age of 35.3 years. From the total sample, 54,6% of respondents reported no previous instructions on soft skills. All respondents reported using the analyzed soft skills with a similar frequency (median 4-5). Residents reported accessing reliable sources in bibliographic research less frequently (46%). Female orthodontists reported to seek help from teachers and other professionals more often than males. Ethics and communication were frequently ranked as the most important soft skills. Information management and leadership were frequently less ranked as important soft skills. CONCLUSION: Poor knowledge of soft skills was demonstrated by residents and orthodontists. Communication skill was highly used and frequently ranked as the most important soft skill.


Assuntos
Competência Clínica , Internato e Residência , Ortodontia , Ortodontistas , Humanos , Feminino , Masculino , Ortodontia/educação , Adulto , Inquéritos e Questionários
9.
Dental Press J Orthod ; 29(2): e242401, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38865517

RESUMO

OBJECTIVE: This bibliometric study aimed to analyze the citation metrics, journal and author characteristics, and subject domains of the 100 top-cited Systematic Reviews (SR) and Meta-Analysis (MA) in orthodontics. MATERIAL AND METHODS: An electronic database search was conducted for SR and MA in the Web of Science on 16th July 2023, without language and time restrictions. Of the 802 hits returned, the 100 top-cited orthodontic articles were shortlisted. They were analyzed for citation metrics, journal characteristics (journal, year of publication, impact factor-IF), author and affiliation characteristics (number, primary and corresponding author's affiliation, and country), study domain, and keywords. RESULTS: These articles were published from 1996 to 2021 in 20 journals, with an impact factor of 1.9 to 10.5, by 351 researchers affiliated with 104 universities. Their citations ranged from 45 to 344, and 34 poised to be classified as classic (≥ 100 citations). The maximum number of articles was published in the American Journal of Orthodontics and Dentofacial Orthopedics (n=38), the European Journal of Orthodontics (n=18), and the Angle Orthodontist (n=8). The authors for individual papers ranged from 1 to 10, with 5 being the most common (n=58). Europe had the highest contribution regarding the number of corresponding authors, institutions, and citations. Bone anchorage and orthodontic tooth movement/Biomechanics were the most frequently researched domains (n=11 each). The most common keyword used was Orthodontics (n=19), followed by Systematic Review (n=16) and Meta-analysis (n=9). CONCLUSION: In general, the top cited SR and MA were published in high-impact orthodontic journals, were multi-authored, and reflected the collaborative work from different universities.


Assuntos
Bibliometria , Ortodontia , Revisões Sistemáticas como Assunto , Humanos , Fator de Impacto de Revistas , Metanálise como Assunto , Publicações Periódicas como Assunto/estatística & dados numéricos
10.
Int. j. odontostomatol. (Print) ; 18(2): 219-225, jun. 2024. ilus, tab
Artigo em Inglês | LILACS | ID: biblio-1564643

RESUMO

The aim of this study was to evaluate the effectiveness of motivational interviewing on improving oral hygiene behavior in patients with fixed orthodontics appliances. A parallel-group randomized clinical trial was conducted with 45 patients of the Orthodontic Clinic of Unibe's Postgraduate Unit. A computer-generated list of numbers created with SPSS V21.0 was used to randomly allocate participants into the experimental or the control group. Monthly oral hygiene instructions and an oral hygiene kit from GUM® with special orthodontic hygiene tools were given to the participants. Furthermore, the experimental group underwent motivational interviewing sessions facilitated by a periodontist who received training from two expert psychologists. These psychologists also provided supervision to the interviewer, ensuring the accurate implementation of the intervention. Simplified Oral Hygiene Index (SOHI), Gingival Index (GI), Periodontal Probing Depth (PPD) and Bleeding on Probing (BoP) were recorded at baseline, three and six months after the beginning of the study. The participant and the evaluator (another periodontist who recorded the data) were masked. Repeated-measures mixed- model analysis of variance and chi-squared test were conducted. Mean SOHI, GI, PPD and BoP scores did not differ significantly across the three time points (baseline, three and six months). Nevertheless, a significant interaction on SOHI scores (F (2, 58) = 3.463, p = .038, h2 = .052) was found between the sessions and the treatment conditions (experimental vs control group) at the third and sixth month. Motivational interviewing plus oral hygiene instructions appears to maintain a better control of dental biofilm and calculus in comparison with conventional oral hygiene instructions alone.


El objetivo de este trabajo fue evaluar la efectividad de las entrevistas motivacionales para mejorar el comportamiento de higiene oral en pacientes con aparatos ortodóncicos fijos. Se llevó a cabo un ensayo clínico aleatorizado de grupos paralelos con 45 pacientes de la Clínica de Ortodoncia de la Unidad de Posgrado de Unibe. Se utilizó una lista de números generada por computadora con SPSS V21.0 para asignar aleatoriamente a los participantes al grupo experimental o de control. Se les proporcionó a los participantes instrucciones mensuales de higiene oral y un kit de higiene oral de GUM® con utensilios de higiene especiales para ortodoncia. Además, el grupo experimental recibió sesiones de entrevista motivacional facilitadas por un periodoncista capacitado por dos psicólogas expertas. Estas psicólogas también supervisaron al entrevistador, asegurando la implementación precisa de la intervención. Se registró el Índice Simplificado de Higiene Oral (IHO-S), el Índice Gingival (IG), la Profundidad de Sondaje Periodontal (PS) y el Sangrado al Sondaje (SS) al inicio, a los tres y seis meses después del inicio del estudio. Tanto el participante como el evaluador (otro periodoncista que registró los datos) estaban enmascarados. Se realizaron análisis de varianza de medidas repetidas con modelo mixto y pruebas de chi-cuadrado. Las puntuaciones medias del IHO-S, IG, PS y SS no difirieron significativamente en los tres momentos (inicio, tres y seis meses). Sin embargo, se encontró una interacción significativa en las puntuaciones del IHO-S (F (2, 58) = 3.463, p = .038, h2 = .052) entre las sesiones y las condiciones de tratamiento (grupo experimental vs grupo de control) en el tercer y sexto mes. Las entrevistas motivacionales junto con las instrucciones de higiene oral parecen mantener un mejor control de la biopelícula dental y el cálculo en comparación con las instrucciones convencionales de higiene oral por sí solas.


Assuntos
Humanos , Ortodontia/métodos , Aparelhos Ortodônticos Fixos , Higiene Bucal , Índice Periodontal , Entrevista Motivacional , Cooperação e Adesão ao Tratamento , Duração da Terapia , Modelo Transteórico , Fatores Sociodemográficos
11.
Int. j. odontostomatol. (Print) ; 18(2): 206-213, jun. 2024. ilus, tab
Artigo em Espanhol | LILACS | ID: biblio-1564641

RESUMO

El objetivo de este estudio fue describir las alternativas terapéuticas ortodóncico-quirúrgicas más utilizadas en la actualidad para el manejo de la displasia cleidocraneal en pacientes en crecimiento. Se realizó una búsqueda de literatura durante mayo de 2023 en las bases de datos Pubmed, Epitemonikos, Dentistry & Oral Sciences Source y LILACS sobre reporte de casos que presentaran estrategias de tratamiento ortodóncico-quirúrgico en pacientes menores de 18 años con displasia cleidocraneal. Seis artículos cumplieron con los criterios de inclusión. De ellos se obtuvieron siete reportes de casos. Las edades de los pacientes fluctúan entre los 10 y 16 años. Las estrategias de tratamiento consisten en al menos dos etapas de tratamiento ortodóncico quirúrgicas que involucran la extracción de dientes primarios y supernumerarios y la exposición quirúrgica de dientes permanentes retenidos para permitir su erupción y/o su tracción ortodóncica. Algunos casos son finalizados con cirugía Ortognática (Osteotomía Le Fort I de avance maxilar). La extracción de dientes primarios y supernumerarios, fenestración y tracción ortodóncica de los dientes permanentes retenidos y la cirugía ortognática al finalizar el crecimiento (cuando sea necesario) se propone actualmente como la mejor alternativa terapéutica para el tratamiento de pacientes con displasia cleidocraneal.


The objective of this study was to describe the orthodontic-surgical therapeutic alternatives most used nowadays, for the management of CCD in growing patients. A literature search for case reports was carried out through May, 2023 in PubMed, Epitemonikos, Dentistry & Oral Sciences Source and LILACS databases. We included case reports that presented complete orthodontic-surgical treatment strategies in patients with DCC under 18 years of age. Six articles met the inclusion criteria and seven case reports were identified. The age of cases ranged from 10 to 16 years. Treatment strategies consisted of at least two stages of surgical orthodontic treatment involving extraction of primary and supernumerary teeth and surgical exposure of impacted permanent teeth to allow spontaneous eruption or orthodontic traction. Some cases were completed with orthognathic surgery. Extraction of primary and supernumerary teeth, fenestration and orthodontic traction of retained permanent teeth and orthognathic surgery at the end of growth (when necessary) is currently proposed as the best therapeutic alternative for the treatment of patients with DCC.


Assuntos
Humanos , Criança , Adolescente , Crânio , Displasia Cleidocraniana/diagnóstico , Ortodontia , Adenoidectomia , Displasia Cleidocraniana/cirurgia , Displasia Cleidocraniana/terapia , Crescimento/fisiologia
12.
Int. j interdiscip. dent. (Print) ; 17(1): 11-14, abr. 2024. tab
Artigo em Espanhol | LILACS | ID: biblio-1558088

RESUMO

Este Estudio tuvo por objetivo determinar la incidencia de reabsorción radicular externa en premolares superiores e inferiores permanentes al finalizar el tratamiento de ortodoncia. Esta investigación fue realizada en pacientes entre 18 y 35 años que recibieron tratamiento de ortodoncia, sin extracciones, con técnica de autoligado en la ciudad de Guadalajara. Se consideraron 120 premolares, realizando mediciones longitudinales en las tomografías computarizadas de haz cónico al inicio y término del tratamiento. Utilizando el software Implant Viewer 3. Los valores registrados en el primer y segundo premolar superior tanto del lado derecho como izquierdo al inicio y término del tratamiento fluctuaron entre -4.946 y -7.801; p ≤ 0.0005 encontrándose diferencias estadísticas significativas. Mientras que en el primer y segundo premolar inferior tanto del lado derecho como izquierdo, fluctuaron entre -4.864 y -5.28; p ≤ 0.0005 encontrándose diferencias estadísticas significativas. Se concluye en este estudio que los dientes sometidos a movimientos durante el tratamiento de ortodoncia sufren modificaciones en el contorno de la raíz, cambios con consecuencias mínimas que no comprometen la funcionalidad del diente. Los premolares superiores presentaron mayores rangos de reabsorción radicular que los premolares inferiores.


The aim of this study is to determine the incidence of root resorption in permanent upper and lower premolars at the end of an orthodontic treatment. This research was carried out in patients aged between 18 and 35 years old who received orthodontic treatment, without extractions, with a self-ligating technique in the city of Guadalajara, Mexico. In this study, 120 premolars were considered, making longitudinal measurements with cone beam computed tomography at the beginning and the end of the treatment, using the Implant Viewer 3 software. The values recorded in the upper first and second premolars on both the right and left sides at the beginning and the end of the treatment fluctuated between -4.946 and -7.801; p ≤ 0.0005, finding statistically significant differences. In the lower first and second premolars on both the right and left sides, they fluctuated between -4.864 and -5.28; p ≤ 0.0005, also finding statistically significant differences. It is concluded that teeth subjected to movements during orthodontic treatment suffer modifications in the contour of the root, changes with minimal consequences that do not compromise their functionality. The upper premolars showed higher ranges of root resorption than the lower premolars.


Assuntos
Humanos , Adolescente , Adulto , Ortodontia , Reabsorção da Raiz , Dente Pré-Molar , Tomografia Computadorizada por Raios X
13.
BMC Oral Health ; 24(1): 292, 2024 Mar 02.
Artigo em Inglês | MEDLINE | ID: mdl-38431544

RESUMO

BACKGROUND: Patients experiencing any malocclusion, may desire for treatment. However, there is no scientific information orthodontic treatment demand and the knowledge of young adults about orthodontic treatment. The aim of the study was to assess orthodontic treatment demand in young adults from Poland and Chile, their previous orthodontic experience and their knowledge on fixed and aligner orthodontic treatment. METHODS: The target group comprised people aged 18-30. The sample size was estimated as above 400 for each country. The survey was carried out in Polish and Spanish within 3 months and consisted of 25 questions delivered via social media. Comparisons were made between countries, age subgroups and gender. RESULTS: The response rate was 1,99%, what stands for 1092 responses, 670 from Chile and 422 from Poland, respectively. The percentage of young adults who were already treated was 42,9% in Poland and 25,0% in Chile. The ones planning to have orthodontic treatment within a year counted for 11,8% in Poland and 5,3% in Chile. Most young adults who want to be treated (20,6%) rely on doctor's recommendation on type of appliance while 14,7% of all respondents are interested solely in aligners. Most respondents have heard about aligners (58%). Direct provider-to-customer service without a doctor is not acceptable, neither in Poland (85,1%) nor in Chile (64,8%). Most young adults provided incorrect answers referring various aspects of aligner treatment. CONCLUSIONS: In both countries, patients demand to be treated and monitored by the orthodontist. A high percentage of patients want to be treated exclusively with aligners. Direct-to-consumer orthodontics does not seem attractive to patients. Young adults do not have adequate knowledge referring to aligner treatment. Many people want to be treated despite a previous orthodontic treatment.


Assuntos
Má Oclusão , Aparelhos Ortodônticos Removíveis , Ortodontia , Humanos , Adulto Jovem , Má Oclusão/terapia , Europa (Continente) , Chile , Inquéritos e Questionários
14.
Int. j. odontostomatol. (Print) ; 18(1): 117-126, mar. 2024. tab, ilus
Artigo em Espanhol | LILACS | ID: biblio-1558166

RESUMO

El presente reporte tiene como objetivo presentar de manera secuencial y visual la protracción maxilar de un paciente clase III esqueletal, utilizando el protocolo BAMP. Una vez realizado el análisis clínico del caso se decidió realiza un tratamiento ortopédico a través del uso de miniplacas de titanio con elásticos intermaxilares de clase III siguiendo el protocolo BAMP, junto a un tratamiento ortodóncico dento alveolar con aparatología fija bimaxilar prescripción Roth 0.22" Mini sprint forestadent. Se observa el éxito del enfoque interceptivo utilizando el protocolo BAMP. Este enfoque logró reducir tanto el tiempo como la complejidad del tratamiento ortodóncico, y también disminuyó la necesidad de someterse a una cirugía ortognática en la edad adulta. El tratamiento BAMP, diseñado para ciertas edades y crecimiento, se demostró exitoso en un paciente de 12 años sin potencial de crecimiento. Las miniplacas como anclaje son efectivas para protracción maxilar en varios casos, aunque se necesita seguimiento y educación postquirúrgica. Se recomienda retirar las miniplacas cuando no sean necesarias, adaptando el protocolo a cada paciente. En resumen, el tratamiento con miniplacas es eficaz para corregir anomalías Clase III esqueléticas.


The present report aims to sequentially and visually present the maxillary protraction of a Class III skeletal patient using the BAMP protocol. After conducting a clinical analysis of the case, it was decided to perform orthopedic treatment using titanium miniplates with Class III intermaxillary elastics following the BAMP protocol, in conjunction with dentoalveolar orthodontic treatment using fixed bimaxillary appliances with Roth prescription 0.022" Mini Sprint Forestadent. The success of the interceptive approach using the BAMP protocol is observed. This approach managed to reduce both the time and complexity of orthodontic treatment and also decreased the need for orthognathic surgery in adulthood. The BAMP treatment, designed for specific ages and growth stages, proved successful in a 12-year-old patient without growth potential. Miniplates as anchorage are effective for maxillary protraction in various cases, although post-surgical follow-up and education are required. It is recommended to remove the miniplates when they are no longer necessary, adapting the protocol to each patient. In summary, miniplate treatment is effective in correcting Class III skeletal anomalies.


Assuntos
Humanos , Masculino , Criança , Procedimentos de Ancoragem Ortodôntica/métodos , Má Oclusão , Ortodontia/métodos , Radiografia Panorâmica , Fotografia Dentária , Má Oclusão Classe III de Angle , Maxila/cirurgia
15.
Rev. ABENO (Online) ; 24(1): 1962, 20 fev. 2024. tab
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-1581261

RESUMO

O objetivo deste estudo foi validar um manual para o aprendizado em cefalometria em um curso de graduação em Odontologia privado. Trata-se de um estudo metodológicocom abordagem quantitativa e qualitativa, realizado em quatro fases. As três primeiras fases tiveram aplicação de questionário em escala Likert, para mensurar o Índice de Validade de Conteúdo (IVC). A quarta fase teve abordagem qualitativa e foi realizadapor meio de entrevista com um roteiro semiestruturado. A pesquisa teve 46 participantes, sendo 4 ex-monitores, 32 estudantes de graduação e 10 pós-graduandos em Ortodontia. Os dados numéricos foram analisados por meio de percentuais a partir do cálculo do IVC e os trechos com as respostas das entrevistas por meio da técnica de análise de conteúdo. Na fase um, realizada com ex-monitores, todos os participantes (n=4;100%) apontaram a aplicabilidade do manual. Na fase dois, com graduandos, 22 participantes (68,7%) indicaram o manual como facilitador da aprendizagem. Na fase três, com pós-graduandos,oito (80%) apontaram que o manual terá utilidade profissional. Os resultados das fases quantitativas apontaram o manual como facilitador do processo de ensino-aprendizagem (n =46; 78,2%), com aplicabilidade na graduação (n =42; 91,3%); e útil para o profissional (n =42; 91,3%). Da fase quatro, emergiram três categorias temáticas: integração do conteúdo ao curso; compreensão simplificada; e importância para o futuro. Ao final do processo, omanual foi validado como material didático e será utilizado como uminstrumento facilitador do alcance dos objetivos de aprendizagem e fonte de consulta na área (AU).


El objetivo de este estudio fue validar un manual para el aprendizaje de cefalometría en una carrera privada de Odontología. Se trata de un estudio metodológico con enfoque cuantitativo y cualitativo, realizado en cuatro fases. Las tres primeras fases implicaron la aplicación de un cuestionario en escala Likert, para medir el Índice de Validez de Contenido (CVI). La cuarta fase tuvo un enfoque cualitativo y se realizó a través de entrevistas con un guión semiestructurado. La investigación contó con 46 participantes, entre ellos 4 ex monitores, 32 estudiantes de pregrado y 10 estudiantes de posgrado en Ortodoncia. Los datos numéricos se analizaron mediante porcentajes basados en el cálculo del CVI y los extractos de las respuestas de la entrevista mediante la técnica de análisis de contenido. En la primera fase, realizada con ex monitores, todos los participantes (n=4; 100%) destacaron la aplicabilidad del manual. En la segunda fase, con estudiantes universitarios, 22 participantes (68,7%) señalaron el manual como facilitador del aprendizaje. En la fase tres, con estudiantes de posgrado, ocho (80%) indicaron que el manual sería de utilidad profesional. Los resultados de las fases cuantitativas apuntaron al manual como facilitador del proceso de enseñanza-aprendizaje (n =46; 78,2%), con aplicabilidad en la graduación (n =42; 91,3%); y útil para el profesional (n =42; 91,3%). De la cuarta fase surgieron tres categorías temáticas: integración de contenidos al curso; comprensión simplificada; e importancia para elfuturo. Al final del proceso, el manual fue validado como material didáctico y será utilizado como instrumento para facilitar el logro de los objetivos de aprendizaje y fuente de consulta en el área (AU).


This study aimed to validate a manual for learning cephalometry in a private undergraduate Dentistry course. This methodological study had quantitative and qualitative approaches and was conducted in four phases. The first three phases involved the application of a Likert scale questionnaire to measure the Content Validity Index. The fourth phase had a qualitative approach and was conducted by interviews with a semi-structured script. The research had 46 participants, including 4 former teaching assistants, 32 undergraduate students, and 10 postgraduate students in Orthodontics. Numerical data were analyzed by percentages based on the validation index, and excerpts from interview responses were analyzed using content analysis. In the first phase, conducted with former teaching assistants, all participants (N=4; 100%) indicated applicability of the manual. In the second phase, with undergraduates, 22 participants (68.7%) identified the manual as a facilitator in learning. In the third phase, with postgraduates, eight (80%) mentioned that the manual would have professional utility. The results of quantitative phases indicated the manual as a facilitator of the teaching-learning process (N=46; 78.2%), with applicability in undergraduate education (N=42; 91.3%), and usefulness for professionals (N=42; 91.3%). Three thematic categories emerged from the fourth phase, confirming the quantitative results: integration of content intothe course; simplified understanding; and importance for the future. At completion of the process, the manual was validated as teaching material and will be used as a facilitating tool to achieve learning objectives and as a reference in the field (AU).


Assuntos
Humanos , Masculino , Feminino , Ortodontia , Estudantes de Odontologia , Cefalometria , Aprendizagem Baseada em Problemas/métodos , Materiais de Ensino , Inquéritos e Questionários , Pesquisa Qualitativa
16.
Orthod Craniofac Res ; 27(2): 193-202, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-37909862

RESUMO

The aims of this research were to investigate the methodological quality of systematic reviews on periodontal-orthodontic interactions (i.e. reviews of primary research broadly defined as any including both periodontic and orthodontic components) and to provide a mapping of the researched topics. We searched four major databases (PubMed, Lilacs, Web of Science, and Embase) for systematic reviews of periodontal-orthodontic interactions. We used the AMSTAR-2 tool (the acronym is derived from 'a measurement tool to assess systematic reviews') to assess the methodological quality of the included systematic reviews. Individual AMSTAR-2 ratings were tabulated, and the percentage per item was calculated. To assess the association between the AMSTAR-2 percentage score and the overall confidence in the systematic review results, an ordinal regression model was used. We initially retrieved 973 documents, and 43 systematic reviews were included. Systematic reviews of interventions were the most prevalent (n = 26, 60.5%). Most of the systematic reviews did not report a meta-analysis (n = 25, 58.1%). In addition, most of the studies included in the systematic reviews had an unclear or high risk of bias. Most of the systematic reviews were rated as having critically low or low overall confidence (n = 34, 79.1%). A significant correlation was found between the AMSTAR-2 percentage score and overall confidence in the results. The methodological quality of systematic reviews on periodontal-orthodontic interactions can be improved. The limitations of our study include potential language bias and an arbitrary classification of the topics researched.


Assuntos
Ortodontia , Periodontia , Humanos
17.
Pesqui. bras. odontopediatria clín. integr ; 24: e230074, 2024. tab, graf
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1558665

RESUMO

ABSTRACT Objective: To assess the methodological quality and characteristics of systematic reviews (SRs) of interventional studies in orthodontics and assess how the certainty of the evidence is reported using the GRADE approach. Material and Methods: Six electronic databases were searched, followed by a hand search of the reference lists of eligible studies (PROSPERO #CRD42020180852). The required study design was randomized and nonrandomized studies of interventions published between January 2019 and May 2020. The Assessing the Methodological Quality of Systematic Reviews (AMSTAR 2) tool was used for the quality appraisal of the included SRs. Paired reviewers independently screened the studies, extracted data, and appraised the methodological quality. Results: The study included 46 SRs; 19.5% had moderate to high methodological quality, and the remaining had low to critically low methodological quality. Fifty-four percent of the reviews assessed the certainty of evidence using the GRADE approach, and 34.8% followed all GRADE criteria. Conclusion: Most reviews had a good judgment of the AMSTAR2 items, although some critical items contributed to decreased overall quality. Half of the reviews used the GRADE approach to assess the certainty of the evidence, and this approach should be included in future systematic reviews of interventions.


Assuntos
Aparelhos Ortodônticos , Ortodontia , Revisões Sistemáticas como Assunto , Métodos
18.
Rev. Cient. CRO-RJ (Online) ; 8(3): 56-69, 2024.
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1581223

RESUMO

Objective: to evaluate the phenotypic characteristics of the mandible in Class III malocclusion in lateral cephalometric radiographs (LCR) and anteroposterior radiographs (APR). Materials and Methods: this is a retrospective observational study with a convenience sample. Individuals with Class III malocclusion were evaluated in 80 LCR (31 females and 49 males) and 70 APR (25 females and 45 males). In the control group, individuals with excellent occlusion were analyzed in 20 LCR and 20 APR (10 of each sex). The linear and angular measurements of the samples were tabled and submitted to the Shapiro-Wilk statistical test. Once their asymmetric distribution was known, the Mann-Whitney U test was selected for comparison between groups and sexes, in addition to Pearson's correlation coefficient test. Results: the length of the mandibular body, height of the ramus, height of the mandibular symphysis and alveolar processes, intercondylar distance, intergonion, and total length of the mandible were structural characteristics involved in the constitution of the skeletal disorder studied. Moreover, the spatial location of the mandible in relation to the maxilla and the base of the skull showed a strong influence on the configuration of this craniofacial disorder, evidenced by the protrusion of the mandible, an evident phenotype of the participation of this bone in Class III skeletal malocclusion. Conclusion: the involvement of structural and spatial characteristics of the mandible in relation to the maxilla and the cranial base in the constitution of Class III skeletal malocclusion was evident.


Objetivo: avaliar as características fenotípicas da mandíbula na má oclusão de Classe III em radiografias cefalométricas laterais (LCR) e radiografias anteroposteriores (APR). Materiais e Métodos: trata-se de um estudo observacional retrospectivo com amostra de conveniência. Indivíduos com má oclusão de Classe III foram avaliados em 80 LCR (31 mulheres e 49 homens) e 70 APR (25 mulheres e 45 homens). No grupo controle, foram analisados ​​indivíduos com excelente oclusão em 20 LCR e 20 APR (10 de cada sexo). As medidas lineares e angulares das amostras foram tabuladas e submetidas ao teste estatístico Shapiro-Wilk. Conhecida sua distribuição assimétrica, foi selecionado o teste U de Mann-Whitney para comparação entre grupos e sexos, além do teste do coeficiente de correlação de Pearson. Resultados: o comprimento do corpo mandibular, altura do ramo, altura da sínfise mandibular e dos processos alveolares, distância intercondilar, intergônio e comprimento total da mandíbula foram características estruturais envolvidas na constituição da desordem esquelética estudada. Além disso, a localização espacial da mandíbula em relação à maxila e à base do crânio apresentou forte influência na configuração desta desordem craniofacial, evidenciada pela protrusão da mandíbula, fenótipo evidente da participação deste osso na Classe III má oclusão esquelética. Conclusão: ficou evidente o envolvimento das características estruturais e espaciais da mandíbula em relação à maxila e à base do crânio na constituição da má oclusão esquelética de Classe III.


Assuntos
Humanos , Masculino , Feminino , Má Oclusão Classe III de Angle , Ortodontia , Fenótipo , Cefalometria , Mandíbula
19.
Braz. j. oral sci ; 23: e244785, 2024. ilus
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1580657

RESUMO

Digital technology offers many opportunities and challenges across various domains. Aim: This comprehensive review explores the transformative impact of digitalization on dental practices, encompassing digital Imaging, 3D printing, intraoral scanners, teledentistry, Artificial Intelligence, CAD-CAM technology, and virtual reality. Methods: A rigorous search was conducted across various electronic bases, including PubMed, Google Scholar, Scopus, and the National Center for Biotechnology Information (NCBI). The search employed keywords such as "Orthodontics," "Dental Health," "Dental Imaging," "CAD-CAM," "Digital Medicine," "Teleconsultation," "Intraoral Scanner," "Artificial Intelligence (AI)," "Digital Health," "Teledentistry," and "3D Dentistry." Papers published between 2017 and the present were considered, focusing on peer-reviewed journals and reviews providing comprehensive insights into digital dentistry. Results: The review highlights the diverse facts of digitalization in dentistry, emphasizing its potential benefits for patient practitioners and the dental industry. Digital impressions, 3D printing, and CAD-CAM are streamlining restorative dentistry. In orthodontics, digital models enable precise simulations. Artificial Intelligence promises more efficient diagnostics and treatment planning. Conclusion: Digital technology is poised to reshape dentistry, improving efficiency, patient outcomes, and practitioner experiences. However, challenges such as data security and ethical considerations must be addressed. The successful integration of digital dentistry into dental practice will require more research and innovation, even though this review offers a thorough overview of the field


Assuntos
Ortodontia , Desenho Assistido por Computador , Consulta Remota , Radiografia Dentária Digital , Tecnologia Digital
20.
Rev. Nav. Odontol. On Line ; 51(1): [47-54], 2024.
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-1568267

RESUMO

Os dispositivos de ancoragem temporária ou mini-implantes adquirem cada vez mais relevância no manejo clínico dos tratamentos ortodônticos. Entretanto, apesar dos resultados clínicos expressivos obtidos, algumas intercorrências podem acometer a ancoragem no decorrer do tratamento. Os insucessos podem estar associados a fatores relacionados ao profissional, ao paciente ou ao próprio parafuso. Outrossim, existem fatores que podem contribuir para o sucesso clínico na utilização destes dispositivos, como a seleção apropriada do comprimento do mini-implante, a escolha de áreas adequadas para inserção do dispositivo, além de conhecimentos acerca da densidade óssea, de forma a contribuir para a estabilidade primária, a prática de bons hábitos de higiene bucal ou ainda a utilização de dispositivos autoperfurantes. Assim, o presente estudo propôs-se a revisar a literatura científica disponível acerca de mini-implantes com artigos científicos selecionados utilizando as bases de dados PubMed, Scopus, Web of Science, Cochrane Library, Embase, BVS, Opengrey, Google Scholar e Catálogo de teses e dissertações. Após aplicados os critérios de seleção, 32 artigos foram selecionados para compor este trabalho. Conclui-se que a utilização dos mini-implantes mantém o controle ideal da ancoragem, de modo a evitar movimentações dentárias indesejáveis, sendo inegável o sucesso clínico dos dispositivos de ancoragem temporária na Ortodontia. Entretanto, é comprovado que complicações cuja etiologia pode variar entre profissional, paciente ou o próprio parafuso são capazes de acometer a ancoragem no decorrer do tratamento ortodôntico, de modo a implicar falhas e insucesso dos miniparafusos.


Assuntos
Humanos , Ortodontia , Implantes Dentários
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