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Rev. odontol. Univ. Cid. Sao Paulo ; 20(2): 114-121, maio-ago. 2008. ilus, tab, graf
Article in English, Portuguese | LILACS, BBO | ID: lil-533582

ABSTRACT

Introdução: O objetivo deste estudo é avaliar as alterações cefalométricas verticais em mulheres brasileiras com má oclusão de Classe II, 1ª Divisão, tratadas ortodonticamente com e sem exodontia de pré-molares. Métodos - Foram analisadas 78 telerradiografias cefalométricas em norma lateral, nas fases pré e pós-tratamento, de 39 mulheres leucodermas. A amostra foi dividida em dois grupos: com exodontia dos quatro primeiros pré-molares (n = 14) e sem exodontias (n = 25). As medidas cefalométricas investigadas foram: Is-St, Sn-St, Is-PP, Ms-PP, Ei, SN.GoMe, SN.Gn, SN.PP, PP.GoMe e PP.MsIs. As medidas relativas às fases pré e pós-tratamento foram comparadas pelo teste t de Student pareado. Os grupos estudados foram comparados empregando-se ANOVA com teste Scheffé. Resultados - No grupo tratado com exodontias, ocorreu um aumento estatisticamente significante nas seguintes medidas: Is-PP, Ms-PP e SN.PP. Por outro lado, no grupo tratado sem exodontias, houve aumento significativo de: Sn-St, Is-PP, Ms-PP e SN.Gn. Em adição, houve redução significativa de PP.MsIs. Comparando-se os grupos estudados, verificou-se diferença significativa apenas para SN.PP, que foi maior no grupo tratado com exodontias. Conclusão – Os resultados evidenciaram que o tratamento ortodôntico com exodontia dos quatro pré-molares foi associado a uma rotação do plano palatino em sentido horário.


Introduction: The aim of this study is to evaluate the vertical cephalometric alterations in Brazilian females with Class II Division 1 malocclusion, treated orthodontically with and without premolar extraction. Methods - Seventy-eight lateral cephalometric radiographs of 39 white Brazilian females were assessed in the pre- and posttreatment stages. The sample was divided into two groups: with extraction of the four first premolars (n = 14) and without extractions (n = 25). The cephalometric measurements investigated were as follows: Is-St, Sn-St, Is-PP, Ms-PP, Ei, SN.GoMe, SN.Gn, SN.PP, PP.GoMe and PP.MsIs. Measurements relative to the pre- and posttreatment stages were compared by the paired Student’s-t test. The studied groups were compared using ANOVA with the Scheffé test. Results - In the group treated with extractions, there was a statistically significant increase in the following measurements: Is-PP, Ms-PP and SN.PP. On the other hand, in the group treated without extractions, Sn-St, Is-PP, Ms-PP and SN.Gn were significantly increased. Furthermore, there was a significant reduction in PP.MsIs. When comparing the studied groups, significant difference was found only for SN.PP, which was greater in the group treated with extractions. Conclusion - The results showed that orthodontic treatment with extraction of the four premolars was associated to clockwise rotation of the palatine plane.


Subject(s)
Dental Cements , Tensile Strength
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