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1.
J. Health Biol. Sci. (Online) ; 10(1): 1-4, 01/jan./2022. ilus
Article in English | LILACS | ID: biblio-1366891

ABSTRACT

Aim: to evaluate the internet searches for Invisalign® in Brazil and worldwide between 2018 and 2021, using the Google Trends tool. Methods: An infodemiological study was carried out. The relative search volume (RSV) for the term "invisalign" in Google platform was retrieved for each year of study, both in Brazil and worldwide, using a standard procedure. Results and Conclusion: Both in Brazil and worldwide, there was a statistically significant increase in RSV between 2018 and 2021 (all p <0.05), indicating progressively more interest in Invisalign® clear aligner on the internet.


Objetivo: avaliar as buscas na internet por Invisalign® no Brasil e no mundo entre 2018 e 2021, utilizando a ferramenta Google Trends. Métodos: Foi realizado um estudo infodemiológico. O volume relativo de busca (RSV) para o termo "invisalign" na plataforma Google foi recuperado para cada ano de estudo, tanto no Brasil quanto no mundo, utilizando um procedimento padrão. Resultados e Conclusão: Tanto no Brasil quanto no mundo, houve um aumento estatisticamente significativo do RSV entre 2018 e 2021 (todos p <0.05), indicando progressivamente mais interesse pelo alinhador transparente Invisalign® na internet.


Subject(s)
Orthodontic Appliances, Removable , Orthodontics , Epidemiology
2.
Rev. Ciênc. Plur ; 8(1): e25225, 2022. ilus, tab
Article in English | LILACS, BBO | ID: biblio-1348733

ABSTRACT

Introduction:The supply of public orthodontic services is still unable to meet the demand for treatment of malocclusions. The resources available are sometimes mismanaged and significant financial impacts contribute to limited access to the services. Objective:To carry out an integrative review regarding the access and financial impacts of public orthodontic service among the various health systems worldwide, considering social inequalities and the referral and counter-referral systems for services. Methodology:A survey was conducted using the BVS (Biblioteca Virtual em Saúde / Virtual Health Library), PubMed, and Cochrane databases, including articles available from 1970 to 2019, which elucidated the guiding question "How does access work and what are the financial impacts of the provision of orthodontic services in different public health systems worldwide?". Results:211 articles were found, of which 20 were analyzed. The chronological distribution was relatively uniform. The topic 'access to orthodontic services' was most frequently reported and there was a predominance of studies addressing the provision of treatment for children and adolescents. Conclusions:There are significant financial impacts and demographics have a strong influence on access to services. The provision of orthodontic treatments by the private sector predominates, preventive approaches are scarce, and an optimization in the use of available resources is necessary. Primary Care has much to contribute in increasing access, reducing costs, and making the referral / counter-referral system effective (AU).


Introdução:A oferta de serviços ortodônticos públicos ainda não consegue suprir a demanda de tratamento de má oclusões. Os recursos disponíveis, por vezes, mal alocados e os impactos financeiros significativos contribuem para a restrição do acesso aos serviços.Objetivo:Realizar uma revisão integrativa pertinente ao acesso e aos impactos financeiros da provisão ortodôntica pública nos diversos sistemas de saúde mundiais, sob a luz das iniquidades sociais e dos sistemas de referência e contrarreferência de serviços.Metodologia:Foi realizado um levantamento nas bases de dados BVS (Biblioteca Virtual em Saúde), PubMed e Cochrane Reviews, incluindo os artigos disponíveis no período de 1970 a 2019, que elucidavam a questão norteadora "Como se dá a provisão de serviços ortodônticos nos diversos sistemas públicos de saúde mundiais?".Resultados:Foram encontrados 211 registros, dos quais 20foram analisados. A distribuição temporal foi relativamente uniforme. A temática "acesso aos serviços ortodônticos" foi mais frequentemente relatada e houve um predomínio de estudos abordando a oferta de tratamentos a crianças e adolescentes. Conclusões:Há impactos financeiros significativos e os determinantes sociais exercem forte influência sobre o acesso aos serviços. Predomina a oferta de tratamentos ortodônticos pelo setor privado, abordagens preventivas são escassas e é necessária uma otimização no uso de recursos disponíveis. A Atenção Básica tem muito a contribuir para aumento do acesso, diminuição de custos e efetivação do sistema dereferência/contrarreferência dos serviços (AU).


Introducción: La provisión de servicios públicos de ortodoncia aún no puede satisfacer la demanda de tratamientos de maloclusión. Los recursos disponibles a veces están mal asignados y los impactos financieros significativos contribuyen a restringir el acceso a los servicios.Objetivo: Realizar una revisiónintegradora pertinente al acceso y los impactos económicos de la provisión pública de ortodoncia en los diferentes sistemas de salud a nivel mundial, a la luz de las inequidades sociales y los sistemas de derivación y contrarreferencia de servicios.Metodología: Se realizó una encuesta en las bases de datos de la BVS (Virtual Health Library), PubMed y Cochrane Reviews, incluidos los artículos disponibles desde 1970 hasta 2019, que dilucidó la pregunta orientadora "¿Cómo es la prestación de servicios de ortodoncia en los diferentes sistemas públicos?".Resultados: Se encontraron 211registros, de los cuales se analizaron 20.La distribución temporal fue relativamente uniforme. El tema "acceso a servicios de ortodoncia" fue el que se informó con mayor frecuencia y hubo un predominio de estudios que abordan la provisión de tratamientos a niños y adolescentes.Conclusiones: Hay impactos económicos significativos y los determinantes sociales tienen una fuerte influencia en el acceso a los servicios. Predomina la oferta de tratamientos de ortodoncia por parte del sector privado, los abordajes preventivos son escasos y es necesario optimizar el uso de los recursos disponibles. La Atención Primaria tiene mucho que contribuir para aumentar el acceso, reducir costos e implementar el sistema de derivación / contrarreferencia de servicios (AU).


Subject(s)
Orthodontics , Healthcare Financing , Public Health Systems , Malocclusion , Orthodontics, Corrective , Orthodontics, Preventive , Primary Health Care , Brazil , Health Services Accessibility
3.
Acta odontol. Colomb. (En linea) ; 12(1): 40-57, 2022. ilus Diagrama de flujo de búsqueda y selección de artículos, tab 1 Tipos de estudio, enfoque y calidad de la evidencia, tab 2 Resumen de etapas de tratamiento y recomendación según el autor
Article in Spanish | LILACS, COLNAL | ID: biblio-1354496

ABSTRACT

Objetivo: realizar una revisión de la literatura acerca de los tratamientos ortodónticos y quirúrgicos del síndrome de Apert durante las diferentes etapas de crecimiento y desarrollo. Métodos: se llevó a cabo una búsqueda en las bases de datos MedLine (PubMed), Science Direct, Scopus y Wiley Online Library con la combinación de los siguientes términos: Syndromic craniosynostosis, Dental treatment, orthodontic treatment, Apert Syndrome, surgical treatment, dental care. Se incluyeron revisiones sistemáticas y de literatura, estudios retrospectivos, longitudinales y de cohorte, series y revisiones de caso publicados entre 1990 y 2020 en español o inglés; se excluyeron artículos relacionados con otros síndromes, así como estudios en animales. Los artículos fueron seleccionados según su pertinencia y disponibilidad de texto completo; hallazgos repetidos fueron eliminados; adicionalmente, se utilizó el sistema bola de nieve en los artículos seleccionados; la calidad de la evidencia fue evaluada mediante el sistema GRADE. Resultados: 34 artículos fueron incluidos (calidad alta: 2, moderada: 1, baja: 19 y muy baja: 12). Entre estos, se identificaron discusiones relacionadas con la etapa de crecimiento a la que se recomienda realizar los procedimientos quirúrgicos requeridos para minimizar sus impactos negativos. La mayoría de los artículos apoyan el manejo terapéutico ejecutado por equipos multidisciplinarios. Conclusiones: un plan de tratamiento combinado de ortodoncia y cirugía ortognática se presentó como la mejor opción para obtener los mejores resultados funcionales y estéticos para la población en cuestión. El momento adecuado durante el crecimiento y desarrollo de los individuos para implementar cada fase de tratamiento fue decidido por cada equipo multidisciplinario.


Objective: Carry out a literature review about the orthodontic and surgical treatments of Apert Syndrome, during the different stages of growth and development. Methods: A search was made in the MedLine (PubMed), Science Direct, Scopus, and Wiley Online Library databases with the combination of the following terms: Syndromic craniosynostosis; Dental treatment; orthodontic treatment; Apert Syndrome; surgical treatment; dental care. Types of the study included: Systematic and literature reviews, retrospective, longitudinal, and cohort studies, series, and case reviews that were published between 1990-2020 in Spanish or English; articles related to other syndromes and animal, or laboratory studies were excluded. The articles were selected according to relevance and availability of full text; repeated findings were eliminated; additionally, the snowball system was used in the selected articles; the quality of the evidence was evaluated using the GRADE system. Results: 34 articles were included (High Quality: 2; Moderate: 1; Low: 19; Very Low: 12). Controversies were found related to the stage of growth to which it is recommended to perform the required surgical procedures to minimize the negative impacts. Most of the articles support therapeutic management by multidisciplinary teams. Conclusions: A combined orthodontic and orthognathic surgery treatment plan was presented as the indicated option to obtain the best possible functional and aesthetic results for the population in question. The appropriate time during the growth and development of individuals to implement each treatment phase was decided by each multidisciplinary team.


Subject(s)
Humans , Acrocephalosyndactylia , Dentistry , Orthodontics , Surgical Procedures, Operative
4.
Niger. J. Dent. Res. (Online) ; 7(1): 67-74, 2022. figures, tables
Article in English | AIM, AIM | ID: biblio-1354692

ABSTRACT

Background: Radiographs are used by orthodontists in the diagnosis of malocclusion, treatment planning and monitoring. These usually reveal presence of dental anomalies that may require further assessment and management. Objective: To investigate the prevalence, types and distribution of dental anomalies seen on the orthopantomograms (OPGs) of orthodontic patients at the University of Port-Harcourt Teaching Hospital (UPTH).Methods: This was a retrospective cross-sectional radiographic study of a cohort of orthodontic patients who presented to the Department of Child Dental Health, University of Port Harcourt Teaching Hospital, Rivers State, Nigeria. The data gathered from digital orthopantomograms of the patients was analysed using IBM Statistical Package for Social Sciences (SPSS) Statistics for Windows version 25.0. Results: The study comprised 249 patients with an age range of 5-44years (mean age of 14.6±7.7years) comprising 108 (43.4%) males and 141 (56.6%) females.Seventy (28.1%) [(29, 41.4% males), (41, 58.6% females)] of the patients had at least one dental anomaly. Dental anomalies were commonest (48, 68.6%) within 10-19 years age bracket followed by the 0-9 years age bracket (11, 15.7%). The most frequent dental anomaly was taurodontism (43, 61.4%), followed by congenitally missing teeth (8, 11.4%), supernumerary teeth (5, 7.1%), odontoma (4, 5.7%), peg shaped lateral incisors and transposition (2, 2.9%) respectively. Dental anomalies were more frequent in the maxilla (43, 61.4%). Conclusion: The most common dental anomaly was taurodontism. Anomalies were more frequent in female than male patients and in the maxilla than in the mandible


Subject(s)
Humans , Adolescent , Adult , Middle Aged , Orthodontics , Tooth Abnormalities , Radiography, Panoramic , Radiography, Dental, Digital
5.
Niger. J. Dent. Res. (Online) ; 7(1): 1-9, 2022. figures, tables
Article in English | AIM, AIM | ID: biblio-1354981

ABSTRACT

Background: The assessment of skeletal maturity is important in the timing of orthodontic treatment especially in the modification of dento-facial growth. The use of cervical vertebrae as a method of assessment of skeletal maturity has rarely been used among Down Syndrome. Objective: To assess skeletal maturity among individuals with Down Syndrome using the cervical vertebrae maturation stages. Methods: The study was conducted among 21 Down Syndrome with mean ages of 11.70  1.83 years (males) and 13.64  1.75 years (female); and 21 control individuals with mean ages of 12.00  2.00 years (male), and 13.50  1.90 years (female). The independent t-test and chi-square test were used to determine significant differences among the continuous (age) and categorical variables (cervical vertebrae maturation stages) respectively when matched with gender and chronological age. Fischer exact test was used when an expected frequency presentation was <5. A p-value of < 0.05 was set as statistically significant. Results: Down Syndrome males had delayed maturation at 11 years but accelerated at 12 with early attainment of maturity at 15 years. Down Syndrome female had a delay tendency in skeletal maturation from 11­15 years of age. Overall, Down Syndrome had a 1.242 probability of either having a delay or advancement in skeletal maturation which was not statistically significant. Conclusively, the skeletal maturation pattern between Down syndrome patients and normal individuals was not statistically different. Conclusion: The average timing for commencement of orthodontic treatment especially growth modification for normal individuals can be applied for individuals with Down Syndrome as this present study did not show any statistically significant difference in their overall skeletal maturation.


Subject(s)
Humans , Male , Female , Orthodontics , Age Determination by Skeleton , Cervical Vertebrae , Down Syndrome
6.
Braz. j. oral sci ; 20: e210699, jan.-dez. 2021. tab
Article in English | LILACS, BBO | ID: biblio-1253172

ABSTRACT

Aim: To evaluate orthodontists' knowledge and clinical practices regarding the treatment of patients with HIV/AIDS. Methods: Cross-sectional study performed with 655 Brazilian orthodontists based on a previously calculated sample size. Self-administered questionnaires were sent to orthodontists to collect information on knowledge and clinical conduct regarding the care of patients with HIV/AIDS. The study evaluated the awareness of possible risk factors for contamination, oral manifestations of HIV, need for more information on the care of HIV-positive patients, whether orthodontic treatment is indicated in HIV-positive patients, and whether they had knowingly performed orthodontic treatment in HIV-positive patients. Simple regression models were adjusted, and crude Odds Ratios estimated the associations with 95% confidence intervals. The variables with P < 0.20 in the crude analysis were tested in multiple logistic regression models, and those with P ≤ 0.05 were maintained in the final model. Magnitudes were estimated by adjusted Odds Ratios values, with 95% confidence intervals. Results: Orthodontists who were aware of the oral manifestations of HIV/AIDS, those having work experience of more than 20 years, and those who believed that orthodontic treatment could be indicated for these patients were 3.30 (1.79-6.10), 2.74 (1.36-5.52) and 1.92 (1.13-3.24) times more likely to perform orthodontic treatment in HIV-positive patients, respectively. Most orthodontists (92.9%) reported they needed to obtain more information about orthodontic care in patients with HIV/AIDS. Conclusion: Although orthodontists reported feeling able and qualified to provide dental care to patients with HIV/AIDS, gaps in their knowledge need to be addressed with further training


Subject(s)
Humans , Male , Female , Orthodontics , Surveys and Questionnaires , Acquired Immunodeficiency Syndrome , HIV , Immunologic Deficiency Syndromes
7.
Rev. cuba. estomatol ; 58(3): e3383, 2021. tab
Article in Spanish | LILACS, CUMED | ID: biblio-1347433

ABSTRACT

Introducción: La metodología Lean-Six-Sigma es utilizada actualmente en el área de la salud con el objeto de mejorar la calidad y competitividad de los servicios; pero aún no se tienen reportes de su uso en el área de ortodoncia. Objetivo: Determinar la satisfacción posortodoncia por medio de niveles sigma de los pacientes que asisten a una clínica docente-asistencial en Bucaramanga, Colombia. Métodos: Estudio observacional, descriptivo, transversal. La población estuvo constituida por 100 pacientes de ambos sexos, que ya habían concluido el tratamiento de ortodoncia. Se seleccionó toda la población que hubiera finalizado el tratamiento entre julio de 2017 y junio 2018 de acuerdo con criterios de inclusión y exclusión. Se realizó una encuesta telefónica de 17 preguntas y siete dimensiones de satisfacción. La confiabilidad del cuestionario se evaluó con la consistencia interna del cuestionario mediante el alpha de Cronbach en el que se obtuvo 0,87, y para la validez se utilizó el método de Lawshe. Se usó la metodología Lean-Six-Sigma para evaluar la calidad de la satisfacción; se presentan los resultados en porcentaje y niveles sigma. Resultados: La calidad en satisfacción en el servicio fue de 91,27 por ciento (medido convencionalmente) y 1,36 sigmas; en el grupo de 16-19 años fue de 93,6 por ciento y 1,52 sigmas; y para el grupo de más de 27 años, 84,9 por ciento y 1,03 sigmas. El sexo femenino reportó un 88,57 por ciento y 1,2 sigmas, mientras que el masculino, 93,46 por ciento y 1,51 sigmas. Conclusiones: Los resultados de satisfacción en ortodoncia, medidos por métodos convencionales, mostraron porcentajes aceptables, pero mostraron resultados incompetentes al medirse con niveles sigma, lo cual indica que existen problemas ocultos por identificar y que corresponderían a una siguiente investigación(AU)


Introduction: The Lean-Six-Sigma methodology is currently used in the health area in order to improve the quality and competitiveness of services; but there are still no reports of its use in the orthodontic area. Objective : to determine the post-orthodontic satisfaction by means of sigma levels of the patients who attend a teaching-assistance clinic in Bucaramanga, Colombia. Methods: Observational descriptive cross-sectional study. Population: 100 patients (female and male) who finish orthodontic treatment. Sample selection method: the entire population that had completed the treatment between July 2017 and June 2018 was selected according to inclusion and exclusion criteria. A telephone survey of 17 questions and seven dimensions of satisfaction was carried out. The reliability of the questionnaire was evaluated with the internal consistency of the questionnaire by means of the Cronbach's alpha in which 0.87 was obtained, and the Lawshe method was used for validity. The Lean-Six-Sigma methodology was used to assess the quality of satisfaction; Results are presented in percentage and sigma levels. Results: The quality of service satisfaction was 91.27 percent (conventionally measured) and 1.36 sigmas; in the group of 16 to 19 years it was 93.6 percent and 1.52 sigmas; and for the group over 27 years old, 84.9 percent and 1.03 sigma. The female sex reported 88.57 percent and 1.2 sigmas, and the male reported 93.46 percent with 1.51 sigmas. Conclusions: The satisfaction results in orthodontics, measured by conventional methods, showed acceptable percentages, but showed incompetent results when measured with sigma levels, which indicates that there are hidden problems to be identified and that they would correspond to a subsequent investigation(AU)


Subject(s)
Humans , Orthodontics/methods , Personal Satisfaction , Quality of Health Care , Epidemiology, Descriptive , Cross-Sectional Studies , Surveys and Questionnaires , Observational Studies as Topic , Research Report
8.
Educ. med. super ; 35(3): e2940, 2021. tab
Article in Spanish | LILACS, CUMED | ID: biblio-1339826

ABSTRACT

Introducción: Los diferentes tipos de educación en el trabajo y sus modalidades para la formación y el desarrollo de habilidades en la especialidad Ortodoncia, desde los entornos virtuales de enseñanza aprendizaje, constituyen todo un reto para los docentes. Objetivo: Proponer una alternativa para el desarrollo de habilidades en la especialidad de Ortodoncia desde un entorno virtual de enseñanza aprendizaje. Desarrollo: Se propone para el primer año de la especialidad Ortodoncia una alternativa que incluye las diferentes habilidades a formar y desarrollar, según formas de organización de la enseñanza, las que transitan por actividades (base de datos, foro, tarea) y recursos virtuales (archivo, carpeta o tarea) divididas en momentos, así como el tipo de evaluación. En todas estas actividades docentes, a excepción de la educación en el trabajo, se usa la modalidad de clase invertida. Conclusiones: En la especialidad Ortodoncia el residente debe desarrollar diferentes habilidades que también pudieran alcanzarse desde los entornos virtuales de enseñanza aprendizaje. Algunas de las vías para esto pudieran ser las propuestas en el presente artículo(AU)


Introduction: The different types of education at work and their modalities for training and development of skills in the specialty of Orthodontics, from virtual teaching-learning environments, constitute a challenge for professors. Objective: To propose an alternative for developing skills in the specialty of Orthodontics from a virtual teaching-learning environment. Development: An alternative is proposed for the first academic year of the Orthodontics specialty, which includes the different skills to be taught and developed, according to forms of teaching organization, those that go through activities (database, forum, task) and virtual resources (file, folder or task) divided into moments, as well as the type of evaluation. In all these teaching activities, with the exception of education at work, the inverted class modality is used. Conclusions: In the specialty of Orthodontics, the resident must develop different skills that could also be achieved from virtual teaching-learning environments. Some of the ways for achieving this could be those proposed in this article(AU)


Subject(s)
Humans , Teaching/education , Learning , Orthodontics/education , Education, Distance/methods
9.
Medisan ; 25(4)2021. ilus
Article in Spanish | LILACS, CUMED | ID: biblio-1340221

ABSTRACT

Actualmente, las formas presenciales del proceso de enseñanza - aprendizaje en ortodoncia se han visto afectadas por la situación epidemiológica mundial. A tales efectos, se propone una alternativa para la adecuación de este proceso desde un entorno virtual. Se seleccionó el primer año de la especialidad, debido a que es más complejo en cuanto a esta modalidad. En dicha propuesta se muestran las formas de organización de la enseñanza, habilidades y evaluación, que se pueden realizar en el aula virtual. Asimismo, se ofrecen alternativas para el llenado de la tarjeta de habilidades. Esta propuesta engloba el cumplimiento de la mayoría de los aspectos esenciales a alcanzar para este nivel, lo cual pudiera garantizar la continuidad de la formación de un profesional capaz de resolver problemas de salud de forma independiente y creadora.


At the moment, the present forms of the teaching-learning process in orthodontics have been affected by the world epidemiological situation. To such effects we propose an alternative for the adaptation of this process from a virtual environment, is proposed. The first year of the specialty was selected, because it is more complex as for this modality. In this proposal the forms of organization of the teaching, abilities and evaluation that can be carried out in the virtual classroom are shown. Also, some alternatives are offered for filling in the abilities card. This proposal includes the performance of most of the essential aspects to reach for this level, which could guarantee the continuity of the professional training able to solve health problems in an independent and creating way.


Subject(s)
Orthodontics , Education, Distance/methods , Professional Training
11.
Rev. cient. odontol ; 9(1): e041, ene.-mar. 2021. tab
Article in Spanish | LILACS | ID: biblio-1254234

ABSTRACT

Objetivo: Determinar el método de diagnóstico de relación esquelética más empleado, según las cuatro revistas más importantes de ortodoncia en el periodo 2018-2020. Metodología: Se elaboró un análisis documental de información compilada ya existente referida a los procedimientos de diagnóstico utilizados con mayor frecuencia en el reconocimiento de las relaciones esqueléticas en las cuatro revistas más importantes de ortodoncia desde el año 2018 hasta el 2020, según SCImago 2018, cuyo soporte en internet proporciona una serie de parámetros acerca del impacto de las publicaciones y revistas. Con esa finalidad, se realizó una sinopsis de la información analizada para establecer una correlación de las fuentes y hacer cotejos entre ellas de manera crítica. La exploración bibliográfica virtual de bases de datos se realizó esencialmente a través de Medline; se evaluó y seleccionó la bibliografía, organizada según la trascendencia y la índole científica; y, luego, se procesaron los resultados para responder las demandas de la investigación. Resultados: En la revista AJO-DO, el 92,2% utiliza el método de ANB y el 7,8% no describe el método utilizado. En la revista AO, el 100% refiere el uso del ANB. Finalmente, en las revistas EJO y KJO, el 93,8 % y el 95% utilizaron el ANB, respectivamente. Conclusión: El método más frecuentemente utilizado para la determinación de la relación esquelética es el ANB, aun cuando este indicador presenta un riesgo de efecto geométrico, ya que es un método ampliamente conocido. (AU)


Objective: To determine the skeletal-related diagnostic methods most commonly used according to the four most important orthodontics journals in the period from 2018 to 2020. Methods: A review of the data available regarding the diagnostic procedures most frequently used to determine skeletal relationships in the four most important orthodontics journals from 2018 to 2020. Article review was performed using SCIMAGO 2018, which provides a series of parameters ranking the importance of the impact of publications and journals. We made a synopsis of the information analyzed to establish a correlation and compare sources, and critically examined the articles collected on the subject of interest. An online bibliographic search of databases including mainly Medline was carried out, followed by evaluation and selection of the bibliography, organized according to the significance and nature of the study. Results: The four journals included in the bibliographic search were: AJODO, AO, EJO and KJO. The A point-Nasion-B point (ANB) method was used in 92.2% of the articles published in AJODO, and 7.8% did not describe the method used. Twenty-three articles in the AO journal were evaluated, all of which referred to the use of ANB as the method used. Finally, 16 and 11 articles from the EJO and KJO journals, respectively, were evaluated, with 93.8% and 95%, respectively of the articles using ANB as the method of choice for determining skeletal relationships. Conclusion: The method of choice for skeletal-related diagnostics is ANB, although this widely known method presents a risk of geometric effect. (AU)


Subject(s)
Orthodontics , Periodicals as Topic , Diagnosis, Oral
14.
Medisan ; 25(1)ene.-feb. 2021. ilus
Article in Spanish | LILACS, CUMED | ID: biblio-1154856

ABSTRACT

Los implantes dentales son una opción de restauración estética, funcional y armónica, cuya tasa de éxito es superior a 95 %. Se presenta el caso clínico de una paciente de 24 años de edad, atendida en la consulta de Ortodoncia de la Clínica Estomatológica Provincial Docente Mártires del Moncada de Santiago de Cuba, quien fue remitida desde el Servicio de Prótesis Estomatológica, con el fin de lograr el espacio adecuado para colocarle un implante, pues desde los 12 años de edad aproximadamente había perdido un diente a causa de caries. La restauración protésica mediante el implante dental proporcionó un excelente resultado.


Dental implants are an option of cosmetic, functional and harmonic repairs whose rate of success is higher than 95 %. The case report of a 24 years patient is presented. She was assisted in the Orthodontics Service of Mártires del Moncada Teaching Provincial Stomatological Clinic in Santiago de Cuba and was referred from the Stomatological Prosthesis Service, with the purpose of achieving the appropriate space to place an implant, because she had lost a tooth due to dental decay since she was approximately 12 years. The prosthetic repair by means of dental implant provided an excellent result.


Subject(s)
Osseointegration , Dental Implantation/methods , Orthodontics , Prostheses and Implants , Dentistry
15.
Article in English | LILACS, BBO | ID: biblio-1346670

ABSTRACT

ABSTRACT Objective: To propose a classification of patients by occlusal condition and its apparent validation. Material and Methods: This cross-sectional analytical study was divided into two phases. In the first, a trained examiner divided the patients into four groups according to the proposed classification of this design: Type 1 patient - completely dentate individuals; Type 2 - partially edentulous individuals with occlusal stability; Type 3 - partially edentulous individuals with no occlusal stability; Type 4 - completely edentulous individuals. In this phase, 122 patients were analyzed with an instrument developed for this experiment. Results: All patients in the sample of this research were classified in some division of the proposed instrument. In the second phase, the apparent validation of the classification was conducted by three judges, who obtained an excellent agreement with the allocation of patients in one of the types according to the indication of the first examiner (Kappa = 85%). Conclusion: It is evident that the classification presents reliability, ease of visualization, good conditions for interprofessional communication, and it can be used in dental clinical practice to assist in the study and integrated planning of clinical cases.


Subject(s)
Humans , Orthodontics , Oral Health , Classification/methods , Dental Occlusion , Mandible/surgery , Patient Care Planning , Brazil/epidemiology , Cross-Sectional Studies/methods , Data Interpretation, Statistical
16.
Pesqui. bras. odontopediatria clín. integr ; 21(supl.1): e0019, 2021. tab, graf
Article in English | LILACS, BBO | ID: biblio-1340343

ABSTRACT

ABSTRACT Objective: To evaluate how the lower arch spontaneously change after upper rapid palatal expansion in a group of patients with transversal skeletal deficit. Material and Methods: Twenty-four patients treated by the same orthodontist with a rapid palatal expander (RPE) bounded on a deciduous molar have been selected. The sample was divided into two groups: no treatment was provided for group one, while group two was treated using a lip bumper or Schwarz appliance. For each patient, dental casts were collected when the RPE was bounded (T0) and at the end of treatment, 9 months ± 3 months later (T1). Each outcome was analyzed, providing descriptive statistics, main effects significance tests and post-hoc analyses with the objective to evaluate the variations between pre-treatment (TO) and post-treatment (T1) of each of them. Results: If the linear measurements are considered, a significant beneficial effect on both arches is observed. However, the upper arch always shows a major increase of all values at T1 with respect to the lower arch. Even though the post-hoc tables indicate that time differences are all statistically significant across considered partitions, the lower arch's increase is more pronounced in group two, where patients were treated in both arches. If the angular measurements are concerned, the increase of lingual crown inclination was found in all patients, independently from the type of treatment in lower arch. Conclusion: All patients show normalization of upper diameters, regardless of whether the lower arch was treated or not.


Subject(s)
Humans , Male , Female , Orthodontics , Palatal Expansion Technique/instrumentation , Extraoral Traction Appliances , Orthodontists , Malocclusion, Angle Class III , Measurements, Methods and Theories , Prospective Studies , Statistics, Nonparametric , Italy
17.
Arq. odontol ; 57: 132-140, jan.-dez. 2021. ilus, tab
Article in English | LILACS, BBO | ID: biblio-1343541

ABSTRACT

Aim: The objective of this research was to evaluate the midline from the perspectives of the layperson and the dental surgeon. Methods: The survey was conducted from August to December 2018 in Parnaíba, PI, Brazil. An image of a female smile was used, in which changes were made in the upper dental midline, every 1 mm up to 4 mm, and in the incisal angulation, every 5 degrees up to 15 degrees, to the left side. The images were cut and formed into two groups, one showing a smile with no lip filter (G1) and another with a smile with a lip filter (G2). These were then shown to 334 lay people and 25 dentists for evaluation with scores from 0 to 10, with scores from 0 to 5.9 for an unacceptable smile and from 6 to 10 for an acceptable smile. Results:Dental surgeons were more critical when analyzing the images and detected deviations from 1mm and 5 degrees in both groups G1 and G2. Laypeople noticed deviations from 2mm and 15 degrees on G1 and deviations from 3mm and 10 degrees on G2. Conclusion: Dental surgeons and laypeople are able to assess midline deviations with the minimum deviation present. Dentists were more critical in detecting midline deviation when analyzing photos.


Objetivo: Avaliar a linha média sob a ótica do leigo e do cirurgião-dentista. Métodos: A pesquisa foi realizada de agosto a dezembro de 2018 em Parnaíba, Piauí, Brasil. Foi utilizada uma imagem de sorriso feminino, na qual foram feitas alterações na linha média dentária superior, de 1 em 1 mm, até 4 mm, e na angulação incisal, 5 em 5 graus, até 15 graus, para o lado esquerdo. As imagens foram recortadas e formadas em dois grupos, um com sorriso sem filtro labial (G1) e outro com sorriso com filtro labial (G2). Em seguida, foram apresentados a 334 leigos e 25 dentistas para avaliação, com pontuação de 0 a 10, com pontuação de 0 a 5,9 para sorriso inaceitável e de 6 a 10 para sorriso aceitável. Resultados: Os cirurgiões-dentistas foram mais críticos na análise das imagens e detectaram desvios de 1mm e 5 graus nos dois grupos G1 e G2. Os leigos notaram desvios de 2mm e 15 graus no G1 e desvios de 3mm e 10 graus no G2. Conclusão: O cirurgião-dentista e o leigo são capazes de avaliar o desvio da linha média com o desvio mínimo presente. Os dentistas são mais críticos na detecção do desvio de linha média quando analisaram as fotos.


Subject(s)
Smiling , Surveys and Questionnaires , Dentists , Esthetics, Dental , Orthodontics , Dental Care
18.
Article in English | LILACS, BBO | ID: biblio-1250457

ABSTRACT

Abstract Objective: To analyze differences in vertical mandibular and trunk symmetry in orthodontic patients. Material and Methods: This was a cross-sectional study of 129 growing orthodontic patients who sought orthodontic treatment at the Dental Hospital Universitas Sumatera Utara, Indonesia. Mandibular symmetry index was observed with pre-treatment panoramic radiography based on Kjellberg's technique and trunk symmetry was evaluated based on questionnaires and visual observation. Vertical mandibular asymmetry was decided if the index of asymmetry was lower than 93.7%. The bivariate analysis used the chi-squared and Fisher's exact tests, with a significance level of 5%. Results: There was a significant association between vertical mandibular and trunk symmetry (p<0.05). The prevalence odds ratio for the association with vertical mandibular asymmetry was 3.007 (95% CI = 1.016-8.905) for trunk asymmetry. Conclusion: The necessity to consider trunk symmetry could be included in orthodontics treatment of any malocclusion with vertical mandibular asymmetry that might require a multidisciplinary approach in the future.


Subject(s)
Humans , Male , Female , Child , Adolescent , Adult , Orthodontics , Facial Asymmetry/classification , Torso , Indonesia , Malocclusion , Mandible , Orthodontics, Corrective , Radiography, Panoramic/instrumentation , Chi-Square Distribution , Cross-Sectional Studies/methods , Surveys and Questionnaires , Data Interpretation, Statistical
19.
Arq. odontol ; 57: 253-259, jan.-dez. 2021. ilus
Article in English | LILACS, BBO | ID: biblio-1352601

ABSTRACT

Case report: This article presents the case of an 11-year-old patient who sought orthodontic treatment, complaining of crooked teeth. In anamnesis, an emotional and physical dependence was reported regarding the act of breastfeeding. Considerations on the diagnosis, psychological implications, and clinical approach in this rare case were addressed. An orthodontic treatment and myofunctional therapy were performed to resolve the occlusal and functional aspects of the patient. Psychological therapy for the child and her mother was required to handle emotional sequelae. Conclusion: Multidisciplinary treatment was prescribed. Dentists should be aware of this need in cases of patients with special characteristics for treatment beyond oral problems. In orthodontics, this may be the difference between effective treatment outcomes or not.


Relato de caso: Este artigo apresenta o caso de uma paciente de 11 anos que procurou tratamento ortodôntico com queixa de "dentes tortos". Na anamnese, foi relatada dependência emocional e física da criança em relação ao ato de amamentar. Considerações sobre diagnóstico, implicações psicológicas, abordagem clínica neste raro caso foram abordadas. Foi realizado tratamento ortodôntico e terapia miofuncional para resolução dos aspectos oclusais e funcionais do paciente. Um acompanhamento psicológico para crianças e sua mãe foi necessária para abordar sequelas emocionais inerentes. Conclusão: Um tratamento multiprofissional foi instituído e o dentista deve estar atento a essa necessidade nos casos de pacientes com características especiais, visando uma abordagem além dos problemas bucais. Na Ortodontia, essa pode ser a diferença entre os resultados eficazes do tratamento ou não.


Subject(s)
Child , Orthodontics , Breast Feeding/adverse effects , Deglutition Disorders , Myofunctional Therapy , Malocclusion , Dental Care for Children , Dental Occlusion
20.
Article in English | LILACS, BBO | ID: biblio-1351205

ABSTRACT

ABSTRACT Objective: To establish the cephalometric (Ceph.) norm by Ceph. for orthognathic surgery (COGS) analysis for Saudi population. Material and Methods: 500 adult Saudi samples (250 males and 250 females) with the age range of 18-30 years old were selected for this study. The selections of samples were based on a normal occlusal relationship, no history of facial trauma and no previous orthodontic treatment. Lateral Ceph. radiographs were tracing by CASSOS software and analyzed by SPSS software according to COGS analysis. Results: Significant differences were showed between the Saudi males and females on most of the Ceph. parameters. The Saudi males had a convex facial profile with chin prominent and more bimaxillary protrusion, upper and lower lip protrusion than the Saudi females. Conclusion: This study evaluated the craniofacial morphological difference between the male and the female population in Saudi Arabia by using COGS analysis. The finding of this study will help for better diagnosis of orthodontic and orthognathic surgical treatment planning and identify the morphological facial characteristics of Saudi patients.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Orthodontics , Saudi Arabia , Cephalometry/instrumentation , Diagnostic Techniques and Procedures/instrumentation , Orthognathic Surgery/instrumentation , Radiography, Dental/instrumentation , Data Interpretation, Statistical
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