ABSTRACT
BACKGROUND: The concern to restore and evaluate bilateral cleft lip and palate (BCLP) patients' quality of life, after rehabilitation, is an issue that has been discussed in the literature because it is the ultimate goal of any proposed treatment. OBJECTIVE: To evaluate the overall and oral quality of life of BCLP patients who had completed their treatment with orthognathic surgery (OrSg) compared to those who completed theirs with prosthetic rehabilitation in the form of overlay prosthesis (OP). MATERIALS AND METHODS: The study comprised 40 patients, 20 in OrSg group and 20 in OP group. Epidemiological survey and application of two questionnaires (World Health Organization Quality of Life-brief [WHOQOL-bref] and Oral Health Impact Profile-14 [OHIP-14]) were done. The final results were evaluated statistically by the Mann-Whitney test. RESULTS: Regarding the comparison with the WHOQOL-bref, no significant statistical differences between groups were found. In the analysis of the OHIP-14, only in "psychological limitation" field difference could be observed, where OrSg group showed more negative impact when compared to the OP group. CONCLUSION: Both rehabilitations provide a satisfactory quality of life for patients.
ABSTRACT
Rehabilitation of cleft patients is a process that occurs from birth to adult life and involves a team of many professionals. Reconstructive plastic surgery, despite its functional and aesthetic benefits to the patient, can restrict the normal anterior displacement that occurs in the growth of the maxilla, which, in turn, can lead to a concave profile that requires correction. This study aimed to demonstrate an alternative rehabilitation treatment for cleft patients who have severe maxillomandibular discrepancy and choose not to undergo orthognathic surgery. A retrospective review and case reports of rehabilitation treatment of cleft patients were performed, with an emphasis on prosthetic rehabilitation without orthognathic surgical procedures. Prosthetic rehabilitation is a fast and reversible option for cleft patients that provides facial harmony and facilitates the reintegration of these patients into society.
Subject(s)
Cleft Lip/rehabilitation , Cleft Palate/rehabilitation , Dental Prosthesis , Mandible/surgery , Maxilla/surgery , Orthognathic Surgical Procedures/methods , Adult , Humans , Male , Retrospective StudiesABSTRACT
Introdução: atualmente, vários tipos de implantes estão disponíveis no mercado. Entre esses, pode-se citar os com conexão do tipo hexágono externo, hexágono interno e Cone Morse,sendo que os com Cone Morse fornecem melhor distribuição e transmissão da força ao longo do implante. O grau de osseointegração de um implante pode ser medido e avaliado por meio do valordo torque reverso. Objetivo: com base nisso, o objetivo do presente trabalho é testar, em implantes do tipo Cone Morse, instalados em tíbias de coelhos, a viabilidade de um novo método de avaliação de torque reverso. Métodos: foram instalados implantes (Neodent Cone Morse WS) em tíbias de coelho. Os animais foram eutanasiados em diferentes períodos de tempo. Os blocos ósseos contendo os implantes foram recortados e o montador correspondente ao implante Cone Morse foi acoplado a esse, formando um pilar único e contínuo. O torque reverso foi simulado utilizando a máquina universal de ensaios EMIC DL 1000. Uma força de compressão foi aplicada sobre o braçoda alavanca (Neodent), acoplado ao dispositivo de montagem do implante. Resultados: os valores obtidos com o teste foram os seguintes: Coelho 1 (imediato) = 1,8Kgf, Coelho 2 (7 dias) = 7,6Kgf, Coelho 3 (15 dias) = 17Kgf, Coelho 4 (30 dias) = 27Kgf, Coelho 5 (45 dias) = 36Kgf. Conclusão: os resultados mostraram-se promissores, uma vez que se obteve um aumento do valor do torque reverso com o passar do tempo.
Introduction: Several types of implants are available on the market, including internal or external hexagonal connections and the Morse Taper connection. The latter provides betterdistribution and transmission of forces throughout the implant. Implant osseointegration can be measured and assessed by reverse torque. Objective: The objective of this study is to test, inMorse Taper implants installed in rabbits tibia, the feasibility of a new reverse torque assessment method. Methods: Neodent Morse Taper WS implants were installed in rabbits tibia. The animals were sacrificed at different periods of time. The bone blocks containing the implants were cut, anda corresponding mounting device was attached to the implant, forming a single pillar. Reverse torque was simulated using a universal testing machine EMIC DL 1000. Compressive force wasapplied to the arm of the ratchet. Results: The values obtained with the test were: Rabbit 1 (immediate)= 1.8 Kgf, Rabbit 2 (7 days) = 7.6 Kgf, Rabbit 3 (15 days) = 17 Kgf, Rabbit 4 (30 days)=27Kgf, and Rabbit 5 (45 days) = 36 Kgf. Conclusion: Results were promising as they indicated an increase in the value of reverse torque over time.
