Oral Health Impact Profile (OHIP)-14 telephone interview reliability to assess oral health-related quality of life (OHRQoL) in orthosurgical patients.

BACKGROUND: The influence of the Oral Health Impact Profile (OHIP)-14 administration method through telephone or face-to-face interviews in orthosurgical patients is unknown. The study aims to assess the reliability of the OHIP-14 questionnaire through its stability and internal consistency when applied through a telephone interview compared with a face-to-face interview. METHODS: A total of 21 orthosurgical patients were selected to compare the scores obtained in OHIP-14. The interview was carried out by telephone, and 2 weeks later, the patient was invited to attend a face-to-face interview. Stability was verified by Cohen's kappa coefficient with quadratic weighting for individual items and intraclass correlation coefficient for the total OHIP-14 score. Internal consistency was assessed by Cronbach's alpha coefficient for the total scale and its seven subscales. RESULTS: Items 5 and 6 showed reasonable agreement in the two modes of administration; 4 and 14 moderate; 1, 3, 7, 9, 11, and 13 substantial; and items 2, 8, 10, and 12 showed almost perfect agreement, according to the Cohen's kappa coefficient test. The instrument's internal consistency was better in the face-to-face interview (0.89) than it was in the telephone interview (0.85). For the evaluation of the seven OHIP-14 subscales, differences were found in functional limitations, psychological discomfort, and social disadvantage subscales. CONCLUSIONS: Although there were some differences in OHIP-14 subscales between the interview methods, the total score of the questionnaire showed good stability and internal consistency. The telephone method can be a reliable alternative for the application of the OHIP-14 questionnaire in orthosurgical patients.

Nonsurgical treatment for a severe anterior and lateral open bite and multiple congenitally missing teeth: a case report with 4-year follow-up

ABSTRACT This case report describes the treatment of a severe anterior and lateral open bite combined with multiple congenitally missing teeth. A 10-year-old girl presented with an open gonial angle, absence of lip sealing, and soft tissue pogonion retrusion. She had an open bite of 8.5 mm, agenesis of the upper right and left lateral incisors and the upper left first premolar, and transverse maxillary deficiency. Nonsurgical treatment was planned aiming at controlling the vertical pattern, establishing the correct overbite, and closing the spaces on the upper arch, to provide satisfactory occlusion and facial and dental esthetics.

RESUMO O presente caso clínico descreve o tratamento de uma mordida aberta anterior e lateral associada à ausência congênita de dentes permanentes. Paciente com 10 anos de idade, apresentava ângulo goníaco aberto, ausência de selamento labial passivo e retrusão do pogônio mole. Além disso, foi diagnosticada uma mordida aberta de 8,5 mm, agenesia de incisivos laterais superiores direito e esquerdo e de primeiro pré-molar superior esquerdo, além de deficiência transversa da maxila. O planejamento do caso envolveu um tratamento não cirúrgico, com controle vertical do crescimento, obtenção de correta sobremordida e fechamento dos espaços superiores. O caso foi finalizado com uma boa intercuspidação, contemplando a estética facial e dentária.

Nonsurgical treatment for a severe anterior and lateral open bite and multiple congenitally missing teeth: a case report with 4-year follow-up.

This case report describes the treatment of a severe anterior and lateral open bite combined with multiple congenitally missing teeth. A 10-year-old girl presented with an open gonial angle, absence of lip sealing, and soft tissue pogonion retrusion. She had an open bite of 8.5 mm, agenesis of the upper right and left lateral incisors and the upper left first premolar, and transverse maxillary deficiency. Nonsurgical treatment was planned aiming at controlling the vertical pattern, establishing the correct overbite, and closing the spaces on the upper arch, to provide satisfactory occlusion and facial and dental esthetics.

Estudo comparativo entre cefalometria manual e computadorizada (análise de Steiner, Tweed e Downs) em telerradiografias laterais / The second medical opinion from the perspective of the professional

Em uma amostra de brasileiros, portadores de oclusão normal, determinaram-se os valores angulares preconizados nas análises de estudiosos por meio de telerradiografias em norma lateral. Essa amostra constou de 23 adultos, sendo 12 do gênero masculino e 11 do gênero feminino, com dentição permanente, sem tratamento ortodôntico prévio, todos com oclusão normal, com exceção dos terceiros molares, e perfil facial harmônico. Através de cada uma das telerradiografias laterais foram obtidos os traçados cefalométricos manuais e computadorizados. Os resultados obtidos foram comparados e tratados estatisticamente através do teste "t" de Student (P<0,05). Após o estudo, concluiu-se que houve diferença entre os traçados manuais e computadorizados quanto aos ângulos que envolvem os planos mandibular e oclusal.

In a Brazilian sample, with normal occlusion, the angular values used in Steiner, Tweed and Downs analysis were determined by means of lateral radiographs. This sample consisted of 23 adults: 12 males and 11 females, with permanent dentition, without previous orthodontic treatment, all of them with normal occlusion, except the third molars, and harmonic facial profile. From each cephalometric radiograph were obtained the manual and computerized tracings. The obtained results were compared and statistically analyzed by "t" test of Student (P<0.05). After the study, it was concluded that there was difference between manual and computerized tracings related to mandibular and occlusal planes.