ABSTRACT
Objective: to investigate the association between caries incidence in children and the number of clinical preventive visits and follow-up period (intervals). Study Design: a 30-year cohort composed of the dental records of 600 children who were 12-23 months old at their first dental appointment and who were followed up to 12 years of age (200 followed since 1981, Group 1; 200 followed since 1991, Group 2; and 200 followed since 2001, Group 3) was analytically and quantitatively evaluated. Random sample calculation was performed with 95% confidence, a maximum error of 2.95% and a ratio of 50%. Results: association was found between caries incidence and the number of dental visits and consultation intervals. Children who attended a smaller number of preventive visits had a higher incidence of the disease. Children who had an interval between returns greater than 12 months had an 18.7-times greater caries risk compared to children who had intervals no longer than 8 months between return visits. Conclusions: preventive consultations with an average interval of up to 8 months seemed to increase family adherence to preventive procedures and acted as a protective factor against caries incidence in children.
Subject(s)
Dental Caries , Dental Clinics , Child , Child, Preschool , Cohort Studies , Humans , Incidence , InfantABSTRACT
O tratamento da micrognatia em crianças representa um desafio ortopédico em razão da limitação da magnitude de alteração do padrão de crescimento facial versus o componente genético que, por vezes, requer o auxílio de tratamento com cirurgia ortognática. Todavia, entendemos necessária a abordagem ortopédica em crianças portadoras de mandíbula hipoplásica, seja para efetivamente eliminiar a necessidade cirúrgica, seja para reduzir a magnitude desta ou para permitir melhor qualidade de vida durante o desenvolvimento da criança até a fase adulta. Apresentamos nesse artigo um caso clínico de tratamento de micrognatia em criança com aumento da via aérea em orofarínge, oclusão ideal, acompanhamento de estabilidade de 5 anos e sem a necessidade de cirurgia ortognática na vida adulta (AU)
Abstract The treatment of micrognathia in children represents an orthopedic challenge due to the limitation of the magnitude of growth pattern orthopedic approach versus the genetic pattern, which sometimes requires orthognathic surgery treatment. However, we consider the need for an orthopedic approach in children with hypoplastic mandibles, either to eliminate the surgical need, to reduce the magnitude of this or to allow a better quality of life during the child's development until adulthood. This paper presents a treatment of micrognathia in children with increase of the airway in oropharyngeal, ideal occlusion, without the need of orthognathic surgery in adult life, with 5 years-follow up (AU)
Subject(s)
Humans , Male , Child , Oropharynx , Orthodontics, Interceptive , MicrognathismABSTRACT
Hypodontia is the most prevalent craniofacial malformation in mankind. It may present a wide variety of manifestations and, depending on the number and location of missing teeth, it may affect the esthetics, mastication, speech and occlusal balance. This paper discusses the therapeutic approaches to solve this condition, describing a case report with hypodontia of one mandibular lateral incisor, which treatment option included space closure at the region of hypodontia associated with composite resin restorations in the mandibular central incisors. The three-year follow-up after treatment revealed occlusal stability, adequate intercuspation in Class I relationship and excellent micro and macroesthetics.
Subject(s)
Anodontia/surgery , Fused Teeth , Child , Female , Humans , Orthodontics, Corrective/methods , Tooth Movement Techniques , Treatment OutcomeABSTRACT
ABSTRACT Hypodontia is the most prevalent craniofacial malformation in mankind. It may present a wide variety of manifestations and, depending on the number and location of missing teeth, it may affect the esthetics, mastication, speech and occlusal balance. This paper discusses the therapeutic approaches to solve this condition, describing a case report with hypodontia of one mandibular lateral incisor, which treatment option included space closure at the region of hypodontia associated with composite resin restorations in the mandibular central incisors. The three-year follow-up after treatment revealed occlusal stability, adequate intercuspation in Class I relationship and excellent micro and macroesthetics.
Resumo A agenesia dentária é a malformação craniofacial mais prevalente em humanos. Pode apresentar uma grande variedade de manifestações e, dependendo do número e localização dos dentes ausentes, pode afetar a estética, a mastigação, a fala e o equilíbrio da oclusão. Neste artigo, serão discutidas as propostas terapêuticas para resolução dessa condição e será descrito um caso clínico com agenesia de um incisivo lateral inferior, cuja opção de tratamento foi o fechamento do espaço remanescente da agenesia, associado ao incremento de resina composta nos incisivos centrais inferiores. No acompanhamento por três anos após o tratamento, verificou-se estabilidade oclusal, adequada intercuspidação em Classe I e excelente micro e macroestética.
Subject(s)
Humans , Female , Child , Fused Teeth , Anodontia/surgery , Orthodontics, Corrective/methods , Tooth Movement Techniques , Treatment OutcomeABSTRACT
This article reports orthodontic treatment of a case of hypodontia of five premolars in an 11-year-old female patient with a positive tooth size-arch length discrepancy in both dental arches. The patient had a straight profile with balanced facial growth. Setup manufacture revealed the possibility of achieving ideal occlusion by mesializing permanent molars up to 15 mm, in addition to keeping a primary molar in the dental arch. With the aid of absolute anchorage, the proposed mechanics was performed and the occlusion predicted in the setup was achieved, while profile and facial growth pattern were maintained. The use of miniscrews for extensive orthodontic movements was successful. Furthermore, one primary molar was extensively mesialized. The indication of gingivoplasty to correct gingival smile proved effective. This is considered a useful technique for orthodontists.
Subject(s)
Anodontia/therapy , Bicuspid/abnormalities , Bone Screws , Orthodontic Anchorage Procedures/instrumentation , Orthodontic Appliance Design , Patient Care Planning , Cephalometry/methods , Child , Dental Arch/pathology , Diastema/pathology , Diastema/therapy , Female , Gingivoplasty/methods , Humans , Miniaturization , Odontometry/methods , Orthodontic Space Closure/instrumentation , Orthodontic Space Closure/methodsABSTRACT
This article reports orthodontic treatment of a case of hypodontia of five premolars in an 11-year-old female patient with a positive tooth size-arch length discrepancy in both dental arches. The patient had a straight profile with balanced facial growth. Setup manufacture revealed the possibility of achieving ideal occlusion by mesializing permanent molars up to 15 mm, in addition to keeping a primary molar in the dental arch. With the aid of absolute anchorage, the proposed mechanics was performed and the occlusion predicted in the setup was achieved, while profile and facial growth pattern were maintained. The use of miniscrews for extensive orthodontic movements was successful. Furthermore, one primary molar was extensively mesialized. The indication of gingivoplasty to correct gingival smile proved effective. This is considered a useful technique for orthodontists.
Este artigo apresenta o tratamento ortodôntico de um caso com hipodontia de cinco pré-molares, em uma paciente, de 11 anos de idade, com discrepância positiva de modelo em ambas as arcadas. A paciente apresentava perfil reto, com crescimento facial equilibrado. Por meio da confecção de set-up, verificou-se a possibilidade de se estabelecer uma oclusão ideal por meio da mesialização, de até 15mm, dos molares permanentes e manutenção de um molar decíduo no arco. Com o auxílio de ancoragem absoluta, foi realizada a mecânica proposta, alcançando-se a oclusão prevista em set-up, além da manutenção do perfil e do padrão de crescimento facial. A utilização de mini-implantes para grandes movimentos ortodônticos foi favorável, incluindo a extensa mesialização de um molar decíduo. A indicação da gengivoplastia para correção do sorriso gengival se mostrou acertada, sendo essa uma técnica de grande auxílio à Ortodontia.
Subject(s)
Animals , Dogs , Female , Male , Dog Diseases/chemically induced , Hydromorphone/adverse effects , Nausea/veterinary , Quinuclidines/therapeutic use , Vomiting/veterinary , Analgesics, Opioid/adverse effects , Antiemetics/administration & dosage , Antiemetics/therapeutic use , Dog Diseases/drug therapy , Drug Administration Schedule/veterinary , Nausea/chemically induced , Nausea/drug therapy , Quinuclidines/administration & dosage , Vomiting/chemically induced , Vomiting/drug therapyABSTRACT
O objetivo deste estudo foi verificar os métodos de controle do comportamento infantil utilizados por um grupo de dentistas, enfatizando a técnica da Mäo Sobre a Boca (MSB) e Restriçäo Física (RF). Trezentos questionários foram distribuídos durante o "XV Congresso Brasileiro de Odontopediatria" em agosto de 1996, e 183 questionários foram devolvidos. Os dados foram analisados no Epi Info 6,02 (CDC - USA) pelo teste Qui-Qiadrado. Dizer-Mostrar-Fazer (DMF) foi usada por 85,2 por cento e Controle de Voz (CV) por 83,6 por cento. MSB e RF foram usadas por 48,6 por cento e 47,5 por cento, respectivamente, e o consentimento dos pais foi perguntado por 71,5 por cento dos dentistas, principalmente pela forma verbal (78,7 por cento). A presença dos pais na sala de tratamento foi permitida por 18,6 por cento, näo permitido por 56,4 por cento e 14 por cento foram indiferentes. As crianças näo säo traumatizadas por MSB ou RF de acordo com 73,6 dos dentistas...
