RESUMO
INTRODUCTION: This retrospective study evaluated the buccal bone thickness in mandibular canine, premolar, and molar areas, using as a reference the WALA ridge in patients with various facial patterns. METHODS: The sample comprised 51 cone-beam computerized tomography scans of subjects divided into 3 groups according to the facial pattern, determined by the Ricketts' VERT index, brachyfacial (group 1), mesofacial (group 2), and dolichofacial (group 3). A quantitative analysis of the buccal bone thickness was made in cone-beam computerized tomography scans in the region of the mandibular dental arch corresponding to the WALA ridge. The intergroup comparison of buccal bone thickness was performed with a 1-way analysis of variance and Tukey tests. RESULTS: Buccal bone thickness was similar among the groups, and it increased progressively from the mandibular first to the second molars. In the canine and premolar regions, the thickness was less and often not visible on tomography. There was no difference in the buccal bone thickness in the mandibular dental arch region corresponding to the WALA ridge reference among facial patterns, except for the mesial roots of the second molars, which were thicker in brachyfacial subjects than in dolichofacial subjects. CONCLUSIONS: The use of the WALA ridge as a clinical reference for individualized orthodontic arch diagramming should be made with caution and independent of the facial pattern.
Assuntos
Tomografia Computadorizada de Feixe Cônico , Dente Molar , Tomografia Computadorizada de Feixe Cônico/métodos , Humanos , Mandíbula/diagnóstico por imagem , Estudos Retrospectivos , Raiz Dentária/diagnóstico por imagemRESUMO
The presence of dyes in wastewater streams poses a great challenge for sustainability and brings the need to develop technologies to treat effluent streams. Here, we propose a mixture of high superficial area carbon-based nanomaterial strategy to improve the removal of basic blue 26 (BB26) by blending porous carbon nitride (CN) and graphene oxide (GO). We prepared CN and GO pristine materials, as well the nanocomposites with mass/ratio 30/70, 50/50, and 70/30, and applied them into BB26 uptake. Nanocomposite 50/50 CN/GO was found to be the better adsorbent, and the optimization of the adsorption revealed a fast equilibrium time of 30 min, after sonication for 2 min, nanocomposite 50/50, and BB26 dye loading of 0.1 g/L and 100 mg/L, respectively. The pH variation had great influence on BB26 uptake, and at ultrapure water pH, the dye removal capacity by the composite reached 917.78 mg/g. At pH 2, a remarkable removal efficiency of 3510.10 mg/g was obtained, probably due to electrostatic interactions among protonated amine groups of the dye and negatively charged CN/GO nanocomposite. The results obtained were best fitted to the pseudo-second-order kinetic model and the Dubinin-Radushkevich isotherm. The adsorption process was thermodynamically spontaneous, and physisorption was the main mechanism, which is based on weak electrostatic and π-π interactions. The dye attached to the CN/GO nanocomposite could be removed by washing with ethyl alcohol, and the adsorbent was reused for five consecutive cycles with high BB26 uptake efficiency. The CN/GO nanocomposite ability to remove the BB26 dye was 21 times higher than those reported in the literature, indicating CN/GO composites as potential filtering materials to basic dyes.
Assuntos
Grafite , Nanocompostos , Poluentes Químicos da Água , Adsorção , Corantes , Cinética , Nitrilas , Poluentes Químicos da Água/análiseRESUMO
Orthognathic surgery is necessary when a patient's major complaints include skeletal discrepancies that cannot be corrected with orthodontic treatment alone. Currently, orthognathic surgery can be performed through conventional and surgery-first approaches. Some advantages are attributed to the surgery-first approach, such as shortened treatment time and immediate esthetic improvement. The aim of this case report is to present the retreatment of a patient presenting with a skeletal Class III malocclusion, with maxillary retrusion and mandibular protrusion, who was successfully treated with the surgery-first approach and customized lingual appliances, combined with miniplate anchorage in the postoperative orthodontic treatment. The total orthodontic treatment time was 8 months.
Assuntos
Procedimentos de Ancoragem Ortodôntica , Cirurgia Ortognática , Procedimentos Cirúrgicos Ortognáticos , Cefalometria , Estética Dentária , Humanos , Aparelhos Ortodônticos , Retratamento , LínguaRESUMO
Treatments without tooth extractions have become more popular over the last two decades. In this context, expansion of the maxillary arch is an interesting treatment option for cases in which space is required and other factors not favoring extractions (such as the facial profile) are present. According to several authors, this posterior expansion can be obtained using a system comprising self-ligating brackets and superelastic nickel-titanium arches. The present article aims to report a case of a young patient with Class II, Division 2 malocclusion, with impacted upper canines and significant arch length-tooth discrepancy. METHODS: The case was treated by means of a passive self-ligating appliance in association with Class II elastics and coil spring for distalizing the molars. This treatment alternative was effective for correcting Class II and obtaining space to correct tooth positioning.
Assuntos
Má Oclusão Classe II de Angle/terapia , Aparelhos Ortodônticos , Ortodontia Corretiva/instrumentação , Dente não Erupcionado/terapia , Cefalometria , Criança , Humanos , Masculino , Má Oclusão Classe II de Angle/diagnóstico por imagem , Desenho de Aparelho Ortodôntico , Radiografia Panorâmica , Dente não Erupcionado/diagnóstico por imagemRESUMO
O objetivo deste relato de caso foi mostrar o tracionamento de caninos impactados em posições desfavoráveis numa paciente de 13 anos e 3 meses. Foram realizadas uma tomografia computadorizada e radiografia panorâmica inicial para averiguação da posição e angulação dos caninos. A tomografia mostrou o canino superior direito em posição horizontal em relação aos dentes adjacentes e localizado apicalmente, e o canino superior esquerdo, em uma angulação favorável para o tracionamento. A paciente foi encaminhada para extração dos caninos decíduos superiores direito e esquerdo. Em seguida, realizou-se a colagem do aparelho fixo superior com molas de secção aberta de aço inoxidável para obtenção do espaço suficiente para os caninos e, após, iniciou-se o tracionamento. Durante o tratamento ortodôntico, controles foram obtidos com tomografias após 11 meses de tratamento e dois anos pós-tratamento. Assim que ocorreu a irrupção parcial da coroa do canino superior direito na cavidade bucal, colou-se um botão, e com arcos de níquel titânio superelásticos, o dente foi tracionado lentamente (para não sofrer alterações de tecido mole) em direção ao arco dentário. Na finalização, a paciente utilizou elásticos intermaxilares para auxiliar o posicionamento correto no arco dentário. Os resultados obtidos foram muito satisfatórios considerando a angulação horizontal do canino superior direito na tomografia inicial, e obteve-se o correto encaixe dos dentes em Classe l de caninos com grande harmonia e estética.
The aim of this case report was to present the case of a 13.3 year old patient submitted to traction of impacted canine in a very unfavorable position. CT scan and initial panoramic radiograph were performed to determine the position and angulation of the canines. The CT scan showed tooth 13 in an apical position horizontally to the adjacent teeth. On the other hand, the tooth 23 was at a favorable angle for traction. The patient was referred for extraction of deciduous teeth 53 and 63. Then a fixed appliance with stainless steel open coil springs was installed to open space for the canines. After obtaining enough space in the arch, one closed coil spring was installed in the regions of canines to maintain the space and then start the traction. During orthodontic treatment CT scans performed at 11 months and again 2 years after treatment. As a part of the 13 crown erupted in the oral cavity, a button was installed and superelastic NiTi wire was used to slowly traction the tooth (not to suffer soft tissue changes) toward the arch. Following treatment, the patient wore intermaxillary elastics to aid in its final positioning. The obtained results were very satisfactory where in the initial CT scan tooth 13 was in an almost impossible angle for the traction to be performed. Proper occlusion of teeth in Class l canine relationship was achieved with great harmony and aesthetics.
Assuntos
Humanos , Feminino , Criança , Ortodontia Corretiva , Tomografia Computadorizada por Raios X , Dente ImpactadoRESUMO
The purpose of this article is to present the treatment of a 8-year-old boy with tooth ankylosis in teeth 85 and Class II division 1 malocclusion and to report a 10-year follow-up result. The patient was initially treated with a sagittal removable appliance, followed by an eruption guidance appliance and braces. The interceptive orthodontic treatment performed to recover the space lost by ankylosis of a deciduous tooth allowed a spontaneous eruption and prevented progression of the problem. The use of an eruption-guidance appliance corrected the dentoskeletal Class II, thus improving the patient's appearance. Besides the treatment producing a good occlusal relationship with the Class I molar, the correction of the overjet and overbite was stable over a ten-year period.
Assuntos
Má Oclusão Classe II de Angle/terapia , Aparelhos Ortodônticos Funcionais , Ortodontia Corretiva , Ortodontia Interceptora/instrumentação , Criança , Seguimentos , Humanos , Masculino , Ortodontia Interceptora/métodos , Anquilose DentalRESUMO
OBJECTIVE: To evaluate the dentoskeletal changes of Class II malocclusion treatment with the Twin Force Bite Corrector (TFBC). MATERIALS AND METHODS: The sample comprised 86 lateral cephalograms obtained from 43 subjects with Class II division 1 malocclusion; the subjects were divided into two groups. The experimental group comprised 23 patients with a mean initial age of 12.11 years who were treated with the TFBC for a mean period of 2.19 years. The control group included 40 lateral cephalograms from 20 Class II nontreated patients, with an initial mean age of 12.55 years and a mean observation period of 2.19 years. The lateral cephalograms were evaluated before and after orthodontic treatment in group 1 and in the beginning and end of the observation period in group 2. t-Tests were used to compare the initial and final cephalometric characteristics of the groups as well as the amount of change. RESULTS: The experimental group presented greater maxillary growth restriction and mandibular retrusion than the control group, as well as greater maxillomandibular relationship improvement and greater labial tipping of the mandibular incisors. The results also showed a greater decrease in overbite and overjet in the experimental group, and there were no statistically significant differences in the craniofacial growth pattern between groups. CONCLUSIONS: The TFBC promotes restriction of anterior maxillary displacement without significant changes in mandibular length and position and improvement of maxillomandibular relationship without changes in facial growth and significant buccal tipping of mandibular incisors. Class II correction with the TFBC occurred primarily as a result of dentoalveolar changes.