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1.
Dental Press J Orthod ; 28(1): e232198, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37075418

RESUMO

INTRODUCTION: The emergence of orthodontic aligners has provided an aesthetic and comfortable option for orthodontic treatment. However, the encapsulated design of the aligners can influence the masticatory muscles, and might compromise safe treatment. OBJECTIVE: This preliminary longitudinal study aimed to investigate whether the use of orthodontic aligners affects the biting force and myoelectric activity of the superficial masseter and anterior temporal muscles. METHODS: Ten subjects participated in the study and underwent treatment during an 8-month follow-up period. The root mean square (RMS), the median power frequency (MPF) of the surface electromyography (sEMG) signals, and the biting force (kgf) were recorded and normalized relative to the pretreatment condition. The data were analyzed by repeated-measure analysis of variance (ANOVA), with the significance level set at 5%. RESULTS: Both the superficial masseter and the anterior temporal muscles presented an increase in sEMG signal activity during the treatment, with a marked increase in the latter compared to the former (p<0.05). Moreover, a significant decrease in bite force was evidenced (p<0.05). CONCLUSIONS: This preliminary study observed that the orthodontic aligners affected the muscle recruitment pattern of masticatory muscles, and reduced biting performance during the 8-month follow-up period.


Assuntos
Estética Dentária , Músculos da Mastigação , Humanos , Estudos Longitudinais , Estudos Prospectivos , Músculos da Mastigação/fisiologia , Músculo Masseter/fisiologia , Força de Mordida
2.
Am J Orthod Dentofacial Orthop ; 164(2): 265-275, 2023 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-36967314

RESUMO

INTRODUCTION: This study evaluated mandibular morphology and transverse dental compensation between symmetrical and asymmetrical subjects, allocated according to sagittal skeletal patterns. In addition, the hypothesis that mandibular morphology and dental compensations differed between symmetrical/asymmetrical groups and also among the different types of sagittal skeletal patterns was tested. METHODS: Cone-beam computed tomography images of 96 patients were included in this study and were divided into 2 groups according to the degree of menton deviation: a symmetrical group with deviation up to 2.0 mm (n = 48; mean age, 15 ± 6 years), and an asymmetrical group with deviation from 3.5 mm (n = 48; mean age, 16 ± 8 years). The 2 groups were divided in accordance with the ANB angle: Class I, II, and III. Skeletal and dental measurements were performed. Intergroup and intragroup analyses were carried out, using a 2-way analysis of variance to assess the interaction of factors: symmetry and sagittal skeletal pattern; and the Student t test for differences between deviated (Dv) and nondeviated (NDv) sides. RESULTS: Symmetrical/asymmetrical groups and Class I, II, and III groups were similar in relation to demographic aspects (P = 0.412 and P = 0.357 for sex and age, respectively). Asymmetrical patients had higher values for body length and mandibular ramus and condyle height on the NDv side (P = 0.011, P = 0.024, and P = 0.001, respectively). When comparing the different skeletal patterns, patients with a Class III relationship demonstrated higher values for mandibular ramus height. Intergroup analysis showed no differences in dental parameters. In the comparison between the sides, the asymmetrical group showed a significant difference in canine inclination (P = 0.008), mandibular ramus height (P = 0.004), condyle height (P = 0.010) and gonion to midsagittal plane distance (P = 0.018). CONCLUSIONS: Asymmetrical subjects showed higher values for canine inclination and mandibular body, ramus and condylar height on the NDv side. The hypothesis was partially confirmed that mandibular morphology and dental compensations are different between symmetrical/asymmetrical groups and among different sagittal skeletal patterns.


Assuntos
Imageamento Tridimensional , Dente , Cefalometria/métodos , Imageamento Tridimensional/métodos , Mandíbula/diagnóstico por imagem , Tomografia Computadorizada de Feixe Cônico/métodos , Côndilo Mandibular/anatomia & histologia
3.
Dental press j. orthod. (Impr.) ; 28(1): e232198, 2023. tab, graf
Artigo em Inglês | LILACS-Express | LILACS, BBO - Odontologia | ID: biblio-1430271

RESUMO

ABSTRACT Introduction: The emergence of orthodontic aligners has provided an aesthetic and comfortable option for orthodontic treatment. However, the encapsulated design of the aligners can influence the masticatory muscles, and might compromise safe treatment. Objective: This preliminary longitudinal study aimed to investigate whether the use of orthodontic aligners affects the biting force and myoelectric activity of the superficial masseter and anterior temporal muscles. Methods: Ten subjects participated in the study and underwent treatment during an 8-month follow-up period. The root mean square (RMS), the median power frequency (MPF) of the surface electromyography (sEMG) signals, and the biting force (kgf) were recorded and normalized relative to the pretreatment condition. The data were analyzed by repeated-measure analysis of variance (ANOVA), with the significance level set at 5%. Results: Both the superficial masseter and the anterior temporal muscles presented an increase in sEMG signal activity during the treatment, with a marked increase in the latter compared to the former (p<0.05). Moreover, a significant decrease in bite force was evidenced (p<0.05). Conclusions: This preliminary study observed that the orthodontic aligners affected the muscle recruitment pattern of masticatory muscles, and reduced biting performance during the 8-month follow-up period.


RESUMO Introdução: O surgimento dos alinhadores ortodônticos tem proporcionado uma opção estética e confortável para o tratamento ortodôntico. No entanto, o design encapsulado dos alinhadores pode influenciar os músculos mastigatórios e comprometer a segurança do tratamento. Objetivo: Este estudo longitudinal preliminar teve como objetivo investigar se o uso de alinhadores ortodônticos afeta a força de mordida e a atividade mioelétrica dos músculos masseter superficial e temporal anterior. Métodos: Dez indivíduos participaram do estudo e foram submetidos a tratamento durante um período de acompanhamento de 8 meses. A raiz quadrada média (RMS), a frequência mediana de potência (FMP) dos sinais de superfície da eletromiografia (sEMG) e a força de mordida (kgf) foram registradas e normalizadas em relação à condição de pré-tratamento. Os dados foram analisados por análise de variância para medidas repetidas (ANOVA), com nível de significância estabelecido em 5%. Resultados: Tanto o masseter superficial quanto o temporal anterior apresentaram aumento da atividade do sinal sEMG durante o tratamento, com aumento acentuado desse último em comparação ao primeiro (p<0,05). Além disso, foi evidenciada uma diminuição significativa da força de mordida (p<0,05). Conclusões: Esse estudo preliminar observou que os alinhadores ortodônticos afetaram o padrão de recrutamento muscular dos músculos mastigatórios e reduziram o desempenho da mordida durante o período de acompanhamento de oito meses.

4.
Rev. Cient. CRO-RJ (Online) ; 7(1): 24-30, Jan-Apr 2022.
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1382138

RESUMO

Objective: The aim of this study was to compare the effectiveness of two bleaching treatment protocols to treat dental staining after orthodontic debonding. Materials and Methods: Twenty four bovine teeth were submitted to orthodontic bracket (Morelli, Edgewise Prescription, Slot 22) bonding (Transbond XT, 3M) and debonding, which were divided into three groups according to the bleaching protocol: hydrogen peroxide 10% (Whiteness, FGM) simulating home bleaching protocol (Home Bleaching Group), hydrogen peroxide 35% Whiteness, FGM) simulating dental office bleaching protocol (Office Bleaching Group) and Control Group, which was not exposed to any dental bleaching protocol, and stored in distilled water at 37°C. The specimens were submitted to the following processes: aging of resin remaining tegs by ultraviolet (UV), staining with coffee solution and tooth bleaching with 10% hydrogen peroxide (G1) and 35% hydrogen peroxide (G2). The color stability analysis (CIE color space L* a* b* was performed with Vita Easyshade Compact spectrophotometer before bonding (T0), after aging and staining processes (T1) and after bleaching treatment (T2). All teeth were stored in distilled water at 37°C between experimental times. The comparison between the groups and time effect evaluation were performed using ANOVA / Tukey ( =0.05) and ANOVA-MR with Bonferroni correction ( =0.016), respectively. Results: The color stability parameters L *, a * and b * indicated, with the exception of GC, a tendency of increase in T1 (G1 - L *: 76.72 ± 13.39; a *: 6.68 ± 3.71; b *: 43.14 ± 4.04 / G2: - L *: 75.78 ± 4.66; a *: 8.13 ± 2.75; b *: 43.42 ± 8.87), which reflected the tendency to decrease brightness in T1, followed by a tendency to return to T0 values (G1 - L *: 82.92 ± 12.16; a *: 4.25 ± 3.68; b *: 39.40 ± 9.49 / G2: - L *: 83.76 ± 8.02; a *: 8.76 ± 4.08; b *: 47.90 ± 5.88). Significant differences were observed in G2 in a * (T1: 8.13 ± 2.75, T2: 8.76 ± 4.08) and b * (T1: 43.42 ± 8.87; T2: 47.90 ± 5.88), indicating that this group did not return to the values presented in T0 (a *: 1.81 ± 1.70; b *: 35.40 ± 5.08) (p <0.05). Conclusion: Based on the results of this study, it can be concluded that home bleaching protocol presented better performance for dental surface whitening in an eventual staining after orthodontic debonding.


Objetivo: O objetivo deste estudo foi comparar a eficácia de dois protocolos de tratamento clareador para manchas dentárias causadas após a descolagem ortodôntica. Materiais e Métodos: Vinte e quatro dentes bovinos foram submetidos à colagem e descolagem de braquetes ortodônticos (Morelli, Prescrição Edgewise, Slot 22") (Transbond XT, 3M), que foram divididos em três grupos de acordo com o protocolo de clareamento: peróxido de hidrogênio 10% (Whiteness, FGM) simulando protocolo de clareamento caseiro (grupo clareamento caseiro), peróxido de hidrogênio 35% Whiteness, FGM) simulando protocolo de clareamento de consultório (grupo clareamento de consultório) e Grupo Controle, que não foi exposto a nenhum protocolo de clareamento dental, armazenado em água destilada a 37ºC. Os corpos de prova foram submetidos aos seguintes processos: envelhecimento das resinas remanescentes por ultravioleta (UV), manchamento em solução de café e clareamento dental com peróxido de hidrogênio 10% (G1) e peróxido de hidrogênio 35% (G2). A análise de estabilidade de cor (sistema CIE L* a* b*) foi realizada com espectrofotômetro Vita Easyshade Compact antes da colagem (T0), após os processos de envelhecimento e manchamento (T1) e após o tratamento clareador (T2). Todos os dentes foram armazenados em água destilada a 37 °C entre os tempos experimentais. A comparação entre os grupos e a avaliação do efeito do tempo foram realizadas utilizando ANOVA/Tukey ( =0,05) e ANOVA-MR com correção de Bonferroni ( =0,016), respectivamente. Resultados: Os parâmetros de estabilidade de cor L *, a* e b* indicaram, com exceção do GC, tendência de aumento em T1 (G1 - L*: 76,72 ± 13,39; a*: 6,68 ± 3,71; b*: 43,14 ± 4,04 / G2: - L* : 75,78 ± 4,66; a*: 8,13 ± 2,75; b*: 43,42 ± 8,87), o que refletiu a tendência de diminuição do brilho em T1, seguido de uma tendência de retorno aos valores de T0 (G1- L*: 82,92 ± 12,16 ; a*: 4,25 ± 3,68; b*: 39,40 ± 9,49 / G2: - L*: 83,76 ± 8,02; a*: 8,76 ± 4,08; b*: 47,90 ± 5,88). Foram observadas diferenças significativas no G2 em a* (T1: 8,13 ± 2,75, T2: 8,76 ± 4,08) e b* (T1: 43,42 ± 8,87; T2: 47,90 ± 5,88), indicando que esse grupo não retornou aos valores apresentados em T0 (a*: 1,81 ± 1,70; b*: 35,40 ± 5,08) (p<0,05). Conclusão: Com base nos resultados deste estudo, pode-se concluir que o protocolo de clareamento caseiro apresentou melhor desempenho para o clareamento da superfície dentária em um eventual manchamento após a descolagem ortodôntica.


Assuntos
Clareamento Dental , Descolagem Dentária , Clareadores Dentários , Teste de Materiais
5.
Eur J Orthod ; 44(5): 491-502, 2022 09 19.
Artigo em Inglês | MEDLINE | ID: mdl-35108382

RESUMO

OBJECTIVE: To systematically evaluate all the evidence assessing variations in the depth of the curve of Spee (COS) according to the presence/absence of different dentoskeletal characteristics. SEARCH METHODS AND ELIGIBILITY CRITERIA: The eligibility criteria were outlined following the PECO framework, as follows: studies evaluating individuals with complete permanent dentition including second molars (P), which compared a group with a certain dentoskeletal variation (E) versus another group without the variation (C), regarding the depth of the COS (O). MEDLINE (via PubMed), Scopus, Web of Science, The Cochrane Library, LILACS and BBO (via Virtual Health Library), OpenGrey, and Google Scholar were searched up to September 2021 to identify eligible reports. DATA COLLECTION AND ANALYSIS: Duplicates were removed from all the records retrieved. The selection process and data collection were performed independently by two review members. The risk of bias was also assessed independently and in duplicate, using the guideline described by Fowkes and Fulton. Several meta-analyses (α = 0.05) were conducted to estimate the mean differences (MD) or standardized mean differences (SMD) in the depth of COS between individuals presenting or not certain dentoskeletal characteristics. The certainty of evidence was assessed using the GRADE tool. RESULTS: Thirty-five studies were selected for qualitative synthesis, and 29 of them for quantitative synthesis. All studies had methodological limitations that affected the risk of bias and increased the likelihood that results were due to chance. Syntheses showed that Class II malocclusion (SMD = 0.87; 95% CI: 0.61, 1.13; P < 0.00001; six datasets including 260 subjects analysed), Class II division 1 (SMD = 1.09; 95% CI: 0.62, 1.56; P < 0.00001; 14 datasets including 823 subjects analysed) and Class II division 2 (SMD = 2.65; 95% CI: 1.51, 3.79; P < 0.00001; eight datasets including 476 subjects analysed) had deeper COS than Class I malocclusion. The skeletal Class II also presented higher COS values than skeletal Class I (SMD = 0.57; 95% CI: 0.02, 1.12; P = 0.04; four datasets including 299 subjects analysed). Individuals with Class III malocclusion had flatter COS than the subjects having Class I malocclusion (SMD = -0.57; 95% CI: -1.07, -0.08; P = 0.02; nine datasets including 505 individuals analysed). No difference was shown in the COS depth between skeletal Class III and Class I (P > 0.05). Deep bite individuals had higher COS depth than those with normal overbite (MD = 0.61; 95% CI: 0.41, 0.82; P < 0.00001; two datasets including 250 subjects analysed). In addition, hypodivergent individuals presented deeper COS than normodivergents (SMD = 0.62; 95% CI: 0.37, 0.86; P < 0.00001; six datasets including 305 subjects analysed), and there was no significant difference in the COS depth between hyperdivergent and normodivergent individuals (P = 0.66). The certainty of evidence was rated as very low for all the syntheses. LIMITATIONS: All the quantitative syntheses included results from studies with methodological flaws. Therefore, they are potentially biased. Moreover, the evidence was also mainly affected in terms of the inconsistency of the results and the imprecision of the estimates. CONCLUSIONS: Although an apparent influence of dentoskeletal Class II, Class III malocclusion, deep bite, and the hypodivergent skeletal pattern on the depth of the COS is suggested, it is not possible to make definitive conclusions on the matter due to the very low certainty of the evidence. Further high-quality research is necessary.


Assuntos
Arco Dental , Má Oclusão , Sobremordida , Cefalometria , Humanos , Má Oclusão/patologia , Má Oclusão/terapia , Má Oclusão Classe I de Angle , Má Oclusão Classe II de Angle , Má Oclusão Classe III de Angle , Dente Molar
6.
Dental Press J Orthod ; 26(3): e2119288, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34231833

RESUMO

OBJECTIVE: The aim of this study was to evaluate characteristics of African-Brazilians young adults with excellent dental occlusion, including bimaxillary protrusion; compare them to European-American Caucasian standards, and determine whether there is sexual dimorphism in the display of this phenotype. METHODS: Lateral cephalometric radiographs were obtained from 43 African-Brazilians within military personnel (28 males and 15 females, average age 22.4 ± 3.4 years) with normal occlusion, selected from a group of 394 volunteers. Thirty-one angular and linear measurements were evaluated. Student's t-test for independent samples was used to compare results with those established by European-American standards, previously described in the literature. RESULTS: Considering the dentoalveolar pattern, seven angular and six linear measurements showed statistically significant differences (p< 0.001) when compared to Caucasian cephalometric standards. African-Brazilians' subjects showed lower cranial base angle (SNAr = 119.87 ± 5.66º) and anterior cranial base length (SN-distance = 68.63 ± 4.50 mm) (p< 0.001). The maxilla (SNA = 88.51 ± 3.23º) and the mandible (SNB = 85.06 ± 3.24º) were protruded in relation to the SN line (p< 0.001). Sexual dimorphism was significant for L1.NB (degrees) (p< 0.01), and interincisal angle (U1.L1) (p< 0.05). CONCLUSION: African-Brazilian young adults presented differences regarding dental and craniofacial characteristics, when compared to European-American norms. It can be stated that Caucasian cephalometric norms should not be applied to African-Brazilian faces.


Assuntos
Mandíbula , Maxila , Adulto , Brasil , Cefalometria , Feminino , Humanos , Masculino , Mandíbula/diagnóstico por imagem , Maxila/diagnóstico por imagem , Estudos Prospectivos , Adulto Jovem
7.
Korean J Orthod ; 51(2): 115-125, 2021 Mar 25.
Artigo em Inglês | MEDLINE | ID: mdl-33678627

RESUMO

OBJECTIVE: To evaluate the reasons influencing the preferences for a certain type of orthodontic appliance over another among prospective patients (PP) and orthodontists. METHODS: A total of 49 PP and 51 orthodontists were asked about their preferences for the following appliances: clear aligners (CA), lingual metallic brackets (LMB), polycrystalline and monocrystalline ceramic brackets, and buccal metallic brackets (BMB). The participants rated the importance of 17 potential reasons that would explain their choices. The reasons that contributed most to these preferences were identified. Non-parametric tests (Fisher's exact, χ2 and Mann-Whitney tests) and multivariate analyses (regression and discriminant analysis) were used to assess the data (α = 0.05). RESULTS: CA and BMB were the most chosen appliances by PP and orthodontists, respectively. LMB was the most rejected option among both groups of participants (p < 0.001). Rates of the importance of pain/discomfort, smile esthetics, finishing details, and feeding/speech impairment showed the highest differences between PP and orthodontists (p < 0.0005). Discriminant analyses showed that individuals who considered treatment time and smile esthetics as more important were more likely to prefer CA, while those who prioritized finishing details and cost were more likely to choose BMB (p < 0.05). CONCLUSIONS: Reasons related to comfort and quality of life during use were considered as more important by PP, while those related to the results and clinical performance of the appliances were considered as more relevant by orthodontists.

8.
Dental press j. orthod. (Impr.) ; 26(3): e2119288, 2021. tab, graf
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1286209

RESUMO

ABSTRACT Objective: The aim of this study was to evaluate characteristics of African-Brazilians young adults with excellent dental occlusion, including bimaxillary protrusion; compare them to European-American Caucasian standards, and determine whether there is sexual dimorphism in the display of this phenotype. Methods: Lateral cephalometric radiographs were obtained from 43 African-Brazilians within military personnel (28 males and 15 females, average age 22.4 ± 3.4 years) with normal occlusion, selected from a group of 394 volunteers. Thirty-one angular and linear measurements were evaluated. Student's t-test for independent samples was used to compare results with those established by European-American standards, previously described in the literature. Results: Considering the dentoalveolar pattern, seven angular and six linear measurements showed statistically significant differences (p< 0.001) when compared to Caucasian cephalometric standards. African-Brazilians' subjects showed lower cranial base angle (SNAr = 119.87 ± 5.66º) and anterior cranial base length (SN-distance = 68.63 ± 4.50 mm) (p< 0.001). The maxilla (SNA = 88.51 ± 3.23º) and the mandible (SNB = 85.06 ± 3.24º) were protruded in relation to the SN line (p< 0.001). Sexual dimorphism was significant for L1.NB (degrees) (p< 0.01), and interincisal angle (U1.L1) (p< 0.05). Conclusion: African-Brazilian young adults presented differences regarding dental and craniofacial characteristics, when compared to European-American norms. It can be stated that Caucasian cephalometric norms should not be applied to African-Brazilian faces.


RESUMO Objetivo: O objetivo do presente estudo foi avaliar características de jovens adultos afro-brasileiros com oclusão excelente, incluindo protrusão bimaxilar, e compará-los com os padrões caucasianos europeu-americanos, para determinar se há dimorfismo sexual na exibição desse fenótipo. Métodos: Radiografias cefalométricas laterais foram obtidas de 43 afro-brasileiros militares (28 homens e 15 mulheres, idade média de 22,4 ± 3,4 anos) com oclusão normal, selecionados de um grupo de 394 voluntários. Foram avaliadas 31 medidas angulares e lineares. O teste t de Student para amostras independentes foi utilizado para comparar os resultados com os estabelecidos pelos padrões caucasianos europeu-americanos, descrito previamente na literatura. Resultados: Considerando o padrão dentoalveolar, sete medidas angulares e seis lineares apresentaram diferenças estatisticamente significativas (p< 0,001) quando comparadas aos padrões cefalométricos caucasianos. Sujeitos afro-brasileiros apresentaram menor ângulo da base do crânio (SNAr = 119,87 ± 5,66º) e comprimento da base craniana anterior (distância SN = 68,63 ± 4,50 mm) (p< 0,001). A maxila (SNA = 88,51 ± 3,23º) e a mandíbula (SNB = 85,06 ± 3,24º) estavam protruídas em relação à linha SN (p< 0,001). O dimorfismo de sexo foi significativo para L1.NB (graus) (p< 0,01) e ângulo interincisal (U1.L1) (p< 0,05). Conclusão: Jovens adultos afro-brasileiros apresentaram diferenças em relação às características dentárias e craniofaciais, quando comparados às normas europeias-americanas. Pode-se afirmar que as normas cefalométricas caucasianas não devem ser aplicadas às faces de indivíduos afro-brasileiros.


Assuntos
Humanos , Masculino , Feminino , Adulto , Adulto Jovem , Mandíbula/diagnóstico por imagem , Maxila/diagnóstico por imagem , Brasil , Cefalometria , Estudos Prospectivos
9.
Rev. Cient. CRO-RJ (Online) ; 5(1): 29-34, Jan.-Apr. 2020.
Artigo em Inglês | BBO - Odontologia, LILACS | ID: biblio-1130167

RESUMO

The aim of this pilot study was to determine cephalometric profile norms for a sample of African-Brazilian young adults with excellent occlusion and compare them to Caucasian standards. Methods: Lateral cephalograms of 43 individuals of both genders (28 male and 15 female), with average age of 22.40 ± 3.40 years, were used to evaluate 13 variables proposed by the Legan-Burstone analysis. Student´s independent t-test was used to compare resulting values with those set by European-American standards. Results: Significant differences were found (p < 0.001) between African-Brazilians and Caucasians as for: maxillary and mandibular prognathism, vertical height ratio, lower face-throat angle, lower vertical height-depth ratio, nasolabial angle, upper and lower lip protrusion, mentolabial sulcus and vertical lip-chin ratio. Facial convexity angle, maxillary incisor exposure and interlabial gap did not present statistical differences when ethnic groups were compared. Males displayed increased lower face-throat angles and vertical lip-chin ratios (p <0.05) while females presented increased maxillary incisor exposures (p <0.05). Conclusion: Caucasian cephalometric norms do not apply to African-Brazilian young adults. Therefore, morphological differences in the faces of such individuals should be taken into account during diagnosis and orthodontic treatment planning stages.


Objetivo: O objetivo deste estudo piloto foi determinar as normas do perfil cefalométrico para uma amostra de jovens adultos afro-brasileiros com oclusão excelente e, compará-las com os padrões caucasianos. Métodos: Cefalogramas laterais de 43 indivíduos de ambos os sexos (28 homens e 15 mulheres), com idade média de 22,40 ± 3,40 anos, foram utilizados para avaliar 13 variáveis propostas pela análise de Legan-Burstone. O teste t independente de Student foi utilizado para comparar os valores resultantes com os estabelecidos pelos padrões euroamericanos. Resultados: Foram encontradas diferenças significativas (p <0,001) entre afro-brasileiros e caucasianos quanto a: prognatismo maxilar e mandibular, razão vertical da altura, menor ângulo face-pescoço, menor razão vertical altura profundidade, ângulo nasolabial, protrusão labial superior e inferior, sulco mentolabial e razão vertical lábio-mento. O ângulo de convexidade facial, a exposição dos incisivos superiores e o gap interlabial não apresentaram diferenças estatísticas quando comparados os grupos étnicos. Os homens apresentaram maiores ângulos face-pescoço e razões verticais lábio-queixo (p<0,05), enquanto as mulheres apresentaram maior exposição dos incisivos superiores (p <0,05). Conclusão: As normas cefalométricas caucasianas não se aplicam a jovens adultos afro-brasileiros. Portanto, diferenças morfológicas nas faces desses indivíduos devem ser levadas em consideração durante as etapas de diagnóstico e planejamento do tratamento ortodôntico.


Assuntos
Ortodontia , Cefalometria , População Branca , Adulto Jovem
10.
Rev. Cient. CRO-RJ (Online) ; 5(2): 36-42, May-Aug. 2020.
Artigo em Inglês | BBO - Odontologia, LILACS | ID: biblio-1253974

RESUMO

Introduction: Excess of adhesive around brackets negatively impact oral health of orthodontic patients. Objective: Evaluate the influence of orthodontic bonding system in removal of adhesive flash around orthodontic brackets. Methods: Based on their characteristics, four orthodontic bonding systems were selected: lightcuring adhesive (G1 - TransbondTM XT); pink pigmented light-curing adhesive (G2- TransbondTM Plus Color Change); resin-modified glass ionomer cement (G3 - FujiOrthoTM LC); and auto-curing adhesive (G4 - ConciseTM). For each group (n=10), a single operator placed metal brackets on bovine teeth (n=40) and used an explorer tip to visually remove flash excess. After curing / setting, the sampleswere taken to a stereomicroscope and the Axio Vision 4.4 software was used to measure the area of remnant adhesive flash around each bracket. The quantitative data obtained was analyzed by the Kruskal-Wallis and Dunn's post hoc test at = 0.05. Results: The results show that the resin-modified glass ionomer cement (G3) had a larger area of remnant material than the other groups. There was no statistical difference between the other groups (G1, G2, and G4), independently of pigmentation or curing technique. Conclusion: It was concluded that the use of a resin-modified glass ionomer cement results in a larger area of remnant flash excess, which can negatively impact oral health. Pigmentation and curing technique did not influence on remnant flash excess.


Introdução: O excesso de material de colagem que permanece ao redor dos bráquetes impacta negativamente a saúde bucal dos pacientes ortodônticos. Objetivo: Avaliar a influência dos sistemas de colagem ortodônticos na remoção de excesso de adesivo ao redor de bráquetes. Métodos: Baseado em suas características, quatro sistemas de colagem ortodônticos foram selecionados: adesivo fotopolimerizável (G1 ­ TransbondTM XT); adesivo fotopolimerizável com pigmentação rosa (G2 - TransbondTM Plus Color Change); cimento de ionômero de vidro reforçado com resina (G3 - FujiOrthoTM LC); e adesivo autopolimerizável (G4 - ConciseTM). Para cada grupo (n=10), um único operador posicionou os bráquetes em dentes bovinos (n=40) e utilizou uma sonda exploradora para remoção visual do excesso de material de colagem. Após a polimerização / tempo de cura, as amostras foram levadas ao estereomicroscópio e o software Axio Vision 4,4 foi utilizado para mensurar a área de excesso de adesivo remanescente ao redor de cada bráquete. Os dados quantitativos obtidos foram analisados pelos testes de Kruskal-Wallis e post-hoc de Dunn em significância de = 0,05. Resultados: O cimento de ionômero de vidro reforçado por resina (G3) apresentou a maior área de remanescente de excesso. Não houve diferença estatisticamente significativa entre os demais grupos (G1, G2 e G4), independente da pigmentação ou do método de polimerização. Conclusão: O uso de cimento de ionômero de vidro reforçado por resina resulta em maior área de excesso remanescente, o que pode impactar negativamente a saúde bucal. A pigmentação e o método de polimerização não influenciaram no excesso de material remanescente.


Assuntos
Ortodontia , Saúde Bucal , Colagem Dentária , Braquetes Ortodônticos
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