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Pornratanavisai, Jarunard. "Dental arch changes over a 27-year period /." [St. Lucia, Qld.], 2003. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe16979.pdf.
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Weaver, Kolin E. "The stability of the WALA ridge as a landmark for determining dental archform." Morgantown, W. Va. : [West Virginia University Libraries], 2010. http://hdl.handle.net/10450/10936.
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Thesis (M.S.)--West Virginia University, 2010.<br>Title from document title page. Document formatted into pages; contains x, 107 p. : ill. (some col.). Vita. Includes abstract. Includes bibliographical references (p. 87-96).
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Al-Ali, Fawziea. "The effects of the shortened dental arch on mastication." Thesis, Queen Mary, University of London, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.392349.
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Housley, Jeffrey A. "Stability of transverse expansion in the mandibular dental arch." Oklahoma City : [s.n.], 2002. http://library.ouhsc.edu/epub/theses/Housley-Jeffrey-A.pdf.
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Thiradilok, Sasipa. "Changes in Dental Arch Dimension among Dental Class II Patients after Rapid Maxillary Expansion Therapy." Diss., lmu, 2008. http://nbn-resolving.de/urn:nbn:de:bvb:19-85316.
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Bachtiar, Mulyani Dalidjan. "An assessment of Pont's Index to predict dental arch width in human populations /." Title page, contents and summary only, 1990. http://web4.library.adelaide.edu.au/theses/09DM/09dmb124.pdf.
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Raan, F. J. du. "Using a mathematical model to determine dental arch- perimeter in class ii patients presenting at UWC orthodontic clinics." University of the Western Cape, 2021. http://hdl.handle.net/11394/7976.
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Doctor Scientiae - DSc<br>Determining arch perimeter is of importance in both a clinical setting, where it is used to determine space requirements, as well as in an epidemiological setting where it is used to describe large populations.
Physical measurement of arch perimeter is time consuming and may be prone to operator errors when done on study casts and even more so in a clinical situation.
The use of a simple mathematical model to predict arch perimeter, using a few measurements that can be done easily and reliably, would be of great use to the practitioner.
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Lara, Tulio Silva [UNESP]. "Efeito transversal da placa lábio-ativa aberta e fixa associada à extensão lingual de canino decíduo a primeiro molar permanente: estudo em modelos digitais." Universidade Estadual Paulista (UNESP), 2011. http://hdl.handle.net/11449/104507.
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lara_ts_dr_araca.pdf: 1227038 bytes, checksum: 5bdeade52ce118fe9dec19c954916edd (MD5)<br>Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)<br>Introdução: O objetivo do presente estudo clínico foi avaliar as dimensões transversais do arco dentário inferior com o uso da placa lábio-ativa aberta e fixa associada à extensão lingual de canino decíduo a primeiro molar permanente. Métodos: A amostra constou de 14 pacientes no estágio de dentadura mista e com idade média de oito anos e seis meses. Todos os pacientes realizaram expansão rápida da maxila e expansão lenta do arco inferior com a placa lábio-ativa. Modelos de gesso foram obtidos nas fases de pré-tratamento e pós-tratamento e digitalizados com auxílio do scanner 3Shape R700 3D (3Shape A/S, Copenhagen, Dinamarca). Medições transversais foram realizadas para as distâncias entre as pontas de cúspide dos caninos decíduos, pontas de cúspide mesiovestibulares dos molares decíduos e primeiro molar permanente e pontos médio cervical da face vestibular. O teste t foi utilizado para determinar se o aumento nas larguras transversais foi significativo. Resultados: Observou-se um aumento transversal estatisticamente significativo (p<0,05) que variou de 4,11mm a 4,51mm nos referenciais utilizados no nível das pontas de cúspide. Conclusão: A placa lábio-ativa aberta e fixa apresentou um efeito transversal significativo em aproximadamente seis meses de tratamento<br>Introduction: The aim of the current clinical study was to evaluate the transverse dimensions of the lower dental arch with the use of the fixed and expanded lip bumper associated to the lingual extension from the deciduous canine to the permanent first molar. Methods: The sample was comprised of 14 patients in the mixed dentition with a mean age of 8 years 6 months. All patients were submitted to rapid palatal expansion and dentolaveolar expansion of the lower dental arch with a lip bumper. Pre-teatment and post-treatment cast models were obtained and digitized with the 3Shape R700 3D (3Shape A/S, Copenhagen, Denmark) scanner. Transverse distances between the cusp tips of the canines, the mesial buccal cusps of the deciduous molars and of the permanent first molars and between the cervical middle points of the buccal aspects of these teeth were measured. The t tests were performed to determine whether an increase in transverse distances was significant. Results: A statistically significant transverse increase (p<0,05) ranging from 4.11 mm to 4.51 mm was observed in the cusp tips. Conclusion: The fixed and expanded lip bumper presented a significant transverse effect within approximately 6 months of treatment
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Kairalla, Silvana Allegrini. "DETERMINAÇÃO DAS FORMAS E DIMENSÕES DOS ARCOS DENTAIS PARA USO DE ARCO CONTÍNUO NA TÉCNICA LINGUAL." Universidade Metodista de São Paulo, 2011. http://tede.metodista.br/jspui/handle/tede/1203.
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Previous issue date: 2011-11-30<br>This study aims to determine the shapes and dimensions of dental arches to define the shape of a straight wire dental arch that could be used in lingual technique. The sample consisted of 70 white Brazilian individuals with normal occlusion and who had at least four of the six keys to normal occlusion as defined by Andrews. This sample was composed of 40% male and 60% female subjects (28 men and 42 women), with an average age of 16,4. The maxilla and mandible dental arch models were (3D) scanned and the images were analyzed in the Delcam Power SHAPE® 2010 software (Birmingham, U.K.). Points on the lingual surfaces of the teeth were selected and 14 measurements were outlined to determine the sizes and shapes of the dental arches. The Shapiro-Wilk Test enabled the definition of the small arch shape, using the 25th percentile (P25%); the average percentile for the medium arch, and a large one defined through the 75th percentile (P75%). Student t-test verified whether there were differences between male and female sexes and 12 dental arch sizes were found (6 for female sex and 6 for male sex). For all the statistical tests, the significance level used was of 5% (p<0,05). From the results found, it was possible to determine the straight-wire arch shape to be used in the LSW technique (Lingual Straight Wire) - a parabola-shaped arch -, slightly flattened on its anterior portion. And, due to the similarities found among the different dental arch sizes, shown by sexual dimorphism, we were able to create a more simplified diagram chart for dental arches.<br>Este estudo objetiva encontrar a forma e dimensão de arcos dentais para definir a forma de um arco contínuo que possa ser utilizado na técnica lingual. A amostra foi composta de 70 indivíduos brasileiros, leucodermas, com oclusão normal natural, que apresentaram no mínimo quatro das seis chaves de oclusão de Andrews. Esta amostra possui 40% de indivíduos do sexo masculino (28 homens) e 60% do sexo feminino (42 mulheres) com idade média de 16,4a. Os modelos dos arcos dentais da maxila e mandíbula foram digitalizados (3D) e as imagens exportadas para o software Delcam Power SHAPE® 2010 (Birmingham, U.K.). Foram selecionados pontos nas superfícies linguais dos dentes e traçadas 14 medidas para determinar a forma e a dimensão do arco dental. O teste de Shapiro-Wilk possibilitou definir uma forma de arco pequeno utilizando o percentil 25% (P25%), um arco médio (média) e uma forma de arco grande pelo percentil 75% (P75%). O teste t-student comparou se houve uma diferença entre os sexos, e foram encontrados 12 tamanhos de arcos dentais (6 para o sexo feminino e 6 para o sexo masculino). Em todos os testes estatísticos foi adotado nível de significância de 5% (p<0,05). A partir dos resultados obtidos, foi possível definir uma forma de arco contínuo para ser utilizado na técnica Lingual Straight Wire (LSW) - parábola levemente achatada na região anterior - e, devido à similaridade entre alguns tamanhos de arcos dentais, encontrados pelo dimorfismo sexual, pôde ser elaborado um diagrama de arcos de maneira mais simplificada.
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Bell, Eric Jason. "Arch variation in relatives of individuals with orofacial clefts using 3D dental casts." Thesis, University of Iowa, 2019. https://ir.uiowa.edu/etd/6704.
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Introduction: Dento-alveolar anomalies associated with Orofacial clefts (OFCs) can present with a wide range of variation. This vast diversity makes it difficult to pinpoint their specific etiology. For instance, differentiating anomalies that arise as a consequence of the physical effects of the cleft itself or from the same biological processes that result on clefting, from those that likely occur as a sequela from the surgical repair is a challenge. One approach that can aid this differentiation is to study if first degree relatives of children with clefts whom themselves do not have an overt cleft but may carry genetic cleft risk, are more likely to present some of these anomalies. If so, the elevated risk on these seemingly unaffected relatives will indicate that the particular anomaly arises as a consequence of the molecular pathways that give rise to cleft risk rather than from the physical consequences of the cleft or the surgical repairs. Understanding the different etiological factors underlying dental anomalies within the cleft phenotypic spectrum is a fundamental step for prevention and better management of such anomalies.
Amongst the most common dento-alveolar anomalies seen in children born with OFC are tooth size-arch length discrepancies and dento-alveolar shape irregularities, mostly studied in the maxillary arches. Such arch irregularities lead to moderate or severe malocclusions. It is not well known if unaffected family members (UFM) of children with clefts are also susceptible to such dento-alveolar shape irregularities and thus their etiology is not well understood. This study aims to characterize 3D variation in dento-alveolar shape as part of the cleft phenotypic spectrum in UFMs of individuals with OFCs compared to controls with no history of OFC.
Methods: A total of 760 maxillary and 760 mandibular casts were digitally scanned using a NextEngine Laser scanner and digitized by two raters with 92 landmarks for maxilla and 94 landmarks for mandible, covering gingival margins and occlusal surfaces via Landmark Editor Software. A reliability of 88.15% was obtained for an interrater agreement error of less than 1mm for all landmarks obtained. 3D coordinates were extracted and registered using a Procrustes fit procedure. Procrustes residuals were analyzed via canonical variate analyses to capture differences in 3D shape between cases and controls. Of the 760 maxillary individuals attempted, 535 (Cases N=133, Controls=402) had all 92 landmarks and 688 (Cases=192, Controls496) had at least 40 landmarks in the canine to canine region. Of the 760 mandibular individuals attempted, 434 (Cases N=99, Controls=335) had all 94 landmarks and 611 (Cases=180, Controls=431) had at least 40landmarks in the canine to canine region. Thus analyses were done separately for each subsample.
Results: Case-control differences were not significant (P=0.11) for overall maxillary dental arch shape. However, for the maxillary canine to canine dataset, significant differences were found (P=0.02 for raw Procrustes distance, P<0.0001 for Mahalanobis distance). Case-control differences were significant (P=0.02) for overall mandibular dental arch shape. Significant shape differences were also found for the mandibular canine to canine dataset (P=0.01 for raw Procrustes distance, P<0.0001 for Mahalanobis distance). In other words, there is better separation between cases and controls for the mandibular dataset compared to the maxillary dataset (P=0.11 for the maxillary full arch). Cases had maxillary and mandibular anterior dentitions that were overall retrusive, with anterior teeth that significantly tapered towards the incisal third with larger interproximal incisal embrasures and height to width rations that deviate from ideal ratios (i.e. width is ~70% of the height) due to an overall decrease in crown height. Also, incisal edges seem to flare outwards from the arch line when compared to controls. Moreover, case arch forms trend towards a “v” shape, resembling a Bonwill-Hawley arch shape compared to a “u” shape in the controls.
Conclusions: Upper anterior, lower anterior and overall arch shape significantly differ between UFM of individuals with OFC and controls. The most significant differences were located in the maxillary and mandibular anterior dentitions, where cases were more retrusive overall with incisal edges that were tapered and flared, displaying large embrasures and tapered and flared, displayed large embrasures when compared to controls. The phenotypic differences identified in this study contribute to the understanding of the cleft phenotypic spectrum aiding future studies of cleft etiology and cleft risk prediction.
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Aynaciyan, Raffi J. "Rapid maxillary expansion long-term hard tissue profile and dental arch width changes /." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape17/PQDD_0025/MQ30661.pdf.
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Lara, Tulio Silva. "Efeito transversal da placa lábio-ativa aberta e fixa associada à extensão lingual de canino decíduo a primeiro molar permanente : estudo em modelos digitais /." Araçatuba : [s.n.], 2011. http://hdl.handle.net/11449/104507.
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Orientador: Francisco Antônio Bertoz<br>Banca: Eduardo César Almada Santos<br>Banca: Marcos Rogério de Mendonça<br>Banca: Terumi Okada Ozawa<br>Banca: Daniela Gamba Garib<br>Resumo: Introdução: O objetivo do presente estudo clínico foi avaliar as dimensões transversais do arco dentário inferior com o uso da placa lábio-ativa aberta e fixa associada à extensão lingual de canino decíduo a primeiro molar permanente. Métodos: A amostra constou de 14 pacientes no estágio de dentadura mista e com idade média de oito anos e seis meses. Todos os pacientes realizaram expansão rápida da maxila e expansão lenta do arco inferior com a placa lábio-ativa. Modelos de gesso foram obtidos nas fases de pré-tratamento e pós-tratamento e digitalizados com auxílio do scanner 3Shape R700 3D (3Shape A/S, Copenhagen, Dinamarca). Medições transversais foram realizadas para as distâncias entre as pontas de cúspide dos caninos decíduos, pontas de cúspide mesiovestibulares dos molares decíduos e primeiro molar permanente e pontos médio cervical da face vestibular. O teste t foi utilizado para determinar se o aumento nas larguras transversais foi significativo. Resultados: Observou-se um aumento transversal estatisticamente significativo (p<0,05) que variou de 4,11mm a 4,51mm nos referenciais utilizados no nível das pontas de cúspide. Conclusão: A placa lábio-ativa aberta e fixa apresentou um efeito transversal significativo em aproximadamente seis meses de tratamento<br>Abstract: Introduction: The aim of the current clinical study was to evaluate the transverse dimensions of the lower dental arch with the use of the fixed and expanded lip bumper associated to the lingual extension from the deciduous canine to the permanent first molar. Methods: The sample was comprised of 14 patients in the mixed dentition with a mean age of 8 years 6 months. All patients were submitted to rapid palatal expansion and dentolaveolar expansion of the lower dental arch with a lip bumper. Pre-teatment and post-treatment cast models were obtained and digitized with the 3Shape R700 3D (3Shape A/S, Copenhagen, Denmark) scanner. Transverse distances between the cusp tips of the canines, the mesial buccal cusps of the deciduous molars and of the permanent first molars and between the cervical middle points of the buccal aspects of these teeth were measured. The t tests were performed to determine whether an increase in transverse distances was significant. Results: A statistically significant transverse increase (p<0,05) ranging from 4.11 mm to 4.51 mm was observed in the cusp tips. Conclusion: The fixed and expanded lip bumper presented a significant transverse effect within approximately 6 months of treatment<br>Doutor
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Chawla, Ourvinder. "The optimal media for rating dental arch relationships in unilateral cleft lip and palate." Thesis, University of Bristol, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.555634.
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The aim of this study was to determine the optimal format for presenting the 5-year olds' Index reference and patient dental models, for the assessment of dental arch relationships in unilateral cleft lip and palate (UCLP). The research was essentially undertaken in two parts. The first part, to assess the effect the presentation of the reference models has on the reliability and reproducibility of the 5-year olds' Index scores. Reference models were presented in four different formats; plaster models, coloured acrylic models and two digital formats which included three-dimensional digital models (3D) and black & white photographs. These formats were used to categorise plaster models of patients born with UCLP. The second part set out to determine the effect of the presentation of the sample format on the reliability and reproducibility of the 5-year olds' Index scores. Patient models were presented in both 3D digital and plaster models and scored using the reference models in the same two formats as the patient models. The same examiners were used in both parts of the investigation, which comprised experienced and inexperienced examiners. The level of agreement for the digital formats of the 5-year olds' Index was good to very good with the less experienced examiners, in general, demonstrating lower kappa values compared to the experienced examiners. Scoring the 3D digital patient models with the 5-year olds' Index in the same format was associated with a learning curve with general improvements in scores noted on the second occasion. Overjet measure was reported as the most difficult parameter to assess using the 3D digital models followed by assessment of buccal crossbites.
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Borget, Gisela Lilian. "Variation in arch shape and dynamics of shape change from infancy to early childhood." Thesis, University of Iowa, 2017. https://ir.uiowa.edu/etd/5421.
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Introduction: In order to properly diagnose and treatment plan, an orthodontist needs to be knowledgeable about the changes that occur to the maxillary and mandibular dental arches throughout growth. The purpose of this study is to provide an analysis of morphological shape differences seen in the maxillary and mandibular dental arches individually, as well as together, from birth to 3 years of age.
Methods: Dental casts from the Iowa Infant Growth study ranging from 2 months to age 4 were photographed in the occlusal plane. The images were landmarked with 3 standard landmarks and 10 sliding semi-landmarks along the curvature of the maxillary and mandibular arches. TpsRelW was used to slide the semi-landmarks and superimpose the date to facilitate shape analysis. MorphoJ was used to determine the degree to which size influences dental arch shape. Once the effects of allometry had been removed, a principal component analysis was run on the residuals to display major features of shape variation in the dataset. Finally, a two block partial least squares analysis was run to determine the degree to which the maxillary and mandibular arches were integrated throughout early growth.
Results: Allometry accounts for 9.63% of symmetric shape variation in the maxilla, while it accounts for 56% of symmetric shape variation in the mandible. Asymmetric shape variation is independent of allometry as it only affects 0.34% of the maxillary and 1.46% of the mandibular shape variation. Principal component one accounts for over 60% of all shape variation seen in maxillary and mandibular residuals. Principal component one of symmetric residuals results in a longer, wider dental arch or a shorter, narrower one. Principal component one of asymmetric residuals results in a dental arch with one posterior side being longer and wider while the contralateral side is shorter and narrower. The first three time points (2 months- 1 year) do not display significant integration between the maxillary and mandibular arches. Integration increases with age, displaying significant integration at the last three time points, with the most integration being displayed at 2.5 years.
Conclusions: Allometry affects some of the symmetric shape variation in the maxilla, but over half of the symmetric shape variation in the mandible. The asymmetric components are independent of allometry. Integration of the maxillary and mandibular arches increase with age from 2 months to 3 years, peaking at a time point of 2.5 years.
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Soares, Thaís Macedo. "Comparação entre a forma e dimensão do arco dentário inferior de Brasileiros e Norte Americanos." Universidade do Estado do Rio de Janeiro, 2009. http://www.bdtd.uerj.br/tde_busca/arquivo.php?codArquivo=1269.
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior<br>A largura e a forma do arco dentário são importantes fatores para se determinar os objetivos e a estabilidade do tratamento ortodôntico. Este estudo visa determinar as diferenças morfológicas entre o arco dentário inferior de indivíduos Caucasianos Norte-Americanos (AM) e Caucasianos Brasileiros (BR), de acordo com a Classe de Angle e o gênero. A amostra foi constituída por 331 modelos de gesso pré-tratamento ortodôntico da arcada inferior, tendo sido obtida a partir de dois grupos: 160 Caucasianos Norte-Americanos (60 Classe I, 50 Classe II e 50 Classe III) e 171 Caucasianos Brasileiros (61 Classe I, 60 Classe II e 50 Classe III). As superfícies oclusais dos modelos de gesso foram fotocopiadas; a partir das imagens obtidas, foi identificado o ponto clínico do braquete para cada dente de acordo com a espessura do dente inferior referentes aos dados de Andrews. Baseado nestes pontos, foram realizadas medidas de dimensões do arco dentário com o uso de um paquímetro e verificada a forma do arco com templates ortodônticos. Os dados referentes às dimensões do arco foram avaliados estatisticamente através da análise de Kruskal-Wallis e para se avaliar a diferença na distribuição de freqüência de forma de arco foi utilizado o teste Qui-quadrado. Os resultados mostraram que existem diferenças significativas nas dimensões do arco dentário entre AM e BR. O grupo AM apresentou uma menor largura intercaninos que o grupo BR (p<0,05), exceto para o subgrupo feminino Classe I. A largura intermolares também foi menor no grupo AM (p<0,05), mas não foram encontradas diferenças significativas nos subgrupos de Classe III. Os valores médios de profundidade de arco na região de caninos e de molares foram menores para o grupo BR, porém apenas significativas para o subgrupo feminino Classe I (p<0,05). Quando comparada a forma de arco houve diferença na distribuição de freqüência entre os grupos AM e BR, entretanto pelo tamanho da amostra e por serem dados nominais as diferenças não foram estatisticamente significativas. Verificou-se que para o grupo AM a forma de arco mais prevalente foi a parabólica (44%), seguida pela ovóide (38%) e quadrática (18%). Para o grupo BR a forma prevalente foi a ovóide (43%), seguida pela parabólica (29%) e quadrática (28%). Para o subgrupo de Classe II houve uma maior freqüência da forma parabólica nos grupos AM e BR masculino; para o subgrupo de Classe III houve uma maior freqüência da forma quadrática para os grupos AM e BR feminino. Conclui-se que existem diferenças na forma e dimensão do arco dentário inferior entre os grupos AM e BR e de acordo com a Classificação de Angle. Clinicamente parece ser favorável a disponibilidade de fios ortodônticos com diversos tipos de arcos pré-formados de acordo com o grupo étnico e o tipo de maloclusão.<br>The purpose of this study was to evaluate the morphologic differences between North American Caucasian (AM) and Brazilian Caucasian (BR) mandibular dental arches. The sample consisted of 331 pretreatment mandibular orthodontic plaster models divided in two groups; 160 of North American Caucasians (60 Class I, 50 Class II and 50 Class III) and 171 of Brazilians (61 Class I, 60 Class II and 50 Class III). The occlusal surfaces of the mandibular models were photocopied and the clinical bracket point for each tooth was identified. Templates were overlaid to select the arch form; additionally 4 linear and 2 proportional measurements were taken. The results showed significantly differences in arch dimension between the two ethnic groups. The AM group showed significantly smaller intercanine width (p<0,05), excepting for the Class I aches in the female group. In addition, the AM group also showed a significantly smaller intermolar width (p<0,05); no differences were found in the Class III malocclusion group though. The BR group showed smaller canine and molar depths, but the differences were significantly smaller only in the Class I female group (p<0,05). The comparison of arch forms between AM and BR revealed no statistically significant difference due to the insufficient sample size for nominal data. Despite that, differences in the frequency of distributions of the three arch forms were found. The tapered arch forms were more common in the AM group (44%), followed by ovoid (38%) and square (18%). The most frequent arch forms seen were the ovoid in the BR group (43%), followed by tapered (29%) and squared (28%). Differences among Angle classifications were observed in arch form; the Class II group exhibited the higher frequency of tapered arch forms and the Class III the higher frequency of squared arch form. Brazilian arch forms were more ovoid and the Caucasian arch forms were more tapered. Brazilian arches were wider than Caucasian arches. The arch form had a tendency to be more ovoid or tapered in Class I group, more tapered in Class II group, and more ovoid or square in Class III group. The arches had a tendency to be wider in Class III group and narrower in Class II group. The results suggest that it is necessary to have specific arch forms available according to the Angle Classification and ethnic group. Significant differences exist among the AM and BR mandibular arch form and dimensions. These differences are also observed between Angle classifications. Clinically, it seems reasonable to have different preformed arch wires available according to the ethnic group and type of malocclusion.
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Lau, Chi-kai George. "The relationship of the upper anterior teeth to the incisive papilla in Cantonese adults." Click to view the E-thesis via HKUTO, 1990. http://sunzi.lib.hku.hk/HKUTO/record/B38628314.
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Nassani, Mohammad Zakaria. "Treatment of the shortened dental arch : survey of dentists' preferences, practice and patients' utility values." Thesis, University of Manchester, 2003. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.488423.
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The subject of this thesis was philosophies to treatment or lack of treatment of shortened dental arches. The principal aim of the studies reported in this thesis was to investigate dentists' treatment preferences, dentists' current practice and patients' preferences with respect to the different treatment options for the shortened dental arch (SDA). The objectives of the study were: To review the literature related to the different treatment options for the SDAs. To determine, via a questionnaire, how dentists would treat SDA patients under the clinical scenario, depending on age. To investigate, via visits to dental laboratories, how dentists were seen to have actually treated patients with SDAs. To determine how patients value the outcomes of different treatment options for the SDAs, based on a questionnaire and laboratory models of a variety of clinical treatment options. To compare the perception of dentists and patients to treatment options for the SDAs. The comparison between the results of the three studies presented in this thesis indicated a gap between what the dentists prefer and practise and what the patients prefer and value. This finding, coupled with the fact that decision-making for the treatment options for patients with SDAs is fraught with uncertainties, would emphasise the need for more active communication. between patients and dentists when planning the restorative dental treatment for the SDAs. This could be the optimal approach towards achieving the best treatment outcome.
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Neto, Gastão Moura. "Avaliação comparativa da Borda WALA em mandíbulas secas e modelos e da sua mensuração em radiografias oclusais e tomografias." Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/25/25136/tde-17082010-162106/.
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Introdução: a determinação da Borda WALA em modelos de gesso permitia defini-la como uma linha imaginária utilizada no planejamento, seguimento e finalização de casos clínicos. Procurou-se determinar a Borda WALA em modelos de gesso de pacientes ortodônticos, mandíbulas secas, radiografias oclusais e cortes tomográficos dos pacientes e mandíbulas respectivas. O objetivo foi detectar a viabilidade de mensurar e determinar, por um método reproduzível, a Borda WALA em radiografias oclusais e cortes tomográficos. Metodologia: foram utilizados modelos, radiografias oclusais e tomografias de feixe cônico de 12 pacientes ortodônticos, e 12 mandíbulas e suas respectivas radiografias oclusais e cortes tomográficos. As mensurações tomográficas foram realizadas, em todos os dentes, do ponto mais vestibular das raízes dentárias no nível cervical até a parte mais externa da cortical óssea vestibular. Nas mandíbulas secas e nos modelos, as medidas verticais partiam do ponto EV até a linha de grafite que determinou o ponto vestibular mais externo. Resultados: os arcos correspondentes à Borda WALA obtidos nos modelos de gesso e nas mandíbulas secas se equivaleram em sua forma, sendo um pouco menores, em sua dimensão, nos modelos. Os arcos obtidos a partir das mensurações realizadas em radiografias oclusais e cortes tomográficos se equivaleram, em sua forma, nos modelos e mandíbulas, com correlação fortemente positiva, detectada pelo Coeficiente de Correlação de Pearson. Conclusões: 1. a Borda WALA não representa uma estrutura anatômica, mas uma medida/anagrama/referência a ser mensurada e utilizada nos tratamentos ortodônticos e ortopédicos; 2. a Borda WALA não deve ser considerada uma linha imaginária, mas um arco a ser determinado por medidas que devem servir de parâmetro nas correções das alterações da oclusão e alinhamento dos dntes inferiores; 3. em seu contorno e forma, as medidas obtidas nos modelos e nas mandíbulas, assim como nas radiografias oclusais e tomografias de feixe cônico, se equivaleram estatisticamente. Nas radiografias oclusais dos pacientes, houve dificuldades técnicas para a obtenção de imagens que permitissem uma mensuração precisa na determinação da Borda WALA. Nos cortes tomográficos, as medidas realizadas para determinação da Borda WALA reproduziram, com coeficiente de correlação fortemente positivo, a dimensão e a forma obtidas em medidas nos modelos de gesso e nas mandíbulas secas. Em suma, a determinação da Borda WALA a partir de cortes tomográficos transversais no nível cervical dos dentes inferiores é viável, pois a dimensão e a forma do arco obtido se equivalem estatisticamente ao arco obtido pelas medidas realizadas em modelos de gesso e mandíbulas secas.<br>Introduction: The WALA ridge is an imaginary line determined in cast models and used as reference for orthodontic treatment planning, execution and finalization. In the following study, the WALA ridge was defined in cast models of orthodontic patients, dissected mandibles, occlusal radiographies and tomographic slices of patients and respective mandibles aiming to find a reproducible method for determining the WALA ridge in occlusal radiographies and tomographic slices. Methodology: The sample comprised 12 cast models, occlusal radiographies and cone beam tomographies of orthodontic patients and 12 dissected mandibles, their respective occlusal radiographies and tomographic slices. Tomographic measurements were made in all teeth from the most buccal point of dental roots on their cervical level until the most external and anterior cortical line of bone. Vertical measurements on dissected mandibles and cast models were taken from FA point until the pencil line that determined the most external edge of bone around mandibular teeth. Results: The arches corresponding to the WALA ridge obtained from cast models and dissected mandibles were equivalent in form but a little smaller in size for cast models. The arches obtained from occlusal radiographies and tomographic slices were equivalent in form to the ones obtained from models and dissected mandibles, with a high positive correlation of proportion statistically confirmed by Pearsons coefficient. Conclusion: 1. The WALA ridge is not an anatomical structure, but a measurement/anagram/reference to be measured and used during orthodontic and orthopedic treatment. 2. The WALA ridge should not be considered an imaginary line, but an arch to be determined by measurements and used as parameter when correcting the occlusion of misalignment of inferior teeth; 3. The measurements obtained from models and dissected mandibles, as well as from occlusal radiographies and cone beam tomographies were equivalent in shape and form. Obtaining the WALA ridge from occlusal radiographies in patients involve technical difficulties to acquire a good image for precise measurement. Tomographic measurements to determine the WALA ridge were reproducible, with a high positive correlation coefficient to the dimension and form obtained from cast models and dissected mandible measurements. To sum up, determining the WALA ridge from tomographic transversal slices on the cervical level of inferior teeth is viable, since the dimension and arch form are statistically equivalent to the arch form obtained from cast models and dissected mandibles.
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Nunes, Marcos Felipe. "ESTUDO DAS DIMENSÕES TRANSVERSAIS DOS ARCOS DENTAIS MANDIBULARES EM INDIVÍDUOS COM DIFERENTES PADRÕES FACIAIS." Universidade Metodista de São Paulo, 2012. http://tede.metodista.br/jspui/handle/tede/1207.
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Previous issue date: 2012-04-23<br>This study evaluated the transverse dimensions of the mandibular dental arches in individuals with different facial patterns. The sample was made up by right lateral cephalograms and dental casts of 33 Caucasian individuals of both sexes, aged between 13 and 25 years in the stage of permanent dentition. The Facial Pattern was obtained through a subjective facial analysis on frontal and profile photographs of 1.500 orthodontic documentations, using the cephalometric analysis by means of ANB angle to define the Skeletal Pattern, which should agree with the Angle malocclusion classification. The sample was divided into three groups: Group 1 - Pattern I, Class I of Angleand ANB 2.0o (±0.5o); Group 2 - Pattern II, Class II division 1 of Angle and ANB≥ 4.0o, and Group III Pattern III, Class III of Angle and ANB≥ - 4.5o. Transversal arch dimensions were measured after 3D digitizing (Scanning Dental Wings) of the cast models, from which were set the transverse distances intercanine, inter-first premolars, inter-second premolars, and inter-first molar mesial and distal cusps, inter-second molar mesial and distal cusps, by using the software Geomagic Studio® 12. The mean values and standard deviation of the transverse dimensions were obtained and to compare the three groups, an analysis of variance and Tukey s post-hoc test were applied.For all statistical tests, the significance level was set at 5% (p<0.05). A statistical difference was detected for 2 of the 14 transverse dimensions evaluated in the maxillary arch in the mesial region of the second molar (p=0.024), and in the mandibular arch, in the distal region of the first molar (p=0.047). The mandibular dental arches were similar for the three studied groups.<br>O presente estudo avaliou as dimensões transversais dos arcos dentais mandibulares em indivíduos com diferentes padrões faciais. A amostra foi constituída por telerradiografias em norma lateral direita e modelos em gesso de 33 indivíduos, leucodermas, em ambos os sexos, com idade entre 13 e 25 anos, na fase de dentição permanente. O Padrão Facial foi obtido pela análise facial subjetiva em fotografias frontal e de perfil de 1500 documentações ortodonticas, foi utilizada análise cefalométrica por meio do ângulo ANB para confirmar o padrão esquelético, o qual deveria coincidir com a classificação de maloclusão de Angle. A amostra foi dividida em três grupos: Grupo I Padrão I, Classe I de Angle e ANB 2,0 o ±0,5o; Grupo II Padrão II, Classe II divisão 1 de Angle e ANB ≥ 4,0, e Grupo III Padrão III, Classe III de Angle e ANB ≥ - 4,5o. As dimensões transversais do arco foram mensuradas após a digitalização dos modelos em gesso pelo Scanner Dental Wings (3D), a partir dos quais foram estabelecidas as distâncias transversais intercanino, inter 1º PM, inter 2º PM, inter 1º M (cúspide mesial e distal), inter 2º M (cúspide mesial e distal), com o auxílio do software Geomagic Studio® 12. As médias e desvio padrão das dimensões transversais foram obtidas, e, para comparação entre os três grupos foi utilizado a Análise de Variância e teste de Tukey. Em todos os testes estatísticos foi adotado nível de significância de 5% (p<0,05). Houve diferença estatística em duas dimensões transversais das 14 avaliadas no arco maxilar na região mesial do segundo molar (p=0,024) e no mandibular na região distal do primeiro molar (p=0,047). Os arcos dentais mandibulares foram semelhantes nos três grupos estudados.
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Williams, Devin N. "The Association of Size Variation in the Dental Arch to Third Molar Agenesis for a Modern Population." Scholar Commons, 2018. http://scholarcommons.usf.edu/etd/7247.
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The frequency with which individuals do not develop their third molars, or wisdom teeth, is increasing worldwide. This current topic of human evolution is relevant to the research of anthropologists, geneticists, dentists, and other researchers involved in the study of human dentition. Many explanations have been offered to account for the prevalence of molar agenesis including, evolutionary, environmental, and genetic theories. The purpose of this research project is to determine the frequency of third molar agenesis and investigate the relationship between third molar agenesis and maxillomandibular jaw dimensions in a sample of orthodontic patients. This research tests the hypotheses that: H1: Individuals with agenesis of third molars will be significantly different in maxillomandibular dimensions than individuals without agenesis, H2: The agenesis of maxillary third molars is associated with the anteroposterior dimensions of the maxilla, and H3: The agenesis of mandibular third molars is not associated with the anteroposterior dimensions of the mandible. Therefore, the null hypothesis for this research is H0: An individual’s sex and the presence/absence of the third molar are independent. The sample for this research project includes 543 individuals from the University of New Mexico’s Maxwell Museum of Anthropology Orthodontics Case File System. This study examines panoramic radiographs of the dentition for each individual to ascertain whether any of the third molars was congenitally absent, and records the cephalometric measurements for each case for statistical analysis. This study uses descriptive statistics, crosstabulation analysis, chi-square tests, non-parametric Kruskal-Wallis tests, and logistic regression analysis to investigate any associations between third molar agenesis and maxillomandibular jaw dimensions.
The results show that Native Americans (9.2%), Hispanics (8.46%), and European Americans (8.37%) have a higher frequency of third molar agenesis than African Americans (0.17%) and Asians (0.17%). This finding is consistent with the published body of work on third molar agenesis, in spite of the small sample sizes for diverse populations. There is a significant difference in the number of molars missing among groups. For the present study, based on crosstabulation analysis, most individuals are missing two molars (34.9%), followed by one absent (31.7%), a lack of four molars (25.3%), and finally a lack of 3 molars (7.9%). Individuals with third molar agenesis are nearly twice as likely to be missing a molar from the mandible (62.8%) than the maxilla (36.9%).
This study uses crosstabulation analysis, chi-square analysis, non-parametric Kruskal-Wallis tests, and logistic regression analysis to assess the association between third molar agenesis and measurements of the dental arcade. This study did not find an association between an individual’s maxillomandibular dimensions and third molar agenesis. Therefore, this study did not find support for the hypothesis that individuals with third molar agenesis would have smaller maxillomandibular dimensions than individuals without agenesis. Based on the findings of this study, an association between the size of an individual’s mouth and third molar agenesis does not exist in the sample analyzed. Third molar agenesis is not occurring due to a lack of room in the mouth, but possibly results from heredity. Therefore, it may be more likely that genetic variation influences third molar agenesis, rather than an evolutionary change in diet.
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Aws, Ghassan. "Analysis of symmetry in the anterior human dentition and its application in the evaluation and correction of postural distortion in the photographic recording of human bite marks." Thesis, University of Edinburgh, 2006. http://hdl.handle.net/1842/1348.
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Postural distortion of human bite marks on skin occurs when photographing a bite mark in a body position other than the position of the body at the time of biting. Postural distortion in the bite mark may introduce significant changes in both the shape and size of the recorded marks. As a result, the analysis of the marks may be hindered and a proper comparison between the bite mark and the causal dentition may be precluded. Therefore, a method by which postural distortion in a bite mark photographic record can be evaluated and eliminated with minimal operator subjectivity is required. This study describes the development of an objective technique for evaluating postural distortion in bite mark photographic records and for minimising postural distortion during photography of bite marks. The source for developing these techniques was provided by digitally analysing the symmetry of dental arches in a defined population including males and females (236 subjects) whose ages ranged between 20 and 30 years. The analysis resulted in quantifying a mathematical relationship between the biting edges of each homologous pair of the anterior teeth and specified reference lines. The validity of the analytical method of dental arch symmetry is discussed. The developed techniques were applied to posturally distorted (test) bite marks. The results demonstrate the validity of the developed techniques in determining postural distortion and recording correct images (shown to resemble the biters dentition) of the test bites. Suggestions for further work are proposed.
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Caspersen, Matthew Harold. "The development of the curve of Spee in man." Thesis, University of Iowa, 2005. https://ir.uiowa.edu/etd/5391.
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Padilla, Mark Thomas. "POSTURAL ADAPTATIONS IN ARCHWIRE EXPANSION WITH SELF-LIGATING BRACKETS." Master's thesis, Temple University Libraries, 2014. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/291479.
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Oral Biology<br>M.S.<br>Objectives: Orthodontic arch development expands and broadens the dentition beyond the confines of the original arch perimeter. This is often accomplished by means of self-ligating fixed appliances. When movements take the teeth outside those confines, without adoption, the muscular forces are unbalanced and may lead to dental relapse. Muscle spindles and associated reflex loops within the tongue provide feedback to arch perimeter changes that may produce postural changes to the new archform. Resting posture has long been accepted as aiding in tooth position. The objective of this study was to assess the oral and pharyngeal postural changes that result from arch development with the Damon system and report the amount of expansion accomplished. Methods: Pre- and post-treatment models and lateral cephalograms were collected on 69 previously treated orthodontic patients from four different private practices. Expansion was measured from the buccal cusp tips of the first and second premolars and first molars. A new cephalometric analysis was implemented to diagnose both variations in malocclusion and variations in posture of the head, neck, pharynx, hyoid bone and tongue. Results: Both tongue height and length increased, 2.9mm (P-value 0.001, SEM=1.06) and 3.76mm (P-value 0.00002, SEM=0.62) respectively, following posterior dental arch expansion using Damon archwires. Hyoid position was not significantly different. Conclusion: As dental arches are expanded the tongue increases in both length and height to fill the space and therefore may aid in stability during the retention phase of treatment. The lack of change in hyoid bone position, as one would expect with a rise in tongue position, might be explained by either slight changes in head position or the need to maintain the airway.<br>Temple University--Theses
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Jorge, Paula Karine. "Evaluation of the dental arch in children with cleft lip and palate by means of 3D digital models." Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/61/61132/tde-14012015-103434/.
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The aim of this study was to evaluate the dimensional alterations of dental arches of cleft lip and palate children after cheiloplasty at two rehabilitation centers. The sample was composed of 94 digital models and divided in two groups: Group I 23 children, assisted at University of Zurich with presurgical orthopedic intervention (Hotz plate); Group II 24 children, assisted at Hospital for Rehabilitation of Craniofacial Anomalies of the University of São Paulo without presurgical orthopedic intervention. The three dimensional images were used to evaluate before lip repair (stage 1) and approximately 1 year old (stage 2). The obtained measures were: intercanine distance, intertuberosity distance, anterior-posterior arch distance, anterior-posterior cleft length, anterior and posterior cleft width. The comparison between stages 1 and 2 was evaluated in group I, group II and between group I and II. The alterations between groups were verified by Independent t test. If the sample did not present a normal distribution, Wilcoxon and Mann-Whitney tests were used. In Group I, the comparisons between stages 1 and 2 showed that the intertuberosity and anterior-posterior arch distance increased and the intercanine, anterior and posterior cleft distances decreased. In Group II, the comparisons between stages 1 and 2 showed that intertuberosity distance increased and intercanine, anteriorposterior cleft length distances, anterior and posterior cleft widths decreased. The comparison of the dimensional alterations of dental arches between the two rehabilitation centers exhibited differences: in the stage 1, the intercanine distance decreased in Group II; in the stage 2, the anterior cleft width, the intercanine distance and the anterior-posterior cleft length decreased in Group II, suggesting the superposition of maxillary segments; in Group II, there was a greater narrowing of the anterior and posterior cleft widths, suggesting that Hotz plate induced a more evenly and equidistant approximation of maxillary segments in Group I. It is worth emphasizing that more studies should be conduct to reduce the variability in treatment protocols for cleft lip and palate patients, thus assuring the best evidencebased treatment.<br>O propósito deste estudo foi avaliar as alterações dimensionais dos arcos dentários de crianças com fissura de lábio e palato após a queiloplastia em dois centros de reabilitação. A amostra foi composta por 94 imagens digitais de modelos de gesso, e dividida em dois grupos: Grupo I - 23 crianças, tratas na Universidade de Zurique, com intervenção ortopédica pré-cirúrigica (placa de Holtz); Grupo II - 24 crianças tratadas no Hospital de Reabilitação de Anomalias Craniofaciais da Universidade de São Paulo, sem intervenção ortopédica pré-cirúrgica. As imagens tridimensionais dos modelos de gesso foram avaliados antes da queiloplastia (estágio 1) e com aproximadamente 1 ano de idade (estágio 2). As seguintes dimensões foram obtidas: comprimento anteroposterior da fissura, amplitude anterior da fissura, amplitude posterior da fissura, comprimento anteroposterior do arco, distância intercaninos e distância intertuberosidades. As comparações foram realizadas entre os estágios 1 e 2 e entre os grupos I e II. As diferenças entre os grupos foram verificadas pelo teste t independente, os testes de Wilcoxon e Mann-Whitney foram usados. No Grupo I, entre os estágios 1 e 2, as distâncias intertuberosidade aumentou e as distâncias intercaninos, distância anteroposterior da fissura, amplitude anterior e posterior da fissura diminuíram. A comparação entre as alterações dimensionais dos arcos dentários entre os dois centros de reabilitação apresentaram diferenças: no estágio 1, a distância intercaninos foi menor no Grupo II que no Grupo I; e no estágio 2, a amplitude anterior da fissura, a distância intercaninos e o comprimento anteroposterior da fissura foram menos no Grupo II que no Grupo I, sugerindo sobreposição dos segmentos maxilares. No Grupo II, houve maior estreitamento nas amplitudes anterior e posterior da fissura, sugerindo que a placa de Holtz no Grupo I induziu a aproximação dos segmentos maxilares de forma mais uniforme e equidistante. É importante salientar que mais estudos longitudinais precisam ser conduzidos a fim de reduzir a variabilidade de protocolos de tratamento em pacientes com fissura de lábio e palato, garantindo o melhor tratamento baseado em evidências científicas.
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Sacksteder, James Martin. "Dental Arch Width and Length Parameters in Patients with Obstructive Sleep Apnea vs Patients Without: A Pilot Study." The Ohio State University, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=osu1490040724141358.
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Ayub, Priscila Vaz. "Analysis of the maxillary dental arch after rapid maxillary expansion in patients with unilateral complete cleft lip and palate." Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/61/61132/tde-14012015-094508/.
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Objective: The aim of this study was to evaluate the dentoalveolar effects of rapid maxillary expansion in children with unilateral complete cleft lip and palate in comparison with non-cleft patients. Methods: The experimental group (EG) was composed of 25 patients with unilateral and complete cleft lip and palate (9 males and 15 females) with a mean age of 10.6 years. The control group (CG) comprised of 27 patients without cleft lip and palate (14 males and 13 females) with a mean age of 9.1 years. Dental models of the maxillary dental arch were obtained immediately preexpansion (T1) and 6 months post-expansion (T2) at the time of appliance removal. Digital dental models were obtained using the 3Shape R700 3D laser scanner (3Shape A/S, Copenhagen, Denmark). Transversal widths, arch perimeter, arch length, palatal depth, palatal volume, canine and posterior tooth inclination were digitally measured. Paired t-test was used to perform interphase comparisons and independent t-test to perform intergroup comparisons (p<0.05). Results: In the experimental group, the expansion produced a ignificant increase of all maxillary transverse measurements, palatal volume, arch perimeter and palatal depth while decreased the arch length. RME caused a buccal tip of posterior teeth in patients with UCLP. No differences were observed between experimental and control groups for all the measurements performed except for the intermolar distance (6-6), which showed a greater increase in patients with cleft. Conclusion: Rapid maxillary expansion showed similar dentoalveolar effects in children with UCLP and without oral clefts.<br>Objective: The aim of this study was to evaluate the dentoalveolar effects of rapid maxillary expansion in children with unilateral complete cleft lip and palate in comparison with non-cleft patients. Methods: The experimental group (EG) was composed of 25 patients with unilateral and complete cleft lip and palate (9 males and 15 females) with a mean age of 10.6 years. The control group (CG) comprised of 27 patients without cleft lip and palate (14 males and 13 females) with a mean age of 9.1 years. Dental models of the maxillary dental arch were obtained immediately preexpansion (T1) and 6 months post-expansion (T2) at the time of appliance removal. Digital dental models were obtained using the 3Shape R700 3D laser scanner (3Shape A/S, Copenhagen, Denmark). Transversal widths, arch perimeter, arch length, palatal depth, palatal volume, canine and posterior tooth inclination were digitally measured. Paired t-test was used to perform interphase comparisons and independent t-test to perform intergroup comparisons (p<0.05). Results: In the experimental group, the expansion produced a ignificant increase of all maxillary transverse measurements, palatal volume, arch perimeter and palatal depth while decreased the arch length. RME caused a buccal tip of posterior teeth in patients with UCLP. No differences were observed between experimental and control groups for all the measurements performed except for the intermolar distance (6-6), which showed a greater increase in patients with cleft. Conclusion: Rapid maxillary expansion showed similar dentoalveolar effects in children with UCLP and without oral clefts.
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Araujo, Milena Andrade [UNESP]. "Efeitos dentários dos aparelhos extrabucais removíveis no tratamento da Classe II." Universidade Estadual Paulista (UNESP), 2010. http://hdl.handle.net/11449/95758.
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araujo_ma_me_arafo.pdf: 564802 bytes, checksum: a6214f8afe7aa84ebdcdce92b8dd7436 (MD5)<br>Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)<br>Os aparelhos extrabucais removíveis são indicados no tratamento da Classe II divisão 1 de Angle com protrusão maxilar e atuam promovendo mudanças esqueléticas e dentoalveolares. Na primeira parte do trabalho, foi realizada uma revisão sistemática com o objetivo de avaliar as informações existentes a respeito dos efeitos dentários destes aparelhos. A literatura analisada revelou que os aparelhos extrabucais removíveis promovem aumento das distâncias intermolares e intercaninos, superiores e inferiores, aumento do comprimento do arco superior, diminuição do comprimento do arco inferior, aumento do perímetro do arco superior, diminuição do overjet e aumento do overbite, além de melhora na relação de molares. Dos estudos selecionados, apenas um realizou medidas em modelos de estudo em pacientes tratados com aparelhos extrabucais removíveis. Na segunda parte do trabalho foi realizada uma pesquisa com o objetivo de avaliar as mudanças na forma e dimensão dos arcos dentários em pacientes tratados com o aparelho extrabucal de Thurow modificado. Para este estudo foram obtidos modelos de estudo de uma amostra de dezessete pacientes com idade média de 8,8 anos tratados com o aparelho extrabucal de Thurow modificado, sendo os modelos obtidos ao início (T1) e após 1 ano de tratamento (T2). Um grupo controle pareado foi gerado a partir da amostra obtida por Moyers et al em 1976. A análise estatística demonstrou que o aparelho promoveu alterações significativas nas dimensões dos arcos superior e inferior e no relacionamento entre os arcos. Além disso os pacientes do Grupo Tratado após 1 ano de tratamento apresentavam-se mais próximos da normalidade, se aproximando dos valores observados no Grupo Controle, demonstrando a melhora do relacionamento maxilomandibular com o uso do aparelho extrabucal de Thurow modificado.<br>Removable extraoral appliances are indicated on the treatment of Angle Class II Division 1 malocclusion with maxilar protrusion and promote skeletal and dentoalveolar changes. On the first part of the study, a systematic review was conducted with the aim to evaluate information regarding dental effects of those appliances. The analysed literature related that removable extraoral appliances promoted an increase on intermolar and intercanine distances, upper and lower, an increase of upper arch depth, a decrease of lower arch depth, an increase of upper arch perimeter, decrease of overjet, increase of overbite and also an improvement on molar relationship. Of the reviewed studies, only one used cast models to evaluate the changes on dental arches of pacients treated with removable extraoral appliances. On the second part of the study, a research was conducted with the aim to evaluate shape and dimensions changes on dental arches of patients treated with modified Thurow extraoral appliance. For this study cast models of seventeen patients treated with modified Thurow extraoral appliance and with average age of 8.8 years old were obtained on the beggining (T1) and after 1 year of treatment (T2). A paired control group was generated using Moyers et al sample from 1976. The statistical analysis showed that the appliance promoted significative changes on upper and lower arch dimensions and on relationship between arches Furthermore, after 1 year of treatment the group of treated patients were closer to normality, approaching to the values observated on Control Group demonstrating the improvement of maxilomandibular relationship with the use of modified Thurow extraoral appliance.
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Johnston, Geoffrey R. "Comparison of Vertical Misfit Between Pattern Resin and Welded Titanium Used to Fabricate Complete-Arch Implant Verification Jigs." The Ohio State University, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=osu1499779684903305.
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Markic, Goran. "Association between transversal dentoskeletal dimensions and Class II severity /." [S.l.] : [s.n.], 2009. http://opac.nebis.ch/cgi-bin/showAbstract.pl?sys=000281109.
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Mizumoto, Ryan M. "The accuracy of different digital impression techniques and scan bodies for complete-arch implant-supported reconstructions." The Ohio State University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=osu1530005688900126.
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Crepaldi, Jairo Lessa. "Análise da oclusão dentária em crianças portadoras de fissura completa de lábio e palato." Universidade de São Paulo, 2012. http://www.teses.usp.br/teses/disponiveis/23/23152/tde-14092012-161409/.
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As fissuras labiopalatinas alteram o crescimento e o desenvolvimento do complexo maxilo-mandibular, assim como todas as funções orofaciais. As cirurgias reparadoras primárias representam o maior agente modificador do crescimento maxilo-facial, de forma a restringi-lo. O sucesso do tratamento reabilitador do paciente fissurado depende da correta atuação de uma equipe multidisciplinar. Este trabalho teve como objetivo avaliar as condições oclusais em modelos de gesso de pacientes portadores de fissura labiopalatina completa, não sindrômicos, correlacionando o prognóstico ao tipo de fissura, fase de desenvolvimento da dentição, gênero e hospital de reabilitação cirúrgica. Utilizou-se 87 pares de modelos das arcadas dentárias de pacientes fissurados do Ambulatório da Disciplina de Prótese Buco Maxilo Facial da Faculdade de Odontologia da Universidade de São Paulo, que haviam sido submetidos às cirurgias reparadoras primárias em cronologia clássica (queiloplastia 3 a 6 meses e palatoplastia 18 meses), sem enxerto ósseo alveolar e/ou tratamento ortodôntico prévio. O grupo estudado foi composto de 57 pacientes com Fissura Labiopalatina unilateral, com idade média de 6 anos e 5 meses e 30 pacientes com Fissura Labiopalatina bilateral com idade média de 6 anos e 2 meses. Para a classificação dos modelos em gesso de fissurados unilaterais, foram utilizados o Índice de 5 anos e o Índice de Goslon, na dentição decídua e mista respectivamente, enquanto que para as fissuras bilaterais empregou-se o Índice de Bilateral. Os três índices referidos compreendem uma escala de 1 a 5, com grau crescente de severidade de má oclusão. Os modelos foram avaliados pelo pesquisador e mais 2 examinadores, em dois momentos distintos, quando se alcançou um alto grau de confiabilidade e reprodutibilidade (Teste de Cronbach e Análise de Correlação de Spearman). Posteriormente, para as análises complementares, utilizaram-se apenas os dados fornecidos pelo pesquisador, os quais foram agrupados em prognóstico dos resultados a longo prazo em: bom (graus 1 e 2); regular ( grau 3 ) e pobre ( graus 4 e 5 ). Aplicou-se o Teste da Razão de Verossimilhança para verificar as possíveis diferenças entre as variáveis de interesse, quando não se encontrou, para a amostra total, correlação entre prognóstico e tipo de fenda, gênero e hospitais de reabilitação. Apenas nos pacientes com fissuras unilaterais houve associação do prognóstico à fase de dentição (p=0,019) e aos hospitais de reabilitação (p=0,025). Este trabalho permitiu concluir que as fissuras unilaterais na fase de dentição decídua mostraram menor severidade de má-oclusão, e que o Hospital de referência da Faculdade de Odontologia da Universidade de São Paulo apresentou resultados mais favoráveis em relação aos demais.<br>The cleft lip and palate alter the growth and development of the maxillo-mandibular complex as well as all orofacial functions. Primary repair surgery represents the largest modifier agent of maxillofacial growth in order to limit it. The success of the rehabilitation treatment of the cleft patient depends on the correct performance of a multidisciplinary team. This study aimed to assess the occlusal conditions, in plaster models, of patients with complete cleft lip and palate, non syndromic, correlating to the type of cleft, stage of dental development, gender and surgical rehabilitation hospital. For this study, 87 pairs of casts from cleft patients of the Ambulatory of Oral Maxillo Facial Prosthesis of the Faculty of Dentistry of the University of São Paulo (USP), that had been undertaken to primary classical repair surgeries (cheiloplasty 3 to 6 months and palatoplasty 18 months), without prior alveolar bone graft and/or orthodontic treatment. The group studied was composed of 57 patients with unilateral cleft lip and palate, with mean age of 6 years, 5 months and 30 patients with bilateral cleft lip and palate with mean age of 6 years, 2 months. For the classification of plaster casts for unilateral cleft, the index of 5 years and the index of Goslon, in the deciduous and mixed dentition, respectively, whereas the Bilateral index was used for bilateral cleft. The three mentioned indexes comprise a scale of 1 to 5, with increasing levels of severity of malocclusion. The models were evaluated by the researcher and two other examiners in two distinct occasions, when a high degree of reliability and reproducibility was reached. Subsequently, for the additional analysis, it was used only the data provided by the researcher, which were grouped into long-term prognosis results in: good (grades 1 and 2); regular (grade 3) and poor (grades 4 and 5). The likelihood ratio test was used to verify the possible differences between the variables of interest, and the results did not show, for the total sample, any correlation between prognostic and cleft type, gender, and rehabilitation hospitals. Only patients with unilateral clefts there was an association of the prognostic to the dental stag of dental development (p=0.019) and rehabilitation hospitals (p=0.025). This study revealed that the unilateral clefts in the deciduous dentition stage showed a lesser severity for poor occlusion, and that the Referral Hospital of the Faculty of Dentistry of the University of São Paulo has the most favorable results compared to others.
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Caballero, Jorge Tomasio. "Comparação da estabilidade dos arcos dentários em pacientes com e sem fissura labiopalatina após tratamento ortodôntico/reabilitador." Universidade de São Paulo, 2018. http://www.teses.usp.br/teses/disponiveis/25/25146/tde-31082018-174817/.
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O propósito do presente estudo foi comparar as variações das dimensões lineares dos arcos dentários de pacientes com fissura labiopalatina após o tratamento ortodôntico e protético com prótese parcial fixa e pacientes sem fissura labiopalatina imediatamente após a ortodontia e pelo menos um ano após a remoção do aparelho ortodôntico. Este estudo longitudinal retrospectivo, foi composto por uma amostra de 70 modelos digitais, dos quais 30 modelos eram de pacientes com fissura labiopalatina unilateral completa, que receberam uma prótese parcial fixa na região da fissura (n=15), grupo fissura (GF); e 40 modelos de pacientes sem fissura labiopalatina (n=20), grupo controle (GC); com idade entre 18 e 30 anos. Os modelos foram obtidos em dois tempos: (T1) término do tratamento ortodôntico, e (T2) pelo menos 1 ano após a reabilitação protética (GF); e (T1) término do tratamento ortodôntico e (T2) pelo menos um ano após remoção do aparelho ortodôntico (GC). As medidas das dimensões dos arcos dentários foram realizadas diretamente nas imagens escaneadas, por meio do Scanner 3Shapes R700TM e mensuradas pelo Software Appliance Designer. As dimensões avaliadas foram: distância inter-caninos, distância inter-1os. pré-molares, distância inter-molares, e comprimento incisivo-molar. Um examinador previamente calibrado e treinado realizou as avaliações. Foram realizadas comparações entre os grupos, em tempos distintos (T1 e T2); e na diferença entre T2 e T1 nos grupos (GF e GC); utilizando o teste T ou de Mann- Whitney, com um nível de significância de 5% (p<0.05). Houve diferença estatística (p=0,005) no valor da variação de T2-T1 na distância inter-caninos com aumento da distância no GF e diminuição no GC. Na variação da distância inter-prémolar o GF apresentou diminuição do valor e o GC mostrou aumento, com diferença estatisticamente significativa (p=0,008). Nos demais parâmetros (inter-molar e incisivo molar) não houve diferença estatística. Não houve estabilidade no GC na distância inter-caninos e observou-se estabilidade no GF, não houve estabilidade no GF na distância inter-pré molar e houve estabilidade no GC. A Prótese Parcial Fixa estabiliza os resultados obtidos com a ortodontia.<br>The aim of the present study was to compare the linear dimensions of dental arches of patients with cleft lip and palate following orthodontic and prosthetic treatment with fixed partial denture and patients without cleft lip and palate immediately after orthodontics and at least one year after removal of the orthodontic appliance. This retrospective longitudinal study consisted of a sample of 70 digital models, of which 30 models were from patients with complete unilateral cleft lip and palate, who received a fixed partial prosthesis in the cleft region (n = 15), cleft lip and palate group (CLPG); and 40 patient models without cleft lip and palate (n = 20), control group (CG); aged between 18 and 30 years. The models were obtained in two stages: (T1) end of orthodontic treatment, and (T2) at least 1 year after prosthetic rehabilitation (CLPG); and (T1) end of orthodontic treatment and (T2) at least one year after removal of the orthodontic appliance (CG). Measurements of the dimensions of the dental arches were performed directly on the scanned images, using the 3Shape\'s R700TM Scanner and measured by the Appliance Designer Software. The dimensions evaluated were: inter-canine distance, inter-1st premolars distance, intermolar distance, and incisormolar length. A pre-calibrated and trained examiner performed the assessments. Comparisons were made between the groups at different times (T1 and T2); and in the difference between T2 and T1 in the groups (CLPG and CG); using the T or Mann- Whitney test, with a significance level of 5% (p <0.05). There was a statistical difference (p = 0.005) in the value of the T2-T1 variation in the intercanine distance with increase in the ClG distance and decrease in the CG. In the interprémolar distance variation the ClG presented a decrease in value and the CG showed an increase, with a statistically significant difference (p = 0.008). In the other parameters (intermolar and molar incisors) there was no statistical difference. There was not stability in the CG in the intercanine distance and there was stability in the CLPG, there was stability in the CG in the inter-pre-molar distance and there was no stability in the CLPG. Partial Fixed Prosthesis stabilizes the results obtained with orthodontics.
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Lau, Chi-kai George, and 劉熾佳. "The relationship of the upper anterior teeth to the incisive papilla in Cantonese adults." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1990. http://hub.hku.hk/bib/B38628314.
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Pieralli, Stefano [Verfasser]. "Clinical outcomes of partial and full-arch all-ceramic implant-supported fixed dental prostheses : a systematic review and meta-analysis / Stefano Pieralli." Berlin : Medizinische Fakultät Charité - Universitätsmedizin Berlin, 2020. http://d-nb.info/1223928489/34.
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Araujo, Milena Andrade. "Efeitos dentários dos aparelhos extrabucais removíveis no tratamento da Classe II /." Araraquara : [s.n.], 2010. http://hdl.handle.net/11449/95758.
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Orientador: Ary dos Santos Pinto<br>Banca: Marcio Rodrigues de Almeida<br>Banca: Lídia Parsekian Martins<br>Resumo: Os aparelhos extrabucais removíveis são indicados no tratamento da Classe II divisão 1 de Angle com protrusão maxilar e atuam promovendo mudanças esqueléticas e dentoalveolares. Na primeira parte do trabalho, foi realizada uma revisão sistemática com o objetivo de avaliar as informações existentes a respeito dos efeitos dentários destes aparelhos. A literatura analisada revelou que os aparelhos extrabucais removíveis promovem aumento das distâncias intermolares e intercaninos, superiores e inferiores, aumento do comprimento do arco superior, diminuição do comprimento do arco inferior, aumento do perímetro do arco superior, diminuição do overjet e aumento do overbite, além de melhora na relação de molares. Dos estudos selecionados, apenas um realizou medidas em modelos de estudo em pacientes tratados com aparelhos extrabucais removíveis. Na segunda parte do trabalho foi realizada uma pesquisa com o objetivo de avaliar as mudanças na forma e dimensão dos arcos dentários em pacientes tratados com o aparelho extrabucal de Thurow modificado. Para este estudo foram obtidos modelos de estudo de uma amostra de dezessete pacientes com idade média de 8,8 anos tratados com o aparelho extrabucal de Thurow modificado, sendo os modelos obtidos ao início (T1) e após 1 ano de tratamento (T2). Um grupo controle pareado foi gerado a partir da amostra obtida por Moyers et al em 1976. A análise estatística demonstrou que o aparelho promoveu alterações significativas nas dimensões dos arcos superior e inferior e no relacionamento entre os arcos. Além disso os pacientes do Grupo Tratado após 1 ano de tratamento apresentavam-se mais próximos da normalidade, se aproximando dos valores observados no Grupo Controle, demonstrando a melhora do relacionamento maxilomandibular com o uso do aparelho extrabucal de Thurow modificado.<br>Abstract: Removable extraoral appliances are indicated on the treatment of Angle Class II Division 1 malocclusion with maxilar protrusion and promote skeletal and dentoalveolar changes. On the first part of the study, a systematic review was conducted with the aim to evaluate information regarding dental effects of those appliances. The analysed literature related that removable extraoral appliances promoted an increase on intermolar and intercanine distances, upper and lower, an increase of upper arch depth, a decrease of lower arch depth, an increase of upper arch perimeter, decrease of overjet, increase of overbite and also an improvement on molar relationship. Of the reviewed studies, only one used cast models to evaluate the changes on dental arches of pacients treated with removable extraoral appliances. On the second part of the study, a research was conducted with the aim to evaluate shape and dimensions changes on dental arches of patients treated with modified Thurow extraoral appliance. For this study cast models of seventeen patients treated with modified Thurow extraoral appliance and with average age of 8.8 years old were obtained on the beggining (T1) and after 1 year of treatment (T2). A paired control group was generated using Moyers et al sample from 1976. The statistical analysis showed that the appliance promoted significative changes on upper and lower arch dimensions and on relationship between arches Furthermore, after 1 year of treatment the group of treated patients were closer to normality, approaching to the values observated on Control Group demonstrating the improvement of maxilomandibular relationship with the use of modified Thurow extraoral appliance.<br>Mestre
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Verrastro, Anna Paula. ""Avaliação oclusal e miofuncional oral em crianças com dentição decídua completa e mordida aberta anterior antes e após remoção do hábito de sucção de chupeta"." Universidade de São Paulo, 2006. http://www.teses.usp.br/teses/disponiveis/23/23132/tde-06032006-122959/.
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O objetivo deste estudo foi avaliar características oclusais e miofuncionais orais em crianças entre 3 e 5 anos de idade, com mordida aberta anterior e também verificar o comportamento dessas características após remoção do hábito de sucção de chupeta. Participaram 69 crianças, 34 com oclusão normal (Grupo Controle) e 35 com mordida aberta anterior (Grupo Mordida Aberta). No Grupo Mordida Aberta, a média da mordida aberta anterior foi 2,96 mm, da sobressaliência foi 4,1 mm e da distância intercanina superior foi 28,7 mm. No Grupo Controle, a média da sobressaliência foi 2,6 mm e a da distância intercanina superior foi 30,3 mm. A média da sobressaliência foi maior (p=0,001) e a média da distância intercanina superior foi menor (p<0,001) no Grupo Mordida Aberta que no Controle. O número de crianças com relação canina classe II foi maior no Grupo Mordida Aberta que no Controle (p<0,001). A análise de regressão logística univariada mostrou que maior sobressaliência, menor distância intercanina superior e relação canina classe II coexistiram com a mordida aberta anterior. No Grupo Mordida Aberta, o número de crianças com postura de lábios entreabertos em repouso (60,0%), alteração no tônus labial (68,6%), postura inadequada de língua em repouso (65,7%), alteração no tônus de bochechas (42,9%), interposição lingual anterior durante a deglutição (91,4%) e interposição lingual anterior durante a fala (85,7%) foi maior (p<0,05) que no Grupo Controle (respectivamente 35,3%, 35,3%, 23,6%, 17,7%, 32,4% e 38,2%). A análise de regressão logística múltipla identificou a interposição lingual anterior durante a deglutição (odds ratio 18,97) e durante a fala (odds ratio 9,24) bem como a postura de lábios entreabertos em repouso (odds ratio 6,23) como as principais características miofuncionais orais nas crianças com mordida aberta anterior. Das 35 crianças do Grupo Mordida Aberta, 27 apresentavam hábito de sucção de chupeta ao início do estudo e, após orientação, 15 abandonaram o hábito e 12 diminuíram a freqüência do hábito. Observou-se que a taxa de sucesso na remoção do hábito foi 55,6%, sem diferença entre gêneros e idades. A remoção do hábito favoreceu, após 3 meses de acompanhamento, redução média da mordida aberta anterior de 1,97 mm, sendo maior (p<0,001) que nas crianças que diminuíram o hábito (0,33 mm). A média da redução da sobressaliência nas crianças que abandonaram o hábito foi 0,6 mm e a média do aumento da distância intercanina superior foi 0,67 mm, mas não foram estatisticamente diferentes das crianças que diminuíram o hábito (respectivamente 0,0 mm e 0,50 mm) nem do Controle (respectivamente 0,2 mm e 0,42 mm). A remoção do hábito de sucção de chupeta promoveu melhora na postura de lábios em repouso (p=0,0313), favoreceu a respiração nasal (p=0,0078) e reduziu a ocorrência de interposição lingual anterior durante a deglutição (p=0,0078), após 3 meses de acompanhamento. A análise de regressão logística univariada identificou a postura de língua inadequada em repouso, como a principal característica miofuncional oral capaz de impedir a correção espontânea da mordida aberta anterior nas crianças avaliadas durante esse período (odds ratio 17,50)<br>The aim of this study was to evaluate occlusal and oral myofunctional characteristics in children between 3 and 5 years old, with anterior open bite and also to verify the behavior of these characteristics, 3 months after removal of pacifier sucking habit. Sixty nine children participated, 34 presented normal occlusion (Control Group) and 35 presented anterior open bite (Open Bite Group). In the Open Bite Group, the mean anterior open bite was 2.96 mm, the mean overject was 4.1 mm and the mean upper intercanine distance was 28.7 mm. In the Control Group, the mean overject was 2.6 mm and the upper intercanine distance was 30.3 mm. The mean overject was larger (p=0.001) and the mean upper intercanine distance was smaller (p<0.001) in the Open Bite Group than in the Control Group. The number of children with canine class II relationship was larger in the Open Bite than in the Control Group (p<0.001). Simple logistic regression analysis showed that larger overject, smaller upper intercanine distance and class II canine relationship coexisted with anterior open bite. In the Open Bite Group, the number of children with incompetent lips at rest (60.0%), inadequate labial tonus (68.6%), inadequate posture of tongue at rest (65.7%), inadequate cheeks tonus (42.9%), tongue thrust during swallow (91.4%) and tongue thrust during speech (85.7%) was larger (p<0.05) that in the Control Group (respectively 35.3%, 35.3%, 23.6%, 17.7%, 32.4% and 38.2%). Multiple logistic regression analysis identified tongue thrust during swallow (odds ratio 18.97) and during speech (odds ratio 9.24) as well as incompetent lips at rest (odds ratio 6.23) as the main oral myofunctional characteristics in children with anterior open bite. Of the 35 children in the Open Bite Group, 27 presented pacifier sucking habit at the beginning of the study and after instruction, 15 abandoned the habit and 12 reduced the frequency of the habit. It was observed that the success rate for habit removal was 55.6%, without difference related to sex and age. The habit removal favored, after 3 months of attendance, 1.97 mm mean reduction of anterior open bite, being larger (p<0.001) compared with those children that reduced the habit (0.33 mm). The mean reduction of the overject in children that abandoned the habit was 0.6 mm and the mean increase of the upper intercanine distance was 0.67 mm, but were not statistically different from the children that reduced the habit (respectively 0.0 mm and 0.50 mm) nor from the Control (respectively 0.2 mm and 0.42 mm). The removal of the pacifier sucking habit promoted improvement in the posture of lips at rest (p=0.0313), favored the nasal respiration (p=0.0078) and reduced the occurrence of tongue thrust during swallow (p=0.0078) after 3 months of attendance. Simple logistic regression analysis identified the inadequate posture of the tongue at rest, as the main oral myofunctional characteristic capable to prevent the spontaneous correction of the anterior bite in the appraised children during that period (odds ratio 17.50)
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Page, Kelly R. "A reevaluation of mandibular intercanine dimension and incisal position." Thesis, Birmingham, Ala. : University of Alabama at Birmingham, 2007. https://www.mhsl.uab.edu/dt/2009r/page.pdf.
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Fernandes, Viviane Mendes. "Avaliação dos arcos dentários com e sem fissuras labiopalatinas em crianças de 3 a 9 meses." Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/61/61132/tde-29052013-152143/.
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O propósito deste trabalho foi mensurar as dimensões dos arcos dentários de crianças com fissuras labiopalatinas, de 3 a 9 meses, antes das cirurgias primárias, e comparar com crianças sem fissura labiopalatina. A amostra foi composta de 223 crianças, divididas em grupos: sem deformidades craniofaciais (G1), fissura pré-forame incompleta (G2), fissura pré-forame completa (G3), fissura transforame unilateral (G4) e fissura transforame bilateral (5). Para avaliação, os arcos dentários superiores das crianças foram moldados com silicona de condensação. Os modelos passaram por um processo de digitalização, por meio de escâner 3D e as medidas utilizadas para a correlação entre os grupos foram realizadas diretamente nas imagens escaneadas. Nas imagens, foram determinados pontos de referência, necessários para a realização das medidas de avaliação. Os resultados mostraram diferença estatisticamente significativa na distância intercaninos (DIC) entre G1-G4 (p= 0,000), G1-G5 (p= 0,007), G2-G4 (p= 0,000), G2-G5 (p= 0,000), e G3-G4 (p= 0,008). Para distância intertuberosidades (DIT) foram encontradas diferenças estatisticamente significativas entre: G1-G4 (p= 0,000), G1-G5 (p= 0,000), G2-G4 (p= 0,000), G2-G5 (p= 0,000), G3-G4 (p= 0,009) e G3-G5 (p= 0,000). Para amplitude anterior da fissura unilateral (AAFuni), o G3 apresentou diferença estatisticamente significativa com relação ao G4 (p= 0,000) e para amplitude anterior da fissura esquerda (AAFe) e direita (AAFd) com relação ao G5 (p= 0,011 e p= 0,030). Para amplitude posterior da fissura (APF), houve diferença estatisticamente significativa entre G4 e G5 (p= 0,013). Com base nos resultados obtidos, foi possível constatar que as crianças com fissura labiopalatina apresentaram dimensões transversais dos arcos dentários maiores que as crianças sem fissura labiopalatina, de 3 a 9 meses, antes das cirurgias primárias. A DIC foi maior nas crianças com fissura transforame unilateral e a DIT foi maior nas crianças com fissura transforame bilateral em relação aos grupos estudados. Houve aumento significante da AAF e APF nos diferentes tipos de fissura com relação à severidade da fissura de lábio e/ou palato.<br>The purpose of this study was to measure the dimensions of the dental arches of 3-9 month children with cleft lip and palate, before the primary surgery, and compared them with children without cleft lip and palate. The sample consisted of 223 children, divided into groups: without craniofacial deformities (G1), unilateral cleft lip (G2), unilateral cleft lip and alveolus (G3), unilateral cleft lip and palate (G4) and bilateral cleft lip and palate (5). For evaluation, impressions of the upper dental arches of the children were performed with condensation silicone. The casts underwent a process of scanning through 3D scanner and the measurements used for the correlation among groups were executed directly on the scanned images. On the images, the landmarks required to perform the evaluation measurements were determined. The results showed statistically significant differences in intercanine distance (ICD) between G1 - G4 (p = 0.000), G1 - G5 (p = 0.007), G2 - G4 (p = 0.000), G2 - G5 (p = 0.000), and G3 - G4 (p = 0.008). For the posterior arch width (PAW), the following statistically significant differences were found: between G1 - G4 (p = 0.000), G1 - G5 (p = 0.000), G2 - G4 (p = 0.000), G2 - G5 (p = 0.000), G3 - G4 (p = 0.009), and G3 - G5 (p = 0.000). The unilateral anterior cleft width (UACW) exhibited statistically significant differences between G3 and G4 (p = 0.000); the left (LACW) and right anterior cleft width (RACW) showed differences between G3 and G5 (p = 0.011 and p = 0.030). For posterior cleft width (PCW), statistically significant differences between G4 and G5 (p = 0.013) were found. Based on these results, it was found that 3-9 month cleft lip and palate children had transverse dimensions of the dental arches higher than those without cleft lip and palate, before the primary surgeries. The ICD was higher in children with unilateral cleft lip and palate and PAW was higher in children with bilateral cleft lip and palate among the groups studied. A significant increase in the ACW and PCW of the different cleft types with respect to the severity of cleft lip and / or palate was found.
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Verner, Francielle Silvestre 1986. "Análise da correlação entre a morfologia do arco dental e da eminência articular em imagens de tomografia computadorizada de feixe cônico." [s.n.], 2015. http://repositorio.unicamp.br/jspui/handle/REPOSIP/290161.
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Orientador: Solange Maria de Almeida Boscolo<br>Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba<br>Made available in DSpace on 2018-08-27T15:58:05Z (GMT). No. of bitstreams: 1
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Previous issue date: 2015<br>Resumo: As características dentárias podem influenciar diretamente na determinação da morfologia da eminência articular (EA). Entretanto, até o presente momento, os estudos se restringiram a correlacionar a morfologia da EA com perdas dentárias e má-oclusões. Neste contexto, torna-se importante a realização de estudos que estabeleçam uma possível correlação entre a morfologia dos arcos dentais e da EA em pacientes que não apresentem alterações oclusais ou ausências dentárias. O objetivo no presente estudo foi avaliar a correlação entre a morfologia do arco dental e da EA por meio de tomografia computadorizada de feixe cônico (TCFC). Foram utilizadas imagens de 60 pacientes, sem ausências dentárias ou alterações oclusais, e que apresentassem Classe I de Angle. As imagens foram avaliadas por três especialistas em Radiologia Odontológica, instruídos a realizar mensurações da altura (EAh) e inclinação da EA (ângulos 'alfa' e 'beta'), nas regiões centrais, laterais e médias, e inclinação da parede lateral da fossa mandibular (ângulo 'sigma'). Foram avaliadas as medidas da largura, profundidade e perímetro dos arcos dentários superior e inferior. Posteriormente, os arcos foram classificados quanto às formas cônica, quadrangular e ovoide. Após 30 dias 10% da amostra foi reavaliada, para cálculo do índice de correlação intraclasse (ICC). Foram obtidas as médias e desvio-padrão das mensurações realizadas na EA e nos arcos dentais, em cada uma das formas encontradas, que foram comparadas por meio da análise de variância (ANOVA) um fator e teste de 'Tukey'. Para verificar a correlação entre os arcos e a EA foi calculado o coeficiente de Correlação de Pearson. A influência das medidas dos arcos nas medidas da EA foi determinada por meio de regressão linear. O nível de significância foi de 5%. O ICC variou de satisfatório a excelente. Para a EA, o ângulo 'beta' na forma ovoide foi diferente no corte central do lado direito e em todos os cortes do lado esquerdo. O ângulo 'alfa', também na forma ovoide, diferiu no corte central direito e lateral esquerdo. E o ângulo 'sigma' no corte central esquerdo entre as formas quadrangular e ovoide. Na forma cônica observaram-se o maior número de correlações, seguida das formas ovoide e quadrangular. A altura da EA foi a característica mais correlacionada às medidas dos arcos. Os perímetros dos arcos superiores e inferiores influenciaram a altura da EA no lado esquerdo. No arco inferior, IC influenciou 'alfa' e 'beta' dos lados direito e esquerdo, IL influenciou 'alfa' do lado direito, 2PM influenciou 'alfa' do lado esquerdo e 'beta' dos lados direito e esquerdo, e 1M influenciou 'alfa' do lado direito. No arco superior, IC influenciou a altura da EA do lado esquerdo. Pode-se concluir que houve correlação entre as diferentes características dos arcos dentais com a morfologia da eminência articular. A forma cônica apresentou maior número de correlações e, portanto, modificações nas características dos arcos cônicos podem representar maior potencial em gerar alterações morfológicas na eminência articular<br>Abstract: The dental features can directly influence in determining the morphology of the articular eminence (EA). However, to date, the studies have been restricted to correlate EA morphology with dental losses and malocclusions. In this context, it is important to conduct studies to establish a possible correlation between the dental arches and EA morphology in patients with no occlusal alterations or missing teeth. The aim in this study was to evaluate the correlation between dental arch and articular eminence (AE) morphology by cone beam computed tomography (CBCT). Three dental radiologists analyzed images from 60 patients without dental absences neither occlusal alterations, and classified as Class I of Angle. The images were evaluated by three oral radiologists, and the height (AEh), the slope of AE ('alpha' e 'beta' angles), at central, lateral and medial positions, and lateral inclination ('sigma' angle) of mandibular fossae were measured. The measures of width, depth and perimeter of maxillary and mandibular arches were evaluated. Then, the arches were subjectively classified according to tapered, squared and ovoid shapes. After 30 days, 10% of the sample was reevaluated. Mean and standard deviation of the measures in AE and dental arches were obtained in each shape, and compared by ANOVA (one way) and "Tukey" test. To verify the correlation between arches and AE, the Pearson Correlation coefficient was calculated. The influence of arches' measures on AE's measures was determined by linear regression. The level of significance was 5%. For dental arches, the measures of depth and perimeter of square arches were different from the other shapes, in both arches. The measures CI and 2PM were different on upper and lower arches, respectively, between the tapered and square shapes. For the AE, the 'beta' angle on the ovoid shape was different on central slice on the right side and on all slices on the left side. The 'alpha' angle, also on the ovoid shape, differed on central right slice and lateral left. And the 'sigma' angle on central left slice between square and ovoid shapes. In general, the measures in men were higher than in women, but only the 'beta' angle on medial right slice, the measures C, 2PM, 1M and perimeter from upper arch, and 1PM and PM from lower arch, showed significant differences. On the tapered shape, there was the highest number of correlations, followed by ovoid and square shapes. The height of AE was the most correlated feature to the measures of the arches. The perimeter of the upper and lower arches influenced on the height of the AE on the left side. On lower arch, CI influenced 'alpha' and 'beta' on both sides, IL influenced 'alpha' on the right side, 2PM influenced 'alfa' on the left side and 'beta' on both sides, and 1M influenced 'beta' on the right side. On the upper arch, CI influenced the height of the AE on the left side. It can be concluded that there was correlation between the different features of the dental arches with the AE morphology. The tapered shape showed a higher number of correlations and, therefore, changing in the features of the tapered arches may represent greater potential in generating morphological changes in the AE<br>Doutorado<br>Radiologia Odontologica<br>Doutora em Radiologia Odontológica
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Lima, Laíse Nascimento Correia. "Validação do índice de Carrea por meio de elementos dentais superiores para a estimativa da estatura humana." [s.n.], 2011. http://repositorio.unicamp.br/jspui/handle/REPOSIP/290757.
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Orientador: Eduardo Daruge Júnior<br>Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba<br>Made available in DSpace on 2018-08-17T16:36:59Z (GMT). No. of bitstreams: 1
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Previous issue date: 2011<br>Resumo: O índice de Carrea constitui uma importante ferramenta na estimativa da estatura humana, necessitando para sua aplicação apenas que alguns elementos dentais anteriores inferiores estejam preservados. No entanto, nos casos em que a mandíbula é acometida por um trauma, uma patologia ou por situações diversas, o uso da técnica torna-se inviável. Com isso, ampliar a utilização do índice de Carrea, estendendo-o aos elementos superiores, aumentaria as chances de se realizar o método, principalmente nos casos em que apenas o crânio é encontrado. Diante disso, o presente estudo teve como proposição testar um novo denominador no índice de Carrea, para que o mesmo possa ser utilizado no arco superior, visando um novo recurso para se estimar a estatura humana. Além disso, objetiva-se comparar os percentuais de acerto obtidos entre o arco inferior e superior. Para tanto, foi realizado um estudo com 378 modelos em gesso, sendo 189 superiores e 189 inferiores de arcos dentais correspondentes, pertencentes a alunos do curso de Odontologia da Universidade Federal da Paraíba, de ambos os sexos e com idades entre 18 e 30 anos. A estatura dos participantes foi estimada mensurando, com um paquímetro digital, os incisivos central e lateral e o canino, dos arcos superiores e inferiores, bem como dos hemiarcos direito e esquerdo. A partir dessas medidas, foram estimadas, por meio do índice de Carrea, as alturas máxima e mínima com base nos arcos inferiores. Para os arcos superiores foi utilizada uma modificação no denominador da fórmula original de Carrea, de valor 2 para o valor 2,55, de forma que a mesma se adequasse às medidas da maxila. Os valores obtidos foram comparados à estatura real dos participantes, previamente mesurada com um antropômetro. No arco superior, verificou-se diferença estatisticamente significante entre os posicionamentos dentais no sexo masculino e nos hemiarcos direitos, sendo os apinhados o maior percentual de acerto (65% e 65,2%, respectivamente). A avaliação interarcos proposta entre os sexos, para os três tipos de posicionamento dental, demonstrou percentual de acerto estatisticamente significante no sexo feminino entre os hemiarcos normais, com os inferiores apresentando percentual maior (70,0%) em relação aos superiores (42,3%). Já entre os hemiarcos, a diferença estatística pôde ser observada nos lados direito e esquerdo, apenas no posicionamento normal, com os inferiores demonstrando percentuais de acerto maiores (61,5% e 67,6%, respectivamente). Dessa forma, conclui-se que, embora o percentual de acertos no arco superior não tenha sido significante, o método poderá ser utilizado como subsídio para a estimativa da estatura<br>Abstract: Carrea's index is an important tool in human stature estimation, and requires for its use only some lower anterior teeth preserved. However, in cases of mandibular damage - by trauma, pathology or any other condition - the use of the method becomes impossible. Therefore, expand the use of Carrea's index, extending it to upper dental elements, increases the applicability of the method, especially in cases where only the skull is recovered. Thus, the present study aimed to test a new denominator for Carrea's index, so that it can be used in the upper jaw, which provides a new resource for human stature estimation. The study was conducted with 378 cast models - 189 higher and 189 lower arches - of dentistry students from the Federal University of Paraíba, of both sexes and aged between 18 and 30 years. The stature of the participants was estimated by measuring, with a digital caliper, the central and lateral incisors and canine from upper and lower arches, both sides. From these measurements, the maximum and minimum stature was estimated, according to Carrea's index. Moreover, it was aimed to compare the sucess rates between the upper and lower arches. For the upper arches a new denominator of Carrea's original formula, from 2 to 2.55, so it would fit the the maxilla's measures. The values obtained were compared to the real stature of the participants, previously measured with an anthropometer. In the maxillary arch, there was a statistically significant difference between the teeth alignment in males and in the right hemiarch, with the crowded hemiarches showing the greatest accuracy (65% and 65.2% respectively). The interarch evaluation proposed between the sexes, for the three types of dental alignment proved percentage of success statistically significant in females between the normal hemiarches, with the lower arch showing a higher percentage (70.0%) compared with the upper one (42.3%). Among the hemiarches, statistical difference was observed in right and left sides only in normal position, with the lower arch showing greater success rate (61.5% and 67.6% respectively). It can be stated that although the percentage of success in the upper arch was not significant, the method proposed can be used as additional criteria for the estimation of stature<br>Mestrado<br>Odontologia Legal e Deontologia<br>Mestre em Biologia Buco-Dental
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Costa, Fabricio Ricardo Ginez. "Prevalência e correlação das dimensões oclusais transversais em pacientes com diferente diagnóstico de obstrução respiratória." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/5/5143/tde-01042015-141840/.
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Introdução: Dentre as alterações da má-oclusão dentária na primeira dentição, destaca-se a mordida cruzada posterior, a qual consiste numa relação de sobressaliência vestibular inversa dos dentes superiores com seus antagonistas inferiores. O crescimento das estruturas faciais é composto de múltiplas atividades funcionais inter-relacionadas por diferentes componentes da cabeça e pescoço. A respiração nasal é um dos elementos de atividade funcional. Se houver obstrução nas vias aéreas superiores, haverá adaptações funcionais na direção de crescimento das estruturas do esqueleto da face. A hiperplasia das tonsilas faríngeas e/ou palatinas associadas são uma das causas mais comuns de obstrução respiratória. Objetivos: investigar a prevalência da mordida cruzada posterior em crianças de 3 a 6 anos de idade e associá-la ao padrão respiratório; verificar se houve associação desta má-oclusão com o tipo da hiperplasia das tonsilas palatinas associadas ou não com tonsilas faríngeas; realizar uma análise comparativa em crianças respiradoras orais e respiradoras nasais na idade categorizada 3-4 anos e 5-6 anos nos seguintes aspectos: distâncias da largura dos arcos por meio das distâncias intercaninos e intermolares da maxila e mandíbula. Casuística e Métodos: Participaram deste estudo 53 crianças, meninos e meninas com hiperplasia das tonsilas faríngea e/ou palatinas provenientes do ambulatório da Divisão da Clínica Otorrinolaringológica do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo - HCFMUSP, com indicação de adenoamigdalectomia ou adenoidectomia. Os pacientes foram submetidos a exame físico otorrinolaringológico, além de fibronasofaringoscopia ou Raios- X de Cavum. O grupo controle foi de 41 crianças sem queixas de obstrução respiratória levantada por questionários dirigidos aos pais, oriundas de escolas do município de Itapetininga-SP. Todas as crianças foram avaliadas por um cirurgião dentista que mensurou a largura dos arcos dentários diretamente na boca por meio de um paquímetro digital. Resultados: A mordida cruzada posterior esteve presente em 9,57% do total da amostra. A prevalência do cruzamento posterior no grupo de estudo foi de 15,09% e, no grupo controle, 2,13%. Foram encontradas nos diferentes tipos de hiperplasia linfoide as seguintes frequências de cruzamento posterior: palatina isolada (16,67%); faríngea isolada (25%); e palatina e faríngea associada (7,41%). A largura dos arcos dentais no grupo de estudo, apesar de não apresentar relevância estatística quando comparado com o grupo controle na idade de 3-4 anos, mostrou-se com as maiores médias. Já na idade de 5-6 anos, mostrou-se com as menores médias. Conclusões: A prevalência de mordida cruzada em respiradores orais é 15,09%. Observou-se uma tendência associativa da mordida cruzada posterior nas crianças do grupo de estudo. Na associação do tipo de obstrução respiratória com a presença do cruzamento posterior, não houve diferença estatística. Quanto à análise da largura dos arcos dentais em relação à idade categorizada, verificou-se, no grupo controle, uma diferença estatisticamente significante da idade de 5-6 anos em relação à idade 3-4 anos. Esta diferença, porém, não foi encontrada no grupo de estudo<br>Introduction: Among the alterations of dental malocclusion in the first dentition, the posterior crossbite stands out, which consists of a relation of vestibular reverse overjet of superior teeth with their inferior antagonists. The growth of facial structures consists of multiple functional activities interrelated by different components of the head and the neck. Breathing through the nose is one of the elements of functional activity. If there is obstruction in the superior airway, there will be functional adaptations in the growth direction of face skeleton structures. The hyperplasia of the adenoids and/or associate palatine tonsils is one of the most common causes of airway obstruction. Objectives: Probe the prevalence of posterior crossbite in children from 3 to 6 years old and associate it to the respiratory pattern; verify if there is association of such malocclusion with the etiology of hyperplasia of palatine tonsils associate or not with hyperplasia of the adenoids; carry out a comparative analysis in children who breathe through their mouth and nose at the categorized age of 3-4 years old and 5-6 years old in the following aspects: arch width distances by means of maxillary and mandibular intercanine and intermolar distances. Casuistry and Methods: A total of 53 children took part in the study herein, boys and girls with hyperplasia of the adenoids and/or associate palatine tonsils coming from the ambulatory of the Division of Otorhinolaryngology, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo - HCFMUSP, with indication of tonsillectomy or adenoidectomy. The patients have been submitted to an otorhinolaryngological physical examination, in addition to nasal fiber pharyngoscopy or Cavum x-ray. The control group consisted of 41 children with no complaints of airway obstruction surveyed by questionnaires forwarded to their parents, children coming from schools of the municipality of Itapetininga, State of São Paulo. All children have been evaluated by a dental surgeon who has measured their dental arch width directly in the mouth by means of a digital calliper. Results: The posterior crossbite was present in 9.57% out of the total of the sample. The prevalence of posterior cross in the study group was 15.09% and, in the control group, 2.13%. The following frequencies of posterior cross have been found in different etiologies of lymphoid hyperplasia: isolated palatine (16.67%); isolated pharynx (25%); and associated palatine and pharynx (7.41%). The dental arch width in the study group, in spite of not presenting statistical relevance when compared to the control group at the age of 3-4 years old, was shown with the highest averages. On the other hand, at the age of 5-6 years old, lowest averages were shown. Conclusions: The prevalence of crossbite in children who breathe through their mouth is of 15.09%. An associated trend of posterior crossbite in children of the study group has been observed. In the association of the type of airway obstruction with the presence of posterior cross, there was no statistical difference. As per the dental arch width analysis in regards to the categorized age, in the control group, a statistically significant difference was verified at the age of 5-6 years old regarding the age of 3-4 years old. Such difference, however, was not found in the study group
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Sibe, Filippa, and Tulika Ganoo. "Right Technique, Right Time: A Retrospective Analysis on Dental Arch Relationships for Patients with Total Unilateral Cleft Lip and Palate. A Comparison between Early and Late Closure of the Hard Palate." Thesis, Umeå universitet, Institutionen för odontologi, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-143063.
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Surgical closure of cleft palate improves function and esthetics but affects facial growth. The effect depends on age of the patient at the time for surgery. The study aimed to compare early versus late closure of the hard palate and its effect on dental arch relationship at the age of five for patients born with unilateral cleft lip and palate (UCLP). The study included 40 non-syndromic, Caucasian children with UCLP. All patients had their surgeries performed by the regional cleft-team at University Hospital of Umeå, Sweden, according to the protocol for treatment of UCLP. The patients were divided into early closure (operation age: approximately 2 years, n = 20) and late closure (operation age 4 - 8 years, n = 20). Dental arch relationships were analyzed on dental casts (n = 36) or clinical photos (n = 4) taken at the age of five using the modified Huddart and Bodenham (mHB) scoring system. The results showed that there was significant difference (P = 0.035) in mHB total score between early closure (median - 6.69) and late closure (median - 3.63). Children who had an early closure of the hard palate had a statistically significant lower mHB total score, and hence worse dental arch relationship compared to children with a late closure.
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Lucente, Ana Glaucia Bogalhos 1984. "Síntese e caracterização de poli (metacrilato de metila-co-metacrilato de butila) para aplicação odontológica." [s.n.], 2015. http://repositorio.unicamp.br/jspui/handle/REPOSIP/266043.
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Orientador: Leila Peres<br>Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Engenharia Química<br>Made available in DSpace on 2018-08-26T22:00:36Z (GMT). No. of bitstreams: 1
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Previous issue date: 2015<br>Resumo: A falta de um material que viabilize a confecção de uma prótese dentária em um menor número de etapas, economizando tempo e facilitando a vida dos pacientes foi a maior motivação para o desenvolvimento desta tese que se baseia na patente BR n. PI 0602107-7 A: Conjuntos de arcos dentais pré-fabricados, flexíveis e com dentes ajustáveis obtida pelo grupo de pesquisa onde se insere este trabalho, em que se propõe o uso do arco dental flexível pré-fabricado na confecção da prótese, que poderá ser produzida em um menor tempo, com um menor custo. O material usado para o arco dental flexível pré-fabricado por energia de micro ondas, bem como para a prótese dental final deverá conter uma base polimérica que permitirá a flexibilidade inicial do arco, que após receber ajustes na posição dos dentes, adequados a cada paciente, será incorporado à prótese final, sendo o conjunto reticulado de forma simultânea. Para tanto, foi investigada a viabilidade do uso do copolímero de metacrilato de metila-n-metacrilato de butila (PMMA-co-PBMA), sintetizado via técnica de miniemulsão, como a matriz polimérica base para a confecção de arcos dentais pré-fabricados, flexíveis e com dentes ajustáveis e da prótese final. Na síntese do copolímero pretendido, foram estudadas as características dos iniciadores, surfactante, estabilizador e temperatura de reação sobre a distribuição volumétrica (Dv) e populacional (DSD) de tamanhos de partícula, conversão global, temperatura de transição vítrea (Tg), massa molar média ponderal (Mw), massa molar média numérica (Mn) e polidispersividade (Mw/Mn). Verificou-se a influência da solubilidade dos iniciadores em baixas temperaturas na conversão global, Dv e DSD, fator que não interfere em altas temperaturas. Além das análises de Tg, Mw e Mw/Mn dos copolímeros e homopolímeros obtidos por mecanismo de adição. Realizaram-se também análises de Ressonância Magnética Nuclear (RMN) e Espectroscopia no Infravermelho com Transformada de Fourrier (FT-IR) indicando que o copolímero foi formado na configuração alternada ou aleatória. A resina formulada a partir do copolímero sintetizado para uso no arco dental pré-fabricado foi caracterizado, a partir de ensaios de resistência à flexão, microdureza, módulo de elasticidade, coeficiente de Poisson, da Tg do material e monômero residual. Os resultados mostram um material compatível com resinas comerciais em relação à microdureza e módulo de elasticidade<br>Abstract: The lack of a material that enables the production of a dental prosthesis in fewer steps, saving time and making life easier for the patients was the major motivation for developing this thesis is based on the patent BR n. PI 0602107-7 A: Sets of prefabricated dental arches, flexible and adjustable teeth obtained by the research group which includes this work, it is proposed the use of prefabricated flexible dental arch in the making of the prosthesis, which can be produced in less time, with less cost. The material used for the flexible prefabricated dental arch by microwave energy and for the final dental prosthesis should contain a polymer base which will allow the initial flexibility of the arch, after receiving adjustments to the position of the teeth, adequate to each patient will be incorporated into the final prosthesis being crosslinked together simultaneously. Therefore, it was investigated the feasibility of using n-butyl methyl methacrylate-methacrylate copolymer (PMMA-co-PBMA) synthesized via miniemulsion technique as the base polymer matrix for the manufacture of prefabricated dental arches, flexible and adjustable teeth and the final prosthesis. In the synthesis of the desired copolymer characteristics of primers were studied, surfactant, stabilizer and reaction temperature on the size distribution (Dv) and population (DSD) particle size, overall conversion, glass transition temperature (Tg), mass-average molecular weight (Mw), number-average molecular weight (Mn) and polydispersity (Mw/Mn). It has been found to influence the solubility of the initiators at low temperatures in the overall conversion, Dv and DSD factor that does not interfere at high temperatures. In addition to the analyzes Tg, Mw and Mw / Mn of the copolymers and homopolymers obtained by adding mechanism. Nuclear Magnetic Resonance analysis (NMR) spectroscopy and Fourier transform infrared (FT-IR) were also performed indicating that the copolymer was formed in alternating or random configuration. The resin made from copolymer synthesized for use in prefabricated dental arch was characterized as bending strength tests, hardness, modulus of elasticity, Poisson's ratio, the Tg of the material and residual monomer. The results show a material similar to commercial resins with regard to hardness and modulus of elasticity<br>Doutorado<br>Ciencia e Tecnologia de Materiais<br>Doutora em Engenharia Quimica
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Kimura, Rui Yoshio. "Posttreatment stability of lip bumper therapy." Oklahoma City : [s.n.], 2002. http://library.ouhsc.edu/epub/theses/Kimura-Rui-Yoshio.pdf.
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Ribeiro, Ana Isabel Amorim. "Erupção dos terceiros molares/apinhamento tardio dos incisivos inferiores – sim ou não?" Master's thesis, [s.n.], 2013. http://hdl.handle.net/10284/4132.
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Projeto de Pós-Graduação/Dissertação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Mestre em Medicina Dentária<br>Durante anos, diversos autores defenderam que o processo de erupção dos terceiros molares (3Ms) exercia pressão nos dentes adjacentes, provocando o apinhamento tardio dos incisivos inferiores, também designado pela população geral como “dentes encavalitados”. Desde então, a erupção e a extração profilática destes dentes tem sido alvo de controvérsia entre os clínicos, principalmente entre Cirurgiões e Ortodontistas.
Tendo em conta a controvérsia gerada por este tema, propôs-se avaliar, se ainda hoje esta se mantém, pelo que a escolha do nosso tema recaiu precisamente nesta temática, tendo como objetivo a resposta à seguinte questão: “A Erupção dos terceiros Molares é responsável pelo apinhamento tardio dos incisivos inferiores- Sim ou Não?”
Materiais e Métodos: Neste estudo, fez-se inquéritos aos alunos do primeiro ao quinto ano, do regime diurno e noturno e aos docentes de Medicina Dentária da Faculdade Ciências da Saúde da Universidade Fernando Pessoa. Foi efetuada uma pesquisa na base de dados onile Pubmed, B-on e Sience diret, cujos critérios de inclusão foram os seguintes: limite temporal entre os anos 2003 e 2013, os idiomas escolhidos para a pesquisa foi o Espanhol, Brasileiro, Português, Inglês e os artigos com o texto integral.
Resultados: No 1º e 2º ano, os alunos inquiridos responderam maioritariamente que “Sim” à questão efetuada. No 3º ano verificou-se um aumento significativo de resposta “Não” face ao 2º ano. Relativamente, ao 4º e 5ºano constatou-se uma diminuição de respostas “Não”, comparativamente ao 3ºano, no entanto, a partir do 3º ano a resposta “Não”, prevaleceu. Na área de Cirurgia e Ortodontia, os docentes inquiridos responderam na totalidade que “Não”, nas restantes áreas não se verificou consenso.
Conclusão: Neste estudo, concluiu-se que não houve concordância entre docentes e alunos. No entanto, como é comprovada na literatura, a etiologia do apinhamento é multifatorial. During many years, different authors defends that the process of third molars eruption’s exerted some pressure on the adjacent teeth, causing the late crowding of the lower incisive, also known by general population as “Crowding teeth”. Since then, eruption and prophylactic extraction of these teeth have been controversial among clinicians, mostly among surgeons and orthodontists.
Given the controversy created by this theme, we decided to evaluate if, nowadays, this still holds. So, the choice of the theme fell precisely in this matter, aiming to answer the following question: “The third molar eruption is responsible for late lower incisor crowding- Yes or No?”
Materials and Methods: In this study, surveys were made for students from first to fifth year of the daytime and nighttime shift and for professors of Dental Medicine faculty of health sciences from University Fernando Pessoa. A search was conducted in online Pubmed database, B-on and Science direct, whose inclusion criteria were the following: time limit between 2003 and 2013 and the language chosen for the research was the Spanish, Brazilian, Portuguese, English and the articles with full text.
Results: The students surveyed of first and second years, responded mostly “Yes” to the question made. In third year, there was a significant increase in “No” response, when compared with the second year. Relatively to fourth and fifth year, there were a decrease of “No” responses when compared to third year. However, from third to fifth year, “No” response prevailed. In the field of Surgery and Orthodontics, teachers surveyed answered that is not in full, other areas of teaching there were no consensus.
Conclusion: In this study, it was concluded that there was no agreement between teachers and students, regarding this issue. However, as is proven in literature, crowding etiology is multifactorial.
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Lima, Lívia Bonjardim. "Impacto do número de implantes empregados em protocolos mandibulares - Revisão sistemática." Universidade Federal de Uberlândia, 2017. https://repositorio.ufu.br/handle/123456789/18207.
Full textAbstract:
Objetivo: Avaliar pacientes reabilitados com prótese tipo protocolo mandibular
e analisar o impacto do diferente número de implantes utilizados na taxa de
sobrevivência dos implantes, perda óssea marginal e sobrevivência das
próteses. Material e métodos: Esta revisão sistemática foi conduzida segundo
orientações do PRISMA e registrada sob número de registo CRD42016048523
(PROSPERO). A base de dados electrônica PubMed/MEDLINE foi pesquisada
para artigos publicados até 17 de julho de 2016 sem restrições quanto ao ano de
publicação e teve como objetivo responder a seguinte pergunta em formato
PICO: "Em pacientes desdentados, protocolos mandibulares suportados por três
implantes, comparados com diferente número de implantes, mostram taxa de
sobrevivência de implantes, perda óssea marginal e sobrevivência da prótese
satisfatórios?" Os estudos foram avaliados segundo os níveis de evidência
OCEBM e a qualidade metodológica foi avaliada de acordo com a escala
MINORS e ferramenta de risco de viés Cochrane. Foi realizada a estatística
descritiva quando aplicável. Curvas de sobrevivência para os implantes foram
construídas com o metódo de Kaplan Meyer e a perda óssea marginal foi
analisada pelos testes de kruskal-Wallis, Dunn’s e Mann Whitney. Resultados:
21 estudos foram incluídos na síntese quantitativa. 4712 implantes e 1245
protocolos mandibulares foram examinados em 1245 pacientes. Os resultados
foram agrupados em categorias com base no número de implantes instalados
em cada paciente: grupo 1 (três implantes) mostrou uma taxa de sobrevivência
do implante de 90%, grupo 2 (4 implantes) apresentou 95% e o grupo 3 (cinco
implantes) atingiu a menor taxa de sobrevivência do implante (74%). Os grupos
1 e 3 apresentaram os menores valores de perda óssea no primeiro ano (0,73 e
0,70 mm respectivamente), com diferença estatisticamente significante do grupo
2 que registrou mediana = 1,31 mm (p = < 0,001). Conclusão: Apesar das
limitações quanto à falta de estudos de elevado nível de evidência e da própria
metodologia da pesquisa por termos MeSH, pôde-se concluir que protocolos
mandibulares suportados por três implantes demonstraram sobrevivência de
implantes e perda óssea marginal no primeiro ano satisfatórios. A sobrevivência
de próteses, no entanto, foi inferior aos demais grupos e isto sugere um maior acompanhamento de tais reabilitações a fim de esclarecer dados e buscar
soluções.<br>Purpose: To assess edentulous patients rehabilitated by implant-supported
mandibular full-arch bridges and to analyze the impact of the different number of
implants used on implant survival rate, bone loss around the fixtures and
prosthesis survival rate. Material and methods: This systematic review followed
PRISMA guidelines and was registered on PROSPERO (registration number
CRD42016048523). PubMed/MEDLINE electronic database was searched for
articles published up until July 17th, 2016 without restrictions about publication
year and aimed to answer the following question in PICO format: “In edentulous
patients, full arch-bridges supported by three implants, compared to those with
different number of implants, show satisfactory implant survival rate, bone loss
and prosthesis survival rate?” Evidence level of studies were evaluated according
to OCEBM e the methodological quality by MINORS scale and Cochrane Risk of
Bias Tool. Descriptive statistics was performed when applicable. Implant survival
curves were constructed with Kaplan-meyer method and marginal bone loss was
analyzed with kruskal-Wallis, Dunn’s and Mann Whitney tests. Results: 21
studies were enrolled. Overall, 4712 implants and 1245 implant-supported fullarch
bridges were examined in 1245 patients. Results were grouped on
categories based on the number of fixtures on each patient: Group 1 (three
implants) showed an implant survival rate of 90%, Group 2 (four implants)
presented 95% and the Group 3 (five implants) reached the lowest implant
survival rate (74%). Group 1 and Group 3 showed the lowest values of first year
bone loss (0.73 and 0.70 mm respectively), statistically significant different of
Group 2 that registered median = 1,31mm (p = <0.001). Conclusion: Despite of
the limitations regarding the lack of high level of evidence studies and the
methodology of MeSH terms research itself, it was concluded that full archbridges
supported by three implants show satisfactory implant survival rate and
first year bone loss. The prosthesis survival rate, however, was inferior to the
other groups and this suggests a bigger follow-up of these rehabilitations with the
aim of clarifying data and search for solutions.<br>Dissertação (Mestrado)
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Carrara, Cleide Felicio de Carvalho. "Avaliação do tamanho das lâminas palatinas no resultado do crescimento dos arcos dentários e relação interarcos na dentadura decídua ou mista precoce." Universidade de São Paulo, 2011. http://www.teses.usp.br/teses/disponiveis/61/61132/tde-06022012-151540/.
Full textAbstract:
Trata-se de um estudo retrospectivo, com o objetivo de avaliar a correlação entre o tamanho das lâminas palatinas e índice oclusal em pacientes com fissura unilateral completa de lábio e palato. Foram avaliados modelos de estudo de 339 pacientes que foram moldados em três fases distintas: pré-queiloplastia (fase1) pré-palatoplastia (fase 2) e dentadura decídua completa ou mista precoce (fase 3). A queiloplastia foi realizada entre 3 e 6 meses de idade, pelas técnicas de Spina ou Millard e a palatoplastia foi realizada entre 9 e 18 meses, pelas técnicas de von Langenbeck ou Furlow. 4 cirurgiões realizaram as cirurgias, mas cada paciente foi operado de lábio e palato pelo mesmo cirurgião. As lâminas palatinas foram medidas de imagens escaneadas dos modelos das fases 1 e 2, utilizando-se do programa Adobe Photoshop CS2. O índice oclusal foi avaliado nos modelos das fases 3 utilizando o índice de proposto por Atack et al. 1997, conhecido por índice dos 5 anos de idade. A medida das lâminas palatinas foi comparada entre as fases 1 e 2 e mostrou haver um crescimento médio de 0,5 cm. A amplitude da fissura em sua porção central mostrou apresentou um valor médio de 1,13 na fase 1 e 0,69 na fase 2. A correlação entre o tamanho das lâminas palatinas e o índice oclusal foi dada pela aplicação da correlação de Spearman. Os resultados mostraram que houve correlação negativa significante entre o tamanho da lâmina palatina e o índice oclusal apenas para os pacientes operados por um dos cirurgiões e somente em uma técnica cirúrgica (Millard com Furlow). Acredita-se que outros fatores envolvidos no processo reabilitador possam ter mais influência no resultado do índice oclusal do que o tamanho das lâminas palatinas. A habilidade do cirurgião em realizar determinada técnica e com ela conseguir os seus melhores resultados, parece ser determinante no resultado de crescimento facial destes pacientes.<br>This retrospective study evaluated the correlation between the size of palatal shelves and the occlusal index in patients with complete unilateral cleft lip and palate. The study evaluated dental casts of 339 patients whose impressions were obtained at three different stages: before cheiloplasty (stage 1), before palatoplasty (stage 2) and in the complete deciduous or early mixed dentition (stage 3). Cheiloplasty was performed at 3 to 6 months of age by the Spina or Millard techniques and palatoplasty was performed at 9 to 18 months by the von Langenbeck or Furlow technique. Four surgeons performed the surgeries, yet each patient was submitted to lip and palate repair by the same surgeon. The palatal shelves were measured on scanned images of dental casts of stages 1 and 2, using the software Adobe Photoshop CS2. The occlusal index was evaluated on the dental casts of stage 3 using the index proposed by Atack et al. 1997, known as 5-year-old index. The dimension of palatal shelves compared between stages 1 and 2 evidenced a mean growth of 0.5 cm. The cleft width at the central portion presented a mean value of 1.13 in stage 1 and 0.69 in stage 2. The correlation between the size of palatal shelves and the occlusal index was analyzed by the Spearman correlation test. The results demonstrated significant negative correlation between the size of palatal shelves and the occlusal index only for patients operated by one of the surgeons and only for one surgical technique (Millard with Furlow). It is believed that other factors involved in the rehabilitation process may have greater influence on the occlusal index outcome than the size of palatal shelves. The surgeons skill in performing a certain technique and achieve his or her best outcomes seems to be a determining factor for the facial growth outcome of these patients.
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Dias, K?ssia de Carvalho. "An?lise comparativa na influ?ncia da t?cnica de moldagem funcional em arcos parcialmente ed?ntulos sobre os pontos de contato oclusais, a integridade da fibromucosa e a extens?o da base da pr?tese." Universidade Federal do Rio Grande do Norte, 2012. http://repositorio.ufrn.br:8080/jspui/handle/123456789/17803.
Full textAbstract:
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Previous issue date: 2012-12-06<br>Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior<br>There is a lack of clinical studies evaluating techniques of functional impression for
partially edentulous arches. The aim of this double-blind non-randomized controlled
clinical trial was to compare the efficacy of altered cast impression (ACI) and direct
functional impression (DFI) techniques. The efficacy was evaluated regarding the
number of occlusal units on denture teeth, mucosa integrity at 24-hour follow-up and
denture base extension. The sample included 51 patients (female and male) with
mean age of 58.96 years treated at Dental Department of UFRN. The patients,
exhibiting edentulous maxilla and mandibular Kennedy class I, were divided into two
groups (group ACI, n=29; group DFI, n=22). Clinical evaluation was based on the
number of occlusal units on natural and/or artificial teeth, mucosa integrity at 24-hour
follow-up, and denture base extension. Statistical analysis was conducted using the
software SPSS 17.0? (SPSS Inc., Chicago, Illinois). Student T-test was used to
reveal association between number of occlusal units and impression technique while
chi-square test showed association between mucosa integrity and impression
technique. Fischer s exact test was applied for association between denture base
extension and impression technique at 95% level of significance. No significant
difference was observed between the groups regarding number of occlusal units,
mucosa integrity and denture base extension. The altered cast technique did not
provide significant improvement in comparison to the direct technique when the
number of occlusal units, mucosa integrity and denture base extension<br>A literatura cient?fica ? carente de estudos cl?nicos que avaliem a efici?ncia de
t?cnicas de moldagem funcional para arcos parcialmente desdentados. Objetivou-se
realizar um ensaio cl?nico controlado, n?o randomizado e duplo-cego, para comparar
a efici?ncia da t?cnica de moldagem funcional do modelo alterado (TMMA) com a
t?cnica de moldagem funcional direta (TMD), em rela??o ao n?mero de pontos de
contato oclusais por unidade oclusal na instala??o de novas pr?teses, a integridade
da fibromucosa na sess?o de controle de 24 horas e a extens?o da base de pr?tese.
A amostra foi constitu?da por 51 pacientes, com m?dia de idade de 58,96 anos,
portadores de arco maxilar totalmente desdentado e Classe I de Kennedy
mandibular, de ambos os sexos, reabilitados nas cl?nicas do Departamento de
Odontologia da Universidade Federal do Rio Grande do Norte. Os pacientes foram
divididos em dois grupos: grupo TMMA (n=29) e Grupo TMD (n=22). As seguintes
vari?veis foram utilizadas para as medidas cl?nicas: n?mero de pontos de contato
oclusais por unidade oclusal, a integridade da fibromucosa no retorno programado
de 24 horas e a extens?o da base da pr?tese. Para an?lise estat?stica, utilizou-se o
programa SPSS 17.0? (SPSS Inc., Chicago, Illinois) e aplicou-se o teste t de Student
para verificar a associa??o do n?mero de pontos de contato oclusais por unidade
oclusal em dentes naturais e artificiais e a t?cnica de moldagem. Para verificar a
associa??o entre a integridade da fibromucosa e a t?cnica, foi utilizado o teste quiquadrado.
O teste exato de Fisher foi usado para verificar a associa??o entre a
extens?o da base da pr?tese e a t?cnica, com confian?a estat?stica de 95%. N?o
existiu diferen?a estatisticamente significativa entre os dois grupos quanto ? t?cnica
de moldagem em rela??o ao n?mero de pontos de contato oclusais, ? integridade da
fibromucosa e ? extens?o da base da pr?tese. A t?cnica de moldagem funcional do
modelo alterado n?o oferece vantagens significativas, quando comparada ? t?cnica
direta, em rela??o ? quantidade de n?mero de pontos de contato oclusais por
unidade oclusal, ? integridade da fibromucosa e ? extens?o da base da pr?tese
49
Bustos, Contreras Cristian. "Variación de la distancia intercondílea y forma del arco dentario mandibular en una población de adultos chilenos: Estudio mediante morfometría geométrica." Tesis, Universidad de Chile, 2016. http://repositorio.uchile.cl/handle/2250/143032.
Full textAbstract:
Trabajo de Investigación Requisito para optar al Título de Cirujano Dentista<br>Introducción:El estudio de la forma, dimensiones y características de los arcos
dentarios ha sido de interés para antropólogos físicos y odontólogos, con el objetivo
de establecer parámetros de normalidad, describir diferencias y caracterizar distintas
poblaciones. Al respecto, se sabe que existe una correlación entre desarrollo
transversal de base de cráneo y la morfología de los arcos dentarios.
Objetivo:Evaluar la eventual covariación de la morfología del arco dentario
mandibular con la distancia intercondílea. Determinar el posible rol que juega el sexo
en estas variaciones e identificar los puntos delarco que más participan en las
variaciones de forma.
Material y métodos:Se trata de un estudio observacional, analítico de corte
transversal, que contó con la participación de 80 individuos, mitad mujeres y mitad
hombres a los cuales se les tomó una fotografíaintraoral estandarizada delarco
dentario mandibular y medición de la distancia intercondílea. Se definió un mapa de
homologías que representara la morfología del arco dentario. Se generó una matriz
de morfocoordenadas XY en programa TPS, luego estos datos fueron analizados
con la herramienta computacional MorphoJ, determinando la presencia de
covariación entre distancia intercondílea y forma del arco dentario, eventual rol del
sexo en la variación y cuáles fueron los hitos que más participaron en las diferencias
de forma.
Resultados:Respecto a la covariación entre la forma y la distancia intercondílea,se
encontró una correlación baja, estadísticamente no significativa entre ambas
variables. Respecto al eventual rol del sexo no se determinaron diferencias
estadísticamente significativas (valor de p: 0.0648) y los hitos de mayor participación
en la diferencias de forma fueron en el plano anteroposterior el segundo molar y los
incisivos centrales y laterales, y en sentido transversal los de más participación
fueron los premolares y el segundo molar definitivo.
Conclusiones:No existe covariación entre la forma del arco dentario mandibular y
la distancia intercondílea. Los puntos de mayor participación en la variación de la
forma fueron el segundo molar definitivo, el incisivo central definitivo y el segundo
premolar definitivo. La forma de la arco varía independiente del sexo. La
morfometría Geométrica se presenta como una potente herramienta para el
estudio de las variaciones morfológicas de las estructuras craneofaciales.<br>Adscrito a Proyecto ENLACE VID FONDECYT 1050279
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Iegami, Carolina Mayumi. "Eficiência mastigatória de indivíduos portadores de prótese total com arco dental reduzido." Universidade de São Paulo, 2011. http://www.teses.usp.br/teses/disponiveis/23/23150/tde-16012012-145325/.
Full textAbstract:
Um dos obstáculos na confecção das próteses totais é a diminuição de espaço intermaxilar para a montagem dos dentes artificiais posteriores, particularmente dos segundos molares, que influencia o tempo dispendido pelo profissional, pois gera a necessidade de desgaste da base de prova e muitas vezes do próprio dente. Na tentativa de contornar esse obstáculo, em alguns casos, tem-se suprimido a montagem dos segundos molares, uma vez que a ausência destes elementos não influencia a estética, fonética e conforto. Não há relatos na literatura que abordam este assunto, apesar de existirem estudos com arco encurtados e de performance mastigatória de próteses. O objetivo deste estudo foi comparar a eficiência mastigatória de pacientes portadores de próteses totais maxilomandibulares com arco reduzido (sem os segundos molares superiores e inferiores) e com o arco completo. Vinte indivíduos usuários de próteses totais maxilomandibulares, divididos em dois grupos aleatoriamente, receberam aparelhos protéticos novos. O grupo 1 recebeu as próteses sem os segundos molares e o grupo 2, com segundo molares. Após as consultas de controle, foi realizado o primeiro teste de eficiência mastigatória com Optocal. Quinze dias após o primeiro teste de performance mastigatória, foi realizado um novo teste, neste momento foram posicionados os segundos molares no grupo 1 e removidos no grupo 2. O material cominuído foi tratado e peneirado em uma pilha de peneiras sob vibração. A média e desvio padrão da eficiência mastigatória dos sujeitos no teste com todos os dentes posicionados foi de 4 e 0,68, respectivamente. Enquanto que, no teste sem os segundos molares foi de 4,22 e 0,92, respectivamente. Em relação ao momento da remoção dos segundos molares, a média do grupo 1 foi de 4,22 e desvio padrão de 0,63 e, do grupo 2 foi de 3,78 e 0,72, respectivamente. De acordo com a análise estatística realizada (p<0,05) não houve diferença na eficiência mastigatória em próteses totais maxilo-mandibulares com arco dental terminando em primeiro ou segundo molares. Portanto, a montagem de dentes até primeiros molares pode ser executada quando necessário, sem que haja comprometimento da eficiência mastigatória.<br>One obstacle when placing posterior artificial teeth during the manufacturing of complete dentures is the reduction of spatial relationship of the maxillae to the mandible. It affects the work time of the technician, once it requires abrasion of the denture base and the artificial tooth itself. Occasionally, the placement of the second molars is suppressed, for it does not affect aesthetics, phonetics and comfort. There are no reports in literature on this subject; despite studies involving shortened dental arches and dentures masticatory performance. The aim of this study was to compare masticatory efficiency of maxillomandibular complete denture wearers with reduced dental arch (without superior and inferior second molars) and complete dental arch. Twenty subjects were divided in two groups randomly and received new dentures. Group 1 was given complete dentures without second molars and group 2 was given dentures with second molars. After post-insertion consults, the first masticatory efficiency test was taken with Optocal. Fifteen days after the first test, a new one was taken, in which second molars were positioned in group 1 and removed from group 2. Comminuted material was treated and sieved on a stack of sieves under vibration. Mean and standard deviation of subjects masticatory efficiency with complete dental arch was 4 and 0.68, respectively. While on the tests without second molars, mean and standard deviation were 4.22 and 0.92, respectively. Analyzing the moment of removal of second molars from the dental arch, mean of group 1 was 4.22 and standard deviation 0,63 and, group 2 3.78 and 0.72, respectively. According to the statistical analysis applied to this study (p<0,05), there were no differences on masticatory efficiency in complete dentures with or without second molars. Therefore, placing artificial teeth until first molars can be done when needed, without compromising masticatory efficiency.