RESUMO
OBJECTIVE: The aim of this prospective study was to compare the dentoalveolar effects produced by two types of palatal crib, removable (Rpc+C) and fixed (Fpc+C), combined with chincup in growing patients with anterior open bite. MATERIAL AND METHODS: each group comprised 30 patients, in the mixed dentition phase, with similar cephalometric characteristics and skeletal ages. Group 1 (Rpc+C) presented initial mean age of 8.3 years and mean anterior open bite of 4.0 mm. Group 2 (Fpc+C) presented initial mean age of 8.54 years and mean anterior open bite of 4.3 mm. The evaluation period comprised 12 months between initial (T1) and second lateral radiograph (T2). The T2-T1 changes were compared cephalometrically in the 2 groups using the non-paired t-test. RESULTS: Vertical changes in the posterior dentoalveolar region were similar between the groups (about 1 mm) and no significant differences were found in molar mesialization. The Fpc+C group had in average 1.6 mm more improvement of the overbite as a result of greater maxillary incisor extrusion (1.3 mm). Patients in this group also presented less lingual tipping of maxillary incisors and more mandibular incisors uprighting. CONCLUSIONS: The Fpc+C combination was more efficient in the correction of the negative overbite mainly due to greater extrusion of the maxillary incisors. However, the Rpc+C appliance promoted better upper and lower incisor inclination, resulting in a more adequate overjet.
Assuntos
Processo Alveolar/fisiologia , Mordida Aberta/terapia , Aparelhos Ortodônticos , Ortodontia Corretiva/métodos , Cefalometria , Criança , Terapia Combinada , Dentição Mista , Feminino , Seguimentos , Humanos , Masculino , Mandíbula/crescimento & desenvolvimento , Maxila/crescimento & desenvolvimento , Estudos Prospectivos , Fatores de Tempo , Resultado do TratamentoRESUMO
OBJECTIVE: The aim of this prospective study was to compare the dentoalveolar effects produced by two types of palatal crib, removable (Rpc+C) and fixed (Fpc+C), combined with chincup in growing patients with anterior open bite. MATERIAL AND METHODS: each group comprised 30 patients, in the mixed dentition phase, with similar cephalometric characteristics and skeletal ages. Group 1 (Rpc+C) presented initial mean age of 8.3 years and mean anterior open bite of 4.0 mm. Group 2 (Fpc+C) presented initial mean age of 8.54 years and mean anterior open bite of 4.3 mm. The evaluation period comprised 12 months between initial (T1) and second lateral radiograph (T2). The T2-T1 changes were compared cephalometrically in the 2 groups using the non-paired t-test. RESULTS: Vertical changes in the posterior dentoalveolar region were similar between the groups (about 1 mm) and no significant differences were found in molar mesialization. The Fpc+C group had in average 1.6 mm more improvement of the overbite as a result of greater maxillary incisor extrusion (1.3 mm). Patients in this group also presented less lingual tipping of maxillary incisors and more mandibular incisors uprighting. CONCLUSIONS: The Fpc+C combination was more efficient in the correction of the negative overbite mainly due to greater extrusion of the maxillary incisors. However, the Rpc+C appliance promoted better upper and lower incisor inclination, resulting in a more adequate overjet.
Assuntos
Criança , Feminino , Humanos , Masculino , Processo Alveolar/fisiologia , Aparelhos Ortodônticos , Mordida Aberta/terapia , Ortodontia Corretiva/métodos , Cefalometria , Terapia Combinada , Dentição Mista , Seguimentos , Mandíbula/crescimento & desenvolvimento , Maxila/crescimento & desenvolvimento , Estudos Prospectivos , Fatores de Tempo , Resultado do TratamentoRESUMO
Os casos de assimetrias dentoalveolares representam um desafio na práticaortodôntica. Os tratamentos mais comuns são extrações dentárias assimétricas, utilização de aparelhos ortopédicos funcionais, realização de desgastes interproximais e uso de elásticos intermaxilares, dependendo da etiologia da assimetria, do desvio da linha média, da quantidadede apinhamento e do perfil do paciente. Na correção das assimetrias, muitas vezes, há dificuldades mecânicas no controle de ancoragem, sendo necessário um planejamento para que se evitem efeitos colaterais como desvios indesejados de linha média durante acorreção da má-oclusão. O presente artigo demonstra uma maneira de correção de uma Classe II, subdivisão, Tipo 1, utilizando-se um sistema de cursar associado à ancoragemcom mini-implantes.
The asymmetric cases represent a challenge for the orthodontic practice. The most common treatments are asymmetric extractions, use of functional appliances, performance of interproximal stripping and use of intermaxillary elastics. It depends of the etiology ofasymmetry, midline deviation, amount of crowding and patient profile. Tothe correction of such imbalances, often there are difficulties in mechanical anchorage control. It requires planningto avoid side effects, such as unwanted deviations from the midline during the correction of malocclusion. This article demonstrates a way of correcting a Class II, subdivision, type 1, using a system composed by a cursor associated with mini-implants anchorage.
Assuntos
Humanos , Feminino , Adulto , Fenômenos Biomecânicos , Implantação Dentária , Má Oclusão Classe II de Angle/terapia , Âncoras de Sutura , Braquetes Ortodônticos , Contenções Ortodônticas , Assimetria FacialRESUMO
The aim of this prospective randomized clinical study was to cephalometrically investigate the dentoalveolar and soft tissue changes produced by a removable appliance with a palatal crib associated with high-pull chin cup therapy in children with an Angle Class I anterior open bite (AOB) malocclusion. Thirty children (8 males and 22 females) with an initial mean age of 8.3 years and a mean AOB of 4.1 mm were treated with a removable appliance composed of a palatal crib associated with chin cup therapy for 12 months. A control group of 30 individuals (7 males and 23 females) closely matched for age, initial mean age 8.6 years, gender, and ethnicity with a mean AOB of 4.6 mm was followed without treatment. The measurements (means and standard deviations) were statistically analysed using a paired t-test. The results showed no significant differences in the level of molar eruption or in lower anterior face height, suggesting that the vertical control expected from the chin cup therapy did not occur. Dentoalveolar changes at the anterior region were evident, with statistically significant extrusion, retrusion, and lingual tipping of the maxillary and mandibular incisors (P < or = 0.05). However, these hard tissue changes did not imply soft tissue changes and the variables related to the soft profile were not statistically significantly different between the groups. The dentoalveolar changes at the anterior region of the dental arches were mainly responsible for closure of the AOB in patients treated in the mixed dentition.
Assuntos
Aparelhos de Tração Extrabucal , Desenvolvimento Maxilofacial , Mordida Aberta/terapia , Aparelhos Ortodônticos Removíveis , Ortodontia Interceptora/instrumentação , Cefalometria , Criança , Queixo , Feminino , Humanos , Incisivo/fisiopatologia , Masculino , Dente Molar/crescimento & desenvolvimento , Extrusão Ortodôntica , Estudos Prospectivos , Resultado do Tratamento , Dimensão VerticalRESUMO
INTRODUCTION: The aim of this prospective clinical study was to cephalometrically investigate the dentoalveolar and skeletal changes produced by a removable appliance with palatal crib associated with high-pull chincup therapy in children with Angle Class I anterior open-bite malocclusions. METHODS: Thirty children with initial mean age of 8.61 years and mean anterior open bite of 4.01 mm were treated with removable appliances with palatal crib associated with chincup therapy for 12 months. A control group of 30 subjects with initial mean age of 8.33 years and mean anterior open bite of 3.95 mm with the same malocclusion was followed for 12 months for comparison. RESULTS: The removable appliance with palatal crib combined with vertical chincup did not yield significant changes in maxillary and mandibular skeletal components, maxillomandibular relationship, or vertical facial pattern. Overall, effects in the treated group were exclusively dentoalveolar. Open bite in the treatment group showed a mean closure of 5.01 mm (SD +/- 1.73). CONCLUSIONS: The association of high-pull chincup therapy with a removable appliance and palatal crib provided no positive skeletal influence on the vertical facial pattern of patients treated for open bite in the mixed dentition.