UNIVERSIDADE FEDERAL DE SANTA CATARINA CENTRO DE CIÊNCIAS DA SAÚDE PROGRAMA DE PÓS-GRADUAÇÃO EM ODONTOLOGIA Laís Duarte I

Total Page:16

File Type:pdf, Size:1020Kb

UNIVERSIDADE FEDERAL DE SANTA CATARINA CENTRO DE CIÊNCIAS DA SAÚDE PROGRAMA DE PÓS-GRADUAÇÃO EM ODONTOLOGIA Laís Duarte I UNIVERSIDADE FEDERAL DE SANTA CATARINA CENTRO DE CIÊNCIAS DA SAÚDE PROGRAMA DE PÓS-GRADUAÇÃO EM ODONTOLOGIA Laís Duarte Impacto da ativação e instalação de aparelhos ortodônticos na mastigação e nutrição: uma revisão sistemática com meta-análise Florianópolis 2021 Laís Duarte Impacto da ativação e instalação de aparelhos ortodônticos na mastigação e nutrição: uma revisão sistemática com meta-análise Dissertação submetida ao Programa de Pós-graduação em Odontologia da Universidade Federal de Santa Catarina para a obtenção do título de mestre em Odontologia. Orientador: Profa. Dra. Thais Marques Simek Vega Gonçalves Florianópolis 2021 Ficha de identificação da obra elaborada pelo autor, através do Programa de Geração Automática da Biblioteca Universitária da UFSC. Duarte, Laís Impacto da ativação e instalação de aparelhos ortodônticos na mastigação e nutrição: uma revisão sistemática com meta análise / Laís Duarte ; orientador, Thais Marques Simek Vega Gonçalves, 2021. 74 p. Dissertação (mestrado) - Universidade Federal de Santa Catarina, Centro de Ciências da Saúde, Programa de Pós Graduação em Odontologia, Florianópolis, 2021. Inclui referências. 1. Odontologia. 2. Aparelhos Ortodônticos Fixos. 3. Alinhadores Estéticos. 4. Mastigação. 5. Avaliação Nutricional. I. Marques Simek Vega Gonçalves, Thais . II. Universidade Federal de Santa Catarina. Programa de Pós Graduação em Odontologia. III. Título. Laís Duarte Impacto da ativação e instalação de aparelhos ortodônticos na mastigação e nutrição: uma revisão sistemática com meta-análise. O presente trabalho em nível de mestrado foi avaliado e aprovado por banca examinadora composta pelos seguintes membros: Prof. Lucas Cardinal da Silva, Dr. Universidade do Sul de Santa Catarina Profa. Lucianne Cople Maia, Dra. Universidade Federal do Rio de Janeiro Prof. Luciano José Pereira, Dr. Universidade Federal de Lavras Certificamos que esta é a versão original e final do trabalho de conclusão que foi julgado adequado para obtenção do título de mestre em Odontologia. ____________________________ Profa. Dra. Mariane Cardoso Carvalho Coordenação do Programa de Pós-Graduação ____________________________ Profa. Dra. Thais Marques Simek Vega Gonçalves Orientadora Florianópolis, 2021. Este trabalho é dedicado à minha família, que através do amor sempre me encoraja a evoluir. AGRADECIMENTOS À minha família, por me acolher em todas as minhas escolhas e vibrar a cada conquista. O incentivo de vocês sempre foi essencial para eu ter coragem em evoluir e aprender. Vocês são meus exemplos de amor e fé. Aos amigos, Amanda Crews, Ana Cristina Effting, Bruna Pavesi, Helen Brenda Kim, Júlia Schindler, Mariana Olinger, Marlei Vieira, Riana Hoffman e Yasmin Klas, pela nossa amizade de anos que é motivo de orgulho pra mim. Quero deixar aqui registrada a minha admiração e amor por vocês, por tudo o que representam na minha vida. À minha amiga e dupla, Jéssica Alana Klitzke. Nossa amizade é especial. Obrigada por sempre estar ao meu lado, torcendo por mim. À amiga, Natalia Fiuza Coelho Neta. Pela amizade, presença e incentivo em todas as minhas escolhas. Você faz parte dessa conquista. Aos meus professores de colégio e graduação, Salete Batisti, Nadir Boing Maestri, Ana Cristina Kovalik e Ivens Frischknecht (in memorian). Professores que sempre lembro com carinho e fizeram a diferença durante minha formação. São inspiração na minha vida acadêmica e exemplos de professores que ensinam com amor e dedicação. A todos os amigos, que sempre torceram por mim. O amor e apoio de vocês foi fundamental. A minha orientadora, Profa. Dra. Thais Marques Simek Vega Gonçalves, por todos os ensinamentos durante esses dois anos. Obrigada por todas as oportunidades que foram essenciais para o meu crescimento pessoal e profissional. A sua dedicação e disponibilidade em orientar são admiráveis, és um exemplo pra mim. À minha amiga de Pós-Graduação e segunda revisora desse trabalho, Adriana Pinto Bezerra. Pela contribuição imprescindível para o desenvolvimento desse trabalho, mas principalmente por toda paciência e disponibilidade em sempre dividir o seu conhecimento. Obrigada por toda amizade e parceria. Aos meus amigos da pós-graduação, Matheus Akira Sakurada, Rangel Lidani, Tarla Thaynara Oliveira dos Santos, Gabriela Panca Sabatini e Franciele Quiquio Santiago Floriani, por me acolherem e dividirem comigo essa experiência que é viver o mundo acadêmico. À Profa. Dra. Analucia Gebler Philippi, e aos Profs. Drs, Maurício Malheiros Badaró e Luis André Mendonça Mezzomo, por todo conhecimento compartilhado, pela amizade e auxílio nas atividades da Pós-Graduação. A Coordenadora do Programa de Pós-Graduação em Odontologia, Prof. Dra. Mariane Cardoso. À secretária do Programa de Pós-Graduação em Odontologia, Débora dos P. Rodrigues Coelho, por todo suporte e disponibilidade. A todos os docentes do Programa de Pós-graduação em Odontologia da Universidade Federal de Santa Catarina, pela contribuição imprescindível para minha formação acadêmica. A todos os servidores e funcionários da Universidade Federal de Santa Catarina, por todo auxílio, disponibilidade e suporte. APRESENTAÇÃO Esta revisão sistemática foi escrita originalmente sob a forma de artigo científico na língua inglesa, com o objetivo de ser submetido ao periódico Journal of Dentistry em parceria com o professor e pesquisador da Universidade de Alberta, Prof. Dr. Carlos Flores Mir; juntamente com o Prof. Dr. Luciano José Pereira, professor e pesquisador da Universidade Federal de Lavras. RESUMO Objetivo: Revisar sistematicamente a literatura a fim de avaliar o efeito da instalação e da ativação de diferentes aparelhos ortodônticos sobre a mastigação e a nutrição dos pacientes. Material e métodos: Esta revisão sistemática foi conduzida conforme preconizado no PRISMA 2020. A busca bibliográfica incluiu 6 bases de dados eletrônicas (até maio de 2021) e 3 bases de dados da literatura cinzenta, sem restrições de idioma ou tempo de publicação. Apenas estudos que avaliaram a mastigação e nutrição após a instalação e/ou ativação de diferentes aparelhos ortodônticos foram incluídos. O risco de viés foi avaliado com as ferramentas da Cochrane (RoB 2 para estudos clínicos randomizados e ROBINS-I para estudos não randomizados). A qualidade da evidência foi analisada com o GRADE (Grading of Recommendations, Assessment, Development, and Evaluation). Esta revisão foi registrada no PROSPERO (CRD42020199510). Os dados foram computados e meta-análises de efeito randômico foram realizadas quando possível (α = 0.05). Resultados: Após aplicação das estratégias de busca e remoção de duplicados, 4226 referências foram incluídas para leitura de títulos e resumos. Foram então selecionados 41 artigos para leitura de texto completo, sendo 27 deles excluídos por diferentes razões. Ao final, 15 artigos foram incluídos, sendo apenas 6 utilizados na análise quantitativa. Os estudos clínicos randomizados incluídos apresentaram risco de viés alto, enquanto os estudos não randomizados variaram entre moderado e alto. A qualidade da evidência avaliada pelo GRADE sugeriu um nível de evidência baixo ou muito baixo. Na análise quantitativa houve redução significativa da performance mastigatória (diferença média padronizada (DMP) 1,07; IC95%: 0,619 a 1,518; p < 0,001) e da força de mordida (DMP -2,542 (IC 95%: -4,867 a -0,217; p = 0,03) nas primeiras 24 a 48 horas da ativação/instalação dos aparelhos fixos labiais. O limiar de deglutição se manteve constante e a mastigação foi totalmente recuperada após 30 dias (p > 0,05). Apenas um estudo avaliou a nutrição, apresentando uma redução significativa no consumo de alimentos ricos em cobre (p = 0,002) e manganês (p = 0,016), além da maior ingestão de calorias e gordura saturada (p < 0,05) após a ativação/instalação dos aparelhos fixos labiais. Os usuários de aparelhos fixos linguais também relatam mais problemas mastigatórios quando comparados aos usuários de aparelhos labiais. Por outro lado, usuários de alinhadores estéticos relataram menor desconforto durante a alimentação quando comparados aos usuários de aparelhos fixos labiais. Conclusões: De maneira geral, a ativação e/ou instalação dos aparelhos ortodônticos labiais reduz a performance mastigatória e força de mordida nas primeiras horas ou semanas. Porém, ambas variáveis são completamente restabelecidas após 30 dias. Dados sobre o estado nutricional dos pacientes e o impacto dos alinhadores estéticos ou aparelhos fixos linguais são insuficientes para maiores conclusões e necessitam de mais estudos sobre o assunto. Palavras-chave: Aparelhos Ortodônticos Fixos; Alinhadores Estéticos; Mastigação; Avaliação Nutricional; Revisão Sistemática. ABSTRACT Objectives: To systematically review the literature in order to assess the effect of the activation/installation of different orthodontic appliances on patient`s mastication and nutrition. Material and methods. This systematic review was conducted as recommended in PRISMA 2020. Literature search included 6 eletronic databases (until August 2020, last update February 2021) and 3 grey literature databases, without restrict language or publication time. Only studies that evaluated mastication and nutrition after the activation/installation of the orthodontic appliances were included. Risk of bias was assessed using the Cochrane tool (RoB 2 for randomized clinical studies and ROBINS-I for non-randomized studies). The quality of the evidence was analyzed through GRADE (Classification of Recommendations, Evaluation, Development and Evaluation). This review was registered
Recommended publications
  • Current Evidence on the Effect of Pre-Orthodontic Trainer in the Early Treatment of Malocclusion
    IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 18, Issue 4 Ser. 17 (April. 2019), PP 22-28 www.iosrjournals.org Current Evidence on the Effect of Pre-orthodontic Trainer in the Early Treatment of Malocclusion Dr. Shreya C. Nagda1, Dr. Uma B. Dixit2 1Post-graduate student, Department of Pedodontics and Preventive Dentistry, DY Patil University – School of Dentistry, Navi Mumbai, India 2Professor and Head,Department of Pedodontics and Preventive Dentistry, DY Patil University – School of Dentistry, Navi Mumbai, India Corresponding Author: Dr. Shreya C. Nagda Abstract:Malocclusion poses a great burden worldwide. Persistent oral habits bring about alteration in the activity of orofacial muscles. Non-nutritive sucking habits are shown to cause anterior open bite and posterior crossbite. Abnormal tongue posture and tongue thrust swallow result in proclination of maxillary anterior teeth and openbite. Mouth breathing causes incompetence of lips, lowered position of tongue and clockwise rotation of the mandible. Early diagnosis and treatment of the orofacial myofunctional disorders render great benefits by minimizing related malocclusion and reducing possibility of relapse after orthodontic treatment. Myofunctional appliances or pre orthodontic trainers are new types of prefabricated removable functional appliances claimed to train the orofacial musculature; thereby correcting malocclusion. This review aimed to search literature for studies and case reports on effectiveness of pre-orthodontic trainers on early correction of developing malocclusion. Current literature renders sufficient evidence that these appliances are successful in treating Class II malocclusions especially those due to mandibular retrusion. Case reports on Class I malocclusion have reported alleviation of anterior crowding, alignment of incisors and correction of deep bite with pre-orthodontic trainers.
    [Show full text]
  • Magnetic Forces in Orthodontics
    COPYRIGHT AND USE OF THIS THESIS This thesis must be used in accordance with the provisions of the Copyright Act 1968. Reproduction of material protected by copyright may be an infringement of copyright and copyright owners may be entitled to take legal action against persons who infringe their copyright. Section 51 (2) of the Copyright Act permits an authorized officer of a university library or archives to provide a copy (by communication or otherwise) of an unpublished thesis kept in the library or archives, to a person who satisfies the authorized officer that he or she requires the reproduction for the purposes of research or study. The Copyright Act grants the creator of a work a number of moral rights, specifically the right of attribution, the right against false attribution and the right of integrity. You may infringe the author’s moral rights if you: - fail to acknowledge the author of this thesis if you quote sections from the work - attribute this thesis to another author - subject this thesis to derogatory treatment which may prejudice the author’s reputation For further information contact the University’s Copyright Service. sydney.edu.au/copyright MAGNETIC FORCES IN ORTHODONTICS ANGIE C. PHELAN BDSc (Hons I) A thesis submitted in partial fulfilment of the requirements for the degree of Doctorate of Clinical Dentistry – Orthodontics Discipline of Orthodontics Faculty of Dentistry University of Sydney Australia 2010 1 DEDICATIONS To my family and Lachy, Thanks for your support and patience. I could not have made it without your help. 2 ACKNOWLEDGEMENTS I would like to take this opportunity to thank the people who have helped me complete this project: Professor M.
    [Show full text]
  • ENDODONTICS EPT – Stimulates Nerve Endings with Low Current And
    ENDODONTICS . EPT – stimulates nerve endings with low current and high potential difference in voltage; stimulates A delta fibers; no gloves should be used because causes false negative. Results from EPT: ‐chronic pulpitis = higher current than normal ‐acute pulpitis = lower current than normal (acute inflammation mediators lower the pain threshold). ‐hyperemia = lower current than normal, but higher than acute pulpitis. False positives – pus‐filled canal or nervous patient. False negatives – trauma, insulating restoration, or wearing gloves. Trauma causing deep intrusion to a permanent tooth causes pulp necrosis and conventional RCT. SLOB Rule – root farther (buccal) from film will move to same direction cone is directed; lingual surface is always closest to the cone so buccal is always farthest. Referred Pain ‐ Forehead: max. incisors Nasolabial: max. canines and PMs. Temporal: max. 2nd PM. Ear: mand. molars Mentalis: mand. Incisors, canines, and PMs. Hemophilia is NOT a contraindication to endo. Special case – trauma with pulp obliteration but PDL normal; asymptomatic and no EPT response; TX= observe as long as tooth asymptomatic and no PA changes. ACCESS: . mand. molar = trapezoidal, most common tooth for RCT; tipped ML so overprepared ML access; in 40% of cases, may have 2 canals in distal root; . max molar = triangular, highest RCT failure, MB root is most complex of all teeth, because under MB cusp and must be accessed from DL position; M→P line is longest; 59% have MB2; the most common curvature of the palatal root is toward the facial. Lingual wall of mandibular teeth most often perforated. U‐shaped radiopacity overly apex of palatal root of max 1st molar is zygomatic process.
    [Show full text]
  • Early Transverse Treatment Steven D
    Early Transverse Treatment Steven D. Marshall, Karin A. Southard, and Thomas E. Southard Expansion of the maxillary arch to improve transverse inter-arch relationships during the primary or mixed dentition stage is considered early transverse treatment as part of a two-phase treatment protocol. Traditionally, early expansion has been used to correct posterior crossbite. More recently, it has been suggested that early transverse treatment may be beneficial, in the absence of posterior crossbite, to improve arch length deficiency, and to facilitate correction of skeletal class II malocclusions. In this article, the rationale for early transverse treatment in the presence and absence of posterior crossbite is reviewed. Semin Orthod 11:130–139 © 2005 Elsevier Inc. All rights reserved. orrection of posterior crossbite is the most common rea- mandibular teeth. Posterior buccal crossbite occurs when the Cson for early transverse treatment. Figure 1 displays the lingual cusps of the maxillary teeth are buccal to the opposing orthodontic records of a typical case with the following his- buccal cusps of the mandibular teeth. tory: The mother states that their general dentist identified a What is the incidence of posterior crossbite in the de- crossbite in her daughter and recommended that she see an ciduous and mixed dentitions? Estimates range from 7% to orthodontist. Past medical and dental history is noncontrib- 23% with a greater prevalence of unilateral crossbite coupled with utory. Clinical and radiographic examination reveal an Angle a lateral shift of the mandible. Class I malocclusion in the primary dentition, maxillary mid- In a sample of 898 four-year-old Swedish children, Thi- line coincident with the face, and a functional shift to the lander and coworkers identified crossbites in 9.6%.1 Simi- right from centric relation to centric occlusion with corre- larly, in a study of 238 nursery school and 277 second-grade sponding deviation of the chin and mandibular midline.
    [Show full text]
  • 2320-5407 Int. J. Adv. Res. 9(03), 561-580
    ISSN: 2320-5407 Int. J. Adv. Res. 9(03), 561-580 Journal Homepage: -www.journalijar.com Article DOI:10.21474/IJAR01/12616 DOI URL: http://dx.doi.org/10.21474/IJAR01/12616 RESEARCH ARTICLE REMOVABLE MYOFUNCTIONAL APPLIANCES : AN OVERVIEW Dr. Aiswarya Madhu1, Dr. Shipra Jaidka2, Dr. Rani Somani3, Dr. Deepti Jawa2, Dr. Hridya V.G1, Dr. Muhamed Sabin A.P1, Dr. Arwah Bashir1, Dr. Layeeque Ahmad1 and Dr. Payel Basu1 1. Post Graduate Student, Department of Pediatric and Preventive Dentistry, DivyaJyoti College of dental Science and Research. 2. Professor, Department of Pediatric and Preventive Dentistry, DivyaJyoti College of Dental Science and Research. 3. Professor and Head, Department of Pediatric and Preventive Dentistry, DivyaJyoti College of Dental Science and Research. …………………………………………………………………………………………………….... Manuscript Info Abstract ……………………. ……………………………………………………………… Manuscript History Conventional orthodontic appliances use mechanical forces to modify Received: 20 January 2021 the position of tooth/ teeth into a more favorable position. However, the Final Accepted: 24 February 2021 scope of these fixed appliances are greatly restricted by certain Published: March 2021 morphological conditions which are caused due to deviations in the developmental process or the neuromuscular capsule surrounding the Key words:- Functional Appliance, Activator, orofacial skeleton. To overcome this drawback, myofunctional Bionator, Twin Block, Frankel appliances came into being. These appliances are considered to be Appliance primarily orthopedic tools to guide the facial skeleton of the growing child. The distinctiveness of these appliances lies in the fact that instead of applying active forces,they transmit, eliminate and guide the natural forces like, muscle activity, growth, tooth eruption, to eliminate the morphological abnormalities and try to generate conditions for the harmonious development of the stomatognathic system.
    [Show full text]
  • Treatment of Class II Open Bite in the Mixed Dentition with a Removable
    Orthodontics Treatment of Class II open bite in the mixed dentition with a removable functional appliance and headgear Peter Ngan* / Stephen Wilson"' "^ / Michael Florman^' '^ '•" I Stephen H, Y. Wei* * * * Early diagno.ús of patients exhibiting open bites that are complicated by skeletal Class ¡I and vertical growth problems can facilitale subsequent treatment. Eight patients with Class 11 skeletal open bite were treated with the high-pull activator appliance and compared to reasonably matched controls to determine the effects of the appliance. The high-pull activator was found to reduce forward growth of the maxilla and increase mandibular alveolar height, transforming the Class II molar relationship into a Class ! molar relationship. The overjet atid open bite were decreased, and, in addition, the appliance reduced the amount of forward and downward movement of the maxillary molars, providing vertical control of the maxilla during Class II ortho- pedic correction. These results demonstrated that open bite complicated by a Class 11 vertical growth pattern can be treated during the mixed dentition with favorable results by a combination of a removable functional appliance and high-pull headgear, (Quintessence Int 1992,-23:323-333.) Introduction A dental open bite is one that is limited to the an- terior region in an individual with good facial propor- Anterior open bite is defined as the absence of con- tions," Current orthodontic treatment often consists of tact between the maxillary and mandibular incisors at fabrication of a habit appliance such as a tongue re- centric relation,' In youuger children, il can be caused strainer, evaluation for airway insufficieucy, and place- by one factor or a combination of factors, including ment of fixed orthodontic appliances if needed.
    [Show full text]
  • Treatment Effects of the Bionator and High-Pull Facebow Combination Followed by fixed Appliances in Patients with Increased Vertical Dimensions
    ORIGINAL ARTICLE Treatment effects of the bionator and high-pull facebow combination followed by fixed appliances in patients with increased vertical dimensions Christopher S. Freeman,a James A. McNamara, Jr,b Tiziano Baccetti,c Lorenzo Franchi,d and Theodore W. Graffe Ann Arbor, Mich, Fort Lauderdale, Fla, Florence, Italy, and Endicott, NY Introduction: The purpose of this study was to evaluate the effectiveness of a first phase of bionator and high-pull facebow treatment followed by a second phase of fixed appliance therapy in growing subjects with increased vertical dimensions. Methods: The records of 24 subjects with high-angle skeletal relationships (mean MPA value ϳ30°) treated consecutively with this protocol were examined. Cephalometric measure- ments were compared with those obtained from 23 sets of records of an untreated group matched according to age, gender, vertical skeletal relationships, and time intervals between records. The matched group of patients was from the University of Michigan Elementary and Secondary School Growth Study. Lateral cephalograms were analyzed prior to the start of treatment (T1, mean age 9.1 years), at the start of phase 2 treatment (T2, mean age 11.9 years), and after phase 2 treatment (T3, mean age 14.7 years). The total treatment duration (phase 1, retention, and phase 2) for the treated group was 5.5 years, whereas the control group total time interval averaged 5.6 years. Results: As to sagittal relationships, no significant differences were found between treated subjects and controls at the end of the 2-phase treatment for all measurements. Counterintuitively, the bionator and high-pull headgear combination worsened the hyperdivergent facial pattern at a clinically significant level, as shown by analysis of final facial forms.
    [Show full text]
  • Early Treatment of Class II Division 1 Malocclusion by Modified Teuscher Activator with Lip Bumper: a Case Series
    ORIGINAL ARTICLE Early Treatment of Class II Division 1 Malocclusion by Modified Teuscher Activator with Lip Bumper: A Case Series Mohammed Al-Awdi, Ahmad Hafez, Maher Fouda Department of Orthodontics, Faculty of Dentistry, Mansoura University, Mansoura - 35516, Egypt Email for correspondence: [email protected] ABSTRACT Context: Class II malocclusion is considered as one of the most prevalent types of malocclusion encountered in routine orthodontic practice and described by an improper relationship among the upper and lower jaws caused by dental or skeletal problems or a combination of both. Aims and Objective: To evaluate the effects of early treatment of Class II Division 1 malocclusion by modified Teuscher activator with lip bumper. Materials and Methods: The current prospective clinical study consisted of 15 subjects (8 girls and 7 boys) with skeletal Class II Division 1 malocclusion due to retrognathism of the mandible with the mean chronological age of (10.4 ± 0.6 years). Lateral cephalograms were taken before (0) and after (1) treatment. Results: Treatment of growing patients with modified Teuscher activator led to correction of Class II Division 1 malocclusion by advancement of mandible (SNB; 2.61°), increase of mandibular length (Co-Gn; 3.58 mm), restriction of maxillary growth (SNA; 0.13°), and decrease of overjet (5.45 mm). Conclusion: Modified Teuscher activator was an effective appliance in managing growing patients with Class II Division 1 due to mandibular retrusion. Key words: Class II Division 1 malocclusion, growing patients, lip bumper, modified Teuscher activator INTRODUCTION avoidance of upper incisors trauma as a result of Class II malocclusion is considered as one of the large overjet, esthetic improvement, psychosocial most prevalent types of malocclusion encountered advantages for the child during an important in routine orthodontic practice and described by formative period of life, and better prediction for the [2] an improper relationship among the upper and adolescent phase of treatment.
    [Show full text]
  • A Systematic Review of Oral Myofunctional Therapy, Methods
    Sys Rev Pharm 2020; 11(6): 511 521 A multifaceted review journal in the field of pharmacy E-ISSN 0976-2779 P-ISSN 0975-8453 A Systematic Review of Oral Myofunctional Therapy, Methods and Development of Class II Skeletal Malocclusion Treatment in Children Harun Achmad1*, Nurul Mutmainnah2, Yunita Feby Ramadhany3 *1Lecture of Pediatric Dentistry, Department of Pediatric Dentistry Faculty of Dentistry, Hasanuddin University, Indonesia 2Clinical Student of Faculty of Dentistry, Hasanuddin University, Indonesia 3Dentist, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia Corresponding author: [email protected] Article History: Submitted: 05.04.2020 Revised: 11.05.2020 Accepted: 23.06.2020 ABSTRACT The purpose of this review is to conduct a detailed analysis of the myofunctional oral therapy allows the treatment of several problems literature on the use of myofunctional oral therapy tools for the associated with the development of class II malocclusions. Although treatment of Class II skeletal malocclusions. From March to May 2020, therapy induces mainly dentoalveolar changes that result in significant a comprehensive and systematic search was performed on the overjet reduction, this therapy also shows a positive effect on Medline (PubMed) and Google Scholar databases for works published masticatory and perioral muscles. This method has been proven since January 2010, using the following terms in the search: oral effective in obtaining significant corrections for class II skeletal myofunctional tools; Class II skeletal malocclusions in children; malocclusions. treatment of class II bone malocclusion in children. Additional manual Keywords: Treatment of Class II Malocclusion; Myofunctional Oral searches from other sources are also carried out. Only scientific Therapy; Children articles in English are considered for this review.
    [Show full text]
  • Effects of Class Ii High-Pull Headgear Activator Using Finite Element Method: Aten Year Perspective
    DOI: 10.26717/BJSTR.2018.02.000790 Marta Isabel Jorge. Biomed J Sci & Tech Res ISSN: 2574-1241 Review Article Open Access Effects of Class Ii High-Pull Headgear Activator Using Finite Element Method: Aten Year Perspective Marta Isabel Jorge1, Jorge Dias Lopes1, Maria João Ponces 1 and Mário Vaz2 1Department of Orthodontics, Faculty of Dental Medicine of University of Porto, Portugal 2Department of Mechanical Engineering, Faculty of Engineering of University of Porto, Portugal Received: February 08, 2018; Published: February 22, 2018 *Corresponding author: Marta Isabel Jorge, Department of Orthodontics, Faculty of Dental Medicine of University of Porto, Rua Dr Manuel Pereira da Silva, 4200- 393 Porto, Portugal, Tel: ; Email: Abstract The combination of an activator with a headgear is a common method used to correct hyperdivergent Class II malocclusion, improving skeletal and dental relationship, distal displacement of the maxilla, and controlling vertical eruption and upper molars distalization. The isimportance gaining high of studying acceptance three-dimensional from the researchers, effects particularly of mechanical in thetension use ofon headgear teeth, oral activators. structures This and study craniofacial presents complex, a mini-review associated of literature with the use of these activators, is essential to ensure the success of clinical treatments. Three-dimensional finite element method use in orthodontics pull headgear activators, on the treatment of hyperdivergentClass II malocclusion, in the last decade. studies that use three-dimensional finite element method to investigate three-dimensional effects of the mechanical tension originated by high- element method in the evaluation of biomechanical effects from these activators and stand out the importance of the modeling procedure in the Using set key words and inclusion and exclusion criteria, three articles wereidentified.
    [Show full text]
  • Swedish Dental Journal Scientific Journal of the Swedish Dental Association
    Posttidning B Swedish Dental Journal Scientific Journal of The Swedish Dental Association No. 3/14 Vol.38 Pages 101–160 contents The fit of crowns produced using digi- tal impression systems Vennerström, Fakhary, Vult von Steyern 101 Implementation of laser technology and treatment at county level in the Swedish Public Dental Service Bergholm, Östberg, Gabre 111 Orthodontic treatment by general practitioners in consultation with orthodontists – a survey of appliances recommended by Swedish orthodont- ists Petrén, Bjerklin, Ecorcheville, Hedrén 121 Outcome of orthodontic care and residual treatment need in Swedish 19-year-olds Göranson, Lundström, Bågesund 133 Anamnestic findings from patients The fit of crowns produced using digital impression systems with recurrent aphthous stomatitis page 101 Bratel, Hakeberg 143 Adverse events in Public Dental Service in a Swedish county – a survey of reported cases over two years Jonsson, Gabre 151 Swedish Dental Journal Swedish Dental Journal is the scientific journal of The Swedish Dental Association and of The Swedish Dental Society 2 swedish dental journal vol. 25 issue 1 2001 swedish dental journal vol. 25 issue 1 2001 3 Omslag nr 3 2014.indd 2-3 2014-10-07 09:49 supplements to swedish dental journal Swedish 216. Molar Incisor Hypomineralization. Morphological and chemical Dental Journal aspects, onset and possible etiological factors Scientific journal Tobias Fagrell (2011) 400 SEK of the Swedish Dental Association and the Swedish Dental Society Instructions to authors 217. Bonding of porcelain to titanium- clinical and technical possibilities issn: 0347-9994 Introduction References Per Haag (2011) 400 SEK Swedish Dental Journal, the scientific In the reference list the references should Editor-in-chief journal of The Swedish Dental Associa- be arranged in alphabetical order and 218.
    [Show full text]
  • Removable Functional Appliances
    Asian Journal of Dental Research Volume I, Issue II Removable Functional Appliances Shalki Alawadhi1, S. M. Bapat2, Preeti Bhardwaj3 Department of Orthodontics and Dentofacial Orthopaedics1,2,3, BDS, Post Graduate Student, Department of Orthodontics and Dentofacial Orthopaedics1 M.D.S, Professor and Head, Department of Orthodontics and Dentofacial Orthopaedics2 M.D.S, Reader, Department of Orthodontics and Dentofacial Orthopaedics3 K. D. Dental College and Hospital, Mathura, India1,2,3 [email protected] Abstract: Malocclusion Functional appliances or myofunctional appliances are referred to appliances that depend upon the oro facial musculature for their action. These appliances transmit, eliminate or guide the natural forces of the musculature and are used to alter the mandibular position in the Sagittal, Vertical and Transverse plane resulting in Orthopedic and Orthodontic change. They are designed to alter the activity of various muscle groups that influence the function and position of the mandible in order to transmit forces to the dentition and the basal bone. Functional appliances are given in the management of skeletal class II malocclusion and Class III malocclusion in growing children. They are also called “GROWTH MODIFYING APPLIANCES” and “INTERCEPTIVE APPLIANCES. They are used for growth modification procedures that are aimed at intercepting and treat in jaw discrepancies by increase or decrease in jaw size, change in spatial relationship of the jaws, change in direction of growth of the jaws and acceleration of desirable growth. A new pattern of function dictated by the appliance leads to development of corresponding new morphologic pattern. The new morphologic pattern includes a different arrangement of the teeth within the jaws, an improvement of the occlusion and an altered relation of jaws.
    [Show full text]