Tratamento da má-oclusão de classe II divisão 1 de Angle, com aparelho de Herbst splint metálico seguido de aparelho fixo, na dentição permanente

The Herbst appliance is currently one of the most used appliances for the correction of Class II division 1 with mandibular retrusion. When used in peak, or just after the peak of growth it can result in some skeletal gain, which is favorable to the correction of anteroposterior discrepancy with effective and stable results. This article aims to report a case of a patient with malocclusion Class II division 1 with mandibular retrusion, associated with maxillary protusion, treated in two stages: with Herbst splint metallic appliance followed by fixed appliance orthodontic treatment.

Herbst esplinte metálico fundido: novo modelo de confecção com Duralay

A má oclusão de Classe II é originária de vários fatores etiológicos e uma das características mais comum desta má oclusão é a retrusão mandibular3, por esse motivo, os aparelhos de avanço mandibular são eleitos para o tratamento e correção desta má oclusão. Um destes aparelhos é o Herbst, que apresenta várias formas de ancoragens na sua confecção10. Tradicionalmente, as bandas eram o sistema de ancoragem mais usado, no entanto, pela alta frequência de quebras as mesmas foram substituídas por esplinte metálico12. Esse aparelho quando confeccionado de cromo cobalto pelo método da prótese parcial removível, apresenta como desvantagens a quantidade de passos laboratoriais e a possível contração do metal, podendo ocasionar a má adaptação da estrutura metálica à boca do paciente. Dessa forma, este artigo apresenta um novo método de confecção do aparelho de Herbst esplinte metálico fundido com uso da Duralay e liga níquel cromo. Esse método diminui os passos laboratoriais, proporciona maior resistência à tração e minimiza a contração da estrutura metálica, pois a resina química Duralay proporciona menor expansão do que a cera2.

Integração ortodontia e dermatologia na busca da excelência na estética bucal

In recent years the number of adult Patients who seek esthetic treatments has increased. Among the patients main concern, lip augmentation has increased, and this procedure has been very well performed and studied by dermatologists and plastic surgeons. Although Orthodontics can achieve good esthetic results through teeth and jaw proper positioning it is a time consuming approach and it discloses some anatomical and biological limitations. Dermatology may be an excellent alternative to enhance orthodontic results through lip augmentation. The aim of this paper is to discuss some dermatology techniques currently available to augment the lips as well as describe a case report highlighting the need for interdisciplinary approach to enhance facial esthetics goals.

Tratamento da má oclusão de classe II, divisão 1, na dentadura mista com apareljo extrabucal removivel

Extraoral appliances represent an alternative for correction of Class II malocclusions. The application of external force leads to tooth movement and influence the growth of the maxillomandibular complex. This article aims to present the removable headgear as an adjuvant in the treatment of Class II division 1 in the mixed dentition.

Resistência ao cisalhamento de bráquetes fotopolimerizados com arco de plasma, LED e luz halógena utilizando diferentes tempos

This study evaluated in vitro the shear bond strength of brackets bonded with xenon plasma arc light, light-emitting diode (LED) and conventional halogen light using different curing times. Brackets were bonded to the buccal surface of 60 human maxillary premolars allocated to five groups. In groups 1 and 2, the resin was cured with the plasma arc for three and six seconds (s), respectively; in groups 3 and 4, the LED was used for five and ten s, respectively; and in group 5, the halogen light was used for 40 s. The specimens were stored in water for 24 hours and subjected to a shear force until bracket failure. The debonding pattern was classified according to the adhesive remnant index (ARI). The results were assessed by Anova and the SNK post-hoc test. No differences were detected among groups 2, 4 and 5, which showed higher averages than groups 1 and 3, which were not different between themselves. The ARI scores showed no differences among the three types of light sources in all times tested. Plasma arc and LED lights can be used with shorter curing times, within certain limits, than conventional halogen light for bonding orthodontic brackets, without decreasing bond strength.

Uso de um distrator ósseo dentoimplantossuportado, feito a partir de tornos expansores convencionais, na reabilitação oral

Osteodistraction is a clinical reality, available in the last decades for the resolution of large bone deficiencies, in cases that there are pre-existing, but misplaced implants and teeth. The aims of thearticle is to present a case report in which a new possibility for bone distraction, based on tooth-implant bone distractors, made from standard orthodontic expansion-screws, was used in an area where there was an extensive need of alveolar bone and aesthetical recovery, allied to teeth and dental implant misplacement. This technique presented good clinical results, associated to effective simplicity and low cost, becoming viable clinical solution for bone tissue augmentation and aesthetical optimization. In resume, it is possible to say that the suggested technique achieved its objectives, improving the hard and soft tissue profile, whilst allowing completion of oral rehabilitation.

Influência do ciclo de sinterização da porcelana na adaptação marginal de infraestruturas de NiCrTi em função da biomecânica do preparo

A metal coping may undergo changes during porcelain firing, which compromises its marginal adaptation. The use of NiCrTi alloy proposes to minimize this effect through the high melting point of titanium present in its composition. This study evaluated the influence of porcelain firing cycle on the marginal adaptation of NiCrTi copings in different preparation designs. Forty standardized metal dies were fabricated with the following combinations finish line/convergence of the axial walls: 1) shoulder/6°; 2) shoulder/20°; 3) sloping shoulder/6°; 4) sloping shoulder/20°. On each die a metal ceramic restoration coping was made. The die/coping set was stabilized with orthodontic elastics, divided into four equidistant areas with three measurement points each and a cementation pressure was simulated. The measurements were taken under a stereomicroscope (32×). After the first measurement, the copings were submitted to sintering cycles simulating porcelain application. For repeated measurements, the same procedures described above were performed. Data were submitted to Student’s-t test, 1-way ANOVA and Tukey´s test (α = 0.05). Adaptation means (µm) before and after porcelain firing in different preparations were: 1) 111.92 and 127.31; 2) 124.15 and 135.48; 3) 122.19 and 138.77; 4) 166.09 and 186.72; respectively. The porcelain firing impaired adaptation, regardless of the preparation design. The preparation in a 20° sloping shoulder provided a worse adaptation when compared with preparations that had 6° and 20° shoulder, which were statistically equal. The 6° sloping shoulder was statistically equal to the other three preparation designs.

Efeito de fontes de luz na microdureza de resinas compostas

This study assessed the surface microhardness of compound resins cured by different light sources. Methods Three micro hybrid (Vit-l-escence, Amelogen Plus, Opallis) and one nanoparticle (Filtek Z350, 3M ESPETM Dental Products, St. Paul, USA) compound resins were selected. The resins were polymerized by a halogen light unit (Ultralux, Dabi Atlante, Ribeirão Preto, Brasil) with two tips, one semi-guided made of glass and another of painted acrylic and a LED-based source (UltraLume 2, Ultradent®, South Jordan, USA). Specimens constructed from a circular aluminum matrix were photopolymerized for 40 second after they received the compound resin and stored dry for 24 hours. After this period, a Vickers surface microhardness assay was performed, measuring the top (hardness 1) and base (hardness 2) surfaces four times each. Variance analyses were complemented by Newman-Keuls method, with significance set at 5%. Results The Opallis (FGM, Santa Catarina, Brasil) resin subjected to UltraLume 2 (Ultradent®, South Jordan, USA) obtained the lowest mean hardness values for the top surface. The Vit-l-escence (Ultradent®, South Jordan, USA) compound cured by Led UltraLume 2 (Ultradent®, South Jordan, USA) and by Ultralux PCP (Dabi Atlante, Ribeirão Preto, Brasil) halogen light obtained the highest mean hardness, followed by the Filtek Z350 (3M ESPETM Dental Products, St. Paul, USA) resin subjected to UltraLume 2 (Ultradent® South Jordan, USA). The Opallis (FGM, Santa Catarina, Brasil) resin cured by LED UltraLume 2 (Ultradent®, South Jordan, USA) also obtained the lowest mean hardness for the base surface and the Vit-L-Escence (Ultradent®, South Jordan, USA) resin obtained the highest value, followed by Amelogen Plus, when cured by Ultralux (Dabi Atlante, Ribeirão Preto, Brasil) using the semi-guided tip. Conclusion The polymerization and, consequently, the microhardness achieved by the LED unit was equivalent to those achieved by conventional halogen units for three of the four composites tested.

ScanWhite©: método objetivo para avaliação do nível de clareamento dental

A comparação visual com escalas de cor, universalmente empregada para avaliar o resultado das diferentes substâncias, técnicas e aparelhos utilizados no clareamento dental, tem se mostrado um método limitado, questionável, subjetivo e pouco confiável. Os métodos instrumentais, que utilizam espectroscópios ou imagens digitais, têm se mostrado mais adequados por oferecerem avaliações objetivas, maior reprodutibilidade e confiabilidade. Neste artigo, serão apresentados e discutidos os resultados obtidos com a utilização do ScanWhite© ? software para avaliação objetiva do nível de clareamento dental e apoio à decisão clínica, que baseia sua avaliação no processamento computacional de imagens digitais. Esse tem como principais diferenciais: (1) algoritmo calibrador para compensar as variações de luminosidade do ambiente, (2) apresentação dos resultados em valores numéricos e através do gráfico de evolução do clareamento dental, (3) interface intuitiva e facilidade de uso, (4) determinação dos índices de apoio à decisão (IPS ? índice de possibilidade de sucesso, e IRS ? índice de risco de sensibilidade antes do início do tratamento) e (5) emissão de relatório geral, autorizações e recomendações pós-clareamento.

Avaliação tomográfica no tratamento com Herbst em adulto jovem

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

In vitro study of color stability of polycrystalline and monocrystalline ceramic brackets

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Scientific use of the finite element method in Orthodontics

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Desenvolvimento de uma aplicação para suporte ao t-learning

Pós-graduação em Televisão Digital: Informação e Conhecimento - FAAC

Difusão de objetos de aprendizagem multiplataforma por transmissão de televisão digital: um estudo de viabilidade técnica e pedagógica

Pós-graduação em Televisão Digital: Informação e Conhecimento - FAAC

Educação física escolar e currículo do Estado de São Paulo: possibilidades dos usos do celular como recurso pedagógico no ensino do Hip Hop e Street dance

Pós-graduação em Desenvolvimento Humano e Tecnologias - IBRC