AVALIAÇÃO DAS TÁBUAS ÓSSEAS VESTIBULARES E LINGUAIS DOS DENTES ANTERIORES INFERIORES E MOLARES SUPERIORES APÓS O TRATAMENTO COM OS APARELHOS FUNCIONAIS FIXOS FORSUS E TWIN FORCE BITE CORRECTOR

Pelo fato das consequências do uso de aparelhos ortopédicos fixos sobre o periodonto ósseo vestibular e lingual ainda serem uma incógnita para o ortodontista clínico e pesquisador, este estudo teve como objetivo avaliar, por meio de tomografia computadorizada de feixe cônico (TCFC) as alterações em espessura das tábuas ósseas vestibulares e linguais em primeiros molares superiores e incisivos e caninos inferiores, após a utilização de aparelhagem fixa e dos aparelhos Twin Force (grupo A) e Forsus (grupo B) para o tratamento da maloclusão de Classe II, 1ª divisão. Para tanto, obteve-se uma amostra de 22 pacientes jovens adultos, divididos em dois grupos, de acordo com o aparelho propulsor da mandíbula. Grupo experimental A: 11 pacientes, 6 masculinos e 5 femininos, com idade média de 15,09 anos na instalação do Twin Force, e 11 pacientes, 7 masculinos e 4 femininos, com idade média de 15,45 anos na instalação do Forsus. O tempo médio de uso do aparelho Twin Force foi de 3,73 meses e do Forsus, 7,09 meses. O grupo A realizou TCFC antes do início do tratamento (T1), antes da instalação do Twin Force (T2), após a remoção do Twin Force (T3); e o grupo B somente antes da instalação do Forsus (T2) e após a remoção do Forsus (T3). Para comparação entre os tempos T2 e T3 foi utilizado o teste t pareado e entre os tempos T1, T2 e T3 foi utilizada a Análise de Variância (ANOVA) a um critério e o teste post-hoc de Tukey. Para comparação entre os grupos foi utilizado o teste t . Na comparação intergrupos os resultados evidenciaram que não houve diferença estatisticamente significante entre as alterações das espessuras das tábuas ósseas vestibular e lingual; por outro lado, na avaliação intra-grupo, de 48 medidas avaliadas, no grupo A houve reduções estatisticamente significantes nos terços cervical e médio por vestibular, nos dentes anteroinferiores e nos primeiros molares superiores e aumento nos terços cervical e médio, por lingual nos dentes anteriores inferiores, totalizando 25 medidas significantes. Já no grupo B, houve aumento significante da tábua óssea lingual nos dentes anteriores inferiores e redução em vestibular nos molares superiores, totalizando apenas sete medidas significantes, mas com mais medidas significantes de redução óssea vestibular em terços cervical e médio nos primeiros molares superiores, em comparação com o grupo A. Não houve diferença significante entre as medições obtidas com voxel 0,2 mm e 0,4 mm e nem dimorfismo entre os gêneros. As reduções em espessura óssea alveolar, principalmente em terços cervicais e médios vestibulares nos dentes avaliados neste estudo são um alerta ao clínico, para que realize essa abordagem diagnóstica periodontal antes de iniciar o tratamento ortodôntico.

A UTILIZAÇÃO DO LASER DE BAIXA INTENSIDADE NA MOVIMENTAÇÃO DENTÁRIA E NA SENSIBILIDADE DOLOROSA APÓS APLICAÇÃO DE FORÇA ORTODÔNTICA

O presente estudo objetivou avaliar a eficácia do Laser de Baixa Intensidade (LBI) na aceleração da movimentação dentária e na diminuição da dor frente à aplicação de força ortodôntica. A amostra foi composta por 19 pacientes, sendo doze do sexo feminino e sete do sexo masculino, com idade inicial média de 14,69 anos, todos com indicação para extrações de primeiros pré-molares. Destes, 66 caninos foram submetidos à retração inicial, sendo que 33 receberam aplicação de laser e 33 foram considerados controle. Utilizou-se o Laser de Baixa Intensidade de arseneto de gálio e alumínio, com comprimento de onda de 780nm, na dosimetria de 40mW;10J/cm2;10s/ponto, aplicado apenas uma vez ao mês em dez pontos, sendo cinco por vestibular e cinco por lingual/palatino. Modelos de gesso foram confeccionados durante todos os meses de retração dos caninos, que teve duração de quatro meses, sendo, posteriormente, digitalizados para se mensurar a quantidade de movimentação de um lado em relação ao outro, utilizando-se como referência as papilas incisivas. Para a avaliação da dor experimentada pelos pacientes, os mesmos foram orientados a preencher uma escala analógica visual (VAS) que variava de 0 a 10 , em que zero significava nenhuma dor e dez significava dor insuportável, nos intervalos de 12, 24, 48 e 72 horas após a aplicação da força ortodôntica. Foi mensurado o apinhamento de todas as hemiarcadas dos pacientes na fase inicial, medindo-se a distância entre os pontos de contato de cada dente. Para a verificação do padrão de normalidade, empregou-se o teste de Kolmogorov-Smirnov, sendo que para comparar o lado irradiado com o lado não irradiado foi utilizado o teste t pareado, exceto para a variável razão caninos/molares , analisada pelo teste não paramétrico de Wilcoxon (p<0,05). Os resultados mostraram que em relação ao apinhamento dentário, os lados irradiado e não irradiado apresentaram-se compatíveis. Além disso, não houve diferença estatisticamente significante entre a quantidade de retração dos caninos irradiados comparados aos não irradiados, o mesmo acontecendo com a sensibilidade dolorosa experimentada pelos pacientes. Concluiu-se assim que o LBI na dosimetria e forma como foi utilizado não foi eficiente na aceleração da movimentação dentária nem na redução da dor experimentada pelos pacientes frente às forças ortodônticas.

Compression spectrale ameliorée par une modulation de phase corrective sinusoïdale

En exploitant une modulation de phase sinusoïdale temporelle additionnelle, nous montrons qu’il est possible d’améliorer significativement les performances d’une compression spectrale réalisée en régime de propagation hautement non-linéaire. Les simulations numériques indiquent ainsi une amélioration des facteurs de compression ainsi que du rapport de Strehl.

Adult orthodontics: internet information and a national survey

Aims: 1. To investigate the reliability and readability of information on the Internet on adult orthodontics. 2. To evaluate the profile and treatment of adults by specialist orthodontists in the Republic of Ireland (ROI). Materials and methods: 1. An Internet search was conducted in May 2015 using three search engines (Google, Yahoo and Bing), with two search terms (“adult orthodontics” and “adult braces”). The first 50 websites from each engine were screened and exclusion criteria applied. Included websites were then assessed for reliability using the JAMA benchmarks, the DISCERN and LIDA tools and the presence of the HON seal. Readability was assessed using the FRES. 2. A pilot-tested questionnaire about adult orthodontics was distributed to 122 eligible specialist orthodontists in the ROI. Questions addressed general and treatment information about adult orthodontic patients, methods of information provision and respondent demographics. Results: 1. Thirteen websites met the inclusion criteria. Three websites contained all JAMA benchmarks and one displayed the HON Seal. The mean overall score for DISCERN was 3.9/5 and the mean total LIDA score was 115/120. The average FRES score was 63.1. 2. The questionnaire yielded a response rate of 83%. The typical demographic profile of adult orthodontic patients was professional females between 25-35 years. The most common incisor relationship and skeletal base was Class II, division 1 (51%) and Class II (61%) respectively. Aesthetic upper brackets and metal lower brackets were the most frequently used appliances. Only 30% of orthodontists advise their adult patients to find extra information on the Internet. Conclusions: 1. The reliability and readability of information on the Internet on adult orthodontics is of moderate quality. 2. The provision of adult orthodontic treatment is common among specialist orthodontists in the Republic of Ireland.

Resting energy expenditure, macronutrient utilization, and body composition in term infants after corrective surgery of major congenital anomalies: a case-study

Introduction - Knowledge on the metabolic changes and nutritional needs during the postsurgical anabolic phase in infants is scarce. This analysis explores the associations of resting energy expenditure (REE) and macronutrient utilization with body composition of full-term infants, during catch-up growth after corrective surgery of major congenital anomalies. Methods - A cohort of full-term appropriate for-gestational-age neonates subjected to corrective surgery of major congenital anomalies were recruited after gaining weight for at least one week. REE and macronutrient utilization, measured by respiratory quotient (RQ), were assessed by indirect calorimetry using the Deltatrac II Metabolic Monitor ®. Body composition, expressed as fat-free mass (FFM), fat mass (FM) and adiposity defined as percentage of FM (% FM), was measured by air displacement plethysmography using the Pea Pod ®. Results - Four infants were included at 3 to 5 postnatal weeks. Recommended energy and macronutrient intakes for healthy term infants were provided. Through the study, the median (min-max) REE (Kcal/Kg FFM/d) was 70.8 (60.6-96.1) and RQ was 0.99 (0.72-1.20). Steady increases in both body weight and FFM were associated with initial decrease in FM and adiposity followed by their increase. Low RQ preceded decrease in adiposity. Conclusion - The marked adiposity depletion, not expected during steady weight gain in the postsurgical period, prompts us to report this finding. The subsequent adiposity catch-up was associated with relatively high REE and RQ, suggesting preferential oxidation of carbohydrates and preservation of lipids for fat storage.

Le développement du schème de règle et l'utilisation du jeu, en tant que situation d'observation et que contexte d'intervention corrective auprès des élèves du premier cycle du primaire présentant des troubles de la conduite en regard du respect d'un règlement scolaire

À l'origine de ce projet de recherche se trouve le constat, effectué tant par le directeur que par les enseignantes et les enseignants de l'école Le Jardin-des-Lacs, des limites d'efficacité d'un système de type behavioral "opérant" dans la gestion des comportements sociaux des enfants hors de la salle de classe. Face aux confins d'efficacité de ce système, au début de l'année scolaire 1994-95, la Direction de l'école ainsi que le personnel enseignant du milieu nous demandaient d'élaborer un programme d'intervention "sur le fait". Ce programme est destiné à faciliter l'apprentissage et le maintien de comportements respectueux du système de règles en vigueur lorsque les élèves utilisent les aires de circulation et de détente de l'école. Donc, lorsqu'ils sont hors de la salle de classe. Les interventions se situent en contexte ludique, afin de faciliter la prise de conscience de l'intérêt et des avantages qu'il y a à respecter le règlement en vigueur. Par ailleurs, le contexte ludique fournit à l'intervenante une situation privilégiée d'observation des mécanismes sous-tendant chez l'enfant la motivation au respect de règles sociales qui lui sont externes ou, au contraire, à la formulation, la négociation ou l'application de règles lorsqu'il est en situation d'interaction avec des pairs. Pour des raisons d'efficacité, nous avons centré notre intervention sur le développement de conduites adéquates en regard du respect d'un règlement scolaire particulier : le règlement du silence dans les aires de circulation dans la mesure où les infractions à ce dernier forme la source principale d'accumulation de points de démérite chez les élèves de premier cycle à l'école Le-Jardin-des-Lacs.

Child-to-child interaction and corrective feedback during a tandem chat exchange project

L’objectif principal de cette recherche était d’examiner l’interaction entre élèves d’ALS et de FLS de sixième année du primaire du Québec et de l’Ontario communicant par clavardage et utilisant l’approche en Tandem. Plus spécifiquement, elle visait à vérifier si ces apprenants offraient de la rétroaction corrective et, le cas échéant, si cette dernière suscitait de la réparation. L’opinion des participants par rapport à leur expérience de communication en Tandem a été examinée. Les sessions de clavardage ont eu lieu sur une période de quatre mois produisant 16 séances de clavardage (8 en anglais et 8 en français). Les résultats montrent que des apprenants de langue seconde ont offert de la rétroaction corrective à 370 occasions. L’examen des données révèle que les sujets ont utilisé les trois types de rétroaction: la rétroaction explicite, la reformulation et la négociation de la forme. Contrairement à ce qui a pu être observé dans d’autres études antérieures impliquant de jeunes apprenants, une des découvertes majeures de cette recherche fut l’utilisation, par les participants, de la rétroaction explicite plutôt que la reformulation. Par contraste avec la recherche de Morris (2005) qui impliquait également de jeunes apprenants de niveau primaire utilisant le clavardage, le taux de réparation a été plutôt bas. La grande majorité des élèves d’ALS ont aimé utiliser l’ordinateur comme moyen d’apprentissage de leur L2 et de leur L1 contrairement aux élèves de FLS. Les implications pédagogiques des résultats de cette recherche ainsi que des suggestions pour de futures recherches sont également discutées.

Corrective feedback in oral interaction: A comparison of a CLIL and an EFL classroom

[EN] Since Long's Interaction Hypothesis (Long, 1983) multiple studies have suggested the need of oral interaction for successful second language learning. Within this perspective, a great deal of research has been carried out to investigate the role of corrective feedback in the process of acquiring a second language, but there are still varied open debates about this issue. This comparative study seeks to contribute to the existing literature on corrective feedback in oral interaction by exploring teachers' corrective techniques and students' response to these corrections. Two learning contexts were observed and compared: a traditional English as a foreign language (EFL) classroom and a Content and Language Integrated Learning (CLIL) classroom .The main aim was to see whether our data conform to the Counterbalance Hypothesis proposed by Lyster and Mori (2006). Although results did not show significant differences between the two contexts, a qualitative analysis of the data shed some light on the differences between these two language teaching settings. The findings point to the need for further research on error correction in EFL and CLIL contexts in order to overcome the limitations of the present study.

EXPLICIT WRITTEN CORRECTIVE FEEDBACK AND LANGUAGE APTITUDE IN SLA: IMPLICATIONS FOR IMPROVEMENT OF LINGUISTIC ACCURACY

Most second language researchers agree that there is a role for corrective feedback in second language writing classes. However, many unanswered questions remain concerning which linguistic features to target and the type and amount of feedback to offer. This study examined two new pieces of writing by 151 learners of English as a Second Language (ESL), in order to investigate the effect of direct and metalinguistic written feedback on errors with the simple past tense, the present perfect tense, dropped pronouns, and pronominal duplication. This inquiry also considered the extent to which learner differences in language-analytic ability (LAA), as measured by the LLAMA F, mediated the effects of these two types of explicit written corrective feedback. Learners in the feedback groups were provided with corrective feedback on two essays, after which learners in all three groups completed two additional writing tasks to determine whether or not the provision of corrective feedback led to greater gains in accuracy compared to no feedback. Both treatment groups, direct and metalinguistic, performed better than the comparison group on new pieces of writing immediately following the treatment sessions, yet direct feedback was more durable than metalinguistic feedback for one structure, the simple past tense. Participants with greater LAA proved more likely to achieve gains in the direct feedback group than in the metalinguistic group, whereas learners with lower LAA benefited more from metalinguistic feedback. Overall, the findings of the present study confirm the results of prior studies that have found a positive role for written corrective feedback in instructed second language acquisition.

Le processus décisionnel sous-jacent à la rétroaction corrective des enseignants de français langue seconde à l'oral

L’objectif de cette étude qualitative est de décrire et de comprendre le processus décisionnel sous-jacent à la rétroaction corrective d’un enseignant de langue seconde à l’oral. Pour ce faire, elle décrit les principaux facteurs qui influencent la décision de procéder à une rétroaction corrective ainsi que ceux qui sous-tendent le choix d’une technique de rétroaction particulière. Trois enseignantes de français langue seconde auprès d’un public d’adultes immigrants au Canada ont participé à cette recherche. Des séquences complètes d’enseignement ont été filmées puis présentées aux participantes qui ont commenté leur pratique. L’entretien de verbalisation s’est effectué sous la forme d’un rappel stimulé et d’une entrevue. Cet entretien constitue les données de cette étude. Les résultats ont révélé que la rétroaction corrective ainsi que le choix de la technique employée étaient influencés par des facteurs relatifs à l’erreur, à l’apprenant, au curriculum, à l’enseignant et aux caractéristiques des techniques. Ils ont également révélé que l’apprenant est au cœur du processus décisionnel rétroactif des enseignants de langue seconde. En effet, les participantes ont affirmé vouloir s’adapter à son fonctionnement cognitif, à son état affectif, à son niveau de langue et à la récurrence de ses erreurs. L’objectif de cette étude est d’enrichir le domaine de la formation initiale et continue des enseignants de L2. Pour cela, des implications pédagogiques ont été envisagées et la recommandation a été faite de porter à la connaissance des enseignants de L2 les résultats des recherches sur l’efficacité des techniques de rétroaction corrective, particulièrement celles qui prennent en compte les caractéristiques des apprenants.

Le processus décisionnel sous-jacent à la rétroaction corrective des enseignants de français langue seconde à l'oral

L’objectif de cette étude qualitative est de décrire et de comprendre le processus décisionnel sous-jacent à la rétroaction corrective d’un enseignant de langue seconde à l’oral. Pour ce faire, elle décrit les principaux facteurs qui influencent la décision de procéder à une rétroaction corrective ainsi que ceux qui sous-tendent le choix d’une technique de rétroaction particulière. Trois enseignantes de français langue seconde auprès d’un public d’adultes immigrants au Canada ont participé à cette recherche. Des séquences complètes d’enseignement ont été filmées puis présentées aux participantes qui ont commenté leur pratique. L’entretien de verbalisation s’est effectué sous la forme d’un rappel stimulé et d’une entrevue. Cet entretien constitue les données de cette étude. Les résultats ont révélé que la rétroaction corrective ainsi que le choix de la technique employée étaient influencés par des facteurs relatifs à l’erreur, à l’apprenant, au curriculum, à l’enseignant et aux caractéristiques des techniques. Ils ont également révélé que l’apprenant est au cœur du processus décisionnel rétroactif des enseignants de langue seconde. En effet, les participantes ont affirmé vouloir s’adapter à son fonctionnement cognitif, à son état affectif, à son niveau de langue et à la récurrence de ses erreurs. L’objectif de cette étude est d’enrichir le domaine de la formation initiale et continue des enseignants de L2. Pour cela, des implications pédagogiques ont été envisagées et la recommandation a été faite de porter à la connaissance des enseignants de L2 les résultats des recherches sur l’efficacité des techniques de rétroaction corrective, particulièrement celles qui prennent en compte les caractéristiques des apprenants.

Perception Of Oral And Maxillofacial Surgeons, Orthodontists And Laypersons In Relation To The Harmony Of The Smile.

Harmony is one of the main objectives in surgical and orthodontic treatment and this harmony must be present in the smile, as well as in the face. The aim of the present study was to assess the perceptions of professionals and laypersons in relation to the harmony of the smile of patients with or without vertical maxillary alterations. Sixty observers (oral and maxillofacial surgeons, orthodontists and laypersons) reported the degree of harmony of six smiles using an objective questionnaire and the participants indicated if there was a need for corrective surgery or not. The classification of observers was recorded on a Likert scale from 1 to 5. Mixed regression was used to determine differences between the three groups. Statistically significant differences were found only for the harmony of the smile between the oral and maxillofacial surgeons and laypersons, with laypersons being more critical when assessing the smile. There was no statistical difference between the other groups for the harmony of the smile or the indication of corrective surgery. The patterns of greater or lesser harmony determined by observers during the smile were similar to those found in the literature as the ideal standard in relation to vertical maxillary positioning. Laypersons had a tendency to be more critical in relation to facial harmony than surgeons, although no statistical differences were found in the other groups in relation to the harmony of the smile or indication for the corrective surgery. In addition, the patterns of greater or lesser harmony of the smile determined by the participants were similar to those found in the literature as the ideal standard in relation to vertical maxillary positioning. Overall, the present study demonstrates that adequate interaction between surgeons, orthodontists and laypersons is essential in order to achieve facial harmony with orthodontic and/or surgical treatment. Opinion of specialists and laypersons about the smile in relation to the vertical positioning of the maxilla.

Spectrophotometric Evaluation Of Dental Bleaching Under Orthodontic Bracket In Enamel And Dentin.

Aware of the diffusion capacity of bleaching in the dental tissues, many orthodontists are subjecting their patients to dental bleaching during orthodontic treatment for esthetic purposes or to anticipate the exchange of esthetic restorations after the orthodontic treatment. For this purpose specific products have been developed in pre-loaded whitening trays designed to fit over and around brackets and wires, with clinical efficacy proven. The objective of this study was to evaluate, through spectrophotometric reflectance, the effectiveness of dental bleaching under orthodontic bracket. Thirty-two bovine incisors crown blocks of 8 mm x 8 mm height lengths were used. Staining of tooth blocks with black tea was performed for six days. They were distributed randomly into 4 groups (1-home bleaching with bracket, 2- home bleaching without bracket, 3- office bleaching with bracket, 4 office bleaching without bracket). The color evaluation was performed (CIE L * a * b *) using color reflectance spectrophotometer. Metal brackets were bonded in groups 1 and 3. The groups 1 and 2 samples were subjected to the carbamide peroxide at 15%, 4 hours daily for 21 days. Groups 3 and 4 were subjected to 3 in-office bleaching treatment sessions, hydrogen peroxide 38%. After removal of the brackets, the second color evaluation was performed in tooth block, difference between the area under the bracket and around it, and after 7 days to verified color stability. Data analysis was performed using the paired t-test and two-way variance analysis and Tukey's. The home bleaching technique proved to be more effective compared to the office bleaching. There was a significant difference between the margin and center color values of the specimens that were subjected to bracket bonding. The bracket bond presence affected the effectiveness of both the home and office bleaching treatments. Key words:Tooth bleaching, spectrophotometry, orthodontics.

Estudo comparativo dos métodos de estimativa da idade óssea de Greulich & Pyle e Tanner & Whitehouse

The purpose of this study was to verify whether the Greulich & Pyle (GP), Greulich & Pyle Visual (GPV) and Tanner & Whitehouse (TW) methods for estimating skeletal age could be applied in the Brazilian population, and which of these three methods could be considered more reliable when compared with the chronological age of the individuals. This study was based on one hundred and sixty volunteers (80 females and 80 males) with ages between 6 years and 10 months and 14 years and 9 months. The results showed that for the GP method, the correlations with chronological age were 0.95 for males and 0.97 for females. For the GPV method, the correlations were 0.96 and 0.97, respectively and for TW, 0.96 and 0.97. The results showed that the Greulich & Pyle, Greulich & Pyle Visual and Tanner & Whitehouse methods presented high correlation values when compared with the chronological age of the individuals. Corrective factors were established to make these methods applicable to the Brazilian population.