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[PMID]:29364828
[Au] Autor:Shetty P; Naik R; Patil A
[Ad] Endereço:Department of Orthodontics and Dentofacial Orthopedics, SDM College of Dental Sciences and Hospital, Sattur, Dharwad, Karnataka 580009, India. pratikshashetty1617@gmail.com.
[Ti] Título:Multipurpose ligation technique for elastomeric chain.
[So] Source:J Clin Orthod;51(12):821-822, 2017 Dec.
[Is] ISSN:0022-3875
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Aparelhos Ortodônticos
Técnicas de Movimentação Dentária/instrumentação
Técnicas de Movimentação Dentária/métodos
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:180125
[St] Status:MEDLINE


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[PMID]:28449760
[Au] Autor:Brignardello-Petersen R
[Ti] Título:Obesity is not associated with low arch tooth alignment time in adolescents undergoing treatment with fixed appliances.
[So] Source:J Am Dent Assoc;148(5):e56, 2017 05.
[Is] ISSN:1943-4723
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Braquetes Ortodônticos
Técnicas de Movimentação Dentária
[Mh] Termos MeSH secundário: Adolescente
Seres Humanos
Obesidade
Aparelhos Ortodônticos
[Pt] Tipo de publicação:REVIEW; COMMENT
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


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[PMID]:29407501
[Au] Autor:Al-Dumaini AA; Halboub E; Alhammadi MS; Ishaq RAR; Youssef M
[Ad] Endereço:Ibn Al-Hytham Dental Center, Rafha, Saudi Arabia.
[Ti] Título:A novel approach for treatment of skeletal Class II malocclusion: Miniplates-based skeletal anchorage.
[So] Source:Am J Orthod Dentofacial Orthop;153(2):239-247, 2018 Feb.
[Is] ISSN:1097-6752
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: The objective of this study was to evaluate the effect of a new approach-bimaxillary miniplates-based skeletal anchorage-in the treatment of skeletal Class II malocclusion compared with untreated subjects. METHODS: The study (miniplates) group comprised 28 patients (14 boys, 14 girls) with skeletal Class II malocclusion due to mandibular retrusion, with a mean age of 11.83 years. After 0.017 × 0.025-in stainless steel archwires were placed in both arches, 4 miniplates were fixed bilaterally, 2 in the maxillary anterior areas and 2 in the mandibular posterior areas, and used for skeletal treatment with elastics. Twenty-four Class II untreated subjects (11 boys, 13 girls), with a mean age of 11.75 years, were included as controls. Skeletal and dental changes were evaluated using pretreatment and posttreatment or observational lateral cephalometric radiographs. The treatment changes were compared with the growth changes observed in the control group using independent t tests. RESULTS: Compared with the minimal changes induced by growth in the control group, the skeletal changes induced by miniplates were more obvious. The mandibular length increased significantly (3 mm), and the mandible moved forward, with a significant restraint in the sagittal position of the maxilla (P <0.001). The overjet correction (-4.26 mm) was found to be a net result of skeletal changes (A-Y-axis = -1.18 mm and B-Y-axis = 3.83 mm). The mandibular plane was significantly decreased by 2.75° (P <0.001). CONCLUSIONS: This new technique, bimaxillary miniplates-based skeletal anchorage, is an effective method for treating patients with skeletal Class II malocclusions through obvious skeletal, but minimal dentoalveolar, changes.
[Mh] Termos MeSH primário: Má Oclusão de Angle Classe II/terapia
Procedimentos de Ancoragem Ortodôntica/métodos
Aparelhos Ortodônticos
Ortodontia Corretiva/métodos
[Mh] Termos MeSH secundário: Criança
Feminino
Seres Humanos
Masculino
Procedimentos de Ancoragem Ortodôntica/instrumentação
Braquetes Ortodônticos
Ortodontia Corretiva/instrumentação
Resultado do Tratamento
[Pt] Tipo de publicação:CLINICAL TRIAL; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


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Registro de Ensaios Clínicos
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[PMID]:29407494
[Au] Autor:Chhibber A; Agarwal S; Yadav S; Kuo CL; Upadhyay M
[Ad] Endereço:Private practice, Norwalk, Ohio.
[Ti] Título:Which orthodontic appliance is best for oral hygiene? A randomized clinical trial.
[So] Source:Am J Orthod Dentofacial Orthop;153(2):175-183, 2018 Feb.
[Is] ISSN:1097-6752
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Clear aligners and to a lesser extent self-ligated brackets are considered to facilitate better oral hygiene than traditional fixed orthodontic appliances. This 3-arm parallel-group prospective randomized clinical trial compared the long-term and short-term effects of clear aligners, self-ligated brackets, and conventional (elastomeric-ligated) brackets on patients' oral hygiene during active orthodontic treatment. METHODS: Seventy-one participants (41 boys, 30 girls; mean age, 15.6 years) undergoing orthodontic treatment were randomly allocated through a computer-generated randomization schedule to one of the groups based on the choice of intervention: Clear Aligners (CLA) (Align Technology, San Jose, Calif) (n = 27), preadjusted edgewise fixed appliance with self-ligated brackets (SLB) (Carriere, Carlsbad, Calif (n = 22), or preadjusted edgewise fixed appliance with elastomeric ligated brackets (ELB) (Ortho Organizers Inc., Carlsbad, CA) (n = 22). For each participant, the primary outcome, plaque index (PI), and secondary outcomes, gingival Index (GI) and periodontal bleeding index (PBI), were measured at baseline (T0), after 9 months of treatment (T1), and after 18 months of treatment (T2). Blinding of the clinicians and the patients to the intervention was impossible. It was only done for outcome assessment and for the statistician. Ten participants did not receive the allocated intervention for various reasons. RESULTS: The means and standard deviations of PI at T0 (CLA, 0.50 ± 0.51; SLB, 0.65 ± 0.49; ELB, 0.70 ± 0.73), T1 (CLA, 0.83 ± 0.48; SLB, 1.38 ± 0.72; ELB, 1.32 ± 0.67), and T2 (CLA, 0.92 ± 0.58; SLB, 1.07 ± 0.59; ELB, 1.32 ± 0.67) were similar. The odds ratio (OR) for plaque index (0 or ≥1) comparing SLB or CLA to ELB was not significant. OR for SLB vs ELB = 1.54 at T0 (95% CI, 0.39-6.27), 0.88 at T1 (95% CI, 0.03-24.69), and 0.83 at T2 (95% CI, 0.02-27.70); OR for CLA vs ELB = 1.07 at T0 (95% CI, 0.30-3.88), 0.24 at T1 (95% CI, 0.01-1.98), and 0.17 at T2 (95% CI, 0.01-1.71). However, the odds ratios comparing CLA with ELB for GI (OR = 0.14; P = 0.015) and PBI (OR = 0.10; P = 0.012) were statistically significant at T1. CONCLUSIONS: In this prospective randomized clinical trial, we found no evidence of differences in oral hygiene levels among clear aligners, self-ligated brackets, and conventional elastomeric ligated brackets after 18 months of active orthodontic treatment. REGISTRATION: The trial is registered at ClinicalTrials.gov (NCT02745626). PROTOCOL: The protocol was not published before trial commencement.
[Mh] Termos MeSH primário: Higiene Bucal
Aparelhos Ortodônticos
Ortodontia Corretiva/instrumentação
[Mh] Termos MeSH secundário: Adolescente
Índice de Placa Dentária
Feminino
Seres Humanos
Masculino
Aparelhos Ortodônticos/efeitos adversos
Braquetes Ortodônticos/efeitos adversos
Contenções Ortodônticas/efeitos adversos
Ortodontia Corretiva/efeitos adversos
Índice Periodontal
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:180207
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE


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[PMID]:29172323
[Au] Autor:Kalantzis E; Waring DT; Malik OH
[Ti] Título:A Predictable Alternative to a Smile in Six Months?
[So] Source:Dent Update;44(3):190-2, 195-8, 2017 Mar.
[Is] ISSN:0305-5000
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The aim of this article is to explore the use of Incognito™ Lite as an alternative to competitors advertising a 'Smile in Six Months' or rather short-term orthodontics for improving dental appearance through tooth movement. The focus is on the varied clinical use of this appliance system and its comparative advantages, disadvantages and placement techniques. Some alternatives are discussed and appraised. Two cases successfully treated with Incognito™ Lite are then presented. Clinical relevance: A reliable and predictable tool for aesthetic alignment of teeth, creating a broader range of treatment options for both the clinician and the patient.
[Mh] Termos MeSH primário: Estética Dentária
Má Oclusão/terapia
Aparelhos Ortodônticos
Técnicas de Movimentação Dentária/instrumentação
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Desenho de Aparelho Ortodôntico
Sorriso
Fatores de Tempo
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE


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[PMID]:29287658
[Au] Autor:Miles P; Fisher E; Pandis N
[Ad] Endereço:Center for Orthodontics, Seton Hill University, Greensburg, Pa; private practice, Caloundra, Queensland, Australia. Electronic address: pmiles@newwaveorthodontics.com.au.
[Ti] Título:Assessment of the rate of premolar extraction space closure in the maxillary arch with the AcceleDent Aura appliance vs no appliance in adolescents: A single-blind randomized clinical trial.
[So] Source:Am J Orthod Dentofacial Orthop;153(1):8-14, 2018 Jan.
[Is] ISSN:1097-6752
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: The purpose of this 2-arm parallel trial was to assess the effect of the AcceleDent Aura appliance (OrthoAccel Technologies, Houston, Tex) on the rate of maxillary premolar extraction space closure in adolescent patients. METHODS: Forty Class II adolescents treated with full fixed appliances and maxillary premolar extractions participated in this randomized clinical trial. They were recruited in a private practice and treated by 1 clinician. Randomization was accomplished in blocks of 10 patients assigned to either a no-appliance group or the AcceleDent Aura appliance group with the allocations concealed in opaque, sealed envelopes. Both the operator and the outcome assessor were blinded; however, it was not feasible to blind the patients. Models were taken of the maxillary arch at the start of space closure and just before complete space closure. The space was measured parallel to the occlusal plane from the cusp tips of the teeth mesial and distal to the extraction spaces. RESULTS: There was no clinically (0.05 mm per month; 95% confidence interval [CI], -0.24, 0.34) or statistically significant difference in the rate of space closure (P = 0.74). In both the univariable and multivariable analyses, the mean rate of tooth movement was slower by 0.13 mm per month (95% CI, -.26, .005) on the left side compared with the right side, but this was not statistically significant (P = 0.06). CONCLUSIONS: The AcceleDent Aura appliance had no effect on the rate of maxillary premolar extraction space closure. Only a few participants were considered to be good compliers with the appliance. However, the rate of space closure in the good compliers was similar to the overall group and did not appear to influence the result. REGISTRATION: This trial was not registered. PROTOCOL: The protocol was not published before trial commencement.
[Mh] Termos MeSH primário: Dente Pré-Molar/cirurgia
Aparelhos Ortodônticos
Fechamento de Espaço Ortodôntico
Extração Dentária
[Mh] Termos MeSH secundário: Adolescente
Feminino
Seres Humanos
Masculino
Maxila
Desenho de Aparelho Ortodôntico
Estudos Prospectivos
Método Simples-Cego
Fatores de Tempo
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL; VIDEO-AUDIO MEDIA
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180112
[Lr] Data última revisão:
180112
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:171231
[St] Status:MEDLINE


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[PMID]:29269824
[Au] Autor:Madurantakam P; Kumar S
[Ad] Endereço:Department of General Practice, VCU School of Dentistry, Richmond, Virginia, USA.
[Ti] Título:Are there more adverse effects with lingual orthodontics?
[So] Source:Evid Based Dent;18(4):101-102, 2017 12 22.
[Is] ISSN:1476-5446
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Data sourcesPubMed, Embase, Cochrane Library and LILACS database, review of references cited in included articles and a manual search of leading orthodontic journals. No language restrictions were imposed in the search. Study authors were contacted when necessary.Study selectionRandomised controlled trials (RCTs) and controlled clinical trials (CCTs) in healthy patients that directly compared the adverse effects following treatment using buccal and lingual appliances. Studies involving single arch or dual arch appliances were considered. Studies on patients with systemic diseases, animal studies and in vitro studies were excluded. The primary outcomes of interest to the authors were a list of adverse effects: pain, caries, eating and speech difficulties and oral hygiene.Data extraction and synthesisTwo authors reviewed the titles and abstracts of all studies identified through the search without blinding to names of authors or publication dates. Selected articles from searches were evaluated independently by two authors against established inclusion criteria, disagreements were resolved by consensus or by consulting a third author. Two authors independently assessed the risk of bias using the Cochrane Collaboration's tool (randomised trials) and the Newcastle-Ottawa Scale for non-randomised studies. The level of agreement between the authors was assessed using the Cohen kappa statistic. A meta-analysis was performed to provide pooled effect estimate (expressed as odds ratio) as well as 95% confidence interval. The outcomes of interest were pain, caries, eating difficulties, speech difficulties and deficient oral hygiene. Heterogeneity was quantified using I2 statistic and potential causes explored. Publication bias was assessed using a funnel plot.ResultsEight articles were included; three RCTs and five CCTs. One RCT was considered to be at high risk of bias, one moderate risk and one low risk. Of the non-randomised studies, four were low risk and one was high risk of bias. Six studies involving a total of 131 patients were included in a meta-analysis. The lingual appliance was associated with significant pain in the tongue (OR=28.32, 95% CI 8.6-93.28), difficulty in maintaining oral hygiene (OR=3.49, 95%CI 1.02-11.95) and greater speech difficulty (OR = 9.39, 95% CI 3.78-23.33) compared to buccal appliances. On the other hand, patients with lingual appliances had decreased pain in the lips and cheeks. There was no difference between the two appliances with regards to caries risk.ConclusionsLimited available evidence indicates that lingual orthodontic appliances are associated with increased pain in the tongue, speech difficulties and difficulty in maintaining oral hygiene.
[Mh] Termos MeSH primário: Aparelhos Ortodônticos
Ortodontia
[Mh] Termos MeSH secundário: Assistência Odontológica
Seres Humanos
Boca
Língua
[Pt] Tipo de publicação:JOURNAL ARTICLE; COMMENT
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180101
[Lr] Data última revisão:
180101
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:171223
[St] Status:MEDLINE
[do] DOI:10.1038/sj.ebd.6401266


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[PMID]:29176857
[Au] Autor:Pan S; Liu Y; Si Y; Zhang Q; Wang L; Liu J; Wang C; Xiao S
[Ad] Endereço:Department of Orthodontics, School of Stomatology, Shandong University, Jinan, China.
[Ti] Título:Prevalence of fimA genotypes of Porphyromonas gingivalis in adolescent orthodontic patients.
[So] Source:PLoS One;12(11):e0188420, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The placement of fixed orthodontic appliances may alter the composition of oral microbiota and has the potential risk of periodontal complication. Porphyromonas gingivalis fimbriae play a critical role in colonization of P. gingivalis in subgingival regions. In this study, we investigated the association between the prevalence of P. gingivalis-specific fimA genotypes and periodontal health status in adolescent orthodontic patients, to identify the pathogencity of P. gingivalis during orthodontic therapy. METHODS: Sixty-one adolescent orthodontic patients were enrolled in the case group, while the control group consisted of 56 periodontally healthy adolescents. At baseline (T0), clinical parameter (gingival index) was tested, and subgingival plaque samples were obtained from the lower incisors. The incidences of P. gingivalis and fimA genotypes were detected by polymerase chain reaction. All parameters were reassessed after 1 month (T1), 2 months (T2), 3 months (T3), and 6 months (T4) in the case group and then compared with those of the controls. RESULTS: Both microbiological and clinical parameters from orthodontic patients started to increase after placement of fixed appliances. Maximum values were reached at 3 months after placement and followed by their decreases at six months. However, the microbiological and clinical parameters in the case group were significantly higher than those of the control group. The GI of fimA II, IV-positive samples was significantly higher than that of negative samples. CONCLUSION: P. gingivalis carrying fimA II or IV was closely related to orthodontic gingivitis. In addition, proper oral hygiene control could lead to little increase in dental plaque accumulation, and exert a beneficial effect to periodontal tissues.
[Mh] Termos MeSH primário: Proteínas de Fímbrias/genética
Aparelhos Ortodônticos/microbiologia
Porphyromonas gingivalis/genética
[Mh] Termos MeSH secundário: Adolescente
Estudos de Casos e Controles
Feminino
Genótipo
Seres Humanos
Masculino
Índice Periodontal
Reação em Cadeia da Polimerase
Prevalência
RNA Ribossômico 16S/genética
Reprodutibilidade dos Testes
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (RNA, Ribosomal, 16S); 147680-16-8 (Fimbriae Proteins)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171219
[Lr] Data última revisão:
171219
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0188420


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[PMID]:29173866
[Au] Autor:Graf S; Cornelis MA; Hauber Gameiro G; Cattaneo PM
[Ad] Endereço:Private practice, Belp, Switzerland.
[Ti] Título:Computer-aided design and manufacture of hyrax devices: Can we really go digital?
[So] Source:Am J Orthod Dentofacial Orthop;152(6):870-874, 2017 Dec.
[Is] ISSN:1097-6752
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The aim of this pilot study was to illustrate the feasibility of a new digital procedure to fabricate metallic orthodontic appliances. Hyrax appliances for rapid palatal expansion were produced for 3 patients using a CAD/CAM procedure without physical impressions or printed models. The work flow consisted of intraoral scanning, digital design with incorporation of a scanned prefabricated expansion screw, direct 3-dimensional metal printing via laser melting, welding of an expansion screw, insertion, and finally activation in the patients' mouths. Finite element analyses of the actual hyrax appliances were performed to ensure that the printable material used in combination with the chosen design would withstand the stress generated during activation. The results of these analyses were positive. The clinical results showed that this procedure is an efficient and viable digital way for constructing metallic orthodontic appliances. The flexibility of the digital appliance design, together with the biocompatibility and strength of the chosen material, offers a huge potential for more advanced appliance design.
[Mh] Termos MeSH primário: Projeto Auxiliado por Computador
Aparelhos Ortodônticos
[Mh] Termos MeSH secundário: Criança
Estudos de Viabilidade
Feminino
Seres Humanos
Masculino
Projetos Piloto
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171211
[Lr] Data última revisão:
171211
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE


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[PMID]:29173865
[Au] Autor:Kook YA; Park JH; Bayome M; Jung CY; Kim Y; Kim SH
[Ad] Endereço:Department of Orthodontics, Seoul St. Mary's Hospital, Catholic University of Korea, Seoul, Korea. Electronic address: kook190036@yahoo.com.
[Ti] Título:Application of palatal plate for nonextraction treatment in an adolescent boy with severe overjet.
[So] Source:Am J Orthod Dentofacial Orthop;152(6):859-869, 2017 Dec.
[Is] ISSN:1097-6752
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A modified C-palatal plate (MCPP) is introduced as a treatment option for adolescent patients with Class I malocclusion and severe overjet. A boy, 10 years 11 months old, was successfully treated without extractions in 22 months. Indications for clinical application of the MCPP as well as procedures and biomechanical analysis of the treatment effects are described in detail. The MCPP was used to distalize the maxillary dentition. The results were stable 1 year after retention. Clinicians should consider the application of MCPP as a nonextraction treatment option for adolescents with Class I malocclusion and severe overjet when the patient or parent refuses extractions.
[Mh] Termos MeSH primário: Má Oclusão de Angle Classe II/terapia
Aparelhos Ortodônticos
Sobremordida/terapia
[Mh] Termos MeSH secundário: Criança
Seres Humanos
Masculino
Desenho de Aparelho Ortodôntico
Palato
Índice de Gravidade de Doença
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171211
[Lr] Data última revisão:
171211
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE



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