José Tarcísio Lima Ferreira

Correlação entre métodos de aleitamento, hábitos de sucção e comportamentos orofaciais

BACKGROUND The development of oral motor control depends partially on motor and sensory experiences. AIM To analyze the relationship between the duration of breastfeeding, artificial feeding and sucking habits, and of these parameters with the orofacial motor performance. METHOD Participants of this study were one hundred and seventy-six children aged 6 to 12 years. All subjects were submitted to an orofacial myofunctional clinical examination, using a protocol with scores, and parents/care takers were interviewed in respect to the feeding and sucking habits of their children. Correlations were calculated using the Spearman Test. RESULTS In the studied sample, the mean duration of breastfeeding was of 10.30 months (ranging from zero to 60 months), of artificial feeding was of 44.12 months (zero to 122 months) and of sucking habits was of 39.32 months (0 to 144 months). There was a negative correlation of breastfeeding duration with artificial feeding duration and sucking habits duration (p < 0001). The duration of the artificial feeding was positively correlated to the duration of sucking habits (p < 0001). The duration of breastfeeding was positively correlated with the mobility of the tongue and jaw (p = 0.05). There was a negative correlation of the duration of artificial feeding and the duration of sucking habits with the performance in mastication and swallowing, respectively, as well as with the duration of both types of sucking with the performance in the diadochokinesia test (p = 0.05). CONCLUSION The duration of natural breastfeeding presented a positive effect over the mobility of the orofacial structures. Deleterious effects of the prolonged duration of artificial feeding and sucking habits in the oral motor control were confirmed.

Myeloperoxidase activity is increased in gingival crevicular fluid and whole saliva after fixed orthodontic appliance activation.

INTRODUCTION Orthodontic tooth movement uses mechanical forces that result in inflammation in the first days. Myeloperoxidase (MPO) is an enzyme found in polymorphonuclear neutrophil (PMN) granules, and it is used to estimate the number of PMN granules in tissues. So far, MPO has not been used to study the inflammatory alterations after the application of orthodontic tooth movement forces. The aim of this study was to determine MPO activity in the gingival crevicular fluid (GCF) and saliva (whole stimulated saliva) of orthodontic patients at different time points after fixed appliance activation. METHODS MPO was determined in the GCF and collected by means of periopaper from the saliva of 14 patients with orthodontic fixed appliances. GCF and saliva samples were collected at baseline, 2 hours, and 7 and 14 days after application of the orthodontic force. RESULTS Mean MPO activity was increased in both the GCF and saliva of orthodontic patients at 2 hours after appliance activation (P <0.02 for all comparisons). At 2 hours, PMN infiltration into the periodontal ligament from the orthodontic force probably results in the increased MPO level observed at this time point. CONCLUSIONS MPO might be a good marker to assess inflammation in orthodontic movement; it deserves further studies in orthodontic therapy.

Electrochemical behavior and pH stability of artificial salivas for corrosion tests

It is assumed that the compositions of artificial salivas are similar to that of human saliva. However, the use of solutions with different compositions in in vitro corrosion studies can lead dissimilar electrolytes to exhibit dissimilar corrosivity and electrochemical stability. This study evaluated four artificial salivas as regards pH stability with time, redox potentials and the polarization response of an inert platinum electrode. The tested solutions were: SAGF medium, Mondelli artificial saliva, UFRJ artificial saliva (prepared at the School of Pharmacy, Federal University of Rio de Janeiro, RJ, Brazil) and USP-RP artificial saliva (prepared at the School of Pharmaceutical Sciences of Ribeirão Preto, University of São Paulo, SP, Brazil). It was observed that pH variations were less than 1 unit during a 50-hour test. The SAGF medium, and the UFRJ and USP-RP solutions exhibited more oxidizing characteristics, whereas the Mondelli solution presented reducing properties. Anodic polarization revealed oxidation of the evaluated electrolytes at potentials below +600 mV SCE. It was observed that the UFRJ and USP-RP solutions presented more intense oxidation and reduction processes as compared to the Mondelli and SAGF solutions.

Evaluation of the reliability of computerized profile cephalometric analysis

The use of computers as an auxiliary instrument for case evaluation and procedures in health sciences is not new, and their advantages are well known. A growing number of orthodontists are using computerized systems for cephalometric analysis. Thus, this study evaluated the reliability of both computerized and manual methods used for creating profile cephalograms. Fifty profile radiographs were selected from the files of the Post-Graduate Course in Orthodontics at the Dental School of the Federal University of Rio de Janeiro. The good quality of the material was the only necessary requirement for selection. Results were submitted to the interclass correlation coefficient and a reliable similarity between cephalometric data obtained through both evaluated methods was found. However, the clinical utilization of computerized cephalometric analysis is not absolutely reliable.

Orthodontic-surgical treatment of class III malocclusion with mandibular asymmetry

Class III skeletal malocclusion may present several etiologies, among which maxillary deficiency is the most frequent. Bone discrepancy may have an unfavorable impact on esthetics, which is frequently aggravated by the presence of accentuated facial asymmetries. This type of malocclusion is usually treated with association of Orthodontics and orthognathic surgery for correction of occlusion and facial esthetics. This report presents the treatment of a patient aged 15 years and 1 month with Class III skeletal malocclusion, having narrow maxilla, posterior open bite on the left side, anterior crossbite and unilateral posterior crossbite, accentuated negative dentoalveolar discrepancy in the maxillary arch, and maxillary and mandibular midline shift. Clinical examination also revealed maxillary hypoplasia, increased lower one third of the face, concave bone and facial profiles and facial asymmetry with mandibular deviation to the left side. The treatment was performed in three phases: presurgical orthodontic preparation, orthognathic surgery and orthodontic finishing. In reviewing the patients final records, the major goals set at the beginning of treatment were successfully achieved, providing the patient with adequate masticatory function and pleasant facial esthetics.

Extração de incisivo inferior: uma opção de tratamento ortodôntico

Lower incisor extraction can be regarded as a valuable option in the pursuit of excellence in orthodontic results in terms of function, aesthetics and stability. The aim of this study was to gather information about the indications, contraindications, advantages, disadvantages and stability of the results achieved in treatments performed with lower incisor extraction. This treatment option may be indicated in malocclusions with anterior tooth size discrepancy due to narrow maxillary incisors and/or large mandibular incisors. It is contraindicated in malocclusions without anterior discrepancy or with discrepancies caused by large maxillary incisors and/or narrow mandibular incisors. The literature suggests this method affords improved posttreatment stability compared with premolar extraction. As well as a careful diagnosis, established with the aid of a diagnostic setup, professional skills and clinical experience are instrumental in achieving successful orthodontic results with this treatment option.

Open bite: diagnosis, treatment and stability

Open bite has fascinated Orthodontics due to the difficulties regarding its treatment and maintenance of results. This anomaly has distinct characteristics that, in addition to the complexity of multiple etiological factors, have aesthetic and functional consequences. Within this etiological context, several types of mechanics have been used in open bite treatment, such as palatal crib, orthopedic forces, occlusal adjustment, orthodontic camouflage with or without extraction, orthodontic intervention using mini-implants or mini-plates, and even orthognathic surgery. An accurate diagnosis and etiological determination are always the best guides to establish the objectives and the ideal treatment plan for such a malocclusion. This report describes two cases of open bite. At the end of the treatment, both patients had their canines and molars in Class I occlusion, normal overjet and overbite, and stability during the posttreatment period.

Evaluation of different LED light-curing devices for bonding metallic orthodontic brackets

The aim of this study was to assess the influence of different light-emitting diodes (LED) light-curing devices for bonding orthodontic brackets, using the shear bond strength and analysis of adhesive remnant index (ARI). Crowns from 60 bovine incisors received brackets bonded with Transbond XT. Specimens were divided into 4 groups (n=15) according to the light-curing procedures: HL = control, halogen light; OR = Ortholux LED; UL = Ultraled XP, and RD = Radii LED. All light-curing procedures were performed for 40 s. Shear bond strength test was evaluated using an universal testing machine at a crosshead speed of 0.5 mm/min. Data were analyzed statistically by ANOVA and Tukeys test. The ARI scores were evaluated with a stereoscopic magnifying glass and analyzed statistically by Kruskal-Wallis test. A significance level of 5% was set for all analyses. Shear bond strength means in MPa and standard deviations were 9.82 (3.28), 12.70 (3.35), 9.04 (2.80) and 11.22 (2.36) for HL, OR, UL and RD, respectively. OR presented the highest shear bond strength mean value. HL differed significantly (p<0.05) from Groups OR and RD. However, these groups did not differ significantly from each other (p>0.05). Regarding the ARI scores, no statistically significant difference was observed (p>0.05) among the groups. In conclusion, Ortholux LED and Radii LED units provided the highest values of bracket adhesive strength.

Orthopedic cervical headgear in Class II treatment: case report

Early treatment for Class II malocclusion was undertaken with the objective of correcting skeletal disproportion by altering the growth pattern. A case of Class II, Division 1 malocclusion in the mixed dentition was corrected to Class I molar relationship using orthopedic cervical headgear, with nonextraction edgewise therapy. Cephalometric analysis indicated a reduction in the maxillomandibular discrepancy (ANB) correcting the Class II malocclusion to Class I malocclusion. The treatment showed that this was achieved by downward displacement and inhibition of the forward growth of the maxilla and growth of the mandible. There was no downward rotation of the mandible nor maxillary first molar extrusion. There was improvement in the jaw relationship.

Clinical evaluation of the failure rate of metallic brackets bonded with orthodontic composites

The purpose of the present study was to evaluate in vivo the failure rate of metallic brackets bonded with two orthodontic composites. Nineteen patients with ages ranging from 10.5 to 38.7 years needing corrective orthodontic treatment were selected for study. The enamel surfaces from second premolars to second premolars were treated with Transbond Plus-Self Etching Primer (3M Unitek). Next, 380 orthodontic brackets were bonded on maxillary and mandibular teeth, as follows: 190 with Transbond XT composite (3M Unitek) (control) and 190 with Transbond Plus Color Change (3M Unitek) (experimental) in contralateral quadrants. The bonded brackets were light cured for 40 s, and initial alignment archwires were inserted. Bond failure rates were recorded over a six-month period. At the end of the evaluation, six bond failures occurred, three for each composite. Kaplan-Meyer method and log-rank test (Mantel-Cox) was used for statistical analysis, and no statistically significant difference was found between the materials (p=0.999). Both Transbond XT and Transbond Plus Color Change composites had low debonding rates over the study period.