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American journal of orthodontics and dentofacial orthopedics: official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics 02/2013; 143(2):156-7. · 1.33 Impact Factor
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ABSTRACT: Studies in the dental literature do not yet provide conclusive evidence for the functional and psychosocial benefits of orthodontic treatment. In this cross-sectional study, we aimed to assess the oral health-related quality of life of young Brazilian adults, aged 18 to 30 years, who had completed orthodontic treatment compared with untreated subjects waiting for treatment.
The subjects were recruited at a state-funded university clinic. The sample comprised 100 patients in the retention phase of orthodontic treatment for more than 6 months (treated group) and 100 persons who were seeking orthodontic treatment and were still on a waiting list (nontreated group). Data were collected by using the oral health impact profile, the index of orthodontic treatment need (malocclusion severity and esthetic impairment), the Brazilian economic classification criteria (socioeconomic status), and the index of decayed, missing, and filled teeth (oral health status). Statistical analyses were performed by using chi-square and Fisher exact tests and negative binomial regression.
The mean oral health impact profile scores were 3.1 (SD ± 2.99) and 15.1 (SD ± 8.02) in the treated and nontreated groups, respectively. The most frequent impacts in the treated and nontreated groups were "painful aching" and "been self-conscious," respectively. Comparisons between the groups were controlled for malocclusion severity, clinician-assessed esthetic impairment, age, sex, socioeconomic status, and oral health status. Nontreated young adults had mean oral health impact profile scores 5.3 times higher than did the treated subjects.
Young Brazilian adults who received orthodontic treatment had significantly better oral health-related quality of life scores in the retention phase, after treatment completion, than did nontreated subjects.
American journal of orthodontics and dentofacial orthopedics: official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics 06/2012; 141(6):751-8. · 1.33 Impact Factor
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ABSTRACT: This case report describes the orthodontic treatment for a young female, aged 18 years 4 months, with a Class III malocclusion on the right side, with a combination of a posterior and anterior crossbite. Two rigid orthodontic mini-implants were placed in the retromolar region in order to move the entire lower arch distally with nickel-titanium coil springs. In addition, a Pendex appliance was used to create space and to improve the arch form and the transverse relationship. The active treatment period was 17 months. Normal overjet and overbite were obtained, and facial balance was improved. Although the cephalometric superimposition has demonstrated the effects of dental compensation, the final dental and facial results were satisfactory and stable after the second year in retention.
Progress in orthodontics 01/2011; 12(1):73-83.
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ABSTRACT: The aim of this study was to assess oral health-related quality of life (OHQOL) in adolescents who sought orthodontic treatment. A comparison between these adolescents and their age-matched peers who were not seeking orthodontic treatment provided an assessment of the role of OHQOL in treatment seeking.
The sample consisted of 225 subjects, 12 to 15 years of age; 101 had sought orthodontic treatment at a university clinic (orthodontic group), and 124, from a nearby public school, had never undergone or sought orthodontic treatment (comparison group). OHQOL was assessed with the Brazilian version of the short form of the oral health impact profile, and malocclusion severity was assessed with the index of orthodontic treatment need.
Simple and multiple logistic regression analysis showed that those who sought orthodontic treatment reported worse OHQOL than did the subjects in the comparison group (P <0.001). They also had more severe malocclusions as shown by the index of orthodontic treatment need (P = 0.003) and greater esthetic impairment, both when analyzed professionally (P = 0.008) and by self-perception (P <0.0001). No sex differences were observed in quality of life impacts (P = 0.22). However, when the orthodontic group was separately evaluated, the girls reported significantly worse impacts (P = 0.05). After controlling for confounding (dental caries status, esthetic impairment, and malocclusion severity), those who sought orthodontic treatment were 3.1 times more likely to have worse OHQOL than those in the comparison group.
Adolescents who sought orthodontic treatment had more severe malocclusions and esthetic impairments, and had worse OHQOL than those who did not seek orthodontic treatment, even though severely compromised esthetics was a better predictor of worse OHQOL than seeking orthodontic treatment.
American journal of orthodontics and dentofacial orthopedics: official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics 08/2010; 138(2):152-9. · 1.33 Impact Factor
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ABSTRACT: To investigate the interrelationships between factors involved in orthodontic treatment seeking by children aged 12-15 years.
State funded orthodontic clinic at the Faculty of Dentistry of the Rio de Janeiro State University (UERJ), Rio de Janeiro, Brazil, and a nearby public school.
One hundred and ninety-four adolescents aged 12-15 years took part in the study; 92 had sought orthodontic treatment at UERJ (orthodontic group) and 102 were from a nearby public school and had never undergone or sought orthodontic treatment (comparison group). Each participant underwent a comprehensive oral examination, and both parent and child were questioned about who had initiated the orthodontic referral.
Normative need assessed with IOTN DHC; clinician and self-perceived aesthetic perception assessed with IOTN AC, previous caries experience was determined using the decayed, missing and filled teeth index (DMFT) and WHO diagnostic criteria. The 'Brazil Economic Classification Criteria' was used to classify the socioeconomic status. Intra-examiner repeatability and inter-examiner agreement were assessed with kappa statistics. Univariate and multiple logistic regression analyses were used to investigate the association between orthodontic treatment seeking (dependent variable) and the independent variables (i.e. aesthetic impairment, malocclusion severity, socioeconomic status, gender, age and DMFT).
Univariate analyses showed that self-perceived aesthetics (P<0.001), examiner-assessed aesthetics (P = 0.01) and treatment need (P<0.001), socioeconomic status (P<0.001) were significantly associated with orthodontic treatment seeking, but gender (P = 0.22) and DMFT (P = 0.41) were not. Multiple logistic regression analyses showed that poor self-perceived aesthetics (OR = 16.7; 95% CI: 4.17-61.9), more severe malocclusion (OR = 3.4; 95% CI 1.64-7.14) and better socioeconomic position (OR = 39.1; 95% CI: 5.47-280.54) significantly influenced the decision to seek orthodontic treatment.
Concern about dental appearance and the desire for treatment, together with normative orthodontic need, should be carefully assessed by dentists before referring patients to specialized orthodontic care in publicly-funded clinics. In a publicly-funded oral health care system, self-perceived orthodontic treatment need is the key to establishing treatment priority.
Journal of Orthodontics 06/2010; 37(2):100-6.
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ABSTRACT: To evaluate longitudinally the cephalometric changes in the facial profile of young adults.
The sample was composed of 27 individuals of both genders who presented with Class I and normal occlusion; the initial mean age was 21.2 years. After a mean period of 7.2 years, patients were re-evaluated. All measurements were carried out via digitalized lateral cephalometric radiographs. One calibrated operator identified the cephalometric landmarks. Software was used to take linear and angular values; the mean dimensions were used for data. The evaluated measurements were nasal depth, soft pogonion thickness, upper and lower lip thickness, upper and lower lip position in relation to the esthetic plane of Ricketts, facial convexity including the nose, and facial convexity excluding the nose. The paired t test was used to evaluate the changes.
Data indicate that the nose depth increased by a mean of 1.07 mm. The soft pogonion thickness and the lower lip thickness increased a mean of 0.51 mm and 0.55 mm, respectively, and the facial convexity excluding the nose decreased 0.72 degrees. Only the facial convexity including the nose was different between the genders, with greater values for the male subjects.
Facial profile changes throughout the third decade of life; in the present study, these changes were statistically significant for nose depth, observed in both sexes.
World journal of orthodontics 02/2008; 9(2):114-20.
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ABSTRACT: The purpose of this in vitro study was to evaluate the influence of a new self-etching primer (Adper Prompt L-pop; 3M ESPE, St Paul, Minn) on shear bond strength of orthodontic brackets. Forty extracted human premolars were obtained and randomly divided into two groups of 20 each: group 1 (control), phosphoric acid + Transbond XT primer (3M Unitek, Monróvia, Calif) and group 2, Adper Prompt L-pop. Transbond XT adhesive paste (3M Unitek) was used in both groups for bracket bonding. All products were used according to the manufacturer's instructions. Instron Universal Testing Machine was used to apply an occlusal shear force directly onto the enamel-bracket interface at a speed of 0.5 mm/min. The groups were compared using Student's t-test. Mean results and standard deviation for the groups were: group 1 = 16.23 MPa (4.77), group 2 = 13.56 MPa (4.31). No significant difference was observed in the bond strengths of the two groups evaluated (P = .069). However, the adhesive remnant index was significantly less when conditioning the enamel with Adper Prompt L-pop compared with phosphoric acid (P = .0003). The results suggest no difference in bond strength whether a conventional etching and primer or Adper Prompt L-pop is used. The amount of adhesive on the enamel after debonding was significantly less when using Adper Prompt than when using phosphoric acid. These results indicated that Adper Prompt is potentially adequate for orthodontic bonding needs.
The Angle Orthodontist 06/2006; 76(3):466-9. · 1.21 Impact Factor
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ABSTRACT: The aim of this study was to evaluate the influence of a self-etching primer (SEP) (Transbond Plus SEP, 3M Unitek, Monrovia, Calif) on shear bond strength of adhesive uncoated and precoated Victory brackets (3M Unitek). The sample group consisted of 23 patients, with four premolars each, equally divided in four different groups. Brackets were bonded in vivo by the same operator using a split-mouth random technique: group 1, 37% phosphoric acid + primer + composite + conventional Victory bracket; group 2, 37% phosphoric acid + primer + precoated Victory bracket; group 3, SEP + composite + conventional bracket; group 4, SEP + precoated bracket. After 30 days, premolars were extracted for orthodontic reasons and a Universal Instron Machine was used to apply an occlusal shear force directly to the enamel-bracket interface at a speed of 0.5 mm/min. The groups were compared using two-way analysis of variance. Mean results and standard deviation for the groups were: group 1 = 11.60 +/- 2.65 Mpa, group 2 = 9.79 +/- 2.71 Mpa, group 3 = 10.75 +/- 2.67 Mpa, and group 4 = 10.31+/- 2.70 Mpa. No difference was observed between the conventional etching and primer or SEP (P = .948). However, significant differences in bond strength were present between the uncoated and precoated brackets (P = .032). Considering the values required to withstand normal orthodontic forces (8-9 Mpa), it could be concluded that the SEP combined with adhesive precoated brackets showed adequate shear bond strength and may be suitable for clinical use.
The Angle Orthodontist 02/2006; 76(1):127-31. · 1.21 Impact Factor
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ABSTRACT: The aim of this study was to analyze the effect of a self-etching primer (Transbond Plus SEP, 3M Unitek, Monrovia, Calif), developed for orthodontic use, in the regularity and depth of adhesive infiltration in the enamel of human permanent teeth and to compare it with phosphoric acid using scanning electron microscopy (SEM). Thirty premolars were divided in two groups of 15 each: group 1(control)-phosphoric acid + Transbond XT Primer (3M Unitek) and group 2- Transbond Plus SEP. Transbond XT Adhesive Paste (3M Unitek) was used in both groups for bracket bonding. All products were used according to the manufacturer's instructions. Dental fragments were decalcified, and for micromorphologic observation of the adhesive penetration in enamel, the resin replicas, remnant at the base of the brackets, were covered with a thin gold layer and examined by SEM. Three calibrated examiners evaluated the photomicrographs and gave scores from 0 = without penetration to 2 = deep penetration. The Mann Whitney U-test (P < .0001) showed a statistical difference between the two groups. The results demonstrated that the SEP was more conservative and produced a smaller amount of demineralization and less penetration of adhesive in the enamel surfaces when compared with the conventional phosphoric acid system.
The Angle Orthodontist 01/2006; 76(1):132-6. · 1.21 Impact Factor
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ABSTRACT: This study evaluates the longitudinal changes in occlusal dimensions in young adults. The sample was composed of 27 individuals (13 male and 14 female individuals) who presented dental Class I and normal occlusion, according to the inclusion protocol. All teeth were present except for the third molars. The mean age of the subjects was 21 years and two months initially and 28 years and four months at the end of the observation period. The measurements collected in both arches were overbite, overjet, intercanine and intermolar distances, irregularity index, and perimeter. All measurements were taken from study dental casts by a calibrated operator, using a digital caliper. The paired t-test was used to evaluate the changes, using the difference between the initial and final mean measurements. Data indicated that the overbite increased 0.39 mm, the incisor irregularity increased 0.38 mm in the upper arch and 0.54 mm in the lower arch, and the arch perimeter decreased 0.67 mm in the upper arch and 0.71 mm in the lower arch (P > .05). The other measurements did not show significant changes. No sexual dimorphism was observed. It could be concluded that occlusal dimensions change throughout adult life. In the sample studied, changes were statistically significant for overbite, incisors irregularity, and arch perimeter after a mean period of seven years and two months. These changes can be observed in both sexes.
The Angle Orthodontist 10/2004; 74(5):618-23. · 1.21 Impact Factor
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Journal of clinical orthodontics: JCO 01/2004; 37(12):656-8.
