Rationale for referring class II patients for early orthodontic treatment
Autor(a) principal: | |
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Data de Publicação: | 2005 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Journal of applied oral science (Online) |
Texto Completo: | https://www.revistas.usp.br/jaos/article/view/3298 |
Resumo: | The tendency of indicating early treatment (before growth spurt) when dealing with Angle Class II cases has been noticed, although there is no definite scientific evidence to justify such decision. The aim of this study was to identify the advantages and disadvantages to this approach and which appliances are used for this purpose. For that purpose, a questionnaire containing full records of a Class II patient was sent to two professors of each Orthodontic graduate program in Brazil (n=96, total 192), from which 107 were properly answered. Results demonstrated that the most used appliances were the headgear (80.4%), maxillary splint (50%) and Bionator (44.4%). The benefits most often quoted were increase of patient self-esteem (78.5%) and reduction in the incidence of incisors trauma (63.6%), while the main disadvantage was saturation of patient compliance (73.8%). Considering early Class II treatment, there is still no unanimity as to treating in one or two stages or in selection of appliances. However, the orthodontists should consider the physical situation of the patient, severity of cases and susceptibility of trauma to the maxillary incisors. It is crucial that updated information is given to parents, in order to justify this approach. |
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Rationale for referring class II patients for early orthodontic treatment As razões para indicação de tratamento precoce em pacientes de classe II Maloclusão de Angle classe IIOrtodontiaCrescimentoTratamento precoceAngle class II malocclusionOrthodonticsGrowthEarly treatment The tendency of indicating early treatment (before growth spurt) when dealing with Angle Class II cases has been noticed, although there is no definite scientific evidence to justify such decision. The aim of this study was to identify the advantages and disadvantages to this approach and which appliances are used for this purpose. For that purpose, a questionnaire containing full records of a Class II patient was sent to two professors of each Orthodontic graduate program in Brazil (n=96, total 192), from which 107 were properly answered. Results demonstrated that the most used appliances were the headgear (80.4%), maxillary splint (50%) and Bionator (44.4%). The benefits most often quoted were increase of patient self-esteem (78.5%) and reduction in the incidence of incisors trauma (63.6%), while the main disadvantage was saturation of patient compliance (73.8%). Considering early Class II treatment, there is still no unanimity as to treating in one or two stages or in selection of appliances. However, the orthodontists should consider the physical situation of the patient, severity of cases and susceptibility of trauma to the maxillary incisors. It is crucial that updated information is given to parents, in order to justify this approach. A tendência de indicação de tratamento precoce (antes de surto de crescimento) para casos de Classe II de Angle tem sido observada, embora não haja evidência científica para embasar tal decisão. O objetivo deste estudo foi identificar as vantagens e desvantagens da indicação e quais aparelhos são usados no tratamento. Foram enviados questionários (n=192) com a documentação completa de um paciente Classe II para dois professores de cada curso de especialização em Ortodontia no Brasil, os quais 107 foram respondidos. Os resultados demonstraram que os aparelhos mais usados foram: Extra-oral (80,4%), Thurow (50,0%) e Bionator (44,4%). Foram citados como maiores vantagens: aumento de auto-estima do paciente (78,5%) e a redução da incidência de trauma nos dentes incisivos (63,6%), por outro lado a principal desvantagem citada foi a saturação de cooperação do paciente (73,8%). Considerando o tratamento precoce de Classe II não houve o consenso se a correção deveria ser realizada em duas ou em uma única fase e nem a seleção do aparelho a ser utilizado. Porém os ortodontistas deveriam levar em consideração o estado psicológico do paciente, a severidade do caso clínico e a susceptibilidade a trauma dos incisivos superiores. É importante que os responsáveis sejam esclarecidos quanto à necessidade do tratamento precoce. Universidade de São Paulo. Faculdade de Odontologia de Bauru2005-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/jaos/article/view/329810.1590/S1678-77572005000300020Journal of Applied Oral Science; Vol. 13 No. 3 (2005); 312-317 Journal of Applied Oral Science; Vol. 13 Núm. 3 (2005); 312-317 Journal of Applied Oral Science; v. 13 n. 3 (2005); 312-317 1678-77651678-7757reponame:Journal of applied oral science (Online)instname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/jaos/article/view/3298/3988Copyright (c) 2005 Journal of Applied Oral Scienceinfo:eu-repo/semantics/openAccessMiguel, José Augusto MendesCunha, Deise LimaCalheiros, Anderson de AlbuquerqueKoo, Daniel2012-04-27T11:51:25Zoai:revistas.usp.br:article/3298Revistahttp://www.scielo.br/jaosPUBhttps://www.revistas.usp.br/jaos/oai||jaos@usp.br1678-77651678-7757opendoar:2012-04-27T11:51:25Journal of applied oral science (Online) - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Rationale for referring class II patients for early orthodontic treatment As razões para indicação de tratamento precoce em pacientes de classe II |
title |
Rationale for referring class II patients for early orthodontic treatment |
spellingShingle |
Rationale for referring class II patients for early orthodontic treatment Miguel, José Augusto Mendes Maloclusão de Angle classe II Ortodontia Crescimento Tratamento precoce Angle class II malocclusion Orthodontics Growth Early treatment |
title_short |
Rationale for referring class II patients for early orthodontic treatment |
title_full |
Rationale for referring class II patients for early orthodontic treatment |
title_fullStr |
Rationale for referring class II patients for early orthodontic treatment |
title_full_unstemmed |
Rationale for referring class II patients for early orthodontic treatment |
title_sort |
Rationale for referring class II patients for early orthodontic treatment |
author |
Miguel, José Augusto Mendes |
author_facet |
Miguel, José Augusto Mendes Cunha, Deise Lima Calheiros, Anderson de Albuquerque Koo, Daniel |
author_role |
author |
author2 |
Cunha, Deise Lima Calheiros, Anderson de Albuquerque Koo, Daniel |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Miguel, José Augusto Mendes Cunha, Deise Lima Calheiros, Anderson de Albuquerque Koo, Daniel |
dc.subject.por.fl_str_mv |
Maloclusão de Angle classe II Ortodontia Crescimento Tratamento precoce Angle class II malocclusion Orthodontics Growth Early treatment |
topic |
Maloclusão de Angle classe II Ortodontia Crescimento Tratamento precoce Angle class II malocclusion Orthodontics Growth Early treatment |
description |
The tendency of indicating early treatment (before growth spurt) when dealing with Angle Class II cases has been noticed, although there is no definite scientific evidence to justify such decision. The aim of this study was to identify the advantages and disadvantages to this approach and which appliances are used for this purpose. For that purpose, a questionnaire containing full records of a Class II patient was sent to two professors of each Orthodontic graduate program in Brazil (n=96, total 192), from which 107 were properly answered. Results demonstrated that the most used appliances were the headgear (80.4%), maxillary splint (50%) and Bionator (44.4%). The benefits most often quoted were increase of patient self-esteem (78.5%) and reduction in the incidence of incisors trauma (63.6%), while the main disadvantage was saturation of patient compliance (73.8%). Considering early Class II treatment, there is still no unanimity as to treating in one or two stages or in selection of appliances. However, the orthodontists should consider the physical situation of the patient, severity of cases and susceptibility of trauma to the maxillary incisors. It is crucial that updated information is given to parents, in order to justify this approach. |
publishDate |
2005 |
dc.date.none.fl_str_mv |
2005-09-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/jaos/article/view/3298 10.1590/S1678-77572005000300020 |
url |
https://www.revistas.usp.br/jaos/article/view/3298 |
identifier_str_mv |
10.1590/S1678-77572005000300020 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/jaos/article/view/3298/3988 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2005 Journal of Applied Oral Science info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2005 Journal of Applied Oral Science |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Odontologia de Bauru |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Odontologia de Bauru |
dc.source.none.fl_str_mv |
Journal of Applied Oral Science; Vol. 13 No. 3 (2005); 312-317 Journal of Applied Oral Science; Vol. 13 Núm. 3 (2005); 312-317 Journal of Applied Oral Science; v. 13 n. 3 (2005); 312-317 1678-7765 1678-7757 reponame:Journal of applied oral science (Online) instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Journal of applied oral science (Online) |
collection |
Journal of applied oral science (Online) |
repository.name.fl_str_mv |
Journal of applied oral science (Online) - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||jaos@usp.br |
_version_ |
1800221672107671552 |