Uso da ergoespirometria e de questionário do sono na avaliação da expansão rápida da maxila em crianças. Estudo observacional longitudinal prospectivo

• Autor(a) principal: Feres, Renata Calixto Lopes
• Data de Publicação: 2018
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Repositório do Centro Universitário Braz Cubas
• Texto Completo: https://repositorio.cruzeirodosul.edu.br/handle/123456789/2148
• topic: Odontologia Clínica; Ortodontia; Técnica de Expansão Palatina; Odontopediatria; CNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA

The breathing disorders are a a problem that affects a large portion of the child population, causing alteration on the craniofacial development and sleep disturbances. The most common problem is , a poor transverse maxillary growth leads to the need of an orthodontic intervention, to recover the width of the dental arch and allow an adequate growth and function. These side effects brings the orthodontist to perform the Rapid Maxillary Expansion (RME) as a routine. Researches in this area developed over time, however some factors has not been approached yet. These was an observational longitudinal prospective study with the following goals: 1. To evaluate the quality of sleep in 46 children by the Sleep Disturbance Scale for Children (SDSC), before and after orthodontic treatment of RME, 2. Evaluate the breathing capacity of twelve patients using a physical treadmill test, the Ergospirometry, before and after RME. The inclusion criteria were: patients with age between 7 and 12 years old, of both genders, permanent or mixed dentition and maximum BMI of 20 The SDSC was applied in T1 (before) and T2 (90 days after the stabilization of the expander). To analyse the results two statistical tests were used, the Paired T-Student test and the Wilcoxon Rank. The SDSC showed significant results of the treatment for dentistry in the issues: total score, breathing, snore and grinding teeth. Concluding that the effect of RME was positive in the studied sample, suggesting a reduction on the Sleep Disturbances. The second manuscript evaluated 12 children, in the same age, by the Ergospirometry test in T1 and T2 to analyze 5 parameters of the physical activity. The values obtained were compared using the Paired T-Student test and the Wilcoxon Rank. Results showed a raise of more than 1 minute on the treadmill time after treatment, with p value of 0.034. There was an improve of the aerobic threshold, with p value of 0.038. Concluding that the treatment of RME improved the breathing capacity in some of the factors studied.