Análise comparativa da estabilidade esquelética entre as fixações com parafuso posicional e fios de aço nos avanços de mento
Autor(a) principal: | |
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Data de Publicação: | 2010 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da UNIGRANRIO |
Texto Completo: | http://localhost:8080/tede/handle/tede/66 |
Resumo: | The genioplasty are surgical procedure that aim to treat genial deformities. They carried trougth for main esthetic objectives, but we should hipothetized that they can improve labial posture e labial relationship that accompanies some dentofacial deformities. In sight of this, the osteotomy of the inferior border of mandible, the technique used in this paper is one that presents great versatility, much used for correction of three-dimensional deformities of the menton, due the possible angular variation of the ostetomy. The accomplishment for intraoral boarding minimized risks of bigger resorptions for the lesser displacement of soft tissues and consenquently, maintenance of the sanguineous supplement, with more aesthetic results. The effect of landslide of the inferior edge provides harmony for the movements of the menton. Diferent methods had been describe to fix the genial segments since wire osteosynthesis, plates and screws, positional screws, Kirschner wires, plates and screws resorbable. In the present paper we test two methods of stabilization of the advanced genial segment: wire fixation and positional screws and analyze radiographycally the remodeling process postoperative. A retrospective study was done with two groups of twenty patients ( 10 stabilized by means of wire fixation and 10 by positional screws) that done genioplasty procedure combined with other orthognatic procedure by means of sequential study of preoperative, immediate postoperative and long-term cephalograms(>6 months). The method of analysis was done by means of a tracing on the cephalograms and vertical and horizontal position of the genial segment was analyzed beside the osseous postoperative remodeling pattern. These results was submitted to statistical analysis to achieve a reliable method. There was no diference in stability between the two groups tested and the remodelation was equal in both groups. We can conclude that genioplasty is hight predictitable and stable procedure independent of fixation methods besides the remodeling pattern didn’t differ with kind of fixation of genial segments. |
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Prado, RobertoReis, RodrigoGonçalves, SérgioRibeiro, Danilo Passeado BrancoRocha, Frederico Coimbra da2016-09-27T21:32:19Z2010-01-27Rocha, Frederico Coimbra da. Análise comparativa da estabilidade esquelética entre as fixações com parafuso posicional e fios de aço nos avanços de mento. 2010. 61 f. Dissertação( Programa de Pós-Graduação em Odontologia) - Universidade do Grande Rio, Duque de Caxias.http://localhost:8080/tede/handle/tede/66The genioplasty are surgical procedure that aim to treat genial deformities. They carried trougth for main esthetic objectives, but we should hipothetized that they can improve labial posture e labial relationship that accompanies some dentofacial deformities. In sight of this, the osteotomy of the inferior border of mandible, the technique used in this paper is one that presents great versatility, much used for correction of three-dimensional deformities of the menton, due the possible angular variation of the ostetomy. The accomplishment for intraoral boarding minimized risks of bigger resorptions for the lesser displacement of soft tissues and consenquently, maintenance of the sanguineous supplement, with more aesthetic results. The effect of landslide of the inferior edge provides harmony for the movements of the menton. Diferent methods had been describe to fix the genial segments since wire osteosynthesis, plates and screws, positional screws, Kirschner wires, plates and screws resorbable. In the present paper we test two methods of stabilization of the advanced genial segment: wire fixation and positional screws and analyze radiographycally the remodeling process postoperative. A retrospective study was done with two groups of twenty patients ( 10 stabilized by means of wire fixation and 10 by positional screws) that done genioplasty procedure combined with other orthognatic procedure by means of sequential study of preoperative, immediate postoperative and long-term cephalograms(>6 months). The method of analysis was done by means of a tracing on the cephalograms and vertical and horizontal position of the genial segment was analyzed beside the osseous postoperative remodeling pattern. These results was submitted to statistical analysis to achieve a reliable method. There was no diference in stability between the two groups tested and the remodelation was equal in both groups. We can conclude that genioplasty is hight predictitable and stable procedure independent of fixation methods besides the remodeling pattern didn’t differ with kind of fixation of genial segments.As mentoplastias são os procedimentos cirúrgicos que visam o tratamento das deformidades do mento. São realizadas com o principal objetivo estético, mas, no entanto devemos ressaltar a melhora na postura do lábio inferior e eliminação da incompetência labial que acompanha algumas deformidades dento-faciais. Em vista disso, a osteotomia horizontal basilar deslizante, técnica utilizada neste trabalho, é uma técnica que apresenta grande versatilidade, muito utilizada para correção de deformidades tridimensionais do mento, devido à possível variação da angulação da osteotomia. A realização por abordagem intra-oral minimizou riscos de maiores reabsorções pelo menor descolamento dos tecidos moles e, conseqüentemente, manutenção do suprimento sanguíneo, com resultados mais estéticos. O efeito de deslizamento da borda inferior proporciona harmonia para os movimentos do mento. Diferentes métodos de fixação foram descritos, desde a utilização dos fios de aço, parafusos posicionais, placas e parafusos, fios de Kirschner, placas e parafusos reabsorviveis. Neste trabalho avaliamos dois métodos de fixação dos avanço do mento, consagrados na literatura: fio de aço e parafusos, bem como analisamos radiograficamente os processo de remodelação pós-operatórios. Realizamos este estudo por meio de análise retrospectiva de dois grupos de pacientes (10 fixados por fio de aço e 10 fixados por parafusos posicionais) submetidos à mentoplastia associada a outros procedimentos ortognáticos, por meio de avaliação seqüenciada de radiografias pré, pós-operatória imediata e pós-operatória tardio (> 6 meses). Sobre estas radiografias foi elaborado um método de análise por meio da confecção de um traçado para avaliação de recidivas verticais e horizontais do mento, bem como também foi analisado o padrão de remodelação óssea pós-operatório. Os resultados foram submetidos à análise estatística para promover confiabilidade aos métodos empregados. Não foi observada diferença, com relação a estabilidade, dos dois métodos de fixação testados, nem diferença nos padrões de remodelação óssea pós operatório. Podemos concluir que a mentoplastia é um procedimento que apresenta alta previsibilidade e estabilidade independente do método de fixação utilizado, bem como o padrão remodelatório não variou com o tipo de fixação empregado.Submitted by Patricia Vieira Silva (patricia.silva@unigranrio.com.br) on 2016-09-27T21:32:19Z No. of bitstreams: 1 dissertação versao final.pdf: 1895373 bytes, checksum: 15d27a3ed8a8bc7a3695fa8c0b6a79bf (MD5)Made available in DSpace on 2016-09-27T21:32:19Z (GMT). No. of bitstreams: 1 dissertação versao final.pdf: 1895373 bytes, checksum: 15d27a3ed8a8bc7a3695fa8c0b6a79bf (MD5) Previous issue date: 2010-01-27application/pdfporUniversidade do Grande RioPrograma de Pós-Graduação em OdontologiaUNIGRANRIOBrasilUnigranrio::OdontologiaOdontologiaCirurgia bucalProcedimentos cirúrgicosBUCOMAXILOFACIALAnálise comparativa da estabilidade esquelética entre as fixações com parafuso posicional e fios de aço nos avanços de mentoinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UNIGRANRIOinstname:Universidade do Grande Rio (UNIGRANRIO)instacron:UNIGRANRIOLICENSElicense.txtlicense.txttext/plain; charset=utf-81982http://localhost:8080/tede/bitstream/tede/66/1/license.txt4a50535e8405f611398e6e2d408dbd1bMD51ORIGINALdissertação versao final.pdfdissertação versao final.pdfapplication/pdf1895373http://localhost:8080/tede/bitstream/tede/66/2/disserta%C3%A7%C3%A3o+versao+final.pdf15d27a3ed8a8bc7a3695fa8c0b6a79bfMD52tede/662016-09-27 18:32:19.828oai:localhost: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Biblioteca Digital de Teses e Dissertaçõeshttp://tede.unigranrio.edu.br/PUBhttp://tede.unigranrio.edu.br/oai/requestrepositorio@instituicao.br||repositorio@instituicao.bropendoar:2016-09-27T21:32:19Biblioteca Digital de Teses e Dissertações da UNIGRANRIO - Universidade do Grande Rio (UNIGRANRIO)false |
dc.title.por.fl_str_mv |
Análise comparativa da estabilidade esquelética entre as fixações com parafuso posicional e fios de aço nos avanços de mento |
title |
Análise comparativa da estabilidade esquelética entre as fixações com parafuso posicional e fios de aço nos avanços de mento |
spellingShingle |
Análise comparativa da estabilidade esquelética entre as fixações com parafuso posicional e fios de aço nos avanços de mento Rocha, Frederico Coimbra da Odontologia Cirurgia bucal Procedimentos cirúrgicos BUCOMAXILOFACIAL |
title_short |
Análise comparativa da estabilidade esquelética entre as fixações com parafuso posicional e fios de aço nos avanços de mento |
title_full |
Análise comparativa da estabilidade esquelética entre as fixações com parafuso posicional e fios de aço nos avanços de mento |
title_fullStr |
Análise comparativa da estabilidade esquelética entre as fixações com parafuso posicional e fios de aço nos avanços de mento |
title_full_unstemmed |
Análise comparativa da estabilidade esquelética entre as fixações com parafuso posicional e fios de aço nos avanços de mento |
title_sort |
Análise comparativa da estabilidade esquelética entre as fixações com parafuso posicional e fios de aço nos avanços de mento |
author |
Rocha, Frederico Coimbra da |
author_facet |
Rocha, Frederico Coimbra da |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Prado, Roberto |
dc.contributor.referee1.fl_str_mv |
Reis, Rodrigo |
dc.contributor.referee2.fl_str_mv |
Gonçalves, Sérgio |
dc.contributor.referee3.fl_str_mv |
Ribeiro, Danilo Passeado Branco |
dc.contributor.author.fl_str_mv |
Rocha, Frederico Coimbra da |
contributor_str_mv |
Prado, Roberto Reis, Rodrigo Gonçalves, Sérgio Ribeiro, Danilo Passeado Branco |
dc.subject.por.fl_str_mv |
Odontologia Cirurgia bucal Procedimentos cirúrgicos |
topic |
Odontologia Cirurgia bucal Procedimentos cirúrgicos BUCOMAXILOFACIAL |
dc.subject.cnpq.fl_str_mv |
BUCOMAXILOFACIAL |
description |
The genioplasty are surgical procedure that aim to treat genial deformities. They carried trougth for main esthetic objectives, but we should hipothetized that they can improve labial posture e labial relationship that accompanies some dentofacial deformities. In sight of this, the osteotomy of the inferior border of mandible, the technique used in this paper is one that presents great versatility, much used for correction of three-dimensional deformities of the menton, due the possible angular variation of the ostetomy. The accomplishment for intraoral boarding minimized risks of bigger resorptions for the lesser displacement of soft tissues and consenquently, maintenance of the sanguineous supplement, with more aesthetic results. The effect of landslide of the inferior edge provides harmony for the movements of the menton. Diferent methods had been describe to fix the genial segments since wire osteosynthesis, plates and screws, positional screws, Kirschner wires, plates and screws resorbable. In the present paper we test two methods of stabilization of the advanced genial segment: wire fixation and positional screws and analyze radiographycally the remodeling process postoperative. A retrospective study was done with two groups of twenty patients ( 10 stabilized by means of wire fixation and 10 by positional screws) that done genioplasty procedure combined with other orthognatic procedure by means of sequential study of preoperative, immediate postoperative and long-term cephalograms(>6 months). The method of analysis was done by means of a tracing on the cephalograms and vertical and horizontal position of the genial segment was analyzed beside the osseous postoperative remodeling pattern. These results was submitted to statistical analysis to achieve a reliable method. There was no diference in stability between the two groups tested and the remodelation was equal in both groups. We can conclude that genioplasty is hight predictitable and stable procedure independent of fixation methods besides the remodeling pattern didn’t differ with kind of fixation of genial segments. |
publishDate |
2010 |
dc.date.issued.fl_str_mv |
2010-01-27 |
dc.date.accessioned.fl_str_mv |
2016-09-27T21:32:19Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/masterThesis |
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dc.identifier.citation.fl_str_mv |
Rocha, Frederico Coimbra da. Análise comparativa da estabilidade esquelética entre as fixações com parafuso posicional e fios de aço nos avanços de mento. 2010. 61 f. Dissertação( Programa de Pós-Graduação em Odontologia) - Universidade do Grande Rio, Duque de Caxias. |
dc.identifier.uri.fl_str_mv |
http://localhost:8080/tede/handle/tede/66 |
identifier_str_mv |
Rocha, Frederico Coimbra da. Análise comparativa da estabilidade esquelética entre as fixações com parafuso posicional e fios de aço nos avanços de mento. 2010. 61 f. Dissertação( Programa de Pós-Graduação em Odontologia) - Universidade do Grande Rio, Duque de Caxias. |
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Universidade do Grande Rio |
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