Influência do tratamento ortodôntico no ganho da crista óssea e da estética em pacientes com periodonto reduzido

Detalhes bibliográficos
Autor(a) principal: Fazza, Tatiana Ramos Coutinho
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/33
Resumo: The objective of this study was to evaluate the effect of orthodontic treatment in the bone crest level and in the interdental papillae in patients with reduced periodontium. We performed measurements of plaque index and gingival index, assessment of presence or absence of interdental papilla, classification of interdental papilla loss and measurement of the distance from crest bone to the point of contact. The patients answered a questionnaire anamnesis about dental and medical history and all previous documentation was made orthodontic. Were made the mounts of apparatus fixed Roth slot 0.22’’ with wire of Ni-Ti 0.12’’, 0.0.14’’ and 0.16’’, using simple collage tubes in molars. The technique used was Straight Wire. For standardize the initial and final periapical radiographs was used a positioner with a condensation silicone, which was handled according to the manufacturer's recommendations, to obtain a true copy of each tooth, so we could maintain the same angle in both radiographs. To obtain bone measurements of the apex and the bone crest start and end, we used a ruler, on periapical radiographs. Were evaluated for bone crest only the teeth of the upper lip of the battery. Mesial and distal measurements were obtained by a single observer calibrated (Kappa = 0.50). The age range was between 27 and 53 years (mean 40.27 ± 8.15 years). By using the parametric test Student's t test for the significance of the radiographic measurements, we found that in only four pairs there was no statistically significant difference: pair "5" (RI = 11.40 ± 3.86 and RF = 12, 00 ± 3.09, a difference of 0.60 and p = 0.081); pair "6" (RI = 12.20 ± 3.08 and RF = 12.90 ± 2.69, a difference of 0.70 and p = 0.066); pair "9" (RI = 11.63 ± 2.33 and RF = 11.75 ± 2.43, a difference of 0.13 and p = 0.731) and; pair "10" (RI = 12.25 RF = ± 2.82 and 12.38 ± 2.50, a difference of 0.13 and p = 0.801). We evaluated only the taste of the battery top and bottom lip, except for those patients who did not have the lower teeth treated orthodontically, due to the use of removable partial denture. It was verified by non- parametric Wilcoxon test, which showed a statistically significant (p = 0.02) only in the pair "2" (12M-11D), with mean and standard deviation of 1.80 ± 0.79 (before) and 2.60 ± 0.52 (after) with a difference of -0.80. It can be concluded that orthodontic treatment in patients with reduced periodontium was effective at the level of bone crest. However, regarding the classification of the papillae, although it has not made major changes, it was concluded that the patients had clinical benefit compared to the aesthetic orthodontic treatment.
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spelling Silva, Denise GomesTinoco, Eduardo Muniz BarretoFalabella, Márcio Eduardo VieiraCoimbra, Maria Elisa RodriguesRibeiro, Magali Silveira MonteiroFazza, Tatiana Ramos Coutinho2016-06-14T20:45:22Z2010-12-08Fazza, Tatiana Ramos Coutinho. Influência do tratamento ortodôntico no ganho da crista óssea e da estética em pacientes com periodonto reduzido. 2010. 90 f. Dissertação( Programa de Pós-Graduação em Odontologia) - Universidade do Grande Rio, Duque de Caxias.http://localhost:8080/tede/handle/tede/33The objective of this study was to evaluate the effect of orthodontic treatment in the bone crest level and in the interdental papillae in patients with reduced periodontium. We performed measurements of plaque index and gingival index, assessment of presence or absence of interdental papilla, classification of interdental papilla loss and measurement of the distance from crest bone to the point of contact. The patients answered a questionnaire anamnesis about dental and medical history and all previous documentation was made orthodontic. Were made the mounts of apparatus fixed Roth slot 0.22’’ with wire of Ni-Ti 0.12’’, 0.0.14’’ and 0.16’’, using simple collage tubes in molars. The technique used was Straight Wire. For standardize the initial and final periapical radiographs was used a positioner with a condensation silicone, which was handled according to the manufacturer's recommendations, to obtain a true copy of each tooth, so we could maintain the same angle in both radiographs. To obtain bone measurements of the apex and the bone crest start and end, we used a ruler, on periapical radiographs. Were evaluated for bone crest only the teeth of the upper lip of the battery. Mesial and distal measurements were obtained by a single observer calibrated (Kappa = 0.50). The age range was between 27 and 53 years (mean 40.27 ± 8.15 years). By using the parametric test Student's t test for the significance of the radiographic measurements, we found that in only four pairs there was no statistically significant difference: pair "5" (RI = 11.40 ± 3.86 and RF = 12, 00 ± 3.09, a difference of 0.60 and p = 0.081); pair "6" (RI = 12.20 ± 3.08 and RF = 12.90 ± 2.69, a difference of 0.70 and p = 0.066); pair "9" (RI = 11.63 ± 2.33 and RF = 11.75 ± 2.43, a difference of 0.13 and p = 0.731) and; pair "10" (RI = 12.25 RF = ± 2.82 and 12.38 ± 2.50, a difference of 0.13 and p = 0.801). We evaluated only the taste of the battery top and bottom lip, except for those patients who did not have the lower teeth treated orthodontically, due to the use of removable partial denture. It was verified by non- parametric Wilcoxon test, which showed a statistically significant (p = 0.02) only in the pair "2" (12M-11D), with mean and standard deviation of 1.80 ± 0.79 (before) and 2.60 ± 0.52 (after) with a difference of -0.80. It can be concluded that orthodontic treatment in patients with reduced periodontium was effective at the level of bone crest. However, regarding the classification of the papillae, although it has not made major changes, it was concluded that the patients had clinical benefit compared to the aesthetic orthodontic treatment.O objetivo desse estudo foi avaliar o efeito do tratamento ortodôntico no nível da crista óssea e nas papilas interdentais em pacientes com periodonto reduzido. Foram realizadas as mensurações de índice de placa e índice gengival, avaliação de presença ou ausência de papila interdental, classificação da perda de papila interdental e medição da distância da crista óssea até o ponto de contato. Os pacientes responderam a um questionário anamnético sobre história médica e odontológica pregressa e em todos foi feita documentação ortodôntica. Foram feitas as montagens dos aparelhos fixos Roth slot 0.22” com fio de Ni-Ti 0.12”, 0.14” e 0.16”, utilizando tubos de colagem simples nos molares. A técnica utilizada foi Straight Wire. Para padronização das radiografias periapicais iniciais e finais foi utilizado um posicionador, com uma silicona de condensação, que foi manipulada de acordo com as recomendações do fabricante, para obtenção de uma cópia fiel de cada elemento dentário, para que fosse possível manter a mesma angulação em ambas tomadas radiográficas. Para a obtenção das medidas ósseas do ápice radicular à crista óssea inicial e final, utilizou-se uma régua milimetrada, sobre as radiografias periapicais. Foram avaliados quanto à crista óssea somente os dentes da bateria labial superior. As medidas mesiais e distais foram obtidas por um único observador devidamente calibrado (Kappa = 0,50). A faixa etária ficou compreendida entre 27 e 53 anos (média de 40,27 ± 8,15 anos). Ao usar o teste paramétrico de t de Student para testar a significância das medidas radiográficas, observou-se que em apenas quatro pares não houve diferença estatisticamente significante: par "5" (RI = 11,40 ± 3,86 e RF = 12,00 ± 3,09, com diferença de 0,60 e p= 0,081); par “6” (RI =12,20 ± 3,08 e RF = 12,90 ± 2,69, com diferença de 0,70 e p = 0,066); par “9” (RI =11,63 ± 2,33 e RF = 11,75 ± 2,43, com diferença de 0,13 e p = 0,731) e; par “10” (RI = 12,25 ± 2,82 e RF = 12,38 ± 2,50, com diferença de 0,13 e p = 0,801). Foram avaliadas somente as papilas da bateria labial superior e inferior, ressalvados os pacientes que não tiveram a arcada inferior tratada ortodonticamente, devido ao uso de prótese parcial removível.Foi possível verificar pela prova não paramétrica de Wilcoxon que houve diferença estatisticamente significante (p = 0,02) apenas no par “2” (12M-11D), com média e desvio-padrão de 1,80 ± 0,79 (antes) e 2,60 ± 0,52 (depois) com uma diferença de -0,80. Pode-se concluir que o tratamento ortodôntico nos pacientes com periodonto reduzido foi eficaz no nível da crista óssea. No entanto, em relação à classificação das papilas, apesar de não ter apresentado grandes alterações, foi possível constatar clinicamente que os pacientes tiveram benefício estético frente ao tratamento ortodôntico.Submitted by Patricia Vieira Silva (patricia.silva@unigranrio.com.br) on 2016-06-14T20:45:22Z No. of bitstreams: 1 Tatiana Ramos Coutinho Fazza.pdf: 1582441 bytes, checksum: f30bc06caff0947391b79c885e458334 (MD5)Made available in DSpace on 2016-06-14T20:45:22Z (GMT). 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dc.title.por.fl_str_mv Influência do tratamento ortodôntico no ganho da crista óssea e da estética em pacientes com periodonto reduzido
title Influência do tratamento ortodôntico no ganho da crista óssea e da estética em pacientes com periodonto reduzido
spellingShingle Influência do tratamento ortodôntico no ganho da crista óssea e da estética em pacientes com periodonto reduzido
Fazza, Tatiana Ramos Coutinho
Odontologia
Periodontia
Doenças periodontais
Perda óssea alveolar
Ortodontia
ODONTOLOGIA::PERIODONTIA
title_short Influência do tratamento ortodôntico no ganho da crista óssea e da estética em pacientes com periodonto reduzido
title_full Influência do tratamento ortodôntico no ganho da crista óssea e da estética em pacientes com periodonto reduzido
title_fullStr Influência do tratamento ortodôntico no ganho da crista óssea e da estética em pacientes com periodonto reduzido
title_full_unstemmed Influência do tratamento ortodôntico no ganho da crista óssea e da estética em pacientes com periodonto reduzido
title_sort Influência do tratamento ortodôntico no ganho da crista óssea e da estética em pacientes com periodonto reduzido
author Fazza, Tatiana Ramos Coutinho
author_facet Fazza, Tatiana Ramos Coutinho
author_role author
dc.contributor.advisor1.fl_str_mv Silva, Denise Gomes
dc.contributor.advisor-co1.fl_str_mv Tinoco, Eduardo Muniz Barreto
dc.contributor.referee1.fl_str_mv Falabella, Márcio Eduardo Vieira
dc.contributor.referee2.fl_str_mv Coimbra, Maria Elisa Rodrigues
dc.contributor.referee3.fl_str_mv Ribeiro, Magali Silveira Monteiro
dc.contributor.author.fl_str_mv Fazza, Tatiana Ramos Coutinho
contributor_str_mv Silva, Denise Gomes
Tinoco, Eduardo Muniz Barreto
Falabella, Márcio Eduardo Vieira
Coimbra, Maria Elisa Rodrigues
Ribeiro, Magali Silveira Monteiro
dc.subject.por.fl_str_mv Odontologia
Periodontia
Doenças periodontais
Perda óssea alveolar
Ortodontia
topic Odontologia
Periodontia
Doenças periodontais
Perda óssea alveolar
Ortodontia
ODONTOLOGIA::PERIODONTIA
dc.subject.cnpq.fl_str_mv ODONTOLOGIA::PERIODONTIA
description The objective of this study was to evaluate the effect of orthodontic treatment in the bone crest level and in the interdental papillae in patients with reduced periodontium. We performed measurements of plaque index and gingival index, assessment of presence or absence of interdental papilla, classification of interdental papilla loss and measurement of the distance from crest bone to the point of contact. The patients answered a questionnaire anamnesis about dental and medical history and all previous documentation was made orthodontic. Were made the mounts of apparatus fixed Roth slot 0.22’’ with wire of Ni-Ti 0.12’’, 0.0.14’’ and 0.16’’, using simple collage tubes in molars. The technique used was Straight Wire. For standardize the initial and final periapical radiographs was used a positioner with a condensation silicone, which was handled according to the manufacturer's recommendations, to obtain a true copy of each tooth, so we could maintain the same angle in both radiographs. To obtain bone measurements of the apex and the bone crest start and end, we used a ruler, on periapical radiographs. Were evaluated for bone crest only the teeth of the upper lip of the battery. Mesial and distal measurements were obtained by a single observer calibrated (Kappa = 0.50). The age range was between 27 and 53 years (mean 40.27 ± 8.15 years). By using the parametric test Student's t test for the significance of the radiographic measurements, we found that in only four pairs there was no statistically significant difference: pair "5" (RI = 11.40 ± 3.86 and RF = 12, 00 ± 3.09, a difference of 0.60 and p = 0.081); pair "6" (RI = 12.20 ± 3.08 and RF = 12.90 ± 2.69, a difference of 0.70 and p = 0.066); pair "9" (RI = 11.63 ± 2.33 and RF = 11.75 ± 2.43, a difference of 0.13 and p = 0.731) and; pair "10" (RI = 12.25 RF = ± 2.82 and 12.38 ± 2.50, a difference of 0.13 and p = 0.801). We evaluated only the taste of the battery top and bottom lip, except for those patients who did not have the lower teeth treated orthodontically, due to the use of removable partial denture. It was verified by non- parametric Wilcoxon test, which showed a statistically significant (p = 0.02) only in the pair "2" (12M-11D), with mean and standard deviation of 1.80 ± 0.79 (before) and 2.60 ± 0.52 (after) with a difference of -0.80. It can be concluded that orthodontic treatment in patients with reduced periodontium was effective at the level of bone crest. However, regarding the classification of the papillae, although it has not made major changes, it was concluded that the patients had clinical benefit compared to the aesthetic orthodontic treatment.
publishDate 2010
dc.date.issued.fl_str_mv 2010-12-08
dc.date.accessioned.fl_str_mv 2016-06-14T20:45:22Z
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dc.identifier.citation.fl_str_mv Fazza, Tatiana Ramos Coutinho. Influência do tratamento ortodôntico no ganho da crista óssea e da estética em pacientes com periodonto reduzido. 2010. 90 f. Dissertação( Programa de Pós-Graduação em Odontologia) - Universidade do Grande Rio, Duque de Caxias.
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identifier_str_mv Fazza, Tatiana Ramos Coutinho. Influência do tratamento ortodôntico no ganho da crista óssea e da estética em pacientes com periodonto reduzido. 2010. 90 f. Dissertação( Programa de Pós-Graduação em Odontologia) - Universidade do Grande Rio, Duque de Caxias.
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dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv Unigranrio::Odontologia
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