Thesis (M.S.)--University of Southern California, 1999. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.

Thesis (M.S. in oral sciences)--University of Illinois at Chicago, 1996. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.

Thesis (M.S.)--University of Southern California, 1999. / Includes bibliographical references.

Objective: The aim of this study was to evaluate the dentoalveolar effects of rapid maxillary expansion in children with unilateral complete cleft lip and palate in comparison with non-cleft patients. Methods: The experimental group (EG) was composed of 25 patients with unilateral and complete cleft lip and palate (9 males and 15 females) with a mean age of 10.6 years. The control group (CG) comprised of 27 patients without cleft lip and palate (14 males and 13 females) with a mean age of 9.1 years. Dental models of the maxillary dental arch were obtained immediately preexpansion (T1) and 6 months post-expansion (T2) at the time of appliance removal. Digital dental models were obtained using the 3Shape R700 3D laser scanner (3Shape A/S, Copenhagen, Denmark). Transversal widths, arch perimeter, arch length, palatal depth, palatal volume, canine and posterior tooth inclination were digitally measured. Paired t-test was used to perform interphase comparisons and independent t-test to perform intergroup comparisons (p<0.05). Results: In the experimental group, the expansion produced a ignificant increase of all maxillary transverse measurements, palatal volume, arch perimeter and palatal depth while decreased the arch length. RME caused a buccal tip of posterior teeth in patients with UCLP. No differences were observed between experimental and control groups for all the measurements performed except for the intermolar distance (6-6), which showed a greater increase in patients with cleft. Conclusion: Rapid maxillary expansion showed similar dentoalveolar effects in children with UCLP and without oral clefts. / Objective: The aim of this study was to evaluate the dentoalveolar effects of rapid maxillary expansion in children with unilateral complete cleft lip and palate in comparison with non-cleft patients. Methods: The experimental group (EG) was composed of 25 patients with unilateral and complete cleft lip and palate (9 males and 15 females) with a mean age of 10.6 years. The control group (CG) comprised of 27 patients without cleft lip and palate (14 males and 13 females) with a mean age of 9.1 years. Dental models of the maxillary dental arch were obtained immediately preexpansion (T1) and 6 months post-expansion (T2) at the time of appliance removal. Digital dental models were obtained using the 3Shape R700 3D laser scanner (3Shape A/S, Copenhagen, Denmark). Transversal widths, arch perimeter, arch length, palatal depth, palatal volume, canine and posterior tooth inclination were digitally measured. Paired t-test was used to perform interphase comparisons and independent t-test to perform intergroup comparisons (p<0.05). Results: In the experimental group, the expansion produced a ignificant increase of all maxillary transverse measurements, palatal volume, arch perimeter and palatal depth while decreased the arch length. RME caused a buccal tip of posterior teeth in patients with UCLP. No differences were observed between experimental and control groups for all the measurements performed except for the intermolar distance (6-6), which showed a greater increase in patients with cleft. Conclusion: Rapid maxillary expansion showed similar dentoalveolar effects in children with UCLP and without oral clefts.

A Fissura Labiopalatina é uma doença multifatorial que tem interferência sobre a qualidade da alimentação da criança, visto que na maioria das vezes os pacientes têm dificuldades de mastigação e deglutição. O zinco está envolvido em diversos processos fisiológicos, tem importante relação com mecanismos antioxidantes, imunitários, replicação celular e de transcrição protéica. De acordo com a Organização Mundial de Saúde, o zinco é o micronutriente mais importante para o desenvolvimento corporal e cognitivo da criança. Considerando a interferência da Fissura Labiopalatina sobre a qualidade da alimentação, e a importância do zinco para o desenvolvimento da criança, este estudo se propôs a avaliar o estado nutricional relativo ao zinco de crianças de 6 a 10 anos com Fissura Labiopalatina atendidas no Centro de Atendimento Integrado ao Fissurado Labiopalatino de Curitiba - PR. Foram dosadas as concentrações de zinco plasmático, eritrocitário e urinário. A quantidade de zinco dietético foi avaliada por meio dos métodos de recordatório de 24h e três registros alimentares. Foram avaliados peso e estatura, como dados antropométricos, e comparados ao escore Z. O estudo foi do tipo casocontrole. A concentração média de zinco plasmático, eritrocitário e urinário no grupo caso foi de 83,4&#181;gZn/dL, 32,6&#181;gZn/gHb e 141,4&#181;gZn/24h, respectivamente. A concentração média de zinco plasmático, eritrocitário e urinário do grupo controle foi de 100,2&#181;gZn/dL, 34,7&#181;gZn/gHb e 373,4&#181;gZn/24h, respectivamente. Considerando os parâmetros analisados observou-se deficiência de zinco em ambos os grupos, principalmente considerando as concentrações de zinco no eritrócito e a excreção urinária para o grupo caso. No grupo controle as crianças estavam deficientes para zinco plasmático e eritrocitário 8% e 84% respectivamente. No grupo caso as crianças estavam deficientes para zinco plasmático, eritrocitário e urinário em 15%, 92% e 100%. Assim, pode-se concluir que as crianças com fissura labiopalatina estão mais sujeitas às deficiências nutricionais como o caso do zinco assim demonstrado neste estudo. / Lip and palate cleft are a multifactorial disease that has interference on the quality of children\'s nutrition, as most of the time patients have difficulty chewing and swallowing. Zinc is involved in several physiological processes, has an important relationship to antioxidant mechanisms, immune, cellular replication and transcription protein. According to World Health Organization, zinc is the most important micronutrient for body growth and cognitive development. Considering the interference of Cleft on the quality of food, and the importance of zinc for the child\'s development, this study was to assess the nutritional status of zinc in children aged 6 to 10 years treated at the Lip and Palate Cleft Integrated Center of Curitiba - PR. Were measured concentrations of plasma zinc, erythrocyte and urine. The amount of dietary zinc was assessed using the methods of three 24-hour recall and feeding records. Weight and height were evaluated as anthropometric data, and compared to the Z score. The study was a case-control study. The average concentration of plasma zinc, erythrocyte and urine in the case group was 83.4 &#181;gZn/dL, 32.6 &#181;gZn/gHb and 141,4 &#181;gZn/24h, respectively. The average concentration of plasma zinc, erythrocyte and urinary control group was 100.2 &#181;gZn/dL, 34.7 &#181;gZn/gHb and 373,4 &#181;gZn/24h respectively. Considering the parameters evaluated, we observed zinc deficiency in both groups, especially considering the zinc concentrations in erythrocytes and the urinary excretion for the group case. In the control group were zinc deficient plasma and erythrocyte 8% and 84%. In the case group were zinc deficient plasma, erythrocyte and urinary 15%, 92% and 100%. In conclusion, children aged 6 to 10 years are under risk of zinc deficiency. Whereas, children with lip and palate cleft are under higher risk of zinc deficiency comparing to control group.

Objetivo: Descrever e analisar o processo de enfrentamento vivido por pais de indivíduos com fissura labiopalatina, nos seguintes períodos do desenvolvimento humano: por ocasião do nascimento, no início da educação formal e na adolescência. Modelo: estudo prospectivo que descreveu e comparou três grupos de pais de pacientes com fissura transforame em diferentes etapas do desenvolvimento. Local: Hospital de Reabilitação de Anomalias Craniofaciais – USP/Bauru. Participantes: 150 pais de pacientes com fissura transforame inciso divididos em três grupos: G1- 50 pais de pacientes com fissura transforame incisivo não operada na faixa etária de zero a dois anos; G2- 50 pais de pacientes com fissura transforame incisivo, na faixa etária de seis a oito anos; G3- 50 pais de pacientes com fissura transforame incisivo, na faixa etária de 12 à 15 anos. Intervenções: Protocolo de entrevista, abordando questões sobre a identificação dos participantes, os sentimentos experienciados, as atitudes de enfrentamento, redes de apoio utilizadas e a influência da presença do filho na família, nas relações conjugais e nos irmãos. Variáveis: Diferentes fases do desenvolvimento: ocasião do nascimento, período escolar e adolescência. Resultados/Conclusões: Os resultados obtidos nesse estudo mostram que há poucas diferenças nas formas de enfrentamento utilizadas por pais de crianças com fissuras transforame nos diferentes períodos de desenvolvimento estudados. Todavia, observou-se que o Grupo 1 está mais suscetível ao momento que estão vivendo, uma vez que apresentam mais sentimentos negativos com relação à condição da sua criança do que os participantes dos demais grupos. Como conseqüência, apresentam estratégias de enfrentamento do tipo negativo e individual, com desdobramentos nos efeitos sobre os outros filhos não fissurados. Os dados obtidos sugerem o investimento de ações junto aos pais, no início da sua história com seu filho fissurado, de forma a possibilitar um relacionamento familiar sadio. / Objective: To describe and analyze the coping process experienced by parents of individuals with cleft lip and palate, at the following periods of human development: birth, onset of school education and adolescence. Model: Retrospective study to describe and compare three groups of parents of patients with complete cleft lip and palate at different stages of development. Setting: Hospital for Rehabilitation of Craniofacial Anomalies – USP/Bauru. Participants: 150 parents of patients with complete cleft lip and palate divided into three groups: G1 - 50 parents of patients with unoperated complete cleft lip and palate aged 0 to 2 years; G2 - 50 parents of patients with complete cleft lip and palate aged 6 to 8 years; G3- 50 parents of patients with complete cleft lip and palate aged 12 to 15 years. Interventions: Interview protocol addressing questions on identification of participants, feelings experienced, coping attitudes, supporting networks used and the influence of presence of the child on the family, marital relationships and siblings. Variables: Different stages of development: birth, school age and adolescence. Results/Conclusions: The results achieved in the present study revealed few differences in the coping means used by parents of children with complete cleft lip and palate at the different developmental periods investigated. However, Group 1 was more susceptible to the period in which they are living, since they presented more negative feelings as to the condition of their child compared to the other groups. Consequently, they present negative and individual coping strategies, with effects on other non-cleft children. The data obtained suggest that the establishment of actions with the parents, since the onset of their story with their cleft child, would allow a healthy family relationship.

No description available.

Thesis (Ph.D.) - University of Glasgow, 2005. / Includes articles from journals: International journal of paediatric dentistry, vol. 13, 2003, pp. 404-410 ; Cleft palate-craniofacial journal, vol. 41, no. 1, 2004 ; Cleft palate-craniofacial journal vol. 40, no. 5, 2003. Ph.D. thesis submitted to the Faculty of Medicine, University of Glasgow, 2005. Includes bibliographical references. Print version also available.

Thesis (M.S.)--University of Michigan, 1958.

Thesis--Copenhagen. / "Translated from the Danish by Elisabeth Aagesen." "Dansk résumé": p. 253-256. Bibliography: p. 257-266.