Orthodontic treatment in the adult is not new. Until lately, the challenges of treating the adult patient kept their numbers low. Over the last thirty years, however, there has been a steady increase in the prevalence of adults seeking orthodontic treatment. Many adults present with a mutilated dentition that often require a multidisciplinary approach for optimal treatment outcomes. Currently, guidelines for the evaluation of adult orthodontic treatment outcomes do not exist. The purpose of this study was to determine which factors are considered most important for the evaluation of the quality of adult orthodontic treatment outcome of patients with a mutilated dentition by practicing orthodontists, periodontists, and restorative dentists. In this study, orthodontists, periodontists, and restorative dentists examined the records of ten adult patients in the mutilated dentition who received orthodontic treatment at Temple University in the Department of Orthodontics. This study was approached from both a quantitative and qualitative perspective. Two surveys were used to collect the data. One survey used a visual analogue scale to measure the overall result, occlusion, buccal bone height, periodontal health, restorability, case difficulty, and the amount of influence of the American Board of Orthodontics (ABO) standards when judging the cases. A second survey was used to determine if the examiner was ABO certified and asked a series of open-ended questions related to orthodontic treatment outcome. Based on the data collected, the following conclusions were drawn: 1. Orthodontists, periodontists, and restorative dentists are consistent in their rating of orthodontic treatment outcome. 2. Periodontists and restorative dentists rate overall case finish and posttreatment occlusion higher than orthodontists. 3. When evaluating case finish, orthodontists tend to blend what is optimal as described by the guidelines of the American Board of Orthodontics with what is reasonably achievable for the patient. 4. Orthodontists, periodontists, and restorative dentists rate the following five factors to be most important when evaluating orthodontic treatment outcome: esthetics, occlusion, restorability, periodontal health, and stability. 5. Orthodontists, periodontists, and restorative dentists rate esthetics as the most important factor to use for evaluating orthodontic treatment outcome. The data suggest that adult patients with mutilated dentitions can pursue orthodontic treatment and achieve an excellent result. Teamwork among all dental specialists providing treatment is essential for multidisciplinary treatment. Treatment goals among all providers must be aligned to reach the ultimate treatment goals. / Oral Biology

Made available in DSpace on 2016-04-28T20:58:07Z (GMT). No. of bitstreams: 1 Magna Celi Mendes da Rocha.pdf: 517105 bytes, checksum: 43dc50e0eba17809207bc2cad621f530 (MD5) Previous issue date: 2009-12-07 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / This study aimed to understand the formation of the identity of the student mutilated by childhood cancer, with focus on process integration and reintegration school, based on the assumptions of inclusive education. The theoretical perspective that underlies the identity category, in this study was proposed by Antonio da Costa Ciampa that, in the context of Social Psychology, studies the identity as a synthesis of multiple determinations. Identity is understood as a metamorphosis, term that he uses to communicate the idea of continuous movement and transformation as constituents of this process. This is a qualitative research. The subjects of this research were eight survivors of childhood cancer, with apparent physical mutilation, who lived the process of integration or reintegration into regular school, after the end of treatment. Data were collected and organized in two distinct ways: mini-cases and case study. Of the eight subjects of research, we conducted interviews, focused on the process of integration or reintegration into school with seven of them, that we call mini-cases. With the other subject, considered emblematic we did a case study using the narrative of the life history, trying to understand the transformations of his identity in the process of school inclusion. The data show that the experiences of these subjects are varied, and in some cases it can be affirm that there was indeed school inclusion, others that were excluded, either stereotypical attitudes or prejudice, possibly by indifference. In the case of the subject considered as emblematic, it was observed that, in terms of schooling was not inclusion, but a process of integration, however, the subject not suffer exclusion, for him, the inclusion in sporting activities determined the process of overcoming their conditions, towards a metamorphosis emancipatory / A presente pesquisa teve por objetivo compreender a constituição da identidade do aluno mutilado pelo câncer infantil, com foco no processo de inserção e reinserção escolar, com base nos pressupostos da educação inclusiva. A perspectiva teórica que fundamenta a categoria Identidade, nesta pesquisa, foi elaborada por Antônio da Costa Ciampa que, no âmbito da Psicologia Social, estuda a Identidade como síntese de múltiplas determinações. A identidade é entendida como metamorfose, expressão que utiliza para dar a idéia de movimento e contínua transformação como constituintes desse processo. Trata-se de uma pesquisa qualitativa. Os sujeitos desta pesquisa foram oito sobreviventes do câncer infantil, com mutilação física aparente, que viveram seu processo de inserção ou reinserção escolar regular, após o término do tratamento. Os dados foram obtidos e organizados de dois modos distintos: mini-casos e estudo de caso. Dos oito sujeitos da pesquisa, fizemos entrevistas, focadas no processo de inserção ou reinserção escolar com sete deles, o que chamamos de mini-casos. Com o outro sujeito, considerado emblemático, fizemos um estudo de caso, utilizando a narrativa da história de vida, buscando compreender as transformações de sua identidade no processo de inclusão escolar. Os dados demonstram que as experiências desses sujeitos são variadas, havendo casos em que se pode afirmar que houve inclusão escolar de fato; outros em que houve exclusão, seja por atitudes estereotipadas ou de preconceito, seja pela indiferença. No caso do sujeito considerado como emblemático, percebeu-se que, do ponto de vista da escolarização não houve inclusão, mas um processo de integração; entretanto, o sujeito não sofreu exclusão; para ele, a inclusão em atividade esportiva foi o que determinou o processo de superação de suas condições, em direção à metamorfose emancipatória