Thesis (M.S.)--University of Michigan, 1995. / Includes bibliographical references.

Thesis (M.S.)--University of Michigan, 1976.

Thesis (M.S.)--University of Michigan, 1987.

Thesis (M.S.)--University of Michigan, 1960.

Thesis (M.S.)--University of Michigan, 1987.

Thesis (M.S.)--University of Michigan, 1976.

A public orthodontic system generally is designed to prioritize patients so that those who have the greatest need receive treatment. The aim of this study was to compare the subjective perceptions of the occlusal appearance of 11 to 12 year-old schoolchildren of Nairobi with the modified Aesthetic Component (AC) scale of the Index of Orthodontic Treatment Need (IOTN). The objectives were to assess the children&rsquo / s perception of their occlusal appearance, categorise the occlusal appearance using the AC scale, by both the children and researcher / and to compare the children&rsquo / s&rsquo / perception and the AC of the IOTN.

Epidemiological studies on malocclusion have been primarily concerned with its aetiology and distribution. However, due to the varied and often subjective methods of assessment, many of these studies provide conflicting data related to malocclusions (Solow, 1970). To address this, the F&eacute / d&eacute / ration Dentaire Internationale (FDI) in close collaboration with the World Health Organisation (WHO) developed an objective method for measuring occlusal traits (Baume et al., 1973). This method was used to obtain the epidemiological data on occlusal traits for 14-year-old children Kampala in order to provide baseline data related to malocclusion. A total of 402 subjects were examined. Of these 65% were female and 35% were male. Thirty percent of the sample had at least one dental anomaly. The most commonly extracted teeth were mandibular first molars (43.6%) and maxillary canines (17.3%). The high frequency of extracted permanent canines in this sample is unique. By and large, many of the occlusal traits related to the canine are attributable to the practice of ebinyo, a form of dental mutilation, which still seem to be rife in many communities in Uganda. Similar to other studies (Massler and Frankel, 1951 / de Muňiz, 1986 / Ferguson, 1988 / Kaka, 1993), mandibular first molars were five times more likely to be missing than maxillary first molars while the ratio of missing maxillary to mandibular canines was found to be 2.5:1. Crowding was most frequently observed in the mandibular incisal segment while spacing was mostly in the maxillary incisal region, thus supporting the view of Brunelle et al., (1996) that although prevalence may vary from study to study, more people have malaligned mandibular incisors than maxillary incisors concurs with these studies. Of the subjects studied, 6.8% had a diastema of 3mm and more. Regarding space measurements, 17.9% of the sample population had at least one segment with crowding, 18.2% had at least one segment with spacing while 33.6% had some degree of incisor malalignment and 54.2% of the sample population had some form of space anomaly. About 70% of the subjects had symmetric molar relationships of which 54.2% were Class I, 9.2% Class II and 3.2% Class III similar to the universal distributional pattern. Crossbites were not a major finding, and were present in only 7% of the sample. The distribution of overjet was relatively symmetrical on the left and right. Negative overjet (anterior open bite) was a rare occurrence in an average of 2.4% of the population. In 77.6% of the population, the overjet ranged from 1 to 4mm, and in 22.4%, the overjet was either edge-to-edge, reverse or 5mm and over. About 7.3% had an overjet of 5-6mm while only 2.1% had an overjet greater than 6mm. Approximately 53.7% of the population had an overbite of 1-3mm. Edge-to-edge and open bite incisor relationships were found in less than 10% of the sample. Although ideal occlusion as described by Angle (1907) in the Ugandan sample is very rare, using the data derived from this study, normal occlusion as defined by statistical distribution can be described.

O objetivo desse trabalho foi avaliar cefalométrica e clinicamente a estabilidade em longo prazo do tratamento da mordida aberta anterior por meio do ajuste oclusal, bem como a sensibilidade dentinária causada por esse procedimento em longo prazo. A amostra consistiu de 17 pacientes dentre mais de 4000 pacientes tratados nos cursos de Pós-Graduação (Latu e Strictu sensu) da Disciplina de Ortodontia da Faculdade de Odontologia de Bauru - USP, com mordida aberta anterior e que haviam sido previamente tratados ortodonticamente e apresentaram recidiva do trespasse vertical negativo (em média de -1,06mm) e foram retratados com a técnica do ajuste oclusal. As alterações cefalométricas foram avaliadas em telerradiografias em norma lateral, obtidas de cada um dos pacientes antes e logo após a realização do procedimento de ajuste oclusal, e em longo prazo (média de 3,4 anos após o ajuste). Concomitantemente, foi realizada uma avaliação da sensibilidade dentinária em longo prazo (3,4 anos pós-ajuste), que foi comparada com a sensibilidade encontrada nos pacientes antes, 1,35 e 4,61 meses após a realização do ajuste oclusal. Os resultados demonstraram que algumas das alterações conseguidas com a realização do ajuste oclusal, como a diminuição da altura facial ântero-inferior (AFAI) e da altura posterior molar (APM) e o aumento do trespasse vertical apresentaram uma recidiva significante em longo prazo. Apesar disso, a maioria das alterações obtidas com o tratamento permaneceu estável em longo prazo. Os pacientes com menos de 21 anos apresentaram o mesmo comportamento em longo prazo que a amostra total. Porém, os pacientes com 21 anos ou mais apresentaram estabilidade do trespasse vertical, apesar de apresentarem também uma recidiva da AFAI e da APM em longo prazo. Houve correlação da recidiva da mordida aberta anterior com a recidiva da AFAI e com a retrusão do lábio inferior em longo prazo. Houve diferença significante da sensibilidade à mastigação, calor, frio e percussão entre as fases antes e 1,35 meses após o ajuste, porém 4,61 meses depois, a sensibilidade já havia retornado aos níveis normais prévios ao desgaste, e isto se manteve em longo prazo. Apesar da recidiva estatisticamente significante da mordida aberta anterior observada, houve estabilidade \"clinicamente significante\" em 66,7% dos casos . / The objective of this study was to evaluate the cephalometric and clinical longterm stability of anterior open bite treatment with occlusal adjustment, as well as the dentinal sensitivity caused by this procedure in the long-term. The sample consisted of 17 patients among more than 4,000 treated in Graduating Program (Latu and Strictu sensu) of the Orthodontics Discipline at Bauru Dental School - USP, with open bite and who were previously treated and that presented a relapse of the negative vertical overbite (mean of -1.06mm) and were retreated with occlusal adjustment technique. The cephalometric changes were evaluated in lateral headfilms obtained from each patient before and after the occlusal adjustment procedure, and in the long-term (mean of 3,4 years after occlusal adjustment). Concurrently, dentinal sensitivity was also evaluated before, after 1.35 and 4.61 months of the occlusal adjustment and in the long-term (3,4 years after adjustment). Results demonstrated that some of the alterations obtained with the occlusal adjustment, such as the decrease of lower anterior face height (LAFH) and posterior molar height (PMH) and the increase of the overbite, presented a significant relapse in the long-term. However, most of the changes obtained with treatment remained stable in the long-term. Patients younger than 21 years-old showed the same long-term behaviour than the whole sample. Therefore, patients aging 21 years or older presented stability of the overbite, despite they also presented a relapse of LAFH and PMH in the long-term. There was correlation of open bite relapse with the LAFH relapse and with the retrusion of the lower lip in the long-term. There was significant difference of dentinal sensitivity to mastication, heat, cold and percussion among the stages before and 1,35 months after occlusal adjustment, but 4,61 months after, sensitivity returned to normal levels exhibited previous to adjustment, and this remained stable in the long-term. In spite of the statistically significant relapse of anterior open bite.

Inúmeros tratamentos ortodônticos não são finalizados de maneira satisfatória gerando deslizes maxilo-mandibulares, ou seja, uma relação cêntrica (RC) diferente da máxima intercuspidação habitual (MIH), o que pode gerar desestabilização do conjunto côndilo/disco articular, alterações mio-funcionais e disfunções temporomandibulares. O objetivo deste trabalho foi verificar a atividade eletromiográfica em 18 indivíduos de ambos os sexos submetidos a tratamento ortodôntico corretivo com a Mecânica de Edgewise, comparando um grupo controle constituído por 09 indivíduos, que ao término do tratamento ortodôntico, apresentaram uma máxima intercuspidação habitual (MIH) igual a relação cêntrica (RC), com 09 indivíduos que ao término do tratamento ortodôntico apresentaram a máxima intercuspidação habitual diferente da relação cêntrica e avaliá-los novamente após o ajuste oclusal. As análises eletromiográficas foram realizadas por meio de movimentos mastigatórios e manutenção de posições posturais, antes (A) e após (P) a terapia do ajuste oclusal. Foram utilizados cinco canais do Eletromiógrafo K6-I EMG de oito canais. Foi realizada análise estatística (ANOVA) para a avaliação entre as situações antes e após a terapia adotada. Notou-se que houve uma tendência para o aumento da atividade eletromiográfica no repouso, na relação cêntrica e na mastigação e uma diminuição da atividade na lateralidade e protrusão nos indivíduos submetidos à terapia de ajuste oclusal para p<0,05. Conclui-se que a terapia de ajuste oclusal por desgaste seletivo promove alterações na ativação da musculatura mastigatória. / Dentistry practice shows that innumerous orthodontic treatments are not finished in a satisfactory way, thus causing maxillomandibular glides/slides, i.e. a centric relation (CR) different from the maximal habitual intercuspation (MHI), which in turn, may cause an unbalance of the condyle/articular disk set / condyle/articular disk complex, and myofunctional changes and temporomandibular joint dysfunctions. This study aimed to assess the electromyographic activity in 18 individuals, both gender, submitted to an Edgewise orthodontic treatment, comparing 09 individuals who ended their orthodontic treatment. They presented mandibular glides/slide and a MHI different from the CR, and were submitted to occlusal adjustment due to selective wear with 09 control individuals. The electromyographic analyses were performed during chewing movements and while maintaining postural positions, before and after the occlusal adjustment therapy. An eight-channel electromyographer was used: K6-I EMG Light Channel Surface Electromyography (Myo-tronics Co. Seattle, WA, EUA). ANOVA was performed for the comparison between the situations before and after therapy. It was observed that, after occlusal adjustment, there was a tendency for an increase electromyographic activity in the rest, centric relation and mastication and a reduction of electromyographic activity during laterality and protrusion for p<0.05. Therefore, we conclude that the occlusal adjustment therapy, promotes modifications in the activity of the masticatory muscles.