An excessive curve of Spee (COS) is a common orthodontic finding, particularly in patients with a deep overbite (OB). The purpose of this analysis was to evaluate COS leveling and OB correction in patients treated with IncognitoTM, a customized lingual appliance system. Pre- and post-treatment cephalometric radiographs were compared for 34 patients with a deep OB and excessive COS treated with IncognitoTM. The mean pre- and post-treatment COS was 1.78 mm (SD: 0.36 mm) and 0.37 mm (SD: 0.41 mm) respectively, indicating a significant amount of leveling (-1.41 mm, SD: 0.49 mm, p<0.001). The mean pre- and post-treatment OB was 5.80 mm (SD: 1.26 mm) and 2.91 mm (SD: 0.86 mm) respectively, demonstrating a significant reduction in OB (-2.89 mm, SD 1.27 mm, p<0.001). COS and OB correction was accomplished by incisor proclination, and a greater (but not significantly different) amount of mandibular incisor intrusion versus premolar and molar extrusion.

OBJECTIVES: (1) Compare the relapse of corrected deep bites in three groups of patients separated by facial type (2) Determine the associations of various parameters influencing deep bite relapse. METHODS: 60 patients treated at the University of Washington were included, all with initial overbites >50%. Patients were grouped according to initial Y-axis, MPA, and LFH values. Data was collected from casts and cephalometric radiographs at three time points: pre-treatment, post-treatment, and ten years post-retention. RESULTS: Dolicocephalic subjects showed the least amount of deep bite relapse (0.1 ± 1.1 mm), while brachycephalic (1.2 ± 0.9 mm) and mesocephalic (1.4 ± 1.3 mm) subjects experienced significant relapse (p < 0.05). Intergroup comparisons revealed that the brachycephalic group had significantly more post-retention change in overbite, N-ANS, interincisal angle, and L1-MP than the dolicocephalic group (p<0.05). CONCLUSIONS: Orthodontists should consider overcorrection of overbite in brachycephalic and mesocephalic patients presenting with overbites >50%.

OBJECTIVES: (1) Compare the relapse of corrected deep bites in three groups of patients separated by facial type (2) Determine the associations of various parameters influencing deep bite relapse. METHODS: 60 patients treated at the University of Washington were included, all with initial overbites >50%. Patients were grouped according to initial Y-axis, MPA, and LFH values. Data was collected from casts and cephalometric radiographs at three time points: pre-treatment, post-treatment, and ten years post-retention. RESULTS: Dolicocephalic subjects showed the least amount of deep bite relapse (0.1 ± 1.1 mm), while brachycephalic (1.2 ± 0.9 mm) and mesocephalic (1.4 ± 1.3 mm) subjects experienced significant relapse (p < 0.05). Intergroup comparisons revealed that the brachycephalic group had significantly more post-retention change in overbite, N-ANS, interincisal angle, and L1-MP than the dolicocephalic group (p<0.05). CONCLUSIONS: Orthodontists should consider overcorrection of overbite in brachycephalic and mesocephalic patients presenting with overbites >50%.

An excessive curve of Spee (COS) is a common orthodontic finding, particularly in patients with a deep overbite (OB). The purpose of this analysis was to evaluate COS leveling and OB correction in patients treated with IncognitoTM, a customized lingual appliance system. Pre- and post-treatment cephalometric radiographs were compared for 34 patients with a deep OB and excessive COS treated with IncognitoTM. The mean pre- and post-treatment COS was 1.78 mm (SD: 0.36 mm) and 0.37 mm (SD: 0.41 mm) respectively, indicating a significant amount of leveling (-1.41 mm, SD: 0.49 mm, p<0.001). The mean pre- and post-treatment OB was 5.80 mm (SD: 1.26 mm) and 2.91 mm (SD: 0.86 mm) respectively, demonstrating a significant reduction in OB (-2.89 mm, SD 1.27 mm, p<0.001). COS and OB correction was accomplished by incisor proclination, and a greater (but not significantly different) amount of mandibular incisor intrusion versus premolar and molar extrusion.

Made available in DSpace on 2014-06-11T19:33:23Z (GMT). No. of bitstreams: 0 Previous issue date: 2001-05-28Bitstream added on 2014-06-13T19:44:10Z : No. of bitstreams: 1 terada_hh_dr_arafo.pdf: 1658352 bytes, checksum: 431bfc18fcfd164c8330b1a2453bcd71 (MD5) / Este estudo cefalométrico prospectivo foi desenvolvido com o propósito de descrever os resultados de uma das estratégias de correção da mordida profunda. Foram selecionados 19 indivíduos, com faixa etária entre 11 e 15 anos, apresentando más-oclusões de Classe II, Divisão 1, com mordida profunda de no mínimo 4 milímetros. Desses, 9 indivíduos serviram como grupo controle e os outros 10 foram tratados com a mecânica de intrusão da técnica de Ricketts (arco base). Foram colocados implantes metálicos de referência intra-mandibulares, para sobreposições de traçados, em todos os componentes da amostra. Telerradiografias cefalométricas, em norma lateral, para a avaliação do comportamento dos incisivos inferiores, e em 45 graus, para a avaliação dos primeiros pré-molares e primeiros molares inferiores, foram tomadas no início do tratamento e após o nivelamento da curva de Spee do arco inferior para o grupo experimental, e após aproximadamente 6 meses no grupo controle. Os resultados na região de incisivos inferiores indicaram que houve intrusão dos incisivos inferiores e também um deslocamento horizontal para lingual dos três pontos estudados (borda incisal, centro de resistência e ápice radicular). Não houve deslocamento vertical (extrusivo) nos primeiros pré-molares e nos primeiros molares causados pelo tratamento. Os primeiros pré-molares demonstraram uma inclinação para distal com o fulcro próximo ao ápice, apesar de nenhum acessório ter sido colocado nesses dentes. Na região de molares, houve uma inclinação distal da coroa e mesial de raiz, com o fulcro desse movimento próximo ao centro de resistência. / The purpose of this prospective study was to avaliate the results of treatment strategie for deep overbite correction. Nineteen Class II, Division 1, with deep overbite individuals (age 11 to 15 years) were selected. Nine cases were used as a control group and the others were trated with the bioprogressive technique (Ricketts) for correction of vertical malocclusion. Metallic implants were used for superimpositions. Lateral cephalometric radiographs were used for evaluation of lower incisors. Forty five degrees cephalometric radiographs were used for evaluation of lower first bicuspids and first molars. These radiographs were taken before and immediately after leveling of lower arch and about 6 months later for the control group. The results showed that the technique produced highly significant incisor intrusion and a lingual movement of three points inverstigated (incisal edge, center of resistence and root apex). There was no vertical displacement (extrusion) on lower first bicuspid and first molar. A distal inclination was observed on lower first bicuspid, despite of any bracket has been fixed on it. Lower first molars crowns showed a distal movement and the root showed a mesial movement, with center of rotation near the fulcrum.

Made available in DSpace on 2014-06-11T19:27:55Z (GMT). No. of bitstreams: 0 Previous issue date: 2004-06-29Bitstream added on 2014-06-13T19:36:14Z : No. of bitstreams: 1 nunes_vfm_me_arafo.pdf: 1730181 bytes, checksum: 4ab25e53f6d17c054131c11164a011c6 (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / Este estudo cefalométrico prospectivo foi desenvolvido com o propósito de descrever os resultados de uma das estratégias de intrusão de caninos. Foram selecionados 19 indivíduos, com faixa etária entre 11 e 15 anos, apresentando más-oclusões de Classe II, Divisão 1, com mordida profunda mínima de 4 milímetros. Desses, 9 indivíduos serviram como grupo controle e os outros 10 foram tratados inicialmente com a mecânica de intrusão da técnica de Ricketts (arco base). Foram colocados implantes intra-mandibulares, para sobreposição de traçados, em todos os componentes da amostra. Teleradiografias cefalométricas, em norma lateral, para a avaliação do comportamento dos incisivos inferiores, e em 45 graus, para avaliação dos caninos inferiores, foram tomadas no início do tratamento e após a intrusão dos caninos no arco inferior para o grupo experimental, e após aproximadamente 6 meses no grupo controle. Os resultados na região dos incisivos inferiores indicaram que houve uma leve vestibularização deste dentes, sem provocar extrusão. Os resultados nos caninos inferiores demonstraram que houve intrusão nos três pontos estudados (ponta de cúspide, centro de resistência e ápice radicular) e uma inclinação para distal do centro de resistência e ápice radicular. / The purpose of this prospective study was to evaluate the results of treatment strategies for canines intrusion. Nineteen Class II, Division 1, with deep overbite individuals (age 11 to 15 years) were selected. Nine cases were used as a control group and the others were treated with the bioprogressive technique (Ricketts) for canine intrusion. Metallic implants were used for superimpositions. Lateral cephalometric radiographs were used for evaluation of lower incisors. Forty-five degrees cephalometric radiographs were used for evaluation of canines. These radiographs were taken after lower incisors intrusion and immediately after canines intrusion and about 6 months later for the control group. The results showed that the technique produced highly significant canines intrusion and a distal movement of center of resistence and root apex. There was no vertical displacement (extrusion) on lower incisors and a vestibular inclination was observed.

No description available.

The purpose of this prospective clinical study was to investigate differences in outcomes from two common treatment modalities used to reduce deep overbite: maxillary incisor intrusion using an intrusion arch and posterior tooth eruption using an anterior bite plate. Pre-treatment, post-overbite correction and post-treatment records were gathered from 32 patients who presented with deep overbite malocclusions to the Virginia Commonwealth University orthodontic clinic. Both groups of patients experienced reductions in overbite and maxillary incisor display as well as maxillary and mandibular incisor proclination and mandibular incisor occlusal movement during treatment. In the intrusion arch group, the center of resistance of the maxillary incisor was significantly intruded during overbite correction. The maxillary incisor incisal edge was significantly more intruded at the end of treatment in the intrusion arch group. Both groups experienced flattening of the smile arc in agreement with previous studies showing similar changes in orthodontically treated individuals.

O presente estudo retrospectivo objetivou correlacionar a recidiva da sobremordida e da sobressaliência com a recidiva do apinhamento dos incisivos ântero-superiores e ântero-inferiores. A amostra consistiu de 34 pacientes (17 de cada gênero),apresentando más oclusões iniciais de Classe I e II,tratados sem extração e mecânica Edgewise.O tempo médio de duração do tratamento foi de 2,19 anos e os tempos de contenção e pós-contenção foram de 1,46 e 5,31 anos respectivamente. Todos os pacientes apresentavam, pelo menos, 3 mm de sobremordida e 4 mm de sobressaliência e apinhamento superior e inferior, de suave a severo. Foram medidos nos modelos de estudo das fases pré (T1), pós-tratamento (T2) e pós-contenção (T3) a sobremordida, a sobressaliência e o índice de irregularidade de Little superior e inferior. Após a obtenção dos dados, passou-se à análise estatística. A comparação intergrupos foi realizada por meio do teste t independente. Os testes ANOVA e Tukey foram apl icados para verificar se houve recidiva da sobremordida, da sobressaliência e dos apinhamentos ântero-superior e ântero-inferior. Para verificação da presença de correlação entre a recidiva da sobremordida, da sobressaliência e do apinhamento anterior, utilizou-se o teste de correlação de Pearson. Os resultados evidenciaram recidiva estat ist icamente signi ficante para o apinhamento ântero-super ior e ântero- infer ior . Houve correlação entre a recidiva da sobremordida e da sobressaliência, no entanto, não houve relação entre essas duas recidivas e o apinhamento anterior. / The present study aimed to correlate, by means of a retrospective analysis, the postretention stability of the overbite and overjet with the relapse of the crowding of maxillary and mandibular anterior teeth. The sample comprised 34 subjects (17 of each gender), at a mean initial age of 12.89 years, presenting Class I and II malocclusions, treated nonextraction and Edgewise mechanics.All patients presented at least 3mm of overbite and 4mm of overjet and maxillary and mandibular crowding from slight to severe. It was measured, in the dental casts from the stages pretreatment (T1), posttreatment (T2) and postretention (T3), the overbite, overjet and the maxillary and mandibular Little irregularity index. After data were obtained, the statistical analysis was performed. The intergroup comparison was performed by independent t tests. The ANOVA and Tukey tests were applied to verify the relapse of the overbite, overjet and maxillary and mandibular anterior crowding. To verify the presence of correlation among the relapse of the overbite, overjet and the anterior crowding, the Pearsons correlation test was used. Results did not show statistically significant difference between Angles Class I and Class II patients. There was correlation of the relapse of overbite with the relapse of overjet, however, there was no relationship among the relapse of overbite and overjet with the relapse of anterior crowding.

Orientador: Maurício Tatsuei Sakima / Banca: Ary dos Santos Pinto / Banca: Luiz Gonzaga Gandini Junior / Banca: Júlio de Araújo Gurgel / Banca: Arno Locks / Resumo: Este estudo cefalométrico prospectivo foi desenvolvido com o propósito de descrever os resultados de uma das estratégias de correção da mordida profunda. Foram selecionados 19 indivíduos, com faixa etária entre 11 e 15 anos, apresentando más-oclusões de Classe II, Divisão 1, com mordida profunda de no mínimo 4 milímetros. Desses, 9 indivíduos serviram como grupo controle e os outros 10 foram tratados com a mecânica de intrusão da técnica de Ricketts (arco base). Foram colocados implantes metálicos de referência intra-mandibulares, para sobreposições de traçados, em todos os componentes da amostra. Telerradiografias cefalométricas, em norma lateral, para a avaliação do comportamento dos incisivos inferiores, e em 45 graus, para a avaliação dos primeiros pré-molares e primeiros molares inferiores, foram tomadas no início do tratamento e após o nivelamento da curva de Spee do arco inferior para o grupo experimental, e após aproximadamente 6 meses no grupo controle. Os resultados na região de incisivos inferiores indicaram que houve intrusão dos incisivos inferiores e também um deslocamento horizontal para lingual dos três pontos estudados (borda incisal, centro de resistência e ápice radicular). Não houve deslocamento vertical (extrusivo) nos primeiros pré-molares e nos primeiros molares causados pelo tratamento. Os primeiros pré-molares demonstraram uma inclinação para distal com o fulcro próximo ao ápice, apesar de nenhum acessório ter sido colocado nesses dentes. Na região de molares, houve uma inclinação distal da coroa e mesial de raiz, com o fulcro desse movimento próximo ao centro de resistência. / Abstract: The purpose of this prospective study was to avaliate the results of treatment strategie for deep overbite correction. Nineteen Class II, Division 1, with deep overbite individuals (age 11 to 15 years) were selected. Nine cases were used as a control group and the others were trated with the bioprogressive technique (Ricketts) for correction of vertical malocclusion. Metallic implants were used for superimpositions. Lateral cephalometric radiographs were used for evaluation of lower incisors. Forty five degrees cephalometric radiographs were used for evaluation of lower first bicuspids and first molars. These radiographs were taken before and immediately after leveling of lower arch and about 6 months later for the control group. The results showed that the technique produced highly significant incisor intrusion and a lingual movement of three points inverstigated (incisal edge, center of resistence and root apex). There was no vertical displacement (extrusion) on lower first bicuspid and first molar. A distal inclination was observed on lower first bicuspid, despite of any bracket has been fixed on it. Lower first molars crowns showed a distal movement and the root showed a mesial movement, with center of rotation near the fulcrum. / Doutor