Orientador: Dirceu Barnabé Raveli / Banca: Mauricio Tatsuei Sakima / Banca: Helio Hissashi Terada / Resumo: 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. / Abstract: 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. / Mestre

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.

The aim of orthodontic treatment is to provide the patient with a good static and functional occlusion. During research that was conducted to complete a seminar on the static and functional aspects of occlusion, the author discovered that there might be a discrepancy between the goals of an ideal static occlusion, and the goals of an ideal functional occlusion. An ideal static occlusion seemed to require a flat mandibular plane and a minimal amount of overbite after active orthodontic treatment, whereas an ideal functional occlusion required a curved mandibular plane and an overbite of 4 mm to prevent cusp interferences during functional mandibular movements. The rationale behind the excessively flat mandibular plane and minimal overbite after orthodontic treatment is to compensate for the tendency of the bite to deepen during the period following orthodontic treatment. This tendency to relapse causes uncertainty about the stability of orthodontic treatment. Little research has been dedicated to examining the long-term stability of the leveled curve of Spee. In addition, there seems to be a considerable amount of controversy surrounding the long-term stability of overbite correction after orthodontic treatment. The aim of this study was to evaluate the stability of the curve of Spee and the overbite following orthodontic treatment. In addition, the relationship between the curve of Spee and the presence of anterior guidance after a period of orthodontic retention, was examined. The relationship between the overbite and the presence of anterior guidance was also examined, and the results were used to predict an ideal value for the overbite to avoid possible dental cusp interferences. Standardized digital photographs of the dental casts of 40 subjects were taken at three different stages: before treatment (T1), after orthodontic treatment (T2), and three years (mean) post-treatment. Accurate electronic measurement of the curve of Spee, using computer software, was completed for all three stages. The overbite was measured with a dial caliper. Clinical evaluation of the functional occlusion, with special reference to anterior guidance, was performed on all the subjects. Statistical analysis was carried out in search of statistical significant changes between the various stages, and possible correlations between the different variables. The results indicated that the leveling of the curve of Spee is a stable treatment procedure. The overbite was less stable than the curve of Spee, and nearly half the amount of overbite correction obtained during treatment, relapsed in the three years (mean) post-treatment. No relationship was found between the curve of Spee and the presence of anterior guidance at T3. A highly significant relationship was found between the overbite and the presence of anterior guidance. Subjects with a small overbite seemed to be predisposed to posterior interferences during mandibular protrusion. An overbite of not less than 3mm was found to be a desirable feature after orthodontic retention in order to reduce potentially interfering contacts. More research is necessary to clarify the relationship between dental interferences and temporomandibular disorders (TMD). / Dissertation (MChD (Orthodontics))--University of Pretoria, 2004. / Orthodontics / unrestricted

Background: Lower incisor proclination has been shown to increase during Class II correction with appliances such as the Forsus. This lower incisor flaring shows great variability among patients. The purpose of this study was to evaluate the effects of Class II severity, mandibular growth, and occlusal plane rotation on lower incisor flaring in patients treated with the Forsus appliance. Materials and Methods: 121 records of Class II patients treated with the Forsus appliance were analyzed retrospectively. Cephalograms were traced at three time points. ANOVA was used to compare changes in cephalometric measurements over time. Pearson’s correlation was used to test for relationships between variables. Multiple regression tested for correlation between multiple variables. Results/Conclusions: Lower incisor flaring during Class II correction with the Forsus appliance was only weakly associated with sex, molar relationship change, and occlusal plane steepening. There was no correlation between the change in lower incisor proclination and mandibular growth.

Achievement of optimum smile esthetics during orthodontic treatment has recently been the focus of several published articles in the orthodontic literature. Authors speculate that overbite correction, specifically maxillary incisor intrusion, will lead to flattening of the smile arc and consequently reduce smile attractiveness. 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 and post-overbite correction records were gathered from 20 patients who presented with deep overbite malocclusions to the Virginia Commonwealth University orthodontic clinic. Both the intrusion arch and bite plate treatment modalities effectively reduced overbite significantly over a relatively short period of treatment. Intrusion arch patients displayed significant reductions in maxillary incisor display (lip to tooth) accompanying documented incisor intrusion. Half of the patients in both groups experienced flattening of the smile arc in agreement with previous studies showing similar changes in orthodontic patients in general. There was no greater tendency for flattening to occur in either group. Changes in the smile arc are likely due to other factors involved in orthodontic tooth alignment and are not necessarily attributable to the overbite correction method employed during treatment.

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 and to assess their influence on smile esthetics. Pre-treatment and post-overbite correction records were gathered from 40 patients with deep overbite malocclusions at the Virginia Commonwealth University orthodontic clinic. Intrusion arch patients displayed significant reductions in maxillary incisor display accompanying documented incisor intrusion. Bite plate patients showed significant lower incisor intrusion and increases in the mandibular plane angle. When compared to the bite plate group, there was a greater tendency for flattening of the smile arc seen in the intrusion arch group. Changes in the smile arc were likely partially a result of the mechanics used but may also have been due to other factors involved in orthodontic tooth alignment.

No description available.

No description available.