Many conditions may cause painful symptoms in orofacial structures. Among the chronic conditions that affect this area, temporomandibular disorders are the most common. Temporomandibular Disorder is a collective term that includes a number of clinical complaints involving the masticatory muscles, the Temporomandibular Joint and associated structures. In some cases, these complaints can be associated with depression, catastrophizing behavior and impact on quality of life. The present study aims to explain the relationship between Temporomandibular Disorders and pain chronification and their relation to a variety of psychosocial and behavioral comorbid conditions. The mechanisms of pain conduction and suggestions for management are also addressed.
Although EARR has occurred in all teeth evaluated, the bracket design (self-ligating or conventional) did not demonstrate any influence on the results observed.
There is a paucity of studies with this approach; however, the results showed the importance of researches in this area, which turns the subject into an important field of research.
Objective: To evaluate the dimensional changes of dental arches on digital models of open bite treatment with fixed and removable palatal cribs.
Materials and Methods: The sample comprised 41 patients of both sexes who were white, aged 7–10 years, and who had mixed dentition, Angle Class I molar relationship, and a negative overbite of at least 1 mm. The sample was randomly divided into two groups: G1, fixed palatal crib; and G2, removable palatal crib. Cast models, obtained initially (T1) and after 1 year of treatment (T2), were scanned by a three-dimensional (3D) scanner, 3Shape R700, producing a 3D image. Measurements were performed by a calibrated examiner using OrthoAnalyzer™ 3D software.
Results: At T2–T1, differences were observed between the groups regarding vertical dentoalveolar development and overjet. There was more mandibular incisor extrusion for G1 (−1.66 mm) than for G2 (−0.54 mm). An overjet increase was observed in G1 (0.56 mm), in contrast to a reduction in G2 (−0.40 mm). There was a similar overbite increase for both groups (3.51 mm for fixed palatal crib and 3.88 mm for removable palatal crib).
Conclusions: Both the treatment protocols are similarly effective for anterior open bite correction, providing an overbite increase with dentoalveolar arch changes, especially in the anterior region.
Angle Class III malocclusion has been a challenge for researchers concerning
diagnosis, prognosis and treatment. It has a prevalence of 5% in the Brazilian
population, and may have a genetic or environmental etiology. This malocclusion
can be classified as dentoalveolar, skeletal or functional, which will determine
the prognosis. Considering these topics, the aim of this study was to describe
and discuss a clinical case with functional Class III malocclusion treated by a
two-stage approach (interceptive and corrective), with a long-term follow-up. In
this case, the patient was treated with a chincup and an Eschler arch, used
simultaneously during 14 months, followed by corrective orthodontics. It should
be noticed that, in this case, initial diagnosis at the centric relation allowed
visualizing the anterior teeth in an edge-to-edge relationship, thereby favoring
the prognosis. After completion of the treatment, the patient was followed for a
10-year period, and stability was observed. The clinical treatment results
showed that it is possible to achieve favorable outcomes with early management
in functional Class III malocclusion patients.
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