Introduction: the treatment of Class III malocclusion in early age is one of the greatest challenges for orthodontists, and the establishment of more effective treatment method is a constant concern for these professionals. Thus, the objective of this systematic review is to verify the effectiveness of the therapy protocol for alternate rapid maxillary expansion and constriction (Alt-RAMEC) in the early treatment of Class III malocclusion. Methods:searches were performed in the following electronic databases: Cochrane Library, Medline (EBSCO and PubMed), SciELO, LILACS and Scopus. The following inclusion criteria were used: in vivo studies conducted with early intervention (patient in craniofacial development phase) with the use of the Alt-RAMEC protocol. Reviews, case reports, editorials, and studies with syndromic patients or under use of systemic drug were excluded. Duplicates were also excluded. The studies were assessed for methodological quality using the Cochrane tool for assessment of risk of bias, and classified as high or low risk of bias. Results:53 articles were found. Duplicates exclusion was thus performed and 35 articles remained. After inclusion analysis, only 5 matched the criteria. Two articles were classified as low risk of bias and three as high risk of bias. It was observed that the Alt-RAMEC enable protraction in less time and with better results, promoting greater effectiveness in the protraction treatment of Class III malocclusion. Conclusions:Although there is positive evidence of the effectiveness of early treatment with the Alt-RAMEC protocol in patients with Class III malocclusion, further studies are needed to confirm its effectiveness using long-term methodology.
Associated with the use of removable prostheses, the development of candidiasis, called prosthetic stomatitis, is frequently observed. In view of the application of silver nanoparticles (AgNP) in dentistry that may offer antimicrobial effect, the aim of this study was to evaluate the effect of adding AgNP with different concentrations during thermopolymerization or immersion of acrylic in this substance in the properties antifungal, mechanical and cytotoxic. The groups were divided: addition of 1% silver nanoparticle solution (G1), addition of 2.5% silver nanoparticle solution (G2), addition of 5% silver nanoparticle solution (G3), immersed for 10 min in aqueous silver nanoparticle solution (G4), immersed for 24 hours in aqueous silver nanoparticle solution (G5). In the cytotoxicity assay, at all evaluation times, all groups showed cytotoxic effect (p <0.05) when compared to the control group (CG). For the microbiological assay, C. albicans reduction was observed only for G4 and G5 when compared to CG (p <0.05). The lowest resistance values were observed in the group with 5% silver nanoparticle (G3) incorporation (p <0.05). It was concluded that the thermopolymerized acrylic resin immersed in AgNP, G4 and G5 promoted microbiological reduction, cytotoxicity increase and flexural strength decrease at 5% concentration.
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