The demand for orthodontic treatment in adults has been increasing. However, these patients often require a multidisciplinary approach, due to the lack of posterior teeth, requiring additional anchorage. The skeletal anchorage by endosseous implants is an option, since they may be used later for prosthetic rehabilitation. The application of immediate load on these appliances for orthodontic movement may reduce the costs and total treatment time. This paper discusses the utilization of endosseous dental implants with immediate load for absolute anchorage for orthodontic movement, with later utilization for prosthetic rehabilitation.
Introduction: Instruments of quality of life related to oral health are used with increasing frequency in research. However, these instruments are not available in all countries or languages. The availability of multilingual versions of instruments, valid for different cultures, is important for epidemiological research. Objective: To translate and carry out the cross-cultural adaptation of the questionnaire developed by Feldmann in 2007, concerning the perceptions of adolescent patients about orthodontic treatment, into Portuguese. Methods: Initially, the equivalence of concepts and items was discussed by a group of experts who examined the items in the questionnaire. Four adolescents were interviewed using the focus group methodology. The instrument was then submitted to the following steps: two translations into Portuguese by independent translators, pre-testing of the questionnaires in 6 patients, reverse translation, review by committee and finally a pilot study with the final version. In this stage, 20 adolescents aged between 12 and 17 years, of both genders, were interviewed, evaluated at the Orthodontics Clinic of the Faculty of Dentistry of the State University of Rio de Janeiro. The questionnaire was applied to two groups: untreated adolescents and adolescents undergoing orthodontic treatment. Results: From these evaluations, the Brazilian version of the Feldmann questionnaire was produced, with administration and format appropriate to the target population. Conclusions: The translation and cross-cultural adaptation of the questionnaire into Portuguese was performed ensuring its semantic and conceptual equivalence with the original instrument and the final version was consistent in a pilot study.
A impacção dentária é uma anomalia que ocorre durante a erupção e afeta principalmente a dentição permanente. Quando ocorre em dentes anteriores superiores, se constitui em desafio clínico e pode gerar ao paciente transtornos estéticos, funcionais e psicossociais. Nesses casos, o diagnóstico precoce e o tratamento adequado são fundamentais para a resolução do problema. Entre os fatores etiológicos locais da impacção dentária, podemos citar dentes supranumerários e a presença de odontomas. Muitas sugestões de tratamento são encontradas na literatura, sendo o mais comumente utilizado o tracionamento ortodôntico-cirúrgico. O objetivo deste trabalho é relatar o caso clínico de uma paciente de 8 anos de idade com incisivos superiores impactados, devido à presença de um odontoma, cujo tratamento consistiu em remoção cirúrgica do tumor e tracionamento ortodôntico dos elementos impactados usando um aparelho dentomucossuportado, bem como abordar aspectos relacionados à etiologia, diagnóstico e opções terapêuticas para essa condição.
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