Ortodoncia en un paciente adulto mayor

Girón, Fabiola Hernández; Fernández, Silvia Tavira

doi:10.1016/s2395-9215(16)30035-6

Cited by 3 publications

(1 citation statement)

References 8 publications

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“…As face and smile is the core of communication, people from different walks of life have become more aware of their dentofacial proportions and facial esthetics. More and more people are seeking fixed orthodontic treatment, but their prime concern is the lengthy course of treatment and discomfort associated with tooth movement [ 1 ]. Orthodontic tooth movement is a complex process of bone resorption and deposition in response to mechanical force [ 2 ], which involves sequential mechanical cyclical stretches of periodontal ligaments, fluid shear stress and compression, inflammatory cytokine production, and cellular differentiation and multiplication, followed by remodeling of the surrounding [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

Biostimulatory Effects of Low-Intensity Pulsed Ultrasound on Rate of Orthodontic Tooth Movement and Associated Pain, Applied at 3-Week Intervals: A Split-Mouth Study

Qamruddin

Alam

Mahroof

et al. 2021

Pain Research and Management

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Objective. Low-intensity pulsed ultrasound (LIPUS) is a noninvasive modality to stimulate bone remodeling (BR) and the healing of hard and soft tissues. This research evaluates the biostimulatory effect of LIPUS on the rate of orthodontic tooth movement (OTM) and associated pain, when applied at 3-week intervals. Methods. Twenty-two patients (11 males and 11 females; mean age 19.18 ± 2.00 years) having Angle’s Class II division 1 malocclusion needing bilateral extractions of maxillary first bicuspids were recruited for this split-mouth randomized clinical trial. After the initial stage of alignment and leveling with contemporary edgewise MBT (McLaughlin–Bennett–Trevisi) prescription brackets (Ortho Organizers, Carlsbad, Calif) of 22 mil, followed by extractions of premolars bilaterally, 6 mm nickel-titanium spring was used to retract the canines separately by applying 150 g force on 0.019 × 0.025-in stainless steel working archwires. LIPUS (1.1 MHz frequency and 30 mW/cm2 intensity output) was applied for 20 minutes extraorally and reapplied after 3 weeks for 2 more successive visits over the root of maxillary canine on the experimental side whereas the other side was placebo. A numerical rating scale- (NRS-) based questionnaire was given to the patients on each visit to record their weekly pain experience. Impressions were also made at each visit before the application of LIPUS (T1, T2, and T3). Models were scanned with a CAD/CAM scanner (Planmeca, Helsinki, Finland). Mann–Whitney U test was applied for comparison of canine movement and pain intensity between both the groups. Results. No significant difference in the rate of canine movement was found among the experimental (0.90 mm ± 0.33 mm) and placebo groups (0.81 mm ± 0.32 mm). There was no difference in pain reduction between experimental and placebo groups ( p > 0.05 ). Conclusion. Single-dose application of LIPUS at 3-week intervals is ineffective in stimulating the OTM and reducing associated treatment pain.

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Section: Introductionmentioning

confidence: 99%

Biostimulatory Effects of Low-Intensity Pulsed Ultrasound on Rate of Orthodontic Tooth Movement and Associated Pain, Applied at 3-Week Intervals: A Split-Mouth Study

Qamruddin

Alam

Mahroof

et al. 2021

Pain Research and Management

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Manejo y Seguimiento de Extrusión Forzada Ortodóntica: Reporte de un Caso. [Versión Original en Español]

et al. 2023

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El presente caso clínico se enfoca en el diagnóstico yel tratamiento de erupción forzada en un paciente contrauma dental. ObjetivoProponer una alternativa de tratamientomultidisciplinario el cual permita incrementarestructura dentaria a través de la extrusión forzada yposteriormente rehabilitarlo en función y estética. MétodosSe describe el caso de un paciente adulto de 78años de sexo masculino, sano y sin antecedentespatológicos, acude a la clínica de la Especialidad deOrtodoncia y Ortopedia Dentomaxilofacial, referidopor un especialista en Endodoncia, debido a fracturacorono-radicular de canino superior derecho, pilar depuente fijo de tres unidadesEn la exploración intraoral presenta fractura cervicalde la corona del canino superior derecho. Comoprimer paso, se realizó tratamiento endodónticoen la pieza dentaria y colocación de un aditamentointraconducto de soporte (endoposte vaciado), con elobjeto de mejorar la tracción ortodóntica.Este aditamento consistió en un poste colado conperforaciones. Se procede a colocar aparatología fijaen la arcada superior con técnica MBT (slot 0.022),del molar derecho hasta el canino izquierdo decementado indirecto y pasivo (con los slots de losbrackets alineados). Inmediatamente después, secolocó un arco rectangular 0.019 x 0.025 de acero inoxidable con un doblez de extrusión anivel del canino superior derecho. En elmismo doblez, se adaptó un loop tipohelix que funcionó como apoyo paracolocar la ligadura pasiva (lace back). ResultadosEl tratamiento realizado en estepaciente es satisfactorio, coadyuvandoen su estado de salud generalmejorando su autoestima. ConclusiónAquí se aprovecharon todas las ventajasque ofrece la extrusión ortodónticaforzada, incluso en un paciente adultomayor, logrando una tracción de cuatromilímetros, que se consiguió gracias alempleo de fuerzas extrusivas ligeras ycontroladas sobre el órgano dentarioafectado.Con la modalidad de tratamientodescrita se puede lograr unalargamiento de corona sin la necesidadde realizar una resección ósea, lo quepermite una correcta rehabilitaciónprotésica, devolviendo la función yestética al diente lesionado y brindandoun beneficio integral al paciente.

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Management and Follow-up of Orthodontic Forced Extrusion: A Case Report. [English translation-Original in Spanish]

et al. 2023

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Introduction The case of an adult patient with a complicated crownfracture of the right upper canine due to trauma isreported, diagnosing a class VII Ellis coronal fracture.There are several treatment alternatives that rangefrom the extraction, placement of a bone graft andplacement of an implant, to a forced root extrusionwith bone removal to allow the biological space andsubsequently be restored. Methods In the present case, a multidisciplinary orthodonticforced extrusion treatment is performed, whichallows to increase the amount of clinical remnant,preserving the periodontal support and maintainingthe biologic thickness, thus achieving to maintainthe root remnant with good length so that prostheticrehabilitation is facilitated.The clinical and radiographic follow-up was 12 months.The multidisciplinary treatmentinvolved: Root canal treatment, forced extrusion withorthodontics, fibrotomy with root planing and fixedprosthesis.

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Ortodoncia en un paciente adulto mayor

Cited by 3 publications

References 8 publications

Biostimulatory Effects of Low-Intensity Pulsed Ultrasound on Rate of Orthodontic Tooth Movement and Associated Pain, Applied at 3-Week Intervals: A Split-Mouth Study

Biostimulatory Effects of Low-Intensity Pulsed Ultrasound on Rate of Orthodontic Tooth Movement and Associated Pain, Applied at 3-Week Intervals: A Split-Mouth Study

Manejo y Seguimiento de Extrusión Forzada Ortodóntica: Reporte de un Caso. [Versión Original en Español]

Management and Follow-up of Orthodontic Forced Extrusion: A Case Report. [English translation-Original in Spanish]

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