Loading...
Publication
Tratamento ortodôntico multidisciplinar em pacientes pediátricos : a propósito de dois casos clínicos
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 3.03 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
O Odontopediatra tem a capacidade de detetar maloclusões, preferencialmente o mais precocemente possível, prevenindo o seu agravamento no desenvolvimento dentário e esquelético.
O tratamento das maloclusões abrange a eliminação de fatores etiológicos primários e a correção das discrepâncias no crescimento dentário e esquelético. É necessário corrigir o sistema dento-alveolar e simultaneamente modificar o tônus muscular anormal para evitar a possibilidade de recidiva e obter resultados ortodônticos estáveis. O tratamento que promove a harmonia muscular e consequentemente o desenvolvimento adequado dos maxilares designa-se como Terapia Miofuncional.
Este trabalho tem como objetivo descrever e esclarecer dois casos de pacientes pediátricos que estão a ser acompanhados na consulta de ortodontia assistencial. Os pacientes têm idades e planos de tratamento diferentes. Um dos pacientes tem maloclusão do tipo classe III funcional e dentição mista, utiliza um aparelho removível ortopédico funcional, Simões Network 3 com parafuso de Bertoni e com pistas para aumento da dimensão vertical oclusal. O outro paciente, que apresentava dentição decídua e maloclusão do tipo classe I no limite para classe III, está a utilizar um aparelho Myobrace, um tipo de aparelho miofuncional.
Os resultados observados demonstraram que uma intervenção precoce e a cooperação do paciente são fatores importantes para concretizar os objetivos do tratamento.
Os casos clínicos irão englobar uma breve revisão de literatura para contextualização do tema e a discussão clínica será baseada na revisão bibliográfica.
The Pediatric Dentist has the ability to detect malocclusions, preferably as early as possible, preventing the worsening of dental and skeletal development. The treatment of malocclusions includes eliminating primary etiologic factors and the correction of discrepancies in dental and skeletal growth. It is necessary to correct the dentoalveolar system and simultaneously modify the abnormal muscle tone to avoid the possibility of relapse and obtain stable orthodontic results. The treatment that promotes muscle harmony and consequently the proper development of the jaws is called Myofunctional Therapy. This work aims to describe and clarify two cases of pediatric patients who are being followed up in the clinical orthodontic consultation. Patients have different ages and treatment plans. One of the patients has malocclusion functional class III type and mixed dentition, uses a removable orthopedic appliance functional, Simões Network 3 with Bertoni screw with tracks to increase the occlusal vertical dimension. The other patient, who had deciduous dentition and Class I malocclusion bordering Class III is using a Myobrace appliance, a type of myofunctional device. The observed results showed that early intervention and patient cooperation are important factors in achieving treatment goals. The clinical cases will include a brief literature review to contextualize the topic and the clinical discussion will be based on the literature review.
The Pediatric Dentist has the ability to detect malocclusions, preferably as early as possible, preventing the worsening of dental and skeletal development. The treatment of malocclusions includes eliminating primary etiologic factors and the correction of discrepancies in dental and skeletal growth. It is necessary to correct the dentoalveolar system and simultaneously modify the abnormal muscle tone to avoid the possibility of relapse and obtain stable orthodontic results. The treatment that promotes muscle harmony and consequently the proper development of the jaws is called Myofunctional Therapy. This work aims to describe and clarify two cases of pediatric patients who are being followed up in the clinical orthodontic consultation. Patients have different ages and treatment plans. One of the patients has malocclusion functional class III type and mixed dentition, uses a removable orthopedic appliance functional, Simões Network 3 with Bertoni screw with tracks to increase the occlusal vertical dimension. The other patient, who had deciduous dentition and Class I malocclusion bordering Class III is using a Myobrace appliance, a type of myofunctional device. The observed results showed that early intervention and patient cooperation are important factors in achieving treatment goals. The clinical cases will include a brief literature review to contextualize the topic and the clinical discussion will be based on the literature review.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Ortodontia intercetiva Aparelho miofuncional Myobrace