A repercussão periodontal e dentária decorrente da expansão rápida da maxila assistida cirurgicamente: estudo em modelos digitais

AUTOR(ES)
DATA DE PUBLICAÇÃO

2008

RESUMO

The rapid maxillary expansion surgically assisted (RMESA) is one of the procedures of choice for the correction of cross-sectional deficiency in adult patients. This study evaluated the changes produced in upper and lower dental arches of 18 patients, being 6 male and 12 female, with mean age of 23,3 years old undergoing RMESA. For each patient were prepared 3 plaster models, that were digitalized with Scanner 3D, obtained in different phases: inicial, before the surgical procedure (T1); 03 months post-expansion (T2); 06 months post-expansion (T3). Were evaluated the cross-sectional distances of upper and lower dental arches, the dental tipping of the upper posterior teeth, the clinical crown height of upper posterior teeth and it was observed if there were correlation between the amount of dental tipping with the development of gingival recessions. For the results analysis were used the Variance Analysis, the Tukey Test and the Pearson Correlation Test, being that for the analysis of systematical error intra-examiner was used the coupled Test t and for the determination of casual error it was used the error calculus of Dahlberg. Based on the methodology used and in the results obtained, it was concluded that: 1. In relaction to the changes produced in cross-sectional sense of the upper arch, it was obtained an increase in all the variants from T2 to T3 showing effectiveness and stability of RMESA; 2. In the lower arch there were not statistically significant cross-sectional changes, with exception of the first molars; 3. In relation to the dental tipping, it was observed its increase from T1 to T2 in all the teeth, however, with statistical significance only for the second molar and first and second premolar on right side and first molar and second premolar on left side; 4. The RMESA did not caused the development of gingival recession in no one of the times; 5. There was not correlaction between the amount of dental tipping and the development of gingival recession.(AU)

ASSUNTO(S)

scanner 3d ortodontia periodontia expansão maxilar

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