Avaliação cefalométrica radiográfica da posição craniocervical antes e após a desprogramação neuromuscular em pacientes com maloclusão de classe II de Angle. / Radiographic cephalometric evaluation of the craniocervical position before and after neuromuscular deprogramming in patients with Angle s Class II malocclusion.

AUTOR(ES)

Augusto Ricardo Andrighetto

DATA DE PUBLICAÇÃO

2000

RESUMO

The purpose of this study was to determine, radiographically, the effect of neuromuscular deprogramming, through the use of an upper occlusal splint, on the craniocervical position. Neuromuscular deprogramming was performed in order to carry out orthodontic diagnosis with the mandible in centric relation (CR). Fifteen asymptomatic individuals, seven males and eight females, with ages ranging from fifteen years and seven months to twenty years and two months, presenting Angle s Class II malocclusion, were evaluated. Two lateral radiographs in natural head position (NHP) were taken from each patient, one before and the other one after neuromuscular deprogramming. The average usage period of the occlusal splint was ten months and six days. Craniocervical cephalometric analysis was carried out by evaluating the craniovertical (SN/VER), craniocervical (OPT/SN and CVT/SN), and cervicohorizontal (OPT/HOR and CVT/HOR) angles, as well as the angle of the cervical curve (OPT/CVT).The anterior inferior facial height (ANS-Me) was also evaluated. It was concluded that there was a significant extension of the head, both in relation to the true vertical line, as demonstrated by the increase of the SN/VER angle, and to the cervical column, as demonstrated by the increase of the OPT/SN and CVT/SN angles. Similarly, owing to the neuromuscular deprogramming, the anterior inferior facial height presented a significant increase, as demonstrated by the increase of the linear measurement ANS-Me. The cervical column, however, did not present any significant alteration in its inclination in relation to the true horizontal line. Likewise, no significant alteration of the cervical curve was observed. In addition, significant and positive correlation coefficients were observed between the differences of the pre- and post-deprogramming values of the measurements SN/VER and OPT/HOR, SN/VER and CVT/HOR, OPT/HOR and CVT/HOR, and OPT/SN and CVT/SN.

ASSUNTO(S)

desprogramação neuromuscular neuromuscular deprogramming avaliação cefalométrica maloclusão de angle classe ii orthodontia cephalometric evaluation angle s class ii malocclusion ortodontia

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