M. Sacon, Camilla Vieira Esteves, G. P. Florezi, Andressa Gonçalves, C. Pannuti, C. A. L. Júnior
{"title":"Comparison of two methods for sialometry: weighing and volume techniques","authors":"M. Sacon, Camilla Vieira Esteves, G. P. Florezi, Andressa Gonçalves, C. Pannuti, C. A. L. Júnior","doi":"10.11606/ISSN.2357-8041.CLRD.2017.122887","DOIUrl":"https://doi.org/10.11606/ISSN.2357-8041.CLRD.2017.122887","url":null,"abstract":"| The composition of saliva is essential for the oral cavity homeostasis, therefore, the decrease in salivary flow leads to consequences, such as an increase of dental caries, dry mouth and lips, dysgeusia, dysphagia, gingivitis, halitosis, mastication problems, oral mucositis, oral pharyngeal candidiasis, sleeping and speaking difficulties and traumatic oral lesions. The objective of this study was to evaluate the efficacy of the sialometry technique by weighing in comparison to the sialometry technique by volume. Fifty patients without previous complaint of xerostomia and/or hyposalivation were selected at the Oral Medicine Clinic, Dentistry School, University of São Paulo, Brazil. All samples were collected between 9 am and 10 am and the whole saliva was collect stimulated and unstimulated. Six cotton rolls were prepared, divided into three pairs and placed in different universal dispensers of a random brand, they were weighed in a previously calibrated analytical balance (FA-2104N CELTAC). The sialometry test was performed in three steps: unstimulated salivary flow, salivary flow with stimulation of 1% citric acid solution and stimulation of 1% citric acid solution every 30 seconds. The results of the weighing method were compared to the standard method. There was no significant statistical difference between the two types of collection and 100% of the participants expressed their preference for the weighing method. DESCRIPTORS | Saliva; Salivary Elimination; Salivary Glands; Salivation. RESUMO | Comparação de dois métodos de sialometria: técnicas de pesagem e volume • A composição da saliva é essencial para homeostase da cavidade oral. Assim sendo, a diminuição do fluxo salivar pode levar ao aumento da incidência de cáries, boca seca, alteração no paladar, alteração na deglutição, gengivite, halitose, problemas mastigatórios, mucosites, candidíases, problemas no sono, fala e lesões orais traumáticas. O objetivo deste estudo foi avaliar a técnica de sialometria por peso em comparação com a técnica tradicional de sialometria por volume, com coleta de saliva estimulada e não estimulada. Cinquenta pacientes com ou sem queixa prévia de xerostomia ou hipossalivação foram selecionados na clínica de Estomatologia da Faculdade de Odontologia da Universidade de São Paulo, Brasil. Todas as coletas foram realizadas entre 9 e 10 horas da manhã. Seis rolos de algodão foram separados e divididos em três pares e colocados em três diferentes coletores plásticos universais, sendo cada conjunto pesado previamente em balança analítica calibrada. O teste de sialometria foi realizado em três etapas: fluxo salivar sem estimulação; estimulado com 1% de ácido cítrico em aplicação única; e estimulado com aplicação de 1% de ácido cítrico a cada 30 segundos até completar 2 minutos. Esses resultados por peso foram comparados com o método de sialometria por volume tradicional. Não houve diferença estatística observada entre os dois métodos de coleta e 100% dos pacientes ","PeriodicalId":10204,"journal":{"name":"Clinical and Laboratorial Research in Dentistry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84937356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Aspectos bucais da síndrome de Rubinstein-Taybi: relato de dois casos clínicos","authors":"Fabiana Mesquita Barros, Letycia Iida, Thais Dutra Alves, Aparecida Angélica Castorino, F. Martins, Marina Gallotini","doi":"10.11606/ISSN.2357-8041.CLRD.2017.139579","DOIUrl":"https://doi.org/10.11606/ISSN.2357-8041.CLRD.2017.139579","url":null,"abstract":"A síndrome de Rubinstein-Taybi é uma doença multissistêmica genética rara caracterizada por dimorfismo facial típico, retardo de crescimento, deficiência mental e múltiplas anormalidades dentárias. Este relato de caso descreve os achados orofaciais da síndrome de Rubinstein-Taybi que afetou um menino brasileiro de onze anos de idade e uma menina de dez anos. As descobertas orais dos pacientes, tais como lábios superiores finos, retenção prolongada dos dentes decíduos e hipodontia são relatados, e o manejo clínico é discutido.","PeriodicalId":10204,"journal":{"name":"Clinical and Laboratorial Research in Dentistry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81387680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tiago Rebelo Costa, C. Yamaguchi, A. Galhardo, R. Stegun, Bruno Costa, Márcio-Katsuyoshi Mukai
{"title":"Maxillary removable partial denture combined with O’ring attachment implant: a case report","authors":"Tiago Rebelo Costa, C. Yamaguchi, A. Galhardo, R. Stegun, Bruno Costa, Márcio-Katsuyoshi Mukai","doi":"10.11606/ISSN.2357-8041.CLRD.2017.129422","DOIUrl":"https://doi.org/10.11606/ISSN.2357-8041.CLRD.2017.129422","url":null,"abstract":"Oral rehabilitation with free-end removable partial denture (RPD) is one of the major challenges in prosthodontic dentistry. The absence of a distal abutment produces undesirable RPD movement during masticatory function due to the high resilience of the residual ridge, which limits the denture efficiency and may damage the abutment teeth and bone over time. The advent of dental implants made possible to substitute the missing teeth with fixed implant-supported dentures as the first choice treatment to overcome such inconveniences. However, this indication may not be suitable for all patients due to financial, anatomical or systemic health conditions. Nevertheless it is possible to improve free extension RPD by using implants in the posterior edentulous ridge to achieve biological, biomechanical, physiological and social benefits. This article aims to present a case report on oral rehabilitation in which a RPD was made combined with an implant for posterior support in a sizeable edentulous ridge. The patient appreciated the retention improvement and the aesthetic result. The combination of a RPD with a posterior implant is an alternative treatment for cases in which implant-supported fixed prosthesis is not indicated, reducing the displacement and minimizing the limitations of the free-end devices.","PeriodicalId":10204,"journal":{"name":"Clinical and Laboratorial Research in Dentistry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86780535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
João Felipe Besegato, G. Rocha, M. Amorim, F. Salomão, D. Poletto, Kelly Limi Aida, P. Caldarelli, Márcio Grama Hoeppner
{"title":"Aferição do pH de diferentes agentes clareadores indicados para o clareamento intracoronário","authors":"João Felipe Besegato, G. Rocha, M. Amorim, F. Salomão, D. Poletto, Kelly Limi Aida, P. Caldarelli, Márcio Grama Hoeppner","doi":"10.11606/ISSN.2357-8041.CLRD.2018.143185","DOIUrl":"https://doi.org/10.11606/ISSN.2357-8041.CLRD.2018.143185","url":null,"abstract":"Objective : to measure pH values of bleaching agents that are indicated to intracoronal bleaching technique in different time intervals. Methods : Each group (G) received five samples (n=5): G1 – distilled water (AD); G2 – hydrogen peroxide (H2O2) 30%; G3 – sodium perborate (PbS) + AD; G4 – PbS + H2O2 30%; G5 – sodium percarbonate (PcS) + AD; and G6 – PcS + H2O2 30%. pH values were stated using a digital pHmeter, in different time intervals: immediately after handling (T0), 24 hours (T1) and 168 hours after handling (T2). The results were submitted to statistical analysis through Kruskal-Wallis and Mann Whitney tests, in this order, allowing multiple comparisons among the groups. To verify the effect of time in each group, Friedman test was applied. Results : In the evaluation of the effect of time in each group, it was observed that G2 presented acid behavior, while the other groups exhibited values close to neutrality or alkaline. Conclusions : H2O2 30% was the only agent that showed acidic behavior in every evaluation time. Meanwhile, PcS + H2O had the highest pH values.","PeriodicalId":10204,"journal":{"name":"Clinical and Laboratorial Research in Dentistry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85896605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Bohner, A. Marques, Caroline Bosque Keedi, W. Steagall, P. Neto
{"title":"Accuracy of self-perforating impression tray for maxillary dental implant","authors":"L. Bohner, A. Marques, Caroline Bosque Keedi, W. Steagall, P. Neto","doi":"10.11606/issn.2357-8041.clrd.2017.135626","DOIUrl":"https://doi.org/10.11606/issn.2357-8041.clrd.2017.135626","url":null,"abstract":"| Objectives: To analyze the accuracy of a pre-fabricated self-perforating tray for implant impression in an edentulous maxilla. Methods: Four implants (13, 16, 23, 26) were placed in an acrylic resin model of an edentulous maxilla. Implant impressions (n = 7) were taken using a customized open tray (Control Group) and a pre-fabricated selfperforating tray (Test Group). A metal bar was fabricated and screw-retained on implant 13 and the vestibular gap between the framework and implants was measured by stereomicroscopy on implants 16, 23, and 26. Data were analyzed by ANOVA repeated measures and Tukey tests with a significance level (α) of 0.05. Results: There was no statistical difference between self-perforating and customized open tray groups. Control group showed a gap of 73.31± 26.01 for I1; 149.16± 53.90 for I2; and 115.46± 73.34 for I3. Whereas Test Group showed a gap of 154.41± 74.64 for I1; 159.45± 87.64 for I2; and 109.28± 49.18 for I3. Conclusion: The pre-fabricated self-perforating and custom trays showed a similar accuracy for implant impression of edentulous maxilla. DESCRIPTORS | Impression Technique; Dental Implants; Dimensional Measurement Accuracy. RESUMO | Precisão de moldeira autoperfurante para impressão de implante dentário maxilar • Objetivos: Analisar a precisão de uma moldeira autoperfurante de impressão pré-fabricada para implantes na maxila edêntula. Métodos: Quatro implantes (13, 16, 23, 26) foram colocados em um modelo de resina acrílica de uma maxila edêntula. As impressões dos implantes (n = 7) foram tiradas com uma moldeira aberta customizada (Grupo Controle) e uma moldeira autoperfurante pré-fabricada (Grupo Teste). Uma barra de metal foi fabricada e aparafusada no implante 13, e o gap vestibular entre a estrutura e os implantes foi medido por estereomicroscopia nos implantes 16, 23 e 26. Os dados foram analisados por Anova de medidas repetidas e teste de Tukey, com um nível de significância (α) de 0,05. Resultados: Não houve diferença estatística entre os grupos de moldeiras, tanto autoperfurante quanto aberta customizada. O grupo controle apresentou gaps de 73,31 ± 26,01 para I1; 149,16 ± 53,90 no I2; e 115,46 ± 73,34 para o I3. Ao passo que o Grupo Teste apresentou gaps de 154,41 ± 74,64 no I1; 159,45 ± 87,64 no I2; e 109,28 ± 49,18 para o I3. Conclusão: A moldeira autoperfurante pré-fabricada e a moldeira customizada apresentaram precisão similar na impressão de implantes da maxila edêntula. DESCRITORES | Técnica de Impressão; Implantes Dentários; Precisão da Medição Dimensional. CORRESPONDING AUTHOR | • Lauren Oliveira Lima Bohner Department of Prosthodontics, School of Dentistry, University of São Paulo • Av. Prof. Lineu Prestes, 2227 São Paulo, SP, Brazil • 05508-000 E-mail: lauren@usp.br • Received Aug 11, 2017 • Accepted Dec 20, 2017 • DOI http://dx.doi.org/10.11606/issn.2357-8041.clrd.2018.135626 Accuracy of self-perforating impression tray for maxillary dental implant 2 ● Clin Lab Res Den 2017: 1-7","PeriodicalId":10204,"journal":{"name":"Clinical and Laboratorial Research in Dentistry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82531007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F. Igai, Matsuyoshi Mori, I. Contin, W. Júnior, P. Neto
{"title":"Effects of sandblasting of prosthetic abutment surfaces on the tensile strength of cement-retained crowns, using a cementing technique: an in vitro study","authors":"F. Igai, Matsuyoshi Mori, I. Contin, W. Júnior, P. Neto","doi":"10.11606/ISSN.2357-8041.CLRD.2017.130950","DOIUrl":"https://doi.org/10.11606/ISSN.2357-8041.CLRD.2017.130950","url":null,"abstract":"Objective: The tensile strength effects on the sandblasting of the abutment associated with a cementing technique are not well documented. The objective of this study is to analyze the tensile strength of prosthetic crowns cemented on standard and sandblasted abutments, using a cementing technique. Methods: Experimental groups were formed according to cementing technique (control and practice abutment technique) and prosthetic abutment roughness (standard and sandblasted), totaling forty specimens. The crowns were cemented with Zinc Phosphate cement. Statistical analysis was conducted with an α at 0.05. Results: Considering the cementation techniques analysis, there were no statistically significant differences between the groups, with mean tensile strength values of 157.83±22.16 N for the control technique, and 159.95±46.40 N for the practice abutment technique on the standard surface. Result analysis of the control technique (626.23±34.80 N) and practice abutment technique (642.62±94.00 N) indicated no significant differences on the sandblasted surface. Considering the surface roughness analysis, significant differences were observed, with values of 157.83±22.16 N for the control technique/standard surface group and 626.23±34.80 N for the control technique/sandblasted surface group. Significant differences were observed in the practice abutment technique/standard surface group with 159.95±46.40 N values, compared to the 642.62±94.00 N value for the practice abutment technique/sandblasted group. Conclusions: The practice abutment cementing technique showed no significant differences with the control technique, regarding to the tensile strength, in the two surfaces (standard and sandblasted) used in the study. The sandblasting of prosthetic abutments led to a significant increase on the tensile strength considering the two studied cementation techniques.","PeriodicalId":10204,"journal":{"name":"Clinical and Laboratorial Research in Dentistry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90838373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Cardoso, Rennan Luiz Oliveira Dos Santos, Ana Clara de Souza, F. Baroni, C. Domaneschi, C. R. Paula
{"title":"Biosynthesis of phospholipases and proteinases using clinical and environmental strains of Cryptococcus neoformans","authors":"P. Cardoso, Rennan Luiz Oliveira Dos Santos, Ana Clara de Souza, F. Baroni, C. Domaneschi, C. R. Paula","doi":"10.11606/ISSN.2357-8041.CLRD.2018.133520","DOIUrl":"https://doi.org/10.11606/ISSN.2357-8041.CLRD.2018.133520","url":null,"abstract":"Objetivo: Comparar a producao de enzimas (proteinases e fosfolipases) entre os isolados de origem clinica e de origem ambiental de Cryptococcus neoformans , uma vez que pesquisas com isolados de origem clinica e ambiental contribuem para a compreensao dos mecanismos envolvidos no controle destas infeccoes. Metodologia: Nesta pesquisa, 78 isolados de C. neoformans de origem clinica e ambiental foram testados para demonstrar um fenotipo possivelmente associado e sua virulencia. Resultados: Observamos que as cepas de origem clinica tiveram uma taxa de producao de fosfolipase maior comparada a de proteinase. As cepas de origem ambiental nao apresentaram tal diferenciacao. Conclusao: Estes aspectos enfatizam o papel da fosfolipase em casos de infeccoes de C. neoformans de origem clinica e podem ser um marcador para evidenciar estas especies.","PeriodicalId":10204,"journal":{"name":"Clinical and Laboratorial Research in Dentistry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85847838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Palatal bone defect mimicking a chronic periapical lesion: a case report emphasizing the importance of the use of a three-dimensional radiographic examination","authors":"M. Hisatomi, L. Munhoz, J. Asaumi, E. Arita","doi":"10.11606/ISSN.2357-8041.CLRD.2017.140721","DOIUrl":"https://doi.org/10.11606/ISSN.2357-8041.CLRD.2017.140721","url":null,"abstract":"| Chronic periapical lesion is among the most usual bone pathology observed in human teeth, and it is often first detected by plain radiographs, such as panoramic or periapical radiography. Plain radiographs are widely used in dentistry; ho-wever, they have limitations inherent to the technique itself, such as anatomic structures overlapping and lack of information on the extension of the lesion. Therefore, three-dimensional radiographic methods, such as cone beam computed tomography are valuable to accurately assess periapical lesions. Thus, this clinical report describes a case in which the bone radiographic features led to a primary diagnosis of chronic periapical lesion in superior incisors, however, it was a defect in the palatal bone. The resulting radiolucency created by the palatal bone defect overlapped the maxillary bone, mimicking a periapical lesion. Additionally, in the same case, we demonstrate a true chronic periapical lesion in another area that presented as a subtle radiolucency in periapical radiography, however, it was larger than expected when evaluated in Cone Beam Computed Tomography.","PeriodicalId":10204,"journal":{"name":"Clinical and Laboratorial Research in Dentistry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73996168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Frascino, A. Frascino, K. Rezende, J. Imparato, S. Pignatari
{"title":"Molar-incisor enamel hypomineralization cross-sectional prevalence evaluation in oral-breathing allergic children","authors":"S. Frascino, A. Frascino, K. Rezende, J. Imparato, S. Pignatari","doi":"10.11606/ISSN.2357-8041.CLRD.2017.134317","DOIUrl":"https://doi.org/10.11606/ISSN.2357-8041.CLRD.2017.134317","url":null,"abstract":"Objetivo : Hipomineralizacao incisivo-molar (HIM) e um disturbio de desenvolvimento dentario altamente prevalente devido a maturacao interrompida do ameloblasto. Esta condicao afeta ate 44% das criancas ao redor do mundo e varias condicoes sistemicas tem sido associadas a HIM, incluindo a respiracao oral. E importante mostrar que HIM tem etiologia multifatorial e esta associada com criancas alergicas com respiracao bucal. Metodos : Para avaliar a prevalencia da HIM em criancas com SRBI com resposta alergica positiva e negativa para testes de escarificacao, uma avaliacao transversal quantitativa e qualitativa foi realizada em 23 criancas com respiracao oral e 25 irmaos com idade/sexo correspondentes. Defeitos de esmalte foram classificados de acordo com o indice de defeitos de esmalte da FDI. Teste t de Student foi aplicado para verificar a relevância dos dados. Resultados : A prevalencia de HIM mostrou diferencas estatisticas significativas na comparacao entre molares, independentemente de idade individual (p = 0,01513474). Criancas com SRBI menores de 5 anos apresentaram maior prevalencia estatistica de HIM (p = 0,00594). Criancas com SRBI que obtiveram reacoes positivas para os testes de escarificacao apresentaram maior prevalencia de HIM (p = 0,023). Criancas com SRBI apresentaram maior prevalencia estatistica de opacidade demarcada (p = 0,00012). Conclusoes : Criancas com SRBI que obtiveram reacoes positivas para os testes de escarificacao apresentaram maior prevalencia de HIM (p = 0,023), indicando que criancas alergicas com respiracao oral tiveram maior prevalencia de HIM. Nossos resultados corroboram nossa hipotese anterior que criancas com SRBI demonstram maior prevalencia de HIM em comparacao com seus irmaos, com significância estatistica (p = 0,01513474). Investigacoes com amostras populacionais maiores podem reforcar e confirmar a exatidao dos nossos resultados.","PeriodicalId":10204,"journal":{"name":"Clinical and Laboratorial Research in Dentistry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91528415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Unilateral surgical maxillary expansion with palatal distractor allowing traction of impacted canine","authors":"R. P. D’Avila, L. Espínola, A. Silva, J. Luz","doi":"10.11606/ISSN.2357-8041.CLRD.2017.132015","DOIUrl":"https://doi.org/10.11606/ISSN.2357-8041.CLRD.2017.132015","url":null,"abstract":"Objetivos: O uso de distrator osseo ou palatal tem como principal vantagem o fato de as forcas mecânicas atuarem diretamente sobre o osso na area desejada, evitando assim inclinacoes dentarias ou movimentos indesejaveis dos segmentos maxilares, bem como nao causando danos ao periodonto. O objetivo deste estudo e apresentar um relato de caso sobre o tratamento para discrepância unilateral da maxila associada a canino maxilar esquerdo impactado com esse tipo de instrumento. Metodos: Um homem de 23 anos foi diagnosticado com discrepância maxilar unilateral associada a canino maxilar esquerdo impactado e foi tratado com osteotomia LeFort I unilateral subtotal e uso de um distrator palatal associado com tracao do canino maxilar esquerdo impactado. Resultados: Os resultados obtidos foram satisfatorios e a quantidade desejada de correcao esqueletica transversal unilateral foi alcancada sem nenhuma complicacao. Conclusao: Os autores puderam concluir que expansao cirurgica unilateral da maxila com a ajuda de distrator palatal mostrou-se eficiente e promoveu boa oclusao com morbidade reduzida.","PeriodicalId":10204,"journal":{"name":"Clinical and Laboratorial Research in Dentistry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91051279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}