{"title":"Functional orthopedic device type Sn20 – a therapeutic resource in the control of chronic temporomandibular dysfunction – case report","authors":"C. D. Machado, P. Simamoto","doi":"10.21595/jfocg.2022.22868","DOIUrl":"https://doi.org/10.21595/jfocg.2022.22868","url":null,"abstract":"The literature indicates that patients with a history of Temporomandibular Disorder (TMD), who experience sudden occlusal changes, may worsen their parafunctional habits and develop TMD again. In this sense, the aim of this study is to present a clinical case of recurrent chronic TMD after oral rehabilitation (increase of vertical dimension in all teeth) using Simões Network 20 (SN20) functional orthopedic appliance as one of the resources therapies. The patient was female, 62 years old, and complained of disabling pain, anxiety symptoms, hypervigilant and history of TMD. The patient reported failure of other treatment modalities, including use of the smooth stabilizer device. The diagnosis was chronic TMD – primary osteoarthritis of the temporomandibular joint and related myofascial pain and orofacial migraine. Treatment included physical measurements, instructions, peripheral and central medication, AOF type SN20 (night use). After three months of therapy, the patient showed significant improvement with complete pain reduction. The use of the AOF SN20 together with conservative measures represents a valuable therapeutic modality for patients with chronic TMD.","PeriodicalId":330655,"journal":{"name":"Jaw Functional Orthopedics and Craniofacial Growth","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134644367","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":"Clinical application of digitalization of occlusal contacts with dental scanner","authors":"Janet Guevara Reyes","doi":"10.21595/jfocg.2022.22789","DOIUrl":"https://doi.org/10.21595/jfocg.2022.22789","url":null,"abstract":"This study aimed to evaluate the number, intensity and position of occlusal contact points in a case of mesiocclusion, hyperdivergence, with open bite. An occlusal record was taken from a patient with anterior and lateral open bite mesiocclusion, using the Planmeca Esmerald S intraoral scanner in maximum intercuspation. The intensity of the occlusal contact was analyzed with the software 3shape Ortho Analyzer Orthodontics, using the Occlusion Map module, through the 3D Color Map tool, with a 0.5 mm virtual articular paper. These results were compared to the occlusal support points defined by Planas [10]. The interpretation of the data obtained was made by assessing the interocclusal intensity of the contact points, number of contacts and position during three different moments (1S, 2S, 3S) in the record taking process. The chromatic scale of the Color Map is: red, orange, yellow, green and blue. To identify the occlusal contact points in digital, they are shown in red points when full contact occurs, while minimum contact is shown in blue. We evaluated the number of teeth with interocclusal contacts. It was determined that having the appropriate number of contacts does not imply that they are in the correct position. In addition, the method suggests reliability in the filing and record keeping of occlusal contacts. By identifying intensity, number and position of the occlusal support point we can objectively record interocclusal alterations.","PeriodicalId":330655,"journal":{"name":"Jaw Functional Orthopedics and Craniofacial Growth","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133701100","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":"Structure and movement, let’s not kill Chronos","authors":"M. Gálvez, Delfino Allais","doi":"10.21595/jfocg.2022.22792","DOIUrl":"https://doi.org/10.21595/jfocg.2022.22792","url":null,"abstract":"The myth of Chronos that devours his children is the allegorical expression of time that ends everything, but there is another reading: that time exists and allows us to understand the idea of a process, of evolution, both biologically and in any other aspect of life. The structure is the static, current, measurable morphological expression of everything that has a physical manifestation. Movement is the expression of life that is inexorably written on the structure and is responsible for its dynamism and change. We have developed the ability to analyse the structure in a systematic and detailed way, isolating it from time, and therefore depriving it of the movement that animates it, fixing the moment with static photographic images. With direct cephalometric techniques or on radiography we have defined points and reference systems, measured, compared, made proportions, and described the layout. Like the Art, the Morphological Sciences evolve from a two-dimensional vision to a three-dimensional one and we have given importance to empty spaces. But unlike art, we have difficulty internalizing and becoming aware of movement and the vital energy that animates it. Studying Movement means studying Form along Time. Structure and Function are two sides of the same coin, and our field is a clear example of this. We cannot work on occlusion without understanding the functions associated with the whole system: breathing, swallowing, chewing, are the main sources of stimuli responsible for the development of the Stomatognathic System, which has the movement as its main engine. In our clinical practice we are convinced that seeking an integration between Form and Function provides balance and health to the system and therefore delays the negative effects of Time, and coherently understanding the Form-Function-Time triad provides a broader understanding of development and balance of our system.","PeriodicalId":330655,"journal":{"name":"Jaw Functional Orthopedics and Craniofacial Growth","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125754133","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":"Skull base flexion and its influence on chewing","authors":"Maria Aparecida Assis Carvalho","doi":"10.21595/jfocg.2022.22751","DOIUrl":"https://doi.org/10.21595/jfocg.2022.22751","url":null,"abstract":"Skull base asymmetries can occur in the intrauterine period, manifesting from birth as craniofacial asymmetries and should be investigated both in the maxilla and mandible and in the craniofacial region, as they are related to the base of the skull. The objective of this study was to explain that treatment using Craniofacial Biodynamics (CFBD) enables symmetrical craniofacial growth, being recommended from three to six years of age, when the processes of skull base remodeling cease. This study was based on exploratory bibliographic research, aiming at a better understanding of the concepts presented in this therapeutic approach, to verify the influence that such concepts exert on treatment through CFBD. It was evidenced in this research that these asymmetries may be corrected, or even minimized through the CFBD, which relates the ontogenetic development of the skull base with orofacial development.","PeriodicalId":330655,"journal":{"name":"Jaw Functional Orthopedics and Craniofacial Growth","volume":"23 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116610149","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":"Cephalometric components and their implications in mandibular positioning","authors":"Daniela Rubio Terán, Iván Yamir Rivera Pérez, Elia Irene Núñez Hernández, Aidé Terán Alcocer","doi":"10.21595/jfocg.2022.22883","DOIUrl":"https://doi.org/10.21595/jfocg.2022.22883","url":null,"abstract":"The mandibular position is determined by several physiological factors, which should be considered for diagnosis, therapy and stability. Sixty-eight lateral skull radiographs were taken and plotted to determine the relationship of the occlusal plane with the mandibular position among others. A Spearman statistical analysis was performed to determine the relationship between these variables. The occlusal plane showed a statistically significant correlation with mandibular position.","PeriodicalId":330655,"journal":{"name":"Jaw Functional Orthopedics and Craniofacial Growth","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126950080","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}
Karina Correia Bonalumi Bittar, C. Zamboti, C. G. Macedo
{"title":"Relationship between mandibular position and support planting in 7-year-old children: pilot study","authors":"Karina Correia Bonalumi Bittar, C. Zamboti, C. G. Macedo","doi":"10.21595/jfocg.2022.22879","DOIUrl":"https://doi.org/10.21595/jfocg.2022.22879","url":null,"abstract":"Introduction: Postural stability can be maintained in balance by muscle tone [1]. Change in the mandibular position or posture, may have influence in the postural reflex, defined as an involuntary defense movement [2] to correct deviations and keep the body in balance. If the postural change is constant, the muscles will move the mandible to a more comfortable position, with consequent postural change2 and plantar support. The aim of the study was to compare the plantar support in centralized and in lateralization mandibular position in seven years’ children. Main text: This study was approved by research ethics committee (No. 4.346.542). A pilot study was carried out with seven-year-old children of both sexes. Photogrammetry was performed with spherical markers in the region of the right tragus and chin symphysis (Fig. 1) concomitantly with baropodometry following (Fig. 2, 3) the protocol established by Bittar et al. [4]. Analysis of mandibular displacement and plantar support were performed with centralized mandibular position (maximum intercuspation) and with lateral displacement to the right and left. Statistical analysis compared the differences in mandibular displacement to the right and left sides using Student’s t test. Differences in plantar support variables with centralized mandibular position and in right and left lateralization position were established by the Anova one way test and the Bonferroni pos test. Significant statistical difference was reached by 5 %. Results: Twelve seven-year-old children were included, 20.8 (3.25) Kg and 1.18 (0.06) meters. The sample present greater lateral displacement of the mandible to the lefts compared to right side. Mandibular lateralization was confirmed with statistical difference compared to mandibular position centralized. No difference in all plantar support variables was observed between the three positions: centralized and left and right lateralization. Conclusions: No differences were observed for plantar support compared position in mandibular lateralization and centralized position. Mandibular lateralization displacements did not change plantar support.","PeriodicalId":330655,"journal":{"name":"Jaw Functional Orthopedics and Craniofacial Growth","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126918126","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":"Editorial of the Brazilian Academy of Jaw Functional Orthopedics 2022 meeting special issue","authors":"Marcelo Muscas Polimeno, Orlando Santiago","doi":"10.21595/jfocg.2022.23029","DOIUrl":"https://doi.org/10.21595/jfocg.2022.23029","url":null,"abstract":"","PeriodicalId":330655,"journal":{"name":"Jaw Functional Orthopedics and Craniofacial Growth","volume":"366 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115273922","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":"Treatment of vertical problems with jaw functional orthopedics based on scientific evidence. Part 1: anterior open bite","authors":"Orlando Santiago","doi":"10.21595/jfocg.2022.22778","DOIUrl":"https://doi.org/10.21595/jfocg.2022.22778","url":null,"abstract":"The vertical problems of the stomatognathic system that alter the overbite, either by increasing in the deep bite (DB) or decreasing in the anterior open bite (AOB), are among the great challenges of the dentofacial corrections in the treatment and the retention and stability protocols. It is always good to report that a correct diagnosis is fundamental in the choice of treatment protocol and that skeletal involvement, be it hyper divergence in case of open bite or hypo divergence in case of deep bite, aggravates the problem and as a rule tends to increase treatment and containment time. In this paper the state of art of AOB treatment with Jaw Functional Orthopedics (JFO) will be discussed. It should be emphasized that JFO has a unique diagnostic tool for changes in vertical growth of the face, the Articular Compass, developed by Simões. Studies show that the use of treatment protocols developed by Simões, the SNs (SN2, SN3, SN6) act in the increase of overbite efficiently (P= 0.003) in cases of open bite. This is weak evidence, due to the design of the study, but with promising results, so Randomized Clinical Trials are needed to investigate if these results are replicable.","PeriodicalId":330655,"journal":{"name":"Jaw Functional Orthopedics and Craniofacial Growth","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128020714","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":"Treatment of vertical problems with jaw functional orthopedics based on scientific evidence. Part 2: deep bite","authors":"orlando Santiago Júnior","doi":"10.21595/jfocg.2022.22779","DOIUrl":"https://doi.org/10.21595/jfocg.2022.22779","url":null,"abstract":"The vertical problems of the stomatognathic system that alter the overbite, either by increasing in the deep bite (DB) or decreasing in the anterior open bite (AOB), are among the great challenges of the dentofacial corrections in the treatment and the retention and stability protocols. In this paper the state of art of DB treatment with Jaw Functional Orthopedics (JFO) will be discussed. JFO has a unique diagnostic tool for changes in vertical growth of the face, the Articular Compass, developed by Simões. Individuals with hypodivergence and DB are, usually, difficult to treat and more difficult to stabilize the obtained results. Since 1950-decade Planas advocate that the Equiplan – a metal accessory used in functional orthopedic appliances (FOA) is efficient in deep bite treatment by levelling the occlusal plane. Promising results are found with a P = 0,00, but in aweak evidence study design based on the scientific evidence pyramid. Much of the discussion of incisor intrusion or molar extrusion to treat DB seems to be solved with the use of Equiplan, but it still has no scientific evidence, only clinical evidence. In conclusion Randomized Clinical Trials are needed to investigate the efficiency and Modus Operandi of JFO to treat DB.","PeriodicalId":330655,"journal":{"name":"Jaw Functional Orthopedics and Craniofacial Growth","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130259992","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":"Planas direct tracks to treat functional crossbites in children: scientific evidence","authors":"D. Lentini-Oliveira","doi":"10.21595/jfocg.2022.22739","DOIUrl":"https://doi.org/10.21595/jfocg.2022.22739","url":null,"abstract":"Introduction: Posterior functional crossbite is a common malocclusion in children, with a prevalence between 7.5-24 %. It has an important impact on facial functions, and may cause asymmetries in craniofacial development. Different interventions have been used to correct this malocclusion but there is a lack of studies with methodological rigor that support these interventions. Planas Direct Tracks (PDT) constitute one of such interventions. They seek to reestablish the functional occlusal balance of children through selective grinding, complementing this adjustment with composites. Objective: To present the level of scientific evidence available on PDT to correct posterior crossbites. Method: A sensitive search was carried out in the main databases: Pubmed, BVS Odontology, Cochrane, SciElo and Google academic. The articles were selected, duplications removed and critical evaluation of the literature performed classifying the studies according to the evidence pyramid. The aim is to point out ways to improve the quality of the studies. Results: 32 studies were included. 30 studies were narrative reviews, case reports or case series and two were controlled trials. All studies had important biases. No randomized controlled trial was found. Conclusion: So far, there are no studies, sufficiently rigorous methodology, on Planas direct tracks to correct functional crossbites.","PeriodicalId":330655,"journal":{"name":"Jaw Functional Orthopedics and Craniofacial Growth","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131748562","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}