Occlusal and temporomandibular changes with the Straight Arch orthodontic technique. Meditex Clinic, Angola
Keywords:
Orthodontics, Dental occlusion, Temporomandibular joint.Abstract
Introduction: The Straight Arch technique is characterized by a straight ttarch placed that allows the teeth to be inclined in all three dimensions of space.
Objective: To evaluate the occlusal and temporomandibular changes with the Straight Arch orthodontic technique in patients with malocclusion.
Methods: A quasi-experimental study, modality before and after, without a control group, was carried out in 26 patients with malocclusion, treated at the Meditex Clinic, in Luanda, Angola, between August 2021 and August 2022. The treatment was performed using the Arch orthodontic technique Right. The variables studied were: occlusion relationship, temporomandibular anatomical relationship and degree of dysfunction of the temporomandibular joint.
Results: The occlusion relationship showed significant changes with the use of the Straight Wire technique in the molar relationship (2,110 ± 0,6637 mm; p= 0,000) and overjet (2,117 ± 1, 1,4644 mm; p= 0,000); the patients were characterized by presenting temporomandibular anatomical alteration before treatment, mainly in joint centrality (35,951), joint mechanical angle (26,412) and in the condyle-Frankfort relationship (-2,957), which improved with treatment (p= 0,000); patients presented temporomandibular dysfunction grade I and grade II in 46,15 % and 19,23 % respectively, after treatment it turned out that 69,23 % of patients remained with out joint symptoms.
Conclusions: The Straight Arch technique constituted an orthodontic therapy that, in addition to improving the occlusion relationship, favors the joint anatomical relationship and constitutes a the rapeuticoption in temporomandibular dysfunction in patients with malocclusions.
Downloads
References
1. Rivas Pérez G, Álvarez Mora I, Mora Pérez CC, Morera Pérez A, Pausa González OJ. Avances científico-técnicos en ortodoncia y su impacto social. Rev Conrado [Internet]. 2020 [citado 25 Nov 2022];16(72):39-48. Disponible en: http://scielo.sld.cu/pdf/rc/v16n72/1990-8644-rc-16-72-39.pdf
2. Castaño Duque SP, Hoyos Daza A, Vargas Romero AM, Luna Ángel LE. Esfuerzos generados en la ATM en maloclusión clase II, tratada con exodoncias de premolares y ortodoncia: análisis mediante el método de elementos finitos. Rev Fac Odontol Univ Antioq [Internet]. 2021 [citado 25 Nov 2022];33(1):69-82. Disponible en: https://revistas.udea.edu.co/index.php/odont/article/download/343749/20805556/225950
3. Cruz Estupiñán D, Soto Cantero LA, Fernández Maderos I, Díaz Rondón B, Ugarte Moreno D, Soto Rodríguez PL. Técnicas ortodóncicas de arco recto convencionales, técnica de arco recto de baja fricción y densidad ósea en una población adulta cubana. Investig Medicoquirúrg [Internet]. 2018 [citado 25 Nov 2022];10(2):[aprox. 10 p.]. Disponible en: http://revcimeq.sld.cu/index.php/imq/article/download/431/505
4. Herrero SY. Disfunción de la articulación temporomandibular en pacientes con anomalías dentomaxilofaciales. Rev Cubana Estomatol [Internet]. 2019 [citado 25 Nov 2022];56(1):25-33. Disponible en: http://www.revestomatologia.sld.cu/index.php/est/article/download/1924/1154
5. Gkantidis N, Dritsas K, Katsaros C, Halazonetis D, Ren Y. 3D Occlusal Tooth Wear Assessment in Presence of Limited Changes in Non-Occlusal Surfaces. Diagnostics (Basel) [Internet]. 2021 [citado 25 Nov 2022];11(6):1033-45. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8228780/pdf/diagnostics-11-01033.pdf
6. Munive Méndez A, Caro Cuellar MF. Protocolo de cementación indirecta de aparatología ortodóncica fija utilizando materiales de uso común. Revista ADM [Internet]. 2019 [citado 25 Nov 2022];76(6):315-21. Disponible en: https://mex.odontoacademic.com/wp-content/uploads/2020/06/od196d-1.pdf
7. Carrera Garrido EC, Gavilanes Carrasco PD. Tratamiento de ortodoncia con arco recto en maloclusión clase III dental: reporte de caso. Rev Cient Multidiscip [Internet]. 2022 [citado 25 Nov 2022];6(1):4906-17. Disponible en: https://ciencialatina.org/index.php/cienciala/article/download/1839/2632/
8. Bombonatti R, Aliaga Del Castillo A, Bombonatti JFS, Garib D, Tompson B, Janson G. Cephalometric and oclusal changes of Class III malocclusion treated with orwith out extractions. Dental Press J Orthod[Internet]. 2020 [citado 25 Nov 2022]; 25(4):24-32. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7510493/
9. Rzuchowski G, Mikulewicz M. Bone Changes in the Condylar Process of the Mandible in Computed Tomography Images and Cephalogram in a Female Patientduring a Growth Spurt Treated with a Removable Functional Appliance. J Healthc Eng [Internet]. 2020 [citado 25 Nov 2022];2020(1):[aprox. 6 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7568775/pdf/JHE2020-8887182.pdf
10. Macías Villanueva TG, Silva Zatarain AN. Tratamiento de ortodoncia con aparatología de autoligado pasivo: DAMON. Rev Tamé [Internet]. 2019 [citado 25 Nov 2022];78(23):939-42. Disponible en: https://www.medigraphic.com/pdfs/tame/tam-2019/tam1923k.pdf
11. Labarta AB, Grinszpun D, Galofaro DG, Pineda Martínez CJ, Sierra LG. Alteraciones Dentarias en Piezas Sometidas a Fuerzas de Ortodoncia con Técnica de Arco Recto. Rev. Fac. Odontol. (B.Aires) [Internet]. 2021 [citado 25 Nov 2022];36(84):55-61. Disponible en: https://docs.bvsalud.org/biblioref/2022/05/1367788/art8_vol36_num84.pdf
12. Flórez Varilla JP, Lastre Suárez SM. Trastornos temporomandibulares post tratamiento de ortodoncia, revisión de la literatura [Internet]. Cartagena de Indias: Universidad de Cartagena. Facultad de Odontologia; 2021 [citado 25 Nov 2022]. Disponible en: https://repositorio.unicartagena.edu.co/bitstream/handle/11227/12489/INFORME%20FINAL.pdf?sequence=1&isAllowed=y
13. Cordoba Posso LP, Casasa Araujo A, Gurrola Martínez B. Tratamiento de ortodoncia y cambios en los cóndilos. Rev Latinoam Orto Odontoped [Internet]. 2006 [citado 25 Nov 2022];2006(1):[aprox. 10 p.]. Disponible en: https://www.ortodoncia.ws/publicaciones/2006/art-13/
14. Zhai Y, Han JJ, Jung S, Kook MS, Park HJ, Oh HK. Changes in the temporomandibular joint clicking and pain disorders after or thognathic surgery: Comparison of orthodontics-first approach and surgery-first approach. PLoS One [Internet]. 2020 [citado 25 Nov 2022];15(9):[aprox. 13 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7473545/pdf/pone.0238494.pdf
15. Ayala Pérez Y, Carmona Vidal E, Martínez Pérez M. Evolución de pacientes adultos tratados con técnica de arco recto. CCM [Internet]. 2016 [citado 25 Nov 2022];20(3):504-16. Disponible en: http://scielo.sld.cu/pdf/ccm/v20n3/ccm06316.pdf
16. Valenzuela Zamora YH, Moreno Terrazas E, García Aispuro FJ, Garnica Palazuelos JC, Villalobos Rodelo JJ, García Jau RA. Evaluación de los Cambios sintomatológicos a través del mapa del dolor des-pués del uso de una férula oclusal para desprogramar la articulación temporo-mandibular. Rev Med UAS [Internet]. 2017 [citado 25 Nov 2022];7(2):66-73. Disponible en: https://hospital.uas.edu.mx/revmeduas/pdf/v7/n2/mapadeldolor.pdf
17. Díaz Cevallos AC, Gustavo Vinueza N, Paredes Jara CA, Bolivar Quinga D. Mapeo del dolor de la articulación temporomandibular en adolescentes que hayan recibido tratamiento de ortodoncia. Rev Cubana Invest Bioméd [Internet]. 2018 [citado 25 Nov 2022];37(4):1-7. Disponible en: http://scielo.sld.cu/pdf/ibi/v37n4/ibi14418.pdf
Downloads
Published
How to Cite
Issue
Section
License
Authors who have publications with this journal agree to the following terms: authors retain their copyright and grant the journal the right of first publication of their work, which is simultaneously subject to the Creative Commons Attribution-NonCommercial 4.0 International License that allows third parties to share the work as long as the author and first publication in this journal are indicated, for non-commercial use. Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g., depositing it in an institutional telematic archive or publishing it in a monographic volume) as long as the initial publication in this journal is indicated. Authors are allowed and encouraged to disseminate their work via the Internet (e.g., in institutional telematic archives, in their web page or in Pre-print servers) before and during the submission process, which can lead to interesting exchanges and increase citations of the published work. (See The Open Access Effect).
