The aim of this study was to evaluate the associations between head posture (head extension, normal head posture, and head flexion) and anteroposterior head position, hyoid bone position, and the sternocleidomastoid integrated electromyographic (IEMG) activity in a sample of young adults. The study included 50 individuals with natural dentition and bilateral molar support. A lateral craniocervical radiograph was taken for each subject and a cephalometric analysis was performed. Head posture was measured by means of the craniovertebral angle formed by the MacGregor plane and the odontoid plane. According to the value of this angle, the sample was divided into the following three groups: head extension (less than 95 degrees); normal head posture (between 95 degrees and 106 degrees); and head flexion (more than 106 degrees). The following cephalometric measurements were taken to compare the three groups: anteroposterior head position (true vertical plane/pterygoid distance), anteroposterior hyoid bone position (true vertical plane-Ha distance), vertical hyoid bone position (H-H' distance in the hyoid triangle), and CO-C2 distance. In the three groups, IEMG recordings at rest and during swallowing of saliva and maximal voluntary clenching were performed by placing bipolar surface electrodes on the right and left sternocleidomastoid muscles. In addition, the condition with/without craniomandibular dysfunction (CMD) in each group was also assessed. Head posture showed no significant association with anteroposterior head position, anteroposterior hyoid bone position, vertical hyoid bone position, or sternocleidomastoid IEMG activity. There was no association to head posture with/without the condition of CMD. Clinical relevance of the results is discussed.
Resumen: Objetivo: Evaluar el comportamiento clínico a 6 meses en restauraciones de lesiones cervicales no cariosas (LCNC) con dos resinas compuestas Bulk-Fill y una resina nanohíbrida. Materiales y métodos: En 51 pacientes se restauraron 3 LCNC distribuidas aleatoriamente en 3 grupos, TB: Tetric-N-Ceram Bulk-Fill, FB: Filtek Bulk-Fill y Z350: Filtek Z350XT. Las técnicas adhesivas y procedimientos restauradores fueron realizados según las instrucciones de los fabricantes para los diferentes materiales. En TB y FB se aplicó un incremento de 4mm y en Z350 se aplicó incrementos ≤2mm de profundidad. Dos operadores calibrados evaluaron las restauraciones al baseline y 6 meses mediante los criterios clínicos FDI (1: excelente, 2: aceptable, 3: suficiente, 4: insatisfactorio, 5: inaceptable) en Tinción Marginal (TM), Fractura-Retención (FR), Adaptación Marginal (AM), Sensibilidad Postoperatoria (S) y Caries (C). Se utilizó Wilcoxon para la comparación entre baseline -6 meses y Kruskal-Wallis para la comparación de los 3 grupos a 6 meses (significancia de 95%). Resultados: A los 6 meses asistieron 46 pacientes con un total de 138 restauraciones Abstract: Objective: To assess the six-month clinical outcome of restorations of noncarious cervical lesions (NCCL) with two composite resins: Bulk-Fill and nanohybrid resin. Materials and methods: Fifty-one patients, with three NCCLs each, were randomly allocated into three restoration groups: Tetric-N-Ceram Bulk-Fill (TB); Filtek Bulk-Fill (FB); y Filtek Z350XT (Z350). Adhesive techniques and restorative procedures were performed according to the manufacturers' instructions for the different materials. A
Abstract:Objective: To compare the masticatory performance (MP) of patients with old removable partial denture (RPD), recently inserted RPD and already adapted RPD by means of the simple sieve test. Material and Methods: Twenty-nine adult (>18 years old) volunteer patients were recruited, with lower and upper RPD, excluding total edentulous subjects in the upper and lower jaw, with temporomandibular disorders, severe periodontal disease, mental disability or systemic disease compromising the masticatory or nervous system. Dentures were designed and fabricated by an expert operator. MP was evaluated in old RPD (MP1), recently inserted RPD (MP2) and adapted RPD (MP3). The simple sieve test used was Edlund-Lamm in percentage of MP, using Optosil® Comfort condensation silicone tablets, with standard sizes (5.0x20mm). In each phase, the patient chewed the tablet with 20 masticatory strokes. The crushed fragments were dried at 80°C for 60 minutes and weighed on an analytical scale. A multiple vibration sieve analysis was performed, using sieves with opening sizes of 2.8mm and 1.4mm. Shapiro-Wilk test and Anova test with Bonferroni correction were performed. Results: It was observed that MP1 presented a mean of 8.40% (SD±5.59), MP2 a mean of 8.56% (SD±5.56), and MP3 a mean of 18.26% (SD±8.12). There was a significant difference (p<0.05) between the MP1-MP3 groups, as well as between the MP2-MP3 (p<0.05). Conclusion: There is a significant increase in MP thirty days after the insertion of RPD, checkups, and adjustments performed by the dentist.
resUMen objetivo: Validar en población chilena, el método antropométrico indio de Ladda que estableció en la población chilena una correlación positiva entre la dimensión vertical oclusal y longitud de ciertos dedos de la mano. Materiales y métodos: Estudio de tipo transversal, 151 adultos jóvenes, 76 hombres y 75 mujeres. Se replicó el trabajo referencial, utilizando un pie de metro digital, realizando mediciones de los dedos índice y meñique y la distancia desde la punta del pulgar a la punta del índice de la mano derecha, correlacionando las mediciones obtenidas con la dimensión vertical oclusal y aplicando el coeficiente de correlación de Pearson. resultados: La dimensión vertical oclusal presenta correlación estadísticamente significativa con los parámetros estudiados. En hombres, la correlación fue más consistente con la longitud del dedo índice (r=0.908), mientras que, en las mujeres, fue más consistente con la longitud del dedo meñique (r=0.827). conclusiones: Las variaciones obtenidas caen dentro del intervalo de 3-4mm, estando en consonancia con otros métodos antropométricos publicados, confirmando la predictibilidad de la dimensión vertical oclusal obtenida mediante este método objetivo. El procedimiento es sencillo, económico y no invasivo, por lo que podría ser recomendado para la práctica clínica cotidiana. PaLabras cLaveDedos, Pulgar, Dimensión vertical oclusal rev. clin. Periodoncia implantol. rehabil. oral vol. 10(3); 149-152, 2017. abstract objective: The purpose of this study was to validate in the Chilean population, the anthropometric method by Ladda which found a significant correlation between the length of the fingers and the vertical dimension of occlusion. Materials and methods: A cross-sectional study, with 151 Chileans: 76 males and 75 females. Anthropometric measurements of vertical dimension of occlusion, length of index finger, length of little finger, and distance from tip of thumb to tip of the index finger of the right hand were recorded clinically using digital Vernier caliper. Correlation was studied using Pearson's coefficient. results: Vertical dimension of occlusion was significantly correlated with all the parameters analyzed. In males, correlation of vertical dimension of occlusion was stronger with the length of the index finger (r=0.908) whereas in females, it was stronger with the length of the little finger (r=0.827). conclusions: Since the variations between vertical dimension of occlusion and finger lengths are within the range of 3-4 mm, as with other anthropometric methods published, VDO prediction through this method is reliable, and reproducible. This method is simple, economic, and non-invasive; hence, it could be recommended for everyday clinical practice. KeyworDsFingers, Thumb, Vertical dimension of occlusion.rev. clin. Periodoncia implantol. rehabil. oral vol. 10(3);
Main Objective: To compare, through the OHIP-7Sp, the impact on the quality of life of partially edentulous patients, according to WHO criteria “with functional dentition”, 21 or more teeth and “without functional dentition”, less than 21 teeth. Material and Methods: 97 partially edentulous patients were selected between 35 and 75 years old, ASA I or II with ≤ 28 teeth remaining. Were divided in two groups, non-functional dentition (NFD) n=47 and functional dentition (FD) n=50. OHIP-7Sp survey was applied to each patient to measure the impact on quality of life in the seven dimensions considered in this survey. The scale of measurement ranges from 0 to 4, in which 0 is "never" and 4 "always", with a maximum value of 28, considering the instrument in its entirety. Highest score indicates a greater impact on quality of life. For comparison of both groups, the non-parametric Mann-Whitney test was used with a level of 95% significance. Results: Concerning all patients evaluated through the OHIP-7Sp, the mean age was 53 years. There were significant differences in the total OHIP-7Sp score, with a mean and median for the NFD group of 9.53 and 9 and for the FD group 5.02 and 5, respectively. Disaggregating the analysis, significant differences emerged in dimensions 2, 3, 4, 5, and 6 (p<0.05). Conclusion: There was a significantly greater impact on the quality of life, measured with the OHIP-7Sp, in the NFD group compared to the FD group.
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