Jaw Functional Orthopedics has efficient tools for treatment of deep bite, but, once they are bioplastic functional appliances, they have a considerable amount of acrylic resulting in volume that interferes with the individual phonetics. Planas had already described a Equiplan attached to a pipe to facilitate the use by the patient. Based on those ideas and in a attempt to improve use conditions of the functional orthopedic appliance, this paper presents the step by step of the manufacturing of an appliance with an Equiplan, used as background activity, or a main appliance, able to increase vertical dimension; used as contention in deep bite treatment; and in individuals with significant occlusal plane alterations, used as a mandibular deprogrammer. The appliance, when properly prescript, has a clinical conduction more efficient than occlusal splints because it does not require adjustment in every session. Its construction do not require articulated casts and can be done in less time in the laboratory.

Deep bite malocclusion impacts function of the stomatognathic system, patients' quality of life and self-stem by compromising oral and facial esthetics. The malocclusion can involve teeth and facial skeleton, for such is one of the most challenging malocclusion treatments. The aim of this investigation is to check the clinical belief that Planas' Equiplan is efficient to treat deep bite malocclusion. Dental overbite was measured in 21 patients submitting to Jaw Functional Orthopedics treatment at post-graduation course. The inclusion criteria were a vertical trespass of the incisal border of the upper incisors covering the vestibular face of the lower incisors more than 3 mm, treatment cooperation and a consent form signed by the patients, or their legal tutor, allowing the use of the data obtained for research and didactic purposes. The initial measurement (T0) and 15 months treatment (T1) was collected to study overbite behavior during treatment with Planas' Equiplan. The mean overbite of the sample at T0 was 5,02 ± 1,311 mm, at T1 the mean overbite was 2,38 ± 1,026 mm. The difference T1-T0 is -2,65 ± 1,462 mm (𝑝 0,01). The data presented here supports the efficacy of the use of Planas' Equiplan in the treatment of Deep bite Malocclusion.

What are my chances of getting better?" And "How long will it take for the discomfort to improve?" are the two basic questions asked by individuals after they know about the influence of the stomatognathic system (SS) on their discomfort. Despite the biological unpredictability and variation, these individuals need some information. When searching in MEDLINE, some parameters may be found, but there are none about Jaw Functional Orthopedics (JFO). This study sample was composed of 146 patients with TMD and/or headache/neck pains, who were treated with JFO and divided into three groups. Group 1 exclusively with TMD; Group 2 with head and/or neck pain without symptoms of TMD (pain on palpation or movement); and Group 3 with TMD and head/neck pain. The symptoms monitored were arthralgia, and myalgia of the temporal, masseter or suprahyoid muscles, neck pain on movement or palpation, headache and cervicalgia reported. Odontogenic pain and headache originating from other sources (sinusitis, flu, pre-menstrual period, photophobia, hangover, etc.) were excluded from the study. The sample was aligned with the literature relative to prevalence of age and sex. Results showed that JFO treatment was effective in patients of the three groups. There was no statistical difference in mean time for remission among the groups. The results and conclusions should be analyzed with caution since there was no control group, and long term follow up is needed to check the behavior of the symptoms. However, the data from this study suggested that JFO was an efficient tool for treatment of patients with occlusal and biomechanical alterations of the SS, with chronic TMD, head and/or neck pain in a short period of time.

Os desafios da engenharia industrial na produção de alimentos, energia renovável e na promoção da qualidade de vida das pessoas.""Os desafios da engenharia industrial na produção de alimentos, energia renovável e na promoção da qualidade de vida das pessoas."

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.