Treatment Time of Class II Malocclusion, with and without Mandibular Crowding, Treated with Four Premolar Extractions: A Retrospective Study

Objective: This study aimed to compare the treatment times in patients with complete bilateral Class II malocclusion, with and without mandibular crowding, treated with 4 premolar extractions.Methods:The sample comprised 57 retrospectively and consecutively selected patients (30 male, 27 female) treated for initial Class II malocclusion, divided as follows: Group 1 consisted of 23 patients (11 males, 12 females; mean age 13.13 years) presenting no crowding or 3 mm at most. Group 2 consisted of 34 patients (19 males, 15 females; mean age13.06 years) presenting more than 4 mm of crowding. Crowding was manually measured in the initial dental casts. The Objective Grading System (OGS) index was manually measured in the final dental casts and radiographic images. The groups were comparable regarding initial age, gender distribution, and final occlusal statuses. The treatment times between the groups were compared using the t-test. Correlation between crowding and treatment time was evaluated with Pearson correlation coefficient.Results: Treatment times between the 2 groups were similar (P = .890) and there was no significant correlation between the amount of crowding and treatment time (r = 0.04, P = .760).Conclusion: Treatment times for complete Class II malocclusion with and without mandibular crowding, treated with 4 premolar extractions, are similar

3-D Evaluation of temporary skeletal anchorage sites in the maxilla

The selection of temporary anchorage device (TAD) site can be a challenging task since one should not only consider the 2-D distances between roots, but also the entire 3-D space. Thus, the aim of this study was to evaluate the posterior maxillary regio

Síntese e caracterização de arcabouços de quitosana com agente antineoplásicos

O sistema de liberação controlada de fármacos através da utilização de biomateriais poliméricos associados a compostos com ação antineoplásica pode ser empregado como alternativa de tratamento de neoplasias. Desta forma, este trabalho teve como objetivo a síntese e caracterização de sistemas de arcabouços de quitosana com o agente antineoplásico (1,4-naftoquinona), cuja taxa de liberação pode ser controlada pela utilização de um agente reticulante como o tripolifosfato de sódio (TPP). O método de preparação consistiu da solubilização da quitosana em ácido acético, adição do fármaco, congelamento, liofilização e reticulação com TPP. Todas as amostras foram caracterizadas por Difração de Raios X (DRX), Microscopia Eletrônica de Varredura (MEV), Espectroscopia de Energia Dispersiva de Raios X(EDS), grau de intumescimento e biodegradação enzimática. Na MEV foi evidenciada a formação de poros interconectados com tamanhos e formas variadas em todas as estruturas estudadas caracterizando a formação de arcabouços. Já no EDS foi observada a presença de elementos químicos característico da composição química de cada material. No entanto foi observada a presença do sódio que pode estar relacionado ao agente neutralizante utilizado. A reticulação de parte dos arcabouços foi comprovada pelo DRX, EDS e aumentou a taxa de degradação enzimática in vitro dos mesmos. A incorporação do fármaco foi confirmada por DRX, grau de intumescimento e EDS. Desta forma, pode-se concluir que ocorreu à formação de arcabouços reticulados e não reticulados porosos, com propriedades morfológicas e físico-químicas que podem contribuir para carrear fármacos antineoplásicos, sendo possível controlar a taxa de degradação dos mesmos e provável liberação do fármaco

Estabilidade em longo prazo do tratamento cirúrgico da mordida aberta anterior por osteotomia tipo Le Fort I com e sem segmentação maxilar

Introduction: This vertical malocclusion has the potential of causing functional and esthetic impairment, impacting patients´ quality of life negatively. The long-term stability of anterior open bite surgical-orthodontic treatment is an important and controversial issue. A variety of factors such as surgery type, surgery fixation, and the anteroposterior discrepancy is related to and can influence long-term overbite stability. The controversy of stability arises in the inherent difficulty of collecting a homogeneous sample, with considerable sample size and adequate long-term followup, leading the current literature to an inconclusive status. Therefore this thesis aimed to test 2 null hypotheses: 1- There is no difference in the long-term stability of the surgical-orthodontic correction of anterior open bite when comparing Le Fort I to 4-piece segmental Le Fort I osteotomies. 2- To test the null hypothesis that there is no difference in the long-term stability of the surgical-orthodontic correction of anterior open bite when comparing Class II to Class III patients. Materials and Methods: The sample of the first investigation comprised the lateral cephs of 29 open bite subjects treated with 1-piece Lefort I osteotomy compared to the lateral cephs of 24 open bite subjects treated with 4-piece Lefort I osteotomy; in both groups Class I, II and III subjects were included. The groups were matched regarding age and were compared with t-tests. To test the second null hypothesis, lateral cephs of 21 Class II open bite subjects were compared to lateral cephs of 25 Class III open bite subjects. Overbite changes were compared at 3-time points: T1 (pretreatment), T2 (posttreatment) and T3 (follow-up) by using t-test. Overbite clinical stability percentage at T3 was assessed with the chi-square test. Results: In 1-piece Le Fort I Group 65.52% of patients presented with clinically significant overbite stability, while in 4-piece Group 83.33% remained stable in the long-term, however it was not statistically significant. In Class II Group 57.14% of patients presented with clinically significant overbite stability, while in Class III Group 88% remained clinically stable, and it was statistically significant. Conclusions: The first null hypothesis regarding maxillary segmentation was accepted because there was no significant intergroup difference regarding the percentage of clinically stable patients. The type of fixation seems to influence the long-term stability of open bite surgical-orthodontic correction more than maxillary segmentation. The second null hypothesis was rejected because clinical stability of Class II malocclusion open bite surgical-orthodontic treatment was significantly smaller than in Class III malocclusions.Introdução: A estabilidade em longo prazo do tratamento orto-cirúrgico da mordida aberta anterior é um assunto relevante e controverso. Esta má oclusão vertical tem o potencial de causar importantes alterações tanto funcionais quanto estéticas, impactando negativamente a qualidade de vida dos pacientes. Vários fatores, como o tipo de cirurgia, a fixação cirúrgica e a discrepância ântero-posterior, estão relacionados e podem influenciar a estabilidade da sobremordida em longo prazo. A controvérsia na estabilidade surge na dificuldade inerente de coletar uma amostra homogênea, com um tamanho de amostra considerável e acompanhamento adequado em longo prazo, levando esse assunto na literatura atual a um status inconclusivo. Portanto, esta tese teve como objetivos testar 2 hipóteses nulas: 1- Não há diferença na estabilidade em longo prazo da correção orto-cirúrgica da mordida aberta anterior ao comparar as osteotomias tipo Le Fort I com e sem segmentação maxilar. 2- Não há diferença na estabilidade em longo prazo da correção orto-cirúrgica da mordida aberta anterior ao comparar pacientes com má oclusão de Classe II e Classe III. Materiais e Métodos: A amostra da primeira investigação compreendeu as telerradiografias de 29 indivíduos com mordida aberta tratados por osteotomia Lefort I sem segmentação maxilar, às quais foram comparadas às telerradiografias laterais de 24 indivíduos com mordida aberta tratados por osteotomia Lefort I com segmentação maxilar; pacientes Classe I, II e III foram incluídos. Os grupos foram compatibilizados pela idade e foram comparados com testes t e qui-quadrado. Para testar a segunda hipótese nula, telerradiografias laterais de 21 indivíduos com mordida aberta e má oclusão de Classe II foram comparadas às telerradiografias laterais de 25 indivíduos com mordida aberta e má oclusão de Classe III. As alterações do overbite foram comparadas em três tempos: T1 (pré-tratamento), T2 (pós-tratamento) e T3 (longo-prazo) usando o teste t. A taxa de estabilidade clínica em T3 foi avaliada com teste de qui-quadrado. Resultados: No Grupo Le Fort I sem segmentação maxilar 65,52% dos pacientes apresentaram estabilidade clínica da sobremordida, enquanto que no Grupo Le Fort I com segmentação maxilar, 83,33% mantiveram-se estáveis em longo prazo, porém essa diferença não se apresentou estatisticamente significante. No Grupo Classe II, 57,14% dos pacientes permaneceram clinicamente estáveis, enquanto que no Grupo Classe III, a porcentagem clínica de estabilidade foi de 88%, e a diferença apresentou significância estatística. Conclusões: A primeira hipótese nula em relação à segmentação maxilar foi aceita porque não houve diferença estatisticamente significante entre os grupos em relação à porcentagem de pacientes clinicamente estáveis. O tipo de fixação parece influenciar a estabilidade em longo prazo da correção orto-cirúrgica da mordida aberta mais do que a segmentação maxilar. A segunda hipótese nula foi rejeitada porque a estabilidade clínica do tratamento orto-cirúrgico da mordida aberta em pacientes com má oclusão de Classe II foi significativamente menor do que nos pacientes com má oclusão de Classe III

Posterior teeth angulation in non-extraction and extraction treatment of anterior open-bite patients

Abstract Backgound This study cephalometrically evaluated the posterior teeth angulation changes of anterior open-bite non-extraction and extraction treatment in the permanent dentition, with anterior vertical elastics. Methods The sample consisted of initial and final lateral headfilms of 60 patients divided into 2 groups: Group 1 consisted of 30 patients treated with non-extraction with an initial mean age of 15.26 years and treated with fixed appliances for a mean period of 2.46 years. Group 2 consisted of 30 patients treated with extractions, with an initial mean age of 14.03 years, and treated with fixed appliances for a mean period of 2.49 years. Within-group treatment changes were evaluated with paired t tests. Results were considered statistically significant at P < 0.05. Results The mandibular posterior teeth were significantly uprighted in both groups with both treatment protocols. Conclusions Correction of anterior open bite with either non-extraction or extractions with continuous archwires and vertical anterior elastics uprights the mandibular posterior teeth

In depth analysis on the carbohydrate-binding properties of a vasorelaxant lectin from Dioclea lasiophylla Mart Ex. Benth seeds

Lectins are a class of proteins or glycoproteins capable of recognizing and interacting with carbohydrates in a specific and reversible manner. Owing to this property, these proteins can interact with glycoconjugates present on the cell surface, making it possible to decipher the glycocode, as well as elicit biological effects, such as inflammation and vasorelaxation. Here, we report a structural and biological study of the mannose/glucose-specific lectin from Dioclea lasiophylla seeds, DlyL. The study aimed to evaluate in detail the interaction of DlyL with Xman and high-mannose N-glycans (MAN3, MAN5 and MAN9) by molecular dynamics (MD) and the resultant in vitro effect on vasorelaxation using rat aortic rings. In silico analysis of molecular docking was performed to obtain the initial coordinates of the DlyL complexes with the carbohydrates to apply as inputs in MD simulations. The MD trajectories demonstrated the stability of DlyL over time as well as different profiles of interaction with Xman and N-glycans. Furthermore, aortic rings assays demonstrated that the lectin could relax pre-contracted aortic rings with the participation of the carbohydrate recognition domain (CRD) and nitric oxide (NO) when endothelial tissue is preserved. These results confirm the ability of DlyL to interact with high-mannose N-glycans with its expanded CRD, supporting the hypothesis that DlyL vasorelaxant activity occurs primarily through its interaction with cell surface glycosylated receptors. Communicated by Ramaswamy H. Sarm