Fernando Herkrath | Instituto Leônidas e Maria Deane - Fiocruz (original) (raw)
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Objetivo: avaliar a metodologia desenvolvida para determinar as características cefalométricas do... more Objetivo: avaliar a metodologia desenvolvida para determinar as características cefalométricas do perfil mole, em amazonenses com faces equilibradas, sugerindo possíveis características faciais peculiares da população amazonense. Metodologia: 11 radiografias laterais cefalométricas foram selecionadas a partir de 112 documentações ortodônticas do arquivo da disciplina de ortodontia da Faculdade de Odontologia da Universidade Federal do Amazonas, incluindo pacientes nascidos no estado do Amazonas, filhos de amazonenses e sem alterações esqueléticas faciais. Foram avaliadas 11 variáveis do perfil mole. O teste t de Student (p < 0,05) foi aplicado para identificar a presença de dimorfismo na amostra. Resultados: o plano horizontal de Frankfurt não se mostrou confiável como referência para o posicionamento da cabeça do paciente. O grupo estudado mostrou uma tendência à redução da altura facial ântero-inferior (Afai) e maior projeção anterior do mento e dos lábios. Foi encontrado dimorfismo na amostra, com o gênero masculino apresentando uma face mais convexa, devido à maior projeção nasal. Conclusão: a metodologia mostrou-se adequada para avaliação das características faciais em norma lateral, contudo a posição natural da cabeça é recomendada para um posicionamento mais confiável do paciente, com o uso da linha vertical verdadeira para referência. Ficou evidente a necessidade de inclusão de uma análise do padrão de crescimento mandibular para correlacionar com as alterações encontradas no terço inferior da face.
Journal of Dentistry, 2012
j o u r n a l o f d e n t i s t r y 4 0 ( 2 0 1 2 ) 3 -1 4
Oral health & preventive dentistry, 2013
To compare normative methods of orthodontic treatment need with the sociodental approach in 12-ye... more To compare normative methods of orthodontic treatment need with the sociodental approach in 12-year-old students and correlate the normative measures of malocclusion with the impact of oral health on daily activities. A cross-sectional study of 201 12-year-old students was conducted in the city of Manaus, Brazil. The normative orthodontic treatment need was determined by oral clinical examination using two occlusal indices, the Index of Orthodontic Treatment Need (IOTN), comprising the Dental Health Component (DHC) and Aesthetic Component (AC ), and the Dental Aesthetic Index (DAI). The sociodental approach combined normative measures (IOTN and DAI), the impact of malocclusion on daily activities (Child-Oral Impacts on Daily Performances index, Child-OIDP) and propensity- related orthodontic treatment assessment. The normative method and the sociodental approach of orthodontic treatment needs assessment were compared using the McNemar test. The association between the impact of malo...
Practical procedures & aesthetic dentistry : PPAD, 2007
Anterior diastemata may compromise the harmony of a patient's smile. Consideration of etiolog... more Anterior diastemata may compromise the harmony of a patient's smile. Consideration of etiologic factors, previous gingival conditioning, and individual treatment planning are essential in the proper management of anterior diastemata. An integrated orthodontic-restorative approach may enhance the aesthetic results when orthodontic therapy itself is not feasible. This article presents integrated orthodonticrestorative solutions of anterior diastemata, associated with the conditioning of the gingival tissue with composite resin, and discusses the most relevant aspects related to their etiology and treatment planning.
Saúde em Debate, 2013
RESUMO O estudo avaliou o cumprimento das metas de desempenho dos Centros de Especialidades Odont... more RESUMO O estudo avaliou o cumprimento das metas de desempenho dos Centros de Especialidades Odontológicas (CEO) do estado do Amazonas, utilizando dados secundários do SIA-SUS, considerando as variáveis estruturais dos estabelecimentos, cobertura da atenção básica e indicadores sociodemográficos dos municípios. Treze CEO foram avaliados. Um estabelecimento de Manaus e os de Maués e Parintins apresentaram melhor desempenho em relação ao Cumprimento Global das Metas. A cobertura das Equipes de Saúde Bucal na atenção básica parece não acompanhar o desempenho dos estabelecimentos. Os resultados sugerem que o desempenho dos CEO está relacionado às características sociodemográficas dos municípios. PALAVRAS CHAVE: Serviços de Saúde Bucal; especialidades odontológicas; sistemas de informação. ABSTRACT The study evaluated the compliance of performance goals of the Centers for Dental Specialties of the state of Amazonas, using secondary data from the SIA-SUS, considering the structural variables of establishments, comprehensiveness of basic health care and sociodemographic indicators of municipalities. Thirteen centers were assessed. One establishment of Manaus and the Maués and Parintins showed better performance in relation to the global compliance of goals. Coverage of Oral Health Teams in primary care seems not to follow the performance of establishments. The results suggest that the performance of the Centers is related to the sociodemographic characteristics of the municipalities.
Revista Dental Press de Ortodontia e Ortopedia Facial, 2008
Palavras-chave: Face. Oclusão dentária. Dente decíduo. Epidemiologia. ... INTRODUCTION: It is pos... more Palavras-chave: Face. Oclusão dentária. Dente decíduo. Epidemiologia. ... INTRODUCTION: It is possible to define the facial morphology and growth pattern in early ages, starting from mature deciduous dentition. AIM: Due to the lack of studies about this ...
Revista Dental Press de Ortodontia e Ortopedia Facial, 2008
OBJETIVO: A inter-relação oclusão e morfologia facial é fundamental para o diagnóstico e planejam... more OBJETIVO: A inter-relação oclusão e morfologia facial é fundamental para o diagnóstico e planejamento em ortodontia, bem como para determinação do prognóstico de tratamento. De um modo geral, a relação sagital entre os arcos dentários (Classe) tende a refletir o ...
Journal of Dentistry, 2012
j o u r n a l o f d e n t i s t r y 4 0 ( 2 0 1 2 ) 3 -1 4
Objective: To compare health-related quality of life and oral health–related quality of life betw... more Objective: To compare health-related quality of life and oral health–related quality of life
between nonsyndromic individuals with and without cleft lip and/or cleft palate and to identify the
most affected quality of life dimensions in individuals with cleft lip and/or palate.
Design: Systematic review and meta-analysis were conducted. Of the 314 identified citations,
23 articles were submitted to quality assessment. Data from nine studies on health-related
quality of life and six on oral health–related quality of life were extracted for meta-analysis.
Main Outcome Measures: Pooled mean differences of health-related quality of life between
adults with and without cleft lip and/or palate, pooled means of health-related quality of life
dimensions of children and adults with cleft lip and/or palate and oral health–related quality of
life dimensions of children and adolescents with cleft lip and/or palate with a 95% confidence
interval were calculated.
Results: Quality assessment revealed methodological differences between studies. Lack of
subgroup stratification and absence of control for confounders were the main limitations.
Heterogeneity was detected on the comparison of oral health–related quality of life and healthrelated
quality of life between children with and without cleft lip and/or palate, and oral health–
related quality of life between adolescents with and without cleft lip and/or palate. A randomeffect
model showed a significant difference on health-related quality of life between adults with
and without cleft lip and/or palate (mean difference¼0.10; 95% confidence interval, 0.16 to 0.05).
Psychological health (mean, 78.9; 95% confidence interval, 70.1 to 87.7) and vitality (mean, 68.1;
95% confidence interval, 48.0 to 88.1) were the most affected health-related quality of life
dimensions in children and adults with cleft lip and/or palate, respectively. Means of healthrelated
quality of life dimensions in children and adults with cleft lip and/or palate and oral
health–related quality of life in children and adolescents with cleft lip and/or palate varied yet did
not differ in indirect comparisons.
Conclusion: The presence of cleft lip and/or palate negatively affected the health-related
quality of life of adults, mainly on psychosocial dimensions.
Objetivo: avaliar a metodologia desenvolvida para determinar as características cefalométricas do... more Objetivo: avaliar a metodologia desenvolvida para determinar as características cefalométricas do perfil mole, em amazonenses com faces equilibradas, sugerindo possíveis características faciais peculiares da população amazonense. Metodologia: 11 radiografias laterais cefalométricas foram selecionadas a partir de 112 documentações ortodônticas do arquivo da disciplina de ortodontia da Faculdade de Odontologia da Universidade Federal do Amazonas, incluindo pacientes nascidos no estado do Amazonas, filhos de amazonenses e sem alterações esqueléticas faciais. Foram avaliadas 11 variáveis do perfil mole. O teste t de Student (p < 0,05) foi aplicado para identificar a presença de dimorfismo na amostra. Resultados: o plano horizontal de Frankfurt não se mostrou confiável como referência para o posicionamento da cabeça do paciente. O grupo estudado mostrou uma tendência à redução da altura facial ântero-inferior (Afai) e maior projeção anterior do mento e dos lábios. Foi encontrado dimorfismo na amostra, com o gênero masculino apresentando uma face mais convexa, devido à maior projeção nasal. Conclusão: a metodologia mostrou-se adequada para avaliação das características faciais em norma lateral, contudo a posição natural da cabeça é recomendada para um posicionamento mais confiável do paciente, com o uso da linha vertical verdadeira para referência. Ficou evidente a necessidade de inclusão de uma análise do padrão de crescimento mandibular para correlacionar com as alterações encontradas no terço inferior da face.
Journal of Dentistry, 2012
j o u r n a l o f d e n t i s t r y 4 0 ( 2 0 1 2 ) 3 -1 4
Oral health & preventive dentistry, 2013
To compare normative methods of orthodontic treatment need with the sociodental approach in 12-ye... more To compare normative methods of orthodontic treatment need with the sociodental approach in 12-year-old students and correlate the normative measures of malocclusion with the impact of oral health on daily activities. A cross-sectional study of 201 12-year-old students was conducted in the city of Manaus, Brazil. The normative orthodontic treatment need was determined by oral clinical examination using two occlusal indices, the Index of Orthodontic Treatment Need (IOTN), comprising the Dental Health Component (DHC) and Aesthetic Component (AC ), and the Dental Aesthetic Index (DAI). The sociodental approach combined normative measures (IOTN and DAI), the impact of malocclusion on daily activities (Child-Oral Impacts on Daily Performances index, Child-OIDP) and propensity- related orthodontic treatment assessment. The normative method and the sociodental approach of orthodontic treatment needs assessment were compared using the McNemar test. The association between the impact of malo...
Practical procedures & aesthetic dentistry : PPAD, 2007
Anterior diastemata may compromise the harmony of a patient's smile. Consideration of etiolog... more Anterior diastemata may compromise the harmony of a patient's smile. Consideration of etiologic factors, previous gingival conditioning, and individual treatment planning are essential in the proper management of anterior diastemata. An integrated orthodontic-restorative approach may enhance the aesthetic results when orthodontic therapy itself is not feasible. This article presents integrated orthodonticrestorative solutions of anterior diastemata, associated with the conditioning of the gingival tissue with composite resin, and discusses the most relevant aspects related to their etiology and treatment planning.
Saúde em Debate, 2013
RESUMO O estudo avaliou o cumprimento das metas de desempenho dos Centros de Especialidades Odont... more RESUMO O estudo avaliou o cumprimento das metas de desempenho dos Centros de Especialidades Odontológicas (CEO) do estado do Amazonas, utilizando dados secundários do SIA-SUS, considerando as variáveis estruturais dos estabelecimentos, cobertura da atenção básica e indicadores sociodemográficos dos municípios. Treze CEO foram avaliados. Um estabelecimento de Manaus e os de Maués e Parintins apresentaram melhor desempenho em relação ao Cumprimento Global das Metas. A cobertura das Equipes de Saúde Bucal na atenção básica parece não acompanhar o desempenho dos estabelecimentos. Os resultados sugerem que o desempenho dos CEO está relacionado às características sociodemográficas dos municípios. PALAVRAS CHAVE: Serviços de Saúde Bucal; especialidades odontológicas; sistemas de informação. ABSTRACT The study evaluated the compliance of performance goals of the Centers for Dental Specialties of the state of Amazonas, using secondary data from the SIA-SUS, considering the structural variables of establishments, comprehensiveness of basic health care and sociodemographic indicators of municipalities. Thirteen centers were assessed. One establishment of Manaus and the Maués and Parintins showed better performance in relation to the global compliance of goals. Coverage of Oral Health Teams in primary care seems not to follow the performance of establishments. The results suggest that the performance of the Centers is related to the sociodemographic characteristics of the municipalities.
Revista Dental Press de Ortodontia e Ortopedia Facial, 2008
Palavras-chave: Face. Oclusão dentária. Dente decíduo. Epidemiologia. ... INTRODUCTION: It is pos... more Palavras-chave: Face. Oclusão dentária. Dente decíduo. Epidemiologia. ... INTRODUCTION: It is possible to define the facial morphology and growth pattern in early ages, starting from mature deciduous dentition. AIM: Due to the lack of studies about this ...
Revista Dental Press de Ortodontia e Ortopedia Facial, 2008
OBJETIVO: A inter-relação oclusão e morfologia facial é fundamental para o diagnóstico e planejam... more OBJETIVO: A inter-relação oclusão e morfologia facial é fundamental para o diagnóstico e planejamento em ortodontia, bem como para determinação do prognóstico de tratamento. De um modo geral, a relação sagital entre os arcos dentários (Classe) tende a refletir o ...
Journal of Dentistry, 2012
j o u r n a l o f d e n t i s t r y 4 0 ( 2 0 1 2 ) 3 -1 4
Objective: To compare health-related quality of life and oral health–related quality of life betw... more Objective: To compare health-related quality of life and oral health–related quality of life
between nonsyndromic individuals with and without cleft lip and/or cleft palate and to identify the
most affected quality of life dimensions in individuals with cleft lip and/or palate.
Design: Systematic review and meta-analysis were conducted. Of the 314 identified citations,
23 articles were submitted to quality assessment. Data from nine studies on health-related
quality of life and six on oral health–related quality of life were extracted for meta-analysis.
Main Outcome Measures: Pooled mean differences of health-related quality of life between
adults with and without cleft lip and/or palate, pooled means of health-related quality of life
dimensions of children and adults with cleft lip and/or palate and oral health–related quality of
life dimensions of children and adolescents with cleft lip and/or palate with a 95% confidence
interval were calculated.
Results: Quality assessment revealed methodological differences between studies. Lack of
subgroup stratification and absence of control for confounders were the main limitations.
Heterogeneity was detected on the comparison of oral health–related quality of life and healthrelated
quality of life between children with and without cleft lip and/or palate, and oral health–
related quality of life between adolescents with and without cleft lip and/or palate. A randomeffect
model showed a significant difference on health-related quality of life between adults with
and without cleft lip and/or palate (mean difference¼0.10; 95% confidence interval, 0.16 to 0.05).
Psychological health (mean, 78.9; 95% confidence interval, 70.1 to 87.7) and vitality (mean, 68.1;
95% confidence interval, 48.0 to 88.1) were the most affected health-related quality of life
dimensions in children and adults with cleft lip and/or palate, respectively. Means of healthrelated
quality of life dimensions in children and adults with cleft lip and/or palate and oral
health–related quality of life in children and adolescents with cleft lip and/or palate varied yet did
not differ in indirect comparisons.
Conclusion: The presence of cleft lip and/or palate negatively affected the health-related
quality of life of adults, mainly on psychosocial dimensions.