Adriana De Stefano - Academia.edu (original) (raw)

Papers by Adriana De Stefano

Oral

The aim of this study was to analyse if bracket systems could affect the incisors’ decompensation... more The aim of this study was to analyse if bracket systems could affect the incisors’ decompensation in a group of patients affected by dentoskeletal Class III malocclusion and on the duration of presurgical orthodontics. A single-centre retrospective study was carried out on two groups of patients affected by dentoskeletal Class III and who underwent orthognathic surgery. Group 1, comprising 25 subjects (13 males, 12 females; mean age, 27.4 y.o.), was treated with interactive self-ligating brackets; group 2, comprising 10 subjects (5 males, 5 females; mean age, 27.2 y.o.), was treated with conventional twin brackets. Bracket prescription and archwire sequence were the same for both groups. Data were collected about age, upper incisors’ axis (UI^ANS-PNS), lower incisors’ axis (IMPA), and the total duration of presurgical orthodontics and were then compared between the two groups. The variation in the upper incisor axis and the duration of presurgical orthodontics was not significant be...

International Journal of Environmental Research and Public Health

The aim of this work was to evaluate the efficacy and accuracy of maxillary arch transverse expan... more The aim of this work was to evaluate the efficacy and accuracy of maxillary arch transverse expansion using the Invisalign® clear aligner system without auxiliaries other than Invisalign attachments. Knowing the accuracy of a movement through a clear aligner system allows the clinician to plan the treatment with greater precision and to achieve the expected result faster. The study group included 28 patients with a mean age of 17 ± 3.2 years. The treatment protocol for all the selected patients included the application of the Invisalign® clear aligner system without auxiliaries, except for the Invisalign® attachments; in no case were tooth extraction or interproximal enamel reduction (IPR) performed. Linear measurements of the expansion were assessed before treatment (T0), at the end of treatment (T1), and on final virtual models by ClinCheck® (TC). A paired t-test was used to compare T0-T1 and T1-TC differences. A paired t-test was applied, and one normality was validated with the ...

Applied Sciences

At present, temporary anchorage devices (TADs) are continuously gaining importance because of the... more At present, temporary anchorage devices (TADs) are continuously gaining importance because of their usability and their possibility to broaden clinical force applications; however, how difficult can their placement planning be? Aim: The aim is to evaluate the association between clinical experience, digital knowledge and the capability of virtual planning in palatal orthodontic miniscrew insertion in various types of clinicians, divided by different levels of experience. Methods: A total of 30 participants (10 dental students, 10 orthodontics students and 10 orthodontists) with different levels of clinical and digital experience were randomly recruited in this cross-sectional study. All participants performed a pre-test survey followed by two consecutive digital planning tests and, finally a post-test survey. The digital planning test was made using software BlueSkyBio-BlueSkyPlan, a surgical guide module. The differences in terms of planning execution time, miniscrew insertion and ...

International Journal of Morphology

Unilateral condylar hyperplasia (UCH) is an alteration of the mandibular condyle growth. The aim ... more Unilateral condylar hyperplasia (UCH) is an alteration of the mandibular condyle growth. The aim of this study was to evaluate condyle volume, surface area, and Morphological Index (MI) differences between the affected condyle and an unaffected one in patients with UCH, evaluated through 3D reconstructions cone beam computed tomography (CBCT) images by two open-source softwares. A retrospective cross-sectional study of 16 patients with a certain UCH, 9 females and 7 males with mean age 25.13 ± 6.8 years was made. The image obtained from the CBCT of each condyle were reconstructed using the open-source software 3D SLICER 4.6 ®. The volumetric and area measurements of the 3D reconstruction of the mandibular condyle were made using the open-source software NETFABB basic 5.0 ®. The mean condylar volume of the hyperplastic condyles was 2.07 ± 1.51 cm 3 and the non-hyperplastic condyles was 1.16 ± 0.82 cm 3 (p<0.05). The mean area surface of the hyperplastic condyle was 11.77 ± 3.71 cm 2 and the non-hyperplasic condyle mean was 8.05 ± 2.17 cm 2 (p < 0.05). The mean area surface difference was 3.72 ± 3.57 cm2 (28.0 %). The MI of the hyperplastic condyle was 1.8 ± 0.3 mm and the non-affected condyle was 1.3 ± 0.6 mm (p < 0.05). The use of open-source software for 3D reconstruction with manual segmentation for evaluation of the volume and the condylar surface is a valid tool available to the clinic in the diagnosis and monitoring of patients with condylar hyperplasia.

Healthcare

Background: Excessive gingival display or “gummy smile” is a clinical condition where a maxillary... more Background: Excessive gingival display or “gummy smile” is a clinical condition where a maxillary gum shows between the inferior line of the superior lip and the gingival line of the incisive superior during a spontaneous smile. The aim of this research was to understand the various skeletal and dentoalveolar components contributing to a gummy smile in a sample of 120 patients. Material and Methods: This retrospective case-control study had the primary objectives of analyzing the existence of a correlation between the presence of gingival exposure and the alteration of the inclination of the upper incisors with respect to the Frankfurt plane, the Palatine plane (bi-spinal) and to the NA line in a sample of orthodontic patients, and also evaluating the association with skeletal, dental, and aesthetic cephalometric parameters. Result and Conclusions: In our study, it’s emerged a correlation between the gingival exposure and the presence of alterations to incisal torque in the vestibul...

Methods and Protocols

Canine disimpaction is always a challenging orthodontic treatment overall, even when the impacted... more Canine disimpaction is always a challenging orthodontic treatment overall, even when the impacted permanent canine is in a high position, especially when in tight relation with the upper incisors’ roots. Conventional treatment methods are usually not capable of performing the correct force direction, consisting of the contemporary movement in the distal and vestibular directions of the canine crown, often provoking, as side effects, the presence of decubitus on the mucous of the lips and cheeks or a poor final appearance of the periodontal support of the disimpacted canine. Among the different approaches, the vertical incision subperiosteal tunnel access (VISTA) technique shows good performance with regard to the direction of the forces and the canine’s periodontal conditions when erupted; it is usually realized through an elastic chain connected to a temporary anchorage device (TAD) in the posterior area. In this paper, a different protocol for the VISTA method is also presented, t...

Oral

Tooth eruption is a complex process, during which a series of factors can cause a failure of it. ... more Tooth eruption is a complex process, during which a series of factors can cause a failure of it. Among this, primary failure of eruption (PFE) is a non-syndromic condition that leads to an incomplete tooth eruption despite the presence of a clear eruption pathway. The aim of this narrative review is to provide an overall view about clinical considerations, genetics-related aspects, and possible treatments of PFE based on the latest findings. A literature search using the PubMed/Medline and Scopus database was performed. The search terms used were “PFE”, “orthodontics”, “primary failure of eruption”, and “treatment”, and all the articles, according to the inclusion criteria, from 2008 until June 2022 were screened. Among them, 12 articles were considered useful to highlight some of the main genotypical and phenotypical aspects and several treatment options. Indeed, if there is a suspicion of primary failure of eruption, a PTH1R screening should be performed, because a mutation in thi...

Clinica Terapeutica, Apr 4, 2022

Background The aim of the study is to provide scientific evidence on the possibility of using the ... more Background The aim of the study is to provide scientific evidence on the possibility of using the Corneal point a skin point for measu-rements that can be made on both standard and three-dimensional photographs. Also, we want to demonstrate the stability of corneal point during the growth, to use it as a reference point. Methods A sample of 105 radiographs was reached. A descriptive and longitudinal statistical analysis was performed. Results By data analysis we obtained more variability inter-subject of the millimetrically value of the SC plan. For this reason, we consi-dered the relationship between the SN and SC values and not a single value. In the cross-sectional study the T- test analysis did not show a different significant result of variations between SC and SN in both sexes; therefore, we considered these as unique sample. Conclusion Longitudinal study has a major importance for to esta-blishing the age-related changes. By cross-selection and longitudinal analysis we obtained an overlapping trend of the SN and SC plan. As the SN plan has always been used as a reference plan for cephalometric measurements, although its variations in growth, it can be concluded that the SC plan can be considered equally a reference plan.

Dentistry Journal, 2021

The impaction of permanent maxillary canine is a common clinical occurrence, and it is observed i... more The impaction of permanent maxillary canine is a common clinical occurrence, and it is observed in 2% of patients who require orthodontic treatment. This case report describes a new orthodontic-surgical approach through the use of CO2 laser, for the exposure of the palatally impacted canines. A 13-year-old female referred to our observation to make an orthodontic examination because of the maxillary primary canines’ persistence in upper arch. Orthopanoramic X-ray showed impaction of both permanent maxillary canines. The family history revealed that the patient’s mother had the same orthodontic problem. Cone Beam Computer Tomography (CBCT) was requested to plan the surgical-orthodontic treatment. Surgical exposure of the impacted canines was performed using a CO2 laser and subsequent periodontal pack application. No orthodontic devices were applied for impacted teeth traction on dental arch. Canines’ movement was monitored at 1, 8 and 16 weeks post-surgery with photo and intraoral sc...

International journal of odontostomatology, 2017

espanolEn la poblacion joven venezolana las maloclusiones representan un importante problema de s... more espanolEn la poblacion joven venezolana las maloclusiones representan un importante problema de salud bucal. Resulta util la aplicacion de metodos diagnosticos cefalometricos como el propuesto por Petrovic que permitan identificar el potencial de crecimiento mandibular del paciente como un instrumento para seleccionar la modalidad de tratamiento. Objetivo: el proposito de esta investigacion fue identificar los grupos rotacionales y las categorias auxologicas en pacientes venezolanos, de ambos generos, entre 7 y 10 anos, que acudieron a la Facultad de Odontologia de la UCV, durante el periodo 2006-2010. Materiales y Metodos: se aplico el metodo cefalometrico de Petrovic para la identificacion del tipo rotacional y categoria auxologica en las radiografias cefalicas laterales de pacientes sin tratamiento ortopedico ni ortodoncico previo. Resultados: el tipo rotacional mas frecuente fue el P1N, seguido por R2D, R1N y P2D; en ambos generos el tipo rotacional P1N fue el mas frecuente, sin...

Applied Sciences, 2021

Background: The permanent maxillary canine is the most impacted tooth after third molars. There a... more Background: The permanent maxillary canine is the most impacted tooth after third molars. There are many possible surgical techniques to approach impacted canines. The literature reports that high-intensity laser therapies (HILTs) can be used for opercolectomy of an impacted tooth. The aim of this study is to propose a new orthodontic-surgical approach using a laser for the disinclusion of palatally impacted canines. Methods: Nine patients presented maxillary primary canine persistence in the dental arch. Orthopanoramic X-ray and cone beam computed tomography (CBCT) showed the impaction of permanent maxillary canines. Surgical exposure was performed using a diode laser (Raffaello, DMT, Lissone, Italy, 980 nm + 645 nm). No orthodontic devices were applied for impacted tooth traction. Canine movement was monitored at 1, 8, 16 weeks post-surgery with photos and a CS3500 intraoral scanner (Carestream Dental, Atlanta USA) to evaluate their autonomous eruption. Results: No complications w...

International Journal of Environmental Research and Public Health, 2020

Background: The aim is to demonstrate the validity of the monitoring through intraoral scanner of... more Background: The aim is to demonstrate the validity of the monitoring through intraoral scanner of the dental movements and the real impact, advantages, and convenience, in terms of treatment time and efficiency gain, to frequently monitor a patient with the scanner application. Methods: A movement control of palatally impacted canines was performed, surgically treated with laser opercolectomy. Three-dimensional models of the patient’s dental arch were obtained with intraoral scanner during a monitoring time of 4 months. The STL (Standard Triangle Language) files were superimposed with the 3D models extrapolated from the pre-operative CT (Computerized Tomography). The measurements of eruption, exposed palatal and vestibular areas, and distances between the canines and the incisors were performed, using digital technologies and with a digital caliber. Results: Descriptive and inferential statistical analysis of the data obtained from both conventional and digital monitoring has been r...

Case Reports in Dentistry, 2020

The study presents two monozygotic twins (MZ) with multiple impacted teeth, affecting the upper c... more The study presents two monozygotic twins (MZ) with multiple impacted teeth, affecting the upper canines and lower second molars, as well as congenital aniridia. The clinical aspect of the upper canines is peculiar because of the different positions—palatal in one and buccal in the other twin. Studies reporting different scenarios of impaction in monozygotic twins can contribute more data to the debate on tooth eruption aetiology and more so in this case because of the association with a genetic panocular disease. Patients’ Concerns. The patients were referred by a general dentist, who diagnosed the presence of multiple inclusions. Diagnostic Study. Both patients showed severe malocclusion, classified as grade 5 of the Index of Orthodontic Treatment Need (IOTN). The MZ showed class I malocclusion, upper and lower crowding, and impacted lower right and left second molars. A Dentascan was prescribed for the canine impaction. The impaction of the upper canine was palatal of 2.3 in one o...

Journal of Oral Rehabilitation, 2020

Temporomandibular joint disc displacement is common in the world's population and could be as... more Temporomandibular joint disc displacement is common in the world's population and could be associated with bone and functional characteristics of the temporomandibular joint. The aim of these study was to analyse the association between temporomandibular joint disc position evaluated by magnetic resonance imaging (MRI) and the inclination of the mandibular condyle evaluated by computed tomography (CT). One hundred and seventy temporomandibular joints (TMJ) were retrospectively analysed. The temporomandibular disc position was evaluated by MRI and classified into three types: normal (N), disc displacement with reduction (DDWR) and disc displacement without reduction (DDWoR). The mandibular condyle measurements evaluated by CT included horizontal, sagittal and coronal inclination. ANOVA followed by post hoc Tukey's test was used to evaluate the interaction between condylar inclination and disc position. There was an association between disc position and the horizontal and sagi...

Acta Odontologica Venezolana, Aug 12, 2014

En el presente articulo, se hace la segunda revision de los casos de micosis de la cavidad bucal ... more En el presente articulo, se hace la segunda revision de los casos de micosis de la cavidad bucal que sehan reportado en el Laboratorio de la Catedra de Microbiologia de la Facultad de Odontologia de laUniversidad Central de Venezuela, en el lapso de 5 anos (Enero 2002-Diciembre 2006), siendo laEstomatitis Subprotesica la micosis que se reporto con mayor frecuencia. Otras micosis reportadas en menor frecuencia fueron: Candidiasis Hiperplasica, Candidiasis Pseudomembranosa, y lesiones asociadascomo Queilitis Angular y Glositis Romboidal Media; Histoplasmosis y Paracoccidioidomicosis. ABSTRACT In this article, we continue the review of the most frequent oral mycosis that have been reported on aperiod of five years (January 2002-December 2006) in the laboratory of Microbiology at Dental School of Central University of Venezuela. Pseudomembranous Candidiasis was the most frequent mycosis of theoral cavity reported. Other mycosis reported were: Hyperplasic Candidiasis, PseudomembranousCandidiasis, and lesions related with oral mycosis like Angular Cheiulitis and Medium Romboidal Glositis,Histoplasmosis and Paracoccidioidomycosis.

Acta Odontologica Venezolana, 2005

espanolEn el presente articulo, se hace una revision de los casos de micosis de la cavidad bucal ... more espanolEn el presente articulo, se hace una revision de los casos de micosis de la cavidad bucal que se han reportado en un periodo de 5 anos (Enero 1997-Diciembre 2001) en el Laboratorio de la Catedra de Microbiologia de la Facultad de Odontologia de la Universidad Central de Venezuela, siendo Candidiasis Atrofica la micosis que se reporto con mayor frecuencia en el lapso antes mencionado. Otras micosis reportadas fueron: Candidiasis Hiperplasica, Candidiasis Pseudomembranosa, , y lesiones asociadas como Queilitis Angular y Glositis Romboidal Media. EnglishIn this article, we make a review of the most frequent oral mycosis that have been reported on a period of five years (January 1997-December 2001) in the laboratory of Microbiology at Dental School of Central University of Venezuela. Atrophic candidiasis was the most frequent mycosis of the oral cavity reported. Other mycosis reported were: Hyperplasic Candidiasis, Pseudomembranous Candidiasis, and lesions related with oral mycosis like Angular Cheiulitis and Medium Romboidal Glositis. portuguesdo artigo o presente, uma revisao transforma-se dos exemplos do micosis da cavidade oral a que la foram relatados em um periodo de 5 anos (janeiro1997-Diciembre2001) no laboratorio da cadeira do microbiologia da faculdade de Odontologia da Universidade Central de Venezuela, sendo candidiasis Atrofica o micosis que foi relatado a maioria frequentemente no lapso antes do mencionado. O outro micosis relatado era: Candidiasis Hiperplasica, Candidiasis Pseudomembranosa, , e os ferimentos associaram como o rhomboid angular e medio de Queilitis Glositis.

Acta Odontologica Venezolana, Sep 1, 2004

Acta Odontologica Venezolana, 2003

Oral

The aim of this study was to analyse if bracket systems could affect the incisors’ decompensation... more The aim of this study was to analyse if bracket systems could affect the incisors’ decompensation in a group of patients affected by dentoskeletal Class III malocclusion and on the duration of presurgical orthodontics. A single-centre retrospective study was carried out on two groups of patients affected by dentoskeletal Class III and who underwent orthognathic surgery. Group 1, comprising 25 subjects (13 males, 12 females; mean age, 27.4 y.o.), was treated with interactive self-ligating brackets; group 2, comprising 10 subjects (5 males, 5 females; mean age, 27.2 y.o.), was treated with conventional twin brackets. Bracket prescription and archwire sequence were the same for both groups. Data were collected about age, upper incisors’ axis (UI^ANS-PNS), lower incisors’ axis (IMPA), and the total duration of presurgical orthodontics and were then compared between the two groups. The variation in the upper incisor axis and the duration of presurgical orthodontics was not significant be...

International Journal of Environmental Research and Public Health

The aim of this work was to evaluate the efficacy and accuracy of maxillary arch transverse expan... more The aim of this work was to evaluate the efficacy and accuracy of maxillary arch transverse expansion using the Invisalign® clear aligner system without auxiliaries other than Invisalign attachments. Knowing the accuracy of a movement through a clear aligner system allows the clinician to plan the treatment with greater precision and to achieve the expected result faster. The study group included 28 patients with a mean age of 17 ± 3.2 years. The treatment protocol for all the selected patients included the application of the Invisalign® clear aligner system without auxiliaries, except for the Invisalign® attachments; in no case were tooth extraction or interproximal enamel reduction (IPR) performed. Linear measurements of the expansion were assessed before treatment (T0), at the end of treatment (T1), and on final virtual models by ClinCheck® (TC). A paired t-test was used to compare T0-T1 and T1-TC differences. A paired t-test was applied, and one normality was validated with the ...

Applied Sciences

At present, temporary anchorage devices (TADs) are continuously gaining importance because of the... more At present, temporary anchorage devices (TADs) are continuously gaining importance because of their usability and their possibility to broaden clinical force applications; however, how difficult can their placement planning be? Aim: The aim is to evaluate the association between clinical experience, digital knowledge and the capability of virtual planning in palatal orthodontic miniscrew insertion in various types of clinicians, divided by different levels of experience. Methods: A total of 30 participants (10 dental students, 10 orthodontics students and 10 orthodontists) with different levels of clinical and digital experience were randomly recruited in this cross-sectional study. All participants performed a pre-test survey followed by two consecutive digital planning tests and, finally a post-test survey. The digital planning test was made using software BlueSkyBio-BlueSkyPlan, a surgical guide module. The differences in terms of planning execution time, miniscrew insertion and ...

International Journal of Morphology

Unilateral condylar hyperplasia (UCH) is an alteration of the mandibular condyle growth. The aim ... more Unilateral condylar hyperplasia (UCH) is an alteration of the mandibular condyle growth. The aim of this study was to evaluate condyle volume, surface area, and Morphological Index (MI) differences between the affected condyle and an unaffected one in patients with UCH, evaluated through 3D reconstructions cone beam computed tomography (CBCT) images by two open-source softwares. A retrospective cross-sectional study of 16 patients with a certain UCH, 9 females and 7 males with mean age 25.13 ± 6.8 years was made. The image obtained from the CBCT of each condyle were reconstructed using the open-source software 3D SLICER 4.6 ®. The volumetric and area measurements of the 3D reconstruction of the mandibular condyle were made using the open-source software NETFABB basic 5.0 ®. The mean condylar volume of the hyperplastic condyles was 2.07 ± 1.51 cm 3 and the non-hyperplastic condyles was 1.16 ± 0.82 cm 3 (p<0.05). The mean area surface of the hyperplastic condyle was 11.77 ± 3.71 cm 2 and the non-hyperplasic condyle mean was 8.05 ± 2.17 cm 2 (p < 0.05). The mean area surface difference was 3.72 ± 3.57 cm2 (28.0 %). The MI of the hyperplastic condyle was 1.8 ± 0.3 mm and the non-affected condyle was 1.3 ± 0.6 mm (p < 0.05). The use of open-source software for 3D reconstruction with manual segmentation for evaluation of the volume and the condylar surface is a valid tool available to the clinic in the diagnosis and monitoring of patients with condylar hyperplasia.

Healthcare

Background: Excessive gingival display or “gummy smile” is a clinical condition where a maxillary... more Background: Excessive gingival display or “gummy smile” is a clinical condition where a maxillary gum shows between the inferior line of the superior lip and the gingival line of the incisive superior during a spontaneous smile. The aim of this research was to understand the various skeletal and dentoalveolar components contributing to a gummy smile in a sample of 120 patients. Material and Methods: This retrospective case-control study had the primary objectives of analyzing the existence of a correlation between the presence of gingival exposure and the alteration of the inclination of the upper incisors with respect to the Frankfurt plane, the Palatine plane (bi-spinal) and to the NA line in a sample of orthodontic patients, and also evaluating the association with skeletal, dental, and aesthetic cephalometric parameters. Result and Conclusions: In our study, it’s emerged a correlation between the gingival exposure and the presence of alterations to incisal torque in the vestibul...

Methods and Protocols

Canine disimpaction is always a challenging orthodontic treatment overall, even when the impacted... more Canine disimpaction is always a challenging orthodontic treatment overall, even when the impacted permanent canine is in a high position, especially when in tight relation with the upper incisors’ roots. Conventional treatment methods are usually not capable of performing the correct force direction, consisting of the contemporary movement in the distal and vestibular directions of the canine crown, often provoking, as side effects, the presence of decubitus on the mucous of the lips and cheeks or a poor final appearance of the periodontal support of the disimpacted canine. Among the different approaches, the vertical incision subperiosteal tunnel access (VISTA) technique shows good performance with regard to the direction of the forces and the canine’s periodontal conditions when erupted; it is usually realized through an elastic chain connected to a temporary anchorage device (TAD) in the posterior area. In this paper, a different protocol for the VISTA method is also presented, t...

Oral

Tooth eruption is a complex process, during which a series of factors can cause a failure of it. ... more Tooth eruption is a complex process, during which a series of factors can cause a failure of it. Among this, primary failure of eruption (PFE) is a non-syndromic condition that leads to an incomplete tooth eruption despite the presence of a clear eruption pathway. The aim of this narrative review is to provide an overall view about clinical considerations, genetics-related aspects, and possible treatments of PFE based on the latest findings. A literature search using the PubMed/Medline and Scopus database was performed. The search terms used were “PFE”, “orthodontics”, “primary failure of eruption”, and “treatment”, and all the articles, according to the inclusion criteria, from 2008 until June 2022 were screened. Among them, 12 articles were considered useful to highlight some of the main genotypical and phenotypical aspects and several treatment options. Indeed, if there is a suspicion of primary failure of eruption, a PTH1R screening should be performed, because a mutation in thi...

Clinica Terapeutica, Apr 4, 2022

Background The aim of the study is to provide scientific evidence on the possibility of using the ... more Background The aim of the study is to provide scientific evidence on the possibility of using the Corneal point a skin point for measu-rements that can be made on both standard and three-dimensional photographs. Also, we want to demonstrate the stability of corneal point during the growth, to use it as a reference point. Methods A sample of 105 radiographs was reached. A descriptive and longitudinal statistical analysis was performed. Results By data analysis we obtained more variability inter-subject of the millimetrically value of the SC plan. For this reason, we consi-dered the relationship between the SN and SC values and not a single value. In the cross-sectional study the T- test analysis did not show a different significant result of variations between SC and SN in both sexes; therefore, we considered these as unique sample. Conclusion Longitudinal study has a major importance for to esta-blishing the age-related changes. By cross-selection and longitudinal analysis we obtained an overlapping trend of the SN and SC plan. As the SN plan has always been used as a reference plan for cephalometric measurements, although its variations in growth, it can be concluded that the SC plan can be considered equally a reference plan.

Dentistry Journal, 2021

The impaction of permanent maxillary canine is a common clinical occurrence, and it is observed i... more The impaction of permanent maxillary canine is a common clinical occurrence, and it is observed in 2% of patients who require orthodontic treatment. This case report describes a new orthodontic-surgical approach through the use of CO2 laser, for the exposure of the palatally impacted canines. A 13-year-old female referred to our observation to make an orthodontic examination because of the maxillary primary canines’ persistence in upper arch. Orthopanoramic X-ray showed impaction of both permanent maxillary canines. The family history revealed that the patient’s mother had the same orthodontic problem. Cone Beam Computer Tomography (CBCT) was requested to plan the surgical-orthodontic treatment. Surgical exposure of the impacted canines was performed using a CO2 laser and subsequent periodontal pack application. No orthodontic devices were applied for impacted teeth traction on dental arch. Canines’ movement was monitored at 1, 8 and 16 weeks post-surgery with photo and intraoral sc...

International journal of odontostomatology, 2017

espanolEn la poblacion joven venezolana las maloclusiones representan un importante problema de s... more espanolEn la poblacion joven venezolana las maloclusiones representan un importante problema de salud bucal. Resulta util la aplicacion de metodos diagnosticos cefalometricos como el propuesto por Petrovic que permitan identificar el potencial de crecimiento mandibular del paciente como un instrumento para seleccionar la modalidad de tratamiento. Objetivo: el proposito de esta investigacion fue identificar los grupos rotacionales y las categorias auxologicas en pacientes venezolanos, de ambos generos, entre 7 y 10 anos, que acudieron a la Facultad de Odontologia de la UCV, durante el periodo 2006-2010. Materiales y Metodos: se aplico el metodo cefalometrico de Petrovic para la identificacion del tipo rotacional y categoria auxologica en las radiografias cefalicas laterales de pacientes sin tratamiento ortopedico ni ortodoncico previo. Resultados: el tipo rotacional mas frecuente fue el P1N, seguido por R2D, R1N y P2D; en ambos generos el tipo rotacional P1N fue el mas frecuente, sin...

Applied Sciences, 2021

Background: The permanent maxillary canine is the most impacted tooth after third molars. There a... more Background: The permanent maxillary canine is the most impacted tooth after third molars. There are many possible surgical techniques to approach impacted canines. The literature reports that high-intensity laser therapies (HILTs) can be used for opercolectomy of an impacted tooth. The aim of this study is to propose a new orthodontic-surgical approach using a laser for the disinclusion of palatally impacted canines. Methods: Nine patients presented maxillary primary canine persistence in the dental arch. Orthopanoramic X-ray and cone beam computed tomography (CBCT) showed the impaction of permanent maxillary canines. Surgical exposure was performed using a diode laser (Raffaello, DMT, Lissone, Italy, 980 nm + 645 nm). No orthodontic devices were applied for impacted tooth traction. Canine movement was monitored at 1, 8, 16 weeks post-surgery with photos and a CS3500 intraoral scanner (Carestream Dental, Atlanta USA) to evaluate their autonomous eruption. Results: No complications w...

International Journal of Environmental Research and Public Health, 2020

Background: The aim is to demonstrate the validity of the monitoring through intraoral scanner of... more Background: The aim is to demonstrate the validity of the monitoring through intraoral scanner of the dental movements and the real impact, advantages, and convenience, in terms of treatment time and efficiency gain, to frequently monitor a patient with the scanner application. Methods: A movement control of palatally impacted canines was performed, surgically treated with laser opercolectomy. Three-dimensional models of the patient’s dental arch were obtained with intraoral scanner during a monitoring time of 4 months. The STL (Standard Triangle Language) files were superimposed with the 3D models extrapolated from the pre-operative CT (Computerized Tomography). The measurements of eruption, exposed palatal and vestibular areas, and distances between the canines and the incisors were performed, using digital technologies and with a digital caliber. Results: Descriptive and inferential statistical analysis of the data obtained from both conventional and digital monitoring has been r...

Case Reports in Dentistry, 2020

The study presents two monozygotic twins (MZ) with multiple impacted teeth, affecting the upper c... more The study presents two monozygotic twins (MZ) with multiple impacted teeth, affecting the upper canines and lower second molars, as well as congenital aniridia. The clinical aspect of the upper canines is peculiar because of the different positions—palatal in one and buccal in the other twin. Studies reporting different scenarios of impaction in monozygotic twins can contribute more data to the debate on tooth eruption aetiology and more so in this case because of the association with a genetic panocular disease. Patients’ Concerns. The patients were referred by a general dentist, who diagnosed the presence of multiple inclusions. Diagnostic Study. Both patients showed severe malocclusion, classified as grade 5 of the Index of Orthodontic Treatment Need (IOTN). The MZ showed class I malocclusion, upper and lower crowding, and impacted lower right and left second molars. A Dentascan was prescribed for the canine impaction. The impaction of the upper canine was palatal of 2.3 in one o...

Journal of Oral Rehabilitation, 2020

Temporomandibular joint disc displacement is common in the world's population and could be as... more Temporomandibular joint disc displacement is common in the world's population and could be associated with bone and functional characteristics of the temporomandibular joint. The aim of these study was to analyse the association between temporomandibular joint disc position evaluated by magnetic resonance imaging (MRI) and the inclination of the mandibular condyle evaluated by computed tomography (CT). One hundred and seventy temporomandibular joints (TMJ) were retrospectively analysed. The temporomandibular disc position was evaluated by MRI and classified into three types: normal (N), disc displacement with reduction (DDWR) and disc displacement without reduction (DDWoR). The mandibular condyle measurements evaluated by CT included horizontal, sagittal and coronal inclination. ANOVA followed by post hoc Tukey's test was used to evaluate the interaction between condylar inclination and disc position. There was an association between disc position and the horizontal and sagi...

Acta Odontologica Venezolana, Aug 12, 2014

En el presente articulo, se hace la segunda revision de los casos de micosis de la cavidad bucal ... more En el presente articulo, se hace la segunda revision de los casos de micosis de la cavidad bucal que sehan reportado en el Laboratorio de la Catedra de Microbiologia de la Facultad de Odontologia de laUniversidad Central de Venezuela, en el lapso de 5 anos (Enero 2002-Diciembre 2006), siendo laEstomatitis Subprotesica la micosis que se reporto con mayor frecuencia. Otras micosis reportadas en menor frecuencia fueron: Candidiasis Hiperplasica, Candidiasis Pseudomembranosa, y lesiones asociadascomo Queilitis Angular y Glositis Romboidal Media; Histoplasmosis y Paracoccidioidomicosis. ABSTRACT In this article, we continue the review of the most frequent oral mycosis that have been reported on aperiod of five years (January 2002-December 2006) in the laboratory of Microbiology at Dental School of Central University of Venezuela. Pseudomembranous Candidiasis was the most frequent mycosis of theoral cavity reported. Other mycosis reported were: Hyperplasic Candidiasis, PseudomembranousCandidiasis, and lesions related with oral mycosis like Angular Cheiulitis and Medium Romboidal Glositis,Histoplasmosis and Paracoccidioidomycosis.

Acta Odontologica Venezolana, 2005

espanolEn el presente articulo, se hace una revision de los casos de micosis de la cavidad bucal ... more espanolEn el presente articulo, se hace una revision de los casos de micosis de la cavidad bucal que se han reportado en un periodo de 5 anos (Enero 1997-Diciembre 2001) en el Laboratorio de la Catedra de Microbiologia de la Facultad de Odontologia de la Universidad Central de Venezuela, siendo Candidiasis Atrofica la micosis que se reporto con mayor frecuencia en el lapso antes mencionado. Otras micosis reportadas fueron: Candidiasis Hiperplasica, Candidiasis Pseudomembranosa, , y lesiones asociadas como Queilitis Angular y Glositis Romboidal Media. EnglishIn this article, we make a review of the most frequent oral mycosis that have been reported on a period of five years (January 1997-December 2001) in the laboratory of Microbiology at Dental School of Central University of Venezuela. Atrophic candidiasis was the most frequent mycosis of the oral cavity reported. Other mycosis reported were: Hyperplasic Candidiasis, Pseudomembranous Candidiasis, and lesions related with oral mycosis like Angular Cheiulitis and Medium Romboidal Glositis. portuguesdo artigo o presente, uma revisao transforma-se dos exemplos do micosis da cavidade oral a que la foram relatados em um periodo de 5 anos (janeiro1997-Diciembre2001) no laboratorio da cadeira do microbiologia da faculdade de Odontologia da Universidade Central de Venezuela, sendo candidiasis Atrofica o micosis que foi relatado a maioria frequentemente no lapso antes do mencionado. O outro micosis relatado era: Candidiasis Hiperplasica, Candidiasis Pseudomembranosa, , e os ferimentos associaram como o rhomboid angular e medio de Queilitis Glositis.

Acta Odontologica Venezolana, Sep 1, 2004

Acta Odontologica Venezolana, 2003