Loading...
Publication
A regeneração óssea e o planeamento reverso em implantodontia associados à ortodontia corretiva
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| PPG_38847 | 936.42 KB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
Pacientes adultos edêntulos parciais com má oclusão podem necessitar de uma reabilitação oral multidisciplinar com tratamento clínico geral, ortodontia, regeneração óssea, implantodontia e odontologia estética. A associação de uma tomografia computadorizada de feixe cônico do crânio com fotografias e escaneamentos intra e extra orais carregados em um software tridimensional de planeamento digital permitem um diagnóstico mais completo e a simulação de diferentes planos de tratamento. Assim, quando possível, a antecipação da regeneração óssea das futuras áreas de instalação de implantes dentários pode diminuir o tempo total da reabilitação oral multidisciplinar. Com o objetivo de coletar informações sobre a conduta clínica em casos que envolvam tratamento ortodôntico e regeneração óssea para a instalação de implantes dentários foi enviado um questionário a cirurgiões-dentistas registrados simultaneamente como especialistas em ortodontia e em implantodontia no Conselho Federal de Odontologia do Brasil. Perguntas sobre protocolos diagnósticos, qual o sítio de maior complexidade e qual o melhor momento do tratamento ortodôntico para a realização de cirurgias de regeneração óssea e qual o tempo mínimo de espera para se reabilitar uma área enxertada fizeram parte do questionário. Os resultados deste estudo se baseiam na opinião e na experiência clínica dos especialistas que responderam o questionário. Portanto podem servir de referência quando se planea uma reabilitação oral multidisciplinar para um paciente adulto edêntulo parcial com má oclusão para a obtenção de uma oclusão estável, estética oral e harmonia facial.
Partially edentulous adult patients with malocclusion may require multidisciplinary oral rehabilitation with general clinical treatment, orthodontics, bone regeneration, dental implants and aesthetic dentistry. The association of a skull cone beam computed tomography, intra and extra oral photographs and scans uploaded in a three dimensional digital planning software allow a more complete diagnosis and simulation of different treatment plans. Thus, when possible, the anticipation of bone regeneration of future dental implant placement areas may decrease the total time of multidisciplinary oral rehabilitation. With the objective of collecting information about the clinical conduct in cases that involve orthodontic treatment and bone regeneration for the placement of dental implants, a questionnaire was sent to dentists registered as specialists at the same time in orthodontics and implantology at the Federal Dental Council of Brazil. Questions about diagnostic protocols, which is the most complex site and which is the best moment of orthodontic treatment to perform bone regeneration surgeries and which is the minimum waiting time to rehabilitate a grafted area were part of the questionnaire. The results of this study are based on the opinion and experience of the specialists who answered the questionnaire. Therefore, they can serve as a reference when planning a multidisciplinary oral rehabilitation for a partially edentulous adult patient with malocclusion to obtain a stable occlusion, oral aesthetic and facial harmony.
Partially edentulous adult patients with malocclusion may require multidisciplinary oral rehabilitation with general clinical treatment, orthodontics, bone regeneration, dental implants and aesthetic dentistry. The association of a skull cone beam computed tomography, intra and extra oral photographs and scans uploaded in a three dimensional digital planning software allow a more complete diagnosis and simulation of different treatment plans. Thus, when possible, the anticipation of bone regeneration of future dental implant placement areas may decrease the total time of multidisciplinary oral rehabilitation. With the objective of collecting information about the clinical conduct in cases that involve orthodontic treatment and bone regeneration for the placement of dental implants, a questionnaire was sent to dentists registered as specialists at the same time in orthodontics and implantology at the Federal Dental Council of Brazil. Questions about diagnostic protocols, which is the most complex site and which is the best moment of orthodontic treatment to perform bone regeneration surgeries and which is the minimum waiting time to rehabilitate a grafted area were part of the questionnaire. The results of this study are based on the opinion and experience of the specialists who answered the questionnaire. Therefore, they can serve as a reference when planning a multidisciplinary oral rehabilitation for a partially edentulous adult patient with malocclusion to obtain a stable occlusion, oral aesthetic and facial harmony.
Description
Keywords
Ortodontia corretiva Implantes dentários Regeneração óssea Planeamento digital Corrective orthodontics Dental implants Bone regeneration Digital planning