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Comparação dos tratamentos ortodônticos: convencional e lingual – revisão narrativa
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| Projeto de pós-graduação_38214 | 711.44 KB | Adobe PDF |
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Abstract(s)
A má-oclusão é uma condição que abrange uma variedade de alterações, não só a nível dentário como alveolar e esquelético, podendo resultar em alterações funcionais e/ou estéticas. Existem diferentes tipos de más-oclusões, classificadas de acordo com os três planos do espaço. O seu tratamento varia dependendo da gravidade, podendo passar pelo uso de aparelhos ortodônticos ou cirurgia ortognática em casos mais severos. A presente revisão narrativa teve como objetivo a comparação entre o tratamento ortodôntico convencional e o tratamento ortodôntico lingual e a sua eficácia. A pesquisa bibliográfica realizou-se nas seguintes bases de dados: PubMed, Cochrane Library, LILACS e Elsevier, de artigos publicados nos últimos dez anos, em qualquer idioma, utilizando os operadores booleanos AND e OR, com a conjugação dos seguintes termos: malocclusion, efficacy, lingual fixed appliance e convencional fixed appliance. Foi realizada uma revisão da literatura para avaliar e comparar os resultados das duas abordagens terapêuticas. O tratamento ortodôntico da má oclusão pode ser realizado através de diferentes técnicas, sendo as mais comuns a utilização de aparelhos convencionais e aparelhos linguais. A escolha entre estas opções depende de vários fatores, como a complexidade do caso, a preferência estética do paciente e a experiência do profissional. Os aparelhos convencionais, com braquetes metálicos ou cerâmicos, fixos na face vestibular dos dentes, são amplamente utilizados por serem eficazes, versáteis e acessíveis. Estudos mostraram que estes aparelhos oferecem maior controlo sobre a movimentação dentária e permitem correções complexas da má oclusão, com uma boa previsibilidade dos resultados. Contudo, podem ser considerados menos estéticos, o que leva alguns pacientes a procurarem alternativas mais discretas. Por outro lado, o tratamento ortodôntico lingual, onde os braquetes são colocados na face lingual/palatina, oferece uma solução estética, uma vez que os aparelhos não são visíveis. Neste estudo verificou-se que o tratamento ortodôntico lingual pode ser igualmente eficaz na correção de vários tipos de má oclusão, mas apresenta alguns desafios técnicos. A sua colocação e manutenção são mais complexas, exigindo maior habilidade do profissional, e pode ser menos confortável para o paciente, especialmente no início. Além disso, o custo tende a ser mais elevado, devido à personalização dos braquetes e ao maior tempo necessário para ajustes. Ambas as técnicas ortodônticas, lingual e convencional, apresentam eficácias semelhantes nos resultados clínicos finais. Apesar de pequenas diferenças na [eficácia] inicial e na duração do tratamento, ambas as técnicas oferecem resultados comparáveis. A escolha deve basear-se nas necessidades e preferências do paciente, sendo a ortodontia lingual uma opção válida e eficaz, especialmente para quem procura soluções estéticas discretas.
Malocclusion is a condition that encompasses a variety of alterations, not only at the dental level but also at the alveolar and skeletal level, and may result in functional and/or aesthetic changes. There are different types of malocclusions, classified according to the three spatial planes. Their treatment varies depending on the severity, and may involve the use of orthodontic appliances or orthognathic surgery in more severe cases. This narrative review aimed to compare conventional orthodontic treatment and lingual orthodontic treatment and their effectiveness. The bibliographic search was carried out in the following databases: PubMed, Cochrane Library, LILACS and Elsevier, for articles published in the last ten years, in any language, using the Boolean operators AND and OR, with the combination of the following terms: malocclusion, efficacy, lingual fixed appliance e convencional fixed appliance. A literature review was conducted to evaluate and compare the results of the two therapeutic approaches. Orthodontic treatment of malocclusion can be performed using different techniques, the most common being the utilisation of conventional braces and lingual braces. The choice between these options depends on several factors, such as the complexity of the case, the aesthetic preference of the patient, and the experience of the professional. Conventional braces, (metal or ceramic), fixed to the vestibular surface of the teeth, are widely used because they are effective, versatile, and affordable. Studies showed that these braces offer greater control over tooth movement, and allow complex corrections of malocclusion with good predictability of results. However, they may be considered less aesthetic, which leads some patients to seek more discreet alternatives. On the other hand, lingual orthodontic treatment, where the brackets are placed on the lingual, palatal surface of the teeth, offers an aesthetic solution, since the devices are not visible. This study, it was found that orthodontic lingual treatment can be equally effective in correcting various types of malocclusions, but it presents some technical challenges. Its placement and maintenance are more complex, requiring greater skill from the professional, and it can be less comfortable for the patient, especially at first. In addition, the cost tends to be higher, due to the customization of the brackets and the longer time required for adjustments. Both lingual and conventional orthodontic techniques demonstrate comparable effectiveness in achieving final clinical outcomes. Despite minor differences in initial efficacy and treatment duration, both approaches yield similar results. The choice between the two should be guided by the patient's individual needs and preferences, with lingual orthodontics being a valid and effective option, particularly for those seeking discreet aesthetic solutions.
Malocclusion is a condition that encompasses a variety of alterations, not only at the dental level but also at the alveolar and skeletal level, and may result in functional and/or aesthetic changes. There are different types of malocclusions, classified according to the three spatial planes. Their treatment varies depending on the severity, and may involve the use of orthodontic appliances or orthognathic surgery in more severe cases. This narrative review aimed to compare conventional orthodontic treatment and lingual orthodontic treatment and their effectiveness. The bibliographic search was carried out in the following databases: PubMed, Cochrane Library, LILACS and Elsevier, for articles published in the last ten years, in any language, using the Boolean operators AND and OR, with the combination of the following terms: malocclusion, efficacy, lingual fixed appliance e convencional fixed appliance. A literature review was conducted to evaluate and compare the results of the two therapeutic approaches. Orthodontic treatment of malocclusion can be performed using different techniques, the most common being the utilisation of conventional braces and lingual braces. The choice between these options depends on several factors, such as the complexity of the case, the aesthetic preference of the patient, and the experience of the professional. Conventional braces, (metal or ceramic), fixed to the vestibular surface of the teeth, are widely used because they are effective, versatile, and affordable. Studies showed that these braces offer greater control over tooth movement, and allow complex corrections of malocclusion with good predictability of results. However, they may be considered less aesthetic, which leads some patients to seek more discreet alternatives. On the other hand, lingual orthodontic treatment, where the brackets are placed on the lingual, palatal surface of the teeth, offers an aesthetic solution, since the devices are not visible. This study, it was found that orthodontic lingual treatment can be equally effective in correcting various types of malocclusions, but it presents some technical challenges. Its placement and maintenance are more complex, requiring greater skill from the professional, and it can be less comfortable for the patient, especially at first. In addition, the cost tends to be higher, due to the customization of the brackets and the longer time required for adjustments. Both lingual and conventional orthodontic techniques demonstrate comparable effectiveness in achieving final clinical outcomes. Despite minor differences in initial efficacy and treatment duration, both approaches yield similar results. The choice between the two should be guided by the patient's individual needs and preferences, with lingual orthodontics being a valid and effective option, particularly for those seeking discreet aesthetic solutions.
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Keywords
Má oclusão Ortodontia Tratamento ortodôntico Ortodontia lingual Ortodontia convencional Malocclusion Orthodontics Orthodontic treatment Lingual orthodontics Conventional orthodontics