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Parâmetros para análise métrica da maxila de recém-nascidos: revisão narrativa
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O conhecimento anatómico e morfológico da maxila dos recém-nascidos é fundamental para compreender os parâmetros utilizados para analisar o crescimento da maxila e detetar os pontos anatómicos e estruturas morfológicas utilizadas como referência para análise. Destacam-se como metodologia atual: a avaliação visual – exame clínico e modelo de gesso, e a análise métrica - paquímetro digital e scanner oral. Foi realizada uma revisão bibliográfica baseada em artigos publicados nos últimos dez anos nas bases de dados PubMed, Science Direct, Elsevier e na biblioteca eletrónica Scielo. A avaliação visual baseia-se no exame clínico da maxila e na obtenção do modelo de gesso, e é amplamente descrita na literatura. Na análise métrica da maxila nenhum método é considerado fiável e eficaz, já que os pontos anatómicos utilizados não são padronizados. O convencional modelo de gesso ainda é mais vantajoso, devido à sua fácil execução, reprodutibilidade, e baixo custo, além de permitir a aplicação de diversas metodologias de análise métrica.
Anatomical and morphological knowledge about the maxilla of new-borns is considered fundamental to understand the parameters used to assess maxillary growth and development and to detect which anatomical points and morphological structures are relevant for analysis. Stand out as current methodology: visual assessment – clinical examination and stone casts, and metric analysis – digital caliper and oral scanner. A bibliographic review was carried out based on articles published in the last ten years. Articles were researched into PubMed, Science Direct, Elsevier databases, and the electronic library Scielo. The visual evaluation is based on the clinical examination of the maxilla and obtainment of the stone cast, and it is widely described in the literature. The metric analysis of the maxilla has no reliable and effective technic since the anatomical points described as reference for measurement are not standardized. The conventional stone casts are more advantageous, due to their easy execution, reproducibility, and low cost, in addition to allowing the use of different methodologies for metric analysis.
Anatomical and morphological knowledge about the maxilla of new-borns is considered fundamental to understand the parameters used to assess maxillary growth and development and to detect which anatomical points and morphological structures are relevant for analysis. Stand out as current methodology: visual assessment – clinical examination and stone casts, and metric analysis – digital caliper and oral scanner. A bibliographic review was carried out based on articles published in the last ten years. Articles were researched into PubMed, Science Direct, Elsevier databases, and the electronic library Scielo. The visual evaluation is based on the clinical examination of the maxilla and obtainment of the stone cast, and it is widely described in the literature. The metric analysis of the maxilla has no reliable and effective technic since the anatomical points described as reference for measurement are not standardized. The conventional stone casts are more advantageous, due to their easy execution, reproducibility, and low cost, in addition to allowing the use of different methodologies for metric analysis.
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Odontopediatria Recém-nascido Palato Maxila Paediatric dentistry New-born Palate Maxilla