Mestrado Profissional em Clínica Odontológica
URI Permanente desta comunidadehttps://repositorio.cesupa.br/handle/prefix/10
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Navegando Mestrado Profissional em Clínica Odontológica por Orientador "Pinheiro Júnior, Jesus Maués"
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Item Análise dos padrões faciais em imagem 2D e 3D para fins de diagnóstico e tratamento ortodôntico(Centro Universitário do Estado do Pará, 2021-09-29) Aragão, Carmen Dulce Guedes de; Pinheiro Júnior, Jesus Maués; http://lattes.cnpq.br/0590122765693339; Tuji, Fabrício Mesquita; http://lattes.cnpq.br/8122254353290848; Carneiro, Marcelo Newton; http://lattes.cnpq.br/7057645859780221Knowing the importance of the face in orthodontic treatment, this study proposed to 2 dentists with more than 5 years of specialization, in two different periods, to perform 2D and 3D photographic facial analysis in 50 patients, to determine and classify them according to their facial pattern. Compare 2D and 3D facial analysis in determining the facial pattern. With 50 adult individuals, minimum age of 18 years, female and male, presence of the 5 Facial Patterns. Patients periodontal disease, individuals treate dorthontically and surgically and the presence of were excluded. Kappa coefficient was used for intra-examiner and inter-examiner agreement. For the analysis of the error, the Kappa coefficient was used. The result of intra-examiner agreement between the first and second 2D assessments was 82% Kappa 0,69. For 3D it was 90% with a Kappa 0,89. The agreement between the evaluators with the gold standard for the total sample was 63,8% and Kappa 0,46 for 2D. For 3D, the total value was 67,9% and Kappa 0,61. For inter-examiner agreement in 2D in total it was 67,53% and Kappa 0,59. For 3D, the total agreement was 69,46% and Kappa 0,65. We concluded that the intra-examiner agreement between the first and second assessment was substantial in 2D and almost perfect in 3D. In the intra-examiner assessment, the agreement was moderate in total in 2D and substantial in 3D. Inter-examiner agreement was moderate in relation to 2D and substantial in 3D images. In other words, the 3D images provided greater accuracy when it comes to the analysis of the Facial Pattern.Item Avaliação do padrão de crescimento facial e da má oclusão em uma população de indivíduos em dentadura mista e uma proposta de gestão para saúde pública(Centro Universitário do Estado do Pará, 2022-01-31) Silva, Adriana Viana Martins da; Pinheiro Júnior, Jesus Maués; http://lattes.cnpq.br/0590122765693339; Celestino Júnior, Aluísio Ferreira; http://lattes.cnpq.br/6186863425175415; Corrêa, Adriano Maia; http://lattes.cnpq.br/6062379402457289Malocclusion is the set of changes in bite relationships, which can have consequences on adjacent structures of the masticatory system and orthodontic problems, which can be dental or skeletal. Malocclusion is considered a public health problem and ranks third among oral pathologies. It can cause several changes in an individual’s life, such as imparing the quality of life, social interaction, psychological well-beign and even resulting in functional limitations in more severe casas. During mixed dentition, arch changes occur and normal changes may also occur. In this context, the current study aimed, through the analysis of the medical records of the Clinic of the Specialization Course in Orthodontics, CESUPA-Center for Higher Studies of the State of Pará, of 655 children, aged between 9 and 11 years, develop the epidemiological assessment of patients to later describe the facial growth pattern, determine the need for orthodontic treatment plan for each patient and, mainly, prepare a spreadsheet with the costs for each treatment. The results showed: growth pattern, facial pleasantness index, facial typology, molar relationship, deep bite, open bite, anterior and posterior crossbite, diastema, crowding and early tooth loss. With these results, together with the spreadseet with the costs of each case, it is expected that they will be used fir the implementation of orthodontics in municipal ans state dental speciality centers, so that more people have acess to this type of treatment.Item Biometria dentária em pacientes padrão I braquifaciais e padrão face curta(Centro Universitário do Estado do Pará, 2019-04-25) Gonçalves Júnior, Carlos Alberto; Pinheiro Júnior, Jesus Maués; http://lattes.cnpq.br/0590122765693339; Pinheiro, Lucas Rodrigues; http://lattes.cnpq.br/9533599258533263; Corrêa, Adriano Maia; http://lattes.cnpq.br/6062379402457289Introduction: Based on studies of the facial morphology of short face (PFC) patients, there is little evidence in the literature to characterize the static and functional occlusion as well as the dimensions of the arches in this pattern of facial growth (PFC). In this perspective, the study aims to compare the results obtained through the measurements in digitized models in brachyfacial I standard individuals and standard short face individuals; to evaluate the transverse and sagittal dimensions of the lower arches in both groups delineated through a trained and calibrated examiner; Observe and discuss whether the results obtained between the two groups outlined and the literature are statistically different or similar. Development: A cross-sectional study was carried out on pre-existing orthodontic documentation selected in the collection of the Specialization Course in Orthodontics of the University Center of the State of Pará (CESUPA). With 40 models of the volunteers of the sample being 20 standard brachyfacial I and 20 standard short face, were scanned optical 3D scanner and the scanned measurements performed through the nemocast® program, randomly and identified by groups and numbered, the measurements were fed into the excel program in The results were submitted to tables with mean, minimum, median and maximum values, standard deviations, the Kolmogorov-Smirnov test evaluated the normal distribution of all variables presented, the t test was performed 'Student and Person's correlation analysis. Conclusion: Based on the measurements performed on the transverse and sagittal dimensions of the lower arch of the two groups Standard I and the Short Face Pattern, the inter-canine, premolar and molar distances of standard Brachifacial I individuals were statistically significant between them , greater than the measurements of individuals Short Face Pattern. The arch length also showed differences in the clinically observed PI> PFC measurements in both groups of the samples. Thus, it was observed that the study showed statistically significant differences between the analyzed groups, corroborating the study of the facial pattern morphology between the patterns analyzed favoring the data specialist of extreme relevance for orthodontic treatment.Item Conhecimento dos ortodontistas de Belém-PA sobre a síndrome da apneia obstrutiva do sono(Centro Universitário do Estado do Pará, 2018) Cristino, Márcio Ruffeil; Pinheiro Júnior, Jesus Maués; http://lattes.cnpq.br/0590122765693339; Ribeiro, André Luis Ribeiro; http://lattes.cnpq.br/9899528924354409; Guimarães, Douglas Magno; http://lattes.cnpq.br/6439076195866691Introduction: Obstructive Sleep Apnea Syndrome (OSAS) is a sleep disorder characterized by repetitive episodes of upper airway obstruction that occur during sleep. The treatment of OSAS is multidisciplinary, being the dentist, especially the orthodontist, one of the members of this team that plays a very important role in the treatment of OSAS. Objective: To evaluate the level of knowledge of orthodontists regarding different aspects of the OSAS, its diagnosis and treatment. Material and Methods: Fifty-two professionals specialized in orthodontics and a questionnaire was applied containing 11 questions related to the knowledge about OSAS, each question with 7 possible alternatives. After getting the data, the answers were analyzed and grouped into three groups that classified the level of knowledge about SAOS: low (0, 1 and 2), medium (3 and 4) and high (5 and 6). Results: 82.69% of the participants had previous knowledge of OSAS; 75% had no information during the undergrad course and 34.62% did not get any information during the orthodontics training; 42.31% have a high level of knowledge for the signs of OSAS, 40.38% reported to know the symptoms and how to make the diagnosis of OSAS; only 34.62% of participants reported knowing how to treat the OSAS. Conclusion: It was concluded that most of the specialists did not have undergraduate and postgraduate information about the OSAS, suggesting a deficient curriculum. However, the level of knowledge of signs, symptoms and the diagnosis of OSAS grows after undergraduation/orthodontics training, suggesting that these professionals acquired complementary knowledge by other means (e.g. readings, courses, and so on). Most orthodontists reported low knowledge about how to treat OSAS.Item Estudo comparativo do índice de agradabilidade na análise facial para fins de diagnóstico e tratamento ortodôntico(Centro Universitário do Estado do Pará, 2021-03-21) Figueiredo, Luciana Corrêa de; Pinheiro Júnior, Jesus Maués; http://lattes.cnpq.br/0590122765693339; Tuji, Fabrício Mesquita; http://lattes.cnpq.br/8122254353290848; Carneiro, Marcelo Newton; http://lattes.cnpq.br/7057645859780221Orthodontists have the ability to change the facial characteristics of their patients and, consequently, affect their lives. Therefore, it is necessary for them to understand the aesthetic standards for an attractive face. The Subjective Facial Analysis allows the study of aesthetic evaluation performed routinely by society. Through this analysis we classify individuals, according to aesthetic pleasantness, in aesthetically pleasing, aesthetically acceptable and aesthetically unpleasant, according to their personal opinion. One of the objectives of this analysis is to facilitate communication between the patient and the professionals involved in the treatment. In this context, the objective of this study was to verify whether the visualization of two- dimensional (2D) or three-dimensional (3D) images had any effect on the classification of facial attractiveness, seeking to establish a harmonious dentition that is healthy and aesthetically pleasing. The sample of the present study consisted of 50 adult individuals, female and male, with a minimum age of 18 years. In order to determine the subjective aesthetic facial analysis, a group of two orthodontist evaluators, with more than 5 years of experience in the specialty and calibrated in the method, were asked to rate the individuals' facial profile, classifying them as aesthetically unpleasant (1, 2 or 3), aesthetically acceptable (notes 4, 5 or 6) and aesthetically pleasing (notes 7, 8 or 9) in two moments interspersed within 15 days. The evaluations were performed following two forms of image acquisition: the first using standardized photographic images of the face in 2D and the second using standardized images of the face in 3D with the scanner33 SenseTM (3D Systems, Canada). The order of presentation started with 2D images, followed by 3D images, which were presented using the Power PointTM Office 365 software. In order to assess the intra-examiner and inter-examiner agreement in the subjective aesthetic and morphological assessment, the 50 individuals in the sample were evaluated and submitted to the same classification with a 15-day interval between the two assessments. For the analysis of the error, the Kappa coefficient was used, which analyzes the agreement between two non-parametric variables. The Kappa coefficient for intra-examiner agreement between the first and the second evaluation of 2D photographic images was 0.65, whereas for 3D scanned images, the Kappa coefficient was 0.82, demonstrating a high confidence index for this assessment. The evaluation of 3D images also demonstrated a superior result in the confidence level of the same examiner (Kappa 0.67) in relation to 2D photographs. Analyzing all the data of the study together, we verified a greater intra and inter examiner agreement, in the analysis of the 3D stepped images, for the Facial Pleasure index.