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

Abstract

Malocclusion 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.