Estudio comparativo de los cambiuos miniestéticos en la sonrisa de pacientes tratados ortodonticamente con exodoncia y sin exodoncia de primeros premolares en los pacientes de la escuela de postgrado “Dr. José Apolo Pineda” de la Facultad Piloto de Odontología de la Universidad de Guayaquil año lectivo 2013-2015
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2016-08-03
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ESCUELA DE POSTGRADO DE LA UNIVERSIDAD DE GUAYAQUIL "DR. JOSE APOLO PINEDA"
Resumen
La estética facial de la población ha adquirido gran importancia, y la decisión o planificación ortodóntica influye significativamente en el tercio facial inferior, indudablemente una buena ortodoncia mejora la estética de la sonrisa y consecuentemente el aspecto facial. El objetivo general de esta investigación, fue determinar de manera puntual los cambios mini-estéticos producidos en la sonrisa de los pacientes tratados ortodónticamente con terapéutica de extracciones y no extracciones de premolares superiores e inferiores. La metodología empleada fue de tipo cuantitativo y corte transversal. A partir del universo de 50 casos clínicos designados a la autora, se seleccionaron 2 submuestras: 10 casos clínicos tratados con exodoncia y 10 sin exodoncia. Los 20 casos clínicos fueron estudiados mediante un software que midió milimétricamente en las fotografías, los cambios después del tratamiento de ortodoncia. Mediante una guía de recolección se compararon ambas submuestras. El resultado más significativo es la relación inversamente proporcional entre la altura de filtrum y la exposición del incisivo. El arco de sonrisa pasó de ser plano a curvo en el 100% de la muestra; la altura de comisuras no se relaciona directamente con la terapéutica de extracciones o no extracciones, se lo relacionó con la postura más segura del paciente al sonreír.
La terapéutica elegida no tuvo mayor relevancia, pero los cambios en ambas muestras fueron significativos, el uso de un software para diagnóstico de tejidos blandos es muy útil al momento de presentar al paciente su situación inicial y determinar progreso no solo dental, sino en labios, encías y tejido blando del tercio inferior.
Palabras claves: cambios
The facial aesthetic of the population has become important, and orthodontic planning decision or significantly influences the lower facial third, certainly a good orthodontic improves the aesthetics of the smile and consequently the facial appearance. The overall objective of this research, It was determined in a timely manner the mini esthetic changes in the smile of patients treated orthodontically extractions with therapeutic and non extractions and lower premolars. The methodology used was quantitative and cross section. From the universe of 50 clinical cases assigned to the author, 2 subsamples were selected: 10 clinical cases treated with extraction and 10 without extraction. The 20 clinical cases were studied using software that went really measured in photographs, changes after orthodontic treatment. Through a collection guide both subsamples were compared.. The most significant result is the inverse relationship between height and exposure filtrum incisor. The arch smile went from flat to curved in 100% of the sample; commissure height is not directly related to the therapeutic extractions or extractions, he related it to the safest posture of the patient to smile. The therapeutic choice was not more important , but the changes were significant in both samples , the use of a diagnostic software soft tissue is very useful when submitting the patient's initial situation and determine not only dental progress, but on the lips , gums and soft tissue of the lower third . Keywords: mini - esthetic changes, facial esthetics , software soft tissue.
The facial aesthetic of the population has become important, and orthodontic planning decision or significantly influences the lower facial third, certainly a good orthodontic improves the aesthetics of the smile and consequently the facial appearance. The overall objective of this research, It was determined in a timely manner the mini esthetic changes in the smile of patients treated orthodontically extractions with therapeutic and non extractions and lower premolars. The methodology used was quantitative and cross section. From the universe of 50 clinical cases assigned to the author, 2 subsamples were selected: 10 clinical cases treated with extraction and 10 without extraction. The 20 clinical cases were studied using software that went really measured in photographs, changes after orthodontic treatment. Through a collection guide both subsamples were compared.. The most significant result is the inverse relationship between height and exposure filtrum incisor. The arch smile went from flat to curved in 100% of the sample; commissure height is not directly related to the therapeutic extractions or extractions, he related it to the safest posture of the patient to smile. The therapeutic choice was not more important , but the changes were significant in both samples , the use of a diagnostic software soft tissue is very useful when submitting the patient's initial situation and determine not only dental progress, but on the lips , gums and soft tissue of the lower third . Keywords: mini - esthetic changes, facial esthetics , software soft tissue.
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SONRISA, TRATAMIENTO ORTODONTICO, ASIMETRIA FACIAL