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Biomedical subjects

Fernanda Campos Rosetti Lessa

Publications and source records attributed to Fernanda Campos Rosetti Lessa.

4 recordsLinked to original sources

Effect of rapid maxillary expansion on the dimension of the nasal cavity and on nasal air resistance.

INTRODUCTION: Atresia of the maxilla is a transverse skeletal dysplasia, possibly associated with respiratory problems. For its correction, rapid maxillary expansion is a feasible orthodontic process. OBJECTIVE: To evaluate the effect of rapid maxillary expansion on the nasal cavity by acoustic rhinometry and computed rhinomanometry. MATERIAL AND METHODS: Twenty-nine children of both sexes with oral and/or mixed breathing, ranging in age from 7 to 10 years and with mixed dentition were selected. The children had uni- or bilateral posterior crossbite involving deciduous canines and the first permanent molars and were not being submitted to any otorhinolaryngologic or orthodontic treatment. All subjects were submitted to rhinologic exams and orthodontic documentation at three different times, i.e., before expansion and immediately and 90 days after expansion. RESULTS: There was no difference in the minimal cross-sectional area at the level of the valve and inferior nasal turbinate between the periods analyzed, but there was a statistically significant reduction in nasal resistance after expansion. CONCLUSION: On the basis of the present results, we may conclude that rapid maxillary expansion may lessen the nasal resistance. Although there was no difference in nasal geometry. Thus, this procedure may improve nasal respiration, but cannot be indicated for this purpose by itself.

Airway Obstruction↗

Breathing mode influence in craniofacial development.

AIM: The aim of this study was to evaluate the differences in facial proportions of nose and mouth breathing children using cephalometric analysis. STUDY DESIGN: Transversal cohort. MATERIAL AND METHOD: Sixty cephalometric radiographs from pediatric patients aged 6 to 10 years were used. After otorhinolaryngological evaluation, patients were divided into two groups: Group I, with mouth breathing children and group II, with nose breathers. Standard lateral cephalometric radiographs were obtained to evaluate facial proportions using the following measures: SN.GoGn, ArGo.GoMe, N-Me, N-ANS, ANS-Me and S-Go; and the following indexes: PFH-AFH ratio: S-Go/N-Me; LFH-AFH ratio: ANS-Me/N-Me and UFH-LFH ratio: N-ANS/ANS-Me. RESULTS: It was observed that the measurements for the inclination of the mandibular plane (SN.GoGn) in mouth breathing children were statistically higher than those in nasal breathing children. The posterior facial height was statistically smaller than the anterior one in mouth breathing children (PFH-AFH ratio). Thus, the upper anterior facial height was statistically smaller than the lower facial height (UFH-LFH ratio). CONCLUSION: We concluded that mouth breathing children tend to have higher mandibular inclination and more vertical growth. These findings support the influence of the breathing mode in craniofacial development.

Cephalometry↗

Cri du Chat syndrome: a case report.

Cri du Chat Syndrome occurs as a result of a partial deletion in the short arm of chromosome 5. Among the consequent abnormalities are low birth weight, a striking catlike cry in infancy, mental retardation, epicanthal folds, hypertelorism and dental malocclusions. This paper presents a case report on the dental treatment of a 23-year-old patient who received multidisciplinary treatment, including special education and precocious stimulation for carriers of this syndrome.

Adult↗

Shear bond strength of pit-and-fissure sealants to saliva-contaminated and noncontaminated enamel.

PURPOSE: The purpose of this study was to investigate the shear bond strength of 2 resin-based pit-and-fissure sealants--Clinpro and Fluroshield--to saliva-contaminated and noncontaminated enamel. METHODS: Forty buccal halves of permanent molar crowns were individually embedded in polyester resin and ground with wet silicone carbide papers to obtain flat enamel surfaces. The specimens were randomly assigned to 2 groups: (A) without contamination; and (B) contaminated with 0.01 ml of fresh human saliva. Each group was divided into 2 subgroups (N=10), according to the sealant applied: (1) Clinpro; and (2) Fluroshield. Shear bond strength was tested at a crosshead speed of 0.5 mm/min. Failure mode was assessed. RESULTS: Means (MPa) were: (1) A1=7.66 +/- 3.12; A2=12.39 +/- 4.34; (2) B1=5.05 +/- 1.44; B2=10.44 +/- 2.35. Data were submitted to analysis of variance and Scheffé's statistical test (P<.05). There was a statistically significant difference (P<.05) between both the sealants and the experimental conditions analyzed. Fluroshield provided higher bond strength and was different from Clinpro (P<.05) in the absence of contamination. Within the saliva-contaminated group, however, no statistically significant difference (P>.05) was observed between the tested materials. CONCLUSIONS: It may be concluded that, under dry conditions, the filled pit-and-fissure sealant (Fluroshield) yielded better bonding performance. Salivary contamination undermined the adhesion of both materials to enamel and resulted in lower bond strengths.

Analysis of Variance↗