Avaliação longitudinal de arcadas dentárias individualizadas com o método Borda WALA

INTRODUCTION: The form of mandibular arch is considered one of the main references among the diagnostic tools because the maintenance of this arch form and dimension is an important factor for stability of orthodontic treatment. OBJECTIVES: To evaluate the changes in mandibular intercanine and intermolar widths during orthodontic treatment and 3 years of posttreatment, in which the WALA ridge was used for individualization of the mandibular arch form. METHODS: Sample comprised of 20 patients (12 women and 8 men), with a mean age of 20.88 years. The dental casts of the initial, final and post-treatment evaluation were used for measurement of the intercanine and intermolar distances in the center of the buccal surface of the clinical crown and in the width of the WALA ridge. Data were analyzed by means of ANOVA test followed by Tukey test (p<0.05). RESULTS: Indicated that there was a statistically significant difference in intercanine and intermolar distances among the three stages evaluated. These distances increased significantly with treatment, and presented a reduction in the post-treatment period, however not reaching the initial values. CONCLUSIONS: The WALA ridge method used in this study for construction of the individualized diagrams and for measurement of the intercanine and intermolar distances was shown to be valuable, allowing the individualization of the dental arches and favoring the post-treatment stability.

[1]  J L Martin,et al.  Dimensions and form of dental arches in subjects with normal occlusions. , 1993, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics.

[2]  W J Houston,et al.  The analysis of errors in orthodontic measurements. , 1983, American journal of orthodontics.

[3]  Gunnar Dahlberg Statistical Methods for Medical and Biological Students. , 1941 .

[4]  R. M. Little,et al.  Dentofacial maturation of untreated normals. , 1985, American journal of orthodontics.

[5]  C. A. Hawley Determination of the normal arch, and its application to orthodontia , 1905 .

[6]  A. E. Howes Expansion as a treatment procedure—Where does it stand today?☆ , 1960 .

[7]  C. Lombard,et al.  A longitudinal evaluation of the anterior border of the dentition. , 1993, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics.

[8]  R. M. Little,et al.  Maturation of untreated normal occlusions. , 1983, American journal of orthodontics.

[9]  S. Wei,et al.  Recording and measuring malocclusion: a review of the literature. , 1993, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics.

[10]  L. Andrews The six keys to normal occlusion. , 1972, American journal of orthodontics.

[11]  K. C. Johnson Cases six years postretention. , 2009, The Angle orthodontist.

[12]  S. Bishara,et al.  Changes in the maxillary and mandibular tooth size-arch length relationship from early adolescence to early adulthood. A longitudinal study. , 1989, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics.

[13]  R. M. Little,et al.  Stability and relapse of mandibular anterior alignment-first premolar extraction cases treated by traditional edgewise orthodontics. , 1981, American journal of orthodontics.

[14]  S. Williams,et al.  Incisor stability in patients with anterior rotational mandibular growth. , 2009, The Angle orthodontist.

[15]  Lf Andrews The six elements of orofacial harmony , 2000 .

[16]  C. Sadowsky,et al.  Long-term stability of dental relationships after orthodontic treatment. , 2009, The Angle orthodontist.

[17]  J. R. White,et al.  Developmental changes of the maxillary and mandibular dental arches , 2009 .

[18]  R. G. Alexander,et al.  Nonextraction orthodontic therapy: posttreatment dental and skeletal stability. , 1987, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics.

[19]  L. Filho,et al.  DIAO: Diagrama individual anatômico objetivo. Uma proposta para escolha da forma dos arcos na técnica de Straight-Wire, baseada na individualidade anatômica e nos objetivos de tratamento , 2004 .