Orthodontic Treatment by Compensation of a Skeletal Class III Associated with Mandibular Laterognathy: Aesthetic Challenge and Therapeutic Occlusion

Introduction: This case report describes compensatory orthodontic treatment in a young patient aged 13 years. She presented with a class III skeletal malocclusion associated with mandibular laterognathy. The patient's main reason for consultation was the anterior cross bite and the aesthetics of her smile.Materials and Methods: The chosen treatment was therefore an orthodontic camouflage with the extraction of the first mandibular premolars and the second maxillary premolars, in order to catch a correct anterior articular and restore a good occlusal relationship, however, the mandibular laterognathy was camouflaged by means of dental compensations and also by correcting the deviation of the incisors medians through a class III mechanics with good anchorage management.Results: After 24 months of treatment, an ideal overjet and overbite associated with a Class I canine and molar relationship, was obtained, associated with a perfect coincidence of the interincisor medians.Conclusion: Class III skeletal cases can often be treated either by orthodontic camouflage or surgery. In our case study, the treatment adopted was orthodontic camouflage with extractions. The results of the treatment were satisfactory and the occlusal objectives were achieved. The final harmonious smile pleased the patient and improved her self-esteem and quality of life.

The blood flow restriction training effect in knee osteoarthritis people: a systematic review and meta-analysis

Objective: To synthesize evidence on the effects of blood flow restriction (BFR) comparing with high (HLT) and low load (LLT), and on the influence of different forms of application in individuals with knee osteoarthritis. Data sources: The CENTRAL, PEDro, PubMed and BVS, which include Lilacs, Medline and SciELO, until April 2020. Review methods: A systematic review and meta-analysis of randomized trials used the PRISMA guidelines, whose main keywords were: Therapeutic Occlusion, Resistance Training, and Knee Osteoarthritie, blood flow restriction and Kaatsu training. Method quality was evaluated with the PEDro scale. When studies demonstrated homogeneity on outcome measures, the mean differences or standardized mean differences with 95% confidence interval were calculated and pooled in a meta-analysis for pooled synthesis. Results: Five articles were eligible in this review with moderate to low risk bias. Our results, showed no difference between BFR and HLT in knee strength (SMD = 0.00, 95% CI, –0.54 to 0.54, P = 1.00), function (SMD = −0.20, 95% CI, –0.45 to 0.06, P = 0.13), pain and volume. But, when compared BFR and LLT, the descriptive analysis demonstrated significant results in favor BFR to muscle strength (71.4% of measurement) and volume (MD = 1.66, 95% CI, 0.93 to 2.38, P < 0.00001), but not in pain or function. Conclusion: BFR can be used as a strategy in the rehabilitation of osteoarthritis due to gains in strength and volume with low mechanical stress. However, its application must be safe and individualized, since they can attenuate the stimuli offered by BFR.

How does blood flow restriction training have been applied in Brazil?

Objective: The aim of the present study was to analyze how the blood flow restriction (BFR) training has been used by professionals in Brazil, focusing on the user's profile, control of training variables and the rate of occurrence of adverse effects. Methods: Eighty-six health professionals with experience in BFR training were interviewed through a digital questionnaire prepared by the authors containing 17 questions about the characteristics of using the method. Results: BFR training has been used in Brazil for the past 5 years, mainly by Physical Education professionals who attend healthy adults, athletes and elderly people with several objectives. Most of the professionals seem to follow specific scientific recommendations for the BFR training prescription, except for a small portion of participants, especially regarding pressure control to BFR. Low-severity immediate adverse effects associated with the method were observed at reasonable rates and no serious effects were reported. Conclusion: Since a small number of professionals reported inattention to scientific recommendations for controlling this variable, these adverse effects may be associated with inadequate control of vascular occlusion pressure.Key-words: hypoxia, physical training, rehabilitation, therapeutic occlusion, vascular occlusion devices.

Balloon Test Occlusion for an Option to Decide Whether Simple ICA Ligation is Better Option than Trapping and High Flow Bypass of The Giant ICA Cavernous Aneurysm

Balloon Test occlusion (BTO) is a preoperative angiographic test used to estimate the risk of stroke after permanent therapeutic occlusion of an internal carotid artery (ICA) involved by aneurysms. Temporary balloon occlusion at the cavernous ICA aneurysm neck was performed in an attempt to assess the adequacy of cross flow from the opposite ICA. Adequate fl ow following BTO are preferred to have simple ICA ligation and incase of those who did not pass BTO trapping and high flow bypass is preferred .We have done Right ICA Ligation on our case report.Nepal Journal of Neuroscience, Vol. 14, No. 2, 2017 Page:32-35

Computerized Occlusal Analysis in Occlusal Splint Therapy

Occlusal splints are used to protect teeth, relieve orofacial pain, and preview the patient response to a simulated occlusal correction. This chapter outlines proper occlusal splint fabrication that employs T-Scan analysis to verify a therapeutic occlusion. The T-Scan provides objective relative occlusal force and timing data that guides the refinement of a splint's occlusal scheme. Therefore, this chapter explains adjusting an occlusal splint's contact pattern with ink ribbon followed by the T-Scan. It also addresses the controversy regarding the existence of, or lack thereof, a relationship between occlusal interferences and masticatory muscle dysfunction. The author postulates that the research studies that argue against the existence of a relationship are absent of occlusal measurement and lack a scientific basis to deny a relationship exists. Lastly, recommendations are made to include the T-Scan in Temporomandibular Disorder treatment studies with both occlusal splints and natural teeth, so that researchers might resolve this controversy for dental clinicians.

Computerized Occlusal Analysis in Occlusal Splint Therapy

Occlusal splints are used to protect teeth, relieve orofacial pain, and preview the patient response to a simulated occlusal correction. This chapter outlines proper occlusal splint fabrication that employs T-Scan analysis to verify a therapeutic occlusion. The T-Scan provides objective relative occlusal force and timing data that guides the refinement of a splint's occlusal scheme. Therefore, this chapter explains adjusting an occlusal splint's contact pattern with ink ribbon followed by the T-Scan. It also addresses the controversy regarding the existence of, or lack thereof, a relationship between occlusal interferences and masticatory muscle dysfunction. The author postulates that the research studies that argue against the existence of a relationship are absent of occlusal measurement and lack a scientific basis to deny a relationship exists. Lastly, recommendations are made to include the T-Scan in Temporomandibular Disorder treatment studies with both occlusal splints and natural teeth, so that researchers might resolve this controversy for dental clinicians.