info:eu-repo/semantics/article
Treatment of Angle Class {I malocclusions with Frankel appliance (FR-2)
Tratamento cirúrgico de fratura de mandíbula infectada em paciente HIV positivo: relato de um caso
Autor
Cacciá, Carlos Frederico
Krüger, Márcio B.
Volkweis, Maurício Roth
Knack, Marcos
Basualdo, Alexandre
Resumen
Through a literature review the effects of treatment with Frankel appliance(FR-2) in Class Il malocclusions was evaluated. The results indicated that, in the post-treatment phase, the Frankel appliance does not influence maxillary growth. Mandibular growth and protrusion are increased more significantly to the Frankel groups than control groups. The appliance improved the maxilo-mandibular relationship, as a result of effects on the maxillary and mandibular components. Upper facial heights and facial growth direction were not influenced by the Frankel appliance. Anterior lower and posterior facial heights were increased by treatment. Maxillary dentoalveolar region retractive effects were noted in the incisors and mandibular dentoalveolar proinclination effects were noted in the incisors. Maxillary and mandibular arch width increased more significantly than in control groups. Soft tissue profile did not change significantly in the upper lips, with little opening of the naso-labial angle and significantly opening of the labio-mental fold angle. Os autores apresentam o relato de um caso de fratura de mandíbula, que foi tratada primeiramente de forma conservadora e que, apesar da antibioticoterapia, infectou. Devido a história do uso de drogas injetáveis durante quinze anos suspeitou-se da síndrome de imunodeficiência adquirida. O paciente foi então submetido a tratamento cirúrgico com drenagem do abcesso e posterior instalação de miniplacas com parafusos. O exame anti-HIV foi positivo. A conduta terapêutica neste caso, mostrou-se eficiente para o tratamento de fraturas infectadas de mandíbula.