The aim was to determine whether clinical periodontal parameters are associated with plasma anti-... more The aim was to determine whether clinical periodontal parameters are associated with plasma anti- and/or pro-inflammatory cytokines in pregnant woman with preterm birth (PB) or low birth weight (LBW) neonates. An observational case-control study was performed in 131 puerperal women: mothers of PB/LBW neonates (cases, n = 67) and mothers of full-term normal-weight neonates (controls, n = 64). Sociodemographic and periodontal data was gathered from all participants, and interleukin (IL)-1β, IL-6, IL-8, IL-10, IL-17, IL-23, and tumor necrosis factor alpha (TNF-α) were determined in plasma. In multiple linear regression models, clinical attachment loss was associated with TNF-α (0.28 ± 0.14; 95 % confidence interval (CI) [0.006, 0.553]) and IL-1β (0.43 ± 0.21; 95 %CI [0.018, 0.842]), independent of group membership. IL-1β (-1.67 ± 0.27, 95 %CI [-2.199, -1.141]), IL-6 (-0.86 ± 0.27; 95 %CI [-1.389, -0.331]), and IL-8 (-3.84 ± 0.50, 95 %CI [-4.820, -2.860]) were lower, and IL-10 (0.86 ± 0.26; 95 %CI [0.350, 1.370]) was higher in cases versus controls after adjusting for potential confounders. Clinical attachment loss was associated with plasma TNF-α and IL-1β levels. No plasma cytokine profiles suggestive of systemic inflammatory response were observed in the pregnant women with PB/LBW neonates. Clinical attachment loss, as the main periodontal measure, is associated with TNF-α and IL-1β plasma levels in pregnant women. No relationship was found between PB/LBW and the markers of systemic inflammatory response assessed in this study.
Background: Oral health-related quality of life can be assessed positively, by measuring satisfac... more Background: Oral health-related quality of life can be assessed positively, by measuring satisfaction with mouth, or negatively, by measuring oral impact on the performance of daily activities. The study objective was to validate two complementary indicators, i.e., the OIDP (Oral Impacts on Daily Performances) and Oral Satisfaction 0-10 Scale (OSS), in two qualitatively different socio-demographic samples of the Spanish adult population, and to analyse the factors affecting both perspectives of well-being. Methods: A cross-sectional study was performed, recruiting a Validation Sample from randomly selected Health Centres in Granada (Spain), representing the general population (n = 253), and a Working Sample (n = 561) randomly selected from active Regional Government staff, i.e., representing the more privileged end of the socio-demographic spectrum of this reference population. All participants were examined according to WHO methodology and completed an inperson interview on their oral impacts and oral satisfaction using the OIDP and OSS 0-10 respectively. The reliability and validity of the two indicators were assessed. An alternative method of describing the causes of oral impacts is presented. Results: The reliability coefficient (Cronbach's alpha) of the OIDP was above the recommended 0.7 threshold in both Validation and Occupational samples (0.79 and 0.71 respectively). Test-retest analysis confirmed the external reliability of the OSS (Intraclass Correlation Coefficient, 0.89; p < 0.001) Some subjective factors (perceived need for dental treatment, complaints about mouth and intermediate impacts) were strongly associated with both indicators, supporting their construct and criterion validity. The main cause of oral impact was dental pain. Several socio-demographic, behavioural and clinical variables were identified as modulating factors. Conclusion: OIDP and OSS are valid and reliable subjective measures of oral impacts and oral satisfaction, respectively, in an adult Spanish population. Exploring simultaneously these issues may provide useful insights into how satisfaction and impact on well-being are constructed.
Open Science Journal (OSJ) is multidisciplinary Open Access journal, 2018
Introduction: The Invisalign system has been used in the orthodontic treatment of numerous types ... more Introduction: The Invisalign system has been used in the orthodontic treatment of numerous types of malocclusions. However some clinicians have reported difficulty incorrecting rotations particularly in canines and premolars using the Invisalign appliance system. This case report describes the orthodontic treatment of an adult patient with severe canine rotation (more than 45°) and crowding on upper and lower tooth.
Methods: The clinical examination included extra-oral and intra-oral photographs, panoramic radiographic, lateral cephalometric, stone casts, and upper and lower arch analysis obtained from ClinCheck 3.0.The treatment planning was resolved the crowding in both upper and lower arches and the severe rotation of 33 tooth (46°) using Invisalign system as well as the canine and molar relationship, dental verticalization, adequate over jet, overbite and dental midline using the same system. The duration of the treatment was approximately eight months.
Results: In Post-treatment extra oralphotographs, no significant changes were observed at the end of the treatment. Intraoral photographs showed an important and notable improved aesthetics. The canine relationship improved slightly and molar Class Irelationship was maintained. An increase in transverse diameter was observed at the level of first premolars, second premolars and first molars. The overbite was improved. The crowding and the severe canine rotation were corrected. No obvious root resorption was radiographically evident and slight cephalometric changes.
Conclusion: The treatment with the Invisalign system resolved the complaint of our patient so this system could be considered as an option that offered good results in the treatment of upper and lower crowding of arches involving severe canine rotation.
The purpose of the present review was to describe the numerous alternatives for
the treatment of ... more The purpose of the present review was to describe the numerous alternatives for the treatment of facial asymmetry caused by condylar hyperplasia and compare the results obtained in both aesthetic and functional aspects. A search for articles published from 2002 to 2017 in the PubMed and Lilacs databases was realized. A total of 42 articles were selected according to the inclusion criteria, of which 32 were used for the study. The selection of the most appropriate treatment for condylar hyperplasia depends on factors such as the age of the patient, degree of deformity, osteoblastic activity of the condyle, etiology and functional limitations. The procedure of first choice when confirming active growth of the condyle will be condylectomy in combination with orthognathic surgery. Condylectomy is essential in the presence of joint problems and tumors. The treatment with condylectomy as well as orthodontic camouflage through the use of mini-implants can be considered in cases of mild asymmetry.
This article describes the orthodontic treatment of an adolescent patient
presenting a class II s... more This article describes the orthodontic treatment of an adolescent patient presenting a class II skeletal, convex profile, mesofacial biotype, upper dental midline deviated 1 mm to the left, Class I bilateral molar, canine distoclusion of ½ right unit and left canine relationship non-determinable because piece 23 is in ectopic position, proinclination and inferior protrusion. The treatment plan was to distalize the maxillary molars and create enough space to incorporate pieces 13, 23 in the dental arch, a pendulum appliance supported with two orthodontic mini implants were used. The active treatment lasted 18 months and at the end of it, all the objectives were fulfilled, resulting in facial balance. The pendulum appliance is a good alternative for a Class II dental correction, it produces distalization of the maxillary molars in an optimal treatment time
The aim of this study was to determine the correlation of cranial base with the facial pattern an... more The aim of this study was to determine the correlation of cranial base with the facial pattern and the sagittal position of the jaws. Ninety lateral cephalometric radiographs were selected from Ecuadorian adolescents of Azuay province with mean age of 14 years, of both genders. The anatomical design, landmark demarcation, tracing and the measurement of planes and angles were manually performed. Next, the Ricketts VERT index was used to determine the facial pattern, and the sample was distributed in three groups: (1) mesofacial, (2) dolichofacial and (3) brachyfacial. The SN and SBa planes, and the SNBa and SN-PoOr angles were the cranial base measurements considered for the analysis. While the measurements of the sagittal position of the jaws used were the SNA and SNB angles. No correlations between the cranial base variables and facial pattern were observed. However, there were significant negative correlations of the SNBa angle with SNA (r= -0.441, p=0.000), SNB (r= -0.438, p=0.000), and the SN-PoOr angle with SNA (r= -0.63, p=0.000), SNB (r= -0.647 p= 0.000), and between the SN plane and the SNA angle (r= -0.231; p=0,029). There was no correlation of the SN plane with the SNB angle, neither of the SBa plane with the SNA and SNB angles.
The aim was to determine whether clinical periodontal parameters are associated with plasma anti-... more The aim was to determine whether clinical periodontal parameters are associated with plasma anti- and/or pro-inflammatory cytokines in pregnant woman with preterm birth (PB) or low birth weight (LBW) neonates. An observational case-control study was performed in 131 puerperal women: mothers of PB/LBW neonates (cases, n = 67) and mothers of full-term normal-weight neonates (controls, n = 64). Sociodemographic and periodontal data was gathered from all participants, and interleukin (IL)-1β, IL-6, IL-8, IL-10, IL-17, IL-23, and tumor necrosis factor alpha (TNF-α) were determined in plasma. In multiple linear regression models, clinical attachment loss was associated with TNF-α (0.28 ± 0.14; 95 % confidence interval (CI) [0.006, 0.553]) and IL-1β (0.43 ± 0.21; 95 %CI [0.018, 0.842]), independent of group membership. IL-1β (-1.67 ± 0.27, 95 %CI [-2.199, -1.141]), IL-6 (-0.86 ± 0.27; 95 %CI [-1.389, -0.331]), and IL-8 (-3.84 ± 0.50, 95 %CI [-4.820, -2.860]) were lower, and IL-10 (0.86 ± 0.26; 95 %CI [0.350, 1.370]) was higher in cases versus controls after adjusting for potential confounders. Clinical attachment loss was associated with plasma TNF-α and IL-1β levels. No plasma cytokine profiles suggestive of systemic inflammatory response were observed in the pregnant women with PB/LBW neonates. Clinical attachment loss, as the main periodontal measure, is associated with TNF-α and IL-1β plasma levels in pregnant women. No relationship was found between PB/LBW and the markers of systemic inflammatory response assessed in this study.
Background: Oral health-related quality of life can be assessed positively, by measuring satisfac... more Background: Oral health-related quality of life can be assessed positively, by measuring satisfaction with mouth, or negatively, by measuring oral impact on the performance of daily activities. The study objective was to validate two complementary indicators, i.e., the OIDP (Oral Impacts on Daily Performances) and Oral Satisfaction 0-10 Scale (OSS), in two qualitatively different socio-demographic samples of the Spanish adult population, and to analyse the factors affecting both perspectives of well-being. Methods: A cross-sectional study was performed, recruiting a Validation Sample from randomly selected Health Centres in Granada (Spain), representing the general population (n = 253), and a Working Sample (n = 561) randomly selected from active Regional Government staff, i.e., representing the more privileged end of the socio-demographic spectrum of this reference population. All participants were examined according to WHO methodology and completed an inperson interview on their oral impacts and oral satisfaction using the OIDP and OSS 0-10 respectively. The reliability and validity of the two indicators were assessed. An alternative method of describing the causes of oral impacts is presented. Results: The reliability coefficient (Cronbach's alpha) of the OIDP was above the recommended 0.7 threshold in both Validation and Occupational samples (0.79 and 0.71 respectively). Test-retest analysis confirmed the external reliability of the OSS (Intraclass Correlation Coefficient, 0.89; p < 0.001) Some subjective factors (perceived need for dental treatment, complaints about mouth and intermediate impacts) were strongly associated with both indicators, supporting their construct and criterion validity. The main cause of oral impact was dental pain. Several socio-demographic, behavioural and clinical variables were identified as modulating factors. Conclusion: OIDP and OSS are valid and reliable subjective measures of oral impacts and oral satisfaction, respectively, in an adult Spanish population. Exploring simultaneously these issues may provide useful insights into how satisfaction and impact on well-being are constructed.
Open Science Journal (OSJ) is multidisciplinary Open Access journal, 2018
Introduction: The Invisalign system has been used in the orthodontic treatment of numerous types ... more Introduction: The Invisalign system has been used in the orthodontic treatment of numerous types of malocclusions. However some clinicians have reported difficulty incorrecting rotations particularly in canines and premolars using the Invisalign appliance system. This case report describes the orthodontic treatment of an adult patient with severe canine rotation (more than 45°) and crowding on upper and lower tooth.
Methods: The clinical examination included extra-oral and intra-oral photographs, panoramic radiographic, lateral cephalometric, stone casts, and upper and lower arch analysis obtained from ClinCheck 3.0.The treatment planning was resolved the crowding in both upper and lower arches and the severe rotation of 33 tooth (46°) using Invisalign system as well as the canine and molar relationship, dental verticalization, adequate over jet, overbite and dental midline using the same system. The duration of the treatment was approximately eight months.
Results: In Post-treatment extra oralphotographs, no significant changes were observed at the end of the treatment. Intraoral photographs showed an important and notable improved aesthetics. The canine relationship improved slightly and molar Class Irelationship was maintained. An increase in transverse diameter was observed at the level of first premolars, second premolars and first molars. The overbite was improved. The crowding and the severe canine rotation were corrected. No obvious root resorption was radiographically evident and slight cephalometric changes.
Conclusion: The treatment with the Invisalign system resolved the complaint of our patient so this system could be considered as an option that offered good results in the treatment of upper and lower crowding of arches involving severe canine rotation.
The purpose of the present review was to describe the numerous alternatives for
the treatment of ... more The purpose of the present review was to describe the numerous alternatives for the treatment of facial asymmetry caused by condylar hyperplasia and compare the results obtained in both aesthetic and functional aspects. A search for articles published from 2002 to 2017 in the PubMed and Lilacs databases was realized. A total of 42 articles were selected according to the inclusion criteria, of which 32 were used for the study. The selection of the most appropriate treatment for condylar hyperplasia depends on factors such as the age of the patient, degree of deformity, osteoblastic activity of the condyle, etiology and functional limitations. The procedure of first choice when confirming active growth of the condyle will be condylectomy in combination with orthognathic surgery. Condylectomy is essential in the presence of joint problems and tumors. The treatment with condylectomy as well as orthodontic camouflage through the use of mini-implants can be considered in cases of mild asymmetry.
This article describes the orthodontic treatment of an adolescent patient
presenting a class II s... more This article describes the orthodontic treatment of an adolescent patient presenting a class II skeletal, convex profile, mesofacial biotype, upper dental midline deviated 1 mm to the left, Class I bilateral molar, canine distoclusion of ½ right unit and left canine relationship non-determinable because piece 23 is in ectopic position, proinclination and inferior protrusion. The treatment plan was to distalize the maxillary molars and create enough space to incorporate pieces 13, 23 in the dental arch, a pendulum appliance supported with two orthodontic mini implants were used. The active treatment lasted 18 months and at the end of it, all the objectives were fulfilled, resulting in facial balance. The pendulum appliance is a good alternative for a Class II dental correction, it produces distalization of the maxillary molars in an optimal treatment time
The aim of this study was to determine the correlation of cranial base with the facial pattern an... more The aim of this study was to determine the correlation of cranial base with the facial pattern and the sagittal position of the jaws. Ninety lateral cephalometric radiographs were selected from Ecuadorian adolescents of Azuay province with mean age of 14 years, of both genders. The anatomical design, landmark demarcation, tracing and the measurement of planes and angles were manually performed. Next, the Ricketts VERT index was used to determine the facial pattern, and the sample was distributed in three groups: (1) mesofacial, (2) dolichofacial and (3) brachyfacial. The SN and SBa planes, and the SNBa and SN-PoOr angles were the cranial base measurements considered for the analysis. While the measurements of the sagittal position of the jaws used were the SNA and SNB angles. No correlations between the cranial base variables and facial pattern were observed. However, there were significant negative correlations of the SNBa angle with SNA (r= -0.441, p=0.000), SNB (r= -0.438, p=0.000), and the SN-PoOr angle with SNA (r= -0.63, p=0.000), SNB (r= -0.647 p= 0.000), and between the SN plane and the SNA angle (r= -0.231; p=0,029). There was no correlation of the SN plane with the SNB angle, neither of the SBa plane with the SNA and SNB angles.
Uploads
Papers by Manuel E Bravo
Methods: The clinical examination included extra-oral and intra-oral photographs, panoramic radiographic, lateral cephalometric, stone casts, and upper and lower arch analysis obtained from ClinCheck 3.0.The treatment planning was resolved the crowding in both upper and lower arches and the severe rotation of 33 tooth (46°) using Invisalign system as well as the canine and molar relationship, dental verticalization, adequate over jet, overbite and dental midline using the same system. The duration of the treatment was approximately eight months.
Results: In Post-treatment extra oralphotographs, no significant changes were observed at the end of the treatment. Intraoral photographs showed an important and notable improved aesthetics. The canine relationship improved slightly and molar Class Irelationship was maintained. An increase in transverse diameter was observed at the level of first premolars, second premolars and first molars. The overbite was improved. The crowding and the severe canine rotation were corrected. No obvious root resorption was radiographically evident and slight cephalometric changes.
Conclusion: The treatment with the Invisalign system resolved the complaint of our patient so this system could be considered as an option that offered good results in the treatment of upper and lower crowding of arches involving severe canine rotation.
the treatment of facial asymmetry caused by condylar hyperplasia and compare
the results obtained in both aesthetic and functional aspects. A search for articles
published from 2002 to 2017 in the PubMed and Lilacs databases was realized.
A total of 42 articles were selected according to the inclusion criteria, of which
32 were used for the study. The selection of the most appropriate treatment for
condylar hyperplasia depends on factors such as the age of the patient, degree of
deformity, osteoblastic activity of the condyle, etiology and functional limitations.
The procedure of first choice when confirming active growth of the condyle
will be condylectomy in combination with orthognathic surgery. Condylectomy
is essential in the presence of joint problems and tumors. The treatment with
condylectomy as well as orthodontic camouflage through the use of mini-implants
can be considered in cases of mild asymmetry.
presenting a class II skeletal, convex profile, mesofacial biotype, upper dental
midline deviated 1 mm to the left, Class I bilateral molar, canine distoclusion of
½ right unit and left canine relationship non-determinable because piece 23 is in
ectopic position, proinclination and inferior protrusion. The treatment plan was to
distalize the maxillary molars and create enough space to incorporate pieces 13,
23 in the dental arch, a pendulum appliance supported with two orthodontic mini
implants were used. The active treatment lasted 18 months and at the end of it, all
the objectives were fulfilled, resulting in facial balance. The pendulum appliance
is a good alternative for a Class II dental correction, it produces distalization of the
maxillary molars in an optimal treatment time
Books by Manuel E Bravo
Methods: The clinical examination included extra-oral and intra-oral photographs, panoramic radiographic, lateral cephalometric, stone casts, and upper and lower arch analysis obtained from ClinCheck 3.0.The treatment planning was resolved the crowding in both upper and lower arches and the severe rotation of 33 tooth (46°) using Invisalign system as well as the canine and molar relationship, dental verticalization, adequate over jet, overbite and dental midline using the same system. The duration of the treatment was approximately eight months.
Results: In Post-treatment extra oralphotographs, no significant changes were observed at the end of the treatment. Intraoral photographs showed an important and notable improved aesthetics. The canine relationship improved slightly and molar Class Irelationship was maintained. An increase in transverse diameter was observed at the level of first premolars, second premolars and first molars. The overbite was improved. The crowding and the severe canine rotation were corrected. No obvious root resorption was radiographically evident and slight cephalometric changes.
Conclusion: The treatment with the Invisalign system resolved the complaint of our patient so this system could be considered as an option that offered good results in the treatment of upper and lower crowding of arches involving severe canine rotation.
the treatment of facial asymmetry caused by condylar hyperplasia and compare
the results obtained in both aesthetic and functional aspects. A search for articles
published from 2002 to 2017 in the PubMed and Lilacs databases was realized.
A total of 42 articles were selected according to the inclusion criteria, of which
32 were used for the study. The selection of the most appropriate treatment for
condylar hyperplasia depends on factors such as the age of the patient, degree of
deformity, osteoblastic activity of the condyle, etiology and functional limitations.
The procedure of first choice when confirming active growth of the condyle
will be condylectomy in combination with orthognathic surgery. Condylectomy
is essential in the presence of joint problems and tumors. The treatment with
condylectomy as well as orthodontic camouflage through the use of mini-implants
can be considered in cases of mild asymmetry.
presenting a class II skeletal, convex profile, mesofacial biotype, upper dental
midline deviated 1 mm to the left, Class I bilateral molar, canine distoclusion of
½ right unit and left canine relationship non-determinable because piece 23 is in
ectopic position, proinclination and inferior protrusion. The treatment plan was to
distalize the maxillary molars and create enough space to incorporate pieces 13,
23 in the dental arch, a pendulum appliance supported with two orthodontic mini
implants were used. The active treatment lasted 18 months and at the end of it, all
the objectives were fulfilled, resulting in facial balance. The pendulum appliance
is a good alternative for a Class II dental correction, it produces distalization of the
maxillary molars in an optimal treatment time