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Case Reports
. 2018 Nov-Dec;23(6):90-105.
doi: 10.1590/2177-6709.23.6.090-105.sar.

Orthodontic treatment time: can it be shortened?

Affiliations
Case Reports

Orthodontic treatment time: can it be shortened?

Ricardo Moresca. Dental Press J Orthod. 2018 Nov-Dec.

Abstract

Introduction: In the literature, no consensus has been reached about orthodontic treatment time. Similarly, the determining factors of the latter have not yet been completely elucidated.

Objective: The aim of the present article was to deepen the discussion on the major factors influencing orthodontic treatment time, as well as to present some strategies that have proven effective in controlling and shortening it.

Method: Based on evidences found in the literature, the method focussed in providing the basis for clinical decision-making.

Conclusions: Treatment time varies according to the type of malocclusion and treatment options. Orthodontist's influence, patient's characteristics and compliance are all decisive in determining treatment time, while the effects provided by orthodontic appliances and methods used to speed tooth movement up seem little effective.

Introdução:: não existe consenso na literatura sobre a duração do tratamento ortodôntico, e os fatores relacionados com a sua determinação ainda não estão totalmente elucidados.

Objetivo:: o objetivo do presente artigo foi aprofundar a discussão dos principais fatores que podem influenciar na duração do tratamento ortodôntico, bem como apresentar algumas estratégias que têm se mostrado eficientes para controlá-la e reduzi-la.

Método:: a partir das evidências apresentadas na literatura, fundamentar as decisões clínicas.

Conclusões:: o tempo de tratamento varia de acordo com o tipo de má oclusão e com as opções de tratamento. A influência do ortodontista, as características do paciente e sua colaboração são fatores decisivos na definição do tempo de tratamento, enquanto os efeitos dos dispositivos ortodônticos e os métodos de aceleração do movimento dentário parecem ser pouco efetivos.

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Figures

Figure 1
Figure 1. Example of card used to register the time estimate of each orthodontic treatment phase.
Figure 2
Figure 2. Initial records: intraoral photographs, lateral cephalogram and panoramic radiograph.
Figure 3
Figure 3. Intraoral photographs showing anterior teeth retraction after molar distalization.
Figure 4
Figure 4. Final records: intraoral photographs, lateral cephalogram and panoramic radiograph.
Figure 5
Figure 5. Initial records: extra- and intraoral photographs, lateral cephalogram and panoramic radiograph.
Figure 6
Figure 6. Intraoral photographs showing Class II-correction appliance (Forsus, 3M Unitek).
Figure 7
Figure 7. Final records: extra- and intraoral photographs, lateral cephalogram and panoramic radiograph.
Figure 8
Figure 8. Initial records: extra- and intraoral photographs, lateral cephalogram and panoramic radiograph.
Figure 9
Figure 9. Intraoral photographs showing incisors retraction.
Figure 10
Figure 10. Final records: extra- and intraoral photographs, lateral cephalogram and panoramic radiograph.

References

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