Detalhes bibliográficos
Ano de defesa: |
2022 |
Autor(a) principal: |
Gil, Ariane Paredes de Sousa
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Orientador(a): |
Oliveira, Rogerio Belle de
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Banca de defesa: |
Não Informado pela instituição |
Tipo de documento: |
Tese
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Tipo de acesso: |
Acesso aberto |
Idioma: |
por |
Instituição de defesa: |
Pontifícia Universidade Católica do Rio Grande do Sul
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Programa de Pós-Graduação: |
Programa de Pós-Graduação em Odontologia
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Departamento: |
Escola de Ciências Saúde e da Vida
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País: |
Brasil
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Palavras-chave em Português: |
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Palavras-chave em Inglês: |
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Área do conhecimento CNPq: |
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Link de acesso: |
https://tede2.pucrs.br/tede2/handle/tede/10516
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Resumo: |
The aim of this study was to evaluate the nasolabial soft tissues effects of a minimally invasive Le Fort I osteotomy and compare results with two conventional Le Fort I approaches using cone beam computed tomography (CBCT) evaluation of three-dimensional (3D) volume surfaces. Three groups were evaluated: group 1, patients who underwent conventional Le Fort I osteotomy (n=30); group 2, patients who underwent minimally invasive Le Fort I osteotomy (n=30); and group 3, patients who underwent conventional Le Fort I osteotomy with ANS recontouring or removal (n=30). CBCT evaluation was performed at two time points: T0, 1 week before surgery; T1, 6 months after surgery. Results showed statistically significant differences in nasolabial area (P<0.001). Mean maxillary advancement was 4.26mm. For group 1, mean change in inter-alar width was 2.29±1.57mm; in group 2 it was 1.20±1.56mm, and group 3 was 1.84±1.76mm. For group 1, mean change in alar base width was 1.69±2.32mm; in group 2 it was 0.85±2.08mm, and group 3 was 1.21±1.83mm. The proposed less invasive surgical technique to Le Fort I osteotomy seems to better avoid negative esthetic impact in soft tissues changes in nasolabial region when compared with conventional approaches. |