Oral rehabilitation of a saxophone player with orofacial pain: a case report.

This paper presents a clinical case study investigating the pattern of a saxophonist's embouchure as a possible origin of orofacial pain. The rehabilitation addressed the dental occlusion and a fracture in a metal ceramic bridge. To evaluate the undesirable loads on the upper teeth, two piezoresistive sensors were placed between the central incisors and the mouthpiece during the embouchure.

The relation between mandibular symphysis and the Angle class in orthodontic treatment.

Objectives: Facial perception depends on the different components of the face. The chin is a striking anatomical structure in the individual's identity and mandibular symphysis (MS) shape influences the adjacent soft tissue, determining facial harmony. In lateral cephalometry, the MS corresponds to the image of the mandibular body in its anterior curvature.

Tooth Position in Wind Instrument Players: Dentofacial Cephalometric Analysis.

Background: Specific dentofacial characteristics in wind instrumentalists should be taken in consideration when analyzing physiological and anatomical issues regarding the musician's embouchure, posture, and biomechanics during musical performance.

Objectives: To compare tooth cephalometric characteristics between wind instrument players and string players (overjet, overbite, lower facial height, facial convexity, lower incisor inclination, and interincisal angle).

Methods: In total, 48 wind instrumentalists (67%) and 24 string instrumentalists (33%).

Orofacial Trauma on the Anterior Zone of a Trumpet's Player Maxilla: Concept of the Oral Rehabilitation-A Case Report.

Background: The occurrence of an orofacial trauma can originate health, social, economic and professional problems. A 13-year boy suffered the avulsion of tooth 11 and 21, lost at the scenario.

Methods: Three intraoral appliances were manufactured: A Hawley appliance with a central expansion screw and two central incisors (1), trumpet edentulous anterior tooth appliance (2) and a customized splint (3) were designed as part of the rehabilitation procedure.

Bond Strength of Metallic or Ceramic Orthodontic Brackets to Enamel, Acrylic, or Porcelain Surfaces.

Bonding strategies within different brackets and dental materials are still a challenge concerning adhesion and dental surface damage. This study compared the shear and tensile bond strength of orthodontic ceramic and metallic brackets to enamel, acrylic, and ceramic surfaces after thermal cycling. Dental surfaces were divided into three groups: enamel, ceramic, and acrylic.

Craniofacial morphology of wind and string instrument players: a cephalometric study.

Background: Playing an instrument may promote a parafunctional behavior within the cranio-cervical-mandibular-complex with unknown repercussions. The aim of this study was to find any association between the dental inter-arch relationship and the practice of a wind or string instrument.

Methods: A sample of 77 musicians, divided in two groups of wind (n = 50) and string instrumentalists (n = 27), had a lateral cephalogram taken to compare six cephalometric parameters following the Rickett's analysis (maxilla position, mandible position, facial type, skeletal class, upper incisor and lower incisor inclination).

Infrared thermography of the crânio-cervico-mandibular complex in wind and string instrumentalists.

Purpose: Musculoskeletal disorders can be common in wind and string instrumentalists. The musical gesture technique associated to musical performance can promote an asymmetrical isometric contraction with the hyperactivity of specific muscular groups and the overload of articular surfaces which can cause discomfort or pain. The aim of this investigation was to assess specific anatomical regions of interest within the cranio-cervico-mandibular complex in order to determine and evaluate the presence of muscular hyperactivity associated to musical performance.

Integrating piezoresistive sensors on the embouchure analysis of the lower lip in single reed instrumentalists: implementation of the lip pressure appliance (LPA).

Background: It is essential to understand, characterize, and measure the embouchure mechanism of a wind instrumentalists, where the applied forces on the perioral tissues can usually promote discomfort or pain.

Methods: The sample consisted of five clarinet players and five saxophone players. The embouchure force measurements at the lower lip area were assessed using a piezoresistive sensor (FlexiForce, Tekscan, Boston, USA, 0.

Thermographic Study of the Orofacial Structures Involved in Clarinetists Musical Performance.

Introduction: Wind instrumentalists like clarinetists, may present a muscular hyperactivity on certain groups of the cranio-cervico-mandibular complex, due to their musical activity. Therefore, the use of infrared thermography can be used to assess and characterize the orofacial structures involved in clarinet performance.

Aim: The objective of this study was to analyze and record the thermal patterns using the thermographic camera Flir E60sc to evaluate anatomically and physiologically certain orofacial structures of the cranio-cervical-mandibular complex, such as the masticatory muscles and the region of the temporomandibular joint.

Wind Instrumentalists and Temporomandibular Disorder: From Diagnosis to Treatment.

Introduction: Temporomandibular disorders (TMD) involve the presence of pain or dysfunction on certain areas of the Cranio-Cervico-Mandibular Complex (CCMC), such as the masticatory muscles, the temporomandibular joint (TMJ) and associated structures like the postural muscles of the cervical region, can be considered as a sub-group of musculoskeletal disorders. Wind instrument players, as a consequence of their musical performance and its relation with the CCMC, can develop a TMD associated to muscle hyperactivity of certain elevator muscles, or even an increase of the intra-articular pressure in the functioning of the TMJ throughout musical activity.

Aim: The objective of this paper is to describe the necessary and elementary steps in the diagnoses and treatment of a wind instrumentalist with a temporomandibular disorder, with the introduction of infrared thermography during this procedure.

A Prosthodontic Treatment Plan for a Saxophone Player: A Conceptual Approach.

Introduction: A wind instrumentalist was diagnosed with a periapical lesion on tooth 21. The prosthetic rehabilitation options were considered with respect to the embouchure mechanism of the saxophonist. The underlying mechanism associated with the embouchure of the saxophone player was observed in this particular case in order to understand if asymmetrical forces were transmitted to the upper central incisors.

How to Achieve Facial Balance by Mandibular Contouring Ostectomy in Hemimandibular Hyperplasia.

Hemimandibular hyperplasia is a rare type of condylar hyperplasia which leads to facial asymmetry. Its surgical correction may be challenging since it usually requires complex mandibular osteotomies. Mandibular inferior border ostectomy is poorly described in the literature.

Effect of activation and preactivation on the mechanical behavior and neutral position of stainless steel and beta-titanium T-loops.

Objective: To quantify, for each activation, the effect of preactivations of differing distribution and intensity on the neutral position of T-loops (7-mm height), specifically the horizontal force, moment to force (M/F) ratio, and load to deflection ratio.

Methods: A total 100 loops measuring 0.017 × 0.

Comparison of condylar displacement between three biotypological facial groups by using mounted models and a mandibular position indicator.

Objective: Facial-type-associated variations in diagnostic features have several implications in orthodontics. For example, in hyperdivergent craniofacial types, growth imbalances are compensated by displacement of the condyle. When diagnosis and treatment planning involves centric relation (CR), detailed knowledge of the condylar position is desirable.

Influence of lateral cephalometric radiography in orthodontic diagnosis and treatment planning.

Objective: To evaluate the impact of additional lateral cephalometric radiography in orthodontic diagnosis and treatment planning.

Materials And Methods: Forty-three patients seeking orthodontic treatment, and for whom pretreatment diagnostic records were available, were randomly selected. Ten qualified orthodontists were involved in this study.

Different manifestations of class II division 2 incisor retroclination and their association with dental anomalies.

Objective: To investigate whether there is an association between dental developmental anomalies (DDAs) and different manifestations of class II division 2 (CII/2) malocclusion incisor retroclination.

Design: Retrospective comparative study.

Setting: Private orthodontic practice in the regions of Lisbon and Porto, Portugal.

Different manifestations of Class II Division 2 incisor retroclination: a morphologic study.

Introduction: The aims of this study were to investigate whether there is a different transverse morphologic pattern of dental arches among patients with different manifestations of Class II Division 2 incisor retroclination and to evaluate to what extent the pattern of smaller-than-average teeth in Class II Division 2 malocclusion is common to all groups studied. This information might clarify whether different Class II Division 2 phenotypes represent a single etiology or multiple etiologies.

Methods: The sample comprised 108 subjects with Class II Division 2 malocclusions, divided into 2 groups according to the type of incisor retroclination: group I included 43 Class II Division 2 subjects with retroclination exclusively of the maxillary central incisors, and group II included 65 Class II Division 2 subjects with retroclination of the 4 maxillary incisors.

The prevalence of anterior open bite in Portuguese children during deciduous and mixed dentition--correlations for a prevention strategy.

Introduction: Anterior open bite (AOB) is a vertical malocclusion that requires thorough diagnosis to ensure long-term stability. The aim of this study was to determine the prevalence of AOB in Portuguese children during deciduous and mixed dentition in order to assess the need for orthodontic treatment and to determine its relation to other associated features.

Material And Methods: A group of 1264 children aged between 3 and 12 from Porto in Portugal were observed.