MALOCLUSÃO DE CLASSE III
Autor: Adriana Oquendo | Publicado: 2011-08-02T11:43:00-07:00

Na cefalometria:1-&nbsp; &nbsp; &nbsp;&nbsp;&nbsp; Comprimento anterior da base do crânio2-&nbsp; &nbsp;&nbsp;&nbsp; Xi-PM3-&nbsp;&nbsp; &nbsp;&nbsp; Deflexão Craniana4-&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Distância Pório PTV5-&nbsp; &nbsp;&nbsp;&nbsp; Eixo-facial6-&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ba-Na-ponto A&nbsp;








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&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Indicação:&nbsp; 
1.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Pacientes que possuam todos os dentes. Exceto 3 molar que no ato é pedida sua extração2.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Quando a base do crânio é pequena a biomecânica do maxila será pobre!3.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Nivelmento inferior somente com arco segmentado para não comprometer o plano oclusal que é determinado pelo PM

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Mecânica: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Maxila:1.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Nivelamento (arco reto)2.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Arco utilidade de avanço + estabilização3.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Arco contínuo + baioneta longe do tupo para mesialização(a partir do momento q se usa mola na arcada inferior)





Arco utilidade de avanço + estabilização


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   UnhideWhenUsed="false" Name="Colorful List Accent 5"/>   <w:LsdException Locked="false" Priority="73" SemiHidden="false"
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   UnhideWhenUsed="false" Name="Light List Accent 6"/>   <w:LsdException Locked="false" Priority="62" SemiHidden="false"
   UnhideWhenUsed="false" Name="Light Grid Accent 6"/>   <w:LsdException Locked="false" Priority="63" SemiHidden="false"
   UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>   <w:LsdException Locked="false" Priority="64" SemiHidden="false"
   UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>   <w:LsdException Locked="false" Priority="65" SemiHidden="false"
   UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>   <w:LsdException Locked="false" Priority="66" SemiHidden="false"
   UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>   <w:LsdException Locked="false" Priority="67" SemiHidden="false"
   UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>   <w:LsdException Locked="false" Priority="68" SemiHidden="false"
   UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>   <w:LsdException Locked="false" Priority="69" SemiHidden="false"
   UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>   <w:LsdException Locked="false" Priority="70" SemiHidden="false"
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   UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>   <w:LsdException Locked="false" Priority="72" SemiHidden="false"
   UnhideWhenUsed="false" Name="Colorful List Accent 6"/>   <w:LsdException Locked="false" Priority="73" SemiHidden="false"
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   UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>   <w:LsdException Locked="false" Priority="21" SemiHidden="false"
   UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>   <w:LsdException Locked="false" Priority="31" SemiHidden="false"
   UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>   <w:LsdException Locked="false" Priority="32" SemiHidden="false"
   UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>   <w:LsdException Locked="false" Priority="33" SemiHidden="false"
   UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>         <![endif]--><!--[if gte mso 10]> 
 /* Style Definitions */
 table.MsoNormalTable
 {mso-style-name:"Tabela normal";
 mso-tstyle-rowband-size:0;
 mso-tstyle-colband-size:0;
 mso-style-noshow:yes;
 mso-style-priority:99;
 mso-style-qformat:yes;
 mso-style-parent:"";
 mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
 mso-para-margin-top:0cm;
 mso-para-margin-right:0cm;
 mso-para-margin-bottom:10.0pt;
 mso-para-margin-left:0cm;
 line-height:115%;
 mso-pagination:widow-orphan;
 font-size:11.0pt;
 font-family:"Calibri","sans-serif";
 mso-ascii-font-family:Calibri;
 mso-ascii-theme-font:minor-latin;
 mso-hansi-font-family:Calibri;
 mso-hansi-theme-font:minor-latin;
 mso-bidi-font-family:"Times New Roman";
 mso-bidi-theme-font:minor-bidi;
 mso-fareast-language:EN-US;}
 <![endif]-->  Mandíbula:1.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; AU no &nbsp;1M + tip back(intrusão de I.I)2.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; AU até 2M +estabilização até C+ mola &nbsp;entre 1M e 2M3.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; AU no 2M+estabilização até C+ancoragem de molar + mola entre 1 M e 2 PM4.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; AU no 2M +estabilização até C+ancoragem de molar + mola entre 2PM e 1 PM5.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; AU no 2M + seccional de estabilização com alça vertical fechada com helicóide entre 1PM e C 
OBS: A partir do momento que faz-se o uso de mola usa-se elástico 3/16 pesado(Ex:15-14-44/ 14-13-43) até final do tratamento.E nunca esquecer de amarrilhar depois que usar a mola em cada etapa entre um dente e outro.

 AU até 2M +estabilização até C+ mola &nbsp;entre 1M e 2M



&nbsp; AU no 2M + seccional de estabilização com alça vertical fechada com helicóide entre 2PM e 1PM 





Fonte: Vade Mécum-Meu Caderno - Bioprogressiva- W.P. Noronha 


























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