title: Importance of occlusion aspects in the completion of orthodontic treatment.
abstract: The purpose of this study was to address the therapeutic goals regarding the static and functional occlusion in the completion of orthodontic treatment. For such purpose, a study population comprising 20 female treated Class II malocclusion subjects with an initial mean age of 11 years underwent a two-phase treatment (orthopedics and orthodontics). The patients were diagnosed in centric relation and were treated according to the six keys for normal occlusion and functional occlusal parameters (centric relation, vertical dimension, lateral and anterior guidances, occlusal contacts and direction of forces applied on the teeth). After removal of fixed mechanics, retainers were installed and maintained for two years. Five years after orthodontic completion, the occlusal stability of the patients was evaluated regarding molar relationship and overjet, measured in dental casts. All subjects maintained the normal molar relationship and correct overjet achieved at the end of treatment, indicating a fair level of occlusal stability. The importance of the criteria of the ideal functional occlusion to ensure a better stability after completion orthodontic treatment will be discussed in detail in this paper. In addition, some clinical situations in which localized adjustments are indicated for occlusal refinement will be described.
authors.affiliation: Department of Orthodontics, School of Dentistry, University of Maringá, Maringá, RS, Brazil. pvoltramari@ig.com.br
authors.forename: Paula Vanessa Pedron
authors.initials: PV
authors.lastname: Oltramari
authors.forename: Ana Cláudia de Castro Ferreira
authors.initials: AC
authors.lastname: Conti
authors.forename: Ricardo de Lima
authors.initials: Rde L
authors.lastname: Navarro
authors.forename: Márcio Rodrigues de
authors.initials: MR
authors.lastname: Almeida
authors.forename: Renata Rodrigues de
authors.initials: RR
authors.lastname: Almeida-Pedrin
authors.forename: Fernando Pedrin Carvalho
authors.initials: FP
authors.lastname: Ferreira
mesh_terms: D002648:Child; D003768:Dental Occlusion, Centric / Q000592:standards; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008312:Malocclusion, Angle Class II / Q000628:therapy*; D018704:Orthodontic Retainers; D009971:Orthodontics, Corrective / Q000379:methods*; D016896:Treatment Outcome