Abstract
OBJETIVO: investigar as possíveis alterações de fala, mastigação e deglutição em usuários de aparelhos ortodônticos com recursos intraorais fixos no palato. MÉTODO: foram avaliados 28 pacientes de ambos os sexos, na faixa etária de 10 a 24 anos, em tratamento no Centro de Reabilitação Estética Orofacial em Campinas. Tais pacientes foram avaliados por fonoaudiólogas antes da colocação do aparelho e após trinta dias de uso de aparelho ortodôntico com recurso fixo. Todos os sujeitos foram avaliados previamente por ortodontistas e apresentaram indicação de colocação do recurso intraoral. O exame fonoaudiológico foi composto pela avaliação da mastigação, deglutição e fala, segundo protocolo especifico de motricidade orofacial, e de teste de fala na área de fonética. Os testes estatísticos aplicados foram: Teste de ANOVA, teste T-Student Pareado, Teste de Igualdade de duas proporções e Intervalo de Confiança para a média. Foram considerados significantes associações com p-valor < 0,05 . RESULTADOS: para a amostra analisada, não houve alterações de mastigação e deglutição estatisticamente significantes após um mês de uso dos aparelhos selecionados. Na fala, 64,3% da amostra não apresentou alterações, mas em 25% dos pacientes observou-se a presença de distorção de grupos consonantais na presença de aparelhos do tipo disjuntor. CONCLUSÃO: o uso de aparelhos fixos com recursos intraorais, provoca modificações estatisticamente significantes somente na fala.
Highlights
Functions performed by the hard and soft structures of the oral cavity and surrounding regions have (1) Speech Therapist; Student of doctorate in Linguistics at Institute of Language Studies of State University of Campinas; Specialist in Orofacial Motricity by Specialization Center of Clinical Speech Therapist.(2) Speech Therapist; Specialist in Orofacial Motricity by Specialization Center of Clinical Speech Therapist.(3) Speech Therapist; Specialist in Orofacial Motricity by Specialization Center of Clinical Speech Therapist.(4) Dentistry; Master Degree in Orthodontics; Specialist in Dental Prothesis.(5) Dentistry; Master Degree in Orthodontics by Saint Leopoldo Mandic’s University; Specialist in Orthodontics, in Radiology and in Functional Maxilary Orthopedics. (6)Speech Therapist; Doctor Degree in Medical Sciences by Medical Sciences College of State Univesity of Campinas
Method: a total of 28 patients of both sexes, in the 10-24 age-group, were evaluated. These patients were being treated at the CEREO — Centro de Reabilitação Estética Orofacial (Aesthetic and Orofacial Rehabilitation Center) in Campinas, São Paulo. They were evaluated by speech therapists before they had their orthodontic appliances installed and 30 days after they were using these appliances with feature
The speech therapist’s test was composed of two parts: the first was the evaluation of chewing, swallowing and speech, according to the MBGR protocol and the second was a phonological evaluation of language
Summary
Functions performed by the hard and soft structures of the oral cavity and surrounding regions have (1) Speech Therapist; Student of doctorate in Linguistics at Institute of Language Studies of State University of Campinas; Specialist in Orofacial Motricity by Specialization Center of Clinical Speech Therapist. (3) Speech Therapist; Specialist in Orofacial Motricity by Specialization Center of Clinical Speech Therapist. (4) Dentistry; Master Degree in Orthodontics; Specialist in Dental Prothesis. (5) Dentistry; Master Degree in Orthodontics by Saint Leopoldo Mandic’s University; Specialist in Orthodontics, in Radiology and in Functional Maxilary Orthopedics. (6)Speech Therapist; Doctor Degree in Medical Sciences by Medical Sciences College of State Univesity of Campinas
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