English to Portuguese Medical Medical: Dentistry sorriso

The first is that of soft tissue repose and animation assessed at the patient’s examination20-25 and includes how the lips animate on smile, gingival display, crown length, and other attributes of the smile.
The second is the facial change throughout a patient’s lifetime—the impact of skeletal and soft tissue maturational and aging characteristics, which are well documented. Both can, in a way, be considered moving targets, hence the difficulty in standardization. Think for a moment about how we document our patients and make diagnostic and treatment decisions. A cephalogram is taken in a fraction of a second. The data generated from measuring the dentoskeletal relationships are a major underpinning of our treatment decisions to be delivered over 2 years; the dentoskeletal relationships are expected to be stable for the rest of the patient’s life. Scammon’s growth curve is smooth and represents the variable rates and timing of physical growth. In reality, we recognize that this curve represents the averaging of many data sets that fall on either side of that smooth line. When we take the cephalogram in that fraction of a second, on which plot, on which side of the line, have we gathered information? This might validate the popularity of “therapeutic diagnosis,”26 in which the orthodontist begins treatment with a fairly definite diagnosis but with a flexible treatment plan that allowsadjustments for unanticipated growth changes or variable treatment responses during treatment. Brodie27 cautioned that cephalometrics was never intended as the sole factor in orthodontic treatment plans and said instead that its main strength was in quantification of growth and research.