1
|
Reis CLB, Matsumoto MAN, Stuani MBS, Romano FL, Scariot R, Schroder AGD, Nelson-Filho P, Kirschneck C, Beisel-Memmert S, Küchler EC. Single Nucleotide Polymorphisms in RUNX2 and BMP2 contributes to different vertical facial profile. PLoS One 2024; 19:e0303551. [PMID: 38771832 PMCID: PMC11108145 DOI: 10.1371/journal.pone.0303551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2024] [Accepted: 04/27/2024] [Indexed: 05/23/2024] Open
Abstract
The vertical facial profile is a crucial factor for facial harmony with significant implications for both aesthetic satisfaction and orthodontic treatment planning. However, the role of single nucleotide polymorphisms (SNPs) in the development of vertical facial proportions is still poorly understood. This study aimed to investigate the potential impact of some SNPs in genes associated with craniofacial bone development on the establishment of different vertical facial profiles. Vertical facial profiles were assessed by two senior orthodontists through pre-treatment digital lateral cephalograms. The vertical facial profile type was determined by recommended measurement according to the American Board of Orthodontics. Healthy orthodontic patients were divided into the following groups: "Normodivergent" (control group), "Hyperdivergent" and "Hypodivergent". Patients with a history of orthodontic or facial surgical intervention were excluded. Genomic DNA extracted from saliva samples was used for the genotyping of 7 SNPs in RUNX2, BMP2, BMP4 and SMAD6 genes using real-time polymerase chain reactions (PCR). The genotype distribution between groups was evaluated by uni- and multivariate analysis adjusted by age (alpha = 5%). A total of 272 patients were included, 158 (58.1%) were "Normodivergent", 68 (25.0%) were "Hyperdivergent", and 46 (16.9%) were "Hypodivergent". The SNPs rs1200425 (RUNX2) and rs1005464 (BMP2) were associated with a hyperdivergent vertical profile in uni- and multivariate analysis (p-value < 0.05). Synergistic effect was observed when evaluating both SNPs rs1200425- rs1005464 simultaneously (Prevalence Ratio = 4.0; 95% Confidence Interval = 1.2-13.4; p-value = 0.022). In conclusion, this study supports a link between genetic factors and the establishment of vertical facial profiles. SNPs in RUNX2 and BMP2 genes were identified as potential contributors to hyperdivergent facial profiles.
Collapse
Affiliation(s)
- Caio Luiz Bitencourt Reis
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
| | - Mirian Aiko Nakane Matsumoto
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
| | - Maria Bernadete Sasso Stuani
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
| | - Fábio Lourenço Romano
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
| | - Rafaela Scariot
- Department of Stomatology, Federal University of Paraná, Curitiba, Brazil
| | | | - Paulo Nelson-Filho
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
| | - Christian Kirschneck
- Department of Orthodontics, University Hospital Bonn, Medical Faculty, Bonn, Germany
| | - Svenja Beisel-Memmert
- Department of Orthodontics, University Hospital Bonn, Medical Faculty, Bonn, Germany
| | - Erika Calvano Küchler
- Department of Orthodontics, University Hospital Bonn, Medical Faculty, Bonn, Germany
| |
Collapse
|
2
|
Küchler EC, Kirschneck C, Marañón-Vásquez GA, Schroder ÂGD, Baratto-Filho F, Romano FL, Stuani MBS, Matsumoto MAN, de Araujo CM. Mandibular and dental measurements for sex determination using machine learning. Sci Rep 2024; 14:9587. [PMID: 38671054 PMCID: PMC11053013 DOI: 10.1038/s41598-024-59556-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2023] [Accepted: 04/12/2024] [Indexed: 04/28/2024] Open
Abstract
The present study tested the combination of mandibular and dental dimensions for sex determination using machine learning. Lateral cephalograms and dental casts were used to obtain mandibular and mesio-distal permanent teeth dimensions, respectively. Univariate statistics was used for variables selection for the supervised machine learning model (alpha = 0.05). The following algorithms were trained: logistic regression, gradient boosting classifier, k-nearest neighbors, support vector machine, multilayer perceptron classifier, decision tree, and random forest classifier. A threefold cross-validation approach was adopted to validate each model. The areas under the curve (AUC) were computed, and ROC curves were constructed. Three mandibular-related measurements and eight dental size-related dimensions were used to train the machine learning models using data from 108 individuals. The mandibular ramus height and the lower first molar mesio-distal size exhibited the greatest predictive capability in most of the evaluated models. The accuracy of the models varied from 0.64 to 0.74 in the cross-validation stage, and from 0.58 to 0.79 when testing the data. The logistic regression model exhibited the highest performance (AUC = 0.84). Despite the limitations of this study, the results seem to show that the integration of mandibular and dental dimensions for sex prediction would be a promising approach, emphasizing the potential of machine learning techniques as valuable tools for this purpose.
Collapse
Affiliation(s)
- Erika Calvano Küchler
- Department of Orthodontics, Medical Faculty, University Hospital Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany.
| | - Christian Kirschneck
- Department of Orthodontics, Medical Faculty, University Hospital Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany
| | - Guido Artemio Marañón-Vásquez
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café s/n, Ribeirão Preto, São Paulo, 14040-904, Brazil
| | - Ângela Graciela Deliga Schroder
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, R. Padre Ladislau Kula 395, Curitiba, Paraná, 82010-210, Brazil
- School of Dentistry, Tuiuti University of Paraná, R. Padre Ladislau Kula 395, Curitiba, Paraná, 82010-210, Brazil
| | - Flares Baratto-Filho
- School of Dentistry, Tuiuti University of Paraná, R. Padre Ladislau Kula 395, Curitiba, Paraná, 82010-210, Brazil
- Department of Dentistry, University of the Region of Joinville (Univille), R. Paulo Malschitzki 10, Joinville, Santa Catarina, 89219-710, Brazil
| | - Fábio Lourenço Romano
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café s/n, Ribeirão Preto, São Paulo, 14040-904, Brazil
| | - Maria Bernadete Sasso Stuani
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café s/n, Ribeirão Preto, São Paulo, 14040-904, Brazil
| | - Mírian Aiko Nakane Matsumoto
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café s/n, Ribeirão Preto, São Paulo, 14040-904, Brazil
| | - Cristiano Miranda de Araujo
- Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, R. Padre Ladislau Kula 395, Curitiba, Paraná, 82010-210, Brazil
- School of Dentistry, Tuiuti University of Paraná, R. Padre Ladislau Kula 395, Curitiba, Paraná, 82010-210, Brazil
| |
Collapse
|
3
|
Marañón-Vásquez GA, de Souza Araújo MT, de Oliveira Ruellas AC, Matsumoto MAN, Figueiredo M, Meyfarth SRS, Antunes LAA, Baratto-Filho F, Scariot R, Flores-Mir C, Kirschneck C, Santos Antunes L, Küchler EC. BMP2 rs1005464 is associated with mandibular condyle size variation. Sci Rep 2024; 14:5987. [PMID: 38472272 DOI: 10.1038/s41598-024-56530-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2024] [Accepted: 03/07/2024] [Indexed: 03/14/2024] Open
Abstract
This study aimed to evaluate the association between single nucleotide polymorphisms (SNPs) in endochondral development-related genes and mandibular condyle shape, size, volume, and symmetry traits. Cone-beam Computed Tomographies and genomic DNA from 118 individuals were evaluated (age range: 15-66 years). Data from twelve 3D landmarks on mandibular condyles were submitted to morphometric analyses including Procrustes fit, principal component analysis, and estimation of centroid sizes and fluctuating asymmetry scores. Condylar volumes were additionally measured. Seven SNPs across BMP2, BMP4, RUNX2 and SMAD6 were genotyped. Linear models were fit to evaluate the effect of the SNPs on the mandibular condyles' quantitative traits. Only the association between BMP2 rs1005464 and centroid size remained significant after adjusting to account for the false discovery rate due to multiple testing. Individuals carrying at least one A allele for this SNP showed larger condylar size than common homozygotes GG (β = 0.043; 95% CI: 0.014-0.071; P value = 0.028). The model including BMP2 rs1005464, age and sex of the participants explained 17% of the variation in condylar size. Shape, volume, and symmetry were not associated with the evaluated SNPs. These results suggest that BMP2 rs1005464 might be associated with variation in the mandibular condyles size.
Collapse
Affiliation(s)
- Guido Artemio Marañón-Vásquez
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rua. Prof. Rodolpho Paulo Rocco, 325 - Cidade Universitária da Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, 21941-617, Brazil
| | - Mônica Tirre de Souza Araújo
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rua. Prof. Rodolpho Paulo Rocco, 325 - Cidade Universitária da Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, 21941-617, Brazil
| | - Antônio Carlos de Oliveira Ruellas
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rua. Prof. Rodolpho Paulo Rocco, 325 - Cidade Universitária da Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, 21941-617, Brazil
| | - Mírian Aiko Nakane Matsumoto
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café, s/n., Ribeirão Preto, São Paulo, 14040-904, Brazil
| | - Marcio Figueiredo
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café, s/n., Ribeirão Preto, São Paulo, 14040-904, Brazil
| | - Sandra Regina Santos Meyfarth
- Department of Specific Formation, School of Dentistry, Fluminense Federal University, Rua. Dr. Silvio Henrique Braune, 22 - Centro, Nova Friburgo, Rio de Janeiro, 28625-650, Brazil
| | - Lívia Azeredo Alves Antunes
- Department of Specific Formation, School of Dentistry, Fluminense Federal University, Rua. Dr. Silvio Henrique Braune, 22 - Centro, Nova Friburgo, Rio de Janeiro, 28625-650, Brazil
| | - Flares Baratto-Filho
- Post-Graduation Program, Tuiuti University of Paraná, R. Padre Ladislau Kula, 395 - Santo Inácio, Curitiba, Brazil
- School of Dentistry, Univille - Univille - University of the Joinville Region, Rua Paulo Malschitzki, 10 - Zona Industrial Norte, Joinville, Santa Catarina, 89219-710, Brazil
| | - Rafaela Scariot
- Department of Stomatology, School of Dentistry, Federal University of Paraná, Av. Prefeito Lothário Meissner, 632 - Jardim Botânico, Curitiba, PR, 80210-170, Brazil
| | - Carlos Flores-Mir
- Graduate Orthodontic Program, School of Dentistry, Faculty of Medicine and Dentistry, University of Alberta, 5-528 Edmonton Clinic Health Academy, 11405 87 Ave NW, Edmonton, AB, T6G 1C9, Canada
| | - Christian Kirschneck
- Department of Orthodontics, Medical Faculty, University Hospital Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany
| | - Leonardo Santos Antunes
- Department of Specific Formation, School of Dentistry, Fluminense Federal University, Rua. Dr. Silvio Henrique Braune, 22 - Centro, Nova Friburgo, Rio de Janeiro, 28625-650, Brazil
| | - Erika Calvano Küchler
- Department of Orthodontics, Medical Faculty, University Hospital Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany.
| |
Collapse
|
4
|
Gerber JT, Weiss SG, Mijolaro LV, Silva CS, Petinati MFP, Meger MN, Honório HM, Rebellato NLB, Sebastiani AM, Küchler EC, Scariot R. Polymorphisms in hormonal-related genes might be associated with variations in permanent tooth crown size. Orthod Craniofac Res 2023; 26:539-545. [PMID: 36756694 DOI: 10.1111/ocr.12638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2021] [Revised: 01/08/2023] [Accepted: 01/31/2023] [Indexed: 02/10/2023]
Abstract
BACKGROUND The variability in tooth crown size (TCS) is influenced by genetic factors and might be regulated by the difference in hormonal response. MATERIALS AND METHODS This study aimed to evaluate the association between variations in TCS of permanent teeth with associated factors and genetic polymorphisms in hormonal-related genes (ESR1, ESR2 and PTH). This cross-sectional study involved dental casts from 86 individuals of both sexes. Dental casts were used to determine the maximum TCS of all fully erupted permanent teeth (except third molars) in the mesiodistal (MD) and buccolingual (BL) dimensions. Data such as sex, ethnicity, dental group (incisor, canine, premolar and molar), dental arch (upper and lower) and genetic polymorphisms of hormonal-related genes were used. The DNA from each patient was collected to evaluate the genetic polymorphisms in ESR1 (rs2234693 and rs9340799), ESR2 (rs1256049 and rs4986938) and PTH (rs694, rs6256 and rs307247) through real-time PCR. The data were submitted to statistical analysis with a significance level of 0.05. RESULTS In the MD dimension, the sex, dental group and dental arch were associated with variation in TCS (P < .05). In the BL dimension, the sex, dental group, dental arch and polymorphism in rs694 and rs307247 were associated with variation in TCS. CONCLUSIONS In short, this study suggests that genetic polymorphisms of PTH are associated with variations in the BL TCS of permanent human teeth.
Collapse
Affiliation(s)
| | | | | | | | | | | | - Heitor Marques Honório
- Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry - University of São Paulo, Bauru, Brazil
| | | | - Aline Monise Sebastiani
- Department of Stomatology, School of Dentistry, Federal University of Parana, Curitiba, Brazil
| | - Erika Calvano Küchler
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café s/n - Campus da USP, Ribeirão Preto, Brazil
| | - Rafaela Scariot
- Department of Stomatology, School of Dentistry, Federal University of Parana, Curitiba, Brazil
| |
Collapse
|
5
|
Torlińska-Walkowiak N, Majewska KA, Sowińska A, Kędzia A, Opydo-Szymaczek J. Developmental enamel defects and dental anomalies of number and size in children with growth hormone deficiency. Sci Rep 2023; 13:14707. [PMID: 37679467 PMCID: PMC10484903 DOI: 10.1038/s41598-023-41892-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Accepted: 09/01/2023] [Indexed: 09/09/2023] Open
Abstract
Growth hormone is meaningfully involved in the processes of tooth cells differentiation and tissue formation. The aim of the study was to evaluate the occurrence of dental anomalies: microdontia, macrodontia, hypodontia and developmental defects of enamel (DDE) amongst a group of isolated growth hormone deficient (GHD) patients and healthy children. This cross-sectional study was based on a group of 101 Caucasian children: 33 with GHD (mean age 10.94, SD 2.51) and 68 being healthy, normal height subjects (mean age 10.4, SD 2.38). The dental examination in primary and permanent teeth was carried out by one trained and calibrated dentist, in accordance with the WHO guidelines. It was observed that 33% of GHD patients suffer from dental anomalies (hypodontia, microdontia or macrodontia), the difference between the study group and the control group was statistically significant (33% vs 4%, p < 0.001). Hypodontia and microdontia/macrodontia were the most common problems affecting 18% and 21% of the GHD individuals, respectively. The prevalence of DDE did not differ significantly between GHD group and the control group (58% vs 48%, p > 0.05). As children with GHD present more dental anomalies than their healthy coevals, clinicians should be aware of the possible oral health problems associated with GHD and consider dental screening and management as part of the patient's overall health care plan.
Collapse
Affiliation(s)
- Natalia Torlińska-Walkowiak
- Department of Pediatric Dentistry, Poznan University of Medical Sciences, 70 Bukowska Street, 60-812, Poznan, Poland.
| | - Katarzyna A Majewska
- Department of Pediatric Diabetes, Auxology and Obesity, Poznan University of Medical Sciences, 27/33 Szpitalna Street, 60-572, Poznan, Poland
| | - Anna Sowińska
- Department of Computer Science and Statistics, Poznan University of Medical Sciences, 7 Rokietnicka Street, 60-806, Poznan, Poland
| | - Andrzej Kędzia
- Department of Pediatric Diabetes, Auxology and Obesity, Poznan University of Medical Sciences, 27/33 Szpitalna Street, 60-572, Poznan, Poland
| | - Justyna Opydo-Szymaczek
- Department of Pediatric Dentistry, Poznan University of Medical Sciences, 70 Bukowska Street, 60-812, Poznan, Poland
| |
Collapse
|
6
|
Single nucleotide polymorphisms in odontogenesis-related genes associated with tooth-size discrepancy. AUSTRALASIAN ORTHODONTIC JOURNAL 2023. [DOI: 10.2478/aoj-2023-0008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/03/2023]
Abstract
Abstract
Introduction: The present study aimed to determine the association between single nucleotide polymorphisms (SNPs) in RUNX2, SMAD6, BMP2, and BMP4 genes in relation to tooth-size discrepancy (TSD).
Methods: A cross-sectional study of patients undergoing orthodontic treatment measured the mesiodistal width of permanent teeth from pretreatment dental casts. Sixty-two patients were included in the study and TSD was assessed according to the Bolton analysis. The patients were allocated into a control group (without a TSD), an anterior excess group and an overall excess group. Genomic DNA was extracted from saliva samples, and SNPs previously associated with tooth size were evaluated using a real-time polymerase chain reaction (PCR) system. The Fisher exact test was performed to compare genotype and allele frequencies at an α = 0.05. An Odds Ratio (OR) and 95% Confidence Interval (95% CI) were calculated.
Results: The rs59983488 SNP in the RUNX2 gene was significantly related to the presence of anterior mandibular tooth-size excess in allele (T allele: p<0.001; OR = 11.74; 95% CI =2.61–55.80), and genotype models (GT genotype: p = 0.002; OR = 12.69; 95% CI = 2.47–64.83). The rs3934908 SNP in the SMAD6 gene was significantly associated with the presence of an overall maxillary tooth-size excess in allele (T allele: p < 0.001) and genotype models (TT genotype: p = 0.010).
Conclusion: The present results suggest that SNPs in RUNX2 (rs59983488) and SMAD6 (rs3934908) genes may be associated with the presence of tooth-size excess.
Collapse
|
7
|
Küchler EC, Stroparo JLDO, Matsumoto MN, Scariot R, Perin CP, Roskamp L, Menezes-Oliveira MAHD, Proff P, Kirschneck C, Baratto-Filho F. Assessing the prevalence of S-shaped root canal and associated genes in humans. Ann Anat 2022; 244:151977. [PMID: 35787440 DOI: 10.1016/j.aanat.2022.151977] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2022] [Revised: 06/15/2022] [Accepted: 06/15/2022] [Indexed: 10/17/2022]
Abstract
BACKGROUND Multiple signaling molecules have been shown to play crucial roles in dental root development. Therefore, we aimed to investigate the prevalence of S-shaped roots and also to investigate, if single nucleotide polymorphisms (SNPs) in BMP2, BMP4 and SMAD6 are associated with this phenotype in humans. METHODS This is a cross-sectional phenotype-genotype association study that used radiographs to determine the phenotypes and DNA to investigate SNPs in candidate genes. During the radiographic exam, teeth presenting root canal(s) doubly curved were considered S-shaped roots. SNPs in BMP2 (rs1005464 and rs235768), BMP4 (rs17563) and SMAD6 (rs2119261 and rs3934908) were blindly genotyped by real-time PCR using TaqMan assay. The relative and absolute frequency of S-shaped roots were calculated. Chi-square test was used to compare the genotype distributions between control and S-shaped groups. RESULTS Among the 578 subjects, 61 (10.6%) presented at least one tooth with an S-shaped root. The most commonly affected type of tooth was the premolar. rs1005464 in BMP2 was statistically associated with an S-shaped root (p=0.036). rs235768 in BMP2 was associated with an S-shaped root also in mandibular teeth (p=0.017). A statistical significance was observed for the rs3934908 in SMAD6 (p=0.049) for S-shaped root in the mandible. In the analysis stratified according to the type of tooth, rs235768 in BMP2 was associated with S-shaped roots in premolars (p=0.029). CONCLUSION The prevalence of S-shaped roots is 10.6% in permanent teeth. SNPs in BMP2 and SMAD6 could be involved in a higher chance to present S-shaped roots.
Collapse
Affiliation(s)
- Erika Calvano Küchler
- Department of Orthodontics, University of Regensburg. Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany; School of Dentistry, Tuiuti University from Paraná, Curitiba, Paraná, Brazil; Department of Dentistry, Univille - University from the Joinville Region, Joinville, Santa Catarina, Brazil
| | - Jeferson Luis de Oliveira Stroparo
- School of Dentistry, Tuiuti University from Paraná, Curitiba, Paraná, Brazil; Department of Dentistry, Univille - University from the Joinville Region, Joinville, Santa Catarina, Brazil
| | - Mirian Nakane Matsumoto
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, USP - University of São Paulo, Ribeirão Preto, SP, Brazil; Department of Dentistry, Univille - University from the Joinville Region, Joinville, Santa Catarina, Brazil
| | - Rafaela Scariot
- Department of Stomatology, Federal University of Paraná, Curitiba, Paraná, Brazil; Department of Dentistry, Univille - University from the Joinville Region, Joinville, Santa Catarina, Brazil
| | - Camila Paiva Perin
- School of Dentistry, Tuiuti University from Paraná, Curitiba, Paraná, Brazil; Department of Dentistry, Univille - University from the Joinville Region, Joinville, Santa Catarina, Brazil
| | - Liliane Roskamp
- School of Dentistry, Tuiuti University from Paraná, Curitiba, Paraná, Brazil; Department of Dentistry, Univille - University from the Joinville Region, Joinville, Santa Catarina, Brazil
| | - Maria Angélica Hueb de Menezes-Oliveira
- Department of Stomatology, Federal University of Paraná, Curitiba, Paraná, Brazil; Department of Dentistry, Univille - University from the Joinville Region, Joinville, Santa Catarina, Brazil
| | - Peter Proff
- Department of Orthodontics, University of Regensburg. Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany; Department of Dentistry, Univille - University from the Joinville Region, Joinville, Santa Catarina, Brazil
| | - Christian Kirschneck
- Department of Orthodontics, University of Regensburg. Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany; Department of Dentistry, Univille - University from the Joinville Region, Joinville, Santa Catarina, Brazil
| | - Flares Baratto-Filho
- School of Dentistry, Tuiuti University from Paraná, Curitiba, Paraná, Brazil; Department of Dentistry, Univille - University from the Joinville Region, Joinville, Santa Catarina, Brazil; Department Master's Program of Dentistry, School of Dentistry of Uberaba, Uberaba, Minas Gerais, Brazil.
| |
Collapse
|