MENEZES, Luciane Macedo de; NEVES, Bruno Moreira das; MOTTA, Bruna Barnard; AZEREDO, Fabiane; QUINTÃO, Cátia Cardoso Abdo

Acessibilidade / Reportar erro

Brasil

Dental Press Journal of Orthodontics

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

SPECIAL ARTICLE • Dental Press J. Orthod. 28 (05) • 2023 • https://doi.org/10.1590/2177-6709.28.5.e23spe5 copiar

Life cycle phases: Literature review and new classification proposal for application in healthcare

Autoria SCIMAGO INSTITUTIONS RANKINGS

RESUMO

Introdução:

Embora incomum na Odontologia, o conceito de ciclo vital é de grande importância para ajudar os profissionais dessa área a identificar oportunidades cruciais para intervenções e para determinar o momento ideal para tratamentos e procedimentos.

Objetivo:

Realizar uma revisão da literatura sobre as classificações do ciclo vital e suas distintas fases, avaliando sua aplicabilidade na área da saúde.

Métodos:

Foi realizada uma revisão da literatura, buscando artigos nas bases de dados PubMed, SciELO, Biblioteca Nacional de Saúde (BvB) e Google Acadêmico; além de livros relevantes. Foram utilizadas as palavras-chave “ciclo vital”, “estágios de vida”, “desenvolvimento humano”, “faixas etárias” e “idade biológica”. Os artigos relevantes foram selecionados por meio da análise de seus títulos e resumos e lidos na íntegra para confirmar sua inclusão na pesquisa.

Resultados:

Nove classificações distintas de ciclo vital foram encontradas, cada uma com critérios únicos.

Conclusão:

Com base nessa revisão abrangente da literatura, é proposta uma nova classificação (o ciclo vital de 10 fases) que engloba características dentárias, de crescimento, envelhecimento fisiológico, socioculturais e comportamentais, com o objetivo de melhorar a comunicação entre os profissionais da área de saúde, particularmente aqueles envolvidos nos processos de crescimento, desenvolvimento e envelhecimento do ser humano.

Palavras-chave:
Ciclo vital; Estágios do ciclo de vida; Faixa etária; Ortodontia

Phase		Radiographic characteristics	Relationship with pubertal growth spurt (PGS)
Pre peak of PGS	FD =	Epiphyses of the distal phalanges with the same width as the diaphysis	About 2 years until the start of PGS
	FP =	Epiphyses of the proximal phalanges with the same width as the diaphysis	About 1 year until the start of PGS
	FM =	Epiphyses of the median phalanges with the same width as the diaphysis	About 4 to 6 months until the onset of PGS
Beginning of PGS	G1	Beginning of the appearance of the radiopaque hook of the hook bone	Marks the beginning of PGS
Ascending curve of PGS	Psi	Ossification of the pisiform bone	Occurs on the ascending curve of PSG; characterized by the appearance of secondary sexual characteristics
	R =	Epiphysis of the radius with the same width as the diaphysis	Occurs on the ascending curve of PGS
	FDcap	Capping of the distal phalanges	Occurs on the ascending curve of PGS
	S	Visualization of the sesamoid bone	Occurs on the ascending curve of the PGS; indicates that about 6 months have passed since the beginning of the PGS
	G2	Clear visualization of the hook of the hook bone	Occurs on the ascending curve of the PGS; indicates that there are about 3 months left for the PGS peak
Pubertal growth spurt speed peak (PGSSP)	FPcap	Capping of the proximal phalanges	Between FPcap and FMcap, it indicates that it is within the PGS (PGS velocity peak)
Pubertal growth spurt speed peak (PGSSP)	FMcap	Capping of the median phalanges	Between FPcap and FMcap, it indicates that it is within the PGS (PGS velocity peak)
Descending curve of PGS	Rcap	Radius epiphysis capping	Occurs on the descending curve of the PGS; indicates that about 3 months have passed since the PGS peak velocity
	M-FDui	Menarche and beginning of union of distal phalanges	Occurs on the descending curve of the PGS; indicates that there are about 6 months left until the end of the PGS
	FPui	Beginning of the union of the proximal phalanges	Occurs on the descending curve of the PGS
	FMui	Beginning of the union of the median phalanges	Occurs on the descending curve of the PGS
Descending curve of PGS after the end of PGS	FDut	Total epiphyseal union of the distal phalanges	Marks the end of PGS, but not total growth
	FPut	Total epiphyseal union of the proximal phalanges	Occurs after the end of the PGS
	FMut	Total epiphyseal union of the median phalanges	Occurs after the end of the PGS
	Riu	Beginning of the epiphyseal union of the radius	Occurs after the end of the PGS
End of the growth	Rut	Complete epiphyseal union of the radius	Marks the end of maxillary growth; body, structural, and mandibular growth may extend for up to 1 or 2 years after total radius epiphyseal union (growth may occur as long as there is a cartilaginous radiolucent line between the epiphysis and diaphysis of the radius)

Phase (chronological age)		Dentition	Dental features	Skeletal and developmental features	Growth stages (carpal radiograph)	General features
Pre peak of pubertal growth spurt (PGS)	Newborn (From birth to 29 days)	Period of gingival rollers	Absence of teeth	Physiological dystocclusion	Not applicable	Complete dependence on parents; Exclusive breastfeeding
	Baby (From 30 days to 23 months)	Deciduous	Beginning of eruption of deciduous teeth	Reduction of physiological distoclusion	Not applicable	Great dependence on parents; introduction of solid foods; speech evolution
	Preschool Childhood (2 -5 years)	Deciduous/early mixed	Complete deciduous dentition. Determination of the occlusion key of deciduous second molars Transition to mixed dentition, with eruption of first molars and permanent incisors.	Intersphenoidal synchondrosis fusion	Generally does not apply	Many cognitive skills develop
Beginning of PGS, or Ascending curve of PGS, or Pubertal growth spurt speed peak (PGSSP)	Childhood (6 - 12 years)	Mixed	Ugly duckling phase Eruption of permanent canines and premolars	Spheno-ethmoidal synchondrosis fusion	Ascending curve of pubertal growth spurt Proximity to the peak of the pubertal growth spurt	Development of logical thinking, improvement of language and memory; Appearance of secondary sexual characters; Period of menarche (girls)
Ascending curve of PGS, or Pubertal growth spurt speed peak (PGSSP), or Descending curve of PGS	Adolescence (13 - 18 years)	Mixed late	Eruption of permanent canines	Presence of growth (stages CS3 to CS5 of cervical vertebrae maturation)	Peak of the pubertal growth spurt	Appearance of secondary sexual characters Period of menarche/post-menarche (girls);
	Adolescence (13 - 18 years)	Permanent	Presence of permanent second molars; Possible eruption of third molars		Descending curve of pubertal growth	Search for the identity and maturity of the reproductive system
Descending curve of PGS After the end of PGS, or End of the growth	Young adult (19 - 24 years)	Permanent	Presence of third molars	Final or absence of growth (stages CS5 to CS6 of cervical vertebrae maturation)	Descending curve	Stability of personality traits; Physical and cognitive peak
	Young adult (19 - 24 years)	Permanent	Presence of third molars	Beginning of synostosis of the coronal and sagittal sutures, and fusion of the spheno-occipital synchondrosis	Or the end of the pubertal growth spurt	Maximum performance of adult life
End of the growth	Adult (25 - 44 years)	Permanent	Complete permanent dentition	Synostosis of the lambdoid suture	No longer shows growth	Increase in the number of marital relationships; paternity/maternity
	Middle age (45- 64 years)	Permanent	Possible tooth loss due to fractures, trauma; Dental wear; Reduction in the length and perimeter of the arch; increased overbite; and lower anterior crowding.	Fused sutures and synchondroses	No longer shows growth	First signs of physical degeneration; Decreased sperm quality Menopause / Andropause
	Older adults (65 - 79 years)	Permanent	Eventual partial or total dental absences and use of dental prostheses; Teeth in more yellowish, brown, or gray tones; Erosion, abrasion.	Fused sutures and synchondroses; Greater resorption in the maxilla and mandible.	No longer shows growth	Increased physical and cognitive fragility; higher risk of bone fractures. Reduced muscle tone
	Older adults + (80 years or older)	Permanent	Eventual partial or total dental absences and use of dental prostheses; Partial or complete obliteration of the volume of the canals and pulp chamber; reduced salivary volume; difficulty eating.	Fused sutures and synchondroses	No longer shows growth	Frequent chronic pain Reduced muscle tone

Dental Press International Av. Luís Teixeira Mendes, 2712 , 87015-001 - Maringá - PR, Tel: (55 44) 3033-9818 - Maringá - PR - Brazil
E-mail: artigos@dentalpress.com.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] bruno_moreira_moreira@hotmail.com