Facial and occlusal esthetic improvements of an adult skeletal Class III malocclusion using surgical, orthodontic, and implant treatment
Identifieur interne : 006394 ( Ncbi/Merge ); précédent : 006393; suivant : 006395Facial and occlusal esthetic improvements of an adult skeletal Class III malocclusion using surgical, orthodontic, and implant treatment
Auteurs : Mauricio De Almeida Cardoso [Brésil] ; Rafael Scaf De Molon [Brésil] ; Erica Dorigatti De Avila [Brésil] ; Fabio Pinto Guedes [Brésil] ; Valter Antonio Ban Battilani Filho [Brésil] ; Leopoldino Capelozza Filho [Brésil] ; Marcio Aurelio Correa [Brésil] ; Hugo Nary Filho [Brésil]Source :
- Korean Journal of Orthodontics [ 2234-7518 ] ; 2016.
Abstract
The aim of this clinical report is to describe the complex treatment of an adult Class III malocclusion patient who was disappointed with the outcome of a previous oral rehabilitation. Interdisciplinary treatment planning was performed with a primary indication for implant removal because of marginal bone loss and gingival recession, followed by orthodontic and surgical procedures to correct the esthetics and skeletal malocclusion. The comprehensive treatment approach included: (1) implant removal in the area of the central incisors; (2) combined orthodontic decompensation with mesial displacement and forced extrusion of the lateral incisors; (3) extraction of the lateral incisors and placement of new implants corresponding to the central incisors, which received provisional crowns; (4) orthognathic surgery for maxillary advancement to improve occlusal and facial relationships; and finally, (5) orthodontic refinement followed by definitive prosthetic rehabilitation of the maxillary central incisors and reshaping of the adjacent teeth. At the three-year follow-up, clinical and radiographic examinations showed successful replacement of the central incisors and improved skeletal and esthetic appearances. Moreover, a Class II molar relationship was obtained with an ideal overbite, overjet, and intercuspation. In conclusion, we report the successful esthetic anterior rehabilitation of a complex case in which interdisciplinary treatment planning improved facial harmony, provided gingival architecture with sufficient width and thickness, and improved smile esthetics, resulting in enhanced patient comfort and satisfaction. This clinical case report might be useful to improve facial esthetics and occlusion in patients with dentoalveolar and skeletal defects.
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DOI: 10.4041/kjod.2016.46.1.42
PubMed: 26877982
PubMed Central: 4751301
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UNESP, Araraquara, São Paulo, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea>Department of Diagnosis and Surgery, School of Dentistry at Araraquara, Univ Estadual Paulista - UNESP, Araraquara, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="De Avila, Erica Dorigatti" sort="De Avila, Erica Dorigatti" uniqKey="De Avila E" first="Erica Dorigatti" last="De Avila">Erica Dorigatti De Avila</name><affiliation wicri:level="3"><nlm:aff id="A3">Department of Dental Materials and Prosthodontics, School of Dentistry at Araraquara, Univ Estadual Paulista - UNESP, Araraquara, São Paulo, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea>Department of Dental Materials and Prosthodontics, School of Dentistry at Araraquara, Univ Estadual Paulista - UNESP, Araraquara, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Guedes, Fabio Pinto" sort="Guedes, Fabio Pinto" uniqKey="Guedes F" first="Fabio Pinto" last="Guedes">Fabio Pinto Guedes</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Orthodontics, University of Sagrado Coracao, Bauru, São Paulo, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea>Department of Orthodontics, University of Sagrado Coracao, Bauru, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Battilani Filho, Valter Antonio Ban" sort="Battilani Filho, Valter Antonio Ban" uniqKey="Battilani Filho V" first="Valter Antonio Ban" last="Battilani Filho">Valter Antonio Ban Battilani Filho</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Orthodontics, University of Sagrado Coracao, Bauru, São Paulo, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea>Department of Orthodontics, University of Sagrado Coracao, Bauru, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Capelozza Filho, Leopoldino" sort="Capelozza Filho, Leopoldino" uniqKey="Capelozza Filho L" first="Leopoldino" last="Capelozza Filho">Leopoldino Capelozza Filho</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Orthodontics, University of Sagrado Coracao, Bauru, São Paulo, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea>Department of Orthodontics, University of Sagrado Coracao, Bauru, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Correa, Marcio Aurelio" sort="Correa, Marcio Aurelio" uniqKey="Correa M" first="Marcio Aurelio" last="Correa">Marcio Aurelio Correa</name><affiliation wicri:level="3"><nlm:aff id="A4">Department of Oral Implantology, University of Sagrado Coracao - USC, Bauru, São Paulo, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea>Department of Oral Implantology, University of Sagrado Coracao - USC, Bauru, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Nary Filho, Hugo" sort="Nary Filho, Hugo" uniqKey="Nary Filho H" first="Hugo" last="Nary Filho">Hugo Nary Filho</name><affiliation wicri:level="3"><nlm:aff id="A4">Department of Oral Implantology, University of Sagrado Coracao - USC, Bauru, São Paulo, Brazil.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Brésil</country><wicri:regionArea>Department of Oral Implantology, University of Sagrado Coracao - USC, Bauru, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author></analytic><series><title level="j">Korean Journal of Orthodontics</title><idno type="ISSN">2234-7518</idno><idno type="eISSN">2005-372X</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The aim of this clinical report is to describe the complex treatment of an adult Class III malocclusion patient who was disappointed with the outcome of a previous oral rehabilitation. Interdisciplinary treatment planning was performed with a primary indication for implant removal because of marginal bone loss and gingival recession, followed by orthodontic and surgical procedures to correct the esthetics and skeletal malocclusion. The comprehensive treatment approach included: (1) implant removal in the area of the central incisors; (2) combined orthodontic decompensation with mesial displacement and forced extrusion of the lateral incisors; (3) extraction of the lateral incisors and placement of new implants corresponding to the central incisors, which received provisional crowns; (4) orthognathic surgery for maxillary advancement to improve occlusal and facial relationships; and finally, (5) orthodontic refinement followed by definitive prosthetic rehabilitation of the maxillary central incisors and reshaping of the adjacent teeth. At the three-year follow-up, clinical and radiographic examinations showed successful replacement of the central incisors and improved skeletal and esthetic appearances. Moreover, a Class II molar relationship was obtained with an ideal overbite, overjet, and intercuspation. In conclusion, we report the successful esthetic anterior rehabilitation of a complex case in which interdisciplinary treatment planning improved facial harmony, provided gingival architecture with sufficient width and thickness, and improved smile esthetics, resulting in enhanced patient comfort and satisfaction. This clinical case report might be useful to improve facial esthetics and occlusion in patients with dentoalveolar and skeletal defects.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="De Molon, Rs" uniqKey="De Molon R">RS de Molon</name></author><author><name sortKey="Avila, Ed" uniqKey="Avila E">ED Avila</name></author><author><name sortKey="Cirelli, Ja" uniqKey="Cirelli J">JA Cirelli</name></author><author><name sortKey="Mollo Jr, Fd" uniqKey="Mollo Jr F">FD Mollo-Jr</name></author><author><name sortKey="Andrade, Mf" uniqKey="Andrade M">MF Andrade</name></author><author><name sortKey="Barros Filho, La" uniqKey="Barros Filho L">LA Barros-Filho</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Choquet, V" uniqKey="Choquet V">V Choquet</name></author><author><name sortKey="Hermans, M" uniqKey="Hermans M">M Hermans</name></author><author><name sortKey="Adriaenssens, P" uniqKey="Adriaenssens P">P Adriaenssens</name></author><author><name sortKey="Daelemans, P" uniqKey="Daelemans P">P Daelemans</name></author><author><name sortKey="Tarnow, Dp" uniqKey="Tarnow D">DP Tarnow</name></author><author><name sortKey="Malevez, C" uniqKey="Malevez C">C Malevez</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kan, Jy" uniqKey="Kan J">JY Kan</name></author><author><name sortKey="Rungcharassaeng, K" uniqKey="Rungcharassaeng K">K Rungcharassaeng</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Belser, Uc" uniqKey="Belser U">UC Belser</name></author><author><name sortKey="Schmid, B" uniqKey="Schmid B">B Schmid</name></author><author><name sortKey="Higginbottom, F" uniqKey="Higginbottom F">F Higginbottom</name></author><author><name sortKey="Buser, D" uniqKey="Buser D">D Buser</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Spear, Fm" uniqKey="Spear F">FM Spear</name></author><author><name sortKey="Kokich, Vg" uniqKey="Kokich V">VG Kokich</name></author><author><name sortKey="Mathews, Dp" uniqKey="Mathews D">DP Mathews</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="De Molon, Rs" uniqKey="De Molon R">RS de Molon</name></author><author><name sortKey="Morais Camilo, Ja" uniqKey="Morais Camilo J">JA Morais-Camilo</name></author><author><name sortKey="Verzola, Mh" uniqKey="Verzola M">MH Verzola</name></author><author><name sortKey="Faeda, Rs" uniqKey="Faeda R">RS Faeda</name></author><author><name sortKey="Pepato, Mt" uniqKey="Pepato M">MT Pepato</name></author><author><name sortKey="Marcantonio, E" uniqKey="Marcantonio E">E Marcantonio</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="De Molon, Rs" uniqKey="De Molon R">RS de Molon</name></author><author><name sortKey="De Avila, Ed" uniqKey="De Avila E">ED de Avila</name></author><author><name sortKey="Cirelli, Ja" uniqKey="Cirelli J">JA 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Korean J Orthod</journal-id><journal-id journal-id-type="iso-abbrev">Korean J Orthod</journal-id><journal-id journal-id-type="publisher-id">KJOD</journal-id><journal-title-group><journal-title>Korean Journal of Orthodontics</journal-title></journal-title-group><issn pub-type="ppub">2234-7518</issn><issn pub-type="epub">2005-372X</issn><publisher><publisher-name>Korean Association of Orthodontists</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26877982</article-id><article-id pub-id-type="pmc">4751301</article-id><article-id pub-id-type="doi">10.4041/kjod.2016.46.1.42</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Facial and occlusal esthetic improvements of an adult skeletal Class III malocclusion using surgical, orthodontic, and implant treatment</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>de Almeida Cardoso</surname><given-names>Mauricio</given-names></name><xref ref-type="aff" rid="A1">a</xref><xref ref-type="author-notes" rid="FN1"></xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>de Molon</surname><given-names>Rafael Scaf</given-names></name><xref ref-type="aff" rid="A2">b</xref><xref ref-type="author-notes" rid="FN1"></xref></contrib><contrib contrib-type="author"><name><surname>de Avila</surname><given-names>Erica Dorigatti</given-names></name><xref ref-type="aff" rid="A3">c</xref></contrib><contrib contrib-type="author"><name><surname>Guedes</surname><given-names>Fabio Pinto</given-names></name><xref ref-type="aff" rid="A1">a</xref></contrib><contrib contrib-type="author"><name><surname>Battilani Filho</surname><given-names>Valter Antonio Ban</given-names></name><xref ref-type="aff" rid="A1">a</xref></contrib><contrib contrib-type="author"><name><surname>Capelozza Filho</surname><given-names>Leopoldino</given-names></name><xref ref-type="aff" rid="A1">a</xref></contrib><contrib contrib-type="author"><name><surname>Correa</surname><given-names>Marcio Aurelio</given-names></name><xref ref-type="aff" rid="A4">d</xref></contrib><contrib contrib-type="author"><name><surname>Nary Filho</surname><given-names>Hugo</given-names></name><xref ref-type="aff" rid="A4">d</xref></contrib></contrib-group><aff id="A1"><label>a</label>Department of Orthodontics, University of Sagrado Coracao, Bauru, São Paulo, Brazil.</aff><aff id="A2"><label>b</label>Department of Diagnosis and Surgery, School of Dentistry at Araraquara, Univ Estadual Paulista - UNESP, Araraquara, São Paulo, Brazil.</aff><aff id="A3"><label>c</label>Department of Dental Materials and Prosthodontics, School of Dentistry at Araraquara, Univ Estadual Paulista - UNESP, Araraquara, São Paulo, Brazil.</aff><aff id="A4"><label>d</label>Department of Oral Implantology, University of Sagrado Coracao - USC, Bauru, São Paulo, Brazil.</aff><author-notes><corresp>Corresponding author: Rafael Scaf de Molon. Professor, Department of Diagnosis and Surgery, School of Dentistry at Araraquara, Univ Estadual Paulista - UNESP, Avenida 15 de Novembro, 850, Apt 146, Araraquara, São Paulo, 14801-030, Brazil. Tel +55-16-98126-6745, <email>molon.foar@yahoo.com.br</email></corresp><fn id="FN1" fn-type="equal"><p>Mauricio de Almeida Cardoso and Rafael Scaf de Molon contributed equally to this work as co-first authors.</p></fn></author-notes><pub-date pub-type="ppub"><month>1</month><year>2016</year></pub-date><pub-date pub-type="epub"><day>25</day><month>1</month><year>2016</year></pub-date><volume>46</volume><issue>1</issue><fpage>42</fpage><lpage>54</lpage><history><date date-type="received"><day>12</day><month>6</month><year>2015</year></date><date date-type="rev-recd"><day>07</day><month>7</month><year>2015</year></date><date date-type="accepted"><day>30</day><month>7</month><year>2015</year></date></history><permissions><copyright-statement>© 2016 The Korean Association of Orthodontists.</copyright-statement><copyright-year>2016</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/4.0/"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/4.0/">http://creativecommons.org/licenses/by-nc/4.0/</ext-link>) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>The aim of this clinical report is to describe the complex treatment of an adult Class III malocclusion patient who was disappointed with the outcome of a previous oral rehabilitation. Interdisciplinary treatment planning was performed with a primary indication for implant removal because of marginal bone loss and gingival recession, followed by orthodontic and surgical procedures to correct the esthetics and skeletal malocclusion. The comprehensive treatment approach included: (1) implant removal in the area of the central incisors; (2) combined orthodontic decompensation with mesial displacement and forced extrusion of the lateral incisors; (3) extraction of the lateral incisors and placement of new implants corresponding to the central incisors, which received provisional crowns; (4) orthognathic surgery for maxillary advancement to improve occlusal and facial relationships; and finally, (5) orthodontic refinement followed by definitive prosthetic rehabilitation of the maxillary central incisors and reshaping of the adjacent teeth. At the three-year follow-up, clinical and radiographic examinations showed successful replacement of the central incisors and improved skeletal and esthetic appearances. Moreover, a Class II molar relationship was obtained with an ideal overbite, overjet, and intercuspation. In conclusion, we report the successful esthetic anterior rehabilitation of a complex case in which interdisciplinary treatment planning improved facial harmony, provided gingival architecture with sufficient width and thickness, and improved smile esthetics, resulting in enhanced patient comfort and satisfaction. This clinical case report might be useful to improve facial esthetics and occlusion in patients with dentoalveolar and skeletal defects.</p></abstract><kwd-group><kwd>Esthetics</kwd><kwd>Dental implants</kwd><kwd>Orthodontics</kwd><kwd>Orthognathic surgery</kwd></kwd-group></article-meta></front><floats-group><fig id="F1" orientation="portrait" position="float"><label>Figure 1</label><caption><title>Facial photographs obtained before treatment.</title></caption><graphic xlink:href="kjod-46-42-g001"></graphic></fig><fig id="F2" orientation="portrait" position="float"><label>Figure 2</label><caption><title>Pretreatment photographs. <bold>A-E</bold>, Intraoral photographs obtained before treatment; <bold>F-J</bold>, pretreatment dental casts.</title></caption><graphic xlink:href="kjod-46-42-g002"></graphic></fig><fig id="F3" orientation="portrait" position="float"><label>Figure 3</label><caption><title>Pretreatment panoramic, periapical, and lateral cephalometric radiographs.</title></caption><graphic xlink:href="kjod-46-42-g003"></graphic></fig><fig id="F4" orientation="portrait" position="float"><label>Figure 4</label><caption><title>A periapical radiograph obtained after mesial displacement and extrusion of the lateral incisors.</title></caption><graphic xlink:href="kjod-46-42-g004"></graphic></fig><fig id="F5" orientation="portrait" position="float"><label>Figure 5</label><caption><title>Intraoral photographs taken after extrusion of the lateral incisors.</title></caption><graphic xlink:href="kjod-46-42-g005"></graphic></fig><fig id="F6" orientation="portrait" position="float"><label>Figure 6</label><caption><title>A cone-beam computed tomography scan acquired prior to implant placement. <bold>A</bold>, Panoramic coronal view; <bold>B</bold>, sequential parasagittal views.</title></caption><graphic xlink:href="kjod-46-42-g006"></graphic></fig><fig id="F7" orientation="portrait" position="float"><label>Figure 7</label><caption><title>Implant installation. <bold>A-C</bold>, Intraoral photographs of implant placement; <bold>D</bold>, a cone-beam computed tomography scan acquired after implant installation.</title></caption><graphic xlink:href="kjod-46-42-g007"></graphic></fig><fig id="F8" orientation="portrait" position="float"><label>Figure 8</label><caption><title>The photographs taken after orthodontic decompensation. <bold>A-C</bold>, Facial photographs; <bold>D-H</bold>, intraoral photographs.</title></caption><graphic xlink:href="kjod-46-42-g008"></graphic></fig><fig id="F9" orientation="portrait" position="float"><label>Figure 9</label><caption><title>A lateral cephalometric radiograph obtained after orthodontic decompensation.</title></caption><graphic xlink:href="kjod-46-42-g009"></graphic></fig><fig id="F10" orientation="portrait" position="float"><label>Figure 10</label><caption><title>Final panoramic, periapical, and lateral cephalometric radiographs obtained after orthognathic surgery.</title></caption><graphic xlink:href="kjod-46-42-g010"></graphic></fig><fig id="F11" orientation="portrait" position="float"><label>Figure 11</label><caption><title>Intraoral photographs taken after orthodontic movement and finalization of the surgical procedures.</title></caption><graphic xlink:href="kjod-46-42-g011"></graphic></fig><fig id="F12" orientation="portrait" position="float"><label>Figure 12</label><caption><title>Final photographs after orthodontic appliance removal. <bold>A-C</bold>, Facial photographs; <bold>D-H</bold>, intraoral photographs.</title></caption><graphic xlink:href="kjod-46-42-g012"></graphic></fig><fig id="F13" orientation="portrait" position="float"><label>Figure 13</label><caption><title>Facial photographs taken at the three-year follow-up.</title></caption><graphic xlink:href="kjod-46-42-g013"></graphic></fig><fig id="F14" orientation="portrait" position="float"><label>Figure 14</label><caption><title>The follow up after three years. <bold>A-E</bold>, Intraoral photographs taken three years post-treatment; <bold>F-J</bold>, final treatment dental casts.</title></caption><graphic xlink:href="kjod-46-42-g014"></graphic></fig><fig id="F15" orientation="portrait" position="float"><label>Figure 15</label><caption><title>The cephalometric superimposition. <bold>A</bold>, Pre-treatment (black line) and post-decompensation (blue line). <bold>B</bold>, Pretreatment (black line) and post-treatment (red line).</title></caption><graphic xlink:href="kjod-46-42-g015"></graphic></fig><table-wrap id="T1" orientation="portrait" position="float"><label>Table 1</label><caption><title>Cephalometric summary</title></caption><graphic xlink:href="kjod-46-42-i001"></graphic><table-wrap-foot><fn><p>SNA, Angle between anterior cranial base (SN) and point A; SNB, angle between anterior cranial base (SN) and point B; ANB, angle between lines NA and NB; SN/Gn, angle between anterior cranial base (SN) and gnathion; SN/GoMe, angle between SN and mandibular plane (GoMe); 1/./1, angle between long axis of upper and lower incisors; 1/.NS, angle between long axis of upper incisor (1/) and anterior cranial base (SN); 1/.NA, angle between long axis of upper incisor and NA line; 1/-NA, distance between upper incisor and NA line; /1.NB, angle between long axis of lower incisor and NB line; /1-NB, distance between lower incisor and NB line; FMIA, angle between FH plane and mandibular incisor; FMA, angle between FH plane and mandibular plane; IMPA, mandibular incisor angle to mandibular plane.</p></fn></table-wrap-foot></table-wrap></floats-group></pmc><affiliations><list><country><li>Brésil</li></country><region><li>État de São Paulo</li></region><settlement><li>São Paulo</li></settlement></list><tree><country name="Brésil"><region name="État de São Paulo"><name sortKey="De Almeida Cardoso, Mauricio" sort="De Almeida Cardoso, Mauricio" uniqKey="De Almeida Cardoso M" first="Mauricio" last="De Almeida Cardoso">Mauricio De Almeida Cardoso</name></region><name sortKey="Battilani Filho, Valter Antonio Ban" sort="Battilani Filho, Valter Antonio Ban" uniqKey="Battilani Filho V" first="Valter Antonio Ban" last="Battilani Filho">Valter Antonio Ban Battilani Filho</name><name sortKey="Capelozza Filho, Leopoldino" sort="Capelozza Filho, Leopoldino" uniqKey="Capelozza Filho L" first="Leopoldino" last="Capelozza Filho">Leopoldino Capelozza Filho</name><name sortKey="Correa, Marcio Aurelio" sort="Correa, Marcio Aurelio" uniqKey="Correa M" first="Marcio Aurelio" last="Correa">Marcio Aurelio Correa</name><name sortKey="De Avila, Erica Dorigatti" sort="De Avila, Erica Dorigatti" uniqKey="De Avila E" first="Erica Dorigatti" last="De Avila">Erica Dorigatti De Avila</name><name sortKey="De Molon, Rafael Scaf" sort="De Molon, Rafael Scaf" uniqKey="De Molon R" first="Rafael Scaf" last="De Molon">Rafael Scaf De Molon</name><name sortKey="Guedes, Fabio Pinto" sort="Guedes, Fabio Pinto" uniqKey="Guedes F" first="Fabio Pinto" last="Guedes">Fabio Pinto Guedes</name><name sortKey="Nary Filho, Hugo" sort="Nary Filho, Hugo" uniqKey="Nary Filho H" first="Hugo" last="Nary Filho">Hugo Nary Filho</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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