Dental specialty that aims to correct dental occlusion, aligning the facial aesthetics, function,
periodontal health and stability of each case.
The odontology is the area that tries to reach the correct dental occlusion, through the allying and leveling of teeth in relation with the
facial bones. Also counts on the facial aesthetic, periodontal health and occlusion stability.
ORTHODONTICS SPECIALTY – OBJECTIVES
- To treat
- To research
- To teach
ACTIVITIES DEVELOPED AT THE ORTHODONTIC AT SOBRAPAR
- Preventive Odonthology Treatment
- Breast Feeding Orientation
- Oral Hygiene Orientation
- Treating patients with cleft lip and palate, craniofacial syndromes and mandible maxilla deformities
- Orthodontics/Functional Orthodontics of Maxilla (Interceptive)
- Corrective Orthodontics
- Preparation of the Pre Surgical Orthognatic
- Manufacturing of Partial removable Prothesis
- Scientific Research
- Orthodontic Course – Alexander Technique – 2 years – objective is to prepare the professional to the orthodontic
treatment with excellence, coordination of Dr J. E. Sesso and Dra. Ana Cristina S. Rossi.
TEAM
DRA. ANA CRISTINA S. ROSSI
Responsible for the Orthodontic Department at SOBRAPAR
Dentist Surgeon graduated in1993 by EFOA (Federal de Alfenas-MG)
Specialist in Orthodontics and Maxilo Facial Orthopedics by APCD in 2001
Master Degree in Orthodontics in 2001
Responsible for the Odonthoplastic Department at UNICAMP
Coordinator of Specialist Courses in Orthodontics in ABO-RR, UNINGÁ-PR and specialization in SOBRAPAR
Invited Speaker in many Orthodontics´ post graduation courses
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DR. WELLINGTON PEREIRA SANTOS
Dentist Surgeon graduated in1995 at FOP - UNICAMP
Specialist in Orthodontics at SOBRAPAR in 2003
Resident in the Department of Orthodontics of SOBRAPAR since 2003
Specialization in Endodonthia at São Leopoldo Mandic, (on course) march/2011
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JOÃO FRANCISCO XIMENEZ
Graduated in 1991 at PUCCAMP
Specialist in Orthodontics at SOBRAPAR in 2008
Resident in the Department of Orthodontics of SOBRAPAR since 2006
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DRA. MARA RUBIA RODRIGUES COGO
Biologist graduated in 1987 at PUC Campinas
Dentist Surgeon graduated in1992 by Universidade São Francisco
Specialist in Orthodontics at SOBRAPAR in 2002
Resident in the Department of Orthodontics of SOBRAPAR since 2002
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DR. CRISTINA MARIA TOGNETTI CORREA DE CASTRO
Dentist Surgeon graduated in USP Ribeirão Preto, em 1996
Specialist in Orthodontics at SOBRAPAR in 2003
Resident in the Department of Orthodontics of SOBRAPAR since2003
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DR. CARLOS PIOVESAN
Dentist Surgeon graduated in 2004 pela Universidade São Francisco
Technical in Dental Prothesis in 1996 at Colégio Técnico Integração
Prosthetic in the Orthodontics Department of SOBRAPAR since 2004
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DRA. IRINÉIA MIRANDA
Dentist Surgeon graduated in 2000 pela EFOA (Federal de Alfenas - MG)
Specialist in Orthodontics and Maxilo Facial Orthopedics by APCD in 2003
Specialist in Orthodontics at SOBRAPAR in 2006
Resident in the Department of Orthodontics of SOBRAPAR since 2006
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DRA. MARIA APARECIDA BUCKERIDGE PIRES
Dentist Surgeon graduated in 1980 PUC Campinas
Specialist in Periodonthy in 1992 at ACDC
Volunteer in the Orthodontics Department of SOBRAPAR since 2006
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MARIA HELENA WOLF
Technical in Dental Prothesis graduated in 1990 by Colégio Técnico I
Prosthetic Integration in the Orthodontics Department of SOBRAPAR since 2001
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The treatment is planned and developed in a personalized manner, ensuring the best outcomes for patients and their families.
The Speech Pathology Area of SOBRAPAR Hospital has one of the best and most complete programs in Brazil and it is considered one of the pioneers,
since it deals with recently born babies, children, adolescents and adults, in all aspects that were affect by the craniofacial anomaly, specially
related to cleft lip and palate.
It also has, a specialized program to train professionals of the area and the team, having always a qualified
speech pathologist to treat the patients.
The goal is to promote the excellence in all the treatment offered to the patients and to their families. Each child begins the treatment with a
complete evaluation.
And the treatment is planed and developed for every individual, assuring the best results in a faster way.
SPEECH PATHOLOGY SERVICE AT SOBRAPAR
How do we feed a child with cleft lip and palate?
Children that have cleft lip and palate can have difficulty for feeding due to the communication between the lip and nose.
The baby can have difficulty in an effective sucking, turning the breast feeding sometimes in a very difficult process. If
the cleft involves only the lip breast feeding can be normally done.
Due to feeding problems for children with cleft lip and palate, frequently parents feel frustrated. Therefore the information
exchange between the parents of new born babys with cleft lip and palate and those who already underwent the first surgery is
very important. This is one of the supports that groups formed by the Speech Pathology team can give when necessary.
The follow up and orientation are performed by the Speech Pathologist and is important to be as sooner as possible because parents
can try a variety of bottles before they find the best to feed their baby. The nutrition and weight gain follow up should be done
by a Pediatrician.
Remember: frustration is common, but feeding problems are temporary.
Will my child have speech difficulty or nasal voice?
Children that try to speak before their cleft palate is closed compensate the normal speech developing compensatory and inappropriate mechanisms.
Because of the open palate, children with cleft lip and palate cannot control the nasal escape when they speak making their voices nasalized and
difficult to understand.
When the surgery is performed in the appropriate period and the Speech Pathologist’s orientation are adequate, the majority of children develop
a normal speech.
Some children may need some therapy to help them to “forget what they have wrongly learned before” during the period they were compensating the
hipernasality. Also there are some children that cannot keep the air out of the nose when speaking, even when the surgery demonstrate to be effective.
These patients may need different additional surgical proceedings.
Cleft lip and Palate can cause any other problem besides the speaking problem?
The majority of children with cleft have problems with fluid behind the ear membrane having ear infections. Some times it is necessary a surgery to
insert a tube to drain this fluid and prevent to keep causing the infection.
Will my child be a normal kid?
Cleft lip and palate is a mal formation of non defined cause and frequently occurs isolated; it means that, they are not followed by another
alterations or neurological syndromes. Due to this fact, the majority of children have a very good development in the social, scholar and
familiar aspects.
SOME ACTIONS OF THE SPEECH THERAPY TEAM
- To clarify and divulgate to professionals of health, educators and community in general, information related to the care and treatment
of patients with craniofacial anomalies.
- To orientate and follow up parents/responsible persons with their children diagnosed with cleft lip and palate or other craniofacial anomaly.
Plan the early treatment aiming to minimize the sequels and secondary pathologies that are common in the anomalies above and also to support
the family structure of the patients.
- To orientate parents/responsible persons of patients with craniofacial anomalies regarding feeding, posture, hygienization, neurogingival
function stimulation and prevention care related to secondary pathologies during pre and post operative period.
- To inform about the speech development, explaining to the parents/responsible persons the risks situation and the strategies that can
facilitate the acquisition of these aspects.
- To rehabilitate the suction function, showing swallow, breathing, speaking, language, the miofunctional aspects and the vocal resonance,
when these patterns are non conventional.
- To perform routine audiological exams even when not having any positive auditive pathological history or auditive loses assuring the
hearing follow up. When detected a persisting hearing loss, the patient should be referred to the (considered the indication by a) Ear,
Nose and Throat Specialist for a possible amplication of a hearing aid device. The process of monitoring and training adaptation should be
done by a Speech Pathologist.
- To follow the nasoendoscopy, and video fluoroscopy exams.
- To act in the multidisciplinary (interdisciplinary) team in the diagnose, evaluation and treatment planning, as well as the re-evaluations
of patients.
- To establish the longitudinal treatment for patients with craniofacial anomalies, performing continuously evaluations with the objective
of assuring that the development of those patients are in the expected patterns for their ages.
- Keep the team with experience in rehabilitation and care with craniofacial patients.
TEAM
ANELISE SABBAG
• Responsible for the Speech Therapy Department of SOBRAPAR
• Graduated in Speech Therapy by the University of Franca 1991
• Specialized in Oral Motricity by the University of Franca 2001
• Master in the Concept of Oral and Corporal Rehabilitation Castillo Morales in 2003
• Professor invited in many courses in the area of Speech Therapy and Miofunctional Rehabilitation
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LÍVIA ALBRECHT FERREIRA
• Speech Therapist
• Member of the Brazilian Society of Speech
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CAMILA C. MADRUGA
• Speech Therapist
• Member of the Brazilian Society of Speech
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The psychological are performed concurrently with all other specialties.
The Psychology Service offers for the patients a complete support during the entire period of treatment. Initially, the patient is welcome and a first
contact is made to connect with his/her reality and to get to know more about their lives and to analyze the real necessities they present so than it
can be decided the specific treatments this patient will have.
All the children until 15 years of age are directed to the Evaluation and Global Development Follow up Program, in which it is notified if the development
is adequate for the patients’ age. On the contrary, it is pointed the causes for the delay and a family orientation is done to help to cover the difficulties
observed. This kind of procedure can be done by the internal team through out psychological service, parent’s orientation or even through an outside
treatment.
All the treatment at SOBRAPAR is focused in a complete rehabilitation, so the psychological treatment is developed together with the other disciplinary
areas. The patient that is going through a surgical intervention, for example, will necessarily be treated by the multidisciplinary (interdisciplinary)
team, so they will be well prepared to face the surgery and treatment situations they will pass through. This is a very important moment to reduce the
anxiety and fears natural for this kind of invasive procedures. And the patient is oriented about the pre and pos surgical cares.
Besides all of this, children also count on the play area inside the hospital, where they can wait until their consultation (attending). In this space
they are always followed by a Psychologist that will be working to minimize the adverse aspects presented in the Hospital’s scenery. To SOBRAPAR,
this space is also important to model the adequate behavior of the children that will help in their treatment.
The Psychological Service is coordinated by Profª Drª Vera Lucia Adami Raposo do Amaral – President of SOBRAPAR and also counts on a team of
Psychologists responsible for the Psychological Area of Treatment.
The Psychological Service also works with around 10 trainees every year. They start the training at the beginning of each year and the selection
process is made through a CV (Curriculum Vitae) evaluation and an interview.
psicologia@sobrapar.org.br
TEAM
DRA. VERA LUCIA ADAMI RAPOSO DO AMARAL
• Graduated in Psychology at PUC - Campinas.
• Specialized in Infant Psychopathology at Université de Paris V ( Sorbonne).
• Trainee in Experimental Psychology with Prof. Paul Fraisse at Ecole Pratique des Hautes E´fudes in Paris - France.
• Master and PhD in Psychology at Universidade de São Paulo. - USP
• Professor at the Program of Post-Graduation in Psychology at PUC - Campinas.
• Leader in the Laboratory of Analysis of Behavior - Health and Rehabilitation.
• Oriented more than 60 PhD and Master Thesis
• Author of many scientific articles in books
• Pioneer in the psychological study of patients with craniofacial anomalies in Brazil
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HELENA DIEZ CASTILHO
• Head of the Department of Psychology, Hospital SOBRAPAR
• Graduated in Humanities at Redeemer University College in Canada – 2004
• Graduated in Psychology at the University of São Paulo Campinas – 2009
• Postgraduate broadly in the Professional Improvement Program in Psychology and General Hospital at PUC Campinas – 2010
• Clinical Psychologist
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MARCELA KOEKE
• Head of the Department of Psychology, Hospital SOBRAPAR
• Graduated in Psychology at PUC- Campinas – 2005
• Specialized in Therapy Clinical Behavior - ITCR – Campinas – 2007
• Master Degree in Experimental Psychology: Behavior Analysis, at PUC – São Paulo – 2009
• Clinical Psychology - PED-Campinas (Specialized Psychology in Functional and Chronic Disease)
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The nursing service is built into all stages of the rehabilitation process, assisting the patient.
The nursing team has as its objective in the interdisciplinary team: prevent, protect, and rehabilitate not only the patient but also their family.
It is inserted in all the process of rehabilitation of the patient working respecting always the ethics and legal proceedings.
NURSE'S TEAM
AFTERNOON
NURSE
Érika Alves Araújo Soares
NIGHT
NURSE
Rosana Castro dos Santos de Melo