Journal of Orthodontic Science最新文献

Objective: This study aimed to comparatively evaluate the perceptions of laypeople and orthodontists regarding the usefulness of orthodontic practice websites (OPWs) and Internet-based social media (ISM) and to assess whether the content, features, and design of these online information sources meet the expectations of laypeople compared to orthodontists.

Material and methods: A cross-sectional, nationwide study was conducted using a pretested and validated electronic questionnaire administered separately to specialist orthodontists and laypeople. A total of 136 orthodontists and 1038 laypeople voluntarily participated. The willingness of specialists to adopt a modern approach to promoting OPWs is explored, and the essential information that should be included in ISM is identified.

Results: Most orthodontists (52.9%) and laypeople (88.2%) preferred face-to-face communication over online content searching. Both groups consistently identified "contact details" and "types of treatment" as crucial information to be presented on OPWs. Facebook and Instagram were the most popular platforms among both orthodontists and laypeople.

Conclusions: Both specialist orthodontists and laypeople should increasingly utilize OPWs due to their comprehensive benefits.

The era of printed aligners has just began in the orthodontic field. Orthodontists have become more interested in 3D-printed in-office aligners. Treatment due to this technology can become faster and more efficient. Advantages highlighted by newly introduced materials for manufacturing processes of 3D aligners present the possibility of overcoming limitations faced by thermoformed aligners, making them a potential replacement of thermoformed aligner. Advances in aligner material, especially shape memory polymers, have the potential to bring about radical transformations in the clinical applications of clear aligner therapy. Safety and cytotoxicity of printable resins along with its mechanical properties must be scientifically studied extensively before it is cleared for clinical use. In addition, with the increased use of aligners, awareness of the environmental burden of plastic waste should be emphasized. Attention should be directed into the development of recyclable materials for aligners along with establishing clear recycling guidelines and patient education programs on proper recycling methods. With the introduction of Graphy's clear biocompatible photocurable resin, which is equipped with a shape-memory function and is printed in an environmental friendly way by reducing carbon emissions. Direct 3D printing represents the future of clear aligner therapy, and more studies to test these new technologies and materials are required.

Objective: This study aimed at determining the effect of pH changes on nickel titanium wire seen based on the corrosion rate and surface roughness of the wire after immersion in pandan leaves extract.

Material and methods: The sample used nickel titanium wire of 0.016 inches diameter and 5 cm length and consists of five treatment groups: control group, 0.2% chlorhexidine, and 1000 ppm, 2000 ppm, and 4000 ppm pandan leaves extract. The solutions were put into an incubator for 7, 14, and 21 days at 37 °C and removed according to the sample immersion time. The corrosion rate was determined using the weight-loss method, and microstructure roughness was analyzed using a scanning electron microscope.

Results: Kruskal-Wallis test showed that there was a significant difference in corrosion rate of orthodontic wires of nickel titanium after control submersion, 0.2% chlorhexidine, and pandan leaves extract on 7, 14, and 21 days (P ≤ 0.05), and pandan leaves extract submersion shows that the surface structure is not as bad as artificial saliva and 0.2% chlorhexidine.

Conclusions: Pandan leaves extract could inhibit the corrosion rate of nickel titanium orthodontic wire, which might be due to tannin content as an active antioxidant.

Objectives: To evaluate the effectiveness of mini-implant (MI) anchorage versus conventional anchorage for the treatment of skeletal class II malocclusion.

Materials and methods: The study was conducted on 64 patients with skeletal class II malocclusion. The patients were divided into two groups: 1) 32 patients underwent conventional anchorage, and 2) 32 patients underwent MI anchorage. Cephalometric radiographs were taken pre-treatment, and the data were compared with post-treatment measurements.

Results: The age and gender distribution between the conventional and MI anchorage groups was similar, and the differences were statistically significant. The SNA and SNB angles post-treatment were reduced compared to pre-treatment measurements in both groups. The MI anchorage demonstrated a superior subsidence effect, reducing the level of forward displacement of the first molars in the maxilla. The MI group also exhibited less extrusion of the molars compared to the conventional group. In skeletal class II cases, especially in patients with a high mandibular angle using MI anchorage helped prevent the mandible from rotating counterclockwise, thus improving aesthetics rather than worsening them after treatment. In 75% of the cases in the MI anchorage group, the outcome was assessed as "greatly improved" based on the PAR index.

Conclusions: MI anchorage was more effective than conventional anchorage. It allows for greater posterior movement and intrusion of the maxillary incisors while maintaining or rotating the mandibular plane counterclockwise.

Objectives: To find out the difference, the type of facial profile, and facial asymmetry between manual methods and mobile application, which is named the face analyzer orthodontic application. Facial profiles can be determined from the side of the face, categorized into three types: straight, convex, and concave profiles. Facial asymmetry refers to the imbalance between facial components concerning size, shape, and opposing positions of planes, lines, or points.

Materials and methods: The research design was a cross-sectional study design using extra oral patient photographs who were treated in Orthodontic Department of Nala Husada Dental Hospital, Surabaya. The technique used was simple random sampling. The number of samples obtained based on inclusion and exclusion criteria was 37 patients, ranged 9-15 years old. The facial profile and asymmetry were determined from extra oral photos before objectively analyzed and processed in face analyzer application by comparing with the manual technique. Wilcoxon test, used to determine the significance value of facial profiles and the facial asymmetry, was analyzed by McNemar's test.

Results: Testing on two variables with two different treatment groups obtained P > 0.05. The Wilcoxon test result (P = 0.157) indicates there is no significant difference, and the McNemar test result (P = 0.375) indicates there was no significant difference in the two groups.

Conclusions: The results of determining the facial profile and facial asymmetry showed no difference between manual and face analyzer orthodontic mobile applications.

This case report details the treatment of a 23-year-old female patient with Class II division 2 malocclusion with a Class II skeletal base due to a retrognathic mandible. The condition was further complicated by a complete overbite, absence of tooth #36, and a gummy smile. The Forsus appliance has shown to be effective in correcting Class II malocclusion in adult patients, with significant improvements in bite and facial esthetics. The use of temporary anchorage devices for intrusion resulted in lower overbite and increased actual intrusion compared with alternative methods for intruding upper incisors.

Background and objective: Skeletal Class II malocclusion patients frequently exhibit an extended craniocervical position. The study's objective was to evaluate how the craniocervical posture has changed following skeletal class II correction using the Forsus fatigue-resistant device (FFRD).

Methodology: A retrospective analysis was undertaken using the pre- and post-treatment records of 35 skeletal class II patients who used the FFRD to achieve class II correction. The metrics suggested by Solow and Rocabado were used to evaluate the cranial and cervical positions. Eleven angular parameters were evaluated to determine the relationship between the mandibular ramus and the skull as well as the upper and middle craniocervical positions. To compare the parameters before and after fixed functional therapy, a Wilcoxon signed rank test was used.

Results: Significant differences were obtained in the parameters SNA, SNB, and ANB post-FFRD. Significant differences were also noted in NL/OPT, NSL/OPT, FH/CVT, FH/OPT, NSL/CVT, NL/CVT, ML/CVT, FH/RL, and oropharynx position.

Conclusions: The upper and middle craniocervical posture altered significantly with the FFRD. Skeletal class II correction obtained with FFRD delivered the patients a more erect craniocervical posture.

Background: Morphological and structural abnormalities are common dental anomalies. Identifying DA and determining their prevalence can play an important role in reducing the risk of surgical intervention and improving occlusion, leading to successful dental treatments. Thus, this study aimed to determine the prevalence of DA using panoramic radiographs (OPG) in Makkah, Saudi Arabia according to gender.

Materials and methods: A retrospective radiographic investigation was performed, and the digital OPG of 923 patients (age range, 8-27 years) were collected. Records were collected from patients admitted at a government hospital in Makkah between January 2020 and DA in terms of tooth shape (microdontia, macrodontia, gemination, and fusion), number (supernumerary and congenitally missing teeth), and position (impaction and ectopic eruption). Several other abnormalities, such as ankyloses, dens in dents, dilacerations, and taurodontism, have also been reported. Digital radiographs from patients were systematically evaluated to diagnose each radiograph with consistent screen brightness and resolution.

Results: The most prevalent DA were impaction (53.8%), hypodontia (13.6%), microdontia (8.2%), and ectopic eruption (6.7%). Taurodontism was observed more frequently in male compared to female (7.5% and 2.2%, respectively). However, there was no significant difference between gender in the distribution of other DA.

Conclusion: This study found that 27.8% of the Saudi population of Makkah city have DA. Clinical examination and radiographic evaluation are crucial for providing the proper treatment for patients seeking dental treatment.

Background/objective: Resolution of crowding remains a chief concern for patients seeking orthodontic treatment. The choice of the initial aligning archwire is crucial for achieving treatment success. Nickel-titanium (NiTi) archwires have been the first choice since their introduction. Multi-force archwires are a recent development that claims to deliver optimal orthodontic force tailored to specific teeth. The aim of this study was to compare the clinical efficiency of SmartArch^® archwires with conventional and thermoelastic NiTi.

Methodology: Thirty-nine patients were randomly allocated into three groups (group 1: NiTi, group 2: Cu-NiTi, and group 3: SmartArch^®). Only patients with Little's irregularity index of >4 mm were included. Study models were fabricated at each time interval of four weeks (T0, T1, T2, and until decrowding). The reduction in the irregularity score was calculated and analyzed using the Shapiro-Wilk and Kolmogorov-Smirnov tests, the Kruskal-Wallis test, the Kaplan-Meier method to create a survival curve, and Mantel-Cox log-rank test to compare survival times.

Results: The Little's irregularity index reduced with treatment in all patients, irrespective of the groups, with no significant difference (P = 0.467) in the reduction among the groups evaluated. On average, it took 10.77 ± 2.52 weeks for group 1, 11 ± 4.22 weeks for group 2, and 9.54 ± 2.6 weeks for group 3. Patients with rotated canines took a longer duration to achieve decrowding, irrespective of the archwires used.

Conclusion: This study found no clinically significant difference in the efficiency of decrowding among the archwires.The study was approved by the Institutional Review Board and Institutional Ethical Committee (IGIDSIEC2021NRP13PGTHODO) and registered under the Clinical Trial Registry (CTRI/2021/09/036859) of India.

Objectives: This study investigates the mechanical properties and antimicrobial efficiency of orthodontic adhesive modified with Salvadora persica (SP) oil, including adhesive remnant index (ARI) and shear bond strength (SBS), specifically antimicrobial efficacy against Streptococcus mutans.

Methods: Forty freshly extracted human premolars were recruited. They were classified into four groups according to the concentration of SP oil added to Heliosit orthodontic adhesive where the control group was with no adhesive modification, alongside three experimental groups, wherein SP oil was integrated into the adhesive at concentrations of 1%, 3%, and 5% weight/weight, respectively. The tooth buccal surface was etched by phosphoric acid gel (37%). The orthodontic brackets utilized were standard stainless steel edgewise 22". The brackets were bonded with Heliosit by Woodpecker LED light cure for 20 sec. The SBS was assessed using a universal testing machine, and ARI was inspected by a stereomicroscope at 20X magnification power. The antimicrobial activity against Streptococcus mutans was evaluated. The statistical analyses, analysis of variance (ANOVA), and Kruskal-Wallis and Duncan were performed where P ≤ 0.05.

Results: The findings indicated that among the experimental groups, the 3% SP oil group exhibited the highest mean SBS value, following closely behind the control group. Conversely, the mean SBS was lowest for the SP group with a 5% concentration. However, ANOVA and Kruskal-Wallis tests revealed no significant differences between groups (P ≥ 0.275, 0.069), respectively. Antimicrobial tests demonstrated a concentration-dependent antibacterial effect, the 5% group exhibiting the highest efficacy.

Conclusion: Orthodontic adhesive modified with SP oil maintains favorable SBS while demonstrating antimicrobial effects against Streptococcus mutans.