In the digital era today, there are various new technologies could be applied to improve our collaboration and achieve a satisfied treatment outcome. While taking advantage of CAD/CAM technology, the traditional workflow can be simplified, altered, or reversed. Interdisciplinary treatment in the digital era is full of imagination and creativity!
{"title":"Interdisciplinary treatment in the digital era","authors":"K. W. Chang","doi":"10.25259/apos_126_2022","DOIUrl":"https://doi.org/10.25259/apos_126_2022","url":null,"abstract":"In the digital era today, there are various new technologies could be applied to improve our collaboration and achieve a satisfied treatment outcome. While taking advantage of CAD/CAM technology, the traditional workflow can be simplified, altered, or reversed. Interdisciplinary treatment in the digital era is full of imagination and creativity!","PeriodicalId":42593,"journal":{"name":"APOS Trends in Orthodontics","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74332978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Digital orthodontics and the future of our specialization","authors":"F. Ciuffolo","doi":"10.25259/apos_92_2022","DOIUrl":"https://doi.org/10.25259/apos_92_2022","url":null,"abstract":"","PeriodicalId":42593,"journal":{"name":"APOS Trends in Orthodontics","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88268747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jeyaram Palanivel, D. Srinivasan, N. C. S. Chakravathy
The friction that appears during sliding mechanics poses a clinical challenge to the orthodontist. The primary focus of an ideal tooth movement is to reduce the friction created at the archwire-bracket interface. Various variables (both biological and mechanical) affect the role of friction during orthodontic tooth movement. One among the variables which play a critical role is the archwire used in fixed mechanotherapy. Nickel-titanium (NiTi) archwires are widely used in clinical conditions due to their properties such as low force delivery and wider elastic working range. Innovations in the field of material science have led to the evolution of nickel titanium archwires with coating and surface modification to enhance the esthetics and decrease friction. Esthetics is of major concern in patients undergoing orthodontic treatment. As the esthetic demand keeps rising, the need for developing an esthetically acceptable material is required and it should not compromise on the clinical performance. The study aimed to evaluate and compare the frictional resistance and optical properties of ALUMINIUM oxide and zinc oxide-coated Ni-Ti archwires. The archwires were divided into three groups (n = 10), respectively: Group 1 – control group of uncoated NiTi archwires, GROUP 2 – zinc oxide coated NiTi archwires, and Group 3 – ALUMINIUM oxide coated NiTi archwires. The frictional resistance test was done using a universal testing machine, Instron, and optical properties were assessed using a colorimeter. The analysis of variance was used to determine whether a significant difference existed between the groups and a further post hoc Tukey test was used to determine the significant difference in the mean (P < 0.05). The two coated archwire groups – zinc oxide and ALUMINIUM oxide archwires showed a significant decrease in frictional resistance. Of the three groups, zinc oxide showed the least frictional resistance compared to the ALUMINIUM oxide-coated group and the uncoated group. Optical properties were calculated using the formula ΔE*ab for the three groups. Of which zinc oxide coated archwires were closest to VA1 indicating that it matches the shade of the natural tooth while the other two groups did not match the tooth color implying that it is not much esthetic as that of zinc oxide coated archwires. The zinc oxide-coated archwire resembles tooth color as well as has less frictional resistance compared to the other archwires.
{"title":"Comparison of the frictional resistance and optical properties of aluminum oxide and zinc oxide coated nickel titanium archwires – An in vitro study","authors":"Jeyaram Palanivel, D. Srinivasan, N. C. S. Chakravathy","doi":"10.25259/apos_24_2022","DOIUrl":"https://doi.org/10.25259/apos_24_2022","url":null,"abstract":"\u0000\u0000The friction that appears during sliding mechanics poses a clinical challenge to the orthodontist. The primary focus of an ideal tooth movement is to reduce the friction created at the archwire-bracket interface. Various variables (both biological and mechanical) affect the role of friction during orthodontic tooth movement. One among the variables which play a critical role is the archwire used in fixed mechanotherapy. Nickel-titanium (NiTi) archwires are widely used in clinical conditions due to their properties such as low force delivery and wider elastic working range. Innovations in the field of material science have led to the evolution of nickel titanium archwires with coating and surface modification to enhance the esthetics and decrease friction. Esthetics is of major concern in patients undergoing orthodontic treatment. As the esthetic demand keeps rising, the need for developing an esthetically acceptable material is required and it should not compromise on the clinical performance. The study aimed to evaluate and compare the frictional resistance and optical properties of ALUMINIUM oxide and zinc oxide-coated Ni-Ti archwires.\u0000\u0000\u0000\u0000The archwires were divided into three groups (n = 10), respectively: Group 1 – control group of uncoated NiTi archwires, GROUP 2 – zinc oxide coated NiTi archwires, and Group 3 – ALUMINIUM oxide coated NiTi archwires. The frictional resistance test was done using a universal testing machine, Instron, and optical properties were assessed using a colorimeter. The analysis of variance was used to determine whether a significant difference existed between the groups and a further post hoc Tukey test was used to determine the significant difference in the mean (P < 0.05).\u0000\u0000\u0000\u0000The two coated archwire groups – zinc oxide and ALUMINIUM oxide archwires showed a significant decrease in frictional resistance. Of the three groups, zinc oxide showed the least frictional resistance compared to the ALUMINIUM oxide-coated group and the uncoated group. Optical properties were calculated using the formula ΔE*ab for the three groups. Of which zinc oxide coated archwires were closest to VA1 indicating that it matches the shade of the natural tooth while the other two groups did not match the tooth color implying that it is not much esthetic as that of zinc oxide coated archwires.\u0000\u0000\u0000\u0000The zinc oxide-coated archwire resembles tooth color as well as has less frictional resistance compared to the other archwires.\u0000","PeriodicalId":42593,"journal":{"name":"APOS Trends in Orthodontics","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89596073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Saeed Noorollahian, Marzie Kachuie, Zahra Hatamzade, Majid Moghadam, T. Narimani
Anchorage preservation is crucial in orthodontic treatment success. Mini-implants make a revolution in this domain. The failure of orthodontic mini-implants due to inflammation and infection is one of the reasons for anchorage loss. The purpose of this study was to evaluate the effect of a novel mini-implant surface modification to improve resistance against microbial contamination and surrounding tissue inflammation. Twenty-four orthodontic mini-implants (Jeil Medical Corporation, Korea) with 1.6 mm diameter and 8 mm length were randomly divided into three groups: Group 1: Control group, Group 2: Nanotubes were made on the surface with anodisation, and Group 3: Zinc Oxide (ZnO) doped into nanotubes, and then doxycycline is added to them. The anti-bacterial efficacy against Porphyromonas gingivalis was evaluated using the disk diffusion method. To analyze data, Kruskal–Wallis, Friedman, and Wilcoxon tests were done. The significance level was set at 0.05. No zone of the inhibition was formed in Groups 1 and 2. In Group 3, the mean (SD) diameter of the inhibition zone in the first 5-day to sixth 5-day were 38.7(8.2), 25(4.8), 17.8(5.6), 7.63(5.37), 1.5(2.83), and 0 millimeters, respectively. Nanotubes containing doped ZnO and Doxycycline are capable of preventing bacterial growth around the mini implant surfaces for at least up to 30 days. To manage inflammation of surrounding tissues of mini-implants, nanotubes are not effective alone. Therefore, the presence of diffusible materials in addition to nanotubes on the surface of mini-implants is necessary.
固支体的保存是正畸治疗成功的关键。微型植入物在这个领域掀起了一场革命。正畸微型种植体因炎症和感染而失败是导致支抗丢失的原因之一。本研究的目的是评估一种新型微型种植体表面修饰的效果，以提高对微生物污染和周围组织炎症的抵抗力。将直径1.6 mm、长度8 mm的24颗正畸微型种植体(Jeil Medical Corporation, Korea)随机分为3组:第1组:对照组;第2组:表面阳极氧化制备纳米管;第3组:纳米管中掺杂氧化锌(ZnO)，然后加入强力霉素。采用纸片扩散法评价其对牙龈卟啉单胞菌的抗菌效果。为了分析数据，进行了Kruskal-Wallis、Friedman和Wilcoxon测试。显著性水平设为0.05。1、2组未形成抑制区。第3组前5天至第6天的平均抑制区直径(SD)分别为38.7(8.2)、25(4.8)、17.8(5.6)、7.63(5.37)、1.5(2.83)和0 mm。含有掺杂氧化锌和强力霉素的纳米管能够阻止细菌在微型植入物表面生长至少30天。为了控制微型植入物周围组织的炎症，纳米管不是单独有效的。因此，除了纳米管外，微型植入物表面的扩散材料是必要的。
{"title":"The antimicrobial effect of doxycycline and doped ZnO in TiO2 nanotubes synthesized on the surface of orthodontic mini-implants","authors":"Saeed Noorollahian, Marzie Kachuie, Zahra Hatamzade, Majid Moghadam, T. Narimani","doi":"10.25259/apos_14_2022","DOIUrl":"https://doi.org/10.25259/apos_14_2022","url":null,"abstract":"\u0000\u0000Anchorage preservation is crucial in orthodontic treatment success. Mini-implants make a revolution in this domain. The failure of orthodontic mini-implants due to inflammation and infection is one of the reasons for anchorage loss. The purpose of this study was to evaluate the effect of a novel mini-implant surface modification to improve resistance against microbial contamination and surrounding tissue inflammation.\u0000\u0000\u0000\u0000Twenty-four orthodontic mini-implants (Jeil Medical Corporation, Korea) with 1.6 mm diameter and 8 mm length were randomly divided into three groups: Group 1: Control group, Group 2: Nanotubes were made on the surface with anodisation, and Group 3: Zinc Oxide (ZnO) doped into nanotubes, and then doxycycline is added to them. The anti-bacterial efficacy against Porphyromonas gingivalis was evaluated using the disk diffusion method. To analyze data, Kruskal–Wallis, Friedman, and Wilcoxon tests were done. The significance level was set at 0.05.\u0000\u0000\u0000\u0000No zone of the inhibition was formed in Groups 1 and 2. In Group 3, the mean (SD) diameter of the inhibition zone in the first 5-day to sixth 5-day were 38.7(8.2), 25(4.8), 17.8(5.6), 7.63(5.37), 1.5(2.83), and 0 millimeters, respectively.\u0000\u0000\u0000\u0000Nanotubes containing doped ZnO and Doxycycline are capable of preventing bacterial growth around the mini implant surfaces for at least up to 30 days. To manage inflammation of surrounding tissues of mini-implants, nanotubes are not effective alone. Therefore, the presence of diffusible materials in addition to nanotubes on the surface of mini-implants is necessary.\u0000","PeriodicalId":42593,"journal":{"name":"APOS Trends in Orthodontics","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91327009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Deepika Katyal, A. George, R. Jain, A. Balasubramaniam, M. Srirengalakshmi, Nikhilesh R Vaid
The aim of this systematic review and meta-analysis was to report on the effects of using platelet-rich derivatives on the rate of tooth movement. Both electronic and manual searches were performed with specific eligibility criteria based on population, intervention, comparison, outcome, and study design. Risk of bias (RoB) assessment was done using the Cochrane RoB tool 2, the data were pooled and analyzed using review manager 4.5, and certainty of the evidence was assessed using the Grading of Recommendations Assessment, Development, and Evaluation approach. Two independent reviewers performed the study selection, data extraction, and analysis. Nine studies were included for qualitative analysis and two of them were subjected to meta-analysis. The standard mean difference for the rate of canine distal movement with platelet-rich derivatives was not significantly higher than controls at any of the time intervals (P > 0.0001). Rotation of canines, molar mesialization, and pain scores were not affected by the administration of platelet-rich derivatives for accelerating tooth movement. A moderate to high RoB was noted in the included studies and the certainty of the available evidence as assessed by the GRADE approach was moderate. The included studies presented with high heterogeneity and more high-quality studies with strict protocols are needed. Even though individual studies report significant acceleration of tooth movement following administration of PR derivatives, moderate certainty of evidence suggests no acceleratory effect on tooth movement.
{"title":"Platelet-rich derivatives for accelerating the rate of orthodontic tooth movement - a systematic review and meta-analysis","authors":"Deepika Katyal, A. George, R. Jain, A. Balasubramaniam, M. Srirengalakshmi, Nikhilesh R Vaid","doi":"10.25259/apos_6_2022","DOIUrl":"https://doi.org/10.25259/apos_6_2022","url":null,"abstract":"\u0000\u0000The aim of this systematic review and meta-analysis was to report on the effects of using platelet-rich derivatives on the rate of tooth movement.\u0000\u0000\u0000\u0000Both electronic and manual searches were performed with specific eligibility criteria based on population, intervention, comparison, outcome, and study design. Risk of bias (RoB) assessment was done using the Cochrane RoB tool 2, the data were pooled and analyzed using review manager 4.5, and certainty of the evidence was assessed using the Grading of Recommendations Assessment, Development, and Evaluation approach. Two independent reviewers performed the study selection, data extraction, and analysis. Nine studies were included for qualitative analysis and two of them were subjected to meta-analysis.\u0000\u0000\u0000\u0000The standard mean difference for the rate of canine distal movement with platelet-rich derivatives was not significantly higher than controls at any of the time intervals (P > 0.0001). Rotation of canines, molar mesialization, and pain scores were not affected by the administration of platelet-rich derivatives for accelerating tooth movement. A moderate to high RoB was noted in the included studies and the certainty of the available evidence as assessed by the GRADE approach was moderate.\u0000\u0000\u0000\u0000The included studies presented with high heterogeneity and more high-quality studies with strict protocols are needed. Even though individual studies report significant acceleration of tooth movement following administration of PR derivatives, moderate certainty of evidence suggests no acceleratory effect on tooth movement.\u0000","PeriodicalId":42593,"journal":{"name":"APOS Trends in Orthodontics","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76396742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sila Caglayan Topal, N. Ozmeric, Serenay Elgun, B. Baloş Tuncer
The objectives of the study were to evaluate oxidative stress biomarkers during a rapid maxillary expansion (RME). Fourteen patients were treated with an acrylic RME device, and after treatment, all were followed for 3 months. Saliva samples were collected before activation (baseline), 1st, 10th days after the first activation, and after retention. Periodontal indexes were recorded at baseline and after retention. Nitric oxide (NO) and malondialdehyde (MDA) levels were evaluated. NO levels were elevated on the 10th day compared to baseline (P < 0.01), revealing a decrease after retention (P < 0.01). MDA levels were increased on the 10th day and after retention periods compared to baseline (P < 0.01, respectively). Both plaque and gingival indexes increased after retention relative to baseline (P < 0.01, respectively). Initial stages of orthopedic force increased salivary oxidative stress biomarkers. Long-term results showed decreased levels of NO, but still high MDA levels. The initially increased NO expression decreased after retention, despite the increase in microbial load at this period which might show the effect of mechanical stimuli to be more effective than the microbial load. MDA levels remained at high levels during the post-retention period, arising a possible consideration for the impact of material properties or deficiencies of oral hygiene. Future long-term evaluations for oxidative stress status and orthodontic appliances would be useful.
{"title":"Salivary oxidative stress during and after rapid maxillary expansion","authors":"Sila Caglayan Topal, N. Ozmeric, Serenay Elgun, B. Baloş Tuncer","doi":"10.25259/apos_137_2021","DOIUrl":"https://doi.org/10.25259/apos_137_2021","url":null,"abstract":"\u0000\u0000The objectives of the study were to evaluate oxidative stress biomarkers during a rapid maxillary expansion (RME).\u0000\u0000\u0000\u0000Fourteen patients were treated with an acrylic RME device, and after treatment, all were followed for 3 months. Saliva samples were collected before activation (baseline), 1st, 10th days after the first activation, and after retention. Periodontal indexes were recorded at baseline and after retention. Nitric oxide (NO) and malondialdehyde (MDA) levels were evaluated.\u0000\u0000\u0000\u0000NO levels were elevated on the 10th day compared to baseline (P < 0.01), revealing a decrease after retention (P < 0.01). MDA levels were increased on the 10th day and after retention periods compared to baseline (P < 0.01, respectively). Both plaque and gingival indexes increased after retention relative to baseline (P < 0.01, respectively).\u0000\u0000\u0000\u0000Initial stages of orthopedic force increased salivary oxidative stress biomarkers. Long-term results showed decreased levels of NO, but still high MDA levels. The initially increased NO expression decreased after retention, despite the increase in microbial load at this period which might show the effect of mechanical stimuli to be more effective than the microbial load. MDA levels remained at high levels during the post-retention period, arising a possible consideration for the impact of material properties or deficiencies of oral hygiene. Future long-term evaluations for oxidative stress status and orthodontic appliances would be useful.\u0000","PeriodicalId":42593,"journal":{"name":"APOS Trends in Orthodontics","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80135394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
It shows that patients receiving orthodontic treatment may have a risk of developing temporomandibular disorder symptoms. The aim of this study is to examine the changes in the chewing system of occlusal contact parameters related to joint vibrations, chewing patterns, and measured excursive movements in fixed and non-extractive orthodontic treatments. A total of 43 individuals with premolar extraction (n = 23) and without extraction (n = 20) who applied to the Department of Orthodontics, Dentistry Faculty of Istanbul Aydin University and needed orthodontic treatment were included in the study. In this study, 43 active fixed orthodontic treatment patients were conducted at the beginning (T0) and 6th month (T1) and 12th month (T2) on the parameter recorded during chewing. For occlusion analysis, T-Scan® computerized occlusion analysis recording and examination of the chewing pattern were used for JVA and JT temporomandibular joint parameters. Depending on whether the data showed normal distribution or not, differences between groups were evaluated using the Mann–Whitney or independent t-test, and intragroup differences were evaluated using the Wilcoxon sign test or paired t-test. At the beginning, 6th month and 12th month of orthodontic treatment, it was observed that the opening, closing, and occlusion times and joint vibration frequencies in the chewing pattern in cases with and without tooth extraction, the integral value differences of total integral, and frequencies below 300 Hz and above 300 Hz were statistically significant (P < 0.001). In digital occlusion analysis values, the right-left differences were not found statistically significant in the measurements made in cases with and without extraction (P > 0.05), while there were statistically significant differences in disclusion values at the beginning, 6th and 12th months (P < 0.05). At the beginning of the orthodontic treatments with or without extraction, it was observed that the values at the joint level changed significantly in the 6th month. However, the changes in the joints during the treatment, when they return to their ideal values at the end of the 12th month, are more than the change in occlusion.
{"title":"Examination of chewing performance with extraction and non-extraction fixed orthodontic treatment – A prospective clinical 1-year study","authors":"Serdar Gözler, S. Sadry","doi":"10.25259/apos_19_2022","DOIUrl":"https://doi.org/10.25259/apos_19_2022","url":null,"abstract":"\u0000\u0000It shows that patients receiving orthodontic treatment may have a risk of developing temporomandibular disorder symptoms. The aim of this study is to examine the changes in the chewing system of occlusal contact parameters related to joint vibrations, chewing patterns, and measured excursive movements in fixed and non-extractive orthodontic treatments.\u0000\u0000\u0000\u0000A total of 43 individuals with premolar extraction (n = 23) and without extraction (n = 20) who applied to the Department of Orthodontics, Dentistry Faculty of Istanbul Aydin University and needed orthodontic treatment were included in the study. In this study, 43 active fixed orthodontic treatment patients were conducted at the beginning (T0) and 6th month (T1) and 12th month (T2) on the parameter recorded during chewing. For occlusion analysis, T-Scan® computerized occlusion analysis recording and examination of the chewing pattern were used for JVA and JT temporomandibular joint parameters. Depending on whether the data showed normal distribution or not, differences between groups were evaluated using the Mann–Whitney or independent t-test, and intragroup differences were evaluated using the Wilcoxon sign test or paired t-test.\u0000\u0000\u0000\u0000At the beginning, 6th month and 12th month of orthodontic treatment, it was observed that the opening, closing, and occlusion times and joint vibration frequencies in the chewing pattern in cases with and without tooth extraction, the integral value differences of total integral, and frequencies below 300 Hz and above 300 Hz were statistically significant (P < 0.001). In digital occlusion analysis values, the right-left differences were not found statistically significant in the measurements made in cases with and without extraction (P > 0.05), while there were statistically significant differences in disclusion values at the beginning, 6th and 12th months (P < 0.05).\u0000\u0000\u0000\u0000At the beginning of the orthodontic treatments with or without extraction, it was observed that the values at the joint level changed significantly in the 6th month. However, the changes in the joints during the treatment, when they return to their ideal values at the end of the 12th month, are more than the change in occlusion.\u0000","PeriodicalId":42593,"journal":{"name":"APOS Trends in Orthodontics","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77582099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The study aimed to identify and evaluate changes in the cephalometric position of Point A due to an incisal inclination change caused by orthodontic treatment in non-growing Class II division 2 patients. A total of 24 pairs of consecutive pre-treatment and post-treatment lateral cephalograms were systematically collected from the departmental database and hand traced. The total change in the position of Point A was investigated by superimposing pre-treatment and post-treatment lateral cephalograms at a stable basicranial line. The treatment changes in maxillary incisor inclination, the sagittal position of Point A, SNA angle, movement of incisor root apex, and incisal edge were calculated. The mean SNA angle was reduced significantly suggesting that the A point had moved backward solely due to orthodontic remodeling. Point A distance to true vertical was reduced significantly (mean 1.2 mm), suggesting that local remodeling has occurred due to orthodontic treatment. The incisal edge also moved forward significantly (mean 2.6 mm). The apex of the upper incisor moved significantly backward as a result of its counterclockwise rotation (mean 3.2 mm). The upper incisor to palatal plane values also showed a highly significant change in inclination of the upper incisors (mean 12.30). Counter-clockwise rotation of the upper incisor causing its root apex to move more palatally makes remodeling changes in Point A in the form of its retraction roughly by one-third the amount of the backward movement of the upper incisors’ root apex. Moreover, it can be inferred that the retraction of Point A in millimeters will roughly be equal to the reduction in SNA angle in degrees.
{"title":"Effect of proclination of the upper incisors on Point A in adult Class II division 2 individuals: A cephalometric study","authors":"A. T. Prakash, Mohammad Zoheb, S. Priyanka","doi":"10.25259/apos_26_2022","DOIUrl":"https://doi.org/10.25259/apos_26_2022","url":null,"abstract":"\u0000\u0000The study aimed to identify and evaluate changes in the cephalometric position of Point A due to an incisal inclination change caused by orthodontic treatment in non-growing Class II division 2 patients.\u0000\u0000\u0000\u0000A total of 24 pairs of consecutive pre-treatment and post-treatment lateral cephalograms were systematically collected from the departmental database and hand traced. The total change in the position of Point A was investigated by superimposing pre-treatment and post-treatment lateral cephalograms at a stable basicranial line. The treatment changes in maxillary incisor inclination, the sagittal position of Point A, SNA angle, movement of incisor root apex, and incisal edge were calculated.\u0000\u0000\u0000\u0000The mean SNA angle was reduced significantly suggesting that the A point had moved backward solely due to orthodontic remodeling. Point A distance to true vertical was reduced significantly (mean 1.2 mm), suggesting that local remodeling has occurred due to orthodontic treatment. The incisal edge also moved forward significantly (mean 2.6 mm). The apex of the upper incisor moved significantly backward as a result of its counterclockwise rotation (mean 3.2 mm). The upper incisor to palatal plane values also showed a highly significant change in inclination of the upper incisors (mean 12.30).\u0000\u0000\u0000\u0000Counter-clockwise rotation of the upper incisor causing its root apex to move more palatally makes remodeling changes in Point A in the form of its retraction roughly by one-third the amount of the backward movement of the upper incisors’ root apex. Moreover, it can be inferred that the retraction of Point A in millimeters will roughly be equal to the reduction in SNA angle in degrees.\u0000","PeriodicalId":42593,"journal":{"name":"APOS Trends in Orthodontics","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86868238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Landmark identification is of utmost importance in cephalometric analysis but it turns out to be the main source of error. With modern inventions in the field of artificial intelligence (AI), it becomes essential to assess the reliability of computer-automated programs. A greater deal of time can be conserved with fully automated programs such as WebCeph, which uses an AI-based algorithm that performs automated and immediate cephalometric analysis. This study aimed to evaluate the accuracy, reliability, and duration of tracing cephalometric radiographs with WebCeph, an AI-based software in comparison to digital tracing with FACAD and manual tracing. The null hypothesis proposed is that there is no statistically significant difference among the three methods with regard to accuracy of cephalometric analysis. Pre-treatment cephalometric radiographs of 25 patients (14 males and 11 females, mean age of 18 ± 3.2 years) were selected randomly from the dental information archiving software of Saveetha University, Department of Orthodontics, Chennai. Composite analysis with skeletal, dental and soft-tissue parameters was selected and cephalometric analysis was done with all three methods – Manual tracing (Group 1), digital tracing using FACAD (Group 2), and fully automated AI-based software WebCeph (Group 3). The timing for each method of analysis was calculated using a stopwatch in seconds. Values were tabulated in an Excel sheet and statistical analysis including one-way analysis of variance and post hoc Tukey test were performed. No statistically significant difference was found between the three methods for cephalometric analysis, P > 0.05. The time taken for measurement using the three different methods was the least while using WebCeph (30.2 ± 6.4 s) and the maximum while manual tracing (472 ± 40.4 s). WebCeph is a reliable, faster and practical tool for analyzing cephalometric analysis in comparison to digital tracing using FACAD and manual tracing.
{"title":"Evaluation of the accuracy and reliability of WebCeph – An artificial intelligence-based online software","authors":"Deepika Katyal, Nivethigaa Balakrishnan","doi":"10.25259/apos_138_2021","DOIUrl":"https://doi.org/10.25259/apos_138_2021","url":null,"abstract":"\u0000\u0000Landmark identification is of utmost importance in cephalometric analysis but it turns out to be the main source of error. With modern inventions in the field of artificial intelligence (AI), it becomes essential to assess the reliability of computer-automated programs. A greater deal of time can be conserved with fully automated programs such as WebCeph, which uses an AI-based algorithm that performs automated and immediate cephalometric analysis. This study aimed to evaluate the accuracy, reliability, and duration of tracing cephalometric radiographs with WebCeph, an AI-based software in comparison to digital tracing with FACAD and manual tracing. The null hypothesis proposed is that there is no statistically significant difference among the three methods with regard to accuracy of cephalometric analysis.\u0000\u0000\u0000\u0000Pre-treatment cephalometric radiographs of 25 patients (14 males and 11 females, mean age of 18 ± 3.2 years) were selected randomly from the dental information archiving software of Saveetha University, Department of Orthodontics, Chennai. Composite analysis with skeletal, dental and soft-tissue parameters was selected and cephalometric analysis was done with all three methods – Manual tracing (Group 1), digital tracing using FACAD (Group 2), and fully automated AI-based software WebCeph (Group 3). The timing for each method of analysis was calculated using a stopwatch in seconds. Values were tabulated in an Excel sheet and statistical analysis including one-way analysis of variance and post hoc Tukey test were performed.\u0000\u0000\u0000\u0000No statistically significant difference was found between the three methods for cephalometric analysis, P > 0.05. The time taken for measurement using the three different methods was the least while using WebCeph (30.2 ± 6.4 s) and the maximum while manual tracing (472 ± 40.4 s).\u0000\u0000\u0000\u0000WebCeph is a reliable, faster and practical tool for analyzing cephalometric analysis in comparison to digital tracing using FACAD and manual tracing.\u0000","PeriodicalId":42593,"journal":{"name":"APOS Trends in Orthodontics","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73925588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anindya Kamaratih, H. Ohmori, Misaki Aoyagi, Z. Kanno, T. Ono
The objective of the study was to investigate the relationship between anterior open bite (AOB) malocclusion and digestion by evaluating mastication and gastric emptying (GE) of a solid meal. We recruited 26 female participants and divided them into two groups according to their occlusion status: The control group with normal occlusion (n = 11; age: 25.2 ± 2.8 years; and body mass index [BMI]: 21.1 ± 1.9 kg/m2) and the AOB group with AOB malocclusion (n = 15; age: 23.2 ± 5.5 years; BMI: 21.0 ± 1.6 kg/m2). GE, chewing, and occlusion were assessed simultaneously. A food questionnaire survey was also administered on the same day. A significant positive correlation was noted between open bite and the occlusal analysis findings. Negative correlations were found between the food questionnaire score and both the open bite and occlusal analysis findings, which confirmed that AOB affects mastication. However, no significant difference in the GE rate parameters was observed between the two groups. Adaptive mechanisms may have a compensatory effect on the GE rate. However, the lack of tooth contact in the anterior occlusal region resulted in reduced masticatory ability. Orthodontic treatment should thus be considered, regardless of the presence of digestive problems, to improve mastication.
{"title":"Gastric emptying rate of a solid meal in patients with anterior open bite malocclusion: A preliminary study","authors":"Anindya Kamaratih, H. Ohmori, Misaki Aoyagi, Z. Kanno, T. Ono","doi":"10.25259/apos_167_2021","DOIUrl":"https://doi.org/10.25259/apos_167_2021","url":null,"abstract":"\u0000\u0000The objective of the study was to investigate the relationship between anterior open bite (AOB) malocclusion and digestion by evaluating mastication and gastric emptying (GE) of a solid meal.\u0000\u0000\u0000\u0000We recruited 26 female participants and divided them into two groups according to their occlusion status: The control group with normal occlusion (n = 11; age: 25.2 ± 2.8 years; and body mass index [BMI]: 21.1 ± 1.9 kg/m2) and the AOB group with AOB malocclusion (n = 15; age: 23.2 ± 5.5 years; BMI: 21.0 ± 1.6 kg/m2). GE, chewing, and occlusion were assessed simultaneously. A food questionnaire survey was also administered on the same day.\u0000\u0000\u0000\u0000A significant positive correlation was noted between open bite and the occlusal analysis findings. Negative correlations were found between the food questionnaire score and both the open bite and occlusal analysis findings, which confirmed that AOB affects mastication. However, no significant difference in the GE rate parameters was observed between the two groups.\u0000\u0000\u0000\u0000Adaptive mechanisms may have a compensatory effect on the GE rate. However, the lack of tooth contact in the anterior occlusal region resulted in reduced masticatory ability. Orthodontic treatment should thus be considered, regardless of the presence of digestive problems, to improve mastication.\u0000","PeriodicalId":42593,"journal":{"name":"APOS Trends in Orthodontics","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78625419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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