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Comparison of self-perception in relation to the normative need for orthodontic treatment in a population of dental students in Brazil: A cross-sectional study 在巴西牙科学生群体中,自我知觉与正畸治疗规范需求的比较:一项横断面研究。
IF 1.8 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-12-27 DOI: 10.1016/j.ortho.2024.100963
Luciana Rougemont Squeff , Flavio Copello , Guido Artemio Marañón-Vásquez , Ronir Raggio Luiz , Lincoln Nojima , Matilde da Cunha Gonçalves Nojima

Introduction

This study aimed to identify predictive factors of having a positive or negatively divergent self-perception from the normative orthodontic treatment need (N-OTN).

Methods

All eligible undergraduate students from the School of Dentistry of the XXX were recruited through convenience sampling. They were clinically evaluated to determine their N-OTN using the IOTN and were asked about their self-perceived orthodontic treatment need (S-OTN) using the same scale for both evaluations. The subjects were classified according to the orientation of their perception as: coincident (S-OTN = N-OTN), positive (S-OTN < N-OTN), or negative (S-OTN > N-OTN). Multinomial logistic regression models were implemented to evaluate the contribution of the N-OTN, Angle's malocclusion, oral health-related quality of life (OHRQoL), self-esteem, sex, undergraduate year and age.

Results

Two hundred first- and third-year undergraduate dentistry students were evaluated. It was evidenced that a higher N-OTN increases the probability that S-OTN is positively oriented and decreases the probability that it is negative. A worse OHRQoL score increases the chance that the S-OTN orientation is negative and decreases the chance that it is positive. Moreover, the probability of divergent self-perception in either direction is expected to be lower for women.

Conclusions

Students with a more severe malocclusion tend to have a more positive view of their normative condition. A greater impact on OHRQoL favours having a more negative self-perception of the N-OTN. Women have a less divergent self-perception of the N-OTN.
前言:本研究旨在确定与规范正畸治疗需求(N-OTN)有积极或消极差异的自我知觉的预测因素。方法:采用方便抽样的方法,从XXX牙科学院招收符合条件的本科生。使用IOTN对患者进行临床评估,以确定他们的N-OTN,并使用相同的量表询问他们的自我感知正畸治疗需求(S-OTN)。将被试按知觉取向分为:一致(S-OTN=N-OTN)、积极(S-OTN - otn)。采用多项logistic回归模型评估N-OTN、Angle错颌、口腔健康相关生活质量(OHRQoL)、自尊、性别、本科年级和年龄的贡献。结果:对200名牙科专业本科一、三年级学生进行了评估。结果表明,N-OTN越大,S-OTN为正取向的概率越大,S-OTN为负取向的概率越小。较差的OHRQoL分数增加了S-OTN取向为负的机会,降低了S-OTN取向为正的机会。此外,女性在任何一个方向上的自我认知差异的可能性预计都要低一些。结论:错牙合越严重的学生对自身规范状况的看法越积极。对OHRQoL有更大影响的人倾向于对N-OTN有更消极的自我认知。女性对N-OTN的自我认知差异较小。
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引用次数: 0
The quality of orthognathic surgery information on social media: A scoping review 社交媒体上正颌手术信息的质量:范围审查。
IF 1.8 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-12-19 DOI: 10.1016/j.ortho.2024.100959
Mimi Ngo , Emilija Jensen , Maurice Meade

Introduction

Orthognathic surgery combined with orthodontic treatment is commonly undertaken to address facial and dental disharmony. Content uploaded onto social media platforms can be an important source of healthcare information. This scoping review aimed to collate and synthesize data from studies that investigated the quality of information communicated through these platforms.

Methods

Five databases and grey literature were searched, with no restrictions on location and year published. The PCC (Population, Concept, Context) framework was adopted to select eligible studies. Inclusion criteria included literature that assessed the quality of information on orthognathic surgery in relation to orthodontic treatment in the context of social media.

Results

A total of 12 cross-sectional studies satisfied the selection criteria. The most investigated social media platform was YouTube. The quality of information on all platforms examined was found to be poor to moderate. The most popular content featured patients sharing their treatment experiences, but these often lacked clinically relevant information, focusing mainly on satisfaction with treatment, outcomes and their supervising healthcare professionals. In contrast, healthcare professionals provided content that contained better quality information but had lower views and engagement. The least frequently mentioned topics were found to be complications and their duration, costs, and postoperative expectations. Certain search terms such as “#jawsurgery”, “#surgeryfirst” and “#genioplasty” appeared to resonate more with the public. There was heterogeneity across the methodologies and quality of information instruments used.

Conclusions

Information communicated through social media platforms regarding orthognathic surgery was of poor to moderate quality. Orthodontic professionals should be aware of the limitations of health information on these online platforms and guide individuals to more accurate sources.
简介:正颌手术结合正畸治疗通常用于解决面部和牙齿不和谐。上传到社交媒体平台上的内容可能是医疗保健信息的重要来源。本综述旨在整理和综合调查通过这些平台传播的信息质量的研究数据。方法:检索5个数据库和灰色文献,不受发表地点和年份的限制。采用PCC(人口、概念、背景)框架来选择符合条件的研究。纳入标准包括在社交媒体背景下评估正畸手术与正畸治疗相关信息质量的文献。结果:共有12项横断面研究符合选择标准。被调查最多的社交媒体平台是YouTube。调查发现,所有平台上的信息质量都较差至中等。最受欢迎的内容是患者分享他们的治疗经验,但这些内容往往缺乏临床相关信息,主要关注对治疗、结果和监督医疗保健专业人员的满意度。相比之下,医疗保健专业人员提供的内容包含更高质量的信息,但浏览量和参与度较低。最不常被提及的话题是并发症及其持续时间、费用和术后预期。某些搜索词,如“#颌骨手术”、“#手术优先”和“#genioplasty”似乎更能引起公众的共鸣。所使用的信息工具的方法和质量存在异质性。结论:通过社交媒体平台传播的关于正颌手术的信息质量较差至中等。正畸专业人员应该意识到这些在线平台上健康信息的局限性,并引导个人获得更准确的信息来源。
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引用次数: 0
Management of facial asymmetry assisted with digitally designed surgical guide for 3-dimensional maxillary repositioning: A case report 面部不对称的处理辅助数字设计的手术指南进行三维上颌复位:1例报告。
IF 1.8 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-12-12 DOI: 10.1016/j.ortho.2024.100953
Sanjeev Verma , Vinay Kumar , Raj Kumar Verma , Naveen K Subbaiah , Chaman Lal , Shagun Sharma , Satinder Pal Singh , Vidya Rattan
Orthodontists play a pivotal role in diagnosing, planning, and preparing patients for orthognathic surgeries. Digital technologies like cephalometry, intraoral scans, CBCT scans, CAD-CAM-assisted 3-D planning, and printed surgical splints, have largely replaced conventional techniques. The automated software produces surgical splints with a design similar to conventional which may not address complex scenarios, involving symmetric and asymmetric maxillary impaction. To address this, a surgical splint designed using 3D dolphin software was modified with 3-matic software for precise guidance. This article gives insight into the digitally designed surgical splint for the correction of facial asymmetry on skeletal Class III bases and occlusal canting in an 18-year-old woman. The precise relocation of the maxilla was achieved as planned pre-surgically leading to significant improvement in the facial aesthetics. In conclusion, modified splint design fabrication offers more predictable outcomes, reduces laborious laboratory procedures, and acts as a reliable guide for precise surgical results.
正畸医生在诊断、规划和准备患者接受正颌手术方面发挥着举足轻重的作用。头颅测量、口内扫描、CBCT 扫描、CAD-CAM 辅助三维规划和打印手术夹板等数字技术在很大程度上取代了传统技术。自动化软件制作出的手术夹板设计与传统夹板类似,但可能无法应对复杂的情况,包括对称和不对称的上颌嵌塞。为了解决这个问题,使用 3-matic 软件对使用 3D dolphin 软件设计的手术夹板进行了修改,以实现精确引导。本文介绍了数字化设计的手术夹板,用于矫正一名 18 岁女性骨骼 III 类基底上的面部不对称和咬合倾斜。上颌骨的精确移位按术前计划实现,从而显著改善了面部美观。总之,改良夹板设计制作提供了更可预测的结果,减少了费力的实验室程序,并为精确的手术结果提供了可靠的指导。
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引用次数: 0
Can fluoxetine influence orthodontic tooth movement? A systematic review and meta-analysis of studies on animal models 氟西汀会影响正畸牙齿移动吗?对动物模型研究的系统回顾和荟萃分析。
IF 1.8 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-12-12 DOI: 10.1016/j.ortho.2024.100960
Fawad Javed , Zain Uddin Ahmed , P. Emile Rossouw , Georgios E. Romanos

Introduction

Selective serotonin reuptake inhibitors (SSRIs) such as fluoxetine adversely affect bone mineral density (BMD) and turnover, thereby increasing the risk of fractures. The objective of the present systematic review and meta-analysis was to evaluate studies on animal models that assessed whether fluoxetine can influence orthodontic tooth movement (OTM).

Material and methods

Indexed databases (PubMed/Medline, EMBASE, Cochrane Library, Scopus and ISI Web of Knowledge) and Google Scholar were searched without time and language barriers up to and including June 2024. Original studies that assessed the influence of fluoxetine on OTM were included. Letters to the Editor, reviews, commentaries, perspectives and, in-vitro/ex-vivo studies were excluded. Study selection, and risk of bias (RoB) and quality assessments were assessed. Quantitative assessment (meta-analysis) was also performed using fixed-effects and random effects models.

Results

Four studies performed on male rats were included. Rats in the experimental group underwent OTM with adjunct fluoxetine injections at concentrations ranging between 10–20 mg/kg. Orthodontic forces applied ranged between 25–60 grams. Three studies reported that fluoxetine does not influence OTM. All studies had a high RoB. Three studies demonstrated low certainty (weak) and two showed very low certainty of evidence. In the meta-analysis, the pooled SMD using a random effects model was 0.05 (95% CI: –0.42 to 0.52), indicating no significant overall effect of fluoxetine on OTM. The analysis revealed substantial heterogeneity across the included studies.

Conclusion

Further well-designed and power-adjusted prospective studies are needed to elucidate the role of SSRIs on OTM.

Systematic review registration

PROSPERO CRD42024563793.
简介氟西汀等选择性血清素再摄取抑制剂(SSRIs)会对骨质密度(BMD)和骨转换产生不利影响,从而增加骨折风险。本系统综述和荟萃分析的目的是评估有关氟西汀是否会影响正畸牙齿移动(OTM)的动物模型研究:对索引数据库(PubMed/Medline、EMBASE、Cochrane Library、Scopus 和 ISI Web of Knowledge)和谷歌学术(Google Scholar)进行了检索,没有时间和语言障碍,检索期截至 2024 年 6 月(含 6 月)。纳入了评估氟西汀对 OTM 影响的原创研究。致编辑的信、综述、评论、观点以及体内/体外研究均不包括在内。对研究选择、偏倚风险(RoB)和质量评估进行了评估。还使用固定效应和随机效应模型进行了定量评估(荟萃分析):结果:共纳入了四项针对雄性大鼠的研究。实验组的大鼠在接受 OTM 的同时注射了浓度为 10-20 毫克/千克的氟西汀。正畸力介于 25-60 克之间。三项研究报告称氟西汀对 OTM 没有影响。所有研究的 RoB 都很高。三项研究的证据确定性较低(弱),两项研究的证据确定性很低。在荟萃分析中,使用随机效应模型得出的汇总 SMD 为 0.05(95% CI:-0.42 至 0.52),表明氟西汀对 OTM 没有显著的整体影响。分析显示,纳入的研究之间存在很大的异质性:结论:需要进一步开展精心设计和功率调整的前瞻性研究,以阐明 SSRIs 对 OTM 的作用:系统综述注册:prospero crd42024563793。
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引用次数: 0
Effect of archwire size and lever arm length on anterior and posterior teeth movement during en-masse retraction in personalized lingual orthodontics: A 3-dimensional finite element study 个性化舌正畸术中弓丝大小和杠杆臂长度对前后牙运动的影响:三维有限元研究。
IF 1.8 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-12-12 DOI: 10.1016/j.ortho.2024.100962
Lin Lu , Yafen Zhu , Naiqun Yu , Li Xu , Xiaoyan Chen

Objective

To evaluate the biomechanical effect of anterior and posterior teeth in en-masse retraction in lingual orthodontics using varied archwire sizes and lever arm lengths.

Methods

A finite element model of lingual orthodontics for retracting maxillary anterior teeth was established. The archwire was designed into: Archwire 1: 0.016 × 0.022-inch stainless steel (SS) with 15° extra torque on central incisors, Archwire 2: 0.016 × 0.024-inch SS with 13° extra torque on anterior teeth, Archwire 3: 0.017 × 0.025-inch SS with laterally 0.016 × 0.024-inch, and Archwire 4: 0.018 × 0.025-inch SS with laterally 0.016 × 0.0225-inch. Moreover, the lever arm was set to 0 mm, 2 mm, 4 mm, 6 mm, 8 mm, and 10 mm. Initial displacements were calculated after applying 1.5 N force from mini-implant to lever arms.

Results

In Archwire 1, increasing intrusion and labial tipping on central incisors and decreasing lingual tipping on lateral incisors and canines, as well as decreasing palatal tipping and distal inclination on posterior teeth were observed with lever arm length increase. In Archwire 2, with the lever arm length increase, incisors exhibited increasing labial tipping, while palatal inclination and intrusion of posterior teeth decreased. In Archwire 3 and 4, torque control ability of anterior teeth increased with longer lever arms, as well as decreasing extrusion was observed on central incisors. Posterior teeth moved buccally and distally.

Conclusions

Thick archwire without extra torque combined with longer lever arm are more conducive to en-masse retraction of central incisor. Moreover, extra torque on thinner archwire can also effectively control torque. Besides, additional torque and lever arm lengths affect the movement of posterior teeth.
目的评估在舌侧正畸中使用不同弓丝尺寸和杠杆臂长度时,前牙和后牙在同向牵引中的生物力学效应:建立了用于牵引上颌前牙的舌侧正畸有限元模型。弓丝设计为弓丝 1:0.016×0.022 英寸不锈钢(SS),在中切牙上增加 15° 扭力;弓丝 2:0.016×0.024 英寸 SS,在前牙上增加 13° 扭力;弓丝 3:0.017×0.025 英寸 SS,横向 0.016×0.024 英寸;弓丝 4:0.018×0.025 英寸 SS,横向 0.016×0.0225 英寸。此外,杠杆臂设置为 0 毫米、2 毫米、4 毫米、6 毫米、8 毫米和 10 毫米。从微型种植体到杠杆臂施加 1.5N 力后计算初始位移:在弓丝 1 中,随着杠杆臂长度的增加,中切牙的内陷和唇侧倾增加,侧切牙和犬齿的舌侧倾减少,后牙的腭侧倾和远端倾斜减少。在弓丝 2 中,随着杠杆臂长度的增加,门牙的唇倾角增加,而后牙的腭倾角和内陷减少。在弓丝 3 和 4 中,随着杠杆臂长度的增加,前牙的扭矩控制能力增强,同时观察到中切牙的挤压减少。后牙向颊侧和远侧移动:结论:没有额外扭矩的粗弓丝加上较长的杠杆臂更有利于中切牙的整体后缩。此外,在较细的弓丝上加额外扭矩也能有效控制扭矩。此外,额外扭矩和杠杆臂的长度也会影响后牙的移动。
{"title":"Effect of archwire size and lever arm length on anterior and posterior teeth movement during en-masse retraction in personalized lingual orthodontics: A 3-dimensional finite element study","authors":"Lin Lu ,&nbsp;Yafen Zhu ,&nbsp;Naiqun Yu ,&nbsp;Li Xu ,&nbsp;Xiaoyan Chen","doi":"10.1016/j.ortho.2024.100962","DOIUrl":"10.1016/j.ortho.2024.100962","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the biomechanical effect of anterior and posterior teeth in en-masse retraction in lingual orthodontics using varied archwire sizes and lever arm lengths.</div></div><div><h3>Methods</h3><div>A finite element model of lingual orthodontics for retracting maxillary anterior teeth was established. The archwire was designed into: Archwire 1: 0.016<!--> <!-->×<!--> <!-->0.022-inch stainless steel (SS) with 15° extra torque on central incisors, Archwire 2: 0.016<!--> <!-->×<!--> <!-->0.024-inch SS with 13° extra torque on anterior teeth, Archwire 3: 0.017<!--> <!-->×<!--> <!-->0.025-inch SS with laterally 0.016<!--> <!-->×<!--> <!-->0.024-inch, and Archwire 4: 0.018<!--> <!-->×<!--> <!-->0.025-inch SS with laterally 0.016<!--> <!-->×<!--> <!-->0.0225-inch. Moreover, the lever arm was set to 0<!--> <!-->mm, 2<!--> <!-->mm, 4<!--> <!-->mm, 6<!--> <!-->mm, 8<!--> <!-->mm, and 10<!--> <!-->mm. Initial displacements were calculated after applying 1.5<!--> <!-->N force from mini-implant to lever arms.</div></div><div><h3>Results</h3><div>In Archwire 1, increasing intrusion and labial tipping on central incisors and decreasing lingual tipping on lateral incisors and canines, as well as decreasing palatal tipping and distal inclination on posterior teeth were observed with lever arm length increase. In Archwire 2, with the lever arm length increase, incisors exhibited increasing labial tipping, while palatal inclination and intrusion of posterior teeth decreased. In Archwire 3 and 4, torque control ability of anterior teeth increased with longer lever arms, as well as decreasing extrusion was observed on central incisors. Posterior teeth moved buccally and distally.</div></div><div><h3>Conclusions</h3><div>Thick archwire without extra torque combined with longer lever arm are more conducive to en-masse retraction of central incisor. Moreover, extra torque on thinner archwire can also effectively control torque. Besides, additional torque and lever arm lengths affect the movement of posterior teeth.</div></div>","PeriodicalId":45449,"journal":{"name":"International Orthodontics","volume":"23 2","pages":"Article 100962"},"PeriodicalIF":1.8,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822746","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}
引用次数: 0
Evaluation of the presence of the premaxillary-maxillary suture in growing patients: A retrospective CBCT study 评估生长期患者颌前-颌缝的存在情况:回顾性 CBCT 研究。
IF 1.8 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-12-12 DOI: 10.1016/j.ortho.2024.100958
María Jesús Larrañaga , Taly Lopez , Agustina Maass , María Paz Rodríguez , Ingrid Arndt , Rodrigo Villanueva , Pamela Villalón

Background

The premaxillary-maxillary suture (PMS) is related to midface development, but its exact closure period remains undefined. Some authors consider the premaxilla as an independent bone with potential for orthopaedic stimulation, while others see it as a phylogenetic vestige.

Objective

To determine the prevalence of the premaxillary-maxillary suture (PMS) in cone beam computed tomography (CBCT) images of patients aged 6 to 16 years, according to age and sex, treated at the Dental Clinic of the Pontificia Universidad Católica de Chile's Oral Imaging Service between 2015 and 2023.

Material and methods

CBCT images from 511 subjects were analysed. The presence or absence of the PMS was evaluated in the oblique axial slice. Descriptive statistics of the sample were performed, followed by logistic regression models to assess the relationship between the presence of the PMS and age and sex variables, with a significance level of 5%.

Results

Of the total sample (511 subjects), only 190 cases presented a visible PMS in CBCT images (37.18%), with 104 females and 86 males. When analysing the relationship with sex, no statistically significant association was found (P = 0.090, OR = 0.72). However, a statistically significant association with age was observed (P < 0.001, OR = 0.75).

Conclusion

The prevalence of the PMS in this study was 37.18%, significantly associated with age. The probability of observing the PMS in CBCT images decreases by 25% for each additional year of age. This suggests that PMS is more likely to be observed at younger ages and may be a factor to consider for anterior maxillary advancement in patients with maxillary retrusion. Further studies are needed to evaluate the degree of suture fusion to determine if it can be effectively stimulated by orthopaedic appliances.
背景:颌前-颌缝(PMS)与中面部的发育有关,但其确切的闭合期仍未确定。一些学者认为颌前骨是一种独立的骨骼,具有刺激矫形的潜力,而另一些学者则将其视为系统发育的遗迹:目的:根据年龄和性别,确定2015年至2023年间在智利天主教大学口腔影像服务部牙科诊所接受治疗的6至16岁患者的锥形束计算机断层扫描(CBCT)图像中颌前-颌缝(PMS)的患病率:对 511 名受试者的 CBCT 图像进行了分析。在斜轴切片中评估是否存在 PMS。对样本进行描述性统计,然后用逻辑回归模型评估是否存在 PMS 与年龄和性别变量之间的关系,显著性水平为 5%:在所有样本(511 名受试者)中,只有 190 例(37.18%)在 CBCT 图像中出现明显的 PMS,其中女性 104 例,男性 86 例。在分析与性别的关系时,未发现有统计学意义的关联(P=0.090,OR=0.72)。不过,与年龄的关系有统计学意义(PC结论:本研究中经前期综合征的发病率为 37.18%,与年龄有明显关系。年龄每增加一岁,CBCT 图像中观察到 PMS 的概率就会降低 25%。这表明,年龄越小越容易观察到PMS,这可能是上颌后缩患者进行上颌前移术时需要考虑的一个因素。还需要进一步的研究来评估缝合融合的程度,以确定矫形器是否能有效地刺激缝合融合。
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引用次数: 0
Periodontal, occlusal, and aesthetic outcomes of missing maxillary lateral incisor replacement: A systematic review and network meta-analysis 缺失上颌侧切牙置换的牙周、咬合和美学结果:系统回顾和网络荟萃分析。
IF 1.8 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-12-11 DOI: 10.1016/j.ortho.2024.100957
Marco Migliorati , Arianna Zuffanti , Margherita Capuano , Luigi Canullo , Vito Carlo Alberto Caponio , Maria Menini

Introduction

The aim of this systematic review was to determine the best treatment alternatives for patients with maxillary lateral incisor agenesis (MLIA) by comparing orthodontic space closure, implant and tooth supported dental prostheses by assessing studies that evaluated their periodontal, occlusal (function) and aesthetic results.

Methods

The present systematic review was reported according to the indications of the preferred reporting items for systematic reviews and meta-analysis (PRISMA) incorporating network meta-analysis, and the protocol was registered with PROSPERO (CRD42023487245). The PRISMA systematic search, without restriction on language or initial date, was carried out using electronic databases: MEDLINE (PubMed), Scopus and central register of controlled trials. To assess the aesthetic effects of the different treatment methods, an arm-based network meta-analysis was carried out.

Results

The systematic search initially produced 1177 studies. At the end 10 studies met the inclusion criteria. These studies used various methods of treatment for maxillary lateral incisor agenesis including orthodontic space closure, implant-supported and tooth-supported dental prostheses. Data were extracted from the articles selected, and a network meta-analysis was carried out.

Conclusions

Within the limits of this network meta-analysis, no significant difference was found regarding the aesthetic results between orthodontic space closure or dental implant. Tooth-supported dental prostheses for MLIA reported worse scores in the periodontal indexes than orthodontic space closure treatment but the impact of orthodontic and prosthetic treatment on periodontal health remained contentious. Furthermore, no signs of TMJ dysfunction were observed in patients treated with either orthodontic space closure or prosthetic replacement.
简介:本系统综述的目的是通过对正畸间隙封闭、种植体和牙齿支撑式义齿的牙周、咬合功能和美学结果进行评估,以确定上颌侧切牙发育不全(MLIA)患者的最佳治疗方案。方法:本系统综述按照纳入网络荟萃分析的首选报告项目(PRISMA)的适应症进行报告,方案在PROSPERO注册(CRD42023487245)。PRISMA系统检索不受语言和起始日期的限制,使用电子数据库:MEDLINE (PubMed)、Scopus和central register of controlled trials。为了评估不同治疗方法的美学效果,进行了基于臂的网络meta分析。结果:系统检索最初产生了1177项研究。最终有10项研究符合纳入标准。这些研究使用了各种治疗上颌侧切牙发育不全的方法,包括正畸间隙封闭、种植体支持和牙齿支持的义齿。从所选文章中提取数据,并进行网络meta分析。结论:在网络荟萃分析的范围内,正畸间隙封闭和种植体的美学效果没有显著差异。牙支撑修复体治疗MLIA的牙周指标得分低于正畸间隙封闭治疗,但正畸和修复体治疗对牙周健康的影响仍存在争议。此外,在正畸间隙关闭或假体置换治疗的患者中,没有观察到TMJ功能障碍的迹象。
{"title":"Periodontal, occlusal, and aesthetic outcomes of missing maxillary lateral incisor replacement: A systematic review and network meta-analysis","authors":"Marco Migliorati ,&nbsp;Arianna Zuffanti ,&nbsp;Margherita Capuano ,&nbsp;Luigi Canullo ,&nbsp;Vito Carlo Alberto Caponio ,&nbsp;Maria Menini","doi":"10.1016/j.ortho.2024.100957","DOIUrl":"10.1016/j.ortho.2024.100957","url":null,"abstract":"<div><h3>Introduction</h3><div>The aim of this systematic review was to determine the best treatment alternatives for patients with maxillary lateral incisor agenesis (MLIA) by comparing orthodontic space closure, implant and tooth supported dental prostheses by assessing studies that evaluated their periodontal, occlusal (function) and aesthetic results.</div></div><div><h3>Methods</h3><div>The present systematic review was reported according to the indications of the preferred reporting items for systematic reviews and meta-analysis (PRISMA) incorporating network meta-analysis, and the protocol was registered with PROSPERO (CRD42023487245). The PRISMA systematic search, without restriction on language or initial date, was carried out using electronic databases: MEDLINE (PubMed), Scopus and central register of controlled trials. To assess the aesthetic effects of the different treatment methods, an arm-based network meta-analysis was carried out.</div></div><div><h3>Results</h3><div>The systematic search initially produced 1177 studies. At the end 10 studies met the inclusion criteria. These studies used various methods of treatment for maxillary lateral incisor agenesis including orthodontic space closure, implant-supported and tooth-supported dental prostheses. Data were extracted from the articles selected, and a network meta-analysis was carried out.</div></div><div><h3>Conclusions</h3><div>Within the limits of this network meta-analysis, no significant difference was found regarding the aesthetic results between orthodontic space closure or dental implant. Tooth-supported dental prostheses for MLIA reported worse scores in the periodontal indexes than orthodontic space closure treatment but the impact of orthodontic and prosthetic treatment on periodontal health remained contentious. Furthermore, no signs of TMJ dysfunction were observed in patients treated with either orthodontic space closure or prosthetic replacement.</div></div>","PeriodicalId":45449,"journal":{"name":"International Orthodontics","volume":"23 1","pages":"Article 100957"},"PeriodicalIF":1.8,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819740","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}
引用次数: 0
A comparative in vitro study of different composite materials in terms of aligner attachment accuracy and surface roughness using different curing irradiances 不同复合材料在不同固化辐照度下对准器附着精度和表面粗糙度的体外比较研究。
IF 1.8 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-12-10 DOI: 10.1016/j.ortho.2024.100961
Servet Erbas, Ezgi Atik

Background

To evaluate 4 different composite resins in terms of aligner attachment accuracy and surface roughness.

Material and methods

160 premolars were divided into 4 groups (n = 40): Group 1: GC Aligner Connect™; 2: GC Ortho Connect™; 3: 3M ESPE Filtek™ Z350 XT flowable; 4: 3M ESPE Filtek™ Z350 XT Universal. Each group was divided into 2 equal subgroups regarding curing irradiances (Power of 1000 mW/cm2 in subgroup A for 10 s, and 3200 mW/cm2in B for 3 s, VALO™ Cordless-LED Curing Light). The primary objective was to compare the realized attachments with those of the virtual with 3D Geomagic software. A contact surface profiler was used for roughness measurement (Ra) as the secondary aim. The data were analysed using the IBM SPSS 25.0. The significance level was set at p < 0.05.

Results

In subgroup A, the mean “excess” accuracy measurement of the 3M ESPE Filtek ™Z350 XT flowable resin was found to be higher than others. In subgroup B, the “excess” accuracy measurements of the 3M ESPE Filtek™Z350 XT flowable (0.24 ± 0.07 mm) and Universal (0.26 ± 0.05 mm) resins were significantly higher than those of the GC Aligner Connect™ resin (0.17 ± 0.06 mm), (p < 0.05). According to the Ra measurements in subgroup A, the measurement of the GC Aligner Connect™ (1.75 ± 1.09 μm), GC Ortho Connect™ (0.99 ± 1.04 μm) and 3M ESPE Filtek™ Z350 XT flowable (1.33 ± 1.16 μm) resins were found to be higher than of the Universal resin (0.07 ± 0.11 μm), (p < 0.05). In subgroup B, the Ra measurement of the GC Aligner Connect™ (1.74 ± 1.81 μm) was found to be higher than that of the 3M ESPE Filtek™ Z350 XT flowable (0.11 ± 0.18 μm) resin (p = 0.010). Ra measurement observed for the 10-second curing factor for the 3M ESPE Filtek™ Z350 XT Flowable resin group was found to be significantly higher than for the 3-second curing factor (p < 0.001).

Conclusion

In terms of “excess” value of accuracy, 3M ESPE Filtek™ Z350 XT flowable composite resin showed a higher value. The lowest surface roughness was observed for Universal restorative resin considering low power irradiation, while was observed for 3M ESPE Filtek™ Z350 XT flowable resin considering high power irradiation.
背景:评价4种不同的复合树脂对对准器附着精度和表面粗糙度的影响。材料与方法:160颗前磨牙分为4组(n=40):第一组:GC Aligner Connect™;2: GC Ortho Connect™;3: 3M ESPE Filtek™Z350 XT可流动;4: 3M ESPE Filtek™Z350 XT Universal每组按固化辐照度分为2个相同的子组(A组功率为1000 mW/cm2,持续10秒,B组功率为3200 mW/cm2,持续3秒,VALO™无绳led固化灯)。主要目的是用3D Geomagic软件将实现的附件与虚拟的附件进行比较。采用接触面轮廓仪作为辅助目标进行粗糙度测量(Ra)。采用IBM SPSS 25.0软件对数据进行分析。结果:在A亚组中,发现3M ESPE Filtek™Z350 XT可流动树脂的平均“超额”精度测量高于其他树脂。在B亚组中,3M ESPE Filtek™Z350 XT可流动树脂的“超额”精度测量值(0.24±0.07mm)和Universal(0.26±0.05mm)均显著高于GC Aligner Connect™树脂(0.17±0.06mm)。(p)结论:3M ESPE Filtek™Z350 XT可流动复合树脂的“超额”精度测量值更高。考虑低功率辐照的通用修复树脂表面粗糙度最低,而考虑高功率辐照的3M ESPE Filtek™Z350 XT可流动树脂表面粗糙度最低。
{"title":"A comparative in vitro study of different composite materials in terms of aligner attachment accuracy and surface roughness using different curing irradiances","authors":"Servet Erbas,&nbsp;Ezgi Atik","doi":"10.1016/j.ortho.2024.100961","DOIUrl":"10.1016/j.ortho.2024.100961","url":null,"abstract":"<div><h3>Background</h3><div>To evaluate 4 different composite resins in terms of aligner attachment accuracy and surface roughness.</div></div><div><h3>Material and methods</h3><div>160 premolars were divided into 4 groups (<em>n</em> <!-->=<!--> <!-->40): Group 1: GC Aligner Connect™; 2: GC Ortho Connect™; 3: 3M ESPE Filtek™ Z350 XT flowable; 4: 3M ESPE Filtek™ Z350 XT Universal. Each group was divided into 2 equal subgroups regarding curing irradiances (Power of 1000 mW/cm<sup>2</sup> in subgroup A for 10<!--> <!-->s, and 3200 mW/cm<sup>2</sup>in B for 3<!--> <!-->s, VALO™ Cordless-LED Curing Light). The primary objective was to compare the realized attachments with those of the virtual with 3D Geomagic software. A contact surface profiler was used for roughness measurement (Ra) as the secondary aim. The data were analysed using the IBM SPSS 25.0. The significance level was set at <em>p</em> <!-->&lt;<!--> <!-->0.05.</div></div><div><h3>Results</h3><div>In subgroup A, the mean “excess” accuracy measurement of the 3M ESPE Filtek ™Z350 XT flowable resin was found to be higher than others. In subgroup B, the “excess” accuracy measurements of the 3M ESPE Filtek™Z350 XT flowable (0.24<!--> <!-->±<!--> <!-->0.07<!--> <!-->mm) and Universal (0.26<!--> <!-->±<!--> <!-->0.05<!--> <!-->mm) resins were significantly higher than those of the GC Aligner Connect™ resin (0.17<!--> <!-->±<!--> <!-->0.06<!--> <!-->mm), (<em>p</em> <!-->&lt;<!--> <!-->0.05). According to the Ra measurements in subgroup A, the measurement of the GC Aligner Connect™ (1.75<!--> <!-->±<!--> <!-->1.09<!--> <!-->μm), GC Ortho Connect™ (0.99<!--> <!-->±<!--> <!-->1.04<!--> <!-->μm) and 3M ESPE Filtek™ Z350 XT flowable (1.33<!--> <!-->±<!--> <!-->1.16<!--> <!-->μm) resins were found to be higher than of the Universal resin (0.07<!--> <!-->±<!--> <!-->0.11<!--> <!-->μm), (<em>p</em> <!-->&lt;<!--> <!-->0.05). In subgroup B, the Ra measurement of the GC Aligner Connect™ (1.74<!--> <!-->±<!--> <!-->1.81<!--> <!-->μm) was found to be higher than that of the 3M ESPE Filtek™ Z350 XT flowable (0.11<!--> <!-->±<!--> <!-->0.18<!--> <!-->μm) resin (<em>p</em> <!-->=<!--> <!-->0.010). Ra measurement observed for the 10-second curing factor for the 3M ESPE Filtek™ Z350 XT Flowable resin group was found to be significantly higher than for the 3-second curing factor (<em>p</em> <!-->&lt;<!--> <!-->0.001).</div></div><div><h3>Conclusion</h3><div>In terms of “excess” value of accuracy, 3M ESPE Filtek™ Z350 XT flowable composite resin showed a higher value. The lowest surface roughness was observed for Universal restorative resin considering low power irradiation, while was observed for 3M ESPE Filtek™ Z350 XT flowable resin considering high power irradiation.</div></div>","PeriodicalId":45449,"journal":{"name":"International Orthodontics","volume":"23 2","pages":"Article 100961"},"PeriodicalIF":1.8,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814251","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}
引用次数: 0
Non-extraction camouflage on a fully cooperative full-step class II division 2 adult patient treated with en-masse distalization, class II elastics and preadjusted lingual appliance: A case report 对一名完全合作的全阶梯 II 类 2 级成人患者进行非拔牙伪装,并采用全口远端矫治、II 类弹性矫治器和预调舌侧矫治器进行治疗:病例报告
IF 1.8 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-27 DOI: 10.1016/j.ortho.2024.100954
Enrico Albertini, Anna Colonna, Paolo Albertini, Luca Lombardo
This article describes one adult bilateral full-step class II case with severe initial upper incisors retroclination successfully treated by a completely invisible lingual appliance. A non-extraction treatment to compensate for the severe sagittal discrepancy was made possible following the excellent patient cooperation with intermaxillary elastics, combined with upper arch en-masse effective distalization with miniscrews. The application of an auxiliary torque spring was essential to increase upper incisors torque during class II mechanics. This case report shows the possibility of obtaining a full-step class II correction in an hypodivergent adult patient with a completely invisible appliance, taking advantage for the patient cooperation, for a more straightforward and faster non-extraction case resolution. It also underlines on the other hand the importance of successfully controlling incisors torque with auxiliaries in cases of severe retroclination in an adult class II malocclusion, in combination with the simultaneous distalization mechanics for monolateral full-step class II correction, by means of a completely invisible appliance.
本文描述了一个成人双侧全阶梯 II 类病例,该病例患有严重的初始上切牙后倾,采用完全隐形的舌侧矫治器成功治疗了该病。在患者与颌间牵引器的良好配合下,采用非拔牙治疗弥补了严重的矢状不齐,同时使用微型螺钉对上牙弓进行了有效的整体远端矫治。辅助扭力弹簧的应用对于在二类力学中增加上切牙扭力至关重要。本病例报告显示了使用完全隐形矫治器对低分叉的成年患者进行全阶 II 类矫治的可能性,同时利用了患者合作的优势,实现了更直接、更快速的非拔牙矫治。另一方面,报告还强调了在成人 II 类错牙合严重后倾的病例中,通过辅助器成功控制切牙扭矩的重要性,同时结合远端矫治力学,使用全隐形矫治器进行单侧全阶梯 II 类矫治。
{"title":"Non-extraction camouflage on a fully cooperative full-step class II division 2 adult patient treated with en-masse distalization, class II elastics and preadjusted lingual appliance: A case report","authors":"Enrico Albertini,&nbsp;Anna Colonna,&nbsp;Paolo Albertini,&nbsp;Luca Lombardo","doi":"10.1016/j.ortho.2024.100954","DOIUrl":"10.1016/j.ortho.2024.100954","url":null,"abstract":"<div><div>This article describes one adult bilateral full-step class II case with severe initial upper incisors retroclination successfully treated by a completely invisible lingual appliance. A non-extraction treatment to compensate for the severe sagittal discrepancy was made possible following the excellent patient cooperation with intermaxillary elastics, combined with upper arch en-masse effective distalization with miniscrews. The application of an auxiliary torque spring was essential to increase upper incisors torque during class II mechanics. This case report shows the possibility of obtaining a full-step class II correction in an hypodivergent adult patient with a completely invisible appliance, taking advantage for the patient cooperation, for a more straightforward and faster non-extraction case resolution. It also underlines on the other hand the importance of successfully controlling incisors torque with auxiliaries in cases of severe retroclination in an adult class II malocclusion, in combination with the simultaneous distalization mechanics for monolateral full-step class II correction, by means of a completely invisible appliance.</div></div>","PeriodicalId":45449,"journal":{"name":"International Orthodontics","volume":"23 1","pages":"Article 100954"},"PeriodicalIF":1.8,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721694","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}
引用次数: 0
Antibacterial efficacy of nanoparticles on orthodontic materials—A systematic review and meta-analysis 纳米粒子对正畸材料的抗菌功效--系统综述和荟萃分析
IF 1.8 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-11-25 DOI: 10.1016/j.ortho.2024.100955
Dhruv Ahuja, Ashish Kumar Singh, Puneet Batra

Aim

This study aims to evaluate the efficacy of coated nanoparticles within orthodontic appliances as a novel strategy to enhance their antibacterial properties.

Material and methods

A systematic search for relevant articles published between 2013 and March 2024 was conducted across electronic databases including PubMed, Scopus, Web of Science, and EBSCOhost. Studies meeting pre-defined eligibility criteria were included and assessed for methodological quality. Data on the antibacterial activity of coated nanoparticles on orthodontic appliances was extracted from included studies.

Results

A range of antimicrobial agents, including metallic nanoparticles (silver, titanium dioxide, silver-platinum alloy, zinc oxide, copper oxide), and others like chitosan, quaternary ammonium-modified gold nanoclusters, titanium nitride doped with calcium phosphate, and graphene oxide, have been explored for incorporation into orthodontic materials. Studies have shown a significant boost in the antibacterial capacity of these materials compared to controls, suggesting promise for improved oral hygiene during orthodontic treatment.

Conclusion

It can be concluded that incorporating nanoparticles into orthodontic appliances holds promise for enhancing their antibacterial properties. However, the studies displayed significant heterogeneity therefore, further research with standardized protocols for factors like nanoparticle size, concentration, and incorporation techniques across various orthodontic materials is crucial to guide future clinical applications.

Prospero registration

CRD42024521326.
材料和方法 通过电子数据库(包括 PubMed、Scopus、Web of Science 和 EBSCOhost)对 2013 年至 2024 年 3 月间发表的相关文章进行了系统检索。符合预设资格标准的研究均被纳入,并进行了方法学质量评估。结果 一系列抗菌剂,包括金属纳米粒子(银、二氧化钛、银铂合金、氧化锌、氧化铜),以及壳聚糖、季铵盐改性金纳米团簇、掺杂磷酸钙的氮化钛和氧化石墨烯等其他抗菌剂,已被探索用于正畸材料中。研究表明,与对照组相比,这些材料的抗菌能力明显增强,这表明在正畸治疗期间有望改善口腔卫生。然而,这些研究显示出明显的异质性,因此,进一步研究各种正畸材料中纳米粒子的大小、浓度和加入技术等因素的标准化方案对于指导未来的临床应用至关重要。
{"title":"Antibacterial efficacy of nanoparticles on orthodontic materials—A systematic review and meta-analysis","authors":"Dhruv Ahuja,&nbsp;Ashish Kumar Singh,&nbsp;Puneet Batra","doi":"10.1016/j.ortho.2024.100955","DOIUrl":"10.1016/j.ortho.2024.100955","url":null,"abstract":"<div><h3>Aim</h3><div>This study aims to evaluate the efficacy of coated nanoparticles within orthodontic appliances as a novel strategy to enhance their antibacterial properties.</div></div><div><h3>Material and methods</h3><div>A systematic search for relevant articles published between 2013 and March 2024 was conducted across electronic databases including PubMed, Scopus, Web of Science, and EBSCOhost. Studies meeting pre-defined eligibility criteria were included and assessed for methodological quality. Data on the antibacterial activity of coated nanoparticles on orthodontic appliances was extracted from included studies.</div></div><div><h3>Results</h3><div>A range of antimicrobial agents, including metallic nanoparticles (silver, titanium dioxide, silver-platinum alloy, zinc oxide, copper oxide), and others like chitosan, quaternary ammonium-modified gold nanoclusters, titanium nitride doped with calcium phosphate, and graphene oxide, have been explored for incorporation into orthodontic materials. Studies have shown a significant boost in the antibacterial capacity of these materials compared to controls, suggesting promise for improved oral hygiene during orthodontic treatment.</div></div><div><h3>Conclusion</h3><div>It can be concluded that incorporating nanoparticles into orthodontic appliances holds promise for enhancing their antibacterial properties. However, the studies displayed significant heterogeneity therefore, further research with standardized protocols for factors like nanoparticle size, concentration, and incorporation techniques across various orthodontic materials is crucial to guide future clinical applications.</div></div><div><h3>Prospero registration</h3><div>CRD42024521326.</div></div>","PeriodicalId":45449,"journal":{"name":"International Orthodontics","volume":"23 1","pages":"Article 100955"},"PeriodicalIF":1.8,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142697879","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}
引用次数: 0
期刊
International Orthodontics
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