Pub Date : 2025-02-07DOI: 10.1053/j.sodo.2025.02.001
Çağla Şar , Buket Erdem , Merve Nur Eğlenen , Murat Koçak , Derya Germeç-Çakan
The involvement of female orthodontists in academic research has markedly increased in the 21st century. This bibliometric analysis evaluates the 1000 most-cited orthodontic articles to assess the influence of female orthodontists in research between the years 2000–2023. A total of 677 publications featuring at least one female orthodontic author were identified, with 54 % being first-written by women and 4.58 % produced only by female contributions. Forty-eight percent of these publications were published in the American Journal of Orthodontics and Dentofacial Orthopedics. The United States ranked first in publications, followed by Brazil and Italy, with the University of Michigan being the most productive institution. Research trends have transitioned from root resorption and skeletal growth in earlier years to artificial intelligence and digital technologies in more recent times.
{"title":"The impact of female orthodontists in 21st century research: A bibliometric analysis of the 1000 most cited articles (2000–2023)","authors":"Çağla Şar , Buket Erdem , Merve Nur Eğlenen , Murat Koçak , Derya Germeç-Çakan","doi":"10.1053/j.sodo.2025.02.001","DOIUrl":"10.1053/j.sodo.2025.02.001","url":null,"abstract":"<div><div>The involvement of female orthodontists in academic research has markedly increased in the 21st century. This bibliometric analysis evaluates the 1000 most-cited orthodontic articles to assess the influence of female orthodontists in research between the years 2000–2023. A total of 677 publications featuring at least one female orthodontic author were identified, with 54 % being first-written by women and 4.58 % produced only by female contributions. Forty-eight percent of these publications were published in the American Journal of Orthodontics and Dentofacial Orthopedics. The United States ranked first in publications, followed by Brazil and Italy, with the University of Michigan being the most productive institution. Research trends have transitioned from root resorption and skeletal growth in earlier years to artificial intelligence and digital technologies in more recent times.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"31 3","pages":"Pages 363-375"},"PeriodicalIF":2.2,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144185179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1053/j.sodo.2023.12.013
Manuel Nienkemper , Björn Ludwig
To evaluate the influence of guided insertion on the success of paramedian palatal miniscrews the treatment of 103 patients was evaluated. The patients were divided into two groups. The miniscrews of group A (65 patients, 130 miniscrews; conventional insertion) showed a success rate of 97.69 %, those of group B (38 patients, 76 miniscrews; guided insertion) a success rate of 97.37 %). The differences were not statistically significant. Guided insertion of miniscrews did not lead to a higher success rate compared to conventional freehand insertion when inserting in the paramedian part of the T-zone. Likewise, root damage could be avoided even without guide. Operator bias, in the sense of an experienced operator should be taken into account when interpreting the results. Nevertheless, the guided insertion offers advantages regarding the workflow and simplifies insertion.
{"title":"Influence of guided insertion on the success of paramedian palatal miniscrews","authors":"Manuel Nienkemper , Björn Ludwig","doi":"10.1053/j.sodo.2023.12.013","DOIUrl":"10.1053/j.sodo.2023.12.013","url":null,"abstract":"<div><div>To evaluate the influence of guided insertion on the success of paramedian palatal miniscrews the treatment of 103 patients was evaluated. The patients were divided into two groups. The miniscrews of group A (65 patients, 130 miniscrews; conventional insertion) showed a success rate of 97.69 %, those of group B (38 patients, 76 miniscrews; guided insertion) a success rate of 97.37 %). The differences were not statistically significant. Guided insertion of miniscrews did not lead to a higher success rate compared to conventional freehand insertion when inserting in the paramedian part of the T-zone. Likewise, root damage could be avoided even without guide. Operator bias, in the sense of an experienced operator should be taken into account when interpreting the results. Nevertheless, the guided insertion offers advantages regarding the workflow and simplifies insertion.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"31 1","pages":"Pages 98-103"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139069625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1053/j.sodo.2024.06.001
G. Iodice , B. Ludwig
In recent years, there has been a growing trend in orthodontics to use the anterior palatal vault as an insertion site for temporary anchorage devices (TADs), to expand orthodontic possibilities and limit the collateral and unwanted dental effects. To improve accessibility and facilitate the procedure for clinicians, a guided approach for TAD insertion in the palatal vault, using insertion guides, has become increasingly prevalent. The manuscript primarily focuses on the real advantages and possible disadvantages that clinicians can expect when using insertion guides during TAD insertion into the palatal vault. Safety, precise evaluation of insertion depth, and the potential to execute a "one-visit protocol" are examined. Indeed, both direct and indirect palatal insertion protocols result to be efficient and safe in daily practice. The use of insertion guides result to be particularly beneficial for less experienced clinicians as well as for more complex patients and impacted teeth cases. Insertion guides can be created overlapping intraoral scanning to cbct or also to lateral teleradiograph, with sufficient accuracy and lower radiation exposure. However this method is limited in achieving bicortical evaluation, as well as relations to incisive canal and nasal floor. Finally a case report is presented, describing a full digital orthodontic treatment of a young adult patient presenting narrow maxilla. Slow maxillary expansion and fixed orthodontic treatment are described.
{"title":"Insertion guide for palatal TADs: Advantages and disadvantages from the clinical point of view","authors":"G. Iodice , B. Ludwig","doi":"10.1053/j.sodo.2024.06.001","DOIUrl":"10.1053/j.sodo.2024.06.001","url":null,"abstract":"<div><div>In recent years, there has been a growing trend in orthodontics to use the anterior palatal vault as an insertion site for temporary anchorage devices (TADs), to expand orthodontic possibilities and limit the collateral and unwanted dental effects. To improve accessibility and facilitate the procedure for clinicians, a guided approach for TAD insertion in the palatal vault, using insertion guides, has become increasingly prevalent. The manuscript primarily focuses on the real advantages and possible disadvantages that clinicians can expect when using insertion guides during TAD insertion into the palatal vault. Safety, precise evaluation of insertion depth, and the potential to execute a \"one-visit protocol\" are examined. Indeed, both direct and indirect palatal insertion protocols result to be efficient and safe in daily practice. The use of insertion guides result to be particularly beneficial for less experienced clinicians as well as for more complex patients and impacted teeth cases. Insertion guides can be created overlapping intraoral scanning to cbct or also to lateral teleradiograph, with sufficient accuracy and lower radiation exposure. However this method is limited in achieving bicortical evaluation, as well as relations to incisive canal and nasal floor. Finally a case report is presented, describing a full digital orthodontic treatment of a young adult patient presenting narrow maxilla. Slow maxillary expansion and fixed orthodontic treatment are described.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"31 1","pages":"Pages 91-97"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141408842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1053/j.sodo.2024.10.004
Selena H.M. Tee , Jörg Glockengießer , Vanessa Knode , Padhraig S. Fleming
The increased adoption of CAD-CAM technology parallels the expansion of digital dentistry internationally with orthodontics forecast to experience the highest level of associated growth. We aim to provide an overview of CAD-CAM workflows including different methods and materials for retainer manufacturing underpinned by best-available contemporary evidence. CAD-CAM approaches to fixed retention have led to streamlined workflows potentially reducing manpower issues while broadening both the material and design options. The ability to customize retainers also promotes improved anatomical adaptation. These advantages may translate into improved longevity and effectiveness of CAD-CAM retainers. Further studies are however required to evaluate the relative merits of CAD-CAM retainers on a long-term basis.
{"title":"3D designed and manufactured retainers","authors":"Selena H.M. Tee , Jörg Glockengießer , Vanessa Knode , Padhraig S. Fleming","doi":"10.1053/j.sodo.2024.10.004","DOIUrl":"10.1053/j.sodo.2024.10.004","url":null,"abstract":"<div><div>The increased adoption of CAD-CAM technology parallels the expansion of digital dentistry internationally with orthodontics forecast to experience the highest level of associated growth. We aim to provide an overview of CAD-CAM workflows including different methods and materials for retainer manufacturing underpinned by best-available contemporary evidence. CAD-CAM approaches to fixed retention have led to streamlined workflows potentially reducing manpower issues while broadening both the material and design options. The ability to customize retainers also promotes improved anatomical adaptation. These advantages may translate into improved longevity and effectiveness of CAD-CAM retainers. Further studies are however required to evaluate the relative merits of CAD-CAM retainers on a long-term basis.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"31 1","pages":"Pages 167-176"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143134162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1053/j.sodo.2024.10.006
Bjorn Ludwig
This issue of seminars revolves around digital orthodontics and showcases cuttingedge technology. It's not just a trendy new concept; all authors strive to add a balanced opinion and clinical conclusions to evaluate if this present technology is merely a hype feeding our FOMO or if it indeed provides significant advantages to patients and doctors alike. The digital orthodontics wave has been rolling on for over a decade. The spread of scanners, printers, and connecting software is visible in every country. Reasons to push and justify this hype—beyond the financial interests of companies—often include a lack of skilled employees, more complex cases, economic pressures, and the hope that automation might solve many challenges
{"title":"Digital orthodontics: Hype, hope, or both?","authors":"Bjorn Ludwig","doi":"10.1053/j.sodo.2024.10.006","DOIUrl":"10.1053/j.sodo.2024.10.006","url":null,"abstract":"<div><div>This issue of seminars revolves around digital orthodontics and showcases cuttingedge technology. It's not just a trendy new concept; all authors strive to add a balanced opinion and clinical conclusions to evaluate if this present technology is merely a hype feeding our FOMO or if it indeed provides significant advantages to patients and doctors alike. The digital orthodontics wave has been rolling on for over a decade. The spread of scanners, printers, and connecting software is visible in every country. Reasons to push and justify this hype—beyond the financial interests of companies—often include a lack of skilled employees, more complex cases, economic pressures, and the hope that automation might solve many challenges</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"31 1","pages":"Pages 1-4"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143134018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1053/j.sodo.2024.06.011
Cheryl Su-Hsyen LAI , Mark Joo Seng GAN , Ching-Chiuan YEN , Kelvin Weng Chiong FOONG
Clinical reasoning is an essential competence to develop in the diagnosis and treatment planning of impacted maxillary canines to ensure good treatment outcomes. It involves skills of radiographic interpretation and mental visualization. To master these, postgraduate students learn to interpret 2D and 3D X-rays to locate these canines accurately. This process demands the creation of mental models of the impaction and resolving it either by envisioning the canine's movement to its correct position or considering its removal. To facilitate this cognitive exercise, a 3D-printed simulator, derived from Cone Beam Computed Tomography scans, serves as a tool to allow students to experiment with various movement simulations, helping them select the most viable treatment approach.
This project aimed to assess the differences in expert and novice orthodontists’ clinical reasoning for impacted maxillary canines, and whether the addition of a 3D simulator would affect their reasoning. Thirteen (13) novices randomly assigned to a control and intervention group and three (3) experts took part in a Think-Aloud exercise to diagnose and treatment plan a case of bilaterally impacted maxillary canines. Experts and intervention group novices had the 3D simulator in addition to standardized patient records. Their responses were recorded and analyzed according to a coding scheme reflecting the clinical reasoning process. While experts demonstrated quick clinical judgment and found the 3D simulator redundant, novices were more uncertain and required additional cues. Novices using the 3D simulator described more elaborate treatment plans and had increased awareness of potential complications as compared to the control group.
临床推理能力是上颌犬齿撞击的诊断和治疗计划中需要培养的一项基本能力，以确保良好的治疗效果。这涉及到X光片判读和心理可视化技能。为了掌握这些技能，研究生们要学习解读二维和三维 X 射线，以准确定位这些犬齿。这一过程要求建立阻生牙的心理模型，并通过设想将阻生牙移动到正确位置或考虑将其拔除来解决这一问题。为了促进这种认知练习，一个根据锥形束计算机断层扫描图像制作的 3D 打印模拟器可作为一种工具，让学生尝试各种运动模拟，帮助他们选择最可行的治疗方法。
{"title":"Does 3D simulation impact clinical reasoning for orthodontic treatment planning of impacted maxillary canines?","authors":"Cheryl Su-Hsyen LAI , Mark Joo Seng GAN , Ching-Chiuan YEN , Kelvin Weng Chiong FOONG","doi":"10.1053/j.sodo.2024.06.011","DOIUrl":"10.1053/j.sodo.2024.06.011","url":null,"abstract":"<div><div>Clinical reasoning is an essential competence to develop in the diagnosis and treatment planning of impacted maxillary canines to ensure good treatment outcomes. It involves skills of radiographic interpretation and mental visualization. To master these, postgraduate students learn to interpret 2D and 3D X-rays to locate these canines accurately. This process demands the creation of mental models of the impaction and resolving it either by envisioning the canine's movement to its correct position or considering its removal. To facilitate this cognitive exercise, a 3D-printed simulator, derived from Cone Beam Computed Tomography scans, serves as a tool to allow students to experiment with various movement simulations, helping them select the most viable treatment approach.</div><div>This project aimed to assess the differences in expert and novice orthodontists’ clinical reasoning for impacted maxillary canines, and whether the addition of a 3D simulator would affect their reasoning. Thirteen (13) novices randomly assigned to a control and intervention group and three (3) experts took part in a Think-Aloud exercise to diagnose and treatment plan a case of bilaterally impacted maxillary canines. Experts and intervention group novices had the 3D simulator in addition to standardized patient records. Their responses were recorded and analyzed according to a coding scheme reflecting the clinical reasoning process. While experts demonstrated quick clinical judgment and found the 3D simulator redundant, novices were more uncertain and required additional cues. Novices using the 3D simulator described more elaborate treatment plans and had increased awareness of potential complications as compared to the control group.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"31 1","pages":"Pages 158-166"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141577844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1053/j.sodo.2024.05.012
Jörg Glockengießer , Jens Johannes Bock
{"title":"Design and clinical use of a completely digitally created twin block","authors":"Jörg Glockengießer , Jens Johannes Bock","doi":"10.1053/j.sodo.2024.05.012","DOIUrl":"10.1053/j.sodo.2024.05.012","url":null,"abstract":"","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"31 1","pages":"Pages 115-120"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141718263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1053/j.sodo.2024.06.003
Richard RJ Cousley
The traditional Twin Block appliance (TBA) has been an effective treatment for adolescent Class II patients since the 1980s, but with limitations related to its design, and combination of acrylic and metal components. This paper describes a paradigm shift following the recent introduction of the digital Twin Block appliance (DTB) with its virtual design, indirect and direct 3D printing options, in-house fabrication, potential advantages and difficulties.
{"title":"The twin block appliance in the era of digital orthodontics","authors":"Richard RJ Cousley","doi":"10.1053/j.sodo.2024.06.003","DOIUrl":"10.1053/j.sodo.2024.06.003","url":null,"abstract":"<div><div>The traditional Twin Block appliance (TBA) has been an effective treatment for adolescent Class II patients since the 1980s, but with limitations related to its design, and combination of acrylic and metal components. This paper describes a paradigm shift following the recent introduction of the digital Twin Block appliance (DTB) with its virtual design, indirect and direct 3D printing options, in-house fabrication, potential advantages and difficulties.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"31 1","pages":"Pages 121-129"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141412201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1053/j.sodo.2024.06.010
Christoph J. Roser , Vincenzo D'Anto , Chrisopher J. Lux , Cristiano Segnini
Functional therapy in growing patients is a highly relevant area in orthodontics. With the increasing integration of computer-aided design and manufacturing technology (CAD/CAM) in orthodontics, we are witnessing significant advancements in the design of orthodontic appliances. Modern 3D printing technologies allow for the creation of complex, customized equipment in a cost-effective and time-efficient manner, using robust and durable resins. Additionally, the creative input of dental CAD design programs has led to the development of new designs.
The aim of this report is to present a novel digital orthodontic prescription that aligns with the concept of a “full digital workflow”. This prescription utilizes a digital virtual configurator, enabling effective communication between the clinician, the technician and the patient.
Using this prescription system, clinicians can easily configurate an orthodontic appliance before sending it to a dental technician for individualisation. 3D printing of the final design can then be performed directly within the dental office or by the technician. This approach allows the clinician to explore different orthodontic equipment options and modules, without the requirement for a demanding and sophisticated design process and without any knowledge of CAD. The availability of the present configurator might represent a fundamental advancement in the field of the CAD/CAM production of removable appliance linked to economic and ecological benefits.
{"title":"A digital CAD/CAM configurator for the production of orthodontic appliances – Going new ways","authors":"Christoph J. Roser , Vincenzo D'Anto , Chrisopher J. Lux , Cristiano Segnini","doi":"10.1053/j.sodo.2024.06.010","DOIUrl":"10.1053/j.sodo.2024.06.010","url":null,"abstract":"<div><div>Functional therapy in growing patients is a highly relevant area in orthodontics. With the increasing integration of computer-aided design and manufacturing technology (CAD/CAM) in orthodontics, we are witnessing significant advancements in the design of orthodontic appliances. Modern 3D printing technologies allow for the creation of complex, customized equipment in a cost-effective and time-efficient manner, using robust and durable resins. Additionally, the creative input of dental CAD design programs has led to the development of new designs.</div><div>The aim of this report is to present a novel digital orthodontic prescription that aligns with the concept of a “full digital workflow”. This prescription utilizes a digital virtual configurator, enabling effective communication between the clinician, the technician and the patient.</div><div>Using this prescription system, clinicians can easily configurate an orthodontic appliance before sending it to a dental technician for individualisation. 3D printing of the final design can then be performed directly within the dental office or by the technician. This approach allows the clinician to explore different orthodontic equipment options and modules, without the requirement for a demanding and sophisticated design process and without any knowledge of CAD. The availability of the present configurator might represent a fundamental advancement in the field of the CAD/CAM production of removable appliance linked to economic and ecological benefits.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"31 1","pages":"Pages 104-109"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141709463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1053/j.sodo.2024.11.003
Carol Weinstein , Miguel Hirschhaut , Carlos Flores-Mir
The closest possible coincidence between centric occlusion (CO) and centric relation (CR) is a meaningful goal of orthodontic treatment. Teeth should be related in a cusp-fossa interaction, with bilateral and symmetrical occlusal contacts and mandibular excursions without interferences. At a joint level, condyles should be well-seated in the glenoid fossae, without mandibular functional accommodations and muscular balance. To provide long-term stability of treatment results. Occlusal adjustment is one of the clinical procedures that help fine-tune this resulting occlusal relationship.
Traditional analog diagnostic methods can be upgraded to digital static and dynamic current technologies. Occlusal adjustment today can be integrated with digital flow and mounting by analyzing premature contacts after scanning the patient. The clinical procedure of selective grinding may be simple and reproducible by acquiring adequate knowledge, following the ten guidelines presented in this paper, and implementing judicious clinical skills. Since tooth structure preservation while achieving functional occlusal goals is of utmost importance.
Eight possible clinical scenarios where occlusal adjustment is indicated are presented. They can occur before, during, or after treatment, allowing for a better finish of the orthodontic case. The situations begin with diagnosis, followed by arch coordination, transverse, vertical, sagittal issues, rotations, upper and lower coupling, and relapse.
{"title":"Occlusal adjustment in the digital era – A working protocol","authors":"Carol Weinstein , Miguel Hirschhaut , Carlos Flores-Mir","doi":"10.1053/j.sodo.2024.11.003","DOIUrl":"10.1053/j.sodo.2024.11.003","url":null,"abstract":"<div><div>The closest possible coincidence between centric occlusion (CO) and centric relation (CR) is a meaningful goal of orthodontic treatment. Teeth should be related in a cusp-fossa interaction, with bilateral and symmetrical occlusal contacts and mandibular excursions without interferences. At a joint level, condyles should be well-seated in the glenoid fossae, without mandibular functional accommodations and muscular balance. To provide long-term stability of treatment results. Occlusal adjustment is one of the clinical procedures that help fine-tune this resulting occlusal relationship.</div><div>Traditional analog diagnostic methods can be upgraded to digital static and dynamic current technologies. Occlusal adjustment today can be integrated with digital flow and mounting by analyzing premature contacts after scanning the patient. The clinical procedure of selective grinding may be simple and reproducible by acquiring adequate knowledge, following the ten guidelines presented in this paper, and implementing judicious clinical skills. Since tooth structure preservation while achieving functional occlusal goals is of utmost importance.</div><div>Eight possible clinical scenarios where occlusal adjustment is indicated are presented. They can occur before, during, or after treatment, allowing for a better finish of the orthodontic case. The situations begin with diagnosis, followed by arch coordination, transverse, vertical, sagittal issues, rotations, upper and lower coupling, and relapse.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"31 1","pages":"Pages 18-46"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143134022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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