Seminars in Orthodontics最新文献

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FMii --- Table of Contents FMii——目录表

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Seminars in Orthodontics

Pub Date : 2025-08-13 DOI: 10.1053/S1073-8746(25)00076-3

引用次数: 0

Future Issues 未来的问题

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Seminars in Orthodontics

Pub Date : 2025-08-13 DOI: 10.1053/S1073-8746(25)00077-5

引用次数: 0

FMi --- Ed Board FMi——教育局

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Seminars in Orthodontics

Pub Date : 2025-08-13 DOI: 10.1053/S1073-8746(25)00075-1

引用次数: 0

Association between the vertical position of the inferior turbinate and alveolar bone bridge morphology after secondary alveolar bone grafting in patients with unilateral cleft lip and palate: A retrospective study 单侧唇腭裂患者二次牙槽骨移植后下鼻甲垂直位置与牙槽骨桥形态的关系：回顾性研究

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Seminars in Orthodontics

Pub Date : 2025-08-07 DOI: 10.1053/j.sodo.2025.07.015

Masayoshi Uezono , Shiori Okubo , Takuya Ogawa , Keiji Moriyama

This study aimed to investigate the relationship between the degree of inferior turbinate descent (ITD), the width of the alveolar cleft (WAC) prior to secondary alveolar bone grafting (SABG), and the concavity of the alveolar bone bridge on the nasal side (CAB) in patients with unilateral cleft lip and palate (UCLP). The study included fourteen patients (seven males and seven females) who underwent SABG between the age of 8 and 11 years. One patient also underwent partial inferior turbinectomy (PIT) during SABG. Pre- and postoperative posteroanterior cephalograms were used to evaluate ITD and CAB. Additionally, in seven cases, WAC was measured using reconstructed computed tomography images taken before SABG. Scatter plot analysis was performed to examine the relationships among ITD, CAB, and WAC, and Spearman’s correlation test was used for statistical analysis. A significant correlation was observed between the ITD and CAB (p < 0.01). Furthermore, the scatter plots indicated that the depression on the bone bridge was reduced in the patients who underwent PIT. These findings suggest that a lower vertical position of the inferior turbinate may contribute to increased concavity of the nasal side of the alveolar bone bridge following SABG in patients with UCLP.

本研究旨在探讨单侧唇腭裂（UCLP）患者继发性牙槽骨移植（SABG）前下鼻甲下降程度（ITD）、牙槽骨裂宽度（WAC）与鼻侧牙槽骨桥凹度（CAB）的关系。该研究包括14名患者（7男7女），他们在8至11岁之间接受了SABG。一位患者在SABG期间也接受了部分下鼻甲切除术（PIT）。术前和术后后脑前位造影用于评估ITD和CAB。此外，在7例中，WAC是通过SABG前重建的计算机断层扫描图像来测量的。采用散点图分析检验ITD、CAB和WAC之间的关系，采用Spearman相关检验进行统计分析。ITD与CAB之间存在显著相关性（p < 0.01）。此外，散点图显示，接受PIT的患者骨桥上的凹陷减少。这些结果表明，下鼻甲较低的垂直位置可能导致UCLP患者SABG后牙槽骨桥鼻侧凹度增加。

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引用次数: 0

Anteroposterior orthopedic management of maxillary deficiencies in patients with cleft lip and palate: treatment based on timing, indications and severity 唇腭裂患者上颌缺损的前后位矫形治疗：基于时机、适应症和严重程度的治疗

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Seminars in Orthodontics

Pub Date : 2025-08-05 DOI: 10.1053/j.sodo.2025.07.011

Maria Costanza Meazzini

Early correction of maxillary hypoplasia in cleft lip and palate (CLP) patients is followed by major recurrence; therefore, maxillary protraction in the deciduous/early mixed dentition should be carried out mainly if significant functional problems are associated. On the contrary, long-term results of protraction applied close to growth peak, are more stable.

We describe our clinical approach using 3 subgroups. Group 1) Early treatment: 23 CLP patients affected by middle ear infection and hearing impairment were treated at an average age of 7.9 years with expansion and protraction face mask and compared to an age matched control. Audiometric tests and tympanograms improved in 82 % of the sample. Group 2) Adolescents with moderate-severe hypoplasia (<7 mm): 31 UCLP patients were treated with a Modified Alternate Rapid Maxillary Expantion and Constriction (Alt-Ramec) technique, at an average age of 12.5 years. Patients had adequate alveolar ossification, either after early secondary periosteoplasty or secondary alveolar bone grafting. The maxilla advanced 5.5 ± 2.3 mm and was stable in the long term (20.3 years). Group3) Adolescents with extremely severe hypoplasia (>8–10 mm): Thirteen very severe patients were treated with MART and traction with a Rigid External Distraction device (RED) for sutural protraction at an average age of 11.3 years. A-point advanced 16.4 ± 8.2 mm. Patients were followed short term for an average of 1.6 ± 0.8 years.

唇腭裂（CLP）患者上颌发育不全早期矫治后主要复发；因此，在乳牙/早期混合牙列中，如果伴有明显的功能问题，应主要进行上颌牵引。相反，在接近生长高峰时长期施用催肥效果更稳定。我们用3个亚组来描述我们的临床方法。早期治疗：23例伴有中耳感染和听力障碍的CLP患者，平均年龄7.9岁，使用扩张和拉伸面罩治疗，并与年龄匹配的对照组进行比较。听力测试和鼓室图改善了82%的样本。组2)青少年中重度发育不全（< 7mm）： 31例UCLP患者采用改良的交替快速上颌扩张和收缩（Alt-Ramec）技术治疗，平均年龄12.5岁。患者在早期继发性骨膜成形术或继发性牙槽骨移植后均有足够的牙槽骨骨化。上颌向前移动5.5±2.3 mm，长期稳定（20.3年）。组3)青少年极重度发育不全（> 8-10 mm）： 13例极重度患者，平均年龄11.3岁，采用MART联合硬外牵开器（RED）牵引进行缝线牵拉。a点超前16.4±8.2 mm。短期随访平均为1.6±0.8年。

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Orthodontics & overall health: A unified approach to patient care 正畸与整体健康：病人护理的统一方法

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Seminars in Orthodontics

Pub Date : 2025-07-18 DOI: 10.1053/j.sodo.2025.07.004

Carlos Flores-Mir , Audrey J. Yoon

As healthcare moves towards personalized, holistic medicine, orthodontists must broaden their skills, embrace interdisciplinary knowledge, refine diagnostics, and strengthen ties with other medical specialties. This special issue aims to inspire orthodontists to adopt comprehensive healthcare strategies. The insights challenge us to rethink traditional “in-house” boundaries, recognize our role in systemic overall health, and fully engage as vital members of the medical community. Continuous professional development and evidence-based research are crucial for these expanding responsibilities. By staying informed about cutting-edge research, using emerging technologies, establishing interdisciplinary working teams, and adapting to new clinical practices, we can continue to provide exceptional patientcentered care

随着医疗保健朝着个性化、整体医学的方向发展，正畸医生必须拓宽他们的技能，接受跨学科知识，改进诊断，并加强与其他医学专业的联系。本期特刊旨在启发正畸医生采取全面的保健策略。这些见解促使我们重新思考传统的“内部”界限，认识到我们在系统整体健康中的角色，并充分参与医学界的重要成员。持续的专业发展和基于证据的研究对于这些不断扩大的责任至关重要。通过了解前沿研究，使用新兴技术，建立跨学科工作团队，并适应新的临床实践，我们可以继续提供卓越的以患者为中心的护理

引用次数: 0

Imaging in orthodontics: Using cone beam computed tomography to identify growth disturbances affecting the airway, temporomandibular joints and systemic health 正畸成像：使用锥形束计算机断层扫描识别影响气道、颞下颌关节和全身健康的生长障碍

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Seminars in Orthodontics

Pub Date : 2025-07-16 DOI: 10.1053/j.sodo.2025.06.006

Shaza Mardini DDS, MS

Cone beam computed tomography (CBCT) is a 3-dimensional radiographic technique adopted by the dental profession in the early 2000′s. This technology opened up a world of information with respect to anatomy, pathology and treatment planning as practitioners would now be able to analyze the maxillofacial complex in all 3 planes.The specialty of orthodontics gained significant tools with the application of CBCT for evaluating the orthodontic patient. In the area of craniofacial growth, CBCT allows for the evaluation, diagnosis and follow-up of normal growth and deviations from normal. With the opportunity for early detection of growth disturbances also comes the ability to Identify serious health problems. The following review is how to use CBCT images and tools to evaluate for growth disturbances with focus on the temporomandibular joints and the upper airway.

锥形束计算机断层扫描（CBCT）是牙科行业在21世纪初采用的一种三维放射成像技术。这项技术打开了解剖学、病理学和治疗计划方面的信息世界，因为从业者现在可以从所有三个层面分析颌面部复合体。随着CBCT的应用，正畸专业获得了评估正畸患者的重要工具。在颅面生长方面，CBCT允许对正常生长和异常生长进行评估、诊断和随访。有了早期发现生长障碍的机会，也就有了识别严重健康问题的能力。下面的综述是如何使用CBCT图像和工具来评估生长障碍，重点是颞下颌关节和上呼吸道。

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What do the indigenous people of the Amazon have to teach us about the etiology of dental malocclusion? 关于牙齿错颌的病因学，亚马逊的土著人教给了我们什么？

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Seminars in Orthodontics

Pub Date : 2025-07-12 DOI: 10.1053/j.sodo.2025.07.003

Renata Travassos da Rosa Moreira Bastos , Cátia Cardoso Abdo Quintão , David Normando

Studies in both human and nonhuman primates have historically linked the rising prevalence of malocclusion to changes in dietary consistency and food processing. However, the evaluation of semi-isolated indigenous populations with preserved traditional habits offers a unique opportunity to investigate the true origins of occlusal and craniofacial variation. Over more than a decade, we have evaluated five Amazon indigenous groups from the Middle Valley of the Xingu River, characterized by exclusive breastfeeding, absence of pacifier use, uniform patterns of occlusal tooth wear, and well-documented genetic profiles indicating low intratribal and high intertribal variation. The prevalence of malocclusion ranged from 33.8 % to 66.7 %, overall lower than that observed in urban Amazon populations, around 85 %. The lower prevalence of posterior crossbite may be related to prolonged breastfeeding and an absence of pacifiers in the indigenous groups. Despite cultural and environmental homogeneity, a high degree of intertribal diversity was found in occlusal features, facial morphology, dental arch dimensions, and dental crowding, while a small intragroup variation was observed. In a 13-year follow-up, dental crowding and tooth wear increased, while the arch dimensions tended to decrease, suggesting that the effect of increased tooth wear on the etiology of tertiary crowding is of small magnitude and restricted to the lower dental arch. These findings suggest that genetic factors play a central role in determining the dentofacial characteristics, challenging the theory that diet consistency could be the principal cause of modern malocclusion. The evidence from these indigenous populations supports the view that occlusal and craniofacial morphology are primarily influenced by polygenic inheritance, with environmental factors contributing selectively to specific dentoalveolar traits.

从历史上看，对人类和非人类灵长类动物的研究都将错颌畸形的患病率上升与饮食一致性和食物加工的变化联系起来。然而，对保留传统习惯的半隔离土著人群的评估提供了一个独特的机会来调查咬合和颅面变异的真正起源。十多年来，我们对来自新谷河中谷的五个亚马逊土著群体进行了评估，这些群体的特点是纯母乳喂养、不使用奶嘴、咬合牙齿磨损的均匀模式，以及有充分记录的基因谱，表明部落内差异很小，部落间差异很大。错牙合的患病率从33.8%到66.7%不等，总体低于亚马逊城市人口的85%左右。后牙合发病率较低可能与土著群体中母乳喂养时间较长和缺乏奶嘴有关。尽管文化和环境具有同质性，但在咬合特征、面部形态、牙弓尺寸和牙齿拥挤度方面，部落间存在高度多样性，而在群体内则存在较小的差异。在13年的随访中，牙齿拥挤和牙齿磨损增加，而牙弓尺寸有减小的趋势，表明牙齿磨损增加对三级拥挤病因的影响较小，仅限于下牙弓。这些发现表明，遗传因素在决定牙面特征方面起着核心作用，挑战了饮食一致性可能是现代错牙合主要原因的理论。来自这些土著人群的证据支持这样的观点，即咬合和颅面形态主要受多基因遗传的影响，环境因素选择性地影响特定的牙槽特征。

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引用次数: 0

Aligning MRI and CBCT for Advanced TMJ Diagnostics: Case Series Using AI-Powered Registration in Dentistry and Orthodontics. 将MRI和CBCT用于高级TMJ诊断：在牙科和正畸学中使用人工智能注册的病例系列。

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Seminars in Orthodontics

Pub Date : 2025-07-11 DOI: 10.1053/j.sodo.2025.07.001

Eduardo Duarte Caleme, Lucia Cevidanes, Claudia Mattos, Felicia Miranda, Marcela Gurgel, Selene Barone, Alban Gaydamour, Enzo Tulissi, Jeanne Claret, Gaelle Leroux, Alexandre Moro, João Gonçalves, Antônio Ruellas, Marina Morettin Zuperlari, Paulo Zupelari Gonçalves, Nina Hsu, Larry Wolford, Juan Prieto, Jonas Bianchi

This study demonstrates the functionality and clinical value of magnetic resonance imaging (MRI) to cone-beam computed tomography (CBCT) registration using a new open-source artificial intelligence (AI) model called MR2CBCT. We present five clinical cases in which the AI-based method was used to register CBCT and MRI images. For comparison, manual registration was also performed. Qualitative inspection revealed that manual alignment often showed errors that could compromise diagnostic accuracy. In contrast, the AI-based approach consistently corrected these discrepancies, producing more anatomically coherent fused images to better support clinical decision-making. Our findings highlight MR2CBCT as a reliable and accessible tool for multimodal integration in temporomandibular joint (TMJ) assessment in orthodontics and general dentistry.

本研究利用一种新的开源人工智能（AI）模型MR2CBCT，展示了磁共振成像（MRI）与锥束计算机断层扫描（CBCT）配准的功能和临床价值。我们提出了五个临床病例，其中基于人工智能的方法被用于注册CBCT和MRI图像。为了比较，还进行了手动注册。定性检查显示，手动校准经常显示可能损害诊断准确性的错误。相比之下，基于人工智能的方法一致地纠正了这些差异，产生了更多解剖学上连贯的融合图像，以更好地支持临床决策。我们的研究结果强调了MR2CBCT作为一种可靠和易于获得的工具，用于正畸和普通牙科的颞下颌关节（TMJ）评估的多模式整合。

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引用次数: 0

Overview of the National Dental Practice-Based Research Network and Its Impact on Orthodontics. 国家牙科实践为基础的研究网络概述及其对正畸的影响。

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Seminars in Orthodontics

Pub Date : 2025-06-30 DOI: 10.1053/j.sodo.2025.06.009

Veerasathpurush Allareddy, Rahma Mungia, Min Kyeong Lee, Maysaa Oubaidin, Gregg H Gilbert

Practice-Based Research Networks (PBRN) are optimal settings for research to be conducted in the real world of clinical practice where the majority of care is provided. In this narrative review, we provide an overview of the National Dental Practice-Based Research Network (Network), which is one of the largest and most successful Dental PBRNs, and its impact on orthodontics. The Network is currently in its third seven-year round of funding and has conducted 58 studies to date. There are over 8,000 members enrolled in the Network. The largest prospective cohort study on anterior open bites was conducted through the Network. The Network provides resources and opportunities to engage clinicians in practice-based participatory research where clinical studies with direct impact on clinical outcomes are conducted.

基于实践的研究网络（PBRN）是在提供大多数护理的临床实践的现实世界中进行研究的最佳设置。在这篇叙述性的回顾中，我们提供了国家牙科实践为基础的研究网络（网络）的概述，这是最大和最成功的牙科pbrn之一，以及它对正畸的影响。该网络目前正处于第三轮七年供资阶段，迄今已进行了58项研究。该网络有8000多名注册会员。最大的前侧开放性咬伤的前瞻性队列研究是通过网络进行的。该网络提供资源和机会，使临床医生参与基于实践的参与性研究，在这些研究中进行对临床结果有直接影响的临床研究。

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全部化学•材料生命科学医学物理工程技术环境•农林材料科学地球科学法学管理学化学环境科学与生态学计算机科学教育学经济学农林科学人文科学生物学数学物理与天体物理心理学综合性期刊其他工业工程理学历史学农学文学信息工程

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