Seminars in Orthodontics最新文献_第2页

The evolution of orthodontic literature through journals: a century of paradigm shifts, globalization, and digitalization 正畸文献通过期刊的演变：范式转变、全球化和数字化的一个世纪

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

Seminars in Orthodontics

Pub Date : 2026-04-01 Epub Date: 2025-09-11 DOI: 10.1053/j.sodo.2025.09.004

Gowri Sankar Singaraju

Background

Orthodontic literature has expanded for more than a century; however, most bibliometric studies have examined isolated journals or time periods. No synthesis has integrated the historical evolution of orthodontic publishing with bibliometric evidence to provide a panoramic overview.

Methods

A thematic narrative review was conducted, supported by bibliometric validation. Searches were performed in PubMed, Scopus, Google Scholar, and the NLM Catalog from 1900 to June 2025. The Scopus dataset was imported into CiteSpace to generate keyword frequency and burst analyses, which guided secondary searches in PubMed and Scopus for orthodontics-related articles published in non-orthodontic medical and dental journals. Bibliometric studies were retrieved using targeted queries and by manual cross-referencing of references. Duplicate removal was performed manually in MS Excel by the author with the assistance of a statistician and a librarian, and validated using CiteSpace preprocessing. Extracted data included journal titles, years, study designs, themes, country of origin, citations, indexing status, and quartile ranking.

Results

Approximately 75,000 orthodontic-related articles were identified, including 52,000 from orthodontic journals and 25,000 from non-orthodontic journals. Across the century, 83 orthodontic journals were identified, of which 26 remain active and indexed (PubMed = 17; Scopus = 26). Output increased from fewer than 4,000 publications during 1915–1950 to more than 13,000 during 2011–2020, with nearly 7,000 already indexed in 2021–2025. Trends showed a transition from descriptive reports to randomized controlled trials, systematic reviews, and umbrella reviews. Authorship networks confirmed globalization, with growing contributions from Asia, Latin America, and the Middle East. Thematic mapping highlighted rapid growth in digital workflows, aligners, artificial intelligence, and patient-reported outcomes.

Conclusion

Orthodontic publishing has evolved from localized descriptive accounts to globally networked, digitally disseminated, and evidence-based scholarship. This synthesis of historical milestones with bibliometric validation provides direction for future editorial priorities, methodological rigor, and international collaboration.

正畸文献已经扩展了一个多世纪；然而，大多数文献计量学研究只考察了单独的期刊或时间段。没有综合的正畸出版的历史演变与文献计量证据，以提供一个全景的概述。方法采用专题叙述性综述，文献计量学验证。从1900年到2025年6月，在PubMed、Scopus、b谷歌Scholar和NLM Catalog中进行了检索。将Scopus数据集导入CiteSpace，生成关键词频率和突发分析，指导在PubMed和Scopus中对发表在非正畸医学和牙科期刊上的正畸相关文章进行二次搜索。文献计量学研究是通过有针对性的查询和手工交叉参考文献检索的。在统计学家和图书管理员的协助下，作者在MS Excel中手动删除重复，并使用CiteSpace预处理进行验证。提取的数据包括期刊名称、年份、研究设计、主题、原产国、引用、索引状态和四分位数排名。结果共检索到75,000篇正畸相关文章，其中52,000篇来自正畸期刊，25,000篇来自非正畸期刊。在整个世纪中，鉴定了83种正畸期刊，其中26种仍然活跃并被索引（PubMed = 17; Scopus = 26）。产出从1915-1950年的不到4000份出版物增加到2011-2020年的13000多份，2021-2025年已有近7000份出版物被编入索引。趋势显示从描述性报告到随机对照试验、系统评价和总括性评价的转变。作者网络证实了全球化，来自亚洲、拉丁美洲和中东的贡献不断增加。专题地图强调了数字工作流程、对齐器、人工智能和患者报告结果的快速增长。正畸出版已经从本地化的描述性报道发展到全球网络化、数字化传播和基于证据的学术研究。这种历史里程碑与文献计量学验证的综合为未来的编辑重点、方法严谨性和国际合作提供了方向。

{"title":"The evolution of orthodontic literature through journals: a century of paradigm shifts, globalization, and digitalization","authors":"Gowri Sankar Singaraju","doi":"10.1053/j.sodo.2025.09.004","DOIUrl":"10.1053/j.sodo.2025.09.004","url":null,"abstract":"<div><h3>Background</h3><div>Orthodontic literature has expanded for more than a century; however, most bibliometric studies have examined isolated journals or time periods. No synthesis has integrated the historical evolution of orthodontic publishing with bibliometric evidence to provide a panoramic overview.</div></div><div><h3>Methods</h3><div>A thematic narrative review was conducted, supported by bibliometric validation. Searches were performed in PubMed, Scopus, Google Scholar, and the NLM Catalog from 1900 to June 2025. The Scopus dataset was imported into CiteSpace to generate keyword frequency and burst analyses, which guided secondary searches in PubMed and Scopus for orthodontics-related articles published in non-orthodontic medical and dental journals. Bibliometric studies were retrieved using targeted queries and by manual cross-referencing of references. Duplicate removal was performed manually in MS Excel by the author with the assistance of a statistician and a librarian, and validated using CiteSpace preprocessing. Extracted data included journal titles, years, study designs, themes, country of origin, citations, indexing status, and quartile ranking.</div></div><div><h3>Results</h3><div>Approximately 75,000 orthodontic-related articles were identified, including 52,000 from orthodontic journals and 25,000 from non-orthodontic journals. Across the century, 83 orthodontic journals were identified, of which 26 remain active and indexed (PubMed = 17; Scopus = 26). Output increased from fewer than 4,000 publications during 1915–1950 to more than 13,000 during 2011–2020, with nearly 7,000 already indexed in 2021–2025. Trends showed a transition from descriptive reports to randomized controlled trials, systematic reviews, and umbrella reviews. Authorship networks confirmed globalization, with growing contributions from Asia, Latin America, and the Middle East. Thematic mapping highlighted rapid growth in digital workflows, aligners, artificial intelligence, and patient-reported outcomes.</div></div><div><h3>Conclusion</h3><div>Orthodontic publishing has evolved from localized descriptive accounts to globally networked, digitally disseminated, and evidence-based scholarship. This synthesis of historical milestones with bibliometric validation provides direction for future editorial priorities, methodological rigor, and international collaboration.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"32 2","pages":"Pages 275-288"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146193023","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}

引用次数: 0

A first-principles approach to orthodontic biomechanics and reasoning 正畸生物力学与推理的第一性原理方法

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

Seminars in Orthodontics

Pub Date : 2026-04-01 Epub Date: 2026-01-08 DOI: 10.1053/j.sodo.2025.12.007

Madhur Upadhyay

First principles thinking is a powerful mental model for tackling complex problems by stripping them down to their most basic, irrefutable truths—like the atomic building blocks of reality—and then rebuilding solutions from the ground up. It's the opposite of reasoning by analogy (e.g. Orthodontic cases). Rather than relying on rote techniques, empirical guesses, or trendy gadgets that often introduce unnecessary complexity and failure risks, the paper urges clinicians to break down tooth movement and treatment challenges to their atomic fundamentals (e.g., Newton's laws of equilibrium, friction, force vectors, biological remodeling, and quasi-static systems) and rebuild solutions logically from there. This will foster predictability, efficiency, and innovation while minimizing patient harm, costs, and treatment time.

The primary goal is to render treatment in the most efficient manner while encountering minimum entropy (e.g. breakage, failures, side effects etc.) A clinical example of canine retraction requiring absolute anchorage has been used to elucidate the practical application of the first principal methodology. By thoughtfully applying first principles a simple cantilever spring strategically positioned over the arch wire, activated by placing just one bend was able to harness the vertical forces created and channel them antero-posteriorly in the form of moment of couple and frictional forces to prevent any mesial movement of the molar, and maintain absolute anchorage.

第一性原则思维是一种强大的思维模式，它通过将复杂问题分解为最基本的、无可辩驳的真理——就像构成现实的原子构件——然后从头开始重建解决方案，来解决复杂问题。这是类比推理的对立面（例如，正畸病例）。本文敦促临床医生将牙齿运动和治疗挑战分解为原子基础（例如，牛顿平衡定律、摩擦、力矢量、生物重塑和准静态系统），并从逻辑上重建解决方案，而不是依赖死硬的技术、经验猜测或经常引入不必要的复杂性和失败风险的时髦小工具。这将促进可预测性、效率和创新，同时最大限度地减少对患者的伤害、成本和治疗时间。主要目标是以最有效的方式进行治疗，同时遇到最小的熵（例如断裂，失败，副作用等）。一个需要绝对锚固的犬后收的临床例子已被用来阐明第一主要方法的实际应用。通过巧妙地应用第一原理，一个简单的悬臂弹簧策略性地放置在弓丝上，只需放置一个弯曲处即可激活，从而能够利用产生的垂直力，并以偶联力矩和摩擦力的形式将其前后引导，以防止磨牙的任何中间运动，并保持绝对锚固。

{"title":"A first-principles approach to orthodontic biomechanics and reasoning","authors":"Madhur Upadhyay","doi":"10.1053/j.sodo.2025.12.007","DOIUrl":"10.1053/j.sodo.2025.12.007","url":null,"abstract":"<div><div>First principles thinking is a powerful mental model for tackling complex problems by stripping them down to their most basic, irrefutable truths—like the atomic building blocks of reality—and then rebuilding solutions from the ground up. It's the opposite of reasoning by analogy (e.g. Orthodontic cases). Rather than relying on rote techniques, empirical guesses, or trendy gadgets that often introduce unnecessary complexity and failure risks, the paper urges clinicians to break down tooth movement and treatment challenges to their atomic fundamentals (e.g., Newton's laws of equilibrium, friction, force vectors, biological remodeling, and quasi-static systems) and rebuild solutions logically from there. This will foster predictability, efficiency, and innovation while minimizing patient harm, costs, and treatment time.</div><div>The primary goal is to render treatment in the most efficient manner while encountering minimum entropy (e.g. breakage, failures, side effects etc.) A clinical example of canine retraction requiring absolute anchorage has been used to elucidate the practical application of the first principal methodology. By thoughtfully applying first principles a simple cantilever spring strategically positioned over the arch wire, activated by placing just one bend was able to harness the vertical forces created and channel them antero-posteriorly in the form of moment of couple and frictional forces to prevent any mesial movement of the molar, and maintain absolute anchorage.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"32 2","pages":"Pages 295-302"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146192960","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}

引用次数: 0

Beyond the hype: Ten factors overlooked by the orthodontist in the application of contemporary orthodontic materials, and technology 超越炒作：正畸医生在应用当代正畸材料和技术时忽视的十个因素

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

Seminars in Orthodontics

Pub Date : 2026-04-01 Epub Date: 2025-09-23 DOI: 10.1053/j.sodo.2025.09.013

Nearchos Panayi

The rapid adoption of new materials, devices, and digital technologies has redefined modern orthodontic practice, promising improved efficiency, accuracy, esthetics, and patient comfort. Yet, in this accelerated innovation cycle, fundamental scientific, ethical, and environmental considerations are often overlooked. This narrative review critically examines ten underappreciated factors that should inform clinical decision-making. These include the biocompatibility of materials, mechanical properties and true clinical efficacy, environmental impact and sustainability, and the quality and robustness of supporting scientific evidence. Practitioner training, technological competence, and the interdisciplinary impacts on oral health are also highlighted as essential considerations. Finally, attention is given to the patient’s chief complaint and technology, in-office laboratory safety and compliance, radiographic practices in the context of ALARA and CBCT overuse, and the implementation of technology in the production of customized appliances. Orthodontics stands to benefit most not from the fastest integration of new technologies, but from their most judicious, biologically sound, and ethically responsible application.

新材料、设备和数字技术的快速采用重新定义了现代正畸实践，有望提高效率、准确性、美观性和患者舒适度。然而，在这个加速的创新周期中，基本的科学、伦理和环境因素往往被忽视。这篇叙述性综述批判性地考察了十个被低估的因素，这些因素应该为临床决策提供信息。这些包括材料的生物相容性，机械性能和真正的临床疗效，环境影响和可持续性，以及支持科学证据的质量和稳健性。从业者培训、技术能力和跨学科对口腔健康的影响也被强调为必不可少的考虑因素。最后，关注患者的主诉和技术，办公室实验室的安全性和合规性，ALARA和CBCT过度使用背景下的放射学实践，以及在定制设备生产中的技术实施。正畸学获益最多的不是最快的新技术整合，而是最明智的、生物学上合理的、道德上负责任的应用。

{"title":"Beyond the hype: Ten factors overlooked by the orthodontist in the application of contemporary orthodontic materials, and technology","authors":"Nearchos Panayi","doi":"10.1053/j.sodo.2025.09.013","DOIUrl":"10.1053/j.sodo.2025.09.013","url":null,"abstract":"<div><div>The rapid adoption of new materials, devices, and digital technologies has redefined modern orthodontic practice, promising improved efficiency, accuracy, esthetics, and patient comfort. Yet, in this accelerated innovation cycle, fundamental scientific, ethical, and environmental considerations are often overlooked. This narrative review critically examines ten underappreciated factors that should inform clinical decision-making. These include the biocompatibility of materials, mechanical properties and true clinical efficacy, environmental impact and sustainability, and the quality and robustness of supporting scientific evidence. Practitioner training, technological competence, and the interdisciplinary impacts on oral health are also highlighted as essential considerations. Finally, attention is given to the patient’s chief complaint and technology, in-office laboratory safety and compliance, radiographic practices in the context of ALARA and CBCT overuse, and the implementation of technology in the production of customized appliances. Orthodontics stands to benefit most not from the fastest integration of new technologies, but from their most judicious, biologically sound, and ethically responsible application.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"32 2","pages":"Pages 303-307"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146192964","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}

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 : 2026-04-01 Epub Date: 2025-07-11 DOI: 10.1053/j.sodo.2025.07.001

Eduardo Duarte Caleme , Lucia Cevidanes , Claudia Trindade 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。

{"title":"Aligning MRI and CBCT for advanced TMJ diagnostics: Case series using AI-powered registration in dentistry and orthodontics","authors":"Eduardo Duarte Caleme , Lucia Cevidanes , Claudia Trindade 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","doi":"10.1053/j.sodo.2025.07.001","DOIUrl":"10.1053/j.sodo.2025.07.001","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"32 2","pages":"Pages 387-396"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975227","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}

引用次数: 0

Mechanobiology in orthodontic tooth movement: update on knowledge and clinical implications 正畸牙齿运动的力学生物学：最新的知识和临床意义

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

Seminars in Orthodontics

Pub Date : 2026-04-01 Epub Date: 2025-10-15 DOI: 10.1053/j.sodo.2025.10.009

Zhongyuan Tang, Yanqi Yang

Orthodontic tooth movement (OTM) represents a dynamic biological response to mechanical forces, where specialized cellular sensors convert mechanical stimuli into biochemical signals that drive site-specific bone remodeling. This process underlies both the efficiency of tooth displacement and associated risks such as root resorption. Excessive force application disrupts physiological equilibrium, leading to tissue hyalinization, sterile inflammation, and increased odontoclast activity that compromises root integrity. Conversely, emerging biological strategies enable acceleration of OTM through surgically facilitated techniques like micro-osteoperforations that induce regional accelerated phenomenon (RAP), or through non-invasive adjuncts including photobiomodulation that enhance cellular responses. Given significant individual variability in biological response, personalized treatment approaches utilizing optimized force regimens and targeted interventions are essential for balancing treatment efficiency with periodontal safety. Future advances may incorporate biomarker-guided force adjustment and localized biological modifiers to further refine tooth movement control. Integration of these mechanobiological principles into clinical practice promises to transform orthodontics into a more predictive, efficient, and biology-driven discipline.

正畸牙齿运动（OTM）代表了对机械力的动态生物反应，其中专门的细胞传感器将机械刺激转化为驱动特定部位骨重塑的生化信号。这个过程是牙齿置换效率和相关风险（如牙根吸收）的基础。过度用力会破坏生理平衡，导致组织透明化、无菌性炎症和破坏牙根完整性的破牙细胞活性增加。相反，新兴的生物策略可以通过外科辅助技术，如诱导区域加速现象（RAP）的微骨手术，或通过非侵入性辅助手段，包括增强细胞反应的光生物调节，来加速OTM。考虑到生物反应的显著个体差异，个性化治疗方法利用优化的力量方案和有针对性的干预是平衡治疗效率和牙周安全的必要条件。未来的进展可能包括生物标志物引导的力调节和局部生物修饰剂，以进一步完善牙齿运动控制。将这些机械生物学原理整合到临床实践中，有望将正畸学转变为更具预测性、效率和生物学驱动的学科。

{"title":"Mechanobiology in orthodontic tooth movement: update on knowledge and clinical implications","authors":"Zhongyuan Tang, Yanqi Yang","doi":"10.1053/j.sodo.2025.10.009","DOIUrl":"10.1053/j.sodo.2025.10.009","url":null,"abstract":"<div><div>Orthodontic tooth movement (OTM) represents a dynamic biological response to mechanical forces, where specialized cellular sensors convert mechanical stimuli into biochemical signals that drive site-specific bone remodeling. This process underlies both the efficiency of tooth displacement and associated risks such as root resorption. Excessive force application disrupts physiological equilibrium, leading to tissue hyalinization, sterile inflammation, and increased odontoclast activity that compromises root integrity. Conversely, emerging biological strategies enable acceleration of OTM through surgically facilitated techniques like micro-osteoperforations that induce regional accelerated phenomenon (RAP), or through non-invasive adjuncts including photobiomodulation that enhance cellular responses. Given significant individual variability in biological response, personalized treatment approaches utilizing optimized force regimens and targeted interventions are essential for balancing treatment efficiency with periodontal safety. Future advances may incorporate biomarker-guided force adjustment and localized biological modifiers to further refine tooth movement control. Integration of these mechanobiological principles into clinical practice promises to transform orthodontics into a more predictive, efficient, and biology-driven discipline.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"32 2","pages":"Pages 338-347"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146192962","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}

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 : 2026-04-01 Epub Date: 2026-02-13 DOI: 10.1053/S1073-8746(26)00009-5

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 : 2026-04-01 Epub Date: 2026-02-13 DOI: 10.1053/S1073-8746(26)00011-3

引用次数: 0

Bridging the gap between residency and reality: Key principles of orthodontic practice management for early-career success 弥合住院医师和现实之间的差距：早期职业成功的正畸实践管理的关键原则

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

Seminars in Orthodontics

Pub Date : 2026-04-01 Epub Date: 2025-11-23 DOI: 10.1053/j.sodo.2025.11.008

Vaibhav Gandhi , Varun Hansraj , Aditya Chhibber , Madhur Upadhyay , Sumit Yadav

This review article explores the essential components of orthodontic practice management with the objective of guiding residents and early-career orthodontists in making informed decisions during the job search and in building successful practices. Orthodontic residency programs provide strong clinical foundations, yet the transition into practice often requires additional knowledge in areas such as employment models, contract negotiation, financial planning, and operational management. The article outlines critical factors to consider when evaluating job opportunities, including location, compensation structures, non-compete clauses, buy-in pathways, and professional autonomy. It also details key elements of practice success: clinical excellence supported by contemporary biomechanics, aligner therapy, and digital workflows; effective communication and patient-centered care; operational efficiency; sound financial strategy; leadership and team engagement; marketing and community presence; and adherence to ethical and regulatory standards. By combining clinical expertise with management skills, orthodontists can achieve professional fulfillment, financial stability, and lasting patient trust in a competitive healthcare environment.

这篇综述文章探讨了正畸实践管理的基本组成部分，目的是指导居民和早期职业正畸医生在求职过程中做出明智的决定，并建立成功的实践。正畸住院医师项目提供了坚实的临床基础，但过渡到实践通常需要在就业模式、合同谈判、财务规划和运营管理等领域的额外知识。本文概述了评估工作机会时需要考虑的关键因素，包括地点、薪酬结构、非竞争条款、收购途径和专业自主权。它还详细介绍了实践成功的关键要素：由当代生物力学、对准器治疗和数字工作流程支持的临床卓越；有效的沟通和以病人为中心的护理；运营效率;健全的财务策略；领导能力和团队参与；营销和社区存在；遵守道德和监管标准。通过将临床专业知识与管理技能相结合，正畸医生可以在竞争激烈的医疗保健环境中实现专业成就、财务稳定和持久的患者信任。

{"title":"Bridging the gap between residency and reality: Key principles of orthodontic practice management for early-career success","authors":"Vaibhav Gandhi , Varun Hansraj , Aditya Chhibber , Madhur Upadhyay , Sumit Yadav","doi":"10.1053/j.sodo.2025.11.008","DOIUrl":"10.1053/j.sodo.2025.11.008","url":null,"abstract":"<div><div>This review article explores the essential components of orthodontic practice management with the objective of guiding residents and early-career orthodontists in making informed decisions during the job search and in building successful practices. Orthodontic residency programs provide strong clinical foundations, yet the transition into practice often requires additional knowledge in areas such as employment models, contract negotiation, financial planning, and operational management. The article outlines critical factors to consider when evaluating job opportunities, including location, compensation structures, non-compete clauses, buy-in pathways, and professional autonomy. It also details key elements of practice success: clinical excellence supported by contemporary biomechanics, aligner therapy, and digital workflows; effective communication and patient-centered care; operational efficiency; sound financial strategy; leadership and team engagement; marketing and community presence; and adherence to ethical and regulatory standards. By combining clinical expertise with management skills, orthodontists can achieve professional fulfillment, financial stability, and lasting patient trust in a competitive healthcare environment.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"32 2","pages":"Pages 404-409"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146192973","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}

引用次数: 0

Biomolecular signals in mandibular condylar cartilage: Bioinformatics and evidence-based insights for optimizing functional appliance therapy – A scoping review 下颌髁突软骨的生物分子信号：优化功能矫治器治疗的生物信息学和循证见解-范围综述

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

Seminars in Orthodontics

Pub Date : 2026-04-01 Epub Date: 2025-07-04 DOI: 10.1053/j.sodo.2025.06.010

Priyanka Kapoor , Aman Chowdhry , Dinesh Kumar Bagga , Deepak Bhargava , Amit Katiyar , Fabrizia d’Apuzzo , Ludovica Nucci

Background

Mandibular condylar cartilage (MCC) has a unique origin and structure, responding to biomechanical and molecular cues influenced by functional appliance therapy (FAT), sex, and age. This scoping review aimed to map related biomolecular signatures, with a secondary goal of developing a stage-specific, evidence-based model of MCC growth.

Methods

Literature search was conducted with a predefined search strategy in major databases, references, and hand-search in November 2024. A total of 130 studies related to MCC which met the strict inclusion criteria according to the PRISMA guidelines were finally included in the review. Bioinformatic analysis identified gene-disease associations, functional enrichment, hub genes, and protein-protein interactions based on the included studies.

Results

Studies documented biomarkers in condylar growth, varying with age, sex, and FAT activation. Genes; Sox9, insulin growth factor (IGF)-I/IGF-II, articulated early chondrocyte proliferation and apoptosis inhibition. Early extracellular matrix (ECM) modeling involved some matrix metalloproteinases (MMPs) and gene expression. Chondrocyte maturation was mediated by Runx2, Osterix genes, while neovascularization and osteogenic differentiation was mediated by vascular endothelial growth factor (VEGF) and other key regulators. Micro(mi)-RNAs were also involved to promote osteogenic differentiation and chondrocyte differentiation. Bioinformatics identified 20 hub genes, implicating ECM organization, and hormone-mediated signaling, with additional key nodes.

Conclusions

The identification of biomolecular signatures and signaling pathways responsible for MCC growth and remodeling may benefit orthodontists in FAT diagnostics, and temporomandibular joint research.

下颌髁突软骨（MCC）具有独特的起源和结构，对受功能矫治（FAT）、性别和年龄影响的生物力学和分子线索做出反应。本综述旨在绘制相关的生物分子特征图，第二个目标是建立一个针对MCC生长阶段的循证模型。方法采用预定义的检索策略，于2024年11月在各大数据库、参考文献和手工检索中进行文献检索。总共有130项与MCC相关的研究符合PRISMA指南严格的纳入标准，最终纳入了综述。生物信息学分析根据纳入的研究确定了基因-疾病关联、功能富集、枢纽基因和蛋白质-蛋白质相互作用。研究记录了髁突生长的生物标志物，随年龄、性别和脂肪激活而变化。基因;Sox9，胰岛素生长因子(IGF)-I/IGF- ii，阐明早期软骨细胞增殖和凋亡抑制。早期细胞外基质（ECM）模型涉及一些基质金属蛋白酶（MMPs）和基因表达。软骨细胞成熟由Runx2、Osterix基因介导，新生血管和成骨分化由血管内皮生长因子（VEGF）等关键调控因子介导。微(mi)- rna也参与促进成骨分化和软骨细胞分化。生物信息学鉴定了20个枢纽基因，涉及ECM组织和激素介导的信号传导，以及其他关键节点。结论识别MCC生长和重塑的生物分子特征和信号通路可能有助于正畸医生进行FAT诊断和颞下颌关节研究。

{"title":"Biomolecular signals in mandibular condylar cartilage: Bioinformatics and evidence-based insights for optimizing functional appliance therapy – A scoping review","authors":"Priyanka Kapoor , Aman Chowdhry , Dinesh Kumar Bagga , Deepak Bhargava , Amit Katiyar , Fabrizia d’Apuzzo , Ludovica Nucci","doi":"10.1053/j.sodo.2025.06.010","DOIUrl":"10.1053/j.sodo.2025.06.010","url":null,"abstract":"<div><h3>Background</h3><div>Mandibular condylar cartilage (MCC) has a unique origin and structure, responding to biomechanical and molecular cues influenced by functional appliance therapy (FAT), sex, and age. This scoping review aimed to map related biomolecular signatures, with a secondary goal of developing a stage-specific, evidence-based model of MCC growth.</div></div><div><h3>Methods</h3><div>Literature search was conducted with a predefined search strategy in major databases, references, and hand-search in November 2024. A total of 130 studies related to MCC which met the strict inclusion criteria according to the PRISMA guidelines were finally included in the review. Bioinformatic analysis identified gene-disease associations, functional enrichment, hub genes, and protein-protein interactions based on the included studies.</div></div><div><h3>Results</h3><div>Studies documented biomarkers in condylar growth, varying with age, sex, and FAT activation. Genes; Sox9, insulin growth factor (IGF)-I/IGF-II, articulated early chondrocyte proliferation and apoptosis inhibition. Early extracellular matrix (ECM) modeling involved some matrix metalloproteinases (MMPs) and gene expression. Chondrocyte maturation was mediated by Runx2, Osterix genes, while neovascularization and osteogenic differentiation was mediated by vascular endothelial growth factor (VEGF) and other key regulators. Micro(mi)-RNAs were also involved to promote osteogenic differentiation and chondrocyte differentiation. Bioinformatics identified 20 hub genes, implicating ECM organization, and hormone-mediated signaling, with additional key nodes.</div></div><div><h3>Conclusions</h3><div>The identification of biomolecular signatures and signaling pathways responsible for MCC growth and remodeling may benefit orthodontists in FAT diagnostics, and temporomandibular joint research.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"32 2","pages":"Pages 348-375"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146192965","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}

引用次数: 0

Aligner science today: pivoting from the past, embracing the present, and pioneering future frontiers! 今天的Aligner科学：立足过去，拥抱现在，开拓未来！

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

Seminars in Orthodontics

Pub Date : 2026-02-01 Epub Date: 2025-11-19 DOI: 10.1053/j.sodo.2025.11.007

Tony Weir, Nikhillesh Vaiid

Clear aligner therapy (CAT) has progressed from a niche adjunct to a dominant modality in contemporary orthodontics. This manuscript frames that trajectory as a sequence of scientific-revolution stages—pre‑science, normal science, model drift, model crisis, and model revolution—to clarify how conceptual and technological shifts have reshaped clinical practice and research priorities. We synthesize developments in digital workflows (intraoral scanning, CBCT integration), AI‑driven treatment staging, and personalized biomechanics, and we evaluate methodological limitations in current CAT studies that hinder reliable data interpretation. Key gaps include inconsistent outcome definitions, limited external validity of small or vendor‑sponsored trials, insufficient biomechanical and materials characterization, and sparse patient‑centered endpoints. These limitations inflate uncertainty around dose–response relationships, material behaviour under clinical conditions, and the real‑world effectiveness of algorithmic staging tools. To enhance evidence quality and patient outcomes, we propose stronger research designs—prospective, adequately powered, multi-center trials; standardized outcome metrics; preregistration and transparent data sharing; robust biomechanical and materials testing; and integrated health‑services research to assess access, costs, and patient preferences. We also advocate development and validation of AI‑assisted decision‑support tools within rigorous clinical frameworks. Multidisciplinary, methodologically rigorous research and consensus on outcomes are essential to translate digital innovations in CAT into predictable, patient‑centred care. Implementing improved study designs and transparent practices will better define effective protocols, guide policy, and ultimately improve clinical outcomes for patients receiving clear aligner therapy.

清除矫正器治疗（CAT）已经从一个利基辅助发展成为当代正畸的主导模式。这篇手稿框架的轨迹作为科学革命阶段的序列-前科学，正常科学，模型漂移，模型危机和模型革命-澄清概念和技术转变如何重塑临床实践和研究重点。我们综合了数字工作流程（口内扫描、CBCT集成）、人工智能驱动的治疗分期和个性化生物力学的发展，并评估了当前CAT研究中阻碍可靠数据解释的方法学局限性。主要的差距包括不一致的结局定义，小型或供应商赞助的试验的有限外部有效性，不充分的生物力学和材料表征，以及稀疏的以患者为中心的终点。这些限制增加了剂量-反应关系、临床条件下的材料行为以及算法分期工具在现实世界中的有效性的不确定性。为了提高证据质量和患者预后，我们建议加强研究设计——前瞻性、充分支持的多中心试验；标准化结果指标；预登记和透明的数据共享；稳健的生物力学和材料测试；以及综合卫生服务研究，以评估获取、成本和患者偏好。我们还提倡在严格的临床框架内开发和验证人工智能辅助决策支持工具。多学科、方法严谨的研究和对结果的共识对于将CAT的数字创新转化为可预测的、以患者为中心的护理至关重要。实施改进的研究设计和透明的实践将更好地定义有效的方案，指导政策，并最终改善接受明确对准剂治疗的患者的临床结果。

{"title":"Aligner science today: pivoting from the past, embracing the present, and pioneering future frontiers!","authors":"Tony Weir, Nikhillesh Vaiid","doi":"10.1053/j.sodo.2025.11.007","DOIUrl":"10.1053/j.sodo.2025.11.007","url":null,"abstract":"<div><div>Clear aligner therapy (CAT) has progressed from a niche adjunct to a dominant modality in contemporary orthodontics. This manuscript frames that trajectory as a sequence of scientific-revolution stages—pre‑science, normal science, model drift, model crisis, and model revolution—to clarify how conceptual and technological shifts have reshaped clinical practice and research priorities. We synthesize developments in digital workflows (intraoral scanning, CBCT integration), AI‑driven treatment staging, and personalized biomechanics, and we evaluate methodological limitations in current CAT studies that hinder reliable data interpretation. Key gaps include inconsistent outcome definitions, limited external validity of small or vendor‑sponsored trials, insufficient biomechanical and materials characterization, and sparse patient‑centered endpoints. These limitations inflate uncertainty around dose–response relationships, material behaviour under clinical conditions, and the real‑world effectiveness of algorithmic staging tools. To enhance evidence quality and patient outcomes, we propose stronger research designs—prospective, adequately powered, multi-center trials; standardized outcome metrics; preregistration and transparent data sharing; robust biomechanical and materials testing; and integrated health‑services research to assess access, costs, and patient preferences. We also advocate development and validation of AI‑assisted decision‑support tools within rigorous clinical frameworks. Multidisciplinary, methodologically rigorous research and consensus on outcomes are essential to translate digital innovations in CAT into predictable, patient‑centred care. Implementing improved study designs and transparent practices will better define effective protocols, guide policy, and ultimately improve clinical outcomes for patients receiving clear aligner therapy.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"32 1","pages":"Pages 1-9"},"PeriodicalIF":2.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146081300","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}

引用次数: 0