Seminars in Orthodontics最新文献

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Remote aligner supervision and STL generation with Dental Monitoring®: Clinical integration and case report 远程矫正器监督和STL生成与牙科监测®：临床整合和病例报告

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

Seminars in Orthodontics

Pub Date : 2026-02-01 DOI: 10.1053/j.sodo.2025.07.012

JC Perez Varela , M López Vila , M Hirschhaut , C Flores-Mir

Artificial intelligence is currently being utilized to enhance the efficiency of orthodontic treatment and reduce the need for in-office visits. Dental Monitoring® (DM) facilitates remote supervision of clear aligner fit, oral hygiene, and appliance integrity through patient-performed scans. This case presents a 23-year-old male with an anterior open bite, treated with clear aligners and lower extra-alveolar mini-screws. Personalized clinical protocols developed within the DM platform for guiding aligner changes and monitoring hygiene are described. Each scan generated automated feedback for the patient and detailed reports for the orthodontist. A total of 59 scans were completed, with 88 % submitted on time. A significant misfit was detected in 16 % of scans, which was managed either by extending the aligner wear or through manual override based on clinical judgment. Hygiene alerts were triggered in 36 % of scans, prompting automated reinforcement messages. At the end of treatment, a remote STL file was generated for refinement planning, demonstrating high agreement with intraoral scanning. This case highlights the potential usefulness of DM in supporting personalized aligner therapy through protocol-based monitoring, improved patient compliance, and reduced clinical visits.

目前，人工智能正被用于提高正畸治疗的效率，减少上门就诊的需要。牙科监测®（DM）通过患者进行的扫描，方便远程监督清晰对准器的配合、口腔卫生和器具的完整性。本病例是一名23岁男性，前牙开咬，使用透明矫正器和下牙槽外微型螺钉治疗。本文描述了DM平台内开发的个性化临床方案，用于指导矫正器的更换和监测卫生状况。每次扫描都会自动为患者提供反馈，并为正畸医生提供详细的报告。总共完成了59次扫描，88%按时提交。在16%的扫描中检测到明显的不匹配，通过延长矫正器磨损或通过基于临床判断的手动覆盖来管理。36%的扫描触发了卫生警报，提示自动强化信息。治疗结束时，生成远程STL文件进行细化规划，与口腔内扫描高度一致。本病例强调了通过基于方案的监测、提高患者依从性和减少临床就诊，DM在支持个性化矫正器治疗方面的潜在用途。

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引用次数: 0

Embracing digital diversity in clear aligner orthodontics: Dental monitoring, aligner systems and sustainability 在牙齿矫正中拥抱数字多样性：牙齿监测、矫正器系统和可持续性

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

Seminars in Orthodontics

Pub Date : 2026-02-01 DOI: 10.1053/j.sodo.2025.09.020

Rhonda Coyne

The orthodontic landscape is undergoing a transformative shift through the integration of advanced digital technologies, diverse aligner systems, and artificial intelligence (AI). This article presents the author’s journey in cultivating a digitally diverse orthodontic practice, with an emphasis on adopting multiple aligner brands, implementing remote monitoring tools such as Dental Monitoring (DM), and establishing sustainable workflows. The transition from being “aligner agnostic” to embracing digital diversity demonstrates the advantages of flexibility, innovation, and patient-centred care.

Key topics explored include the evolution of clear aligners, with particular attention to advancements in computer-aided design and manufacturing (CAD/CAM), market growth, and the comparison between thermoformed and direct-printed aligners. The article also considers in-house versus outsourced aligner production and examines the environmental impact of aligner manufacturing, advocating for sustainability through recycling and waste reduction.

AI and machine learning have revolutionised orthodontics by enabling greater precision in diagnostics, treatment planning, and monitoring. The article discusses the recent FDA De Novo approval of Dental Monitoring as a Software as a Medical Device (SaMD), highlighting AI’s role in improving compliance and efficiency. Legal and ethical considerations related to the use of multiple aligner brands are also addressed, with an emphasis on transparency, compliance, and patient trust.

By integrating these innovations, orthodontists can effectively navigate a rapidly evolving digital environment, balancing progress with sustainability and ethical practice.

通过先进的数字技术、多样化的矫正器系统和人工智能（AI）的整合，正畸领域正在经历一场变革性的转变。本文介绍了作者培养数字化多样化正畸实践的历程，重点是采用多种校准器品牌，实施牙科监测（DM）等远程监控工具，以及建立可持续的工作流程。从“校准不可知论”到拥抱数字化多样性的转变，展示了灵活性、创新性和以患者为中心的护理的优势。探讨的主要主题包括透明对准器的发展，特别关注计算机辅助设计和制造（CAD/CAM）的进步，市场增长以及热成型和直接打印对准器之间的比较。文章还考虑了内部与外包的牙齿矫正器生产，并检查了牙齿矫正器制造的环境影响，倡导通过回收和减少废物的可持续性。人工智能和机器学习通过提高诊断、治疗计划和监测的准确性，彻底改变了正畸学。本文讨论了最近FDA De Novo批准牙科监测作为一种软件作为医疗设备（SaMD），强调了人工智能在提高合规性和效率方面的作用。此外，还讨论了与使用多个矫正器品牌相关的法律和道德考虑，重点是透明度、合规性和患者信任。通过整合这些创新，正畸医生可以有效地驾驭快速发展的数字环境，平衡进步与可持续性和道德实践。

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引用次数: 0

The predictability of tooth movement with clear aligner systems 牙齿运动的可预测性与明确的校准系统

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

Seminars in Orthodontics

Pub Date : 2026-02-01 DOI: 10.1053/j.sodo.2025.06.003

Steven Naoum, Richard Lee

The difference between planned and achieved tooth movement, i.e. the predictability of orthodontic tooth movement, remains a challenge for all clear aligner systems. The aim of this paper is to summarise the current research and provide clinicians with guidance on tooth movement predictability and favourable/unfavourable malocclusions for treatment with clear aligner systems.

Tooth movements of low predictability, when achieved movement is less than 50 % of planned movement include: extrusion (anterior and posterior), intrusion (anterior), rotation (premolars, canines) and torque. Tooth movements of moderate predictability, when achieved movement is 50-75 % of the planned movement include: rotation (incisors) and mesiodistal angulation (tip). Tooth movements of high predictability, when achieved movement exceeds 75 % of the planned movement include: expansion and maxillary buccal segment distalisation.

Consequently clear aligners are able to deliver excellent clinical results in a variety of cases, including but not limited to, anterior open bites, Class II cases requiring sequential distalisation of upper molars and cases with mild to moderate crowding and irregularity. Other malocclusions such as deep bites; extraction cases with significant space closure; and cases requiring extrusion or significant derotation of canine/premolar teeth or changes in root angulation and torque, may be less favourable. Patients should be made aware of the lower predictability of achieving correction in these cases with clear aligners, particularly where fixed appliances would likely deliver a better outcome.

Tooth movement predictability can be improved by: the use of attachments to increase aligner/tooth contact, aligner retention and force application precision; the use of bonded buttons and detailing pliers to create desired forces systems; increasing aligner wear time (1 vs 2 weeks); sequencing complex movements; and reducing complex movement velocity.

计划和实现的牙齿运动之间的差异，即正畸牙齿运动的可预测性，仍然是所有明确对准系统的挑战。本文的目的是总结目前的研究，并为临床医生提供关于牙齿运动可预测性和使用清晰对准器系统治疗有利/不利错颌的指导。当实现的运动小于计划运动的50%时，牙齿运动的可预测性较低，包括：挤压（前牙和后牙）、侵入（前牙）、旋转（前磨牙、犬齿）和扭矩。牙齿的运动具有中等可预测性，当达到计划运动的50- 75%时，包括：旋转（门牙）和中远端成角（尖端）。当实现的运动超过计划运动的75%时，高度可预测性的牙齿运动包括：扩张和上颌颊段离远。因此，在各种情况下，包括但不限于，前开咬，需要连续上颌磨牙远端的II类病例和轻度至中度拥挤和不规则的病例，清晰对准器能够提供出色的临床结果。其他咬合错误，如深咬；有明显空间封闭的拔牙病例；而需要挤压或明显的犬牙/前磨牙变形或牙根角度和扭矩变化的病例，可能不太有利。应该让患者意识到，在使用透明矫正器的情况下，实现矫正的可预测性较低，特别是在固定矫治器可能提供更好的结果的情况下。牙齿运动的可预见性可以通过以下方式改善：使用附件来增加对准器/牙齿接触，对准器保持力和施力精度；使用粘合按钮和详细的钳子来创建所需的力量系统；增加对准器磨损时间（1周vs 2周）；复杂动作排序；降低了复杂的运动速度。

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引用次数: 0

Biomechanical considerations and staging strategies for premolar extraction using clear aligners: a clinical review 生物力学考虑和分期策略的前磨牙拔牙使用明确的对准：临床回顾

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

Seminars in Orthodontics

Pub Date : 2026-02-01 DOI: 10.1053/j.sodo.2025.08.002

Sandra Khong Tai

Premolar extraction is an accepted orthodontic treatment modality to address severe crowding, incisor protrusion, vertical discrepancies, and to improve soft tissue profiles. While early premolar extraction aligner treatments faced limitations such as loss of incisor torque, deepening of the overbite, and tipping, recent advancements—including root control attachments, aligner force systems, and improved staging protocols—have improved outcomes. This clinical review examines current evidence on premolar extraction treatment with clear aligners, focusing on biomechanics, anchorage considerations, and clinical protocols. In extraction treatments, bodily tooth movement, torque, vertical control, and anchorage management are critical in achieving predictable outcomes. Different anchorage models and staging patterns play essential roles in controlling space closure, torque, and root parallelism. Studies highlight that aligners can achieve outcomes comparable to fixed appliances, although extraction treatments often require longer treatment times and show discrepancies between predicted and achieved movements. To mitigate complications such as the "roller coaster" effect, root tipping, and overbite deepening, clinicians must incorporate over-treatment strategies in the digital plan, including added lingual root torque, vertical overbite overcorrection, and virtual gable bends. Hybrid treatment with segmental brackets may assist in achieving optimal root positioning. With appropriate planning and staging, premolar extraction treatment with aligners can be an effective and predictable modality for complex malocclusions.

前磨牙拔除是一种公认的正畸治疗方式，用于解决严重拥挤，门牙突出，垂直差异和改善软组织轮廓。虽然早期的前磨牙拔牙矫正器治疗面临着诸如门牙扭矩损失、覆盖咬合加深和倾斜等局限性，但最近的进展（包括根控制附着物、矫正器力系统和改进的分级方案）改善了结果。这篇临床综述检查了目前使用清晰对准器进行前磨牙拔牙治疗的证据，重点是生物力学、支抗考虑和临床方案。在拔牙治疗中，身体牙齿的运动、扭矩、垂直控制和固支管理对于获得可预测的结果至关重要。不同的锚固模式和分段方式在控制空间闭合、扭矩和根平行度方面起着重要作用。研究强调矫正器可以达到与固定矫治器相当的效果，尽管拔牙治疗通常需要更长的治疗时间，并且在预测和实现的运动之间存在差异。为了减轻诸如“过山车”效应、牙根倾斜和覆盖咬合加深等并发症，临床医生必须将过度治疗策略纳入数字计划，包括增加舌根扭矩、垂直覆盖咬合过度矫正和虚拟山形弯曲。采用分段式托槽的混合处理有助于实现最佳的根定位。有了适当的计划和分期，前磨牙拔牙矫正器可以有效和可预测的治疗复杂的错牙合。

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引用次数: 0

Deep bite correction with Clear Aligners – after 26 years where are we at? 使用清晰牙齿矫正器进行深咬矫正- 26年后我们在哪里？

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

Seminars in Orthodontics

Pub Date : 2026-02-01 DOI: 10.1053/j.sodo.2025.02.006

Haylea Louise Blundell

Objective

Are clear aligners comparable to fixed appliances in correcting a deep overbite? Deep overbite correction is essential to achieve ideal and predictable orthodontic results. This literature review explores the accuracy of clear aligners in correcting deep overbites. After 26 years of development, the introduction of numerous materials, attachment types and auxiliaries, this review delves into the reality of deep overbite correction with clear aligners. The aim of this paper is to summarise the current literature on deep overbite correction with clear aligners.

Search Methodology

The following electronic databases/libraries were screened for relevant peer-reviewed articles published between 2000 and 2025: PubMed, ScienceDirect, Google Scholar, and The La Trobe University library.

Results

Thirty-seven studies (including both retrospective and prospective papers) were included in the literature review. The results indicate that <50 % of the planned overbite reduction is expressed when using clear aligners. Age of the patient and incorporation of different protocols and/or attachments do not significantly influence the ability to reduce a deep overbite with clear aligners.

Conclusions

The findings from this literature review recognise the shortcomings of clear aligners in correcting a deep overbite. Fixed appliances still appear to be the treatment method of choice when deep overbite correction is required as part of the overall orthodontic treatment plan.

目的在矫正深度复咬时，透明矫正器与固定矫治器是否具有可比性？为了达到理想和可预测的正畸效果，深度覆咬矫正是必不可少的。这篇文献综述探讨了透明矫正器在矫正深度复咬中的准确性。经过26年的发展，引入了许多材料，附着体类型和辅助材料，本文综述了使用清晰对准器进行深度覆盖咬合矫正的现实。本文的目的是总结目前的文献深覆盖咬合矫正与明确的对准器。检索方法通过以下电子数据库/图书馆筛选2000年至2025年间发表的相关同行评议文章：PubMed、ScienceDirect、b谷歌Scholar和The La Trobe University library。结果文献综述共纳入37项研究（包括回顾性和前瞻性研究）。结果表明，当使用透明牙齿矫正器时，计划的覆盖咬合减少率达到了50%。患者的年龄和不同方案和/或附着体的结合对使用透明矫正器减少深覆盖咬合的能力没有显著影响。结论：本文献综述的发现承认了透明矫正器在矫正深覆盖咬合方面的缺点。当需要深度覆咬矫正作为整体正畸治疗计划的一部分时，固定矫治器仍然是首选的治疗方法。

{"title":"Deep bite correction with Clear Aligners – after 26 years where are we at?","authors":"Haylea Louise Blundell","doi":"10.1053/j.sodo.2025.02.006","DOIUrl":"10.1053/j.sodo.2025.02.006","url":null,"abstract":"<div><h3>Objective</h3><div>Are clear aligners comparable to fixed appliances in correcting a deep overbite? Deep overbite correction is essential to achieve ideal and predictable orthodontic results. This literature review explores the accuracy of clear aligners in correcting deep overbites. After 26 years of development, the introduction of numerous materials, attachment types and auxiliaries, this review delves into the reality of deep overbite correction with clear aligners. The aim of this paper is to summarise the current literature on deep overbite correction with clear aligners.</div></div><div><h3>Search Methodology</h3><div>The following electronic databases/libraries were screened for relevant peer-reviewed articles published between 2000 and 2025: PubMed, ScienceDirect, Google Scholar, and The La Trobe University library.</div></div><div><h3>Results</h3><div>Thirty-seven studies (including both retrospective and prospective papers) were included in the literature review. The results indicate that <50 % of the planned overbite reduction is expressed when using clear aligners. Age of the patient and incorporation of different protocols and/or attachments do not significantly influence the ability to reduce a deep overbite with clear aligners.</div></div><div><h3>Conclusions</h3><div>The findings from this literature review recognise the shortcomings of clear aligners in correcting a deep overbite. Fixed appliances still appear to be the treatment method of choice when deep overbite correction is required as part of the overall orthodontic treatment plan.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"32 1","pages":"Pages 143-147"},"PeriodicalIF":2.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146081304","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

Future Issues 未来的问题

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

Seminars in Orthodontics

Pub Date : 2025-11-14 DOI: 10.1053/S1073-8746(25)00130-6

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 : 2025-11-14 DOI: 10.1053/S1073-8746(25)00128-8

引用次数: 0

FMii --- Table of Contents FMii——目录表

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

Seminars in Orthodontics

Pub Date : 2025-11-14 DOI: 10.1053/S1073-8746(25)00129-X

引用次数: 0

Orthodontics in oral cleft care 正畸在唇腭裂护理中的应用

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

Seminars in Orthodontics

Pub Date : 2025-09-24 DOI: 10.1053/j.sodo.2025.09.014

Daniela Garib

引用次数: 0

Robin sequence: a comprehensive review of etiology, diagnosis, and management 罗宾序列：一个全面的审查，病因，诊断和管理

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

Seminars in Orthodontics

Pub Date : 2025-09-15 DOI: 10.1053/j.sodo.2025.09.012

Cristiano Tonello , Arturo Frick Carpes , Ilza Lazarini Marques , Terumi Okada Ozawa , Nivaldo Alonso

Robin Sequence is a complex congenital condition defined by the triad of micrognathia, glossoptosis, and upper airway obstruction. This comprehensive review aims to synthesize current knowledge regarding the etiology, diverse clinical presentations, diagnostic challenges, and multidisciplinary management strategies for Robin Sequence, with a specific focus on implications relevant to orthodontic and craniofacial care. The challenge of diagnosing micrognathia and addressing the heterogeneity of associated conditions, including syndromic, isolated, and non-syndromic forms, has been approached. Diagnostic modalities, ranging from prenatal ultrasonography to polysomnography and endoscopic airway evaluation, are explored in detail, with an emphasis on their roles in assessing the severity and localization of airway compromise. The review provides a comprehensive analysis of various treatment approaches for airway obstruction and dysphagia, including prone positioning, nasopharyngeal intubation, glossopexy, mandibular distraction osteogenesis, and tracheostomy, comparing their efficacy, indications, and potential complications. Special attention is given to the impact of cleft palate, a common associated feature, on feeding and respiratory function, and its surgical repair. Understanding the nuanced interplay of anatomical and functional factors in Robin Sequence is crucial for developing individualized and effective treatment protocols, ultimately improving long-term outcomes for affected individuals.

罗宾序列是一种复杂的先天性疾病，由小颌畸形、舌光下垂和上气道阻塞三联症定义。这篇全面的综述旨在综合目前关于罗宾序列的病因、不同的临床表现、诊断挑战和多学科管理策略的知识，特别关注与正畸和颅面护理相关的影响。诊断小颌畸形的挑战和解决相关条件的异质性，包括综合征，孤立和非综合征形式，已经接近。诊断方式，从产前超声检查到多导睡眠检查和内镜气道评估，详细探讨了他们在评估气道损害的严重程度和定位中的作用。本文综合分析了各种治疗气道阻塞和吞咽困难的方法，包括俯卧位、鼻咽插管、舌固定术、下颌牵张成骨术和气管切开术，并比较了它们的疗效、适应证和潜在并发症。特别关注腭裂，一种常见的相关特征，对喂养和呼吸功能的影响，及其手术修复。了解Robin序列中解剖和功能因素的微妙相互作用对于制定个性化和有效的治疗方案至关重要，最终改善受影响个体的长期预后。

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