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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 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
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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 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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引用次数: 0
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 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 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 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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引用次数: 0
Impact of adenotonsillar hypertrophy on craniofacial and general growth: A narrative review 腺扁桃体肥大对颅面及全身生长的影响:综述
IF 2 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-06-27 DOI: 10.1053/j.sodo.2025.06.007
Jun Hosomichi, Takashi Ono
The adenoids and tonsils, integral components of Waldeyer's ring, are vital for immune defense during childhood but can cause significant health issues when hypertrophied. This review explores the impact of adeno-tonsillar hypertrophy on pediatric craniofacial development, general growth, and immune function. Enlarged adenoids and tonsils are strongly associated with obstructive sleep-disordered breathing, which can lead to impaired physical growth, cognitive development, and craniofacial abnormalities such as malocclusion and altered mandibular growth. Adeno-tonsillectomy is the primary treatment for pediatric obstructive sleep apnea (PedOSA), with proven benefits in quality of life, respiratory function, and growth. However, residual PedOSA persists in many cases, necessitating long-term follow-up and adjunct therapies. Recent advances in surgical techniques have improved outcomes by reducing postoperative complications. Emerging studies challenge traditional models of lymphoid tissue growth, revealing age-, sex-, and region-specific variations that emphasize the need for personalized treatment strategies. Future research should focus on genetic and environmental factors influencing lymphoid tissue growth, optimizing intervention timing, and evaluating long-term outcomes to enhance pediatric care.
腺样体和扁桃体是瓦尔德耶氏环的组成部分,在儿童时期对免疫防御至关重要,但当肥大时可能导致严重的健康问题。这篇综述探讨了腺扁桃体肥大对儿童颅面发育、一般生长和免疫功能的影响。腺样体和扁桃体肿大与阻塞性睡眠呼吸障碍密切相关,这可能导致身体发育、认知发育受损和颅面异常,如错颌和下颌生长改变。腺扁桃体切除术是儿童阻塞性睡眠呼吸暂停(PedOSA)的主要治疗方法,在生活质量、呼吸功能和生长方面具有被证实的益处。然而,残留的PedOSA在许多病例中仍然存在,需要长期随访和辅助治疗。外科技术的最新进展通过减少术后并发症改善了预后。新兴研究挑战了传统的淋巴组织生长模型,揭示了年龄、性别和地区特异性的变化,强调了个性化治疗策略的必要性。未来的研究应关注影响淋巴组织生长的遗传和环境因素,优化干预时机,评估长期结果,以加强儿科护理。
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引用次数: 0
Facial and mandibular asymmetries: Etiology, diagnosis, and therapeutic strategies mandibular asymmetry: narrative review 面部和下颌不对称:病因、诊断和治疗策略:下颌不对称:叙述性回顾
IF 2 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-06-18 DOI: 10.1053/j.sodo.2025.06.005
Andrea Erica Bono
Mandibular asymmetry is a multifactorial condition with aesthetic and functional consequences, frequently found in orthodontic practice. This narrative review explores the genetic, developmental, environmental, and neuromuscular factors that contribute to facial and mandibular asymmetries. Multiple classification schemes are discussed, including tissue-based, morphological, and diagnostic severity criteria, as well as the importance of distinguishing true skeletal asymmetries from displacement asymmetries linked to temporomandibular joint (TMJ) disorders. Advanced imaging techniques, such as 3D photogrammetry, CBCT, MRI, and SPECT/CT, are highlighted for their role in diagnosis and treatment planning. Treatment modalities range from mini-implants to surgical approaches, such as orthognathic surgery and proportional condylectomy. By integrating current evidence, this review provides a comprehensive clinical framework for the evaluation and management of mandibular asymmetries aimed at achieving functional rehabilitation and facial harmony.
下颌不对称是一个多因素的条件与审美和功能的后果,经常发现在正畸实践。这篇叙述性的综述探讨了遗传、发育、环境和神经肌肉因素对面部和下颌不对称的影响。本文讨论了多种分类方案,包括基于组织的、形态学的和诊断严重性标准,以及区分真正的骨骼不对称和与颞下颌关节(TMJ)疾病相关的移位不对称的重要性。先进的成像技术,如三维摄影测量、CBCT、MRI和SPECT/CT,因其在诊断和治疗计划中的作用而得到强调。治疗方式从微型植入物到手术方法,如正颌手术和比例髁突切除术。通过整合现有的证据,本综述为评估和治疗下颌不对称提供了一个全面的临床框架,旨在实现功能康复和面部和谐。
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引用次数: 0
Orthodontics and bisphosphonates: Risks, limitations, and considerations: A narrative review 正畸和双膦酸盐:风险,局限性和注意事项:叙述性回顾
IF 2 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-06-05 DOI: 10.1053/j.sodo.2025.06.001
Lorena Wilka , Gabriel Bravo Vallejo , Felicia Miranda , Camila Massaro , José Fernando Castanha Henriques , Marcos Roberto de Freitas , Heesoo Oh , Jonas Bianchi
The interaction between pharmacological agents and orthodontic treatment is critical in clinical practice. Bisphosphonates have been shown to affect orthodontic tooth movement by altering bone metabolism, slowing bone remodeling, potentially prolonging treatment duration, and increasing the risk of bisphosphonate-related osteonecrosis of the jaw. This narrative review aims to synthesize current literature on the effects of bisphosphonates in orthodontics, highlighting potential complications and outlining key clinical considerations for orthodontists. Although understanding of bisphosphonates has progressed, evidence from human orthodontic studies remains limited and heterogeneous. As such, further high-quality research is necessary to establish definitive clinical guidelines. In the meantime, orthodontic care for patients on bisphosphonate therapy should be approached with caution, emphasizing individualized risk assessment and careful treatment planning to ensure patient safety and optimize outcomes.
药物与正畸治疗之间的相互作用在临床实践中至关重要。双膦酸盐通过改变骨代谢、减缓骨重塑、潜在地延长治疗时间和增加双膦酸盐相关颌骨骨坏死的风险来影响正畸牙齿的运动。这篇叙述性综述旨在综合目前关于双膦酸盐在正畸中的作用的文献,突出潜在的并发症并概述正畸医生的关键临床注意事项。尽管对双膦酸盐的了解有所进展,但人类正畸研究的证据仍然有限且不一致。因此,需要进一步的高质量研究来建立明确的临床指南。同时,对双膦酸盐治疗患者的正畸护理应谨慎处理,强调个体化风险评估和精心的治疗计划,以确保患者的安全和优化结果。
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引用次数: 0
FMi --- Ed Board FMi——教育局
IF 2.2 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-05-31 DOI: 10.1053/S1073-8746(25)00038-6
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引用次数: 0
FMii --- Table of Contents FMii——目录表
IF 2.2 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-05-31 DOI: 10.1053/S1073-8746(25)00039-8
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引用次数: 0
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Seminars in Orthodontics
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