Seminars in Orthodontics最新文献

英文中文

Future Issues 未来的问题

IF 2.2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Seminars in Orthodontics

Pub Date : 2025-05-31 DOI: 10.1053/S1073-8746(25)00040-4

引用次数: 0

Hospitalizations with Obstructive Sleep Apnea in the United States: Nationwide estimates for the years 2020 to 2022 美国阻塞性睡眠呼吸暂停住院：2020年至2022年全国估计

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

Seminars in Orthodontics

Pub Date : 2025-05-30 DOI: 10.1053/j.sodo.2025.05.003

Veerasathpurush Allareddy , Shankar Rengasamy Venugopalan , Michael Han , Gloria Ahn , Sofie Vogel , Maysaa Oubaidin , Mohammed H. Elnagar , Min Kyeong Lee

Objective

Obstructive Sleep Apnea (OSA) is a major public health concern and has wide ranging impact on overall health. The objective of this study is to provide nationally representative estimates of OSA related hospitalizations in the United States during the years 2020 to 2022.

Methods

The Nationwide Inpatient Sample, the largest all-payer hospitalization database in the United States was used. All hospitalizations (both primary and secondary diagnoses) with an ICD-10-CM Code for OSA were selected for analysis. The demographic characteristics, co-morbid burden, and disposition status were examined. Simple descriptive statistics were used to summarize the data.

Results

During the study period, a total of 13,040 hospitalizations were primarily due to OSA. OSA as a secondary diagnosis was present in 6,470,827 hospitalizations. Majority of patients had co-morbid conditions. Fifty five patients (0.4 %) who were hospitalized primarily due to OSA died in the hospital. 172,025 patients (2.7 %) with a secondary diagnosis of OSA died in the hospitals. Overall, those with a secondary diagnosis of OSA had a longer length of stay in hospital, higher in-hospital mortality rates, and a greater co-morbid burden when compared to those primarily admitted due to OSA.

Conclusions

This study presents nationally representative estimates of hospitalizations with OSA and associated hospitalization outcomes. The burden on the healthcare system is highlighted. Regular screening and early intervention are crucial to mitigate the health impacts of OSA and improve patient outcomes.

目的阻塞性睡眠呼吸暂停（OSA）是一个重大的公共卫生问题，对整体健康有着广泛的影响。本研究的目的是提供2020年至2022年美国OSA相关住院的全国代表性估计。方法采用美国最大的全付款人住院数据库——全国住院患者样本。选择所有具有ICD-10-CM OSA编码的住院患者（包括原发性和继发性诊断）进行分析。检查了人口统计学特征、共病负担和处置状况。采用简单的描述性统计对数据进行汇总。结果在研究期间，共有13040例主要因OSA住院。在6,470,827例住院病例中，OSA作为次要诊断存在。大多数患者有合并症。主要因OSA住院的55例（0.4%）患者在医院死亡。172,025例（2.7%）继发诊断为OSA的患者在医院死亡。总体而言，与主要因OSA入院的患者相比，继发诊断为OSA的患者住院时间更长，住院死亡率更高，合并症负担更重。结论：本研究提供了具有全国代表性的阻塞性睡眠呼吸暂停住院和相关住院结果的估计。医疗保健系统的负担是突出的。定期筛查和早期干预对于减轻OSA对健康的影响和改善患者预后至关重要。

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引用次数: 0

Orthodontic pre-surgical planning for orthognathic surgery in patients with cleft lip and palate: key considerations 唇腭裂患者正畸手术的术前计划：关键考虑因素

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

Seminars in Orthodontics

Pub Date : 2025-05-27 DOI: 10.1053/j.sodo.2025.05.001

Tiago Turri de Castro Ribeiro , Felicia Miranda

Skeletal Class III deformity is commonly observed in patients with repaired cleft lip and palate (CLP) and is characterized by maxillary hypoplasia in all three dimensions. Orthognathic surgery (OGS) is the primary treatment to correct this jaw discrepancy in adults, restoring facial balance and occlusal function. However, successful surgical outcomes depend on meticulous orthodontic pre-surgical preparation, which ensures proper dental decompensation, arch coordination, and a stable occlusion postoperatively. This article discusses key considerations in orthodontic planning for OGS in CLP patients, including early identification of surgical needs, preoperative preparation for secondary alveolar bone grafting, post-graft orthodontics, and long-term follow-up. A structured, interdisciplinary approach is essential to optimize functional and esthetic results, contributing to long-term treatment stability.

骨骼III类畸形常见于修复性唇腭裂（CLP）患者，其特征是上颌三维发育不全。正颌手术（OGS）是纠正成人下颌差异的主要治疗方法，可以恢复面部平衡和咬合功能。然而，成功的手术结果取决于精心的正畸术前准备，以确保适当的牙齿失代偿、弓协调和术后稳定的咬合。本文讨论了CLP患者OGS正畸计划的关键考虑因素，包括手术需求的早期识别、二次牙槽骨移植的术前准备、移植后正畸以及长期随访。结构化的跨学科方法对于优化功能和美学结果至关重要，有助于长期治疗的稳定性。

引用次数: 0

Orthodontic craniofacial imaging and systemic conditions: Radiographic indicators and clinical implications 正畸颅面成像和全身状况：影像学指标和临床意义

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

Seminars in Orthodontics

Pub Date : 2025-05-21 DOI: 10.1053/j.sodo.2025.04.003

Swarna Yerebairapura Math , Devarasa Murugeshappa , Troy W.S. Turner , Carlos Flores-Mir , Camila Pacheco-Pereira

While fundamental for orthodontic treatment planning, craniofacial imaging also provides valuable insights into systemic health. In children, adolescents, and young adults, where skeletal and dental development is dynamic, routine imaging can reveal subclinical manifestations of systemic diseases, often preceding overt symptoms. These conditions can produce distinct craniofacial alterations, impacting bone metabolism and orthodontic tooth movement, thereby requiring adjustments to orthodontic biomechanics. Crucially, referral to a medical practitioner is essential for appropriate management in more complex cases involving incidental findings. Dental panoramic radiographs, lateral cephalograms, and cone beam computed tomography are important tools for identifying these anomalies. This review summarizes key radiographic features of systemic diseases, discusses their orthodontic implications, and outlines referral pathways for effective multidisciplinary management.

颅面成像是正畸治疗计划的基础，也为全身健康提供了有价值的见解。在儿童、青少年和年轻人中，骨骼和牙齿发育是动态的，常规影像学检查可以发现全身性疾病的亚临床表现，通常先于明显症状。这些情况可产生明显的颅面改变，影响骨代谢和正畸牙齿运动，因此需要调整正畸生物力学。至关重要的是，在涉及偶然发现的更复杂病例中，转诊给医生对于适当管理至关重要。牙科全景x线片、侧位头颅x线片和锥形束计算机断层扫描是识别这些异常的重要工具。这篇综述总结了全身性疾病的主要影像学特征，讨论了它们的正畸意义，并概述了有效的多学科管理的转诊途径。

引用次数: 0

The influence of women in shaping the specialty of orthodontics 女性对口腔正畸专科形成的影响

IF 2.2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Seminars in Orthodontics

Pub Date : 2025-04-05 DOI: 10.1053/j.sodo.2025.03.011

Nellie Kim-Weroha , Su-Jung Kim

引用次数: 0

Prevalence, causes and characteristics of orthodontic patients with cleft lip with or without palate 有腭或无腭唇裂患者的患病率、病因及特点

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

Seminars in Orthodontics

Pub Date : 2025-04-03 DOI: 10.1053/j.sodo.2025.03.007

Seung-Hak Baek

This review aims to provide insights into the prevalence, causes and characteristics of orthodontic patients with cleft lip with/without palate (CL/P). The causes, distribution and relationships between sex and cleft type, number and sidedness of cleft defects, malocclusion types, and their clinical implications for maxillary growth, asymmetry, and treatment timing were discussed. Several genes including IRF6, RUNX2, MTHFR, PVRL1, TGFB3, and TBX22 contribute to the risk of non-syndromic CL/P. Maternal folic acid intake appears to offer protective benefits against CL/P, while maternal medication and paternal smoking, potential risk factors. Their distinctive characteristics are (1) male dominance in cleft lip (CL), CL and alveolus (CLA), and CL and palate (CLP), while female dominance in cleft palate only (CPO); (2) a high proportion of CLP and a low proportion of CPO; (3) a higher prevalence of unilateral clefts than bilateral clefts; (4) male dominance in both unilateral and bilateral clefts; (5) a left-side dominance in unilateral clefts; (6) a higher likelihood of Class III malocclusion in CPO and CLP compared to CL; (7) Class III malocclusion dominance in both males and females; (8) increase in the need for surgical intervention with cleft severity; (9) a high proportion of maxillary retrusion in adult patients treated with orthognathic surgery; (10) diverse maxillo-mandibular growth patterns in CPO patients; (11) diverse asymmetry patterns in unilateral CLP patients; and (12) commencement of orthodontic treatment during the mixed dentition stage in half of patients. These findings might help healthcare resource allocation and planning for orthodontic patients with CL/P.

本文综述了有/无腭裂（CL/P）正畸患者的患病率、原因和特点。本文讨论了腭裂的原因、分布、性别与腭裂类型、数量、侧边度、错颌类型的关系，以及它们对上颌生长、不对称和治疗时机的临床意义。包括IRF6、RUNX2、MTHFR、PVRL1、TGFB3和TBX22在内的几个基因与非综合征性CL/P的风险有关。母亲摄入叶酸似乎对CL/P有保护作用，而母亲服用药物和父亲吸烟则是潜在的危险因素。它们的显著特征是：(1)唇裂（CL）、唇裂和牙槽（CLA）、唇裂和腭（CLP）男性占优势，而唇裂（CPO）女性占优势；(2) CLP比例高，CPO比例低；(3)单侧唇裂的发生率高于双侧唇裂；(4)单侧和双侧唇裂均为男性优势；(5)单侧唇裂左侧占优势；(6)与CL相比，CPO和CLP发生III类错颌合的可能性更高；(7)男女均有III类错颌优势；(8)严重唇裂的手术干预需求增加；(9)成人正颌手术患者上颌后缩比例高；（10） CPO患者上颌-下颌不同的生长模式；（11）单侧CLP患者存在多种不对称模式；（12）一半患者在混合牙列阶段开始正畸治疗。这些发现可能有助于正畸CL/P患者的医疗资源分配和规划。

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引用次数: 0

Digital technologies used to implement pre-surgical infant orthopedic treatment in newborn babies with cleft lip and palate: A scoping review 数字技术用于新生儿唇腭裂的术前矫形治疗：范围综述

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

Seminars in Orthodontics

Pub Date : 2025-03-25 DOI: 10.1053/j.sodo.2025.03.009

Juan Pablo Gómez , Brenda Herrera , Puneet Batra , Diana Gómez , Paula Calderon , Sana Bint Aziz

Introduction

Cleft lip and/or palate contributes significantly to the global health burden. The use of digital technologies for oral imaging, oral and nasal appliance design, and fabrication of custom aligners can help newborns with cleft lip and/or palate, especially those in areas of limited access, to obtain appropriate care. The aim of this review was to analyze the scientific evidence relating to digital technologies that are used to provide pre-surgical orthopedic treatment for neonates with cleft lip and palate.

Methodology

A search using the search terms digital technologies and cleft lip and/or palate was conducted in PubMed, Scopus, Cochrane Library, Scielo, and Science Direct databases. Google Scholar was used to search the grey literature. The study followed the PRISMA scoping review guidelines.

Results

The initial search identified 224 results, out of which 18 publications were included after screening and removing duplicates. Most of the studies used a 3-dimensional (3D) model, obtained from a direct scanner or plaster model. The CAD-CAM technology was widely used, acquiring designed and printed 3D models, thermoformed or printed plates, prediction models printed and treated with conventional NAM devices, CAD-NAM prototypes, semi-automated Rapid NAM, and printed nasal stents.

Conclusions

Most studies used CAD/CAM to sequentially simplify and automate the existing NAM method, making it reproducible and accessible, limiting the need for additional treatment appointments. Digitization of structures along with CAD/NAM technology allows for a digital workflow for PSIO protocols, saving both time and effort and thereby reducing the burden of care.

唇裂和/或腭裂严重加重了全球健康负担。使用数字技术进行口腔成像、口腔和鼻腔器具设计以及定制矫正器的制作可以帮助唇裂和/或腭裂新生儿，特别是那些生活在交通不便地区的新生儿获得适当的护理。本综述的目的是分析与数字技术有关的科学证据，这些技术用于为唇腭裂新生儿提供术前矫形治疗。方法在PubMed、Scopus、Cochrane Library、Scielo和Science Direct数据库中使用检索词“数字技术与唇腭裂”进行检索。b谷歌Scholar用于搜索灰色文献。该研究遵循PRISMA范围审查指南。结果初步检索结果224篇，筛选剔除重复文献后纳入18篇。大多数研究使用三维（3D）模型，通过直接扫描仪或石膏模型获得。CAD-CAM技术得到了广泛的应用，可以获得设计和打印的3D模型、热成型或打印板、用传统NAM设备打印和处理的预测模型、CAD-NAM原型、半自动Rapid NAM和打印的鼻支架。大多数研究使用CAD/CAM依次简化和自动化现有的NAM方法，使其可重复性和可及性，限制了额外治疗预约的需要。结构的数字化以及CAD/NAM技术允许PSIO协议的数字化工作流程，节省了时间和精力，从而减轻了护理负担。

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引用次数: 0

The impact of gender on aesthetic perception, treatment outcomes and satisfaction in adult orthodontic patients 性别对成人正畸患者审美、治疗效果及满意度的影响

IF 2.2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Seminars in Orthodontics

Pub Date : 2025-03-25 DOI: 10.1053/j.sodo.2025.03.010

Jinsuk Lee , YouI Sreng , Seolhee Kim , Young-Sun Park , Eui Seon Baek , Ji-hye Nam , Chooryung J. Chung

引用次数: 0

Efficacy of artificial intelligence in cleft care: A systematic review 人工智能在唇腭裂护理中的效果：系统综述

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

Seminars in Orthodontics

Pub Date : 2025-03-25 DOI: 10.1053/j.sodo.2025.03.006

Jay Shah , Jihee Yoon , Kristen Lowe , Jaemin Ko , Snehlata Oberoi

Cleft lip and/or palate (CLP) is the most common craniofacial anomaly worldwide and necessitates a comprehensive, multidisciplinary treatment approach. With the advancement of artificial intelligence (AI), many have explored opportunities to incorporate AI-based technology into cleft care. This systematic review aims to assess the efficacy of AI in CLP treatment by reviewing articles that compare AI to conventional, non-AI based clinical methods. A literature search using PubMed, Embase, and Web of Science databases on August 23, 2024, retrieved 745 articles from all three databases combined. A total of 25 articles were included in our review based on our specific inclusion/exclusion criteria and assessed for risk of bias using a previously published modified PROBAST tool. In conclusion, the current literature suggests that AI can enhance the management of CLP through surgery, radiographic analysis, dental and facial evaluations, and speech assessment. However, major hurdles must be addressed, such as the need for extensive training datasets, accuracy limitations, and data privacy and transparency concerns. As AI continues to evolve, its incorporation into CLP care has the potential to revolutionize diagnosis, treatment planning, and overall patient outcomes.

唇腭裂是世界范围内最常见的颅面畸形，需要综合、多学科的治疗方法。随着人工智能（AI）的进步，许多人已经探索了将人工智能技术融入唇腭裂护理的机会。本系统综述旨在通过回顾比较人工智能与传统、非人工智能临床方法的文章，评估人工智能在CLP治疗中的疗效。在2024年8月23日使用PubMed， Embase和Web of Science数据库进行文献检索，从这三个数据库中检索到745篇文章。根据特定的纳入/排除标准，我们共纳入了25篇文章，并使用先前发表的改良PROBAST工具评估偏倚风险。总之，目前的文献表明，人工智能可以通过手术、放射学分析、牙齿和面部评估以及语言评估来加强CLP的管理。然而，必须解决主要障碍，例如需要广泛的训练数据集，准确性限制以及数据隐私和透明度问题。随着人工智能的不断发展，将其纳入CLP护理有可能彻底改变诊断、治疗计划和患者的整体预后。

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Screening sleep-disordered breathing (SDB) in the everyday dental office – Pediatric and adult patients 筛查睡眠呼吸障碍（SDB）在日常牙科诊所-儿童和成人患者

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

Seminars in Orthodontics

Pub Date : 2025-03-24 DOI: 10.1053/j.sodo.2025.03.005

Heesoo Oh , Maryam Arab , Eugene Y Kim , Mark Vaughan , Joorok Park , Audrey Yoon

This paper discusses the growing role of dental professionals in screening for sleep-disordered breathing (SDB) in both pediatric and adult patients. It highlights etiology, risk factors, and clinical signs and symptoms, outlines effective screening methods, and emphasizes the importance of interdisciplinary collaboration in the management of SDB. By providing guidelines tailored to each age group, this paper aims to equip dental practitioners with the tools and knowledge to identify patients at risk for SDB, thereby supporting early intervention and improving patient outcomes.

本文讨论了牙科专业人员在儿童和成人患者睡眠呼吸障碍（SDB）筛查中的日益重要的作用。它强调了SDB的病因、危险因素和临床体征和症状，概述了有效的筛查方法，并强调了跨学科合作在SDB管理中的重要性。通过提供针对每个年龄组的指南，本文旨在为牙科医生提供工具和知识，以识别有SDB风险的患者，从而支持早期干预和改善患者预后。

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