American Journal of Orthodontics and Dentofacial Orthopedics最新文献

英文中文

Exploring etiologic contributions to the occurrence of external apical root resorption 探索外根尖吸收的病因。

IF 2.7 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

American Journal of Orthodontics and Dentofacial Orthopedics

Pub Date : 2024-10-01 DOI: 10.1016/j.ajodo.2024.05.017

John M. Burnheimer , Dylan J. Baxter , Kathleen B. Deeley , Alexandre R. Vieira , Mariana Bezamat

Introduction

External apical root resorption (EARR) is often an undesirable sequela of orthodontic treatment. Prior studies have suggested a substantial link between EARR and certain genetic components. Single nucleotide polymorphisms (SNPs) may play a role as predisposing factors. This study aimed to investigate the potential association between EARR and various SNPs.

Methods

The study included 218 orthodontic participants of all malocclusions who had available pretreatment and posttreatment panoramic radiographs. The most severely affected maxillary incisor on the radiograph was assessed for EARR using a 0-4 categorical scale. DNA was taken from the saliva samples of the participants, and the SNPs were analyzed using polymerase chain reaction and TaqMan chemistry. Statistical testing was performed to verify any associations with EARR (P <0.05).

Results

From all genes tested, the rs678397 SNP of ACT3N (P = 0.003) and the rs1051771 SNP of TSC2 (P = 0.03) were significantly associated with EARR. No association could be established between other polymorphisms and EARR. In addition, patients with Class III malocclusion and extended treatment times were at increased risk of developing EARR.

Conclusions

Our results support the concept of gene polymorphisms as risk factors in EARR. In particular, a significant association was found between ACT3N and TSC2 and EARR. Clinically, predisposing risk factors for EARR should be assessed for each patient.

导言：外牙根尖吸收（EARR）通常是正畸治疗的不良后遗症。先前的研究表明，EARR 与某些遗传因素有很大的联系。单核苷酸多态性（SNPs）可能是诱发因素之一。本研究旨在调查 EARR 与各种 SNPs 之间的潜在关联：该研究纳入了 218 名有治疗前和治疗后全景照片的所有畸形正畸参与者。采用0-4分类量表对X光片上受影响最严重的上颌切牙进行EARR评估。从参与者的唾液样本中提取 DNA，使用聚合酶链反应和 TaqMan 化学方法分析 SNPs。通过统计检验来验证与 EARR 的关系（P 结果）：在所有检测基因中，ACT3N 的 rs678397 SNP（P = 0.003）和 TSC2 的 rs1051771 SNP（P = 0.03）与 EARR 显著相关。其他多态性与 EARR 之间没有关联。此外，Ⅲ类错颌畸形和治疗时间延长的患者发生EARR的风险也更高：我们的研究结果支持基因多态性是 EARR 风险因素的概念。结论：我们的研究结果支持基因多态性是 EARR 风险因素的概念，尤其是 ACT3N 和 TSC2 与 EARR 之间存在明显关联。临床上，应针对每位患者评估其易患 EARR 的风险因素。

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引用次数: 0

Efficacy of planned moderate to severe torque changes in maxillary central incisors with the Invisalign appliance: A retrospective investigation 使用隐适美（Invisalign）矫正器对上颌中切牙进行计划性中度至重度扭力改变的效果：回顾性研究。

IF 2.7 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

American Journal of Orthodontics and Dentofacial Orthopedics

Pub Date : 2024-10-01 DOI: 10.1016/j.ajodo.2024.06.008

Nancy Rajan, Tony Weir, Maurice J. Meade

Introduction

This study aimed to investigate whether there was a difference between the planned and achieved lingual root torque of the maxillary central incisors in patients treated with an initial series of Invisalign (Align Technology, Santa Clara, Calif) aligners in which >10° change in the inclination of these teeth was prescribed via the ClinCheck facility.

Methods

The pretreatment, planned, and the digital models after wear of the initial series of aligners regarding adult patients who satisfied selection criteria and were treated using the Invisalign appliance were measured using the Geomagic Control X software (version 2017.0.3; 3D systems, Rock Hill, SC).

Results

A sample of 63 patients with 126 maxillary central incisors satisfied the inclusion criteria. The mean accuracy of the planned torque change of the maxillary central incisors that was achieved was 41.9%. A clinically significant shortfall (≥5°) was detected in 78.6% of the incisors, with the majority showing an underexpression between 10°-15°. Linear regression analyses indicated that weekly or biweekly wear protocols or the presence or absence of power ridges did not influence the accuracy of planned torque expression (P >0.05).

Conclusions

The changes in torque expression with an initial series of Invisalign aligners were less than half of what was planned in patients in which at least a 10° change in lingual root torque of these teeth was prescribed. The presence of power ridges and the aligner change protocol did not appear to significantly affect the accuracy of maxillary central incisor torque expression.

前言：本研究旨在调查通过 ClinCheck 设备进行初始系列隐适美（Align Technology, Santa Clara, Calif）矫治器治疗的患者，其上颌中切牙倾斜度变化大于 10° 时，计划的上颌中切牙舌根扭力与实现的上颌中切牙舌根扭力之间是否存在差异：使用 Geomagic Control X 软件（2017.0.3 版；3D systems，Rock Hill，SC）对符合选择标准并使用隐适美（Invisalign）矫治器进行治疗的成年患者的预处理、计划和佩戴初始系列矫治器后的数字模型进行测量：符合纳入标准的上颌中切牙患者有 63 人，共 126 颗。上颌中切牙计划扭矩变化的平均准确率为 41.9%。在 78.6% 的切牙中发现了临床意义上的明显不足（≥5°），大多数切牙的不足程度在 10°-15° 之间。线性回归分析表明，每周或每两周戴牙一次、有无动力脊并不影响计划扭矩表达的准确性（P >0.05）：结论：在对这些牙齿的舌根扭力至少有10°变化的患者中，初始系列隐适美矫正器的扭力变化不到计划的一半。动力脊的存在和矫治器更换方案似乎对上颌中切牙扭力表达的准确性没有显著影响。

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引用次数: 0

Information for readers 读者须知

IF 2.7 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

American Journal of Orthodontics and Dentofacial Orthopedics

Pub Date : 2024-10-01 DOI: 10.1016/S0889-5406(24)00354-8

引用次数: 0

Authors’ response 作者回复。

IF 2.7 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

American Journal of Orthodontics and Dentofacial Orthopedics

Pub Date : 2024-10-01 DOI: 10.1016/j.ajodo.2024.07.013

Hamid Reza Hosseini, Sandra Khong Tai, Lee J. Andrews II, Jun Xiang, Peter Ngan

引用次数: 0

Journal statistics and backlog issues 期刊统计和积压问题。

IF 2.7 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

American Journal of Orthodontics and Dentofacial Orthopedics

Pub Date : 2024-10-01 DOI: 10.1016/j.ajodo.2024.06.015

Rolf G. Behrents , Jae Hyun Park

引用次数: 0

The quality of Web-based orthodontic information: A scoping review 网络正畸信息的质量：范围审查。

IF 2.7 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

American Journal of Orthodontics and Dentofacial Orthopedics

Pub Date : 2024-10-01 DOI: 10.1016/j.ajodo.2024.05.018

Maurice J. Meade , Brianna Poirier , Emilija D. Jensen

Introduction

Patients seeking health information on the Internet is commonplace. This scoping review aimed to collate and synthesize the evidence regarding the quality of Web-based orthodontic information.

Methods

A systematic search and independent screening process was conducted by 2 independent reviewers across 4 databases. The review was conducted in alignment with the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines.

Results

Of 661 records identified, 30 publications satisfied the inclusion criteria. Reviewed studies included those related to the information contained within Web sites regarding dental and orthodontist practices, orthodontic interventions, appliances and auxiliaries, orthodontic conditions commonly requiring orthodontic therapy, issues related to patient experience, and advice during orthodontic treatment. A total of 5 quality of information (QOI) instruments and 3 readability tools were employed, with the University of Oxford, United Kingdom (DISCERN) instrument and the Flesch Reading Ease Score tool being the most frequently used. Most studies determined that the QOI contained within evaluated Web sites was poor and provided suboptimal information related to treatment risks and Web site reliability. Most studies indicated that the information was more difficult to read than recommended by guidelines.

Conclusions

The QOI of orthodontic information available on Web sites was low to moderate, with the readability of content at a level that was considered challenging for many readers to understand. A recommendation for greater involvement of the dental and orthodontic specialty in Web site development was commonplace. Research is required for the development of validated tools that can determine the accuracy of information in addition to Web site reliability.

简介患者在互联网上寻求健康信息已是司空见惯。本范围综述旨在整理和归纳有关网络正畸信息质量的证据：方法：两名独立审查员对 4 个数据库进行了系统搜索和独立筛选。综述按照 PRISMA-ScR（系统综述和 Meta 分析的首选报告项目扩展范围综述）指南进行：在确定的 661 条记录中，有 30 篇出版物符合纳入标准。所审查的研究包括那些与网站中包含的信息相关的研究，这些信息涉及牙科和正畸医师的实践、正畸干预、矫治器和辅助工具、通常需要正畸治疗的正畸状况、与患者体验相关的问题以及正畸治疗期间的建议。共使用了 5 种信息质量（QOI）工具和 3 种可读性工具，其中最常用的是英国牛津大学（DISCERN）工具和 Flesch 阅读容易程度评分工具。大多数研究认为，受评网站的 QOI 不佳，提供的治疗风险和网站可靠性信息不尽人意。大多数研究表明，信息的阅读难度高于指南建议的难度：结论：网站上提供的正畸信息的QOI从低到中度不等，内容的可读性被认为对许多读者来说难以理解。人们普遍建议牙科和正畸专业更多地参与网站开发。除了网站的可靠性之外，还需要研究开发能够确定信息准确性的有效工具。

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引用次数: 0

Queries regarding changes in malocclusion associated with adulthood psychosocial well-being 关于错牙合畸形的变化与成年后社会心理健康相关的询问。

IF 2.7 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

American Journal of Orthodontics and Dentofacial Orthopedics

Pub Date : 2024-10-01 DOI: 10.1016/j.ajodo.2024.07.010

Mohamad Jamal Bark, Jacqueline de Almeida Antunes Rozyscki, Thais Nogueira Gava, Gil Guilherme Gasparello, Orlando Motohiro Tanaka

引用次数: 0

To dichotomize or not dichotomize a continuous predictor 对连续预测因子进行二分法或不进行二分法。

IF 2.7 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

American Journal of Orthodontics and Dentofacial Orthopedics

Pub Date : 2024-10-01 DOI: 10.1016/j.ajodo.2024.07.009

Jadbinder Seehra , Nikolaos Pandis

引用次数: 0

When history needs to be ignored 当历史需要被忽略时。

IF 2.7 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

American Journal of Orthodontics and Dentofacial Orthopedics

Pub Date : 2024-10-01 DOI: 10.1016/j.ajodo.2024.07.005

Laurance Jerrold

引用次数: 0

Evaluating Dental Monitoring effectiveness compared with conventional monitoring of clear aligner therapy using the Peer Assessment Rating index 利用同行评估评级指数，评估牙科监测与传统的透明矫治器治疗监测相比的效果。

IF 2.7 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

American Journal of Orthodontics and Dentofacial Orthopedics

Pub Date : 2024-10-01 DOI: 10.1016/j.ajodo.2024.05.014

Introduction

This study aimed to evaluate the effectiveness of Dental Monitoring (DM) (Dental Monitoring SAS, Paris, France) compared with conventional monitoring (CM) during active orthodontic treatment.

Methods

The Peer Assessment Rating (PAR) index was used to evaluate the pretreatment and posttreatment records of 51 patients, with 26 in the CM group and 25 in the DM group. The change in weighted PAR was analyzed to assess the effectiveness of treatment.

Results

The chi-square test revealed that the CM group had a higher percentage of patients in the great improvement category compared with the DM group. However, this difference was not statistically significant (P = 0.192). A repeated measures general linear model demonstrated significant improvement over time (P <0.001), with no statistically significant group differences noted between CM and DM (P = 0.181) and no statistically significant time-by-group interaction (P = 0.299).

Conclusions

Both CM and DM showed significant improvements in weighted PAR scores, but no statistically significant difference is present between the 2 groups.

简介：本研究旨在评估在积极的正畸治疗过程中，牙科监测（DM）（法国巴黎牙科监测公司）与传统监测（CM）的有效性：本研究旨在评估在积极正畸治疗期间牙科监测（DM）（法国巴黎牙科监测公司）与传统监测（CM）相比的有效性：方法：使用同行评估等级（PAR）指数评估 51 名患者的治疗前和治疗后记录，其中 CM 组 26 人，DM 组 25 人。分析加权 PAR 的变化以评估治疗效果：卡方检验显示，与 DM 组相比，CM 组有更高比例的患者病情大有好转。然而，这一差异并无统计学意义（P = 0.192）。重复测量一般线性模型显示，随着时间的推移，CM 组和 DM 组患者的病情均有显著改善（P=0.192）：CM组和DM组的加权PAR评分均有明显改善，但两组之间的差异无统计学意义。

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引用次数: 0

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American Journal of Orthodontics and Dentofacial Orthopedics

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