Pub Date : 2024-01-26DOI: 10.1007/s00056-023-00511-0
Lukas Camenisch, Georgios Polychronis, Nearchos Panayi, Olga Makou, Spyridon N Papageorgiou, Spiros Zinelis, Theodore Eliades
Purpose: The purpose of this study was to assess differences in the fundamental mechanical properties of resin-made three-dimensional (3D) printed orthodontic aligners according to the printing orientation.
Methods: Twenty resin 3D-printed dumbbell-shaped specimens and 20 orthodontic aligners were fabricated and postcured in nitrogen. Half of the specimens and aligners were built in horizontal (H), the other half in vertical (V) directions. The dumbbell-shaped specimens were loaded in a tensile testing machine, while parts of the aligners were embedded in acrylic resin, ground, polished, and then underwent instrumented indentation testing (IIT). Mechanical properties that were assessed included the yield strength (YS), breaking strength (BS), plastic strain (ε), Martens hardness (HM), indentation modulus (EIT), elastic index (ηIT), and indentation relaxation (RIT). Data were analyzed statistically with independent t‑tests or Mann-Whitney tests at α = 5%.
Results: No significant differences were found between specimens or aligners printed either in a horizontal or a vertical direction (P > 0.05 in all instances). Overall, the 3D-printed aligners showed acceptable mechanical propertied in terms of YS (mean 19.2 MPa; standard deviation [SD] 1.7 MPa), BS (mean 19.6 MPa; SD 1.2 MPa), ε (mean 77%; SD 11%), HM (median 89.0 N/mm2; interquartile range [IQR] 84.5-90.0 NN/m2), EIT (median 2670.5 MPa; IQR 2645.0-2726.0 MPa), ηIT (median 27.5%; IQR 25.9-28.1%), and RIT (mean 65.1%; SD 3.5%).
Conclusion: Printing direction seemed to have no effect on the mechanical properties of 3D-printed resin aligners, which are promising for orthodontic use.
{"title":"Effect of printing orientation on mechanical properties of 3D-printed orthodontic aligners.","authors":"Lukas Camenisch, Georgios Polychronis, Nearchos Panayi, Olga Makou, Spyridon N Papageorgiou, Spiros Zinelis, Theodore Eliades","doi":"10.1007/s00056-023-00511-0","DOIUrl":"https://doi.org/10.1007/s00056-023-00511-0","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to assess differences in the fundamental mechanical properties of resin-made three-dimensional (3D) printed orthodontic aligners according to the printing orientation.</p><p><strong>Methods: </strong>Twenty resin 3D-printed dumbbell-shaped specimens and 20 orthodontic aligners were fabricated and postcured in nitrogen. Half of the specimens and aligners were built in horizontal (H), the other half in vertical (V) directions. The dumbbell-shaped specimens were loaded in a tensile testing machine, while parts of the aligners were embedded in acrylic resin, ground, polished, and then underwent instrumented indentation testing (IIT). Mechanical properties that were assessed included the yield strength (YS), breaking strength (BS), plastic strain (ε), Martens hardness (HM), indentation modulus (E<sub>IT</sub>), elastic index (η<sub>IT</sub>), and indentation relaxation (R<sub>IT</sub>). Data were analyzed statistically with independent t‑tests or Mann-Whitney tests at α = 5%.</p><p><strong>Results: </strong>No significant differences were found between specimens or aligners printed either in a horizontal or a vertical direction (P > 0.05 in all instances). Overall, the 3D-printed aligners showed acceptable mechanical propertied in terms of YS (mean 19.2 MPa; standard deviation [SD] 1.7 MPa), BS (mean 19.6 MPa; SD 1.2 MPa), ε (mean 77%; SD 11%), HM (median 89.0 N/mm<sup>2</sup>; interquartile range [IQR] 84.5-90.0 NN/m<sup>2</sup>), E<sub>IT</sub> (median 2670.5 MPa; IQR 2645.0-2726.0 MPa), η<sub>IT</sub> (median 27.5%; IQR 25.9-28.1%), and R<sub>IT</sub> (mean 65.1%; SD 3.5%).</p><p><strong>Conclusion: </strong>Printing direction seemed to have no effect on the mechanical properties of 3D-printed resin aligners, which are promising for orthodontic use.</p>","PeriodicalId":54776,"journal":{"name":"Journal of Orofacial Orthopedics-Fortschritte Der Kieferorthopadie","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139565474","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}
Pub Date : 2024-01-15DOI: 10.1007/s00056-023-00508-9
Kathrin Duske, Billan Turan, Cornelia Prinz, Jan Hendrik Lenz, Franka Stahl, Mareike Warkentin
Purpose: The failure rate of orthodontic mini-screws depends strongly on primary stability and, thus, on insertion torque. Further improvement regarding the failure rate might be achieved by modifying the surface coating. Therefore, the aim of the study was to investigate the stability of a newly designed and surface-modified orthodontic mini-screw in beagle dogs.
Methods: Newly designed mini-screws coated either with DOTIZE® or DOTIZE®-copper (DOT GmbH, Rostock, Germany; each: n = 24) were inserted in the mandibles of eight beagle dogs for a duration of 8 months. Insertion and removal torque were measured. These data were compared to values generated by using the artificial bone material Sawbones® (Sawbones Europe AB, Malmö, Sweden). Experiments with and without torque limitation (each: n = 5) were run. The bone-to-implant contact rate and the amount of bone between the threads were examined. Statistical significance was set at P < 0.05.
Results: The success rates of the in vivo study reached high levels with 95.3% for the DOTIZE-coated and 90.5% for the DOTIZE-copper-coated screws, whereas the insertion and removal torque did not differ between the coatings. During insertion, a torque limitation of 20 Ncm was necessary to ensure that the recommended limit was not exceeded. The insertion in Sawbones without torque limitation revealed a significantly higher torque compared to torque-limited insertion (18.2 ± 1.3 Ncm, 23.6 ± 1.3 Ncm). Bending occurred (n = 5) in the thread-free part of the mini-screw.
Conclusions: Surface coating might be able to improve the performance of orthodontic mini-screws. The study showed high success rates and stable mini-screws until the end of observation. Further investigations are necessary.
{"title":"Functionality testing of an innovative biomechanically optimized and surface-modified orthodontic mini-screw-a comparative study.","authors":"Kathrin Duske, Billan Turan, Cornelia Prinz, Jan Hendrik Lenz, Franka Stahl, Mareike Warkentin","doi":"10.1007/s00056-023-00508-9","DOIUrl":"https://doi.org/10.1007/s00056-023-00508-9","url":null,"abstract":"<p><strong>Purpose: </strong>The failure rate of orthodontic mini-screws depends strongly on primary stability and, thus, on insertion torque. Further improvement regarding the failure rate might be achieved by modifying the surface coating. Therefore, the aim of the study was to investigate the stability of a newly designed and surface-modified orthodontic mini-screw in beagle dogs.</p><p><strong>Methods: </strong>Newly designed mini-screws coated either with DOTIZE® or DOTIZE®-copper (DOT GmbH, Rostock, Germany; each: n = 24) were inserted in the mandibles of eight beagle dogs for a duration of 8 months. Insertion and removal torque were measured. These data were compared to values generated by using the artificial bone material Sawbones® (Sawbones Europe AB, Malmö, Sweden). Experiments with and without torque limitation (each: n = 5) were run. The bone-to-implant contact rate and the amount of bone between the threads were examined. Statistical significance was set at P < 0.05.</p><p><strong>Results: </strong>The success rates of the in vivo study reached high levels with 95.3% for the DOTIZE-coated and 90.5% for the DOTIZE-copper-coated screws, whereas the insertion and removal torque did not differ between the coatings. During insertion, a torque limitation of 20 Ncm was necessary to ensure that the recommended limit was not exceeded. The insertion in Sawbones without torque limitation revealed a significantly higher torque compared to torque-limited insertion (18.2 ± 1.3 Ncm, 23.6 ± 1.3 Ncm). Bending occurred (n = 5) in the thread-free part of the mini-screw.</p><p><strong>Conclusions: </strong>Surface coating might be able to improve the performance of orthodontic mini-screws. The study showed high success rates and stable mini-screws until the end of observation. Further investigations are necessary.</p>","PeriodicalId":54776,"journal":{"name":"Journal of Orofacial Orthopedics-Fortschritte Der Kieferorthopadie","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139467189","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}
Pub Date : 2024-01-01Epub Date: 2022-05-20DOI: 10.1007/s00056-022-00398-3
Yueh-Tse Lee, Eric Jein-Wein Liou, Sinn-Wen Chen
Purpose: Surface characteristics of orthodontic miniscrews might affect survival rates and removal torque values (RTVs). This experimental study aimed to clarify whether and why a microporous or nanoporous surface promotes higher survival rates and RTVs for orthodontic miniscrews.
Methods: Using a split-leg design, one set each of nonporous (sham control, n = 24) and microporous (control, n = 6), and three sets of nanoporous (experimental, n = 6 per set) miniscrews were implanted in the tibias of 12 New Zealand rabbits and immediately loaded with 1.5 N nickel-titanium coil springs for 12 weeks. The surface morphology, micropores, and nanotube diameters of the miniscrews were examined using scanning electron microscopy and field-emission scanning electron microscopy. The surface composition and thickness were determined using Auger electron spectroscopy. The survival rates and RTVs of each set were assessed.
Results: The nanoporous miniscrews had higher survival rates, RTVs (p < 0.001), and thicker nanotube oxide thicknesses (p < 0.001) than the nonporous and microporous miniscrews. The nonporous and microporous miniscrews had no nanotube structures. The surface oxide composition was titanium dioxide (TiO2). The threshold RTV, TiO2 thickness, and nanotube diameter of nanoporous miniscrews needed to promote the experimental survival rate to 100% was determined to be 6.6 ± 0.8 N-cm (p < 0.05), 22.5 ± 4.8 nm (p < 0.05), and 17.6 ± 2.3 nm or above, respectively.
Conclusion: Nanoporous surfaces promoted higher survival rates and RTVs than microporous miniscrews. This could be due to TiO2 nanotube structures with thicker oxide layers in nanoporous miniscrews.
{"title":"Comparison between microporous and nanoporous orthodontic miniscrews : An experimental study in rabbits.","authors":"Yueh-Tse Lee, Eric Jein-Wein Liou, Sinn-Wen Chen","doi":"10.1007/s00056-022-00398-3","DOIUrl":"10.1007/s00056-022-00398-3","url":null,"abstract":"<p><strong>Purpose: </strong>Surface characteristics of orthodontic miniscrews might affect survival rates and removal torque values (RTVs). This experimental study aimed to clarify whether and why a microporous or nanoporous surface promotes higher survival rates and RTVs for orthodontic miniscrews.</p><p><strong>Methods: </strong>Using a split-leg design, one set each of nonporous (sham control, n = 24) and microporous (control, n = 6), and three sets of nanoporous (experimental, n = 6 per set) miniscrews were implanted in the tibias of 12 New Zealand rabbits and immediately loaded with 1.5 N nickel-titanium coil springs for 12 weeks. The surface morphology, micropores, and nanotube diameters of the miniscrews were examined using scanning electron microscopy and field-emission scanning electron microscopy. The surface composition and thickness were determined using Auger electron spectroscopy. The survival rates and RTVs of each set were assessed.</p><p><strong>Results: </strong>The nanoporous miniscrews had higher survival rates, RTVs (p < 0.001), and thicker nanotube oxide thicknesses (p < 0.001) than the nonporous and microporous miniscrews. The nonporous and microporous miniscrews had no nanotube structures. The surface oxide composition was titanium dioxide (TiO<sub>2</sub>). The threshold RTV, TiO<sub>2</sub> thickness, and nanotube diameter of nanoporous miniscrews needed to promote the experimental survival rate to 100% was determined to be 6.6 ± 0.8 N-cm (p < 0.05), 22.5 ± 4.8 nm (p < 0.05), and 17.6 ± 2.3 nm or above, respectively.</p><p><strong>Conclusion: </strong>Nanoporous surfaces promoted higher survival rates and RTVs than microporous miniscrews. This could be due to TiO<sub>2</sub> nanotube structures with thicker oxide layers in nanoporous miniscrews.</p>","PeriodicalId":54776,"journal":{"name":"Journal of Orofacial Orthopedics-Fortschritte Der Kieferorthopadie","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83534531","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}
Pub Date : 2024-01-01Epub Date: 2022-07-08DOI: 10.1007/s00056-022-00412-8
Falko Schmidt, Fatih Kilic, Catrin Verena Gerhart, Bernd Georg Lapatki
Purpose: Superimposition of digital dental-arch models allows quantification of orthodontic tooth movements (OTM). Currently, this procedure requires stable reference surfaces usually only present in the maxilla. This study aimed to investigate the accuracy of a novel superimposition approach based on biomechanical principles of OTM and the equilibrium of forces and moments (EFM)-applicable in both jaws-for monitoring and simulating large OTM.
Methods: The study included 7 patients who had undergone extraction of the first (PM1-Ex) or second (PM2-Ex) premolar in each quadrant. Digital models taken at start and end of the T‑Loop treatment phase were superimposed by applying 3 EFM variants differing in the number of teeth used for registration. Maxillary OTM results for EFM were validated against those for a conventional surface registration method (SRM). In an additional case study, OTM were simulated for PM1-Ex, PM2-Ex and non-extraction treatment strategies.
Results: The EFM variant that included all teeth of the dental arch achieved the highest accuracy, with median translational and rotational OTM deviations from SRM of only 0.37 mm and 0.56°, respectively. On average, retracted canines and first premolars were distalized by 3.0 mm, accompanied by 6.2° distal crown tipping and 12.2° distorotation. The share of space closure by molar mesialization was 19.4% for PM1-Ex quadrants and 34.5% for PM2-Ex quadrants.
Conclusion: EFM allows accurate OTM quantification relative to the maxillary and mandibular bases even in challenging situations involving large OTM. Superimposition of malocclusion and setup models enables realistic simulation of final tooth positions. This may greatly enhance the value of digital setups for decision-making in orthodontic treatment planning.
{"title":"Biomechanical model registration for monitoring and simulating large orthodontic tooth movements in the maxilla and mandible.","authors":"Falko Schmidt, Fatih Kilic, Catrin Verena Gerhart, Bernd Georg Lapatki","doi":"10.1007/s00056-022-00412-8","DOIUrl":"10.1007/s00056-022-00412-8","url":null,"abstract":"<p><strong>Purpose: </strong>Superimposition of digital dental-arch models allows quantification of orthodontic tooth movements (OTM). Currently, this procedure requires stable reference surfaces usually only present in the maxilla. This study aimed to investigate the accuracy of a novel superimposition approach based on biomechanical principles of OTM and the equilibrium of forces and moments (EFM)-applicable in both jaws-for monitoring and simulating large OTM.</p><p><strong>Methods: </strong>The study included 7 patients who had undergone extraction of the first (PM1-Ex) or second (PM2-Ex) premolar in each quadrant. Digital models taken at start and end of the T‑Loop treatment phase were superimposed by applying 3 EFM variants differing in the number of teeth used for registration. Maxillary OTM results for EFM were validated against those for a conventional surface registration method (SRM). In an additional case study, OTM were simulated for PM1-Ex, PM2-Ex and non-extraction treatment strategies.</p><p><strong>Results: </strong>The EFM variant that included all teeth of the dental arch achieved the highest accuracy, with median translational and rotational OTM deviations from SRM of only 0.37 mm and 0.56°, respectively. On average, retracted canines and first premolars were distalized by 3.0 mm, accompanied by 6.2° distal crown tipping and 12.2° distorotation. The share of space closure by molar mesialization was 19.4% for PM1-Ex quadrants and 34.5% for PM2-Ex quadrants.</p><p><strong>Conclusion: </strong>EFM allows accurate OTM quantification relative to the maxillary and mandibular bases even in challenging situations involving large OTM. Superimposition of malocclusion and setup models enables realistic simulation of final tooth positions. This may greatly enhance the value of digital setups for decision-making in orthodontic treatment planning.</p>","PeriodicalId":54776,"journal":{"name":"Journal of Orofacial Orthopedics-Fortschritte Der Kieferorthopadie","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10791880/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40493610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.1007/s00056-023-00509-8
{"title":"Mitteilungen der DGKFO.","authors":"","doi":"10.1007/s00056-023-00509-8","DOIUrl":"10.1007/s00056-023-00509-8","url":null,"abstract":"","PeriodicalId":54776,"journal":{"name":"Journal of Orofacial Orthopedics-Fortschritte Der Kieferorthopadie","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139472913","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}
Pub Date : 2024-01-01Epub Date: 2022-07-18DOI: 10.1007/s00056-022-00405-7
Hannah Denis, Richard Werth, Andreas Greuling, Rainer Schwestka-Polly, Meike Stiesch, Viktoria Meyer-Kobbe, Katharina Doll
Purpose: Bacteria-induced white spot lesions are a common side effect of modern orthodontic treatment. Therefore, there is a need for novel orthodontic bracket materials with antibacterial properties that also resist long-term abrasion. The aim of this study was to investigate the abrasion-stable antibacterial properties of a newly developed, thoroughly silver-infiltrated material for orthodontic bracket application in an in situ experiment.
Methods: To generate the novel material, silver was vacuum-infiltrated into a sintered porous tungsten matrix. A tooth brushing simulation machine was used to perform abrasion equal to 2 years of tooth brushing. The material was characterized by energy dispersive X‑ray (EDX) analysis and roughness measurement. To test for antibacterial properties in situ, individual occlusal splints equipped with specimens were worn intraorally by 12 periodontal healthy patients for 48 h. After fluorescence staining, the quantitative biofilm volume and live/dead distribution of the initial biofilm formation were analyzed by confocal laser scanning microscopy (CLSM).
Results: Silver was infiltrated homogeneously throughout the tungsten matrix. Toothbrush abrasion only slightly reduced the material's thickness similar to conventional stainless steel bracket material and did not alter surface roughness. The new silver-modified material showed significantly reduced biofilm accumulation in situ. The effect was maintained even after abrasion.
Conclusion: A promising, novel silver-infiltrated abrasion-stable material for use as orthodontic brackets, which also exhibit strong antibacterial properties on in situ grown oral biofilms, was developed. The strong antibacterial properties were maintained even after surface abrasion simulated with long-term toothbrushing.
目的:细菌引起的白斑病是现代正畸治疗的常见副作用。因此,需要具有抗菌性能且能长期耐磨的新型正畸托槽材料。本研究的目的是在原位实验中研究一种新开发的、彻底渗银的正畸托槽材料的耐磨抗菌性能:为了生成这种新型材料,银被真空渗入烧结的多孔钨基体中。使用刷牙模拟机进行相当于 2 年刷牙时间的磨损。通过能量色散 X 射线(EDX)分析和粗糙度测量对材料进行了表征。为了测试原位抗菌性能,12 名牙周健康的患者在口腔内佩戴了装有试样的单个咬合夹板 48 小时。荧光染色后,通过共焦激光扫描显微镜(CLSM)分析了生物膜形成初期的定量生物膜体积和活/死分布:结果:银均匀地渗入整个钨基质。牙刷的磨损仅使材料的厚度略微减薄,与传统的不锈钢支架材料相似,并没有改变表面粗糙度。新的银改性材料显著减少了生物膜在原位的积聚。结论:结论:研究人员开发出了一种很有前景的新型渗银耐磨材料,可用作正畸托槽,并对原位生长的口腔生物膜具有很强的抗菌性能。即使在模拟长期刷牙的表面磨损后,这种材料仍能保持较强的抗菌性能。
{"title":"Antibacterial properties and abrasion-stability: Development of a novel silver-compound material for orthodontic bracket application.","authors":"Hannah Denis, Richard Werth, Andreas Greuling, Rainer Schwestka-Polly, Meike Stiesch, Viktoria Meyer-Kobbe, Katharina Doll","doi":"10.1007/s00056-022-00405-7","DOIUrl":"10.1007/s00056-022-00405-7","url":null,"abstract":"<p><strong>Purpose: </strong>Bacteria-induced white spot lesions are a common side effect of modern orthodontic treatment. Therefore, there is a need for novel orthodontic bracket materials with antibacterial properties that also resist long-term abrasion. The aim of this study was to investigate the abrasion-stable antibacterial properties of a newly developed, thoroughly silver-infiltrated material for orthodontic bracket application in an in situ experiment.</p><p><strong>Methods: </strong>To generate the novel material, silver was vacuum-infiltrated into a sintered porous tungsten matrix. A tooth brushing simulation machine was used to perform abrasion equal to 2 years of tooth brushing. The material was characterized by energy dispersive X‑ray (EDX) analysis and roughness measurement. To test for antibacterial properties in situ, individual occlusal splints equipped with specimens were worn intraorally by 12 periodontal healthy patients for 48 h. After fluorescence staining, the quantitative biofilm volume and live/dead distribution of the initial biofilm formation were analyzed by confocal laser scanning microscopy (CLSM).</p><p><strong>Results: </strong>Silver was infiltrated homogeneously throughout the tungsten matrix. Toothbrush abrasion only slightly reduced the material's thickness similar to conventional stainless steel bracket material and did not alter surface roughness. The new silver-modified material showed significantly reduced biofilm accumulation in situ. The effect was maintained even after abrasion.</p><p><strong>Conclusion: </strong>A promising, novel silver-infiltrated abrasion-stable material for use as orthodontic brackets, which also exhibit strong antibacterial properties on in situ grown oral biofilms, was developed. The strong antibacterial properties were maintained even after surface abrasion simulated with long-term toothbrushing.</p>","PeriodicalId":54776,"journal":{"name":"Journal of Orofacial Orthopedics-Fortschritte Der Kieferorthopadie","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10791857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40625900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aim: To evaluate the surface electromyography (sEMG) activity of the superficial masseter and anterior temporalis muscles at rest, during maximum voluntary clenching (MVC), and mastication, over 6 months of wearing clear thermoplastic or wrap-around retainers. Furthermore, the patients' oral health-related quality of life was assessed using the Oral Impacts on Daily Performance (OIDP) index at 6 months.
Materials and methods: Sixty patients aged 14-39 years (19 males/41 females) who received upper and lower retainers after finishing orthodontic treatment were recruited. The patients were randomly divided into a clear thermoplastic retainer group (n = 30) or a wrap-around retainer group (n = 30). The sEMG activity was recorded at retainer delivery (T0), after 3 months (T1), and after 6 months of wearing (T2). The OIDP index was evaluated at T2.
Results: None of the sEMG parameters for the masseter and temporalis muscles were different between the two groups at T0, T1, or T2. Over the period of 6 months, both masticatory muscles in both groups demonstrated increased sEMG activity during MVC and mastication; however, only the temporalis muscle demonstrated decreased normalized sEMG activity at rest (P < 0.05). The frequency and severity of the OIDP in the eating aspect at T2 was low and similar in both groups.
Conclusions: sEMG activity of the two masticatory muscles tended to increase during MVC and mastication, while temporalis muscle activity tended to decrease at rest during the observation period, regardless of retainer type. Notably, these sEMG changes did not affect the patients' subjective masticatory function.
{"title":"Masticatory muscle activity and oral health-related quality of life in patients wearing clear thermoplastic versus wrap-around retainers : A randomized controlled trial.","authors":"Rungtiwa Jirawiwatsaree, Weera Supronsinchai, Chidsanu Changsiripun","doi":"10.1007/s00056-022-00402-w","DOIUrl":"10.1007/s00056-022-00402-w","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the surface electromyography (sEMG) activity of the superficial masseter and anterior temporalis muscles at rest, during maximum voluntary clenching (MVC), and mastication, over 6 months of wearing clear thermoplastic or wrap-around retainers. Furthermore, the patients' oral health-related quality of life was assessed using the Oral Impacts on Daily Performance (OIDP) index at 6 months.</p><p><strong>Materials and methods: </strong>Sixty patients aged 14-39 years (19 males/41 females) who received upper and lower retainers after finishing orthodontic treatment were recruited. The patients were randomly divided into a clear thermoplastic retainer group (n = 30) or a wrap-around retainer group (n = 30). The sEMG activity was recorded at retainer delivery (T0), after 3 months (T1), and after 6 months of wearing (T2). The OIDP index was evaluated at T2.</p><p><strong>Results: </strong>None of the sEMG parameters for the masseter and temporalis muscles were different between the two groups at T0, T1, or T2. Over the period of 6 months, both masticatory muscles in both groups demonstrated increased sEMG activity during MVC and mastication; however, only the temporalis muscle demonstrated decreased normalized sEMG activity at rest (P < 0.05). The frequency and severity of the OIDP in the eating aspect at T2 was low and similar in both groups.</p><p><strong>Conclusions: </strong>sEMG activity of the two masticatory muscles tended to increase during MVC and mastication, while temporalis muscle activity tended to decrease at rest during the observation period, regardless of retainer type. Notably, these sEMG changes did not affect the patients' subjective masticatory function.</p>","PeriodicalId":54776,"journal":{"name":"Journal of Orofacial Orthopedics-Fortschritte Der Kieferorthopadie","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81272832","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}
Pub Date : 2024-01-01Epub Date: 2022-04-28DOI: 10.1007/s00056-022-00394-7
A Sumathi Felicita, Shabeena Abdul Khader
Objective: The primary objective of this study was to compare the magnitude of incisor intrusion and retraction between two different treatment protocols and the secondary objective was to evaluate overall treatment effects.
Materials and methods: Thirty-four patients with proclined upper anterior teeth, increased overbite, and incisal show were randomly assigned to two treatment groups (G1 and G2). Upper first premolar extractions were performed in all cases. In G1, space closure was performed with conventional straight-wire friction mechanics with NiTi (nickel titanium) coil springs placed on 0.019″ × 0.025″ stainless steel wires in a 0.022 slot system with an additional intrusive force via a midline mini-implant. In G2, NiTi coil springs were placed from buccal mini-implants placed onto 0.016″ × 0.022″ SS wires in a 0.022 slot system bilaterally. Lateral cephalograms and study models taken at the beginning and at the end of 6 months of treatment were assessed.
Results: Both groups showed a statistically significant mild maxillary incisor intrusion, reduction in overjet, overbite, incisal show and a reduction in lower anterior facial height. There was a mild intrusion of the maxillary first permanent molar in G2 (not significant). Mesial movement of the maxillary first permanent molar was noted in G1 but distal movement occurred in G2. Constriction of the entire maxillary arch was noted in G1, whereas constriction was seen in the molar region only in G2. Root resorption was noticed in both groups.
Conclusion: Both groups produced comparable results. Except for molar control, all the results obtained were comparable between the two mechanics. Application of an intrusive force in the midline may be beneficial in patients treated with conventional straight-wire mechanics to treat increased overbite when anchorage requirement is not high.
{"title":"Comparison of two treatment protocols for intrusion and retraction of maxillary anterior teeth using mini-implants : A prospective clinical trial.","authors":"A Sumathi Felicita, Shabeena Abdul Khader","doi":"10.1007/s00056-022-00394-7","DOIUrl":"10.1007/s00056-022-00394-7","url":null,"abstract":"<p><strong>Objective: </strong>The primary objective of this study was to compare the magnitude of incisor intrusion and retraction between two different treatment protocols and the secondary objective was to evaluate overall treatment effects.</p><p><strong>Materials and methods: </strong>Thirty-four patients with proclined upper anterior teeth, increased overbite, and incisal show were randomly assigned to two treatment groups (G1 and G2). Upper first premolar extractions were performed in all cases. In G1, space closure was performed with conventional straight-wire friction mechanics with NiTi (nickel titanium) coil springs placed on 0.019″ × 0.025″ stainless steel wires in a 0.022 slot system with an additional intrusive force via a midline mini-implant. In G2, NiTi coil springs were placed from buccal mini-implants placed onto 0.016″ × 0.022″ SS wires in a 0.022 slot system bilaterally. Lateral cephalograms and study models taken at the beginning and at the end of 6 months of treatment were assessed.</p><p><strong>Results: </strong>Both groups showed a statistically significant mild maxillary incisor intrusion, reduction in overjet, overbite, incisal show and a reduction in lower anterior facial height. There was a mild intrusion of the maxillary first permanent molar in G2 (not significant). Mesial movement of the maxillary first permanent molar was noted in G1 but distal movement occurred in G2. Constriction of the entire maxillary arch was noted in G1, whereas constriction was seen in the molar region only in G2. Root resorption was noticed in both groups.</p><p><strong>Conclusion: </strong>Both groups produced comparable results. Except for molar control, all the results obtained were comparable between the two mechanics. Application of an intrusive force in the midline may be beneficial in patients treated with conventional straight-wire mechanics to treat increased overbite when anchorage requirement is not high.</p>","PeriodicalId":54776,"journal":{"name":"Journal of Orofacial Orthopedics-Fortschritte Der Kieferorthopadie","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86181630","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}
Pub Date : 2024-01-01Epub Date: 2022-05-25DOI: 10.1007/s00056-022-00401-x
Mustafa Gokturk, Mehmet Ali Yavan
Purpose: To compare the short-term effects of tooth-bone-borne and tooth-borne rapid maxillary expansion (RME) devices on dentofacial structures in older adolescents.
Methods: The retrospective study reviewed pre- and posttreatment lateral and posteroanterior cephalometric images and orthodontic model records of patients who underwent maxillary expansion. Two groups were formed, in which the same upper jaw expansion protocol was applied with two different maxillary expansion devices: the first group consisted of 15 individuals treated with tooth-bone-borne (hybrid) RME (HRME; 9 girls and 6 boys; mean age, 16.9 ± 0.42 years) and the second group consisted of 15 individuals treated with tooth-borne (conventional) RME (CRME; 8 girls and 7 boys; mean age, 16.74 ± 0.54 years). Cephalometric and orthodontic model measurements were conducted on the records taken before and after treatment.
Results: Significant skeletal and dental expansions were observed in both groups (p < 0.05). However, the increase in nasal width measurements in the HRME group (2.24 ± 0.61 mm) was significantly higher than the increase in the CRME group (1.12 ± 0.25 mm; p < 0.01). Buccal tipping of the premolars was significantly less in the HRME group (0.46 ± 0.35°) than in the CRME group (2.46 ± 0.63°; p < 0.01). The amount of tipping of the molars was higher in the HRME group (4.76 ± 0.88°) compared to the CRME group (2.9 ± 1.03°; p < 0.01).
Conclusion: Although the HRME device increase the nasal width in older adolescents to a greater extent, more dental side effects were seen at the maxillary first molars.
{"title":"Comparison of the short-term effects of tooth-bone-borne and tooth-borne rapid maxillary expansion in older adolescents.","authors":"Mustafa Gokturk, Mehmet Ali Yavan","doi":"10.1007/s00056-022-00401-x","DOIUrl":"10.1007/s00056-022-00401-x","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the short-term effects of tooth-bone-borne and tooth-borne rapid maxillary expansion (RME) devices on dentofacial structures in older adolescents.</p><p><strong>Methods: </strong>The retrospective study reviewed pre- and posttreatment lateral and posteroanterior cephalometric images and orthodontic model records of patients who underwent maxillary expansion. Two groups were formed, in which the same upper jaw expansion protocol was applied with two different maxillary expansion devices: the first group consisted of 15 individuals treated with tooth-bone-borne (hybrid) RME (HRME; 9 girls and 6 boys; mean age, 16.9 ± 0.42 years) and the second group consisted of 15 individuals treated with tooth-borne (conventional) RME (CRME; 8 girls and 7 boys; mean age, 16.74 ± 0.54 years). Cephalometric and orthodontic model measurements were conducted on the records taken before and after treatment.</p><p><strong>Results: </strong>Significant skeletal and dental expansions were observed in both groups (p < 0.05). However, the increase in nasal width measurements in the HRME group (2.24 ± 0.61 mm) was significantly higher than the increase in the CRME group (1.12 ± 0.25 mm; p < 0.01). Buccal tipping of the premolars was significantly less in the HRME group (0.46 ± 0.35°) than in the CRME group (2.46 ± 0.63°; p < 0.01). The amount of tipping of the molars was higher in the HRME group (4.76 ± 0.88°) compared to the CRME group (2.9 ± 1.03°; p < 0.01).</p><p><strong>Conclusion: </strong>Although the HRME device increase the nasal width in older adolescents to a greater extent, more dental side effects were seen at the maxillary first molars.</p>","PeriodicalId":54776,"journal":{"name":"Journal of Orofacial Orthopedics-Fortschritte Der Kieferorthopadie","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86871118","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}
Pub Date : 2023-12-28DOI: 10.1007/s00056-023-00505-y
Sarah Koller, Christian Niederau, Irma Azraq, Rogerio Bastos Craveiro, Isabel Knaup, Michael Wolf
Objectives: Long-term stabilization of orthodontic treatment outcomes is an everyday challenge in orthodontics. The use of permanently attached lingual retainers has become gold standard. However, in some cases, patients with fixed lingual retainers show retainer-associated side effects. Aiming to reduce these side effects, clinical knowledge about how tooth and arch form stability adaption takes place over time is important to improve long-term retention protocols. Therefore, the present study aimed to investigate occlusion stability and risks for a newly developing malocclusion in a time-dependent manner in patients being treated with permanent 2‑point steel retainers.
Materials and methods: In this retrospective cohort study, a total of 66 consecutive patients with round stainless-steel retainers were analyzed for postorthodontic occlusion changes after 1 year (group 1, n = 33) and 3 years (group 2, n = 33). Digital Standard Tessellation Language (STL) datasets of the lower jaw were obtained before retainer insertion (T0), and after a 1- (T1) or 3‑year (T2) retention period. Using superimposition software, T1 and T2 situations were compared to T0 regarding rotational and translational changes in tooth positions in all three dimensions.
Results: Occlusion changes were low in both groups. The investigated lower canines were nearly stable in the 1‑ and 3‑year group, although a retention-time-dependent increase in tooth position change of the central and lateral incisors could be observed.
Conclusion: The present data provide evidence for time-dependent development of posttherapeutic occlusal adaption limited to central and lateral incisors in patients treated with a 2-point retainer. The observed occlusal changes should be interpreted as an occlusal adaption process rather than severe posttreatment changes associated with the orthodontic retainer.
{"title":"Low translational and rotational movements with 2-point stainless-steel retainers over a period of 1 and 3 years.","authors":"Sarah Koller, Christian Niederau, Irma Azraq, Rogerio Bastos Craveiro, Isabel Knaup, Michael Wolf","doi":"10.1007/s00056-023-00505-y","DOIUrl":"https://doi.org/10.1007/s00056-023-00505-y","url":null,"abstract":"<p><strong>Objectives: </strong>Long-term stabilization of orthodontic treatment outcomes is an everyday challenge in orthodontics. The use of permanently attached lingual retainers has become gold standard. However, in some cases, patients with fixed lingual retainers show retainer-associated side effects. Aiming to reduce these side effects, clinical knowledge about how tooth and arch form stability adaption takes place over time is important to improve long-term retention protocols. Therefore, the present study aimed to investigate occlusion stability and risks for a newly developing malocclusion in a time-dependent manner in patients being treated with permanent 2‑point steel retainers.</p><p><strong>Materials and methods: </strong>In this retrospective cohort study, a total of 66 consecutive patients with round stainless-steel retainers were analyzed for postorthodontic occlusion changes after 1 year (group 1, n = 33) and 3 years (group 2, n = 33). Digital Standard Tessellation Language (STL) datasets of the lower jaw were obtained before retainer insertion (T0), and after a 1- (T1) or 3‑year (T2) retention period. Using superimposition software, T1 and T2 situations were compared to T0 regarding rotational and translational changes in tooth positions in all three dimensions.</p><p><strong>Results: </strong>Occlusion changes were low in both groups. The investigated lower canines were nearly stable in the 1‑ and 3‑year group, although a retention-time-dependent increase in tooth position change of the central and lateral incisors could be observed.</p><p><strong>Conclusion: </strong>The present data provide evidence for time-dependent development of posttherapeutic occlusal adaption limited to central and lateral incisors in patients treated with a 2-point retainer. The observed occlusal changes should be interpreted as an occlusal adaption process rather than severe posttreatment changes associated with the orthodontic retainer.</p>","PeriodicalId":54776,"journal":{"name":"Journal of Orofacial Orthopedics-Fortschritte Der Kieferorthopadie","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139049801","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}