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Mandibular alveolar bone thickness in untreated Class I subjects with different vertical skeletal patterns: a cone-beam computed tomography study. 具有不同垂直骨骼模式的未经治疗的I类受试者的下颌牙槽骨厚度:锥形束计算机断层扫描研究。
Pub Date : 2023-11-01 DOI: 10.2319/030523-151.1
Joseph Formosa, Min Zou, Chun-Hsi Chung, Normand S Boucher, Chenshuang Li

Objective: To evaluate the mandibular alveolar bone thickness in untreated skeletal Class I subjects with different vertical skeletal patterns.

Materials and methods: A total of 50 preorthodontic treatment cone-beam computed tomography (CBCT) images of a skeletal Class I Chinese population with near-normal occlusion were selected. The buccal and lingual alveolar bone thicknesses of mandibular canines to second molars were measured at 2 mm below the cementoenamel junction (CEJ), mid-root, and root apex levels. Differences in the measurements were analyzed with Mann-Whitney U-test. The correlation between alveolar bone thickness and the sella-nasion-mandibular plane (SN-MP) angle was calculated using Pearson correlation coefficients and linear regression analysis.

Results: Buccal alveolar bone was thinner on all mandibular canines to first molars but thicker on second molars in comparison with lingual alveolar bone. Buccal alveolar bone was within 1 mm at the levels of 2 mm below CEJ and mid-root for the canines and first premolars. Significant differences were detected among subjects with different vertical patterns, with a negative correlation between the SN-MP angle and alveolar thickness, especially in the canine and premolar regions. The thinnest buccal and lingual alveolar bone were detected in the high-angle group canine region (0.50 mm at the levels of 2 mm below CEJ and mid-root for the buccal side, 0.90 mm at the level of 2 mm below the CEJ for the lingual side).

Conclusions: To avoid periodontal complications, buccal-lingual movement of the mandibular canines and first premolars should be limited, especially in high-angle patients.

目的:评估不同垂直骨骼模式的未经治疗的I类骨骼受试者的下颌牙槽骨厚度。材料和方法:选择一个近正常咬合的骨骼I类中国人群,共50张牙前治疗锥束计算机断层扫描(CBCT)图像。下颌犬齿至第二磨牙的颊侧和舌侧牙槽骨厚度在牙骨质结合部(CEJ)、中根和根尖水平下方2mm处测量。使用Mann-Whitney U型检验分析测量结果的差异。采用Pearson相关系数和线性回归分析计算牙槽骨厚度与鞍鼻-下颌平面(SN-MP)角的相关性。结果:与舌侧牙槽骨相比,下颌第一磨牙和第二磨牙的颊牙槽骨较薄。犬齿和第一前磨牙的颊牙槽骨在CEJ和中根下方2mm的水平处在1mm以内。不同垂直模式的受试者之间存在显著差异,SN-MP角与肺泡厚度呈负相关,尤其是在犬齿和前臼齿区域。在高角度组犬区发现最薄的颊侧和舌侧牙槽骨(颊侧在CEJ和中根下方2 mm处为0.50 mm,舌侧在CEJ.下方2 mm的处为0.90 mm),尤其是在高角度患者中。
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引用次数: 0
Stability of anterior open bite cases treated with upper and lower extrusion arches in adults: a follow-up study. 成人上下挤压弓治疗前部开放性咬合病例的稳定性:一项随访研究。
Pub Date : 2023-11-01 DOI: 10.2319/030623-155.1
Tasneem Hammad, Alaaeldin Elraggal, Hassan Moussa, Wessam Marzouk, Hanan Ismail

Objectives: To investigate the post-treatment stability of anterior open bite (AOB) cases treated with upper and lower extrusion arches in adults.

Materials and methods: 23 patients with AOB were treated with extrusion arches and evaluated for dentoskeletal changes using lateral cephalometric radiographs before treatment (T0), after treatment (T1), and 12 months post-treatment (T2). Patients received bondable tongue spurs and vacuum-formed retainers as post-treatment retention/stability measures for 12 months. Post-treatment stability was further assessed qualitatively by the Photographic Openbite Severity Index.

Results: All the cases showed positive overlap between the anterior teeth at the end of orthodontic treatment, and 20 of 23 treated patients attended the recall visit after 12 months. A total of 85% of the cases maintained positive overlap at least 1 year post-treatment, 10% showed edge-to-edge bite, and only 5% showed no overbite.

Conclusions: Treatment of AOB in adults with extrusion arches proved to be stable 1 year post-treatment. Changes in the overbite after 1 year of follow-up were not significant.

目的:研究成人上下挤压弓治疗前部开放性咬合(AOB)患者的治疗后稳定性。材料和方法:23例AOB患者接受挤压弓治疗,并在治疗前(T0)、治疗后(T1)和治疗后12个月(T2)使用侧位头影测量片评估牙骨骼变化。患者接受可粘合的舌刺和真空形成的固位器作为治疗后的固位/稳定性措施,为期12个月。通过摄影咬合严重程度指数对治疗后的稳定性进行了进一步的定性评估。结果:所有病例在正畸治疗结束时都显示出前牙之间的正重叠,23名接受治疗的患者中有20名在12个月后参加了召回访视。共有85%的病例在治疗后至少1年保持阳性重叠,10%的病例出现边缘到边缘的咬合,只有5%的病例没有出现覆牙。结论:成人挤压足弓AOB的治疗在治疗后1年证明是稳定的。随访1年后,覆牙的变化并不显著。
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引用次数: 0
Three-dimensional morphologic analysis of the maxillary alveolar bone after anterior tooth retraction with temporary anchorage devices. 上颌牙槽骨的三维形态分析前牙临时固定装置后牙退缩。
Pub Date : 2023-11-01 DOI: 10.2319/120122-827.1
Arata Ito, Atsushi Mayama, Toshihito Oyanagi, Hiroki Ogura, Masahiro Seiryu, Tomohiro Fukunaga, Hideki Kitaura, Itaru Mizoguchi

Objectives: To investigate three-dimensional (3D) morphologic changes in the alveolar bone around the maxillary central incisors of patients who underwent premolar extraction and subsequent anterior tooth retraction using temporary anchorage devices (TADs).

Materials and methods: The subjects consisted of 16 patients with bimaxillary protrusion. The maxillary anterior teeth were retracted using sliding or loop mechanics and TADs for anchorage reinforcement. Cephalograms and computed tomography scans taken pretreatment and posttreatment were registered with respect to the palatal structures. The movement of the maxillary central incisors and morphologic changes in the anterior alveolar bone were evaluated quantitatively.

Results: Displacement in the palatal direction was observed in the alveolar bone around the incisors and the interdental septum. The displacement and bone remodeling/tooth movement ratio were larger on the labial side than the palatal side, and decreased progressively from the crest to apex level. The bone thickness was significantly increased on the labial side and decreased on the palatal side.

Conclusions: Regional differences exist in morphologic changes of the alveolar bone during anterior tooth retraction using TADs. Attention should be paid to the crest region of the palatal alveolar bone because of its small original thickness and low remodeling activity.

目的:研究上颌中切牙周围牙槽骨的三维形态变化。材料和方法:受试者包括16例双上颌前突患者。上颌前牙采用滑动或环形力学和TADs进行锚定加固。对治疗前后的腭结构进行了头影图和计算机断层扫描。定量评价上颌中切牙的运动和前牙槽骨的形态学变化。结果:在门牙周围的牙槽骨和齿间隔膜中观察到腭方向的移位。唇侧的移位和骨重塑/牙齿移动比率大于腭侧,并且从嵴到根尖水平逐渐降低。骨厚度在唇侧显著增加,在腭侧显著减少。结论:TADs在前牙回缩过程中牙槽骨的形态学变化存在区域差异。腭牙槽骨的嵴区原始厚度小,重建活性低,应引起重视。
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引用次数: 0
Root resorption during maxillary molar intrusion with clear aligners: a randomized controlled trial. 透明矫正器在上颌磨牙侵犯过程中的牙根吸收:一项随机对照试验。
Pub Date : 2023-11-01 DOI: 10.2319/010723-14.1
Wisama Withayanukonkij, Pannapat Chanmanee, Methee Promsawat, Smorntree Viteporn, Chidchanok Leethanakul

Objectives: To compare changes in maxillary molar root resorption, intrusion amount, dentoskeletal measures, and maximum bite force (MBF) between clear aligners (CA) and fixed appliances with miniscrew (FM) during molar intrusion.

Materials and methods: Forty adults with anterior open bite were randomized into either CA or FM groups. Lateral cephalograms, cone-beam computed tomography (CBCT), and MBF were collected at pretreatment (T0) and 6 months of treatment (T1). Maxillary molar intrusion in FM were intruded by nickel-titanium (NiTi) closed-coil spring delivered force (150 grams/side) while clear aligners combined with squeezing exercise were performed in CA. Parametric tests were used for statistical analysis.

Results: After 6 months of treatment, significant root resorption of 0.21-0.24 mm in CA and 0.38-0.47 mm in FM were found while maxillary molars were intruded 0.68 and 1.49 mm in CA and FM, respectively. CA showed significant less root resorption and intrusion than FM. Overbite, bite closing, and MBF increased significantly. CA showed significantly less overbite and SN-MP changes but more MBF increase than FM. MBF in CA was correlated with the amount of maxillary molar intrusion (r = 0.736, P < .05).

Conclusions: Maxillary molar intrusion and root resorption in CA were half the amount in FM in 6 months. The amount of maxillary molar root resorption was one-third of the intrusion distance. CA displayed less overbite increase and bite closing but more MBF increase than FM. MBF in CA was positively correlated with the molar intrusion amount.

目的:比较透明矫正器(CA)和带微型螺丝钉的固定矫治器(FM)在磨牙侵犯过程中上颌骨牙根吸收、侵犯量、牙骨骼测量和最大咬合力(MBF)的变化。材料和方法:将40例成人前部开放性咬合患者随机分为CA组或FM组。在预处理(T0)和治疗6个月(T1)时收集侧位头影、锥束计算机断层扫描(CBCT)和MBF。镍钛(NiTi)闭合螺旋弹簧施加的力(150克/侧)侵入FM中的上颌磨牙,而在CA中进行透明矫正器结合挤压运动。参数测试用于统计分析。结果:治疗6个月后,CA和FM的牙根吸收显著,分别为0.21-0.24mm和0.38-0.47mm,上颌磨牙侵入分别为0.68和1.49mm。CA表现出明显少于FM的牙根吸收和侵入。过度咬合、咬合闭合和MBF显著增加。CA的上覆牙和SN-MP变化明显少于FM,但MBF增加更多。CA的MBF与上颌磨牙侵入量相关(r=0.736,P<.05)。结论:6个月内,CA的上颌磨牙侵入和牙根吸收量是FM的一半。上颌磨牙牙根吸收量为侵入距离的三分之一。与FM相比,CA表现出较少的覆牙增加和咬合闭合,但MBF增加较多。CA的MBF与磨牙侵入量呈正相关。
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引用次数: 0
Letters From Our Readers. 读者来信。
Pub Date : 2023-11-01 DOI: 10.2319/1945-7103-93.6.750
Ruoyu Ning, Junjie Chen
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引用次数: 0
Clear aligner biomechanical limitations: anchorage and couple (torque) development 明确对准器的生物力学限制:锚定和偶联(扭矩)发展
Pub Date : 2023-09-01 DOI: 10.2319/1945-7103-93.5.615
N. Brezniak, A. Wasserstein, Noam E. Protter
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引用次数: 0
List of 2022 Reviewers 2022年评审人员名单
Pub Date : 2022-12-22 DOI: 10.2319/1945-7103-93.1.127
{"title":"List of 2022 Reviewers","authors":"","doi":"10.2319/1945-7103-93.1.127","DOIUrl":"https://doi.org/10.2319/1945-7103-93.1.127","url":null,"abstract":"","PeriodicalId":94224,"journal":{"name":"The Angle orthodontist","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73186797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does absence of maxillary lateral incisor affect the status of maxillary canine before and after secondary alveolar bone grafting in patients with unilateral alveolar cleft? 上颌侧切牙缺失是否影响单侧牙槽裂患者继发牙槽骨移植前后上颌犬牙的状态?
Pub Date : 2022-05-13 DOI: 10.2319/102221-788.1
H. Hong, I. Yang, Jin-Young Choi, Jong-Ho Lee, J. Chung, Sukwha Kim, S. Baek
To investigate whether absence of maxillary lateral incisor (MXLI) would affect the status of maxillary canine (MXC) before and after secondary alveolar bone grafting (SABG) in patients with unilateral cleft lip and alveolus (UCLA) and unilateral cleft lip and palate (UCLP). 47 male patients with UCLA and UCLP, whose Bergland indices were type I or II after SABG, were divided into the MXLI-absence (n = 26) and MXLI-presence groups (n = 21). Using panoramic radiographs, the position, angulation, and development status of MXC on the cleft side, and the cleft width before SABG (T1) were evaluated. After full eruption of the permanent dentition (T2), the root length, root shape, and frequency of forced eruption of MXC on the cleft side were investigated. Then, statistical analysis was performed. Compared to the MXLI-presence group, the MXLI-absence group showed higher frequencies of mesial angulation of MXC at T1 (criteria: >25°; 46.2% vs 14.3%, P < .05) and dilaceration of MXC at T2 (26.9% vs 4.8%, P < .001). MXC on the cleft side showed positive correlations between horizontal position at T1 and forced eruption at T2, and between vertical position and mesial angulation at T1 and dilaceration at T2 (all P < .01). In patients with UCLA and UCLP whose SABG outcome was successful, absence of MXLI on the cleft side increased only the frequencies of mesial angulation of MXC at T1 and dilaceration of MXC at T2, not frequency of forced eruption at T2.
探讨上颌侧切牙(MXLI)缺失对单侧唇腭裂(UCLP)患者继发性牙槽骨移植(SABG)前后上颌尖牙(MXC)状态的影响。47例SABG术后Bergland指数为I型或II型的男性UCLA和UCLP患者分为mxli缺失组(n = 26)和mxli存在组(n = 21)。利用全景x线片评估裂侧MXC的位置、成角、发育状况及SABG (T1)术前裂宽。在恒牙列(T2)完全萌出后,观察裂侧MXC的根长、根形和强制萌出频率。然后进行统计分析。与mxli -存在组相比,mxli -缺失组在T1时MXC中位成角的频率更高(标准:>25°;46.2% vs 14.3%, P < 0.05), T2时MXC扩张(26.9% vs 4.8%, P < 0.001)。裂隙侧MXC与T1水平位置与T2强迫喷发、T1垂直位置与中位成角与T2扩张呈正相关(均P < 0.01)。在SABG结果成功的UCLA和UCLP患者中,腭裂侧MXLI缺失只增加了T1处MXC中位成角的频率和T2处MXC扩张的频率,而不是T2处强制喷发的频率。
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引用次数: 1
Letter to the Editor. 给编辑的信。
Pub Date : 2022-04-20 DOI: 10.2319/1945-7103-92.3.426
Sekar Santhosh Kumar, Shivangi Ramteke, B. Madhan
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引用次数: 0
Response to the Letter. 对信的回应。
Pub Date : 2022-04-20 DOI: 10.2319/1945-7103-92.3.427
Haya A Barsoum, H. ElSayed, Fouad A. El Sharaby, J. Palomo, Y. Mostafa
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引用次数: 0
期刊
The Angle orthodontist
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