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Velásquez G, Aliaga-Del Castillo A, Valerio MV, Maranhão OBV, Miranda F, Janson G. Effects of eruption guidance appliance in the early treatment of Class III malocclusion. Angle Orthod 2024; 94:286-293. [PMID: 38639459 PMCID: PMC11050463 DOI: 10.2319/071223-488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2023] [Accepted: 01/01/2024] [Indexed: 04/20/2024] Open
Abstract
OBJECTIVES To evaluate the dentoskeletal effects and effectiveness of the eruption guidance appliance in Class III patients in the mixed dentition. MATERIALS AND METHODS The experimental group comprised 22 patients with Class III malocclusion and anterior cross-bite (12 males, 10 females, mean age 7.63 ± 0.96 years) treated with the eruption guidance appliance over a mean period of 1.72 ± 0.48 years. The control group comprised 22 untreated subjects (12 males, 10 females, mean age 7.21 ± 0.60 years) with Class III malocclusion. Lateral cephalometric radiographs were obtained at pretreatment (T1) and posttreatment (T2). Intergroup comparisons were performed with Mann-Whitney and t-tests (P < .05). RESULTS In the experimental and control groups, the anteroposterior relationship between the maxilla and mandible (ANB angle) remained stable during the treatment period (T1 to T2). The mandibular plane angle decreased in the experimental group and increased in the control group. In the experimental group, the lower anterior face height increase and maxillary molar vertical development were significantly smaller compared to controls. Positive overjet was achieved in 54% of the experimental group. CONCLUSIONS The eruption guidance appliance produced no change in the skeletal anteroposterior relationship. The anterior cross-bite/edge-to-edge relationship was corrected in only about half of the treated subjects.
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Huang S, Chen Y, Chen T, Mallineni SK, McGrath C, Hagg U. Clinical effectiveness of the Eruption Guidance Appliances in treating malocclusion in the mixed dentition: A systematic review and meta-analysis. Int J Paediatr Dent 2022; 32:843-855. [PMID: 35191109 DOI: 10.1111/ipd.12961] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/19/2021] [Revised: 12/26/2021] [Accepted: 02/11/2022] [Indexed: 11/30/2022]
Abstract
AIM To evaluate the clinical effectiveness of the eruption guidance appliances (EGAs) in treating malocclusion in the early mixed dentition. DESIGN Electronic databases were comprehensively searched for the eligibility literature of the EGA treatment for a period spanning from the earliest available date in each database up to July 2021. Randomized controlled trials, controlled clinical trials, and prospective and retrospective cohort studies were included in the present review. The quality of clinical trials was assessed according to the Cochrane Collaboration's tools (RoB2.0 and ROBINS-I), whereas cohort studies were based on the Newcastle-Ottawa Scale (NOS). The data were gathered and synthesized with the Stata software (version 12). RESULTS The screen yielded 436 articles, of which 17 papers were potentially eligible, and 7 articles from 3 studies (1 RCT, 1 CCT, and 1 PCS) were qualified for the final review and analysis. The meta-analysis showed both favorable dentoalveolar and skeletal changes in short term. Both overjet and overbite had a significant decrease after treatment (MD = -2.38 mm, 95% CI: -2.82 to -1.94, p < .001, and MD = -2.43 mm, 95% CI: -3.52 to -1.35, p < .001, respectively), and SNB increased significantly by 0.73 degrees (95% CI: 0.17-1.28, p = .01). After the retention period, however, overbite had a significant increase of 0.88mm, which indicated the occurrence of a relapse (95% CI: 0.60-1.16, p < .001). CONCLUSIONS According to the existing evidence, the EGA treatment is effectively correcting overjet and overbite in the early mixed dentition in short term; furthermore, high-quality and long-term studies are warranted to determine its long-term effectiveness.
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Affiliation(s)
- Shuying Huang
- Department of Stomatology, School of Medicine, Xiamen University, Xiamen, China
| | - Yong Chen
- Department of Stomatology, School of Medicine, Xiamen University, Xiamen, China
| | - Tianmu Chen
- State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, School of Public Health, Xiamen University, Xiamen, China
| | - Sreekanth Kumar Mallineni
- Department of Preventive Science, College of Dentistry, Majmaah University, Almajmaah, Saudi Arabia.,Center for Transdisciplinary Research (CFTR), Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India
| | - Colman McGrath
- Discipline of Dental Public Health, Faculty of Dentistry, The University of Hong Kong, Hong Kong, Hong Kong
| | - Urban Hagg
- Discipline of Orthodontics, Faculty of Dentistry, The University of Hong Kong, Hong Kong, Hong Kong
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Inchingolo AD, Patano A, Coloccia G, Ceci S, Inchingolo AM, Marinelli G, Malcangi G, Montenegro V, Laudadio C, Pede CD, Garibaldi M, Kruti Z, Maggiore ME, Mancini A, Nucci L, Bordea IR, Scarano A, Lorusso F, Dipalma G, Di Venere D, Cardarelli F, Inchingolo F. The Efficacy of a New AMCOP ® Elastodontic Protocol for Orthodontic Interceptive Treatment: A Case Series and Literature Overview. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:988. [PMID: 35055811 PMCID: PMC8775806 DOI: 10.3390/ijerph19020988] [Citation(s) in RCA: 19] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/28/2021] [Revised: 01/11/2022] [Accepted: 01/13/2022] [Indexed: 02/01/2023]
Abstract
BACKGROUND Elastodontics is a specific interceptive orthodontic treatment that uses removable elastomeric appliances. They are functional appliances that produce neuromuscular, orthopedic and dental effects. Thus, these devices are useful in the developmental age, when skeletal structures are characterized by important plasticity and adaptation capacity, allowing to remove factors responsible for malocclusions. Elastomeric devices are generally well tolerated by patients requiring simple collaboration and management. This work can be useful to update all orthodontists already adopting these appliances or for those who want to approach them for the first time. This study aimed to describe four cases treated with new elastomeric devices called AMCOP Bio-Activators and to provide an overview of elastodontics, its evolution, indications and limits. METHODS A total of four clinical cases were presented after a treatment period of 16-20 months to evaluate the clinical and radiological effects of the elastodontic therapy. RESULTS The effectiveness of Bio-Activators on clinical cases was evidenced with a significant improvement in skeletal and dentoalveolar relationship, and malocclusion correction in a limited treatment period (16-20 months). CONCLUSIONS The Bio-Activators showed clinical effectiveness to achieve therapeutic targets according to a low impact on the patient's compliance.
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Affiliation(s)
- Alessio Danilo Inchingolo
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
| | - Assunta Patano
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
| | - Giovanni Coloccia
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
| | - Sabino Ceci
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
| | - Angelo Michele Inchingolo
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
| | - Grazia Marinelli
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
| | - Giuseppina Malcangi
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
| | - Valentina Montenegro
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
| | - Claudia Laudadio
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
| | - Chiara Di Pede
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
| | - Mariagrazia Garibaldi
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
| | - Zamira Kruti
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
| | - Maria Elena Maggiore
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
| | - Antonio Mancini
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
| | - Ludovica Nucci
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, Via L. De Crecchio 6, 80138 Naples, Italy;
| | - Ioana Roxana Bordea
- Department of Oral Rehabilitation, Faculty of Dentistry, Iuliu Hațieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania
| | - Antonio Scarano
- Department of Innovative Technologies in Medicine and Dentistry, University of Chieti-Pescara, 66100 Chieti, Italy;
| | - Felice Lorusso
- Department of Innovative Technologies in Medicine and Dentistry, University of Chieti-Pescara, 66100 Chieti, Italy;
| | - Gianna Dipalma
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
| | - Daniela Di Venere
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
| | - Filippo Cardarelli
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
| | - Francesco Inchingolo
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (A.D.I.); (G.C.); (A.M.I.); (G.M.); (G.M.); (V.M.); (C.L.); (C.D.P.); (M.G.); (Z.K.); (M.E.M.); (A.M.); (G.D.); (D.D.V.); (F.C.)
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Tieu LD, Saltaji H, Normando D, Flores-Mir C. Radiologically determined orthodontically induced external apical root resorption in incisors after non-surgical orthodontic treatment of class II division 1 malocclusion: a systematic review. Prog Orthod 2014; 15:48. [PMID: 25139200 PMCID: PMC4138553 DOI: 10.1186/s40510-014-0048-7] [Citation(s) in RCA: 47] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2014] [Accepted: 06/12/2014] [Indexed: 11/23/2022] Open
Abstract
This study aims to critically evaluate orthodontically induced external apical root resorption (OIEARR) in incisors of patients undergoing non-surgical orthodontic treatment of class II division 1 malocclusion by a systematic review of the published data. An electronic search of two databases was performed; the bibliographies of relevant articles were also reviewed. Studies were included if they examined the amount of OIEARR in incisors produced during non-surgical orthodontic treatment of individuals with class II division I malocclusion in the permanent dentition. Individuals had no previous history of OIEARR, syndromes, pathologies, or general diseases. Study selections, risk of bias assessment, and data extraction were performed in duplicate. Eight studies of moderate methodological quality were finally included. An increased prevalence (65.6% to 98.1%) and mild to moderate severity of OIEARR (<4 mm and <1/3 original root) were reported. No sex difference in root resorption was found. For the maxillary incisors, there was no evidence that either the central or lateral incisor was more susceptible to OIEARR. A weak to moderate positive correlation between treatment duration and root resorption, and anteroposterior apical displacement and root resorption was found. Current limited evidence suggests that non-surgical comprehensive orthodontic treatment to correct class II division 1 malocclusions causes increased prevalence and severity of OIEARR the more the incisor roots are displaced and the longer this movement takes.
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Affiliation(s)
| | | | | | - Carlos Flores-Mir
- School of Dentistry, University of Alberta, Edmonton T6G 1C9, Alberta, Canada.
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