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Sonar PR, Panchbhai A, Pathak A. Anterior Esthetic Rehabilitation with Computer-Aided Design/Computer-Aided Manufacturing Zirconia: A Case Report. Cureus 2024; 16:e59936. [PMID: 38854191 PMCID: PMC11161719 DOI: 10.7759/cureus.59936] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2024] [Accepted: 05/08/2024] [Indexed: 06/11/2024] Open
Abstract
In layered zirconia prosthesis, the choice of zirconia composition, framework design, and shade is closely related to the properties of the abutments. This interdependence emphasizes how crucial it is to take a deliberate and tailored approach to meet the unique needs of every therapeutic circumstance. To successfully treat anterior teeth and achieve restorations that look natural, challenges such as incorrect size and shape, atypical gingival contour, and unsightly hues need to be resolved. Ceramodetal restorations have occasionally allowed for the most appealing, authentic replication of natural teeth, despite its proven strength, endurance, and improved aesthetics. Due to their superior cosmetic results, metal-free materials have been used for anterior rehabilitation. Materials like dental zirconia, which offers excellent aesthetics and desired mechanical characteristics, have emerged in response to the increased need for visually appealing and metal-free alternatives. In this case study context, experiences in the clinic using multilayer zirconia prostheses intended exclusively for anterior teeth are discussed.
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Affiliation(s)
- Prasanna R Sonar
- Oral Medicine and Radiology, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education & Research, Wardha, IND
| | - Aarati Panchbhai
- Oral Medicine and Radiology, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education & Research, Wardha, IND
| | - Ankita Pathak
- Prosthodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education & Research, Wardha, IND
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Orthodontic treatment in periodontally compromised patients: a systematic review. Clin Oral Investig 2023; 27:79-89. [PMID: 36502508 PMCID: PMC9877066 DOI: 10.1007/s00784-022-04822-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2021] [Accepted: 11/29/2022] [Indexed: 12/14/2022]
Abstract
OBJECTIVES The aim of this systematic review was to examine the literature on aggressive and chronic periodontitis and orthodontics to clarify the therapy-relevant aspects of orthodontic treatment with altered biomechanics in periodontally compromised dentition. MATERIALS AND METHODS Literature searches were conducted in the electronic databases "PubMed" and "DIMDI" using the keywords "aggressive periodontitis AND ortho*," "aggressive periodontitis AND orthodontics," "chronic periodontitis AND ortho*," and "chronic periodontitis AND orthodontics" for the publication period from January 1990 to July 2022. In addition, a manual search was carried out in the selected trade journals "Community Dental Health," "European Journal of Oral Sciences," and "Parodontologie." Human clinical trials were included, whereas animal experimental studies, case reports, and reviews were generally excluded. The appropriate studies were selected, and the relevant data was tabulated according to different parameters, regarding the study design, the study structure, and the conduct of the study. RESULTS A total of 1067 articles were found in the preliminary electronic search. The manual search and review of all related bibliographies resulted in an additional 1591 hits. After the first screening, 43 articles were classified as potentially relevant and reviewed in their original form. After the suitability test, 5 studies with a total of 366 participants were included in the final evaluation. These included one randomized controlled trial and four low-evidence intervention studies. The studies were conducted in two university hospitals and three private practices. All participants underwent scaling and root plaining and periodontal surgery before the orthodontic treatment started. Mean probing pocket depth reduction before and after the interdisciplinary treatment was analyzed in all the included studies; mean difference in clinical attachment level in four of the studies was also included. All participants were enrolled in a continuous recall system. In all studies, orthodontic therapy in periodontally compromised patients improved function and esthetics, resulting in lower probing depths and clinical attachment gains. CONCLUSIONS Orthodontic treatment can be used for patients with reduced periodontal support to stabilize clinical findings and improve function and esthetics. The prerequisite for this is a profound knowledge of altered biomechanics and an adapted interdisciplinary treatment approach. Due to the large heterogeneity of the included studies and their limited methodological quality, the results obtained in this review must be considered critically. Further randomized controlled long-term studies with comparable study designs are necessary to obtain reliable and reproducible treatment results. CLINICAL RELEVANCE Patients with periodontal impairment can be successfully treated with orthodontics as part of interdisciplinary therapy. Orthodontic treatment has no negative impact on the periodontium; if minimal, controlled forces are used under non-inflammatory conditions.
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Assessment of Perception and Barriers toward Orthodontic Treatment Needs in the Saudi Arabian Adult Population. Healthcare (Basel) 2022; 10:healthcare10122488. [PMID: 36554012 PMCID: PMC9778656 DOI: 10.3390/healthcare10122488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Revised: 12/05/2022] [Accepted: 12/06/2022] [Indexed: 12/13/2022] Open
Abstract
Patients’ decisions regarding orthodontic treatment are influenced by a variety of factors, such as their subjective opinions of how their oral cavity looks, age, gender, educational level, and income. The present study aimed to measure the orthodontic treatments needs for the Saudi Arabian population, and also to report potential barriers towards it. It is an observational study with cross sectional design. Data was collected from nationals and residents living in Saudi Arabia and who are at least 18 years old. A total of 1184 adult patients (880 females and 304 males) were included in this study. The population for the study was reached and chosen using a non-probability snowball sampling method. A validated and reliable questionnaire was distributed to the participants electronically through google form. Inferential statistics was applied using Pearson Chi Square test. p value < 0.05 was considered significant. The majority of the sample (73.2%) exhibited a favorable attitude toward orthodontic treatment. Most participants including male and female gender wanted orthodontic treatment primarily to have their protruding teeth fixed. The proportion of persons who cited chewing difficulty as the reason they needed orthodontic treatment was strongly influenced by the monthly income variable (p = 0.005). Cost and time of orthodontic therapy were the biggest obstacles to undergoing treatment, accounting for 34.5% and 19.5%, respectively. There was highly significant difference between the underlying medical conditions and the age and monthly income variables (p = 0.000). Based on the findings of the present study, it can be concluded that protruding teeth are the most important treatment needs perceived by the Saudi population, followed by spacing in between teeth, crowding of teeth, and unaesthetic smile. Cost of the orthodontic treatment was identified as the most significant barrier to the treatment needs, followed by long duration of orthodontic treatment, and pain.
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Prosthetically Guided Orthodontics (PGO): A Personalized Clinical Approach for Aesthetic Solutions Using Digital Technology. J Pers Med 2022; 12:jpm12101716. [PMID: 36294855 PMCID: PMC9605514 DOI: 10.3390/jpm12101716] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2022] [Revised: 10/08/2022] [Accepted: 10/09/2022] [Indexed: 11/07/2022] Open
Abstract
Conformative rehabilitation generally involves the treatment of partial dentate or the application of veneers. In this regard, conformative rehabilitation aims to generate an aesthetic prosthetic solution minimizing the amount of tissue removal without generating occlusal input interfering with the equilibrium of neuro-muscular function. In fact, pre-prosthetic orthodontics aims to re-establishing the correct position/inclination of the neighboring or antagonist teeth, providing appropriate space for the prosthetic crown. Clear aligners therapy (CAT) represents a valuable tool in the management of prosthetic cases with a conformative approach, as it allows clinicians to plan orthodontic movements that are guided by the prosthetic outcomes. In the present manuscript, we argue the concept of prosthetic guided orthodontics (PGO) by presenting and discussing three cases treated with the Invisalign GO system, which has been developed for the clinical management of multidisciplinary orthodontic-prosthetic cases with a conformative approach. In this regard, the rationale of this paper is to address the effectiveness and predictability of the digital set-up and CAT for aesthetic conformative rehabilitations.
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Paço M, Duarte JA, Pinho T. Orthodontic Treatment and Craniocervical Posture in Patients with Temporomandibular Disorders: An Observational Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18063295. [PMID: 33806739 PMCID: PMC8004626 DOI: 10.3390/ijerph18063295] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/25/2021] [Accepted: 03/18/2021] [Indexed: 12/15/2022]
Abstract
Orthodontic treatment acts through the application of forces and/or by stimulating and redirecting the functional forces within the craniofacial complex. Considering the interrelationship between craniomandibular and craniocervical systems, this intervention may alter craniocervical posture. Thus, our aim is to (a) compare craniocervical posture, hyoid bone position, and craniofacial morphology before, after, and also in the contention phase at least one year after the orthodontic treatment, in patients with temporomandibular disorders and (b) to verify whether the presence of condylar displacement, the skeletal class, or the facial biotype interferes with the abovementioned outcomes. To do so an observational, analytical, longitudinal, and retrospective design study was carried out. A non-probabilistic convenience sampling method was applied. The sample consisted of clinical records of patients diagnosed with temporomandibular disorders in order to compare pre-orthodontic treatment with post-orthodontic treatment (n = 42) and contention phase data (n = 26). A cephalometric analysis of several variables was performed. The p-value was set as 0.05. When the pre- and post-orthodontic treatment data were analyzed, there were statistically significant changes in variables concerning craniocervical posture (CV angle, C0-C1, and AA-PNS) and also concerning hyoid bone position (C3-Rgn). When pre- and post-orthodontic treatment and contention phase data were analyzed the variables concerning craniocervical posture (C0-C1, CVT/Ver, NSL/OPT, NSL/CVT, NSL/Ver; OPT/CVT, OPT/Ver) and facial biotype had statistically significant changes. This allowed us to conclude that in the sample studied, there were significant differences regarding hyoid bone position (pre- versus post-orthodontic treatment) and craniocervical posture (pre- versus post-orthodontic versus contention), with the craniocervical posture being prone to return to basal values. The presence of condylar displacement was found to significantly increase the H-H1 distance in the three moments of evaluation. Facial biotype was found to significantly increase the NSL/Ver angle on hypodivergent compared to hyperdivergent in the contention phase.
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Affiliation(s)
- Maria Paço
- CESPU, Instituto de Investigacão e Formação Avançada em Ciências e Tecnologias da Saúde, 4585-116 Gandra-Paredes, Portugal;
| | - José Alberto Duarte
- CIAFEL, Faculdade de Desporto da Universidade do Porto, 4200-450 Porto, Portugal;
| | - Teresa Pinho
- CESPU, Instituto de Investigacão e Formação Avançada em Ciências e Tecnologias da Saúde, 4585-116 Gandra-Paredes, Portugal;
- IBMC—Inst. Biologia Molecular e Celular, i3S—Inst. Inovação e Investigação em Saúde, Universidade do Porto, 4585-116 Porto, Portugal
- Correspondence:
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Miguel JAM, Freitas TEDVDS. Immediate orthodontic load on dental implants: an option for adult treatment. Dental Press J Orthod 2020; 24:69-79. [PMID: 31994649 PMCID: PMC6986191 DOI: 10.1590/2177-6709.24.6.069-079.bbo] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2019] [Accepted: 10/10/2019] [Indexed: 12/19/2022] Open
Abstract
The demand for orthodontic treatment in adults has been increasing. However, these patients often require a multidisciplinary approach, due to the lack of posterior teeth, requiring additional anchorage. The skeletal anchorage by endosseous implants is an option, since they may be used later for prosthetic rehabilitation. The application of immediate load on these appliances for orthodontic movement may reduce the costs and total treatment time. This paper discusses the utilization of endosseous dental implants with immediate load for absolute anchorage for orthodontic movement, with later utilization for prosthetic rehabilitation.
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Affiliation(s)
- José Augusto Mendes Miguel
- Universidade do Estado do Rio de Janeiro (Rio de Janeiro/RJ, Brazil).,Universidade Federal do Rio de Janeiro (Rio de Janeiro/RJ, Brazil)
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Abstract
For some patients, pre-prosthetic orthodontic intervention is necessary to optimize both esthetic and functional aspects of dental treatment. This review will focus on the following topics: orthodontics treatment with multiple missing teeth, correction of anterior deep vertical overlap, anterior worn dentition, up-righting of tilted teeth, and orthodontic crown lengthening. This review will aid restorative dentists in identifying which patients could benefit from orthodontic intervention, and in understanding how orthodontic treatment can be utilized to improve patient prognosis in restorative treatment.
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Han J, Hwang S, Nguyen T, Proffit WR, Soma K, Choi YJ, Kim KH, Chung CJ. Periodontal and root changes after orthodontic treatment in middle-aged adults are similar to those in young adults. Am J Orthod Dentofacial Orthop 2019; 155:650-655.e2. [PMID: 31053280 DOI: 10.1016/j.ajodo.2018.05.027] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2018] [Revised: 05/01/2018] [Accepted: 05/01/2018] [Indexed: 11/29/2022]
Abstract
INTRODUCTION The goal of this study was to compare the outcomes and amount of change in periodontal health of anterior teeth in young versus middle-aged adults, who were treated to improve anterior alignment and occlusion. METHODS Pre- and posttreatment records including orthodontic casts, cephalograms, and standardized periapical radiographs were retrospectively collected from young adults (aged 19-30 years; n = 12) and middle-aged adults (aged ≥40 years; n = 27). Following the American Board of Orthodontics criteria, discrepancy index (DI), cast-radiograph evaluation (CRE), treatment duration (TD), marginal bone loss (MBL), and tooth length (TL) were measured, and with the use of periapical radiographs, changes in the level of marginal bone (MBC) and the amount of root resorption (RR) after orthodontic treatment were calculated. RESULTS DI, MBL, and TD were significantly higher in the middle-aged adults than in the young adults (P < 0.05). However, CRE and MBC after treatment were similar between the 2 groups (P > 0.05). The mean amount of RR following treatment was -0.6 ± 0.44 mm and -1.0 ± 0.61 mm in young and middle-aged adults, respectively. The degree of RR after compensating for treatment complexity and TD was similar between the 2 groups (P > 0.05). CONCLUSIONS Although the initial malocclusion and periodontal conditions were unfavorable for the middle-aged adults, the overall treatment and periodontal outcomes after orthodontic treatment of the anterior teeth were similar to those for young adults. It appears that older adults tolerate orthodontics to improve the appearance of the anterior teeth as well as younger adults, with no additional burden because of their increased age.
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Affiliation(s)
- Jihee Han
- Department of Orthodontics, Institute of Craniofacial Deformity, College of Dentistry, Yonsei University, Seoul, Korea
| | - Soonshin Hwang
- Department of Orthodontics, Institute of Craniofacial Deformity, College of Dentistry, Yonsei University, Seoul, Korea; Gangam Severance Hospital, Seoul, Korea
| | - Tung Nguyen
- Department of Orthodontics, University of North Carolina School of Dentistry, Chapel Hill, NC
| | - William R Proffit
- Department of Orthodontics, University of North Carolina School of Dentistry, Chapel Hill, NC
| | - Kunimichi Soma
- Orthodontic Science, Tokyo Medical and Dental University, Tokyo, Japan
| | - Yoon Jeong Choi
- Department of Orthodontics, Institute of Craniofacial Deformity, College of Dentistry, Yonsei University, Seoul, Korea
| | - Kyung-Ho Kim
- Department of Orthodontics, Institute of Craniofacial Deformity, College of Dentistry, Yonsei University, Seoul, Korea; Gangam Severance Hospital, Seoul, Korea
| | - Chooryung J Chung
- Department of Orthodontics, Institute of Craniofacial Deformity, College of Dentistry, Yonsei University, Seoul, Korea; Gangam Severance Hospital, Seoul, Korea; Department of Orthodontics, University of North Carolina School of Dentistry, Chapel Hill, NC.
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Durham M, Brindis M, Egbert N, Halpern LR. Complex Dental Implant Cases: Algorithms, Subjectivity, and Patient Cases Along the Complexity Continuum. Oral Maxillofac Surg Clin North Am 2019; 31:219-249. [PMID: 30947848 DOI: 10.1016/j.coms.2018.12.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Algorithms for predictable outcomes, or checklists in health care, have been widely supported due to their highly effective outcomes. This article shares "algorithmic roadmaps" to restore single-tooth, partially edentulous, and fully edentulous complex dental implant cases in the patient population. A review of the current literature is presented to provide systematic assessments followed by criteria in a checklist format that allows the surgeon and restorative dentist to determine whether a removable or fixed implant prosthesis is the best patient option. Several cases have been chosen to illustrate the algorithms the authors used to provide an optimized prognosis for surgical/restorative success.
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Affiliation(s)
- Mark Durham
- Prosthodontist, University of Utah, School of Dentistry, 530 South Wakara Way, Salt Lake City, UT 84108, USA.
| | - Marco Brindis
- Louisiana State University, School of Dentistry, 1100 Florida Avenue, New Orleans, LA 70119, USA
| | - Nicholas Egbert
- Prosthodontist, University of Utah, School of Dentistry, 530 South Wakara Way, Salt Lake City, UT 84108, USA
| | - Leslie R Halpern
- Oral and Maxillofacial Surgery, University of Utah, School of Dentistry, 530 South Wakara Way, Salt Lake City, UT 84108, USA
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Cheong J, Hwang YS, Jung BY. Multidisciplinary Approach for Full-Mouth Rehabilitation of an Adult Patient with Collapsed Occlusal Plane and Several Missing Teeth: A Clinical Report. J Prosthodont 2018. [PMID: 29533493 DOI: 10.1111/jopr.12778] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
In the full-mouth rehabilitation of a patient with severely collapsed occlusion, a multidisciplinary approach including prosthodontics, orthodontics, endodontics, and surgery could provide better esthetic and functional results. Orthodontic treatment aiming for stable occlusion that meets the standard requirement of functional occlusion, enables the maintenance of occlusal function, and guarantees long-term stability on the basis of periodontal health was attempted. The essential element of this protocol is careful treatment planning based on the optimal sequence pursuing functional occlusion.
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Affiliation(s)
- Jieun Cheong
- Department of Advanced General Dentistry, College of Dentistry, Yonsei University, Seoul, Korea
| | - Yu-Sun Hwang
- Department of Dentistry, CHA Bundang Medical Center, CHA University, Seongnam, Korea
| | - Bock-Yung Jung
- Department of Advanced General Dentistry, College of Dentistry, Yonsei University, Seoul, Korea
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Zasčiurinskienė E, Basevičienė N, Lindsten R, Slotte C, Jansson H, Bjerklin K. Orthodontic treatment simultaneous to or after periodontal cause-related treatment in periodontitis susceptible patients. Part I: Clinical outcome. A randomized clinical trial. J Clin Periodontol 2017; 45:213-224. [DOI: 10.1111/jcpe.12835] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/29/2017] [Indexed: 12/12/2022]
Affiliation(s)
- Eglė Zasčiurinskienė
- Department of Orthodontics; Medical Academy; Lithuanian University of Health Sciences; Kaunas Lithuania
- Centre For Oral Health; School of Health and Welfare; Jönköping University; Jönköping Sweden
| | - Nomeda Basevičienė
- Department of Dental and Oral Pathology; Medical Academy; Lithuanian University of Health Sciences; Kaunas Lithuania
| | - Rune Lindsten
- Centre For Oral Health; School of Health and Welfare; Jönköping University; Jönköping Sweden
- Department of Orthodontics; Institute for Postgraduate Dental Education; Jönköping Sweden
| | - Christer Slotte
- Department of Periodontology; Institute for Postgraduate Dental Education; Jönköping Sweden
- Department of Biomaterials; Institute for Clinical Sciences; Sahlgrenska Academy; University of Gothenburg; Göteborg Sweden
| | - Henrik Jansson
- Centre For Oral Health; School of Health and Welfare; Jönköping University; Jönköping Sweden
- Department of Periodontology; Institute for Postgraduate Dental Education; Jönköping Sweden
| | - Krister Bjerklin
- Department of Orthodontics; Institute for Postgraduate Dental Education; Jönköping Sweden
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Miniscrew-assisted multidisciplinary orthodontic treatment with surgical mandibular advancement and genioplasty in a brachyfacial Class II patient with mandibular asymmetry. Am J Orthod Dentofacial Orthop 2017; 152:679-692. [PMID: 29103446 DOI: 10.1016/j.ajodo.2016.09.031] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2016] [Revised: 09/01/2016] [Accepted: 09/01/2016] [Indexed: 11/22/2022]
Abstract
This article describes the complex dental treatment of a 43-year-old man with skeletal Class II, mandibular asymmetry, severe brachyfacial pattern, Class II Division 2, canting of the occlusal plane, and an increased curve of Spee. To achieve optimal results, we adopted a multidisciplinary approach to treatment, involving periodontics, oral surgery, orthodontics, maxillofacial surgery, and prosthetics specialists. After periodontal treatment, miniscrews were placed to correct the occlusal plane canting and the excessive curve of Spee with orthodontic treatment. The surgical treatment plan consisted of a bilateral asymmetric sagittal split osteotomy for mandibular advancement and genioplasty. The patient had an infection after the surgery at the site of the right fixation plate, so the plate was removed, and active orthodontic treatment was continued and finished. Mandibular first molar implants and maxillary ceramic crowns using the Digital Smile Design method (Digital Smile Design, Doral, FL) were placed at the end of orthodontic treatment. The patient was satisfied with the treatment results and with his facial and dental appearance, as well as his oral function. The 2-year follow-up pictures show a stable result both esthetically and functionally.
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Kim Y. Study on the perception of orthodontic treatment according to age: A questionnaire survey. Korean J Orthod 2017; 47:215-221. [PMID: 28670562 PMCID: PMC5466903 DOI: 10.4041/kjod.2017.47.4.215] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2016] [Revised: 03/06/2017] [Accepted: 03/27/2017] [Indexed: 11/10/2022] Open
Abstract
OBJECTIVE This questionnaire study aimed to estimate the overall frequencies of positive perception towards orthodontic treatment among adults categorized according to age, sex, and area of living, and to identify barriers or negative perceptions preventing them from receiving orthodontic treatment. METHODS The participants included 598 adults aged over 20 years (230 men and 368 women) who visited the Dental Hospital of Seoul St. Mary's Hospital. The participants' opinions regarding their consideration of receiving orthodontic treatment were recorded using a specially designed questionnaire. RESULTS The overall rate of positive perception towards orthodontic treatment was 48.5%. Compared to adults in their 20s (63.2%), those in their 40s and 50s had a lower percentage of interest in orthodontic treatment (46.2% and 45.1%, respectively; p < 0.05). Overall, women (52.2%) had a higher rate of interest than did men (42.6%; p < 0.05). The area of living had no effect on the percentage of interest. The order of priority of chief complaints differed according to age: protrusion for those in the 20s and 30s, and spacing for those in the 40s to 60s. Overall, the main reason for not seeking treatment was the treatment fee. Respondents aged over 40 considered themselves "too old" for orthodontic treatment. CONCLUSIONS The middle-aged had a relatively high percentage of interest (above 45%) in orthodontic treatment. However, demographic characteristics were not significantly associated with the positive interest. These results highlight the need for educating the middle-aged about the limitations and possibilities of orthodontic treatment to increase its acceptance.
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Affiliation(s)
- Yoonji Kim
- Department of Orthodontics, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
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14
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Clinical Application of the PES/WES Index on Natural Teeth: Case Report and Literature Review. Case Rep Dent 2017; 2017:9659062. [PMID: 28261506 PMCID: PMC5316430 DOI: 10.1155/2017/9659062] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2017] [Accepted: 01/24/2017] [Indexed: 11/17/2022] Open
Abstract
The use of reliable indices to evaluate the aesthetic outcomes in the aesthetic area is an important and objective clinical aid to monitor the results over time. According to the literature various indices were proposed to evaluate aesthetic outcomes of implant-prosthetic rehabilitation of the anterior area like Peri-Implant and Crown Index [PICI], Implant Crown Aesthetic Index [ICAI], Pink Esthetic Score/White Esthetic Score [PES/WES], and Pink Esthetic Score [PES] but none of them was related to prosthetic rehabilitation on natural teeth. The aim of this study is to verify the validity of PES/WES index for natural tooth-prosthetic rehabilitation of the anterior area. As secondary objective, we proposed to evaluate the long-term predictability of this clinical application, one of which is presented below, following the analysis of the most currently accepted literature.
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Shi J, Liu Z, Kawai T, Zhou Y, Han X. Antibiotic administration alleviates the aggravating effect of orthodontic force on ligature-induced experimental periodontitis bone loss in mice. J Periodontal Res 2017; 52:725-733. [PMID: 28213930 DOI: 10.1111/jre.12439] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/27/2016] [Indexed: 12/19/2022]
Abstract
BACKGROUND AND OBJECTIVES It is recognized that orthodontic force (OF) has an aggravating effect on the progression of destructive periodontitis if periodontitis have not been well controlled. However, the underlying mechanism is not completely clear. This study was to investigate the effect of antibiotic administration on OF-aggravated, ligature-induced experimental periodontitis in mice. MATERIAL AND METHODS C57BL/6 mice (male, 8 wk old) were divided into three groups (n = 8). Silk ligatures (SL) were tied around the maxillary right (group 1) or both (groups 2 and 3) first molars on day 0, removed on day 8 and systemic antibiotics was administered through drinking water (group 3) since day 8. OF was applied on the maxillary right first molars since day 13 (groups 2 and 3). All mice were killed on day 20. RESULTS Total oral bacteria load was significantly higher in group 2 when compared to group 1 on day 20, whereas such count was greatly reduced in group 3 when antibiotics were administered. Periodontal bone loss was significantly increased on SL side vs. control side in group 1. Periodontal bone loss was significantly increased on OF + SL side vs. SL side in group 2 (p < 0.05) but not in group 3 when systemic antibiotics were administered. Gingival mRNA and protein expressions of receptor activator of nuclear factor kappa-B ligand/osteoprotegerin were significantly increased on OF + SL side vs. SL side in group 2 (p < 0.01) but not in group 3. However, comparable levels of tartrate-resistant acid phosphatase-positive cell formation within periodontal space and tooth movement were observed on OF + SL side in groups 2 and 3. CONCLUSION Our results suggest that reduction of oral bacterial load by antibiotic administration alleviate orthodontic force-aggravated periodontitis bone loss.
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Affiliation(s)
- J Shi
- Department of Orthodontics, National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing Key Laboratory of Digital Stomatology, Peking University School and Hospital of Stomatology, Beijing, China.,Department of Immunology and Infectious Diseases, The Forsyth Institute, Cambridge, MA, USA
| | - Z Liu
- Department of Immunology and Infectious Diseases, The Forsyth Institute, Cambridge, MA, USA.,Department of Stomatology, Beijing ChaoYang Hospital affiliated to Capital Medical University, Beijing, China
| | - T Kawai
- Department of Immunology and Infectious Diseases, The Forsyth Institute, Cambridge, MA, USA
| | - Y Zhou
- Department of Orthodontics, National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing Key Laboratory of Digital Stomatology, Peking University School and Hospital of Stomatology, Beijing, China
| | - X Han
- Department of Immunology and Infectious Diseases, The Forsyth Institute, Cambridge, MA, USA
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16
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Ong DCV, Crasta K. Interdisciplinary management of a patient with advanced dental needs. AUSTRALASIAN ORTHODONTIC JOURNAL 2017. [DOI: 10.21307/aoj-2020-105] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/08/2023]
Abstract
Abstract
The present case report outlines the interdisciplinary management of an adult patient presenting with advanced generalised periodontal attachment loss, an upper dental midline discrepancy following the previous extraction of the upper left central incisor, and significant lower arch crowding. The endodontic and periodontal condition was stabilised prior to the commencement of fixed appliance orthodontic treatment and subsequent prosthetic replacement of the upper left central incisor. Interdisciplinary management provided a functional occlusion and stability of the periodontal condition along with pleasing facial and smile aesthetics.
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Affiliation(s)
- Desmond CV Ong
- * Discipline of Orthodontics , School of Dentistry , University of Queensland , Brisbane , Australia
- † Private Practice , Townsville , Australia
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17
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Marins BDR, Pramiu SE, Busato MCA, Marchi LC, Togashi AY. Peri-implant evaluation of osseointegrated implants subjected to orthodontic forces: results after three years of functional loading. Dental Press J Orthod 2016; 21:73-80. [PMID: 27275618 PMCID: PMC4896285 DOI: 10.1590/2177-6709.21.2.073-080.oar] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2015] [Accepted: 01/08/2016] [Indexed: 12/02/2022] Open
Abstract
OBJECTIVE The objective of this study was to clinically and radiographically assess the peri-implant conditions of implants used as orthodontic anchorage. METHODS Two groups were studied: 1) a test group in which osseointegrated implants were used as orthodontic anchorage, with the application of 200-cN force; and 2) a control group in which implants were not subjected to orthodontic force, but supported a screw-retained prosthesis. Clinical evaluations were performed three, six and nine months after prosthesis installation and 1- and 3-year follow-up examinations. Intraoral periapical radiographs were obtained 30 days after surgical implant placement, at the time of prosthesis installation, and one, two and three years thereafter. The results were compared by Kruskal-Wallis test. RESULTS There was no statistically significant difference in clinical probing depth (p = 0.1078) or mesial and distal crestal bone resorption (p = 0.1832) during the study period. After three years of follow-up, the mean probing depth was 2.21 mm for the control group and 2.39 mm for the test group. The implants of the control group showed a mean distance between the bone crest and implant shoulder of 2.39 mm, whereas the implants used as orthodontic anchorage showed a mean distance of 2.58 mm at the distal site. CONCLUSION Results suggest that the use of stable intraoral orthodontic anchorage did not compromise the health of peri-implant tissues or the longevity of the implant.
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Affiliation(s)
- Bruna de Rezende Marins
- Graduate student in Oral and Maxillofacial Surgery, Universidade
Estadual do Oeste do Paraná (UNIOESTE), School of Dentistry, Cascavel, Paraná,
Brazil
| | - Suy Ellen Pramiu
- Undergraduate student, Universidade Estadual do Oeste do Paraná
(UNIOESTE), School of Dentistry, Cascavel, Paraná, Brazil
| | - Mauro Carlos Agner Busato
- Professor, Universidade Estadual do Oeste do Paraná (UNIOESTE),
Department of Orthodontics, School of Dentistry, Cascavel, Paraná, Brazil
| | - Luiz Carlos Marchi
- Professor, Universidade Estadual do Oeste do Paraná (UNIOESTE),
Department of Orthodontics, School of Dentistry, Cascavel, Paraná, Brazil
| | - Adriane Yaeko Togashi
- Professor of Periodontology and Oral Implantology, Universidade Estadual
do Oeste do Paraná (UNIOESTE), Department of Implantology, School of Dentistry,
Cascavel, Paraná, Brazil
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18
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Combined Periodontal, Orthodontic, and Prosthetic Treatment in an Adult Patient. Case Rep Dent 2015; 2015:716462. [PMID: 26587295 PMCID: PMC4637465 DOI: 10.1155/2015/716462] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2015] [Accepted: 10/04/2015] [Indexed: 11/21/2022] Open
Abstract
A 41-year-old man had a significant loss of bone and supporting tissues with pathologic migration of several teeth and several missing teeth. He was treated with an interdisciplinary therapeutic protocol that included nonsurgical periodontal therapy based on strict control of supragingival plaque, subgingival periodontal therapy, orthodontic and endodontic treatment, and replacement of restorations. The orthodontic therapy was performed in a severely reduced bone support and the presence of pathological tooth migration after periodontal disease control. The interdisciplinary treatment protocol was the key to achieve a significant improvement in his facial and dental esthetics, masticatory function, and quality of life.
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Guimarães Júnior CH, da Silva Luz S, Henriques RP, Pieri LV, Borali R, Moura WS. Importance of orthodontic movement in interdisciplinary treatment for restoring esthetics and functional occlusion. APOS TRENDS IN ORTHODONTICS 2015. [DOI: 10.4103/2321-1407.170017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
This article describes interdisciplinary treatment conducted in adult patients, 49-year-old, with periodontal problems, losses and dental inclination, occlusal trauma, localized bone loss, and necessity of rehabilitation with dental implants. Alignment and leveling of the teeth, the molars uprighting with cantilever, and space closure were performed the treatment was facilitated by periodic periodontal control. The resultant occlusion was stable throughout a 5-year retention period. In conclusion, interdisciplinary treatment combined with periodontics, orthodontics, implantodontist, and restorative dentistry was useful for improving the patient’s oral health, function, and esthetics.
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Affiliation(s)
| | - Simone da Silva Luz
- Department of Orthodontics, Dental School, São Leopoldo Mandic, São Paulo, São Paulo, Brazil
| | | | | | - Rodrigo Borali
- Department of Orthodontics, Dental School, UNIARARAS, Bauru, Brazil
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20
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Rinaldi MRL, Rizzatto SMD, Menezes LMD, Polido WD, Lima EMSD. Transdisciplinary treatment of Class III malocclusion using conventional implant-supported anchorage: 10-year posttreatment follow-up. Dental Press J Orthod 2015; 20:69-79. [PMID: 26154459 PMCID: PMC4520141 DOI: 10.1590/2176-9451.20.3.069-079.oar] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2014] [Accepted: 11/25/2014] [Indexed: 05/28/2023] Open
Abstract
INTRODUCTION: Combined treatment offers advantages for partially edentulous patients.
Conventional implants, used as orthodontic anchorage, enable previous orthodontic
movement, which provides appropriate space gain for crown insertion. OBJECTIVE: This case report describes the treatment of a 61-year and 10-month-old patient
with negative overjet which made ideal prosthetic rehabilitation impossible,
thereby hindering dental and facial esthetics. CASE REPORT: After a diagnostic setup, conventional implants were placed in the upper arch to
anchor intrusion and retract anterior teeth. Space gain for lateral incisors was
achieved in the lower arch by means of an orthodontic appliance. CONCLUSIONS: Integrated planning combining Orthodontics and Implantology provided successful
treatment by means of conventional implant-supported anchorage. The resulting
occlusal relationship proved stable after 10 years.
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Affiliation(s)
| | | | | | - Waldemar Daudt Polido
- Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
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21
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Panwar M, Jayan B, Arora V, Singh S. Orthodontic management of dentition in patients with periodontally compromised dentition. J Indian Soc Periodontol 2014; 18:200-4. [PMID: 24872629 PMCID: PMC4033887 DOI: 10.4103/0972-124x.131325] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2013] [Accepted: 10/11/2013] [Indexed: 11/13/2022] Open
Abstract
Background: An increasing number of adult patients are seeking orthodontic treatment to improve their dental appearance. However, special attention must be given to the periodontal status of the adults as periodontal disease and its sequel, such as pathologic migration of anterior teeth, result in esthetic and functional problems. In such adult patients, an interdisciplinary approach often offers the best option for achieving a predictable outcome to solve complex clinical problems. Materials and Methods: A prospective study was carried out on 20 adult patients [mean age = 33.3 ± 4.52 (SD), 11 females and nine males] with periodontally compromised and malaligned dentition. Loe and Silness Gingival Index (GI), Ramfjord's Periodontal Disease Index (PDI) and Dental Aesthetic Index (DAI) were recorded at the start and after completion of treatment. Results: Comparison of GI, PDI and DAI before and after completion of treatment showed statistically significant differences, indicating the relevance of combined orthodontic–periodontic treatment in periodontally compromised dentition (P < 0.01). Conclusion: The outcome of the study showed that an interdisciplinary approach is a simple solution for complex clinical problems arising as a sequel to periodontitis, such as pathological tooth migration, restoring function, esthetics and periodontal health.
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Affiliation(s)
- Mohinder Panwar
- Adjutant General's Branch, IHQ, MOD (Army), New Delhi, India
| | - B Jayan
- Department of Dentistry, AFMC, Pune, Maharashtra, India
| | - Vimal Arora
- Adjutant General's Branch, IHQ, MOD (Army), New Delhi, India
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Agarwal S, Gupta S, Chugh VK, Jain E, Valiathan A, Nanda R. Interdisciplinary treatment of a periodontally compromised adult patient with multiple missing posterior teeth. Am J Orthod Dentofacial Orthop 2014; 145:238-48. [PMID: 24485739 DOI: 10.1016/j.ajodo.2013.03.027] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2013] [Revised: 03/01/2013] [Accepted: 03/01/2013] [Indexed: 12/20/2022]
Abstract
This article reports the comprehensive, interdisciplinary treatment of a 50-year-old periodontally compromised adult patient with multiple missing posterior teeth. After initial periodontal treatment, the maxillary first molars and right central incisor were intruded orthodontically. Miniscrews were used to intrude the maxillary first molars by 3 mm. The mandibular arch was restored with a tooth-supported overdenture. Root coverage of the maxillary right central incisor was performed using Alloderm (Biohorizons, Birmingham, Ala). At the end of the interdisciplinary therapy, the results were esthetically pleasing, with the patient's oral functions restored to the optimum. The emphasis of this report is to highlight the importance of integrating various specialties such as periodontics, orthodontics, endodontics, and restorative dentistry toward a common goal of improving the patient's oral health, function, and esthetics.
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Affiliation(s)
- Sachin Agarwal
- Resident, Division of Orthodontics, Department of Craniofacial Sciences, School of Dental Medicine, University of Connecticut, Farmington, Conn.
| | | | - Vinay K Chugh
- Postdoctoral fellow, Division of Orthodontics, Department of Craniofacial Sciences, School of Dental Medicine, University of Connecticut School, Farmington, Conn
| | - Eety Jain
- Postgraduate resident, Department of Orthodontics, Manipal College of Dental Sciences, Manipal, Karnataka, India
| | - Ashima Valiathan
- Professor and chair, Department of Orthodontics, Manipal College of Dental Sciences, Manipal, Karnataka, India
| | - Ravindra Nanda
- Professor and chair, Division of Orthodontics, University of Connecticut Health Center, Farmington
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Tavares CAE, Allgayer S, Calvete EDS, Polido WD. Orthodontic treatment for a patient with advanced periodontal disease: 11-year follow-up. Am J Orthod Dentofacial Orthop 2013; 144:455-65. [PMID: 23992818 DOI: 10.1016/j.ajodo.2012.09.025] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2012] [Revised: 09/01/2012] [Accepted: 09/01/2012] [Indexed: 10/26/2022]
Abstract
This case report demonstrates the interdisciplinary treatment of an adult patient with a Class II malocclusion, convex profile, incompetent lips, gummy smile, and advanced periodontal loss. Initial periodontal-endodontic treatment was followed by orthodontic and orthognathic surgical therapies. An esthetic facial profile, a pleasing smile, an appropriate occlusion, and overall good treatment outcomes, including the periodontal condition, remained stable 11 years after active orthodontic treatment.
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Estevanell Tavares CA, Allgayer S, Dinato JC. Mini-implants for the management of a gummy smile. J World Fed Orthod 2013. [DOI: 10.1016/j.ejwf.2013.02.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
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