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Ureni R, Verdecchia A, Suárez-Fernández C, Mereu M, Schirru R, Spinas E. Effectiveness of Elastodontic Devices for Correcting Sagittal Malocclusions in Mixed Dentition Patients: A Scoping Review. Dent J (Basel) 2024; 12:247. [PMID: 39195091 DOI: 10.3390/dj12080247] [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: 06/04/2024] [Revised: 07/06/2024] [Accepted: 08/01/2024] [Indexed: 08/29/2024] Open
Abstract
Elastodontics is an interceptive orthodontic therapy that uses light and biological elastic forces through preformed or custom-made removable orthodontic appliances. This study aims to evaluate the effects of elastodontic devices on correcting sagittal discrepancies in growing subjects with mixed dentition. Electronic research was conducted on four databases: PubMed, Scopus, EMBASE, and Web of Science. Data were extracted based on the first author, year of publication, setting and country, study design, sample characteristics, sample size calculation, type of malocclusion, intervention, control group type, compliance, follow-up, and cephalometric measurements. Sixteen studies were included in the final review. Most studies observed a statistically significant reduction (p < 0.05) in SNB and ANB angles. Ten studies reported a reduction in overjet, while eight studies found no change in facial divergence. Comparisons with conventional functional devices revealed no consensus on the skeletal and dentoalveolar effects. Elastodontic appliances significantly improve cephalometric and dentoalveolar parameters, potentially correcting skeletal and dental relationships. However, result variability and unclear advantages over traditional appliances highlight the need for further research.
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Affiliation(s)
- Rebecca Ureni
- Department of Surgical Sciences, Postgraduate School in Orthodontics, University of Cagliari, 09124 Cagliari, Italy
| | - Alessio Verdecchia
- Department of Surgical Sciences, Postgraduate School in Orthodontics, University of Cagliari, 09124 Cagliari, Italy
| | - Carlota Suárez-Fernández
- Department of Surgery and Medical-Surgical Specialities, School of Medicine and Health Sciences, University of Oviedo, 33003 Oviedo, Spain
| | - Manuela Mereu
- Department of Surgical Sciences, Postgraduate School in Orthodontics, University of Cagliari, 09124 Cagliari, Italy
| | - Roberto Schirru
- Department of Surgical Sciences, Postgraduate School in Orthodontics, University of Cagliari, 09124 Cagliari, Italy
| | - Enrico Spinas
- Department of Surgical Sciences, Postgraduate School in Orthodontics, University of Cagliari, 09124 Cagliari, Italy
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Cannatà D, Galdi M, Martina S, Rongo R, D’Antò V, Valletta R, Bucci R. Preformed Elastodontic Appliances: Awareness and Attitude of Orthodontists and General Dental Practitioners. CHILDREN (BASEL, SWITZERLAND) 2024; 11:418. [PMID: 38671635 PMCID: PMC11048748 DOI: 10.3390/children11040418] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/26/2024] [Revised: 03/11/2024] [Accepted: 03/29/2024] [Indexed: 04/28/2024]
Abstract
BACKGROUND Preformed elastodontic appliances (EAs) have been described as safe, cost-effective, and easy-to-use devices for interceptive orthodontic treatment in growing patients. This study aimed to assess the knowledge and the attitude of dentists toward the use of EAs and to compare the behaviors of orthodontists (Os) with those of general dental practitioners (GDPs). METHODS An anonymous survey was distributed among dentists through social media. Twenty-two items were divided as follows: characteristics of respondents; general knowledge about EAs; section for EA-users; and section for EA non-users. Chi-squared tests were used to analyze differences in responses between groups. RESULTS Participants included 226 Os and 168 GDPs. The majority in both groups reported having adequate knowledge about EAs and utilizing them in their practice. GDPs usually use EAs to treat children during the early phase of growth, while Os also use EAs to address orthodontic problems in different stages of dentition, experiencing a chair time reduction compared with traditional appliances. Regarding EA non-users, GDPs seem not to find an application among their patients, whereas Os reported not having enough patient compliance during treatment. CONCLUSIONS Although treatment with EAs is common among all dentists, differences exist between Os and GDPs in the awareness and application, as well as in the reasons provided for not using EAs.
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Affiliation(s)
- Davide Cannatà
- Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”, University of Salerno, Via Allende, 84081 Baronissi, SA, Italy; (D.C.); (M.G.); (S.M.)
| | - Marzio Galdi
- Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”, University of Salerno, Via Allende, 84081 Baronissi, SA, Italy; (D.C.); (M.G.); (S.M.)
| | - Stefano Martina
- Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”, University of Salerno, Via Allende, 84081 Baronissi, SA, Italy; (D.C.); (M.G.); (S.M.)
| | - Roberto Rongo
- Department of Neurosciences, Reproductive Sciences and Oral Sciences, University of Naples Federico II, Via Pansini 5, 80131 Naples, NA, Italy; (R.R.); (V.D.); (R.V.)
| | - Vincenzo D’Antò
- Department of Neurosciences, Reproductive Sciences and Oral Sciences, University of Naples Federico II, Via Pansini 5, 80131 Naples, NA, Italy; (R.R.); (V.D.); (R.V.)
| | - Rosa Valletta
- Department of Neurosciences, Reproductive Sciences and Oral Sciences, University of Naples Federico II, Via Pansini 5, 80131 Naples, NA, Italy; (R.R.); (V.D.); (R.V.)
| | - Rosaria Bucci
- Department of Neurosciences, Reproductive Sciences and Oral Sciences, University of Naples Federico II, Via Pansini 5, 80131 Naples, NA, Italy; (R.R.); (V.D.); (R.V.)
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Ronsivalle V, Nucci L, Bua N, Palazzo G, La Rosa S. Elastodontic Appliances for the Interception of Malocclusion in Children: A Systematic Narrative Hybrid Review. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1821. [PMID: 38002912 PMCID: PMC10670240 DOI: 10.3390/children10111821] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/18/2023] [Revised: 11/10/2023] [Accepted: 11/15/2023] [Indexed: 11/26/2023]
Abstract
BACKGROUND Interceptive orthodontic treatment aims to eliminate factors that prevent the harmonious development of the maxillary and mandibular arches during childhood, and elastodontic appliances (EAs) represent a group of devices with an increasingly important role. This systematic narrative hybrid review (HR) aims to provide an overview of the clinical indications for the use of EAs according to the available evidence and to identify potential research areas for unexplored applications. MATERIALS AND METHODS To assess the available literature on the subject, selective database searches were performed between July 2023 and September 2023. With the assistance of a health sciences librarian, a search strategy that utilized terms related to elastodontic therapy was developed. Embase, Scopus, PubMed, and Web of Science were the databases used. RESULTS The current literature addressing the usability of EAs is scarce and mostly limited to case reports and case series. After 2168 citations were found through the searches, 13 studies were ultimately included. In this regard, information about the clinical use and effectiveness of EAs are reported in a narrative form, defining specific domains of the application that are clinically oriented, including sagittal and transversal discrepancies, atypical swallowing, teeth malposition, two-phase orthodontics and a lack of teeth retention. CONCLUSIONS Within the intrinsic quality limitation of the available literature, it seems that EAs may represent a promising treatment alternative for managing mild-to-moderate malocclusion in children as an adjuvant therapy to the interruption of spoiled habits.
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Affiliation(s)
- Vincenzo Ronsivalle
- Department of Medical-Surgical Specialties—Section of Orthodontics, School of Dentistry, University of Catania, Policlinico Universitario “G. Rodolico-San Marco”, 95123 Catania, Italy; (N.B.); (G.P.); (S.L.R.)
| | - Ludovica Nucci
- Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, 80100 Naples, Italy
| | - Nicolò Bua
- Department of Medical-Surgical Specialties—Section of Orthodontics, School of Dentistry, University of Catania, Policlinico Universitario “G. Rodolico-San Marco”, 95123 Catania, Italy; (N.B.); (G.P.); (S.L.R.)
| | - Giuseppe Palazzo
- Department of Medical-Surgical Specialties—Section of Orthodontics, School of Dentistry, University of Catania, Policlinico Universitario “G. Rodolico-San Marco”, 95123 Catania, Italy; (N.B.); (G.P.); (S.L.R.)
| | - Salvatore La Rosa
- Department of Medical-Surgical Specialties—Section of Orthodontics, School of Dentistry, University of Catania, Policlinico Universitario “G. Rodolico-San Marco”, 95123 Catania, Italy; (N.B.); (G.P.); (S.L.R.)
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Ronsivalle V, Quinzi V, La Rosa S, Leonardi R, Lo Giudice A. Comparative Analysis of Skeletal Changes, Occlusal Changes, and Palatal Morphology in Children with Mild Class III Malocclusion Treated with Elastodontic Appliances and Bimaxillary Plates. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1219. [PMID: 37508716 PMCID: PMC10377802 DOI: 10.3390/children10071219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/21/2023] [Revised: 07/02/2023] [Accepted: 07/12/2023] [Indexed: 07/30/2023]
Abstract
BACKGROUND The aim of the present study was to compare the changes observed in children after the early treatment of mild class III malocclusion using bimaxillary removable plates supported by class III elastics and elastodontic devices. METHODS Twenty children (mean age 7.6 ± 1.1 years) with signs of class III malocclusion were treated using by-maxillary plates (PG group) with class III elastics (10 subjects = mean age 7.9 ± 1.3 years) or using class III elastodontic devices (EG group) (10 subjects = mean age 7.4 ± 0.8 years). Digital models and lateral cephalograms were obtained before treatment (T0) and at the end of treatment (T1). The digital models were analyzed to assess occlusal changes and maxillary morphology using the surface-to-surface matching technique. Changes in cephalometric parameters were also analyzed. The data outcomes were statistically analyzed using the paired Student's t test for inter-timing assessments and the independent Student's t test for inter-group assessments. RESULTS Both groups showed correction of class III malocclusions, with a significant increase in the ANB angle and the overjet (p < 0.05). Subjects in the PG group exhibited a greater reduction in the inter-incisal angle compared to the EG group (p < 0.05). The children in the EG group had a significantly lower percentage of palatal morphology matching between T0 and T1 compared to the PG group (p < 0.05), suggesting greater morphological changes in the palate. CONCLUSIONS Elastodontic appliances (EAs) and bi-maxillary plates successfully correct class III malocclusions in children. However, elastodontic devices significantly improved the morphology of the palate, both in the transverse and anteroposterior directions.
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Affiliation(s)
- Vincenzo Ronsivalle
- Department of Medical-Surgical Specialties-Section of Orthodontics, School of Dentistry, University of Catania, Policlinico Universitario "G. Rodolico-San Marco", Via Santa Sofia 78, 95123 Catania, Italy
| | - Vincenzo Quinzi
- Department of Life, Health & Environmental Sciences, Postgraduate School of Orthodontics, University of L'Aquila, 67100 L'Aquila, Italy
| | - Salvatore La Rosa
- Department of Medical-Surgical Specialties-Section of Orthodontics, School of Dentistry, University of Catania, Policlinico Universitario "G. Rodolico-San Marco", Via Santa Sofia 78, 95123 Catania, Italy
| | - Rosalia Leonardi
- Department of Medical-Surgical Specialties-Section of Orthodontics, School of Dentistry, University of Catania, Policlinico Universitario "G. Rodolico-San Marco", Via Santa Sofia 78, 95123 Catania, Italy
| | - Antonino Lo Giudice
- Department of Medical-Surgical Specialties-Section of Orthodontics, School of Dentistry, University of Catania, Policlinico Universitario "G. Rodolico-San Marco", Via Santa Sofia 78, 95123 Catania, Italy
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Patano A, Inchingolo AM, Cardarelli F, Inchingolo AD, Viapiano F, Giotta M, Bartolomeo N, Di Venere D, Malcangi G, Minetti E, Palermo A, Inchingolo F, Dipalma G. Effects of Elastodontic Appliance on the Pharyngeal Airway Space in Class II Malocclusion. J Clin Med 2023; 12:4280. [PMID: 37445315 DOI: 10.3390/jcm12134280] [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: 06/07/2023] [Revised: 06/24/2023] [Accepted: 06/25/2023] [Indexed: 07/15/2023] Open
Abstract
BACKGROUND The present study analyzed the changes obtained on the upper airway and hyoid bone dimensions in a group of patients with skeletal Class II malocclusion treated with functional elastodontic devices compared to an untreated control group. METHODS A group of 33 patients (19 females and 14 males) with Class II malocclusion treated with AMCOP® SC elastodontic device was compared with a control group of 35 subjects (17 females and 18 males) with untreated Class II malocclusion. Lateral cephalograms were available at the start (T0) and end of treatment/period of observation (T1). Cephalometric analysis was performed and linear measurements to evaluate airway space and hyoid bone position were also obtained. A multivariate analysis of variance for repeated measures (MANOVA) was performed to determine the effects of interactions for the groups for time. RESULTS Statistically significant differences were found in the study group from T0 and T1 with an improvement of superior upper airway (SPAS p < 0.0001), while in the control group it did not change in a statistically significant way from T0 to T1. The MANOVA test showed statistically significant differences between the two groups for the changes of SPAS (p = 0.003), IAS (p = 0.049), and H-C3 vertical (p = 0.038) values. CONCLUSIONS Functional elastodontic therapy produced significant favorable airway changes in skeletal class II subjects.
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Affiliation(s)
- Assunta Patano
- Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | | | - Filippo Cardarelli
- Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | | | - Fabio Viapiano
- Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | - Massimo Giotta
- Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | - Nicola Bartolomeo
- Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | - Daniela Di Venere
- Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | - Giuseppina Malcangi
- Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | - Elio Minetti
- Department of Biomedical, Surgical, Dental Science, University of Milan, 20161 Milan, Italy
| | - Andrea Palermo
- College of Medicine and Dentistry, Birmingham B4 6BN, UK
| | - Francesco Inchingolo
- Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | - Gianna Dipalma
- Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
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Lo Giudice A, Ronsivalle V, Conforte C, Marzo G, Lucchese A, Leonardi R, Isola G. Palatal changes after treatment of functional posterior cross-bite using elastodontic appliances: a 3D imaging study using deviation analysis and surface-to-surface matching technique. BMC Oral Health 2023; 23:68. [PMID: 36732751 PMCID: PMC9894513 DOI: 10.1186/s12903-023-02731-7] [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: 08/20/2022] [Accepted: 01/10/2023] [Indexed: 02/04/2023] Open
Abstract
BACKGROUND The present study aimed to evaluate the changes in palate dimension and morphology after treatment of functional posterior crossbite (FPXB) with elastodontic devices (EAs). METHODS The treatment group (TG) consisted of 25 subjects (mean age 7.3 ± 0.9 years) who received treatment with EA for one year. The control group (CG) comprised 14 untreated subjects (mean age 6.8 ± 0.7 years). INCLUSION CRITERIA intra-oral scan registered before (T0) and after treatment (T1), FPXB with a mandibular shift towards the crossbite site of ≥ 2 mm, class I molar relationship. EXCLUSION CRITERIA missing teeth, anterior crossbite, temporomandibular disorders, previous orthodontic treatment, carious lesions, mobility of deciduous posterior teeth, craniofacial deformities. Digital models were analyzed to assess the inter-canine (ICW) and inter-molar widths (IMW) and the corresponding emi-lateral measurements (eICW and eIMW) using the median palatine plane as reference. According to a specific 3D imaging technology, the morphology and symmetry of the palate was investigated by analysing the 3D deviation between the two specular models of the palate. RESULTS At T0, both groups showed a significantly narrower dimension of eICW and eIMW at the crossbite side compared to the non-crossbite side (p < 0.05). Also, the 3D deviation analysis demonstrates a limited matching percentage of the original/mirrored models in both TG (81.12%) and CG (79.36%), confirming the asymmetry of the palate. The area of mis-matching was located at the alveolar bone level. At T1, subjects in the TG showed a significant increment of ICW and IMW (p < 0.05), a reduction of the differences of eICW and eIMW between both sides (p < 0.05) and an increment of the percentage matching (TG = 92.32%) (p < 0.05), suggesting a significant recovery of the palatal asymmetry. No significant changes were found between T0 and T1 in the CG (p > 0.05). CONCLUSIONS EAs could be successfully used to correct FPXB in mixed dentition and could restore the harmonious development of the palate in children.
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Affiliation(s)
- Antonino Lo Giudice
- Department of General Surgery and Medical-Surgical Specialties, Section of Orthodontics, University of Catania, Catania, Italy. .,Policlinico Universitario "Gaspare Rodolico - San Marco", Via Santa Sofia 78, 95123, Catania, Italy.
| | - Vincenzo Ronsivalle
- grid.8158.40000 0004 1757 1969Department of General Surgery and Medical-Surgical Specialties, School of Dentistry, University of Catania, Catania, Italy
| | - Cristina Conforte
- grid.8158.40000 0004 1757 1969Department of General Surgery and Medical-Surgical Specialties, Section of Orthodontics, University of Catania, Catania, Italy
| | - Giuseppe Marzo
- grid.158820.60000 0004 1757 2611Department of Health, Life and Environmental Science, University of L’Aquila, Piazza Salvatore Tommasi, 67100 L’Aquila, Italy
| | - Alessandra Lucchese
- grid.15496.3f0000 0001 0439 0892Department of Dentistry, Dental School, IRCCS San Raffaele Hospital, Vita-Salute San Raffaele University, Milan, Italy
| | - Rosalia Leonardi
- grid.8158.40000 0004 1757 1969Department of General Surgery and Medical-Surgical Specialties, Section of Orthodontics, University of Catania, Catania, Italy
| | - Gaetano Isola
- grid.8158.40000 0004 1757 1969Department of General Surgery and Medical-Surgical Specialties, School of Dentistry, University of Catania, Catania, Italy
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Navarro-Fernández G, Gil-Martínez A, Diaz-Saez MC, Elizagaray-Garcia I, Pili-Mayayo PQ, Ocampo-Vargas JE, Beltran-Alacreu H. Effectiveness of Physical Therapy in Orthognathic Surgery Patients: A Systematic Review of Randomized Controlled Trials. J Funct Morphol Kinesiol 2023; 8:jfmk8010017. [PMID: 36810501 PMCID: PMC9944893 DOI: 10.3390/jfmk8010017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/02/2022] [Revised: 01/20/2023] [Accepted: 01/23/2023] [Indexed: 01/31/2023] Open
Abstract
Orthognathic surgery (OS) can present many complications that affect patients' rehabilitation. However, there have been no systematic reviews that assessed the effectiveness of physiotherapy interventions in the postsurgical rehabilitation of OS patients. The aim of this systematic review was to analyze the effectiveness of physiotherapy after OS. The inclusion criteria were randomized clinical trials (RCTs) of patients who underwent OS and who received therapeutic interventions that included any physiotherapy modality. Temporomandibular joint disorders were excluded. After the filtering process, five RCTs were selected from the 1152 initially obtained (two had acceptable methodological quality; three had insufficient methodological quality). The results obtained showed that the effects of the physiotherapy interventions studied in this systematic review on the variables of range of motion, pain, edema and masticatory muscle strength were limited. Only laser therapy and LED showed a moderate level of evidence in the postoperative neurosensory rehabilitation of the inferior alveolar nerve compared with a placebo LED intervention.
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Affiliation(s)
- Gonzalo Navarro-Fernández
- Escuela Internacional de Doctorado, Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, 28922 Alcorcón, Spain
- CranioSPain Research Group, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, 28049 Madrid, Spain
| | - Alfonso Gil-Martínez
- CranioSPain Research Group, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, 28049 Madrid, Spain
- Department of Physiotherapy, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, 28023 Madrid, Spain
- Unit of Physiotherapy, Hospital La Paz-Carlos III, Institute for Health Research IdiPAZ, 28046 Madrid, Spain
- Correspondence: ; Tel.: +34-917401980 (ext. 291)
| | - Marta Carlota Diaz-Saez
- CranioSPain Research Group, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, 28049 Madrid, Spain
- Department of Physiotherapy, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, 28023 Madrid, Spain
| | - Ignacio Elizagaray-Garcia
- CranioSPain Research Group, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, 28049 Madrid, Spain
- Department of Physiotherapy, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, 28023 Madrid, Spain
- Motion in Brains Research Group, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, 28023 Madrid, Spain
| | - Paloma Qinling Pili-Mayayo
- Department of Physiotherapy, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, 28023 Madrid, Spain
| | - Julian Esteban Ocampo-Vargas
- Department of Physiotherapy, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, 28023 Madrid, Spain
| | - Hector Beltran-Alacreu
- CranioSPain Research Group, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, 28049 Madrid, Spain
- Toledo Physiotherapy Research Group (GIFTO), Faculty of Physical Therapy and Nursing, Universidad de Castilla-La Mancha, 45004 Toledo, Spain
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Digital Technologies: From Scientific to Clinical Applications in Orthodontic and Dental Communities. APPLIED SCIENCES-BASEL 2022. [DOI: 10.3390/app12104977] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/10/2022]
Abstract
The significant progress made in our sector since the introduction of digital technologies has now made it possible to easily obtain all the information necessary to diagnose, design and perform interdisciplinary and complex therapies in a simpler and more reproducible way [...]
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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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