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Inchingolo AD, Dipalma G, Ferrara I, Viapiano F, Netti A, Ciocia AM, Mancini A, Malcangi G, Palermo A, Inchingolo AM, Inchingolo F. Clear Aligners in the Growing Patient: A Systematic Review. CHILDREN (BASEL, SWITZERLAND) 2024; 11:385. [PMID: 38671602 PMCID: PMC11049164 DOI: 10.3390/children11040385] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/04/2024] [Revised: 03/19/2024] [Accepted: 03/22/2024] [Indexed: 04/28/2024]
Abstract
Mixed dentition represents a critical phase in the oral development of pediatric patients, characterized by the simultaneous presence of primary and permanent teeth. This article proposes a comprehensive systematic review of the application of aligners as an innovative methodology in managing mixed dentition. The primary objective is to explore the efficacy, safety, and acceptability of this emerging orthodontic technology in the evolving age group. This systematic review focuses on randomized controlled trials, cohorts, and observational studies investigating the use of aligners in patients with mixed dentition. Clinical, radiographic, and psychosocial parameters will be considered to assess the overall impact of aligner therapy in this critical phase of dental development. An in-depth analysis of such data aims to provide a comprehensive overview of the potential of this technology in pediatric orthodontics. Expected outcomes may contribute to outlining practical guidelines and targeted therapeutic strategies for orthodontists involved in managing mixed dentition. Furthermore, this article aims to identify gaps in the current research and suggest future directions for studies exploring the use of transparent aligners in patients with mixed dentition, thereby contributing to the ongoing evolution of evidence-based orthodontic practices.
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Affiliation(s)
- Alessio Danilo Inchingolo
- Department of Interdisciplinary Medicine, School of Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | - Gianna Dipalma
- Department of Interdisciplinary Medicine, School of Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | - Irene Ferrara
- Department of Interdisciplinary Medicine, School of Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | - Fabio Viapiano
- Department of Interdisciplinary Medicine, School of Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | - Anna Netti
- Department of Interdisciplinary Medicine, School of Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | - Anna Maria Ciocia
- Department of Interdisciplinary Medicine, School of Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | - Antonio Mancini
- Department of Interdisciplinary Medicine, School of Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | - Giuseppina Malcangi
- Department of Interdisciplinary Medicine, School of Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | - Andrea Palermo
- College of Medicine and Dentistry, Birmingham B4 6BN, UK
| | - Angelo Michele Inchingolo
- Department of Interdisciplinary Medicine, School of Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | - Francesco Inchingolo
- Department of Interdisciplinary Medicine, School of Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
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Al-Dulaimy DA, Al-Zubaydi FS, Al-Khannaq MRA, Nahidh M. Pedodontists' awareness of orthodontics: An online survey. J Orthod Sci 2024; 13:1. [PMID: 38516109 PMCID: PMC10953692 DOI: 10.4103/jos.jos_125_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2023] [Revised: 09/30/2023] [Accepted: 12/30/2023] [Indexed: 03/23/2024] Open
Abstract
OBJECTIVES This study aimed to document knowledge, awareness, and ability to provide different aspects of orthodontic treatment currently provided by pedodontists. MATERIALS AND METHODS A 14-item online questionnaire was sent to 120 pedodontists in different countries. Responses received within 2 months were analyzed as frequency and percentage. RESULTS The response rate was 68.3%. Most respondents demonstrated adequate information about the etiology and diagnosis of different malocclusions and paid attention to patients' facial characteristics. The desire to learn from continuing education programs was higher for preventive and interceptive orthodontics. Space maintainers, habit breakers, management of anterior crossbite, and serial extraction were the orthodontic services most provided by pedodontists. CONCLUSIONS Pedodontists should attend to continuing education about the etiology, diagnosis, and treatment planning for various malocclusions.
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Affiliation(s)
- Dunia A. Al-Dulaimy
- Department of Pedodontics, Orthodontics and Preventive Dentistry, College of Dentistry, Mustansiriyah University, Baghdad, Iraq
| | | | - Mohammed Rafid A. Al-Khannaq
- Department of Pedodontics, Orthodontics and Preventive Dentistry, College of Dentistry, Mustansiriyah University, Baghdad, Iraq
| | - Mohammed Nahidh
- Department of Orthodontics, College of Dentistry, University of Baghdad, Iraq
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Alrejaye NS, Alnasser LA, Alsuliman AF, Alomran DK, Alshehri HH, Almalki MM, Alenazi SS, Bushnak IA, Abolfotouh MA. Physicians' Examination and Referral Practices on Orthodontic Problems Among 6-12-Year-Old Children in Saudi Arabia. Clin Cosmet Investig Dent 2023; 15:225-236. [PMID: 37881242 PMCID: PMC10596035 DOI: 10.2147/ccide.s438306] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2023] [Accepted: 10/11/2023] [Indexed: 10/27/2023] Open
Abstract
Background Physicians are more likely to examine children than dentists; thus, they may have a significant role in detecting oral and dentofacial problems. This study aimed to determine the rate and comprehensiveness of examinations, the rate and quality of referral practices, and the predictors of referral practice of physicians regarding orthodontic problems among children. Methods In a multi-center cross-sectional study, a total of 518 physicians in Saudi Arabia were subjected to an e-questionnaire of four sections: (1) Physicians' demographic and work-related characteristics; (2) Physicians' comprehensiveness of oral and orthodontic examinations; (3) Physicians' referral practices to orthodontists and reasons considered for referral; and (4) Physicians' sources of orthodontic education. Logistic regression analysis was applied to identify the significant predictors of referral practice. The significance was set at p < 0.05. Results Most physicians reported partial oral (78.5%) and orthodontic (72.2%) examinations, while the full examination was reported by only 12% and 2.5% of physicians, respectively. Referral to orthodontists was practiced by most of the physicians (83.8%), yet for the majority of them, the quality of referral was poor (40.3%) or fair (46.1%), with only 13.6% who practiced quality referral. Dental development issues (53.3%) and functional issues (51.5%) were reported as the main reasons for referral, followed by family/patient request (42.9%), dental alignment (42.5%), oral respiratory issues (32.4%), and finally jaw relation (26.1%). Referral practice was predicted by the comprehensive oral (OR = 2.37, p = 0.007) and orthodontic (OR = 4.26, p < 0.001) examinations, number of patients seen by the physician (OR = 1.58, p = 0.007), and level of training (OR = 1.88, p = 0.03). Conclusion Although most physicians reported high rates of examination and referral practices on orthodontic problems among children in Saudi Arabia, only a small portion showed comprehensive examinations and quality referral practice. Including dental courses in medical curricula and improving oral and orthodontic examination guidelines for physicians are recommended.
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Affiliation(s)
- Najla S Alrejaye
- Dental Health Services, King Abdulaziz Medical City/Ministry of National Guard Health Affairs, Riyadh, 11426, Saudi Arabia
- King Abdullah International Medical Research Center/ King Saud bin Abdulaziz University for Health Sciences/ Ministry of National Guard Health Affairs, Riyadh, 14611, Saudi Arabia
- College of Dentistry/ King Saud bin Abdulaziz University for Health Sciences/ Ministry of National Guard Health Affairs, Riyadh, 11426, Saudi Arabia
| | - Lubna A Alnasser
- King Abdullah International Medical Research Center/ King Saud bin Abdulaziz University for Health Sciences/ Ministry of National Guard Health Affairs, Riyadh, 14611, Saudi Arabia
| | | | | | - Hanan H Alshehri
- College of Dentistry/ King Saud bin Abdulaziz University for Health Sciences/ Ministry of National Guard Health Affairs, Riyadh, 11426, Saudi Arabia
| | - Maram M Almalki
- College of Dentistry/ King Saud bin Abdulaziz University for Health Sciences/ Ministry of National Guard Health Affairs, Riyadh, 11426, Saudi Arabia
| | - Suha S Alenazi
- College of Dentistry/ King Saud bin Abdulaziz University for Health Sciences/ Ministry of National Guard Health Affairs, Riyadh, 11426, Saudi Arabia
| | - Ibraheem A Bushnak
- King Abdullah International Medical Research Center/ King Saud bin Abdulaziz University for Health Sciences/ Ministry of National Guard Health Affairs, Riyadh, 14611, Saudi Arabia
| | - Mostafa A Abolfotouh
- King Abdullah International Medical Research Center/ King Saud bin Abdulaziz University for Health Sciences/ Ministry of National Guard Health Affairs, Riyadh, 14611, Saudi Arabia
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Alrejaye NS, Alfayez KM, Al Ali HH, Bushnaq YM, Bin Zaid RS, Alobaid FK, Abolfotouh MA. Awareness and Attitude of Physicians on the Role of Dentists in the Management of Obstructive Sleep Apnea. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16126. [PMID: 36498199 PMCID: PMC9736872 DOI: 10.3390/ijerph192316126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/20/2022] [Revised: 11/28/2022] [Accepted: 11/29/2022] [Indexed: 06/17/2023]
Abstract
Background: Efforts to evaluate physicians’ awareness and attitude toward dentists’ comprehensive role in OSA management are relatively negligible. Therefore, this study aimed to assess physicians’ awareness and attitude toward the role of dentists in OSA management in Saudi Arabia. Methods: In a multi-center cross-sectional study, a total of 358 physicians in Saudi Arabia were subjected to an e-questionnaire composed of three sections: (1) physicians’ demographic data, (2) physicians’ general and specific knowledge of OSA and its management [using 29 factual statements to be responded by “True, False, or I don’t know” responses], and (3) physicians’ attitude towards dentists’ role in OSA management [using 12 attitude statements to be responded by a Likert scale of “Never, Rarely, Sometimes, Usually, Always” responses]. A scoring system was applied for both knowledge and attitude, total and percentage mean scores (PMS) were calculated, and knowledge and attitude levels were categorized accordingly. Predictors of correct knowledge and favorable attitude were identified using multiple regression analyses. Results: Physicians had an overall average knowledge level (PMS = 56% ± 19.4%), with 35.5% and 5.9% reporting good general and specific knowledge levels, respectively (χ2 = 143.0, p < 0.001). Physicians had an overall neutral attitude level (PMS = 64.4% ± 17.5%), with about one-half reporting a neutral attitude level (48.9%) and only one-fourth reporting a positive attitude level (27.7%). Higher levels of knowledge were a significant predictor of favorable attitudes (t = 5.71, p < 0.001). Higher training levels were a significant predictor of correct knowledge (t = 3.60, p < 0.001) and favorable attitude (t = 3.15, p = 0.002). Conclusions: Physicians showed insufficient knowledge about OSA and a less than favorable attitude towards dentists’ role in its management. Enhancing medical curricula and clinical protocols and guidelines on the dentists’ role in OSA management is recommended.
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Affiliation(s)
- Najla S. Alrejaye
- King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh 11426, Saudi Arabia
- College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh 14611, Saudi Arabia
- King Abdullah International Medical Research Center, Riyadh 11481, Saudi Arabia
| | - Khalid M. Alfayez
- College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh 14611, Saudi Arabia
| | - Hafsah H. Al Ali
- College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh 14611, Saudi Arabia
| | - Yara M. Bushnaq
- College of Dentistry, Riyadh Elm University, Riyadh 13244, Saudi Arabia
| | - Reem S. Bin Zaid
- King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh 11426, Saudi Arabia
- College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh 14611, Saudi Arabia
- King Abdullah International Medical Research Center, Riyadh 11481, Saudi Arabia
| | - Fahad K. Alobaid
- College of Dentistry, King Saud University, Riyadh 11451, Saudi Arabia
| | - Mostafa A. Abolfotouh
- King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh 11426, Saudi Arabia
- College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh 14611, Saudi Arabia
- King Abdullah International Medical Research Center, Riyadh 11481, Saudi Arabia
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ARAT MADEN E. Ear, nose and throat specialists’ awareness on oral and dental health and orthodontic problems in children with mouth breathing due to adenotonsillar hypertrophy. JOURNAL OF HEALTH SCIENCES AND MEDICINE 2022. [DOI: 10.32322/jhsm.1109926] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Introduction: Considering the nature of oral healthcare needs for children with adenotonsillar hypertrophy (ATH) and mouth breathing and the increased risk of oral disease faced by the children, we aimed ascertain the perception and experience of ear, nose and throat (ENT) specialists to dental referral for such children.
Material and Method: A descriptive, cross-sectional survey was sent to a sample of ENT specialists in Turkey. The questionnaire, consisted of 27 questions in five domains. A total of 123 ENT specialists participated in the survey.
Results: In the evaluation of the examination of the oral cavity of children with ATH, a low frequency of examination for the malocclusion (57.7%) and oral functional habits (68.3%) was found. Reasons ENT specialists referred patients to orthodontists varied from missing teeth 15.4% to sounds from tmj 66.7%. In the chi-square test for the effect of gender and the location of practice in the orthodontic referral of ENT specialists we could identify significant predictors (p
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ARAT MADEN E, EKER İ. Pediatricians’ Knowledges, Attitudes and Practices on Parafunctional Oral Habits and Orthodontic Problems in Children. CLINICAL AND EXPERIMENTAL HEALTH SCIENCES 2021. [DOI: 10.33808/clinexphealthsci.971473] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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