1
|
Abohabib A, Viñas MJ, Ustrell JM. Effect of orthodontic premolar extraction on maxillary teeth angulation and arch dimensions in adolescent patients: A 3-D digital model analysis. J Clin Exp Dent 2024; 16:e137-e144. [PMID: 38496807 PMCID: PMC10943680 DOI: 10.4317/jced.61064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2023] [Accepted: 12/18/2023] [Indexed: 03/19/2024] Open
Abstract
Background Therapeutic orthodontic premolar extraction is a common orthodontic treatment, yet the extent of its impact on the upper dental arch dimensions and teeth angulations is still under exploration. Hypothesis: We postulated that the therapeutic extraction of orthodontic premolars significantly alters the orientation of teeth and the dimensions of the dental arch. Objective: This study assessed the impact of therapeutic orthodontic premolar extraction on dental arch dimensions and tooth angulations. Material and Methods We conducted a retrospective cohort study involving 30 patients who underwent bilateral upper premolar extraction and fixed appliance treatment. Pre and post-treatment dental casts were scanned, and changes in tooth angulations and arch dimensions were evaluated using 3D digital maxillary models. Statistical analyses encompassed the application of paired samples t-test. Results Significant post-treatment changes were observed, including distal tipping in anterior teeth, minor mesial tipping in first molars, and a reduction in torque for central incisors and canines. Dental arch dimensions were also influenced, with increased width and depth between the canines and decreased width between the second premolars while inter-molar width and overall arch depth significantly reduced post-treatment. Conclusions Therapeutic orthodontic premolar extraction significantly affects dental arch dimensions and tooth angulations. These findings have implications for treatment planning and predicting changes associated with orthodontic treatments involving premolar extraction. Key words:3D digital models - orthodontic premolar extraction - teeth angulation - dental arch dimensions.
Collapse
Affiliation(s)
- Ahmed Abohabib
- Assistant lecturer of orthodontics KFS university, Egypt. & Ph.D. student, University of Barcelona, Spain
| | - Maria J Viñas
- Assistant professor of orthodontics, Complutense University of Madrid, Spain
| | - Josep M Ustrell
- Full professor of orthodontics, University of Barcelona, Spain
| |
Collapse
|
2
|
Zhao Y, Jia T, Wang Z. Comparative analysis of anchorage strength and histomorphometric changes after implantation of miniscrews in adults and adolescents: an experimental study in Beagles. BMC Oral Health 2023; 23:639. [PMID: 37670309 PMCID: PMC10478492 DOI: 10.1186/s12903-023-03318-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2023] [Accepted: 08/16/2023] [Indexed: 09/07/2023] Open
Abstract
OBJECTIVES This study aimed to explore the differences in anchorage strength and histomorphometric changes in orthodontic miniscrews between adult and adolescent beagles. MATERIAL AND METHOD Six adult beagles and six young beagles were used as experimental subjects, and eight miniscrews were symmetrically placed in the posterior mandible of each dog. Measurement of the displacement (mm) of two adjacent miniscrews after load application was performed to compare the anchorage strength between the adult and adolescent groups. Three intravital bone fluorochromes (oxytetracycline, calcein green, xylenol orange) were administered postoperatively to mark the active bone-forming surface. Subsequently, the mineral apposition rate and bone-implant contact ratio were measured for dynamic and static histomorphometry. Finally, the expression levels of the RANKL/OPG ratio were evaluated by immunohistochemistry. RESULTS The average displacement of miniscrews in the adult group was significantly less than that in the adolescent group after load application. For histomorphometry analysis, the mineral exposure rate in the adolescent group was higher than that in the adult group with or without force application. In addition, more fractures and new bone formation but deceased bone-implant contact ratios were observed in the adolescent group than in the adult group. The ratio of RANKL/OPG expression increased more in the adolescent group than in the adult group. CONCLUSION Miniscrews do not remain in the same position as skeletal anchors, and the amount of displacement was higher in adolescent group than that in adult group, reflecting the weaker anchorage strength of miniscrews in adolescents due to the higher bone turnover rate and active bone remodelling. Therefore, it is feasible to apply orthodontic loading to the miniscrews in adult patients earlier, even immediately, but it is recommended to wait a period for the adolescents.
Collapse
Affiliation(s)
- Yi Zhao
- Department of Orthodontics, Shandong Provincial Hospital Affiliated to Shandong First Medical University, 324 Jingwu Road, Jinan, Shandong, China
| | - TingTing Jia
- Department of Orthodontics, Shandong Provincial Hospital Affiliated to Shandong First Medical University, 324 Jingwu Road, Jinan, Shandong, China
| | - Zhiqiang Wang
- Department of Orthodontics, Shandong Provincial Hospital Affiliated to Shandong First Medical University, 324 Jingwu Road, Jinan, Shandong, China.
| |
Collapse
|
3
|
Grajales M, Ríos-Osorio N, Jimenez-Peña O, Mendez-Sanchez J, Sanchez-Fajardo K, García-Perdomo HA. Effectiveness of photobiomodulation with low-level lasers on the acceleration of orthodontic tooth movement: a systematic review and meta-analysis of split-mouth randomised clinical trials. Lasers Med Sci 2023; 38:200. [PMID: 37667064 DOI: 10.1007/s10103-023-03870-7" and 2*3*8=6*8 and "9dhl"="9dhl] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Accepted: 08/29/2023] [Indexed: 01/29/2024]
Abstract
Although several studies have evaluated the effect of low-level laser therapy (LLLT) on orthodontic movement acceleration, results are still inconsistent. Such inconsistencies may be attributed to the differences in the LLLT application protocols, especially in terms of wavelength ranges. Objective: (i) to assess the clinical effects of LLLT on the acceleration of orthodontic movement and (ii) to establish the most effective LLLT wavelength to accelerate tooth movement during orthodontic treatments. MEDLINE (PubMed), Scopus, ScienceDirect, and LILACS were searched from inception to October 2022. Inclusion criteria: Split-mouth randomised clinical trials (RCTs) on systemically healthy patients reporting the effect of LLLT in accelerating orthodontic movements, specifically retraction of canines. The risk of bias was assessed using RoB-2. A random effect model was applied. Nineteen RCTs met the inclusion criteria for qualitative synthesis, and eighteen RCTs were included in the quantitative synthesis. Seventeen studies were rated as at some concerns of bias and two studies were classified as having a low risk of bias. In general terms, this systematic review and meta-analysis presents a moderate risk of bias. Findings of this systematic review and meta-analysis point to a tendency for faster orthodontic dental movement in the groups receiving LLLT treatment during the first (OR of 0.28 95% CI (0.07 to 0.48)), second (OR of 0.52 95% CI (0.31 to 0.73)), and third (OR of 0.41 95% CI (0.03 to 0.79)) month follow-up. Wavelengths ≤ 810 nm and energy density values ≤ 5.3 J/cm2 were associated with faster orthodontic tooth movement.
Collapse
Affiliation(s)
- Marggie Grajales
- Laser Dentistry Master Program, European Program EMDOLA, University of Barcelona, Barcelona, Spain
| | - Nestor Ríos-Osorio
- Research Department COC-CICO, Institución Universitaria Colegios de Colombia UNICOC, Km 20, Autonorte I-55, Chía, 250008, Bogotá, Cundinamarca, Colombia.
| | - Oscar Jimenez-Peña
- Research Department COC-CICO, Institución Universitaria Colegios de Colombia UNICOC, Km 20, Autonorte I-55, Chía, 250008, Bogotá, Cundinamarca, Colombia
| | - Juan Mendez-Sanchez
- Research Department COC-CICO, Institución Universitaria Colegios de Colombia UNICOC, Km 20, Autonorte I-55, Chía, 250008, Bogotá, Cundinamarca, Colombia
| | - Kelly Sanchez-Fajardo
- Department of Bio-Clinical Research, Faculty of Dentistry, Universidad El Bosque, Bogotá, Colombia
| | - Herney Andrés García-Perdomo
- Division of Urology/Urooncology, Department of Surgery, School of Medicine, Universidad del Valle, Cali, Colombia
| |
Collapse
|
4
|
Grajales M, Ríos-Osorio N, Jimenez-Peña O, Mendez-Sanchez J, Sanchez-Fajardo K, García-Perdomo HA. Effectiveness of photobiomodulation with low-level lasers on the acceleration of orthodontic tooth movement: a systematic review and meta-analysis of split-mouth randomised clinical trials. Lasers Med Sci 2023; 38:200. [PMID: 37667064 DOI: 10.1007/s10103-023-03870-7%' and 2*3*8=6*8 and '6o48'!='6o48%] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Accepted: 08/29/2023] [Indexed: 01/29/2024]
Abstract
Although several studies have evaluated the effect of low-level laser therapy (LLLT) on orthodontic movement acceleration, results are still inconsistent. Such inconsistencies may be attributed to the differences in the LLLT application protocols, especially in terms of wavelength ranges. Objective: (i) to assess the clinical effects of LLLT on the acceleration of orthodontic movement and (ii) to establish the most effective LLLT wavelength to accelerate tooth movement during orthodontic treatments. MEDLINE (PubMed), Scopus, ScienceDirect, and LILACS were searched from inception to October 2022. Inclusion criteria: Split-mouth randomised clinical trials (RCTs) on systemically healthy patients reporting the effect of LLLT in accelerating orthodontic movements, specifically retraction of canines. The risk of bias was assessed using RoB-2. A random effect model was applied. Nineteen RCTs met the inclusion criteria for qualitative synthesis, and eighteen RCTs were included in the quantitative synthesis. Seventeen studies were rated as at some concerns of bias and two studies were classified as having a low risk of bias. In general terms, this systematic review and meta-analysis presents a moderate risk of bias. Findings of this systematic review and meta-analysis point to a tendency for faster orthodontic dental movement in the groups receiving LLLT treatment during the first (OR of 0.28 95% CI (0.07 to 0.48)), second (OR of 0.52 95% CI (0.31 to 0.73)), and third (OR of 0.41 95% CI (0.03 to 0.79)) month follow-up. Wavelengths ≤ 810 nm and energy density values ≤ 5.3 J/cm2 were associated with faster orthodontic tooth movement.
Collapse
Affiliation(s)
- Marggie Grajales
- Laser Dentistry Master Program, European Program EMDOLA, University of Barcelona, Barcelona, Spain
| | - Nestor Ríos-Osorio
- Research Department COC-CICO, Institución Universitaria Colegios de Colombia UNICOC, Km 20, Autonorte I-55, Chía, 250008, Bogotá, Cundinamarca, Colombia.
| | - Oscar Jimenez-Peña
- Research Department COC-CICO, Institución Universitaria Colegios de Colombia UNICOC, Km 20, Autonorte I-55, Chía, 250008, Bogotá, Cundinamarca, Colombia
| | - Juan Mendez-Sanchez
- Research Department COC-CICO, Institución Universitaria Colegios de Colombia UNICOC, Km 20, Autonorte I-55, Chía, 250008, Bogotá, Cundinamarca, Colombia
| | - Kelly Sanchez-Fajardo
- Department of Bio-Clinical Research, Faculty of Dentistry, Universidad El Bosque, Bogotá, Colombia
| | - Herney Andrés García-Perdomo
- Division of Urology/Urooncology, Department of Surgery, School of Medicine, Universidad del Valle, Cali, Colombia
| |
Collapse
|
5
|
Grajales M, Ríos-Osorio N, Jimenez-Peña O, Mendez-Sanchez J, Sanchez-Fajardo K, García-Perdomo HA. Effectiveness of photobiomodulation with low-level lasers on the acceleration of orthodontic tooth movement: a systematic review and meta-analysis of split-mouth randomised clinical trials. Lasers Med Sci 2023; 38:200. [PMID: 37667064 DOI: 10.1007/s10103-023-03870-7' and 2*3*8=6*8 and 'rz5y'='rz5y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Accepted: 08/29/2023] [Indexed: 01/29/2024]
Abstract
Although several studies have evaluated the effect of low-level laser therapy (LLLT) on orthodontic movement acceleration, results are still inconsistent. Such inconsistencies may be attributed to the differences in the LLLT application protocols, especially in terms of wavelength ranges. Objective: (i) to assess the clinical effects of LLLT on the acceleration of orthodontic movement and (ii) to establish the most effective LLLT wavelength to accelerate tooth movement during orthodontic treatments. MEDLINE (PubMed), Scopus, ScienceDirect, and LILACS were searched from inception to October 2022. Inclusion criteria: Split-mouth randomised clinical trials (RCTs) on systemically healthy patients reporting the effect of LLLT in accelerating orthodontic movements, specifically retraction of canines. The risk of bias was assessed using RoB-2. A random effect model was applied. Nineteen RCTs met the inclusion criteria for qualitative synthesis, and eighteen RCTs were included in the quantitative synthesis. Seventeen studies were rated as at some concerns of bias and two studies were classified as having a low risk of bias. In general terms, this systematic review and meta-analysis presents a moderate risk of bias. Findings of this systematic review and meta-analysis point to a tendency for faster orthodontic dental movement in the groups receiving LLLT treatment during the first (OR of 0.28 95% CI (0.07 to 0.48)), second (OR of 0.52 95% CI (0.31 to 0.73)), and third (OR of 0.41 95% CI (0.03 to 0.79)) month follow-up. Wavelengths ≤ 810 nm and energy density values ≤ 5.3 J/cm2 were associated with faster orthodontic tooth movement.
Collapse
Affiliation(s)
- Marggie Grajales
- Laser Dentistry Master Program, European Program EMDOLA, University of Barcelona, Barcelona, Spain
| | - Nestor Ríos-Osorio
- Research Department COC-CICO, Institución Universitaria Colegios de Colombia UNICOC, Km 20, Autonorte I-55, Chía, 250008, Bogotá, Cundinamarca, Colombia.
| | - Oscar Jimenez-Peña
- Research Department COC-CICO, Institución Universitaria Colegios de Colombia UNICOC, Km 20, Autonorte I-55, Chía, 250008, Bogotá, Cundinamarca, Colombia
| | - Juan Mendez-Sanchez
- Research Department COC-CICO, Institución Universitaria Colegios de Colombia UNICOC, Km 20, Autonorte I-55, Chía, 250008, Bogotá, Cundinamarca, Colombia
| | - Kelly Sanchez-Fajardo
- Department of Bio-Clinical Research, Faculty of Dentistry, Universidad El Bosque, Bogotá, Colombia
| | - Herney Andrés García-Perdomo
- Division of Urology/Urooncology, Department of Surgery, School of Medicine, Universidad del Valle, Cali, Colombia
| |
Collapse
|
6
|
Grajales M, Ríos-Osorio N, Jimenez-Peña O, Mendez-Sanchez J, Sanchez-Fajardo K, García-Perdomo HA. Effectiveness of photobiomodulation with low-level lasers on the acceleration of orthodontic tooth movement: a systematic review and meta-analysis of split-mouth randomised clinical trials. Lasers Med Sci 2023; 38:200. [PMID: 37667064 DOI: 10.1007/s10103-023-03870-7'"] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Accepted: 08/29/2023] [Indexed: 01/29/2024]
Abstract
Although several studies have evaluated the effect of low-level laser therapy (LLLT) on orthodontic movement acceleration, results are still inconsistent. Such inconsistencies may be attributed to the differences in the LLLT application protocols, especially in terms of wavelength ranges. Objective: (i) to assess the clinical effects of LLLT on the acceleration of orthodontic movement and (ii) to establish the most effective LLLT wavelength to accelerate tooth movement during orthodontic treatments. MEDLINE (PubMed), Scopus, ScienceDirect, and LILACS were searched from inception to October 2022. Inclusion criteria: Split-mouth randomised clinical trials (RCTs) on systemically healthy patients reporting the effect of LLLT in accelerating orthodontic movements, specifically retraction of canines. The risk of bias was assessed using RoB-2. A random effect model was applied. Nineteen RCTs met the inclusion criteria for qualitative synthesis, and eighteen RCTs were included in the quantitative synthesis. Seventeen studies were rated as at some concerns of bias and two studies were classified as having a low risk of bias. In general terms, this systematic review and meta-analysis presents a moderate risk of bias. Findings of this systematic review and meta-analysis point to a tendency for faster orthodontic dental movement in the groups receiving LLLT treatment during the first (OR of 0.28 95% CI (0.07 to 0.48)), second (OR of 0.52 95% CI (0.31 to 0.73)), and third (OR of 0.41 95% CI (0.03 to 0.79)) month follow-up. Wavelengths ≤ 810 nm and energy density values ≤ 5.3 J/cm2 were associated with faster orthodontic tooth movement.
Collapse
Affiliation(s)
- Marggie Grajales
- Laser Dentistry Master Program, European Program EMDOLA, University of Barcelona, Barcelona, Spain
| | - Nestor Ríos-Osorio
- Research Department COC-CICO, Institución Universitaria Colegios de Colombia UNICOC, Km 20, Autonorte I-55, Chía, 250008, Bogotá, Cundinamarca, Colombia.
| | - Oscar Jimenez-Peña
- Research Department COC-CICO, Institución Universitaria Colegios de Colombia UNICOC, Km 20, Autonorte I-55, Chía, 250008, Bogotá, Cundinamarca, Colombia
| | - Juan Mendez-Sanchez
- Research Department COC-CICO, Institución Universitaria Colegios de Colombia UNICOC, Km 20, Autonorte I-55, Chía, 250008, Bogotá, Cundinamarca, Colombia
| | - Kelly Sanchez-Fajardo
- Department of Bio-Clinical Research, Faculty of Dentistry, Universidad El Bosque, Bogotá, Colombia
| | - Herney Andrés García-Perdomo
- Division of Urology/Urooncology, Department of Surgery, School of Medicine, Universidad del Valle, Cali, Colombia
| |
Collapse
|
7
|
Grajales M, Ríos-Osorio N, Jimenez-Peña O, Mendez-Sanchez J, Sanchez-Fajardo K, García-Perdomo HA. Effectiveness of photobiomodulation with low-level lasers on the acceleration of orthodontic tooth movement: a systematic review and meta-analysis of split-mouth randomised clinical trials. Lasers Med Sci 2023; 38:200. [PMID: 37667064 DOI: 10.1007/s10103-023-03870-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Accepted: 08/29/2023] [Indexed: 09/06/2023]
Abstract
Although several studies have evaluated the effect of low-level laser therapy (LLLT) on orthodontic movement acceleration, results are still inconsistent. Such inconsistencies may be attributed to the differences in the LLLT application protocols, especially in terms of wavelength ranges. Objective: (i) to assess the clinical effects of LLLT on the acceleration of orthodontic movement and (ii) to establish the most effective LLLT wavelength to accelerate tooth movement during orthodontic treatments. MEDLINE (PubMed), Scopus, ScienceDirect, and LILACS were searched from inception to October 2022. Inclusion criteria: Split-mouth randomised clinical trials (RCTs) on systemically healthy patients reporting the effect of LLLT in accelerating orthodontic movements, specifically retraction of canines. The risk of bias was assessed using RoB-2. A random effect model was applied. Nineteen RCTs met the inclusion criteria for qualitative synthesis, and eighteen RCTs were included in the quantitative synthesis. Seventeen studies were rated as at some concerns of bias and two studies were classified as having a low risk of bias. In general terms, this systematic review and meta-analysis presents a moderate risk of bias. Findings of this systematic review and meta-analysis point to a tendency for faster orthodontic dental movement in the groups receiving LLLT treatment during the first (OR of 0.28 95% CI (0.07 to 0.48)), second (OR of 0.52 95% CI (0.31 to 0.73)), and third (OR of 0.41 95% CI (0.03 to 0.79)) month follow-up. Wavelengths ≤ 810 nm and energy density values ≤ 5.3 J/cm2 were associated with faster orthodontic tooth movement.
Collapse
Affiliation(s)
- Marggie Grajales
- Laser Dentistry Master Program, European Program EMDOLA, University of Barcelona, Barcelona, Spain
| | - Nestor Ríos-Osorio
- Research Department COC-CICO, Institución Universitaria Colegios de Colombia UNICOC, Km 20, Autonorte I-55, Chía, 250008, Bogotá, Cundinamarca, Colombia.
| | - Oscar Jimenez-Peña
- Research Department COC-CICO, Institución Universitaria Colegios de Colombia UNICOC, Km 20, Autonorte I-55, Chía, 250008, Bogotá, Cundinamarca, Colombia
| | - Juan Mendez-Sanchez
- Research Department COC-CICO, Institución Universitaria Colegios de Colombia UNICOC, Km 20, Autonorte I-55, Chía, 250008, Bogotá, Cundinamarca, Colombia
| | - Kelly Sanchez-Fajardo
- Department of Bio-Clinical Research, Faculty of Dentistry, Universidad El Bosque, Bogotá, Colombia
| | - Herney Andrés García-Perdomo
- Division of Urology/Urooncology, Department of Surgery, School of Medicine, Universidad del Valle, Cali, Colombia
| |
Collapse
|
8
|
Grajales M, Ríos-Osorio N, Jimenez-Peña O, Mendez-Sanchez J, Sanchez-Fajardo K, García-Perdomo HA. Effectiveness of photobiomodulation with low-level lasers on the acceleration of orthodontic tooth movement: a systematic review and meta-analysis of split-mouth randomised clinical trials. Lasers Med Sci 2023; 38:200. [PMID: 37667064 DOI: 10.1007/s10103-023-03870-7jypboind] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Accepted: 08/29/2023] [Indexed: 01/29/2024]
Abstract
Although several studies have evaluated the effect of low-level laser therapy (LLLT) on orthodontic movement acceleration, results are still inconsistent. Such inconsistencies may be attributed to the differences in the LLLT application protocols, especially in terms of wavelength ranges. Objective: (i) to assess the clinical effects of LLLT on the acceleration of orthodontic movement and (ii) to establish the most effective LLLT wavelength to accelerate tooth movement during orthodontic treatments. MEDLINE (PubMed), Scopus, ScienceDirect, and LILACS were searched from inception to October 2022. Inclusion criteria: Split-mouth randomised clinical trials (RCTs) on systemically healthy patients reporting the effect of LLLT in accelerating orthodontic movements, specifically retraction of canines. The risk of bias was assessed using RoB-2. A random effect model was applied. Nineteen RCTs met the inclusion criteria for qualitative synthesis, and eighteen RCTs were included in the quantitative synthesis. Seventeen studies were rated as at some concerns of bias and two studies were classified as having a low risk of bias. In general terms, this systematic review and meta-analysis presents a moderate risk of bias. Findings of this systematic review and meta-analysis point to a tendency for faster orthodontic dental movement in the groups receiving LLLT treatment during the first (OR of 0.28 95% CI (0.07 to 0.48)), second (OR of 0.52 95% CI (0.31 to 0.73)), and third (OR of 0.41 95% CI (0.03 to 0.79)) month follow-up. Wavelengths ≤ 810 nm and energy density values ≤ 5.3 J/cm2 were associated with faster orthodontic tooth movement.
Collapse
Affiliation(s)
- Marggie Grajales
- Laser Dentistry Master Program, European Program EMDOLA, University of Barcelona, Barcelona, Spain
| | - Nestor Ríos-Osorio
- Research Department COC-CICO, Institución Universitaria Colegios de Colombia UNICOC, Km 20, Autonorte I-55, Chía, 250008, Bogotá, Cundinamarca, Colombia.
| | - Oscar Jimenez-Peña
- Research Department COC-CICO, Institución Universitaria Colegios de Colombia UNICOC, Km 20, Autonorte I-55, Chía, 250008, Bogotá, Cundinamarca, Colombia
| | - Juan Mendez-Sanchez
- Research Department COC-CICO, Institución Universitaria Colegios de Colombia UNICOC, Km 20, Autonorte I-55, Chía, 250008, Bogotá, Cundinamarca, Colombia
| | - Kelly Sanchez-Fajardo
- Department of Bio-Clinical Research, Faculty of Dentistry, Universidad El Bosque, Bogotá, Colombia
| | - Herney Andrés García-Perdomo
- Division of Urology/Urooncology, Department of Surgery, School of Medicine, Universidad del Valle, Cali, Colombia
| |
Collapse
|
9
|
Grajales M, Ríos-Osorio N, Jimenez-Peña O, Mendez-Sanchez J, Sanchez-Fajardo K, García-Perdomo HA. Effectiveness of photobiomodulation with low-level lasers on the acceleration of orthodontic tooth movement: a systematic review and meta-analysis of split-mouth randomised clinical trials. Lasers Med Sci 2023; 38:200. [PMID: 37667064 DOI: 10.1007/s10103-023-03870-7����%2527%2522\'\"] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Accepted: 08/29/2023] [Indexed: 01/29/2024]
Abstract
Although several studies have evaluated the effect of low-level laser therapy (LLLT) on orthodontic movement acceleration, results are still inconsistent. Such inconsistencies may be attributed to the differences in the LLLT application protocols, especially in terms of wavelength ranges. Objective: (i) to assess the clinical effects of LLLT on the acceleration of orthodontic movement and (ii) to establish the most effective LLLT wavelength to accelerate tooth movement during orthodontic treatments. MEDLINE (PubMed), Scopus, ScienceDirect, and LILACS were searched from inception to October 2022. Inclusion criteria: Split-mouth randomised clinical trials (RCTs) on systemically healthy patients reporting the effect of LLLT in accelerating orthodontic movements, specifically retraction of canines. The risk of bias was assessed using RoB-2. A random effect model was applied. Nineteen RCTs met the inclusion criteria for qualitative synthesis, and eighteen RCTs were included in the quantitative synthesis. Seventeen studies were rated as at some concerns of bias and two studies were classified as having a low risk of bias. In general terms, this systematic review and meta-analysis presents a moderate risk of bias. Findings of this systematic review and meta-analysis point to a tendency for faster orthodontic dental movement in the groups receiving LLLT treatment during the first (OR of 0.28 95% CI (0.07 to 0.48)), second (OR of 0.52 95% CI (0.31 to 0.73)), and third (OR of 0.41 95% CI (0.03 to 0.79)) month follow-up. Wavelengths ≤ 810 nm and energy density values ≤ 5.3 J/cm2 were associated with faster orthodontic tooth movement.
Collapse
Affiliation(s)
- Marggie Grajales
- Laser Dentistry Master Program, European Program EMDOLA, University of Barcelona, Barcelona, Spain
| | - Nestor Ríos-Osorio
- Research Department COC-CICO, Institución Universitaria Colegios de Colombia UNICOC, Km 20, Autonorte I-55, Chía, 250008, Bogotá, Cundinamarca, Colombia.
| | - Oscar Jimenez-Peña
- Research Department COC-CICO, Institución Universitaria Colegios de Colombia UNICOC, Km 20, Autonorte I-55, Chía, 250008, Bogotá, Cundinamarca, Colombia
| | - Juan Mendez-Sanchez
- Research Department COC-CICO, Institución Universitaria Colegios de Colombia UNICOC, Km 20, Autonorte I-55, Chía, 250008, Bogotá, Cundinamarca, Colombia
| | - Kelly Sanchez-Fajardo
- Department of Bio-Clinical Research, Faculty of Dentistry, Universidad El Bosque, Bogotá, Colombia
| | - Herney Andrés García-Perdomo
- Division of Urology/Urooncology, Department of Surgery, School of Medicine, Universidad del Valle, Cali, Colombia
| |
Collapse
|
10
|
Grajales M, Ríos-Osorio N, Jimenez-Peña O, Mendez-Sanchez J, Sanchez-Fajardo K, García-Perdomo HA. Effectiveness of photobiomodulation with low-level lasers on the acceleration of orthodontic tooth movement: a systematic review and meta-analysis of split-mouth randomised clinical trials. Lasers Med Sci 2023; 38:200. [PMID: 37667064 DOI: 10.1007/s10103-023-03870-7'||'] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Accepted: 08/29/2023] [Indexed: 01/29/2024]
Abstract
Although several studies have evaluated the effect of low-level laser therapy (LLLT) on orthodontic movement acceleration, results are still inconsistent. Such inconsistencies may be attributed to the differences in the LLLT application protocols, especially in terms of wavelength ranges. Objective: (i) to assess the clinical effects of LLLT on the acceleration of orthodontic movement and (ii) to establish the most effective LLLT wavelength to accelerate tooth movement during orthodontic treatments. MEDLINE (PubMed), Scopus, ScienceDirect, and LILACS were searched from inception to October 2022. Inclusion criteria: Split-mouth randomised clinical trials (RCTs) on systemically healthy patients reporting the effect of LLLT in accelerating orthodontic movements, specifically retraction of canines. The risk of bias was assessed using RoB-2. A random effect model was applied. Nineteen RCTs met the inclusion criteria for qualitative synthesis, and eighteen RCTs were included in the quantitative synthesis. Seventeen studies were rated as at some concerns of bias and two studies were classified as having a low risk of bias. In general terms, this systematic review and meta-analysis presents a moderate risk of bias. Findings of this systematic review and meta-analysis point to a tendency for faster orthodontic dental movement in the groups receiving LLLT treatment during the first (OR of 0.28 95% CI (0.07 to 0.48)), second (OR of 0.52 95% CI (0.31 to 0.73)), and third (OR of 0.41 95% CI (0.03 to 0.79)) month follow-up. Wavelengths ≤ 810 nm and energy density values ≤ 5.3 J/cm2 were associated with faster orthodontic tooth movement.
Collapse
Affiliation(s)
- Marggie Grajales
- Laser Dentistry Master Program, European Program EMDOLA, University of Barcelona, Barcelona, Spain
| | - Nestor Ríos-Osorio
- Research Department COC-CICO, Institución Universitaria Colegios de Colombia UNICOC, Km 20, Autonorte I-55, Chía, 250008, Bogotá, Cundinamarca, Colombia.
| | - Oscar Jimenez-Peña
- Research Department COC-CICO, Institución Universitaria Colegios de Colombia UNICOC, Km 20, Autonorte I-55, Chía, 250008, Bogotá, Cundinamarca, Colombia
| | - Juan Mendez-Sanchez
- Research Department COC-CICO, Institución Universitaria Colegios de Colombia UNICOC, Km 20, Autonorte I-55, Chía, 250008, Bogotá, Cundinamarca, Colombia
| | - Kelly Sanchez-Fajardo
- Department of Bio-Clinical Research, Faculty of Dentistry, Universidad El Bosque, Bogotá, Colombia
| | - Herney Andrés García-Perdomo
- Division of Urology/Urooncology, Department of Surgery, School of Medicine, Universidad del Valle, Cali, Colombia
| |
Collapse
|
11
|
Methods of Anterior Torque Control during Retraction: A Systematic Review. Diagnostics (Basel) 2022; 12:diagnostics12071611. [PMID: 35885516 PMCID: PMC9319902 DOI: 10.3390/diagnostics12071611] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2022] [Revised: 06/27/2022] [Accepted: 06/29/2022] [Indexed: 11/16/2022] Open
Abstract
Background: There are various methods of controlling the inclination of the incisors during retraction, but there is no evidence as to the advantages of some methods over others. The purpose of this systematic review and meta-analysis was to determine the effectiveness of the methods used to control torque during anterior teeth retraction. Methods: In accordance with the PRISMA guidelines, the main research question was defined in the PICO format [P: patients with complete permanent dentition; I: the maxillary incisor torque after (I) and before I retraction with straight-wire appliance and different modes of torque control; O: statistically significant differences in torque values of the upper incisors after orthodontic treatment]. The MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials databases were searched for keywords combining: retraction orthodontics, torque control orthodontics, torque orthodontics, inclination orthodontics, torque control retraction. The articles were subjected to risk of bias and quality analyses with the ROBINS-I protocol and the modified Newcastle–Ottawa QAS, respectively. Meta-analyses were performed with both fixed- and random-effects models. Results: 13 articles were selected in which total number of 580 subjects took part. In all studies, incisors were retroclined during retraction by 2.46° (mean difference), which was statistically significant. Considering the articles separately, the differences in torque between the study group and the control group were statistically significant in six articles. The Q statistic was 36.25 with p = 0.0003 and I2 = 66.9%, which indicated a high level of study heterogeneity. Conclusion: Both properly performed corticotomy and en-masse retraction using orthodontic microimplants seem to be the most effective and scientifically validated methods of torque control. Further high-quality research is needed to perform better quality analyses and draw more reliable conclusions.
Collapse
|
12
|
Xu Y, Yu L, Tong X, Wang Y, Li Y, Pan J, Yang Y, Liu Y. Efficacy and safety of piezocision in accelerating maxillary anterior teeth en-masse retraction: study protocol for a randomized controlled trial. Trials 2022; 23:476. [PMID: 35672789 PMCID: PMC9171929 DOI: 10.1186/s13063-022-06389-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2022] [Accepted: 05/09/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Orthodontic treatment is commonly more time-consuming in adults than in teenagers, especially when it comes to the maxillary en-masse retraction, which may take 9 months or even longer. As to solve this concern, orthodontists have been striving to seek new methods for shortening orthodontic treatment time. Piezocision, as a popular alternative treatment, has been widely used in different types of tooth movement. However, its effect on en-masse retraction of maxillary anterior teeth remains unclear. This randomized controlled trial intends to figure out the role piezocision plays in accelerating en-masse retraction. METHODS This protocol is designed for a prospective, single-center, assessor-blinded and parallel-group randomized controlled trial. Twenty adult patients aged from 18 to 40 whose orthodontic treatment required bilateral maxillary first premolars extraction will be randomly assigned to the piezocision group and the control group at a ratio of 1:1. The piezocision group will undergo en-masse retraction immediately after the piezo surgery, while the control group will start en-masse retraction directly. Both groups will be followed up every 2 weeks to maintain the retraction force until the end of space closure. The space closing time is set as the primary endpoint. Meanwhile, the secondary endpoints include the change of root length, labial and palatal alveolar bone thickness, vertical bone height, probing depth of maxillary anterior teeth, cephalometric measurements, visual analogue scale, and postoperative satisfaction questionnaire. DISCUSSION This study will attempt to provide more convincing evidence to verify whether piezocision will shorten the time of en-masse retraction or not. Distinguished with previous studies, our study has made some innovations in orthodontic procedure and primary outcome measurement, aiming to clarify the efficacy and safety of piezocision-assisted en-masse retraction in Chinese population. TRIAL REGISTRATION Chinese Clinical Trial Registry ChiCTR 1900024297 . Registered on 5 July 2019.
Collapse
Affiliation(s)
- Yichen Xu
- Department of Orthodontics, Shanghai Stomatological Hospital & School of Stomatology, Fudan University, Shanghai, China
- Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, Shanghai, China
| | - Liming Yu
- Department of Orthodontics, Shanghai Stomatological Hospital & School of Stomatology, Fudan University, Shanghai, China
- Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, Shanghai, China
| | - Xianqin Tong
- Department of Orthodontics, Shanghai Stomatological Hospital & School of Stomatology, Fudan University, Shanghai, China
- Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, Shanghai, China
| | - Yuhui Wang
- Department of Orthodontics, Shanghai Stomatological Hospital & School of Stomatology, Fudan University, Shanghai, China
- Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, Shanghai, China
| | - Yuanyuan Li
- Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, Shanghai, China
- Department of Pediatric Dentistry, Shanghai Stomatological Hospital & School of Stomatology, Fudan University, Shanghai, China
| | - Jie Pan
- Department of Orthodontics, Shanghai Stomatological Hospital & School of Stomatology, Fudan University, Shanghai, China
- Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, Shanghai, China
| | - Yanjing Yang
- Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, Shanghai, China
- Department of Pediatric Dentistry, Shanghai Stomatological Hospital & School of Stomatology, Fudan University, Shanghai, China
| | - Yuehua Liu
- Department of Orthodontics, Shanghai Stomatological Hospital & School of Stomatology, Fudan University, Shanghai, China.
- Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, Shanghai, China.
| |
Collapse
|
13
|
Zhao J, Du S, Liu Y, Saif BS, Hou Y, Guo YC. Evaluation of the stability of the palatal rugae using the three-dimensional superimposition technique following orthodontic treatment. J Dent 2022; 119:104055. [PMID: 35121138 DOI: 10.1016/j.jdent.2022.104055] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2021] [Revised: 01/26/2022] [Accepted: 01/31/2022] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVES To determine the uniqueness and stability of the palatal rugae after orthodontic treatment. METHODS Cast models of untreated subjects (n=50) were obtained twice at intervals of 8-30 months. Cast models of patients who received non-extraction (n=50) and extraction (n=50) orthodontic treatment were obtained before and after treatment at intervals of 11-41 months and 14-49 months, respectively. All 300 cast models were scanned digitally. The palatal rugae were manually extracted and transformed into 3D point clouds using reverse engineering software. An iterative closest point (ICP) registration algorithm based on correntropy was applied, and the minimum point-to-point root mean square (RMS) distances were calculated to analyze the deviation of palatal rugae for scans of the same subject (intrasubject deviation [ISD]) and between different subjects (between-subject deviation [BSD]). Differences in ISD between each group and the deviation between ISD and BSD of all 150 subjects were evaluated. RESULTS Significant differences were found in the 150 ISD and 1225 BSD in each group, as well as the 150 ISD and 11175 BSD across all groups. The mean values of ISD in untreated, non-extraction and extraction group were 0.178, 0.229 and 0.333 mm, respectively. When the first ruga was excluded in the extraction group, the mean ISD decreased to 0.241 mm, which was not significantly different from that in the non-extraction group (p=0.314). CONCLUSIONS Orthodontic treatment can influence the palatal rugae, especially in cases of extraction. Furthermore, variation mainly existed in the first ruga in cases of extraction. However, palatal rugae are still unique and may be used as a supplementary tool for individual identification. CLINICAL SIGNIFICANCE This study indicates that palatal rugae might be applied in the evaluation of orthodontic tooth movement and forensic individual identification. The registration algorithm based on correntropy provides a credible, precise, and convenient method for palatal rugae superimposition.
Collapse
Affiliation(s)
- Jiamin Zhao
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, 98 XiWu Road, Xi'an 710004, Shaanxi, PR China; Department of Orthodontics, College of Stomatology, Xi'an Jiaotong University, 98 XiWu Road, Xi'an 710004, Shaanxi, PR China
| | - Shaoyi Du
- Institute of Artificial intelligence and robotics, College of Artificial Intelligence, Xi'an Jiaotong University, 28 Xianning West Road, Xi'an 710049, Shaanxi, PR China
| | - Yuying Liu
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, 98 XiWu Road, Xi'an 710004, Shaanxi, PR China; Institute of Artificial intelligence and robotics, College of Artificial Intelligence, Xi'an Jiaotong University, 28 Xianning West Road, Xi'an 710049, Shaanxi, PR China
| | - Badr Sultan Saif
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, 98 XiWu Road, Xi'an 710004, Shaanxi, PR China; Department of Orthodontics, College of Stomatology, Xi'an Jiaotong University, 98 XiWu Road, Xi'an 710004, Shaanxi, PR China
| | - Yuxia Hou
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, 98 XiWu Road, Xi'an 710004, Shaanxi, PR China; Department of Orthodontics, College of Stomatology, Xi'an Jiaotong University, 98 XiWu Road, Xi'an 710004, Shaanxi, PR China
| | - Yu-Cheng Guo
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, 98 XiWu Road, Xi'an 710004, Shaanxi, PR China; Department of Orthodontics, College of Stomatology, Xi'an Jiaotong University, 98 XiWu Road, Xi'an 710004, Shaanxi, PR China; Institute of Artificial intelligence and robotics, College of Artificial Intelligence, Xi'an Jiaotong University, 28 Xianning West Road, Xi'an 710049, Shaanxi, PR China.
| |
Collapse
|
14
|
Klinge A, Tranaeus S, Becktor J, Winitsky N, Naimi-Akbar A. The risk for infraposition of dental implants and ankylosed teeth in the anterior maxilla related to craniofacial growth, a systematic review. Acta Odontol Scand 2021; 79:59-68. [PMID: 32835562 DOI: 10.1080/00016357.2020.1807046] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
BACKGROUND The aim of the study was to evaluate a potential association between individuals with different craniofacial types or other exposures, and the risk of infraposition due to continued growth/eruption of adjacent teeth in the anterior maxilla. MATERIALS AND METHODS This is a systematic review in which primary studies as well as other systematic reviews are scrutinised. A search of PubMed (Medline), Scopus, Web of science and Health technology assessment (HTA) organisations and a complementary handsearch was carried out. Selected studies were read in full-text by several reviewers. The quality of the included primary studies was assessed using a protocol for assessment of risk of bias in exposure studies. RESULTS The literature search resulted in 3,296 publications. Title and abstract screening yielded 25, whereof one systematic review, potential publications allocated for full-text inspection. The quality assessment resulted in a total of seven studies with a low/moderate risk of bias and four studies with a high risk of bias. CONCLUSION In conclusion, a long-term risk for infraposition of dental implants, or ankylosed teeth, among natural teeth can be observed in some cases. The predisposing factors are still not fully understood since the current scientific evidence is very limited.
Collapse
Affiliation(s)
- Anna Klinge
- Department of Oral and Maxillofacial Surgery and Oral Medicine, Malmö University, Malmö, Sweden
| | - Sofia Tranaeus
- Health Technology Assessment-Odontology (HTA-O), Malmö University, Malmö, Sweden
- Department of Dental Medicine, Karolinska institutet, Stockholm, Sweden
| | - Jonas Becktor
- Department of Oral and Maxillofacial Surgery and Oral Medicine, Malmö University, Malmö, Sweden
| | - Nicole Winitsky
- Folktandvården Eastmaninstitutet. Public Dental Health, Stockholm, Sweden
| | - Aron Naimi-Akbar
- Department of Oral and Maxillofacial Surgery and Oral Medicine, Malmö University, Malmö, Sweden
- Health Technology Assessment-Odontology (HTA-O), Malmö University, Malmö, Sweden
- Department of Dental Medicine, Karolinska institutet, Stockholm, Sweden
- Folktandvården Eastmaninstitutet. Public Dental Health, Stockholm, Sweden
| |
Collapse
|
15
|
Accuracy and reliability of maxillary digital model (MDM) superimposition in evaluating teeth movement in adults compared with CBCT maxillary superimposition. Sci Rep 2020; 10:19384. [PMID: 33168909 PMCID: PMC7653916 DOI: 10.1038/s41598-020-76537-w] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2019] [Accepted: 10/21/2020] [Indexed: 11/08/2022] Open
Abstract
Superimposition of 3D maxillary digital dental models of different time points based on palatal vault region has been used to evaluate tooth movement during orthodontic treatment. This study evaluated the accuracy and reliability of 3D maxillary digital model (MDM) superimposition in adults by comparing it with CBCT maxillary superimposition. In CBCT maxillary superimposition, voxel-based superimposition was firstly conducted, and MDMs were matched with corresponding CBCT models (CBCT-MDM superimposition). MDM superimposition (palatal vault regional superimposition) were performed on another pair of pre- and posttreatment MDMs. The position and orientation of upper first molars (U6s) and upper central incisors (U1s) on the posttreatment MDMs were compared to assess the accuracy of the MDM superimposition methods. The reliability was validated in both MDM superimposition and CBCT maxillary superimposition. In terms of accuracy, the average linear deviations in U6 and U1 positions were less than ± 0.3 mm, the average angular deviations of U6s and U1s were less than ± 0.2°, both have no significant difference from zero. The ICCs for MDM superimposition ranged from 0.85 to 0.99. The ICCs for CBCT-MDM superimposition were larger than 0.99 in all items. MDM superimposition was an efficient, accurate and reliable method for evaluating teeth movement in adults, although its reliability is slightly lower than CBCT maxillary superimposition.
Collapse
|
16
|
Jiang Y, Chen G. Reliability and validity of miniscrews as references in cone-beam computed tomography and intraoral scanner digital models: study on goat heads. BMC Oral Health 2019; 19:259. [PMID: 31771579 PMCID: PMC6880591 DOI: 10.1186/s12903-019-0952-9] [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: 09/06/2019] [Accepted: 11/08/2019] [Indexed: 11/28/2022] Open
Abstract
Background Miniscrews have been used to superimpose three-dimensional (3D) craniofacial images as well as explore stable structures in jaws. Our purpose was to evaluate the reliability and validity of linear and angular measurements made with miniscrews on a 3D cone-beam computed tomography (CBCT) at two voxel sizes and compared to models created by an intraoral scanner (IOS). Methods Altogether, 64 miniscrews were placed in 12 goat jaws. The jaws were scanned by CBCT machine at 0.12 mm and 0.3 mm voxels and by the IOS. Linear and angular measurements between miniscrews on CBCT at the two voxel settings and the IOS were compared with actual measurements and with each other. Results An intra-and inter-class correlation of 0.961–1.000 were obtained by each method. Linear measurements showed significant overestimations of 0.27 ± 0.24, 0.14 ± 0.22 and 0.15 ± 0.26 mm, and angular measurements showed non-significant differences of 0.11 ± 1.97°, 0.15 ± 2.79° and 0.41 ± 2.34° for the CBCT at 0.12-mm, 0.3-mm voxels and the IOS, respectively. Equal magnification of linear measurements was on homolateral and contralateral sides using CBCT, whereas significantly greater magnification on the homolateral side than on the opposite was observed using the IOS. There was no significant difference with angular measurements between digital CBCT models at two voxels and IOS. In addition, all angular measurements were comparable to actual measurement results. Conclusions Miniscrews in CBCT and IOS are reliable and clinical valid when used as a reference measuring tooth movement. However, when miniscrews are involved in high precision measurement in CBCT or IOS image, systematic error should be taken into consideration. When comparing CBCT images, using the same voxel size is recommended for miniscrew related measurements to reduce error.
Collapse
Affiliation(s)
- Yiran Jiang
- Department of Orthodontics, Peking University School and Hospital of Stomatology, National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing Key Laboratory of Digital Stomatology, 22 Zhongguancun South Street, Beijing, 100081, China
| | - Gui Chen
- Department of Orthodontics, Peking University School and Hospital of Stomatology, National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing Key Laboratory of Digital Stomatology, 22 Zhongguancun South Street, Beijing, 100081, China.
| |
Collapse
|
17
|
Liu D, Li J, Lei F, Wang X, Zhou Y. Dentoskeletal and soft tissue changes associated with miniscrew anchorage in customized lingual orthodontics. J Int Med Res 2018; 47:84-95. [PMID: 30200801 PMCID: PMC6384496 DOI: 10.1177/0300060518795541] [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] [Indexed: 11/23/2022] Open
Abstract
Objectives The goal of this study was to analyze skeletal, dental, and soft tissue changes of patients treated with customized lingual systems and to evaluate the clinical effectiveness of miniscrew anchorage. Methods Nine upper first premolar extraction patients who were treated with customized lingual appliances were included in this study. Miniscrews were used for reinforcement of molar anchorage. Cephalometric films and study models were obtained before treatment (T1), after alignment (T2), and after treatment (T3). Treatment effects were analyzed by cephalometric radiographs and study models. Results The upper anterior teeth were retracted significantly at T2 and T3 (4.41 ± 4.14 mm and 5.51 ± 2.48 mm, respectively). During space closure, the upper first molars showed slight mesial movement (1.50 ± 1.97 mm). The intercanine width of the upper arch increased at T2 (1.59 ± 1.81 mm), but decreased at T3 (0.11 ± 1.00 mm). The sella-nasion-A, A-nasion-B, and mandibular plane angles were not significantly changed at T3. The upper lip showed continuous retraction at both T2 and T3 (1.40 ± 1.46 mm and 2.32 ± 2.48 mm, respectively). Conclusions By using miniscrew anchorage for lingual orthodontics, patients’ dental and soft tissue changes considerably improved and molar anchorage was reinforced.
Collapse
Affiliation(s)
- Dawei Liu
- 1 Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China
| | - Jing Li
- 1 Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China
| | - Feifei Lei
- 1 Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China.,2 Sunny Dental Clinic, Shenzhen, China
| | - Xuedong Wang
- 1 Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China
| | - Yanheng Zhou
- 1 Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, China
| |
Collapse
|