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Alhasyimi AA, Syahfik I. Growth Modification of Developing Class II Division 1 Malocclusion Using Myofunctional Appliances. Case Rep Dent 2023; 2023:8201195. [PMID: 37766810 PMCID: PMC10522433 DOI: 10.1155/2023/8201195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Revised: 08/19/2023] [Accepted: 08/26/2023] [Indexed: 09/29/2023] Open
Abstract
Background and Overview. Interceptive orthodontics is a phase of orthodontics that identifies and corrects potential malocclusions in the growing dentofacial complex. At this point, myofunctional appliances are a necessary component. A 9-year-old girl appeared with a Class II division 1, a 6 mm overjet, a 6 mm overbite, a V-shaped maxillary arch, as well as lip hypertonicity, and an overdeveloped maxilla. Myobrace® combines the dental alignment abilities of rigid and soft appliances. Its structure replicates a fixed appliance: the soft outer part acts as the orthodontic wire, whereas the inner hard part engages the teeth individually. After 12 months of treatment, facial photos and a cephalogram were taken, both of which demonstrated an enhancement to the patient's facial profile. Conclusions and Practical Implications. This case demonstrates that Myobrace® may be a simple and good choice to treat skeletal malocclusion with oral habit because of its greater compliance and favorable results. In certain instances, an early approach, taking into account patient preferences and compliance, is practical and should be considered in future treatment planning and research.
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Affiliation(s)
- Ananto Ali Alhasyimi
- Department of Orthodontics, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta, Indonesia
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Manni A, Papi G, Migliorati M. Six years long term evaluation of a class II division 1 patient treated with Herbst appliance and 2 miniscrews in the lower arch as anchorage reinforcement: A case report. Int Orthod 2022; 20:100642. [DOI: 10.1016/j.ortho.2022.100642] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2022] [Revised: 04/30/2022] [Accepted: 05/03/2022] [Indexed: 11/16/2022]
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Cançado RH, Janson G, Tompson B, Alvares JCDC, Valarelli FP, Freitas KMS. Treatment Effects of the Herbst Appliance in Class II Malocclusion Patients after the Growth Peak. Eur J Dent 2020; 15:39-46. [PMID: 32869221 PMCID: PMC7902098 DOI: 10.1055/s-0040-1715789] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/29/2022] Open
Abstract
OBJECTIVE The aim of this study was to evaluate dentoskeletal changes in the treatment of Class II malocclusion with the Herbst Cantilever Bite Jumper (CBJ) appliance, associated with multibracket appliances after the growth peak, at pretreatment. MATERIALS AND METHODS A sample of 37 individuals was divided into two groups: the experimental group comprised 16 patients treated consecutively for a mean period of 2.52 years with the Herbst CBJ appliance associated with multibracket appliances. A total of 21 subjects (10 males and 11 females) with Class II malocclusion and mean age at T1 of 16.08 years were followed for a mean period of 2.12 years composed the control group. Comparisons between the two groups were performed using initial and final lateral cephalograms. Comparisons between experimental and control groups at pretreatment and of the treatment changes were performed by Mann-Whitney or independent t-tests. RESULTS Experimental group exhibited a significantly greater labial inclination of the mandibular incisors in comparison to the control group. Additionally, significantly greater corrections in overbite, overjet, and molar relationship were observed in the experimental than in the control groups. CONCLUSION The effects of the Herbst CBJ appliance, associated with fixed appliances after the growth peak in Class II malocclusion treatment are correction in molar relationship toward a Class I relationship, decrease of the overjet, decrease of the overbite, and mandibular incisors labial inclination.
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Affiliation(s)
- Rodrigo Hermont Cançado
- Department of Restorative Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil.,Department of Orthodontics, Uningá University Center, Maringá, Paraná, Brazil
| | - Guilherme Janson
- Department of Orthodontics, Bauru Dental School, University of São Paulo, Bauru, Brazil
| | - Bryan Tompson
- Department of Orthodontics, Faculty of Dentistry, University of Toronto, Toronto, Canada
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Correlation between Caries, Body Mass Index and Occlusion in an Italian Pediatric Patients Sample: A Transverse Observational Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17092994. [PMID: 32357403 PMCID: PMC7246709 DOI: 10.3390/ijerph17092994] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/25/2020] [Revised: 04/22/2020] [Accepted: 04/24/2020] [Indexed: 12/11/2022]
Abstract
BACKGROUND The aim of this study was to evaluate the correlation between caries, body mass index (BMI) and occlusion in a sample of pediatric patients. METHODS The study group included 127 patients (72 female, 55 male) aged between 6 and 16 years (mean age 10.2) and selected between January and June 2019 at the Department of Pediatric Dentistry, University of Messina. Caries incidence was evaluated using the decayed, missing and filled teeth (DMFT) index. On the basis of BMI values, using a table adjusted for age and gender, patients were grouped into four categories (underweight, normal weight, risk of overweight, overweight). RESULTS There was no significant correlation between BMI and DMFT in the whole sample. The study of the correlation between BMI and DMFT in patients with different types of malocclusion showed a significant inverse correlation for patients affected by II class and deepbite malocclusion. CONCLUSIONS The incidence of caries does not seem to be significantly related to BMI and occlusal patterns, but it decreases with increasing age.
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Militi A, Cicciù M, Sambataro S, Bocchieri S, Cervino G, De Stefano R, Fiorillo L. Dental occlusion and sport performance. ACTA ACUST UNITED AC 2020; 69:112-118. [PMID: 32181617 DOI: 10.23736/s0026-4970.20.04350-2] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
INTRODUCTION In recent years, interest has been given to the relationship between dental occlusion and athletes' performance. A correct occlusion allows for a correct position of the mandible in space and could be reached by wearing a splint made by a dentist. Achieving this condition appears to be an advantage for all athletes, and especially for those who have TMJ dysfunction. The purpose of the study was to investigate the hypothesis and common belief that correcting the occlusion or the use of a splint could improve an athlete's performance. EVIDENCE ACQUISITION A search on electronic database has been performed and obtained 141 results; then, following the application of the inclusion criteria, only 11 articles were selected. EVIDENCE SYNTHESIS A good occlusion seems to be an advantage for the athletes. CONCLUSIONS The use of an occlusal splint should be evaluated in different sports, because the occlusion and TMJ conditions of the athletes are different and the efforts in which they are subjected could not be generalized because the sports have various rules and characteristics that involves the stomatognathic system differently.
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Affiliation(s)
- Angela Militi
- Department of Biomedical and Dental Sciences and Morphological and Functional Imaging, University of Messina, Messina, Italy
| | - Marco Cicciù
- Department of Biomedical and Dental Sciences and Morphological and Functional Imaging, University of Messina, Messina, Italy
| | - Sergio Sambataro
- Section of Orthodontics, Department of Medicine and Surgery, University of Insubria, Varese, Italy
| | - Salvatore Bocchieri
- Section of Orthodontics, Department of Medicine and Surgery, University of Insubria, Varese, Italy
| | - Gabriele Cervino
- Department of Biomedical and Dental Sciences and Morphological and Functional Imaging, University of Messina, Messina, Italy
| | - Rosa De Stefano
- Department of Biomedical and Dental Sciences and Morphological and Functional Imaging, University of Messina, Messina, Italy
| | - Luca Fiorillo
- Department of Biomedical and Dental Sciences and Morphological and Functional Imaging, University of Messina, Messina, Italy -
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Fastuca R, Michelotti A, Nucera R, D’Antò V, Militi A, Logiudice A, Caprioglio A, Portelli M. Midpalatal Suture Density Evaluation after Rapid and Slow Maxillary Expansion with a Low-Dose CT Protocol: A Retrospective Study. MEDICINA (KAUNAS, LITHUANIA) 2020; 56:E112. [PMID: 32150850 PMCID: PMC7143279 DOI: 10.3390/medicina56030112] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/10/2020] [Revised: 02/28/2020] [Accepted: 03/02/2020] [Indexed: 12/16/2022]
Abstract
Background and objectives: The aim of the present paper is to use low-dose computed tomography (CT) to evaluate the changes in the midpalatal suture density in patients treated with rapid maxillary expansion (RME) and slow maxillary expansion (SME). Materials and Methods: Thirty patients (mean age 10.2 ± 1.2 years) were retrospectively selected from the existing sample of a previous study. For each patient, a low-dose computed tomography examination was performed before appliance placement (T0) and at the end of retention (T1), seven months later. Using the collected images, the midpalatal suture density was evaluated in six regions of interest. Results: No significant differences were found between the timepoints in the rapid maxillary expansion group. Three out of six regions of interest showed significant decreases between the timepoints in the slow maxillary expansion group. No significant differences were found in comparisons between the two groups. Conclusions: The midpalatal suture density showed no significant differences when rapid maxillary expansion groups were compared to slow maxillary expansion groups, suggesting that a similar rate of suture reorganization occurs despite different expansion protocols.
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Affiliation(s)
- Rosamaria Fastuca
- Department of Medicine and Surgery, School of Medicine, University of Insubria, Via G. Piatti 10, 21100 Varese, Italy; (R.F.); (A.C.)
| | - Ambra Michelotti
- Section of Orthodontics, Department of Neuroscience, Reproductive Sciences and Oral Sciences, University of Naples Federico II, Via Pansini, 5, 80131 Naples, Italy;
| | - Riccardo Nucera
- Department of Biomedical Sciences, Dentistry and Morphological and Functional Imaging, University of Messina, Via Consolare Valeria 1, 98100, Messina, Italy; (R.N.); (A.M.); (A.L.)
| | - Vincenzo D’Antò
- School of Orthodontics, University of Naples, 80131 Naples, Italy;
| | - Angela Militi
- Department of Biomedical Sciences, Dentistry and Morphological and Functional Imaging, University of Messina, Via Consolare Valeria 1, 98100, Messina, Italy; (R.N.); (A.M.); (A.L.)
| | - Antonino Logiudice
- Department of Biomedical Sciences, Dentistry and Morphological and Functional Imaging, University of Messina, Via Consolare Valeria 1, 98100, Messina, Italy; (R.N.); (A.M.); (A.L.)
| | - Alberto Caprioglio
- Department of Medicine and Surgery, School of Medicine, University of Insubria, Via G. Piatti 10, 21100 Varese, Italy; (R.F.); (A.C.)
| | - Marco Portelli
- Department of Biomedical Sciences, Dentistry and Morphological and Functional Imaging, University of Messina, Via Consolare Valeria 1, 98100, Messina, Italy; (R.N.); (A.M.); (A.L.)
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