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Luchian I, Surlari Z, Goriuc A, Ioanid N, Zetu I, Butnaru O, Scutariu MM, Tatarciuc M, Budala DG. The Influence of Orthodontic Treatment on Periodontal Health between Challenge and Synergy: A Narrative Review. Dent J (Basel) 2024; 12:112. [PMID: 38668024 PMCID: PMC11049074 DOI: 10.3390/dj12040112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2023] [Revised: 02/27/2024] [Accepted: 04/16/2024] [Indexed: 04/28/2024] Open
Abstract
By correctly repositioning teeth, orthodontic therapy improves both the function and appearance of an occlusion. The relationship between teeth and the tissues that surround and support them significantly influences these alterations. With ever more adults seeking orthodontic care, orthodontists are increasingly seeing patients with periodontal issues. Concerns about the patient's appearance, such as uneven gingival margins or functional issues caused by inflammatory periodontal diseases, should be accounted for when designing orthodontic treatment plans. Furthermore, orthodontics may increase the chances of saving and recovering a degraded dentition in cases of severe periodontitis. Today, general dentists, dontists, and orthodontists play integrative roles that enable them to achieve the best possible results for their patients. This review will improve the results of interdisciplinary treatments and increase cooperation between dental specialists by drawing attention to the essential connection between orthodontics and periodontics in regular clinical practice.
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Affiliation(s)
- Ionut Luchian
- Department of Periodontology, Faculty of Dental Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 16 Universității Street, 700115 Iasi, Romania;
| | - Zenovia Surlari
- Department of Prosthodontics, Faculty of Dental Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 16 Universității Street, 700115 Iasi, Romania; (Z.S.); (D.-G.B.)
| | - Ancuta Goriuc
- Department of Biochemistry, Faculty of Dental Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 16 Universității Street, 700115 Iasi, Romania
| | - Nicoleta Ioanid
- Department of Prosthodontics, Faculty of Dental Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 16 Universității Street, 700115 Iasi, Romania; (Z.S.); (D.-G.B.)
| | - Irina Zetu
- Department of Orthodontics, Faculty of Dental Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 16 Universității Street, 700115 Iasi, Romania; (I.Z.); (O.B.)
| | - Oana Butnaru
- Department of Orthodontics, Faculty of Dental Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 16 Universității Street, 700115 Iasi, Romania; (I.Z.); (O.B.)
| | - Monica-Mihaela Scutariu
- Department of Oro-Dental Diagnosis, Faculty of Dental Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 16 Universității Street, 700115 Iasi, Romania;
| | - Monica Tatarciuc
- Department of Dental Technology, Faculty of Dental Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 16 Universității Street, 700115 Iasi, Romania;
| | - Dana-Gabriela Budala
- Department of Prosthodontics, Faculty of Dental Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 16 Universității Street, 700115 Iasi, Romania; (Z.S.); (D.-G.B.)
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2
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Šimunović L, Čekalović Agović S, Marić AJ, Bačić I, Klarić E, Uribe F, Meštrović S. Color and Chemical Stability of 3D-Printed and Thermoformed Polyurethane-Based Aligners. Polymers (Basel) 2024; 16:1067. [PMID: 38674987 PMCID: PMC11054520 DOI: 10.3390/polym16081067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2024] [Revised: 04/10/2024] [Accepted: 04/10/2024] [Indexed: 04/28/2024] Open
Abstract
The significant rise in the use of clear aligners for orthodontic treatment is attributed to their aesthetic appeal, enhancing patient appearance and self-confidence. The aim of this study is to evaluate the aligners' response to common staining agents (coffee, black tea, Coca-Cola, and Red Bull) in color and chemical stability. Polyurethane-based thermoformed and 3D-printed aligners from four brands were exposed to common beverages to assess color change using a VITA Easyshade compact colorimeter after 24 h, 48 h, 72 h, and 7 days, as well as chemical stability using ATR-FTIR spectroscopy. The brand, beverage, and manufacturing method significantly influence color stability. ATR-FTIR analysis revealed compositional differences, with variations in response to beverage exposure affecting the integrity of polymer bonds. Color change analysis showed coffee as the most potent staining agent, particularly affecting Tera Harz TC85 aligners, while ClearCorrect aligners exhibited the least susceptibility. 3D-printed aligners showed a greater color change compared to thermoformed ones. Aligners with a PETG outer layer are more resistant to stains and chemical alterations than those made of polyurethane. Additionally, 3D-printed polyurethane aligners stain more than thermoformed ones. Therefore, PETG-layered aligners are a more reliable choice for maintaining the aesthetic integrity of aligners.
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Affiliation(s)
- Luka Šimunović
- Department of Orthodontics, School of Dental Medicine, University of Zagreb, 10000 Zagreb, Croatia;
| | | | - Antun Jakob Marić
- Faculty of Mechanical Engineering and Naval Architecture, University of Zagreb, 10000 Zagreb, Croatia;
| | - Ivana Bačić
- Forensic Science Centre “Ivan Vučetić”, Ministry of the Interior, 10000 Zagreb, Croatia;
| | - Eva Klarić
- Department of Endodontics and Restorative Dentistry, School of Dental Medicine, University of Zagreb, 10000 Zagreb, Croatia;
| | - Flavio Uribe
- Department of Orthodontics, School of Dental Medicine, University of Connecticut, Farmington, CT 06030, USA;
| | - Senka Meštrović
- Department of Orthodontics, School of Dental Medicine, University of Zagreb, 10000 Zagreb, Croatia;
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Zhang M, Zhang P, Koh JT, Oh MH, Cho JH. Evaluation of Aligners and Root Resorption: An Overview of Systematic Reviews. J Clin Med 2024; 13:1950. [PMID: 38610714 PMCID: PMC11012294 DOI: 10.3390/jcm13071950] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2024] [Revised: 03/21/2024] [Accepted: 03/25/2024] [Indexed: 04/14/2024] Open
Abstract
Background: To evaluate the current evidence on clear aligners and root resorption using 3D and/or combined 2D and 3D methods from available systematic reviews and meta-analyses and to determine the relationship between root resorption and clear aligners using the AMSTAR 2 tool. Methods: A comprehensive literature search of systematic reviews investigating aligners and root resorption, published up until 31 December 2022, was conducted. The following electronic databases were searched: MEDLINE via PubMed, EMBASE, Google Scholar, Science Direct, Web of Science, Scopus, LIVIVO, and LILACS. There were no language restrictions. The inclusion criteria were restricted to studies focusing on root resorption utilizing either 3D methods exclusively or a combination of 2D and 3D techniques. Data were screened and analyzed for quality using the "A Measurement Tool to Assess Systematic Reviews (AMSTAR 2)" tool. Data extraction was conducted independently by two authors. The gathered information was categorized and synthesized narratively based on the primary findings elucidated within the reviews. Results: Out of a total of 1221 potentially eligible studies initially identified, 4 systematic reviews met the inclusion criteria following the exclusion of irrelevant studies. Among these, two systematic reviews (50%) were classified as low-quality, while the remaining two (50%) were deemed to be of critically low quality. Conclusions: Based on the findings of four systematic reviews, the root resorption rate was lower with the use of clear aligners than with fixed aligners. It is advisable to approach the interpretation of this conclusion with caution, as the quality of the available evidence is assessed to be very low. Higher quality systematic reviews are needed to substantiate this conclusion.
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Affiliation(s)
- Meiling Zhang
- Department of Orthodontics, School of Dentistry, Chonnam National University, Gwangju 61186, Republic of Korea;
| | - Peng Zhang
- Department of Prosthodontics, School of Dentistry, Chonnam National University, Gwangju 61186, Republic of Korea;
| | - Jeong-Tae Koh
- Department of Pharmacology and Dental Therapeutics, Hard-Tissue Biointerface Research Center, School of Dentistry, Dental Science Research Institute, Chonnam National University, Gwangju 61186, Republic of Korea;
| | - Min-Hee Oh
- Department of Orthodontics, School of Dentistry, Dental 4D Research Institute, Dental Science Research Institute, Chonnam National University, Gwangju 61186, Republic of Korea;
| | - Jin-Hyoung Cho
- Department of Orthodontics, School of Dentistry, Dental 4D Research Institute, Dental Science Research Institute, Chonnam National University, Gwangju 61186, Republic of Korea;
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Chauhan A, Mishra N, Patil D, Shinde Kamble S, Sureshkumar Soni J, Gaikwad SS, Singh R. Impact of Orthodontic Treatment on the Incidence of Dental Caries in Adolescents: A Prospective Cohort Study. Cureus 2024; 16:e55898. [PMID: 38595882 PMCID: PMC11002693 DOI: 10.7759/cureus.55898] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2024] [Accepted: 03/07/2024] [Indexed: 04/11/2024] Open
Abstract
BACKGROUND Orthodontic treatment is a widely embraced intervention aimed at enhancing dental aesthetics and correcting malocclusions among adolescents. However, concerns persist regarding its potential impact on oral health, particularly on the development of dental caries. This study aimed to systematically investigate the relationship between orthodontic treatment and the incidence of new carious lesions among adolescents. METHODS A prospective cohort design involving adolescents aged 12-18 years was employed. A total of 82 patients met the inclusion criteria. In addition, an age-matched control group of 82 participants who did not undergo orthodontic treatment was included. The study included both a treatment group undergoing orthodontic treatment (braces or aligners) and an age-matched control group that did not undergo any orthodontic intervention. Demographic characteristics, orthodontic treatment details, and oral hygiene practices were documented at baseline and throughout the study period. Dental examinations at six-month intervals post-treatment were conducted to track the incidence and progression of carious lesions. RESULTS The demographic characteristics, baseline oral health status, orthodontic treatment details, and oral hygiene practices were comparable between the treatment and control groups. Post-orthodontic treatment assessment revealed a slightly higher incidence of new carious lesions in the treatment group (14.6%) than in the control group (9.8%), although this difference was not statistically significant (p = 0.15). Dental examinations at six-month intervals demonstrated a gradual increase in caries incidence over time in both groups, with no substantial disparities observed. CONCLUSIONS This study provides a comprehensive examination of the relationship between orthodontic treatment and the incidence of new carious lesions among adolescents. While a trend towards higher caries incidence in the treatment group was observed, the difference was not statistically significant. These findings contribute to the existing body of knowledge and emphasize the need for ongoing research to guide clinical practice.
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Affiliation(s)
| | - Nidhi Mishra
- Oral Medicine and Radiology, Bhabha Dental College, Bhopal, IND
| | - Dipooja Patil
- Conservative Dentistry and Endodontics, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Navi Mumbai, IND
| | | | | | - Shashank S Gaikwad
- Orthodontics, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Navi Mumbai, IND
| | - Ramanpal Singh
- Oral Medicine and Radiology, New Horizon Dental College and Research Institute, Bilaspur, IND
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Pinheiro IS, Guedes CRS, Apolinário AB, Faria FRD, Mota Júnior SL, Phiton MM, Campos MJDS, Vitral RWF. Civil liability of orthodontists and aligner manufacturers in the treatment with orthodontic aligners. Dental Press J Orthod 2024; 29:e24spe1. [PMID: 38359315 PMCID: PMC10871073 DOI: 10.1590/2177-6709.29.1.e24spe1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2023] [Accepted: 01/03/2024] [Indexed: 02/17/2024] Open
Abstract
INTRODUCTION The use of clear aligners as an alternative to fixed orthodontic appliances has become popular due to the aesthetic demands of adult patients seeking orthodontic treatment. However, orthodontists' lack of knowledge about the legal consequences of their activities, and the lack of solid scientific evidence raise concerns regarding civil liability in this type of treatment. Marketing campaigns of manufacturing companies often exaggerate promises of results, and ignore the lack of scientific evidence. Patients, as consumers, are protected by the Consumer Protection Code, whereas orthodontists are considered treatment providers. Therefore, they can be held liable for damage caused to patients, whether by subjective or objective fault. OBJECTIVE This article aims to identify the civil responsibilities of orthodontists and aligner manufacturing companies, by means of a literature review, providing basic legal guidance to help professionals protect themselves from possible lawsuits related to treatment with orthodontic aligners. CONCLUSIONS The study highlights the importance of knowledge of legal notions in treatments with orthodontic aligners by orthodontists, who should legally safeguard themselves through individual written contracts, avoiding obligation of results. In addition, in cases of legal claims, it is possible that the manufacturing companies are jointly and severally liable for possible damages claimed by the patient.
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Affiliation(s)
- Isabela Sales Pinheiro
- Universidade Federal de Juiz de Fora, Faculdade de Odontologia, Programa de Pós-Graduação em Odontologia (Juiz de Fora/MG, Brazil)
| | - Cleverson Raymundo Sbarzi Guedes
- Universidade Federal de Juiz de Fora, Faculdade de Odontologia, Programa de Pós-Graduação em Odontologia (Juiz de Fora/MG, Brazil)
| | - Analina Braga Apolinário
- Universidade Federal de Juiz de Fora, Faculdade de Odontologia, Programa de Pós-Graduação em Odontologia (Juiz de Fora/MG, Brazil)
| | - Fernanda Ramos de Faria
- Universidade Federal de Juiz de Fora, Faculdade de Odontologia, Programa de Pós-Graduação em Odontologia (Juiz de Fora/MG, Brazil)
| | - Sergio Luiz Mota Júnior
- Universidade Federal de Juiz de Fora, Faculdade de Odontologia, Programa de Pós-Graduação em Odontologia (Juiz de Fora/MG, Brazil)
| | - Matheus Melo Phiton
- Universidade Estadual do Sudoeste da Bahia, Departamento de Saúde (Jequié/BA, Brazil)
| | - Marcio José da Silva Campos
- Universidade Federal de Juiz de Fora, Faculdade de Odontologia, Departamento de Odontologia Social e Infantil (Juiz de Fora/MG, Brazil)
| | - Robert Willer Farinazzo Vitral
- Universidade Federal de Juiz de Fora, Faculdade de Odontologia, Departamento de Odontologia Social e Infantil (Juiz de Fora/MG, Brazil)
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Kaur H, Khurelbaatar T, Mah J, Heo G, Major PW, Romanyk DL. In vitro biomechanics of divot use, and their placement, in orthodontic aligner therapy. Orthod Craniofac Res 2024. [PMID: 38299945 DOI: 10.1111/ocr.12760] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/16/2024] [Indexed: 02/02/2024]
Abstract
INTRODUCTION To evaluate biomechanics of an aligner utilizing divots and the effect of their vertical placement on the right maxillary central incisor. METHODS An in vitro Orthodontic SIMulator (OSIM) was used to test forces and moments generated by aligners incorporating divots. The OSIM arch was scanned to generate a. STL version that was modified to create four models by placing divots on different positions of the right central maxillary incisor: GI - divots on gingival-third of lingual surface and incisal-third of labial surface; GM - divots on gingival-third of lingual surface and middle-third of labial surface; MI - divots on middle-third of lingual surface and incisal-third of labial surface; MM - divots on middle-third of lingual surface and middle-third of labial surface. Aligners (n = 30/model) were fabricated using a 0.75 mm thick polyethylene terephthalate material and Biostar® machine following the manufacturer's recommendations. A one-way MANOVA followed by one-way ANOVA (α = 0.05) was utilized to test effect of models on buccolingual force (Fy) and mesiodistal moment (Mx) at 0.20 mm of lingual displacement of the right maxillary central incisor. RESULTS Mean Mx for GI (-5.68 ± 7.38 Nmm), GM (3.75 ± 5.54 Nmm), MI (-4.27 ± 1.48 Nmm) and MM (1.96 ± 0.99 Nmm) models showed statistical differences between GI and GM, GI and MM, GM and MI and MI and MM. GI exerted the largest Fy (1.87 ± 0.75 N) followed by GM (1.10 ± 0.47 N), MI (0.70 ± 0.23 N) and MM (0.28 ± 0.08 N) with significant differences between GI and GM, GI and MI, GI and MM and GM and MM models. CONCLUSIONS Vertical divot placement on a right central incisor had a significant effect on aligner biomechanics. Buccolingual forces exerted by models GI, GM and MI were within the range suggested by literature for bodily tooth movement without major root tipping for GM and MI models.
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Affiliation(s)
- Harsimrat Kaur
- Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada
| | - Tsolmonbaatar Khurelbaatar
- Faculty of Engineering - Mechanical Engineering Department, University of Alberta, Edmonton, Alberta, Canada
| | - James Mah
- School of Dental Medicine, University of Nevada, Las Vegas, Nevada, USA
| | - Giseon Heo
- Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada
| | - Paul W Major
- Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada
| | - Dan L Romanyk
- Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada
- Faculty of Engineering - Mechanical Engineering Department, University of Alberta, Edmonton, Alberta, Canada
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Narongdej P, Hassanpour M, Alterman N, Rawlins-Buchanan F, Barjasteh E. Advancements in Clear Aligner Fabrication: A Comprehensive Review of Direct-3D Printing Technologies. Polymers (Basel) 2024; 16:371. [PMID: 38337260 DOI: 10.3390/polym16030371] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2023] [Revised: 01/25/2024] [Accepted: 01/25/2024] [Indexed: 02/12/2024] Open
Abstract
Clear aligners have revolutionized orthodontic treatment by offering an esthetically driven treatment modality to patients of all ages. Over the past two decades, aligners have been used to treat malocclusions in millions of patients worldwide. The inception of aligner therapy goes back to the 1940s, yet the protocols to fabricate aligners have been continuously evolved. CAD/CAM driven protocol was the latest approach which drastically changed the scalability of aligner fabrication-i.e., aligner mass production manufacturing. 3D printing technology has been adopted in various sectors including dentistry mostly because of the ability to create complex geometric structures at high accuracy while reducing labor and material costs-for the most part. The integration of 3D printing in dentistry has been across, starting in orthodontics and oral surgery and expanding in periodontics, prosthodontics, and oral implantology. Continuous progress in material development has led to improved mechanical properties, biocompatibility, and overall quality of aligners. Consequently, aligners have become less invasive, more cost-effective, and deliver outcomes comparable to existing treatment options. The promise of 3D printed aligners lies in their ability to treat malocclusions effectively while providing esthetic benefits to patients by remaining virtually invisible throughout the treatment process. Herein, this review aims to provide a comprehensive summary of studies regarding direct-3D printing of clear aligners up to the present, outlining all essential properties required in 3D-printed clear aligners and the challenges that need to be addressed. Additionally, the review proposes implementation methods to further enhance the effectiveness of the treatment outcome.
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Affiliation(s)
- Poom Narongdej
- Department of Mechanical and Aerospace Engineering, California State University Long Beach, Long Beach, CA 90840, USA
- Institute of Mathematical Sciences, Claremont Graduate University, Claremont, CA 91711, USA
| | - Mana Hassanpour
- Department of Chemical Engineering, California State University Long Beach, Long Beach, CA 90840, USA
| | - Nicolas Alterman
- Department of Mechanical and Aerospace Engineering, California State University Long Beach, Long Beach, CA 90840, USA
| | | | - Ehsan Barjasteh
- Department of Mechanical and Aerospace Engineering, California State University Long Beach, Long Beach, CA 90840, USA
- Department of Chemical Engineering, California State University Long Beach, Long Beach, CA 90840, USA
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Mattle M, Zinelis S, Polychronis G, Makou O, Panayi N, Papageorgiou SN, Eliades T. Effect of heat treatment and nitrogen atmosphere during post-curing on mechanical properties of 3D-printed orthodontic aligners. Eur J Orthod 2024; 46:cjad074. [PMID: 38073597 PMCID: PMC10783146 DOI: 10.1093/ejo/cjad074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2024]
Abstract
OBJECTIVES Three-dimensional (3D)-printed aligners present a promising orthodontic treatment modality, whose clinical success largely depends on the material's mechanical properties. The aim of this study was to evaluate the mechanical properties of resin-made 3D-printed aligners and assess the effect of two different post-curing conditions. MATERIALS AND METHODS Forty dumbbell-shaped specimens and 40 resin aligners were 3D-printed and divided into four equal groups according to post-curing conditions: presence or absence of oxygen during post-curing and water heat treatment at 85°C for 15 s or none. Samples from the central incisor of the aligner (n = 5/group) were studied by Attenuated Total Reflection Fourier-transform infrared spectroscopy (ATR-FTIR). The dumbbell-shaped specimens were loaded up to fracture under tensile mode and yield strength, ultimate tensile strength, elastic and plastic strain were calculated. The first mandibular molar area from 3D-printed aligners (n = 10/group) was cut and embedded in acrylic resin and then underwent metallographic grinding and polishing followed by instrumented indentation testing to determine the following mechanical properties: Martens hardness, indentation modulus, elastic index, and indentation relaxation. After descriptive statistics, differences according to each post-curing protocol, as well as their combination, were analyzed with linear regression modeling at a 5% significance level. RESULTS All groups showed identical ATR-FTIR spectra, while no statistically significant effects were seen for either post-curing protocol (N2 presence and heat treatment) or their combination (P > .05 in all instances). CONCLUSIONS The mechanical properties of 3D-printed resin aligners were not considerably affected either by post-curing in N2 atmosphere or heat treatment.
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Affiliation(s)
- Mélanie Mattle
- Clinic of Orthodontics and Pediatric Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland
| | - Spiros Zinelis
- Department of Biomaterials, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece
| | - Georgios Polychronis
- Department of Biomaterials, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece
| | - Olga Makou
- Department of Biomaterials, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece
| | - Nearchos Panayi
- Clinic of Orthodontics and Pediatric Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland
- Department of Dentistry, European University Cyprus, Nicosia, Cyprus
| | - Spyridon N Papageorgiou
- Clinic of Orthodontics and Pediatric Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland
| | - Theodore Eliades
- Clinic of Orthodontics and Pediatric Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland
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Koletsi D, Panayi N, Laspos C, Athanasiou AE, Zinelis S, Eliades T. In vivo aging-induced surface roughness alterations of Invisalign ® and 3D-printed aligners. J Orthod 2023; 50:352-360. [PMID: 36573484 PMCID: PMC10693732 DOI: 10.1177/14653125221145948] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2022] [Revised: 11/23/2022] [Accepted: 11/30/2022] [Indexed: 12/03/2023]
Abstract
OBJECTIVE To assess the surface roughness of in-house 3D-printed orthodontic aligners compared with Invisalign® appliances, both retrieved as well as in the 'as-received' control status. DESIGN An in vitro study following intra-oral material aging. SETTING AND PARTICIPANTS Twelve clinically used Invisalign® appliances and the same number of 3D-printed aligners, without involvement of attachments, were obtained from a respective number of patients. A similar number of 'as-received' aligners, of each material, were used as control (CON) groups. METHOD Four groups of materials were examined: A = Invisalign® CON; B = Invisalign® used; C = 3D-printed CON; and D = 3D-printed used. Optical profilometry was employed to examine the following surface roughness parameters: amplitude parameters Sa, Sq and Sz and functional parameters Sc and Sv. Descriptive statistics and quantile regression modeling were conducted, and the level of statistical significance was set at α = 0.05. RESULTS Intra-oral exposure of 3D-printed aligners was significantly associated with increase in all tested parameters (P < 0.001 at all occasions). Significant differences were detected in the retrieved 3D-printed aligners compared with Invisalign® retrieved, with the exception of Sz. The respective effect sizes (median differences) were as follows: Sa: 169 nm, 95% confidence interval [CI] = 89-248, P < 0.001; Sq: 315 nm, 95% CI = 152-477, P < 0.001; Sc: 233 nm3/nm2, 95% CI = 131-335, P < 0.001; and Sv: 43 nm3/nm2, 95% CI = 17-68, P = 0.002. CONCLUSION Within the limitations of this study, we concluded that surface roughness differences existed between 3D-printed aligners and Invisalign® in the retrieved status, as well as between the control and retrieved 3D-printed groups.
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Affiliation(s)
- Despina Koletsi
- Clinic of Orthodontics and Pediatric Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland
| | - Nearchos Panayi
- Clinic of Orthodontics and Pediatric Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland
- Department of Dentistry, School of Medicine, European University Cyprus, Nicosia, Cyprus
- Private practice, Limassol, Cyprus
| | - Christodoulos Laspos
- Department of Dentistry, School of Medicine, European University Cyprus, Nicosia, Cyprus
- Private practice, Limassol, Cyprus
| | | | - Spiros Zinelis
- Department of Biomaterials, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece
| | - Theodore Eliades
- Clinic of Orthodontics and Pediatric Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland
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Véliz Méndez S, Baeza M, Krämer Strenger S. Impression technique modification and oral contracture release surgery for orthodontic treatment in a patient with severe microstomia due to recessive dystrophic epidermolysis bullosa. Spec Care Dentist 2023; 43:689-695. [PMID: 36504454 DOI: 10.1111/scd.12808] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Revised: 11/16/2022] [Accepted: 11/18/2022] [Indexed: 09/13/2023]
Abstract
INTRODUCTION Epidermolysis bullosa (EB) is a group of genetic disorders characterized by fragility of the skin and mucosal membranes. Dystrophic EB (DEB) is caused by mutations in the gene coding for type VII collagen. Among the most frequent oral manifestations in Recessive DEB (RDEB) are oral ulcers and blisters, absence of tongue papillae and palatal rugae, ankyloglossia, oral vestibule obliteration, and microstomia. The following report describes a modified impression technique used in a patient with severe RDEB and severe microstomia to obtain models for orthodontic treatment with aligners. CASE REPORT A 25-year-old female patient with severe RDEB was referred for orthodontic treatment. Severe microstomia (8 mm), hindered the use of conventional trays or intraoral scanners to design the aligners. Therefore, a contracture release surgery in combination with a modified impression technique was performed to obtain an optimal impression and subsequent aligners for orthodontic treatment. DISCUSSION This case presents an alternative strategy to provide orthodontic treatment with aligners in patients with severe microstomia due to severe RDEB. Reports of orthodontic treatment in people living with EB, especially in RDEB, are still rare, with few publications about fixed braces, early teeth extraction and removable devices, and none using aligners. Most of the impression techniques reported are aimed at oral rehabilitation. The multidisciplinary approach and impression technique reported should broaden the alternatives of orthodontic techniques provided to patients with EB and severe microstomia. CONCLUSIONS This article describes an oral contracture release surgery and modified impression technique for obtaining good quality impression for the design of orthodontic aligners in patients with severe microstomia due to severe RDEB.
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Affiliation(s)
- Sebastián Véliz Méndez
- Special Care Dentistry Unit, Faculty of Dentistry, University of Chile, Santiago, Chile
- Faculty of Medicine and Dentistry, University of Santiago de Compostela, Santiago, Spain
| | - Mauricio Baeza
- Special Care Dentistry Unit, Faculty of Dentistry, University of Chile, Santiago, Chile
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Alam MK, Kanwal B, Shqaidef A, Alswairki HJ, Alfawzan AA, Alabdullatif AI, Aalmunif AN, Aljrewey SH, Alothman TA, Shrivastava D, Srivastava KC. A Systematic Review and Network Meta-Analysis on the Impact of Various Aligner Materials and Attachments on Orthodontic Tooth Movement. J Funct Biomater 2023; 14:jfb14040209. [PMID: 37103299 PMCID: PMC10141153 DOI: 10.3390/jfb14040209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2023] [Revised: 03/21/2023] [Accepted: 04/06/2023] [Indexed: 04/28/2023] Open
Abstract
The majority of patients strongly favor the use of aligners in the present time, especially with the advancement in esthetic dentistry. Today's market is flooded with aligner companies, many of which share the same therapeutic ethos. We therefore carried out a systematic review and network meta-analysis to evaluate research that had looked at various aligner materials and attachments and their effect on orthodontic tooth movement in relevant studies. A total of 634 papers were discovered after a thorough search of online journals using keywords such as "Aligners", "Orthodontics", "Orthodontic attachments", "Orthodontic tooth movement", and "Polyethylene" across databases such as PubMed, Web of Science, and Cochrane. The authors individually and in parallel carried out the database investigation, removal of duplicate studies, data extraction, and bias risk. The statistical analysis demonstrated that the type of aligner material had a significant impact on orthodontic tooth movement. The low level of heterogeneity and significant overall effect further support this finding. However, there was little effect of attachment size or shape on tooth mobility. The examined materials were primarily concerned with influencing the physical/physicochemical characteristics of the appliances and not tooth movement directly. Invisalign (Inv) had a higher mean value than the other types of materials that were analyzed, which suggested a potentially greater impact on orthodontic tooth movement. However, its variance value indicated that there was also greater uncertainty associated with the estimate compared to some of the other plastics. These findings could have important implications for orthodontic treatment planning and aligner material selection. Registration: This review protocol was registered on the International Prospective Register of Systematic Reviews (PROSPERO; registration number: CRD42022381466).
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Affiliation(s)
- Mohammad Khursheed Alam
- Orthodontic Division, Preventive Dentistry Department, College of Dentistry, Jouf University, Sakaka 72345, Saudi Arabia
- Department of Dental Research Cell, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Chennai 602105, India
- Department of Public Health, Faculty of Allied Health Sciences, Daffodil lnternational University, Dhaka 1216, Bangladesh
| | - Bushra Kanwal
- Practicing in Dental Clinic, Al Baha 65511, Saudi Arabia
| | - Abedalrahman Shqaidef
- Department of Clinical Sciences, Center of Medical and Bio-Allied Health Sciences Research, College of Dentistry, Ajman University, Ajman 346, United Arab Emirates
| | | | - Ahmed Ali Alfawzan
- Department of Preventive Dentistry, College of Dentistry in Ar Rass, Qassim University, Ar Rass 52571, Saudi Arabia
| | | | | | | | | | - Deepti Shrivastava
- Periodontics Division, Preventive Dentistry Department, College of Dentistry, Jouf University, Sakaka 72345, Saudi Arabia
| | - Kumar Chandan Srivastava
- Oral Medicine & Maxillofacial Radiology Division, Department of Oral & Maxillofacial Surgery & Diagnostic Sciences, College of Dentistry, Jouf University, Sakaka 72345, Saudi Arabia
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Malpartida-Pacheco MI, Dulanto-Vargas JA. [Comparison of the outcome of orthodontic dental movement using aligners versus fixed orthodontics: a review]. Rev Cient Odontol (Lima) 2023; 11:e154. [PMID: 38288450 PMCID: PMC10809973 DOI: 10.21142/2523-2754-1102-2023-154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2023] [Accepted: 05/29/2023] [Indexed: 01/31/2024] Open
Abstract
Introduction The aligners have become a preferred alternative in terms of orthodontic treatment, surpassing the choice of conventional brackets, due to the comfort and aesthetics that the aligners represent, however, the final result with this system continues to be a controversial issue. The objective of this review was to verify the effectiveness of the treatment completed with aligners versus conventional brackets. Materials and methods An exhaustive search was carried out in the PubMed, ScienceDirect, Scopus and Embase databases up to the date of January 5, 2023, including comparative studies that evaluated the final result and treatment time of the aligners compared to conventional braces. Two researchers carefully selected the articles evaluated and analyzed different key topics on the subject. Results In this study, 8 articles were included, according to the studies, the vast majority did not find significant differences in completion between the compared groups. In addition to this, the treatment time in 3 articles was faster with aligners, in 3 articles it was faster with conventional brackets, and in one article no significant difference was found, so it is not yet established whether a system is faster than the other. Conclusions Both aligners and conventional fixed orthodontics had good results at the end of orthodontic treatment and presented a similar treatment time, however, the majority of treated cases belonged to malocclusions of medium to low complexity, so these cannot be generalized. findings to all malocclusions.
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Affiliation(s)
- Mónica Ivette Malpartida-Pacheco
- División de Ortodoncia, Universidad Científica del Sur. Lima, Perú. Universidad Científica del Sur División de Ortodoncia Universidad Científica del Sur Lima Peru
| | - Julissa Amparo Dulanto-Vargas
- Research Group in Dental Sciences, Carrera de Estomatología, Universidad Científica del Sur. Lima, Perú. Universidad Científica del Sur Carrera de Estomatología Universidad Científica del Sur Lima Peru
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Selvaraj M, Mohaideen K, Sennimalai K, Gothankar GS, Arora G. Effect of oral environment on contemporary orthodontic materials and its clinical implications. J Orthod Sci 2023; 12:1. [PMID: 37351388 PMCID: PMC10282513 DOI: 10.4103/jos.jos_73_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2022] [Revised: 11/08/2022] [Accepted: 11/18/2022] [Indexed: 06/24/2023] Open
Abstract
Contemporary orthodontics entails using advanced materials and devices, simplifying the process of tooth movement. It is well documented that orthodontic materials are subjected to various fluctuations and stresses in the oral environment, such as salivary pH, dietary habits, temperature changes, and masticatory loads. These changes reduce bonding materials' longevity, plasticize resin polymers, and reduce elastic properties. In addition, the corrosion of orthodontic appliances in the oral environment has concerned clinicians for some time. This is focused on two principal issues: whether corrosion products are absorbed into the body and cause either localized or systemic effects, and the results of corrosion on the physical properties and the clinical performance of orthodontic appliances. Recently, another major concern is the potential release of bisphenol-A from materials containing polymers such as thermoplastic aligners and resins, which is known to induce xenoestrogenicity and cytotoxicity when the tissue level exceeds the daily recommended intake. However, most of these findings are based on in vitro studies that suffer from serious drawbacks such as failure to replicate the exact oral environment and process during orthodontic treatment. Therefore, developing clinically relevant methods should be the goal of future research related to the aging of orthodontic materials. The purpose of this review is to outline the impact of the oral environment on contemporary orthodontic materials.
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Affiliation(s)
- Madhanraj Selvaraj
- Division of Orthodontics and Dentofacial Deformities, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Kaja Mohaideen
- Department of Dentistry, All India Institute of Medical Sciences, Bilaspur, Himachal Pradesh, India
| | - Karthik Sennimalai
- Department of Orthodontics, All India Institute of Medical Sciences, Vijaypur, Jammu, India
| | - Greeshma Shantharam Gothankar
- Division of Orthodontics and Dentofacial Deformities, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
| | - Garima Arora
- Division of Orthodontics and Dentofacial Deformities, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India
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Jedliński M, Mazur M, Greco M, Belfus J, Grocholewicz K, Janiszewska-Olszowska J. Attachments for the Orthodontic Aligner Treatment-State of the Art-A Comprehensive Systematic Review. Int J Environ Res Public Health 2023; 20:4481. [PMID: 36901488 PMCID: PMC10001497 DOI: 10.3390/ijerph20054481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/12/2023] [Revised: 02/25/2023] [Accepted: 03/01/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND In recent years the burden of aligner treatment has been growing. However, the sole use of aligners is characterized by limitations; thus attachments are bonded to the teeth to improve aligner retention and tooth movement. Nevertheless, it is often still a challenge to clinically achieve the planned movement. Thus, the aim of this study is to discuss the evidence of the shape, placement and bonding of composite attachments. METHODS A query was carried out in six databases on 10 December 2022 using the search string ("orthodontics" OR "malocclusion" OR "Tooth movement techniques AND ("aligner*" OR "thermoformed splints" OR "invisible splint*" AND ("attachment*" OR "accessor*" OR "auxill*" AND "position*"). RESULTS There were 209 potential articles identified. Finally, twenty-six articles were included. Four referred to attachment bonding, and twenty-two comprised the influence of composite attachment on movement efficacy. Quality assessment tools were used according to the study type. CONCLUSIONS The use of attachments significantly improves the expression of orthodontic movement and aligner retention. It is possible to indicate sites on the teeth where attachments have a better effect on tooth movement and to assess which attachments facilitate movement. The research received no external funding. The PROSPERO database number is CRD42022383276.
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Affiliation(s)
- Maciej Jedliński
- Department of Interdisciplinary Dentistry, Pomeranian Medical University in Szczecin, 70-111 Szczecin, Poland
- Department of Dental and Maxillofacial Sciences, Sapienza University of Rome, 00161 Rome, Italy
| | - Marta Mazur
- Department of Interdisciplinary Dentistry, Pomeranian Medical University in Szczecin, 70-111 Szczecin, Poland
- Department of Dental and Maxillofacial Sciences, Sapienza University of Rome, 00161 Rome, Italy
| | - Mario Greco
- Department of Paediatric Dentistry, University of L’Aquila, 67100 L’Aquila, Italy
| | - Joyce Belfus
- Faculty of Dentistry, Universidad de los Andes, Santiago 7620001, Chile
| | - Katarzyna Grocholewicz
- Department of Interdisciplinary Dentistry, Pomeranian Medical University in Szczecin, 70-111 Szczecin, Poland
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Adeyemi TE, Adekoya MN, Aikins EA. Assessment of the willingness of Nigerian Orthodontists to offer face-to-face orthodontic services to patients infected with Covid-19. Afr Health Sci 2023; 23:51-58. [PMID: 37545907 PMCID: PMC10398480 DOI: 10.4314/ahs.v23i1.7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/08/2023] Open
Abstract
Introduction Efforts to contain the spread of the COVID-19 disease led to suspension of many services which caused orthodontists to resort to providing only emergency services. The aims of this study were to assess the willingness of Nigerian Orthodontists and Orthodontic resident doctors to treat patients infected with Covid-19 as well as to ascertain advice given regarding traumatic arch wires and aligners during the pandemic. Participants and study design This was a descriptive cross-sectional study. We included dentists who were Orthodontists and orthodontic resident doctors practicing in Nigeria. Data was collected via an online questionnaire (Google form) which was sent three times weekly throughout May/June, 2020 and analysed using SPSS version 23. Descriptive statistics were used to analyse the data. Results Forty-eight out of the 90 members of the WhatsApp group responded within the allotted time, giving a response rate of 53.3%. Out of a total of 48 respondents, 39 (81.3%) were unwilling to treat patients infected with COVID-19 during the pandemic. The major reason was fear of infection with the virus (12, 25.0%). Most of the respondents (41, 55.4%) suggested the use of wax for relief of trauma from arch wires. Conclusion Majority of Orthodontists and orthodontic residents practicing in Nigeria expressed unwillingness to treat patients infected with COVID-19. Aligner therapy was proffered as an alternative to bracket therapy.
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Affiliation(s)
- Tope Emmanuel Adeyemi
- Department of Child Dental Health, Faculty of Dentistry, Bayero University, Kano/ Aminu Kano Teaching Hospital, Kano
| | - Monica Ndudi Adekoya
- Department of Child Dental Health, University of Calabar/ University of Calabar Teaching Hospital
| | - Elfleda Angelina Aikins
- Department of Child Dental Health, College of Health Sciences, University of Port Harcourt/ University of Port Harcourt Teaching Hospital
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D’Antò V, Valletta R, Ferretti R, Bucci R, Kirlis R, Rongo R. Predictability of Maxillary Molar Distalization and Derotation with Clear Aligners: A Prospective Study. Int J Environ Res Public Health 2023; 20:2941. [PMID: 36833638 PMCID: PMC9957205 DOI: 10.3390/ijerph20042941] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Revised: 02/05/2023] [Accepted: 02/06/2023] [Indexed: 06/18/2023]
Abstract
Clear aligners are employed daily for the treatment of Class II malocclusions, when a valid option involves distalization and derotation of the upper first and second molars. Evidence regarding the predictability of these movements is slight, and the treatment outcome that clinicians plan may not be achieved. Therefore, the purpose of this study is to assess the accuracy of distalization and derotation with clear aligners. Geomagic Control X, a 3D quality control software, was used to superimpose digital models of the pre-treatment, post-treatment, and virtual plan (ideal post-treatment) measurements of 16 patients (4 M, 12 F; mean age 25.7 ± 8.8 years). Linear and angular measurement tools were used to calculate the amount of tooth movement prescribed and achieved. Distal displacement of the buccal cusps had an overall accuracy of 69% for the first molar and 75% for the second molar. The accuracy of molar derotation was higher for the first molar (77.5%) than for the second molar (62.7%). The aligners were not able to achieve 100% of the ideal post-treatment result; thus, planning of refinements is often needed. However, clear aligners can be regarded as a valuable option for the distalization of first and second molars.
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Affiliation(s)
- Vincenzo D’Antò
- School of Orthodontics, Department of Neurosciences, Reproductive Sciences and Oral Sciences, University of Naples Federico II, Via Pansini, 5, 80131 Naples, Italy
| | - Rosa Valletta
- School of Orthodontics, Department of Neurosciences, Reproductive Sciences and Oral Sciences, University of Naples Federico II, Via Pansini, 5, 80131 Naples, Italy
| | - Roberto Ferretti
- School of Orthodontics, Department of Neurosciences, Reproductive Sciences and Oral Sciences, University of Naples Federico II, Via Pansini, 5, 80131 Naples, Italy
| | - Rosaria Bucci
- School of Orthodontics, Department of Neurosciences, Reproductive Sciences and Oral Sciences, University of Naples Federico II, Via Pansini, 5, 80131 Naples, Italy
| | | | - Roberto Rongo
- School of Orthodontics, Department of Neurosciences, Reproductive Sciences and Oral Sciences, University of Naples Federico II, Via Pansini, 5, 80131 Naples, Italy
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Alam MK, Abutayyem H, Kanwal B, A L Shayeb M. Future of Orthodontics-A Systematic Review and Meta-Analysis on the Emerging Trends in This Field. J Clin Med 2023; 12. [PMID: 36675459 DOI: 10.3390/jcm12020532] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2022] [Revised: 12/24/2022] [Accepted: 01/04/2023] [Indexed: 01/11/2023] Open
Abstract
Technology is rapidly evolving in the modern world, and the accompanying developments due to its influence are shaping each and every aspect of our life, with the field of orthodontics being no exception. This systematic review and meta-analysis aimed to examine such trends in orthodontics and hypothesize which ones would emerge and continue in the near future. After a thorough search of online journals using keywords such as "3D printing," "Aligners," "Artificial intelligence," "Future trends," "Orthodontics," and "Teleorthodontics" across databases of PubMed-MEDLINE, Web of Science, Cochrane, and Scopus, a total of 634 papers were initially recovered. Technological advancements in 3D printing, Computer-aided design and Computer-aided manufacturing (CAD/CAM), biopolymers and Teleorthodontics were the most important categories of development seen across the 17 studies that we selected for our review. All the investigations selected for this systematic review depicted aspects of orthodontics that were influenced by rapid technological changes and could potentially become mainstream in the coming times. However, caution was sought to be observed in the usage/adoption of some of these trends, with social media usage amongst both patients as well as orthodontists being a prime example of this.
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18
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Greco M, Machoy M. Impacted Canine Management Using Aligners Supported by Orthodontic Temporary Anchorage Devices. Int J Environ Res Public Health 2022; 20:131. [PMID: 36612451 PMCID: PMC9819862 DOI: 10.3390/ijerph20010131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Revised: 11/29/2022] [Accepted: 12/11/2022] [Indexed: 06/17/2023]
Abstract
INTRODUCTION Temporary anchorage devices (TADs) represent an essential instrument under difficult anchorage conditions, especially when the procedure is approached with an aligner technique. The objective of this paper is to describe a possible sequence of orthodontic treatment of impacted canines with aligners supported by orthodontic mini-screws. MATERIALS AND METHODS The resolution of impacted canines requires a specific clinical sequence constituted by different steps: the space creation, the surgical exposure, and the orthodontic traction (on the horizontal, vertical, and buccal direction). Following this sequence, two different clinical scenarios can be identified following the space available and the initial malocclusion. The first scenario is constituted by recreating the space for the impacted canine along with the correction of the malocclusion by means of an aligner system and then approaching the de-impaction with TADs. The second clinical scenario is related to the canine-first approach, an immediate de-impaction stage based solely on the use of TADs and sectional wires, and then a finishing phase with aligners. RESULTS Both approaches to the treatment of impacted canines can be considered reliable, but of course selecting one or the other depends on the space available in the upper arch and on the initial malocclusion. CONCLUSIONS The use of aligners in the treatment of impacted canines in combination with TADs and sectional wires represents a viable alternative option to the conventional systems for canine disinclusion. When the treatment is managed with the presented approaches, no further cooperation with the patient is required in order to support the forced eruption, and an ideal biomechanical approach can be easily applied with one or two mini-screws.
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Affiliation(s)
- Mario Greco
- Postgraduate School of Orthodontics, University of Ferrara, Via Fossato di Mortara, 44100 Ferrara, Italy
| | - Monika Machoy
- Department of Periodontology, Pomeranian Medical University, ul. Powstańców Wielkopolskich 72, 70-111 Szczecin, Poland
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Muacevic A, Adler JR, Kesri R, Ukey A, Joshi C, Hardiya H. Recent Advanced Diagnostic Aids in Orthodontics. Cureus 2022; 14:e31921. [PMID: 36579292 PMCID: PMC9792639 DOI: 10.7759/cureus.31921] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Accepted: 11/24/2022] [Indexed: 11/28/2022] Open
Abstract
Everyone aspires to have a youthful appearance, complete with a beaming grin. By treating skeletal and dental malocclusions that interfere with facial aesthetics, orthodontics helps patients attain a beautiful face and a smile they will be proud of. The diagnosis of the underlying illness or condition serves as the basis for all medical, dental, and surgical operations. Dental professionals all across the world have reaped the benefits of a major scientific advance in recent years. Many measurements may now be seen and quantified more easily using computer-assisted cephalometry. The accuracy and high quality of all dental materials have been enhanced thanks to computer-aided design and computer-aided manufacture. There have been several developments in the realm of orthodontics. The growing use of technology in recent years has transformed every sector, including medicine and dentistry. From Angle's time to today's nanorobotic age, orthodontic ideas, biomaterials, and technology have evolved greatly. It has been extensively utilized for diagnosis, treatment planning, three-dimensional printing, appliance systems, digital storage, integration, and data retrieval. The technology used in orthodontics is always getting better, and this article aims to give an overview of the most recent changes.
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Meazzini MC, Tortora C, Cohen N, Mazzoleni F, Balbo N, Donati V, Autelitano L. Comparison of the psychosocial impact on patients affected by cranio facial anomalies between traditional orthodontic brackets and aligners. Int J Adolesc Med Health 2022; 34:357-365. [PMID: 32866118 DOI: 10.1515/ijamh-2020-0117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2020] [Accepted: 07/21/2020] [Indexed: 06/11/2023]
Abstract
OBJECTIVES Malocclusion affects the psychological wellness and social interaction, impacting negatively on adolescents' quality of life and self-esteem. Facial attractiveness is mostly based on the esthetics of the smile and patients seek orthodontic treatment mainly to improve aesthetics. The aim of this prospective clinical study is to compare the psychosocial impact of aligners (AL) and fixed appliances (FA) as orthodontic treatments in patients affected by craniofacial anomalies (CFA). METHODS 100 syndromic Caucasian patients with CFA followed in two different hospitals were divided in two groups: 50 patients treated with AL and 50 patients treated with FA. The two groups were matched for gender, age and CFA and filled out a modified psychosocial impact of dental aesthetics questionnaire (mPIDAQ). RESULTS Patients affected by CFA treated with AL reported a better psychosocial impact than patients treated with FA, showing higher esthetic self-perception and self-esteem, lower social interaction impairments, and lower physical/practical disturbances. CONCLUSIONS The results of this study suggest that AL could be a valid alternative, especially in complex patients with CFA. Since AL application requires more cooperative patients the orthodontist should dedicate more time to motivate the patient to adhere to the treatment schedule.
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Affiliation(s)
| | - Chiara Tortora
- Smile-House, Santi Paolo and Carlo Hospital, Via di Rudinì 8, 20142 Milan, Italy
| | - Noah Cohen
- Smile-House, Santi Paolo and Carlo Hospital, Via di Rudinì 8, 20142 Milan, Italy
| | | | - Nicoletta Balbo
- Department of Social and Political Sciences, Dondena Centre for Research on Social Dynamics and Public Policies, Bocconi University, Milan, Italy
| | - Vera Donati
- Smile-House, Santi Paolo and Carlo Hospital, Via di Rudinì 8, 20142 Milan, Italy
| | - Luca Autelitano
- Smile-House, Santi Paolo and Carlo Hospital, Via di Rudinì 8, 20142 Milan, Italy
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Santonocito S, Polizzi A. Oral Microbiota Changes during Orthodontic Treatment. Front Biosci (Elite Ed) 2022; 14:19. [PMID: 36137992 DOI: 10.31083/j.fbe1403019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Revised: 03/09/2022] [Accepted: 03/09/2022] [Indexed: 06/16/2023]
Abstract
Orthodontic treatment has become increasingly popular due to its benefits in improving facial and smile aesthetics, self-esteem and the function of the stomatognathic apparatus. However, orthodontic appliances make it more difficult to brush teeth effectively, as they interfere with tooth brushing and facilitate the accumulation of dental plaque (biofilm), which induces a quantitative and qualitative change in the oral microbiota. It can cause several adverse effects, such as gingivitis, periodontitis, white spot lesions (WSL), caries and halitosis, induced by an increase in periodontopathogenic and cariogenic bacteria. Therefore, this article resumes the main findings on the changes in the oral microbiota induced by different orthodontic appliances (removable, fixed and clear aligners) and gives some practical strategies in order to reduce the impact and/or incidence of local dental/periodontal complications.
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Affiliation(s)
- Simona Santonocito
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, 95124 Catania, Italy
| | - Alessandro Polizzi
- Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, University of Catania, 95124 Catania, Italy
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Ramirez-Diaz RE, Moscoso-Sivirichi K, Consoli-Senno M. Root resorption followed by orthodontic treatment in individuals with anterior open bite. A complete vision focused on different treatment alternatives: A review. Rev Cient Odontol (Lima) 2022; 10:e118. [PMID: 38389549 PMCID: PMC10880703 DOI: 10.21142/2523-2754-1003-2022-118] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2022] [Accepted: 09/04/2022] [Indexed: 02/24/2024] Open
Abstract
The aim of this review was to determine the incidence of different types of treatment and the prevalence of root resorption in incisors induced by orthodontic treatment in patients with open bite. Libraries and electronic databases were searched, with 322 articles being selected and 55 articles considered regarding PRISMA checklist. It has been shown that apical root resorption of the incisors is more frequent in patients with premolar extractions than in those treated without extractions, due to greater apical displacement during retraction of the anterior teeth in the space closure phase. On the other hand, it has been described that intrusion of posterior teeth is four times more likely to cause root resorption than extrusion movement, thereby increasing the risk of root resorption in posterior teeth compared to conventional orthodontic treatment not requiring molar intrusions. Finally, aligners, such as orthodontic treatments with fixed appliances, have not been shown to induce clinically significant root resorption in open bite individuals. Literature on root resorption in open bite treatments is scarce making difficult conclusions difficult. However, the amount of root loss in cases of open bite seems to be similar to that of individuals without open bite.
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Affiliation(s)
- Ruth Elizabeth Ramirez-Diaz
- School of Dentistry, San Martin de Porres University, Lima, Peru. Universidad de San Martín de Porres School of Dentistry San Martin de Porres University Lima Peru
| | - Karen Moscoso-Sivirichi
- School of Dentistry, Alas Peruanas University, Lima, Peru. Universidad Alas Peruanas School of Dentistry Alas Peruanas University Lima Peru
| | - Michella Consoli-Senno
- School of Dentistry, Cayetano Heredia University, Lima, Peru. Universidad Peruana Cayetano Heredia School of Dentistry Cayetano Heredia University Lima Peru
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Liao TH, Fang JCC, Wang IK, Huang CS, Chen HL, Yen TH. Characteristics and Dental Indices of Orthodontic Patients Using Aligners or Brackets. Int J Environ Res Public Health 2022; 19:ijerph19116569. [PMID: 35682154 PMCID: PMC9180771 DOI: 10.3390/ijerph19116569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/27/2022] [Revised: 05/20/2022] [Accepted: 05/26/2022] [Indexed: 11/24/2022]
Abstract
Background. Clear aligners have become a treatment alternative to metal brackets in recent years due to the advantages of aesthetics, comfort, and oral health improvement. Nevertheless, few studies have analyzed the clinical characteristics and dental indices of orthodontic patients using aligners or brackets. Methods. A total of 170 patients received orthodontic treatment at Chang Gung Memorial Hospital in 2021. Patients were stratified by types of treatment (Invisalign® clear aligner (n = 60) or metal bracket (n = 110). Results: Patients were aged 26.1 ± 7.2 years, and most were female (75.0%). The Invisalign® group was older than the bracket group (p = 0.003). The skeletal relationships were mainly Class I (49.4%), followed by Class II (30.0%) and Class III (20.6%). The molar relationships were primarily Class I (38.8%), followed by Class II (37.1%) and Class III (24.1%). The decayed, missing, and filled tooth (DMFT) index was 9.9 ± 6.0, including 2.1 ± 2.9 for decayed teeth, 0.5 ± 1.1 for missing teeth, and 7.3 ± 4.3 for filled teeth. There were no significant differences in the DMFT index or skeletal and molar relationships between the groups (p > 0.05). The index of complexity outcome and need (ICON) was 56.8 ± 13.5, and the score was lower in the Invisalign® group than in the bracket group (p = 0.002). Among the variables included in the ICON assessment, only the aesthetic variable was lower in the Invisalign® group than in the bracket group (p < 0.001). The Frankfort-mandibular plane angle was 27.9 ± 5.1 degrees. Finally, the E-line of the lower lip was lower in the Invisalign® group than in the bracket group (1.5 ± 2.4 versus 2.8 ± 3.1, p = 0.005). Conclusions. Older patients showed a greater intention to choose Invisalign® treatment for improving the appearance of their teeth than younger patients, who chose metal bracket treatment. The demand for Invisalign® aligner treatment for aesthetic reasons was substantial. A soft tissue profile with more protrusive lower lips and a greater need for orthodontic treatment was found in the bracket group.
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Affiliation(s)
- Tzu-Han Liao
- Department of Dentistry and Craniofacial Orthodontics, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan 333, Taiwan;
| | - Jason Chen-Chieh Fang
- School of Medicine, College of Medicine, Chung Shan Medical University, Taichung 402, Taiwan;
| | - I-Kuan Wang
- Department of Nephrology, China Medical University Hospital, Taichung 404, Taiwan;
- College of Medicine, China Medical University, Taichung 406, Taiwan
| | - Chiung-Shing Huang
- Craniofacial Research Center, Department Craniofacial Orthodontics, Chang Gung Memorial Hospital, Taipei 105, Taiwan;
| | - Hui-Ling Chen
- Department of Dentistry and Craniofacial Orthodontics, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan 333, Taiwan;
- Correspondence: (H.-L.C.); (T.-H.Y.)
| | - Tzung-Hai Yen
- College of Medicine, Chang Gung University, Taoyuan 333, Taiwan
- Clinical Poison Center, Department of Nephrology, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan 333, Taiwan
- Correspondence: (H.-L.C.); (T.-H.Y.)
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Perrotti G, Carrafiello A, Rossi O, Karanxha L, Baccaglione G, Del Fabbro M. Clinical Use of Aligners Associated with Nuvola ® OP System for Transverse Maxillary Deficiency: A Retrospective Study on 100 Patients. Int J Environ Res Public Health 2022; 19:ijerph19095751. [PMID: 35565146 PMCID: PMC9103427 DOI: 10.3390/ijerph19095751] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Revised: 05/05/2022] [Accepted: 05/07/2022] [Indexed: 01/26/2023]
Abstract
Introduction: Aligners represent a common treatment for orthodontic patients thanks to their countless advantages including aesthetics, comfort, and oral hygiene maintenance; at the same time, they are associated with a reduced number of visits and a low incidence of complications. Although aligners have undergone considerable improvements over time, to date they have limitations in resolving the most serious malocclusions related to transverse maxillary deficiency. The aim of the present study was to retrospectively evaluate an orthodontic protocol (the Nuvola® OP System) which associates a morpho-functional corrector (to be used for 30 min/day) with the aligner, allowing for the treatment of cases that would be difficult or unpredictable with aligners alone. Methods: Linear measurements were taken on STL files of 100 patients. In 77 patients between 18 and 55 years (mean 28.6 ± 16.2 (standard deviation) years), 3D superimpositions of the maxilla obtained from intraoral scans before and after treatment were performed in order to evaluate the degree of maxillary expansion. The normality of the data distribution was tested. The pre- and post-treatment data were compared using a paired t-test with a 5% significance level. After treatment, a questionnaire was proposed to assess patients’ degree of satisfaction and compliance. Results: A statistically significant difference (p < 0.05) for each distance evaluated was found. The maximum expansion was obtained at the first molar level (2.35 ± 1.64 mm). Of the subjects who completed the questionnaire, 96% were satisfied and 90% were able to perform the protocol without difficulty for the required duration. Conclusions: A significant expansion of the maxillary arch as well as a high degree of patient satisfaction and compliance were observed with the Nuvola® OP System. Further studies are needed in order to clinically evaluate the relative contribution of the aligners and morpho-functional device to the obtained expansion.
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Affiliation(s)
| | | | - Ornella Rossi
- Lake Como Institute, 22100 Como, Italy; (G.P.); (O.R.)
| | - Lorena Karanxha
- Department of Biomedical, Surgical and Dental Sciences, Università degli Studi di Milano, 20122 Milano, Italy;
| | | | - Massimo Del Fabbro
- Department of Biomedical, Surgical and Dental Sciences, Università degli Studi di Milano, 20122 Milano, Italy;
- IRCCS Orthopedic Institute Galeazzi, Via Riccardo Galeazzi 4, 20161 Milan, Italy
- Correspondence: ; Tel.: +39-02-50319950; Fax: +39-02-50319960
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25
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D’Antò V, Bucci R, De Simone V, Huanca Ghislanzoni L, Michelotti A, Rongo R. Evaluation of Tooth Movement Accuracy with Aligners: A Prospective Study. Materials (Basel) 2022; 15:ma15072646. [PMID: 35407978 PMCID: PMC9000684 DOI: 10.3390/ma15072646] [Citation(s) in RCA: 17] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/21/2022] [Revised: 03/28/2022] [Accepted: 04/02/2022] [Indexed: 01/05/2023]
Abstract
Background. Clear aligners treatment (CAT) is a common solution in orthodontics to treat both simple and complex malocclusions. This study aimed to evaluate the predictability of CAT, comparing the virtually planned and the achieved tooth movement at the end of stage 15, which is often the time of first refinement. Methods. Seventeen patients (mean age: 28.3 years) were enrolled in the study. Torque, tip and rotation were analyzed in 238 maxillary teeth on digital models at Pre-treatment (T0), at the end of stage 15 (T15) and at virtually planned stage 15 (T15i). Prescription, Achieved movement and performance values were calculated to compare the virtually planned and the clinical tooth position. Data were analyzed by means of Student’s t test with a level of significance set at p < 0.05. Results. The largest iper-performance was the torque correction of the second molars (+2.3° ± 3.1°), the greatest under-performance was the tip correction of the first molars (−2.3° ± 3.3°), while rotation corrections of all the teeth showed more accurate performance. No significant differences were found between mean Prescription and mean Achieved movement for all the assessed movements (p < 0.05). Conclusions. An accurate evaluation of CAT after the 15th aligner is fundamental in order to individuate the movements that are not matching the digital set-up.
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Affiliation(s)
- Vincenzo D’Antò
- Department of Neuroscience, Reproductive Sciences and Oral Sciences, University of Naples “Federico II”, 80138 Naples, Italy; (R.B.); (V.D.S.); (A.M.); (R.R.)
- Correspondence:
| | - Rosaria Bucci
- Department of Neuroscience, Reproductive Sciences and Oral Sciences, University of Naples “Federico II”, 80138 Naples, Italy; (R.B.); (V.D.S.); (A.M.); (R.R.)
| | - Vincenzo De Simone
- Department of Neuroscience, Reproductive Sciences and Oral Sciences, University of Naples “Federico II”, 80138 Naples, Italy; (R.B.); (V.D.S.); (A.M.); (R.R.)
| | | | - Ambrosina Michelotti
- Department of Neuroscience, Reproductive Sciences and Oral Sciences, University of Naples “Federico II”, 80138 Naples, Italy; (R.B.); (V.D.S.); (A.M.); (R.R.)
| | - Roberto Rongo
- Department of Neuroscience, Reproductive Sciences and Oral Sciences, University of Naples “Federico II”, 80138 Naples, Italy; (R.B.); (V.D.S.); (A.M.); (R.R.)
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26
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Cohen-Lévy J, Boulos C, Rompré P, Montpetit A, Kerstein RB. Is the quality of occlusal contacts comparable after aligner and fixed orthodontic therapy? A non-randomized cohort comparison using computerized occlusal analysis during 6 months of retention. Cranio 2022:1-13. [PMID: 35362367 DOI: 10.1080/08869634.2022.2056688] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
OBJECTIVE Less than ideal contacts have been reported following aligner therapy, but it is considered a transitory problem, spontaneously resolving with the phenomenon of settling. Methods: Thirty-nine orthodontic patients (14 treated with aligners; 25 with fixed appliances) were evaluated with a digital occlusal analysis system (T-scan™10), assessing Maximum Intercuspation contact simultaneity, symmetry, and relative force distribution at treatment completion and after 3 and 6 months. RESULTS No significant differences in occlusal contact quality were found between groups at treatment completion or follow-up. The center of force moved posteriorly and remained stable after 3 months but was located more anteriorly in females (p = 0.01). One-third of patients (both groups combined) had marked contact force asymmetry even after 6 months' retention. Conclusion: Occlusal contacts were comparable at completion of treatment with aligners or brackets and after 3-6 months of retention. Settling did not improve marked asymmetry in all patients.
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Affiliation(s)
- Julia Cohen-Lévy
- Orthodontic Clinic, Faculty of Dental Medicine and Oral Health Sciences, McGill University, MTL, Quebec, Canada
| | - Colette Boulos
- Orthodontic Clinic, Faculty of Dental Medicine and Oral Health Sciences, McGill University, MTL, Quebec, Canada
| | - Pierre Rompré
- Orthodontic Clinic, Faculty of Dental Medicine and Oral Health Sciences, McGill University, MTL, Quebec, Canada
| | - Andrée Montpetit
- Orthodontic Clinic, Faculty of Dental Medicine and Oral Health Sciences, McGill University, MTL, Quebec, Canada
| | - Robert Barry Kerstein
- Former Asst. Professor, Department of Restorative Dentistry, Tufts University School of Dental Medicine, Boston, MA USA
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27
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Brüning RS, Tombor L, Schulz MH, Dimmeler S, John D. Comparative analysis of common alignment tools for single-cell RNA sequencing. Gigascience 2022; 11:6515741. [PMID: 35084033 PMCID: PMC8848315 DOI: 10.1093/gigascience/giac001] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2021] [Revised: 10/07/2021] [Accepted: 12/27/2021] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND With the rise of single-cell RNA sequencing new bioinformatic tools have been developed to handle specific demands, such as quantifying unique molecular identifiers and correcting cell barcodes. Here, we benchmarked several datasets with the most common alignment tools for single-cell RNA sequencing data. We evaluated differences in the whitelisting, gene quantification, overall performance, and potential variations in clustering or detection of differentially expressed genes. We compared the tools Cell Ranger version 6, STARsolo, Kallisto, Alevin, and Alevin-fry on 3 published datasets for human and mouse, sequenced with different versions of the 10X sequencing protocol. RESULTS Striking differences were observed in the overall runtime of the mappers. Besides that, Kallisto and Alevin showed variances in the number of valid cells and detected genes per cell. Kallisto reported the highest number of cells; however, we observed an overrepresentation of cells with low gene content and unknown cell type. Conversely, Alevin rarely reported such low-content cells. Further variations were detected in the set of expressed genes. While STARsolo, Cell Ranger 6, Alevin-fry, and Alevin produced similar gene sets, Kallisto detected additional genes from the Vmn and Olfr gene family, which are likely mapping artefacts. We also observed differences in the mitochondrial content of the resulting cells when comparing a prefiltered annotation set to the full annotation set that includes pseudogenes and other biotypes. CONCLUSION Overall, this study provides a detailed comparison of common single-cell RNA sequencing mappers and shows their specific properties on 10X Genomics data.
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Affiliation(s)
- Ralf Schulze Brüning
- Institute of Cardiovascular Regeneration, Theodor-Stern-Kai 7, 60590 Frankfurt, Germany.,Cardio-Pulmonary Institute (CPI), Theodor-Stern-Kai 7, 60590 Frankfurt, Germany
| | - Lukas Tombor
- Institute of Cardiovascular Regeneration, Theodor-Stern-Kai 7, 60590 Frankfurt, Germany.,German Center for Cardiovascular Research (DZHK), Potsdamer Str. 58 10785 Berlin, Germany
| | - Marcel H Schulz
- Institute of Cardiovascular Regeneration, Theodor-Stern-Kai 7, 60590 Frankfurt, Germany.,Cardio-Pulmonary Institute (CPI), Theodor-Stern-Kai 7, 60590 Frankfurt, Germany.,German Center for Cardiovascular Research (DZHK), Potsdamer Str. 58 10785 Berlin, Germany
| | - Stefanie Dimmeler
- Institute of Cardiovascular Regeneration, Theodor-Stern-Kai 7, 60590 Frankfurt, Germany.,Cardio-Pulmonary Institute (CPI), Theodor-Stern-Kai 7, 60590 Frankfurt, Germany.,German Center for Cardiovascular Research (DZHK), Potsdamer Str. 58 10785 Berlin, Germany
| | - David John
- Institute of Cardiovascular Regeneration, Theodor-Stern-Kai 7, 60590 Frankfurt, Germany.,Cardio-Pulmonary Institute (CPI), Theodor-Stern-Kai 7, 60590 Frankfurt, Germany
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Behyar M, Ratzmann A, Shojaei Khatouni S, Quasthoff M, Pink C, Ladisch J, Krey KF. Modular 3D printable orthodontic measuring apparatus for force and torque measurements of thermoplastic/removable appliances. BIOMED ENG-BIOMED TE 2021; 66:593-601. [PMID: 34695307 DOI: 10.1515/bmt-2020-0294] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2020] [Accepted: 10/01/2021] [Indexed: 12/28/2022]
Abstract
The magnitude of forces and moments applied on teeth during orthodontic treatment is crucial to achieve the desired tooth movement. The aim of this study is to introduce a modular 3D printable orthodontic measurement apparatus (M3DOMA), which can be used for measurements of forces and moments acting on teeth during treatment with aligners. The measurement device was characterized regarding signal to noise ratio (SNR) of the sensors, repeatability of measurements, influence of thermoforming, as well as reliability. Forces and moments were evaluated for an activation range of 0.1-0.4 mm, comparing them among different activation patterns with two aligner thicknesses. The sensors exhibited a SNR from 13-33 dB. Repeatability with repeated measurements showed standard deviations ≤0.015 N and 0.769 Nmm. The influence of thermoforming represented by standard deviation of forces ranges from 0.019-0.147 N. The device showed a range of intra class correlation (ICC) for repeated measurements for all sensors from 0.932 to 0.999. Hence the reliability of the device has been proven to be excellent.
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Affiliation(s)
- Masoud Behyar
- Departments of Orthodontics and Dentofacial Orthopedics, University Medicine Greifswald, Center for Oral Health, Greifswald, Germany
| | - Anja Ratzmann
- Departments of Orthodontics and Dentofacial Orthopedics, University Medicine Greifswald, Center for Oral Health, Greifswald, Germany
| | | | - Maximilian Quasthoff
- Faculty of Mechanical Engineering, University of Applied Sciences, Stralsund, Germany
| | - Christiane Pink
- Departments of Orthodontics and Dentofacial Orthopedics, University Medicine Greifswald, Center for Oral Health, Greifswald, Germany
| | - Jens Ladisch
- Faculty of Mechanical Engineering, University of Applied Sciences, Stralsund, Germany
| | - Karl-Friedrich Krey
- Departments of Orthodontics and Dentofacial Orthopedics, University Medicine Greifswald, Center for Oral Health, Greifswald, Germany
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Bresolato D, Volpato A, Favero L, Favero R. Effect of Water-Based Disinfectants or Air-Drying on Dimensional Changes in a Thermoplastic Orthodontic Aligner. Materials (Basel) 2021; 14:ma14247850. [PMID: 34947444 PMCID: PMC8703843 DOI: 10.3390/ma14247850] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/11/2021] [Revised: 12/14/2021] [Accepted: 12/16/2021] [Indexed: 12/03/2022]
Abstract
The polymer structure of thermoplastic materials currently used to make aligners is altered by the oral conditions and this negatively affects their capacity to move teeth. This study aimed to compare different options for storing aligners when not in use by superimposing successive 3D images to identify which storage method least affects material shape and weight. Fifty PET-G aligners, produced using the CA Digital method, were divided into four groups (1A, 1B, 1C, and 2D) and were stored for 18 h a day in artificial saliva at 37 °C. Then, to mimic their storage conditions when not in use, aligners in group 1A were immersed for the remaining 8 hours a day in bicarbonate solution, those in group 1B in chlorhexidine solution, those in group 1C in distilled water, and those in group 2D were stored dry. The samples were scanned at the baseline (before the immersion cycles began) and again two weeks later. The digital scans were superimposed and the median deformation, its variability, and weight differences were recorded for each group. Statistical analysis showed aligner deformation (expansion) in all three groups stored in wet conditions, with a statistically significant difference between groups 1A and 1C. Aligners in group 2D shrank slightly, and to a significantly greater degree with respect to group 1C. Variability in the degree of deformation was similar among the three groups stored in wet conditions, but significantly greater in group 2D. Weight gains were recorded in all four groups, the smallest in group 2D and the largest in group 1A. Storing aligners in dry conditions promoted lower deformation in the material, involving a slight shrinkage, whereas wet storage conditions caused an expansion of the aligner, especially when distilled water is used.
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30
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Saccomanno S, Laganà D, Mastrapasqua R, Giancaspro S, Manenti RJ, Saran S. The relationship between TMJ symptoms and orthodontic treatments: a survey on 236 orthodontic patients. J BIOL REG HOMEOS AG 2021; 35:197-204. [PMID: 34289679 DOI: 10.23812/21-3supp1-22] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The study analyzes how and if temporomandibular joint symptoms are influenced by different types of orthodontic therapy. Two-hundred-and-thirty-six adult orthodontic patients treated by different clinicians, were asked to complete a survey in which factors as the age, the gender and the type of device were considered. The questions were about the typical symptoms of temporomandibular disorders, in particular headache, bruxism, clenching, pain while opening the mouth and joint's noise. It was highlighted if these symptoms changed during the therapy and if they increased or decreased. The answers to our questionnaire revealed that the only statistically significative difference was related to bruxism, because we found a higher rate in patients treated with aligners than patients treated with metal braces, so we can suggest the fixed technique in the orthodontic patient who suffers of bruxism, even if further studies are required.
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Affiliation(s)
- S Saccomanno
- Department of Life, Health and Environmental Sciences, University of L'Aquila, Italy
| | - D Laganà
- Catholic University of the Sacred Heart, Rome, Italy
| | | | - S Giancaspro
- Department of Life, Health and Environmental Sciences, University of L'Aquila, Italy
| | - R J Manenti
- Department of Life, Health and Environmental Sciences, University of L'Aquila, Italy
| | - S Saran
- Catholic University of the Sacred Heart, Rome, Italy
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Antonio-Zancajo L, Montero J, Garcovich D, Alvarado-Lorenzo M, Albaladejo A, Alvarado-Lorenzo A. Comparative Analysis of Periodontal Pain According to the Type of Precision Orthodontic Appliances: Vestibular, Lingual and Aligners. A Prospective Clinical Study. Biology (Basel) 2021; 10:379. [PMID: 33924818 DOI: 10.3390/biology10050379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/01/2021] [Revised: 04/24/2021] [Accepted: 04/27/2021] [Indexed: 11/17/2022]
Abstract
The objective of this prospective clinical study was to analyze the pain (intensity, location and type) that patients presented after the placement of different types of orthodontic appliances: conventional, low friction, lingual and aligners. The sample consisted of 120 patients divided into four groups: conventional (CON), low friction (LF), lingual (LO) and aligners (INV). The participants were given the Short-Form McGill Pain Questionnaire (Ortho-SF-MPQ), where they had to record the pain intensity (no pain, mild, moderate or intense) and the periodontal location at different time points, from the first 4 h to 7 days after the start of treatment. In all the study groups, the most frequent location was both anterior arches, with maximum values between 56.7% (CON group at 24 h) and 30% (LO group at 4 h). The "whole mouth" and "complete lower arch" locations were indicated only by the patients in the lingual group. Regarding pain intensity, the patients reported a higher percentage of mild-moderate pain during the first 3 days of treatment (96.7% in LO at 4 h, 86.7% in CON, 83.3% in LF and 90% in INV at 24 h); later, the reported pain decreased to no pain/mild pain, especially in the lingual group, until reaching values close to zero at 7 days post-treatment. The most frequent type of pain was acute in the low friction and lingual groups (with maxima of 60% and 46.7% at 24 h, respectively). On the contrary, in the conventional (36.7% at 4 h) and Invisalign (40% at 24 h) groups, the sensitive type was the most frequent. There are differences regarding periodontal pain in its intensity, location and type according to the use of different orthodontic techniques.
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32
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Gvozdeva LM, Danilova MA, Alexandrova LI, Dmitrienko IV. [The results of orthodontic treatment using aligners from the perspective of quality of life of patients with dentoalveolar anomalies]. Stomatologiia (Mosk) 2021; 100:73-75. [PMID: 33874665 DOI: 10.17116/stomat202110002173] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
THE AIM OF THE STUDY WAS TO ANALYZE The impact of morphological and functional dental components on the quality of life of adult patients undergoing orthodontic treatment using clear aligners. MATERIALS AND METHODS Morphological and functional results of orthodontic treatment with aligners as well as the dynamics of oral health related quality of life was assessed in 55 patients aged from 20 to 25 years. RESULTS The study of the efficacy of orthodontic treatment with aligners showed significant improvement of morphological and functional features of dental arches as well as oral health related quality of life in the course of treatment. CONCLUSION Orthodontic treatment with aligners is efficient for achieving morphological and functional improvement and enhances social adaptation of patients by increasing oral health related quality of life.
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Affiliation(s)
- L M Gvozdeva
- Medical Stomatological Institute, Moscow, Russia
| | - M A Danilova
- Wagner Perm State Medical University, Perm, Russia
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Tektas S, Thurnheer T, Eliades T, Attin T, Karygianni L. Initial Bacterial Adhesion and Biofilm Formation on Aligner Materials. Antibiotics (Basel) 2020; 9:antibiotics9120908. [PMID: 33333723 PMCID: PMC7765154 DOI: 10.3390/antibiotics9120908] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2020] [Revised: 12/09/2020] [Accepted: 12/11/2020] [Indexed: 12/17/2022] Open
Abstract
The present study aims to assess the initial bacterial adhesion and biofilm formation on different aligner materials. A total of four different aligner materials, CA-medium (CAM), copolyester (COP), Duran (DUR), Erkodur (ERK), were tested. Stimulated human saliva was obtained from six healthy volunteers. Salivary bacteria were harvested by centrifugation, and 1 mL of the salivary suspension was injected onto each sample surface for 2 h and 3 days, respectively. The samples were then washed twice with 5 mL 0.9% NaCl solution, and non-adherent bacteria were removed. The adherent microorganisms were dislodged from the sample surfaces after ultrasonication for 4 min in 1 mL 0.9% NaCl on ice. After the incubation of the adherent salivary bacteria under both aerobic and anaerobic conditions on Columbia blood agar plates at 37 °C and 5% CO2 and in anaerobic jars overnight, several dilutions thereof were used for the determination of CFUs. This protocol was applied three times, obtaining an average of nine independent measurements for each material group. Overall, the differences between the tested aligner materials as well as between the materials and controls were not of statistical significance (p > 0.05). Regarding initial bacterial attachment and biofilm formation, the tested aligner materials are comparable to enamel and metal orthodontic brackets and can be therefore considered for clinical use. The four tested aligner materials CAM, COP, DUR, ERK showed no significant differences in initial microbial attachment and biofilm formation of aerobic and anaerobic species compared to enamel and conventional brackets.
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Affiliation(s)
- Sibel Tektas
- Clinic of Orthodontics and Paediatric Dentistry, Center of Dental Medicine, University of Zurich, 8032 Zurich, Switzerland; (S.T.); (T.E.)
| | - Thomas Thurnheer
- Clinic of Conservative and Preventive Dentistry, Center of Dental Medicine, University of Zurich, 8032 Zurich, Switzerland; (T.T.); (T.A.)
| | - Theodore Eliades
- Clinic of Orthodontics and Paediatric Dentistry, Center of Dental Medicine, University of Zurich, 8032 Zurich, Switzerland; (S.T.); (T.E.)
| | - Thomas Attin
- Clinic of Conservative and Preventive Dentistry, Center of Dental Medicine, University of Zurich, 8032 Zurich, Switzerland; (T.T.); (T.A.)
| | - Lamprini Karygianni
- Clinic of Conservative and Preventive Dentistry, Center of Dental Medicine, University of Zurich, 8032 Zurich, Switzerland; (T.T.); (T.A.)
- Correspondence: ; Tel.: +41-44-634-3275
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Kau CH, Wang Z, Wang J, Krishnan DG. Contemporary management of an orthodontic-orthognathic patient with limited time availability in an orthodontic office setting: Case report. J Orthod 2020; 47:257-264. [PMID: 32588700 DOI: 10.1177/1465312520934488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
INTRODUCTION This case report describes the treatment of a 21-year-old man who presented in an orthodontic office for treatment but lived in a city 100 miles away and wanted the orthognathic surgery in another state in America. The patient presented with an anterior open bite and skeletal Class III relationship. METHODS The treatment plan included: (1) effective and careful communication of the treatment plan with the patient, orthodontist and oral and maxillofacial surgeon; (2) pre-surgical alignment and levelling of the teeth in both arches with Invisalign; (3) a long-distance communication between the orthodontist and the surgeon for surgical plan with virtual surgical planning (VSP Orthognathics; 3D Systems, www.3Dsystem.com) online; (4) maxillary advancement (LeFort I osteotomy) with mandibular set-back (bilateral sagittal split osteotomy); (5) postsurgical correction of the malocclusion with clear brackets and aligners; and (6) retention and final small tooth movement adjustments with aligners/clear retainers. RESULTS The anterior open bite was treated, crowding was eliminated in the upper and lower anterior segment, correction of skeletal and dental Class III malocclusion was obtained, mandibular plane angle was reduced and facial profile improved. CONCLUSIONS The results suggest that aesthetic and functional results can be achieved with long-distance communication of two specialties and with the combined use of clear aligners and clear fixed appliances.
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Affiliation(s)
- Chung How Kau
- Department of Orthodontics, School of Dentistry, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Zhendong Wang
- Department of Orthodontics, Affiliated Hospital of Stomatology, Nanjing Medical University, Jiangsu, China
| | - Jue Wang
- Department of Orthodontics, School of Dentistry, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Deepak G Krishnan
- Division of Oral Maxillofacial Surgery, Department of Surgery, University of Cincinnati, Cincinnati, OH, USA
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Ash S. A chrome cobalt mandibular advancement appliance for snoring and obstructive sleep apnoea used during active aligner orthodontic treatment. J Orthod 2020; 47:181-184. [PMID: 32338118 DOI: 10.1177/1465312520914300] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Adult orthodontics is now mainstream, made all the more acceptable by the advent of removable aligners. These patients may also coincidentally suffer from snoring and obstructive sleep apnoea (OSA), for which the indefinite wearing of a mandibular advancement device (MAD) during sleep may be required. Indefinite removable nocturnal orthodontic retention is now established practice. This case report describes a cast chrome cobalt MAD and its application in the management of a patient who, having very successfully managed his snoring and mild OSA with a removable cast chrome cobalt MAD, wished to continue this management while undergoing active orthodontic treatment using removable aligners. He also wished to wear a chrome cobalt MAD to incorporate orthodontic retention and inter occlusal splinting as part of his MAD on completion of his active orthodontic treatment.
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Abstract
This paper describes an alternative computer-aided design/computer-aided manufacturing (CAD/CAM) technique for the creation of a combined prosthetic restoration with orthodontic appliance (PROA). This concept allows the use of orthodontic appliances such as brackets, attachments, or any other type of appliance over different types of prosthetic restorations. The PROA concept aims to mitigate problems associated with performing restorative treatment when orthodontic treatment is necessary. This proposed concept provides the clinicians with proper control and planning of the interdisciplinary treatment that will lead to the final tooth shape, form, and proportions while performing orthodontic tooth movements.
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Pithon MM, Baião FCS, Sant Anna LIDDA, Paranhos LR, Cople Maia L. Assessment of the effectiveness of invisible aligners compared with conventional appliance in aesthetic and functional orthodontic treatment: A systematic review. ACTA ACUST UNITED AC 2019; 10:e12455. [PMID: 31478355 DOI: 10.1111/jicd.12455] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2019] [Revised: 07/25/2019] [Accepted: 08/04/2019] [Indexed: 10/26/2022]
Abstract
To seek scientific evidence to support the effectiveness of invisible aligners, in the aesthetic and functional aspects, compared with that of conventional braces. An electronic search was performed with a complementary grey literature search for in vivo research. No language restrictions were applied. Scopus, PubMed, Web of Science, Cochrane, ClinicalTrials and GreyLiterature databases were used. Studies were first selected by title and abstract; those potentially eligible were read in full. Non-randomized studies were assessed for risk of bias using the tools Methodological Index for Non-randomized Studies (MINORS) and Cochrane Collaboration Common Scheme for Bias as a function of the presence of randomization. The search found 559 studies, of which 55 were potentially eligible. A total of 4 articles were included in this systematic literature review: three non-randomized controlled studies and one randomized controlled study, three with low risk of bias (RoB) and one with moderate RoB. Three studies showed time of correction of dental crowding shorter or equal to that of the control group and only one study showed less time of correction using conventional braces. Invisible aligners were deficient with respect to anterior/posterior and vertical corrections compared with fixed orthodontic appliances. Invisible aligners are effective in promoting dental alignment, but present clinical limitations in relation to the conventional system.
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Affiliation(s)
- Matheus Melo Pithon
- Departament of Health I, Southwest Bahia State University UESB, Jequié, Bahia, Brazil.,Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil
| | | | - Letícia Iandeyara Dantas de Andrade Sant Anna
- Departament of Health I, Southwest Bahia State University UESB, Jequié, Bahia, Brazil.,Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil
| | - Luiz Renato Paranhos
- Department of Social and Preventive Dentistry, School of Dentistry, Federal University of Uberlândia, Universidade Federal de Uberlândia, Uberlândia, Minas Gerais, Brazil
| | - Lucianne Cople Maia
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil
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