Dentistry ReviewPub Date : 2024-03-28DOI: 10.1016/j.dentre.2024.100083
Athanasios Tsimpiris , Ioannis Tsolianos , Andreas Grigoriadis , Zoi Tsimtsiou , Dimitrios G. Goulis , Nikolaos Grigoriadis
{"title":"Association of chronic periodontitis with chronic migraine: A systematic review and meta-analysis","authors":"Athanasios Tsimpiris , Ioannis Tsolianos , Andreas Grigoriadis , Zoi Tsimtsiou , Dimitrios G. Goulis , Nikolaos Grigoriadis","doi":"10.1016/j.dentre.2024.100083","DOIUrl":"https://doi.org/10.1016/j.dentre.2024.100083","url":null,"abstract":"<div><h3>Background</h3><p>Chronic periodontitis (CP) is a chronic inflammatory disease, primarily caused by microbial infections and characterized by immune system dysfunction. The latter ultimately leads to the progressive destruction of the alveolar bone supporting the teeth in the jawbones. Chronic migraine (CM) is a complex disorder characterized by repetitive episodes of moderate to severe headaches that unfold over hours to days. The episodes are usually unilateral and generally associated with nausea and light and/or sound stimuli sensitivity. The disease is a common cause of disability and loss of working hours, as it significantly burdens the patient's daily life. CP and CM association is clinically relevant as both involve inflammatory mechanisms and immune dysfunction.</p></div><div><h3>Aim</h3><p>To systematically review the literature on the epidemiological association between CP and CM in adults.</p></div><div><h3>Methods</h3><p>The study protocol followed the PRISMA 2020 statement. The design of the study adhered to the Cochrane methodology. A comprehensive literature search was conducted in PubMed, Scopus, and Cochrane databases, as well as a manual search and evaluation of gray literature sources. The Review Manager (RevMan) 5.4 software was used for the meta-analysis. The effect size of the outcome was expressed as odds ratio (OR) with a 95 % confidence interval (CI), providing a measure of the association between CP and CM. The Chi-square test and I<sup>2</sup> statistic were employed to assess heterogeneity among the included studies. The inclusion criteria were English language, observational (case-control) design, and report of the diagnostic criteria for CP and CM. Duplicate entries were excluded. The reliability and quality of the included studies were assessed using the Newcastle-Ottawa Scale (NOS) and GRADE tools. Two independent reviewers performed all evaluations and a third resolved discrepancies.</p></div><div><h3>Results</h3><p>The meta-analysis included three observational studies with 522 participants. CM patients were 2.82 times more likely to be diagnosed with CP compared with healthy controls. This association was statistically significant (OR 2.82, 95 % CI 1.96–4.05, <em>p</em> < 0.0001); however, the external generalizability is limited because of the examination of data originating from populations with specific ethnic backgrounds.</p></div><div><h3>Conclusion</h3><p>A high prevalence of CP was found among patients with CM compared with healthy controls. Healthcare professionals should be aware of the correlation between these pathological conditions to provide patients with high-quality care through an effective and comprehensive diagnostic and therapeutic approach.</p></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"4 2","pages":"Article 100083"},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772559624000063/pdfft?md5=8d722d0b32113414340fc1d268adc02c&pid=1-s2.0-S2772559624000063-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140344625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dentistry ReviewPub Date : 2024-03-28DOI: 10.1016/j.dentre.2024.100084
Christina I. Wang , Naif Sinada , Todd R. Schoenbaum
{"title":"The prosthodontic management and considerations of patients after bariatric surgery: A narrative review","authors":"Christina I. Wang , Naif Sinada , Todd R. Schoenbaum","doi":"10.1016/j.dentre.2024.100084","DOIUrl":"10.1016/j.dentre.2024.100084","url":null,"abstract":"<div><p>The oral health needs of patients who have received bariatric surgery are often overlooked. Although bariatric surgery is an effective modality for treating obesity, detrimental oral health sequelae are frequently observed and often neglected. Nutrient deficiencies, changes in salivary pH, gastroesophageal reflux, erosion, xerostomia, caries, wear, and hypersensitivity are all post-operative consequences seen in this patient population. These complications can lead to an accelerated deterioration of the oral cavity and subsequent extensive dental treatment. In some cases, the accelerated deterioration lends them with a terminal dentition. Pre-operative patient education and clearance in conjunction with multidisciplinary care is essential for these patients. In patients with post-operative complications, however, proper prosthodontic management is crucial. This review presents the prosthodontic management and rehabilitation considerations of patients who have received bariatric surgery.</p></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"4 2","pages":"Article 100084"},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772559624000075/pdfft?md5=3a030747a1d1bd6c0f2b401432ee9ab4&pid=1-s2.0-S2772559624000075-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140398348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Marginal bone loss around platform-switched and platform-matched implants following immediate dental implant placement – Systematic Review","authors":"Jiten Vaghela , Mohammad-Adel Moufti , Noha Seoudi , Waad Kheder","doi":"10.1016/j.dentre.2024.100085","DOIUrl":"10.1016/j.dentre.2024.100085","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to examine marginal bone loss (MBL) around immediately placed platform-switched implants (PS) compared to platform-matched (PM) implants; and to critically appraise the available literature on this topic.</p></div><div><h3>Materials and Methods</h3><p>Randomized control trials (RCTs), non- randomized control trials (NRCT) and case series of immediate placement platform-switched and platform-matched implant, published in English were included in the study. Two databases, namely Medline and PubMed covering the period between July 1966 and July 2023 were searched. A total of five case series, five RCTs and one NRCT were included in this systematic review by using pre-defined study selection criteria and following the PRISMA protocol. A critical appraisal of the selected studies was completed using standardized appraisal checklists, including CASP tool for critical appraisal of RCTs, the Downs and Black checklist for NRCT, and the CEBMa checklist for case series studies.</p></div><div><h3>Results</h3><p>Five studies showed a statistically significant difference in MBL (PS: 0.18–0.78 mm, PM 0.51–1.19 mm). The studies featured a small sample size, and substantial methodological variability in patients’ selection criteria, implant and abutment designs, connection types and surgical protocols. A high risk of bias was identified, especially in case series studies.</p></div><div><h3>Conclusion</h3><p>The use of PS implants in immediate placement protocols can lead to a statistically significant reduction in MBL compared to PM implants. However, the results need to be interpreted with caution, given the numerous confounding variables and clinical heterogeneity existing between the studies.</p></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"4 2","pages":"Article 100085"},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772559624000087/pdfft?md5=e01214fe31836dfb51d305083dffa63c&pid=1-s2.0-S2772559624000087-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140399337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dentistry ReviewPub Date : 2024-03-13DOI: 10.1016/j.dentre.2024.100081
Maryam Ghaffari , Yi Zhu , Annie Shrestha
{"title":"A review of advancements of artificial intelligence in dentistry","authors":"Maryam Ghaffari , Yi Zhu , Annie Shrestha","doi":"10.1016/j.dentre.2024.100081","DOIUrl":"https://doi.org/10.1016/j.dentre.2024.100081","url":null,"abstract":"<div><p>Artificial intelligence (AI) has been used in healthcare for decades and has the potential to revolutionize dentistry by solving multiple clinical problems and making the work of clinicians easier. In particular, the study of AI applications in periodontal disease and cariology is important because these are two major areas of concern in dental health. Periodontal disease, which affects the gums and bone surrounding the teeth, is a major cause of tooth loss in adults. Cariology, the study of dental decay, is also an important area of focus for AI research. AI algorithms can be used to analyze dental images and detect early signs of decay that may be missed by human dentists. The review first discusses the history of AI in healthcare and then highlights some of the ways technology has improved dentistry and then describe some basic AI models such as artificial neural networks (ANNs), convolutional neural networks (CNNs), and random forest. The article then delves into how AI is involved in periodontal disease, cariology, endodontics, prosthodontics, and orthodontics including classifying different types of periodontal disease, identifying areas of bone loss, determining the severity of the disease, analyzing dental images, and detecting early signs of diseases. On the other hand, the application of AI in dentistry is relatively uncommon because implementing AI technologies in dentistry presents several challenges that need to be addressed for successful implementation of AI technologies in dentistry.</p></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"4 2","pages":"Article 100081"},"PeriodicalIF":0.0,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S277255962400004X/pdfft?md5=48cd118a775f63a0e053d49130ff7606&pid=1-s2.0-S277255962400004X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140138179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dentistry ReviewPub Date : 2024-02-16DOI: 10.1016/j.dentre.2024.100080
Christina I. Wang , Naif Sinada , Todd R. Schoenbaum
{"title":"The dental management and prosthodontic reconstruction of patients with amelogenesis imperfecta: A narrative review","authors":"Christina I. Wang , Naif Sinada , Todd R. Schoenbaum","doi":"10.1016/j.dentre.2024.100080","DOIUrl":"https://doi.org/10.1016/j.dentre.2024.100080","url":null,"abstract":"<div><p>Amelogenesis imperfecta (AI) is a rare genetic condition that affects normal enamel formation of both the primary and permanent dentition. Patients with AI not only present with restorative challenges, but also suffer from extreme hypersensitivity, compromised esthetics, and poor self-esteem. The functional, social, and psychological impairment often leads to an overall lower quality of life. Extensive dental treatment is often required at a young age, therefor early diagnosis, appropriate preventative strategies, and proper dental management is essential for successful treatment outcomes throughout all phases of life. This review presents the dental management and prosthetic reconstruction of patients with amelogenesis imperfecta.</p></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"4 1","pages":"Article 100080"},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772559624000038/pdfft?md5=4d40ab27ccd78876be084810cc5fc5e9&pid=1-s2.0-S2772559624000038-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139936114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dentistry ReviewPub Date : 2024-02-10DOI: 10.1016/j.dentre.2024.100079
Juliana Dias Corpa Tardelli, Hian Parize, Andréa Cândido dos Reis
{"title":"Beta-titanium alloys versus surface treatment. How much does it improve their antimicrobial activity? A systematic review","authors":"Juliana Dias Corpa Tardelli, Hian Parize, Andréa Cândido dos Reis","doi":"10.1016/j.dentre.2024.100079","DOIUrl":"https://doi.org/10.1016/j.dentre.2024.100079","url":null,"abstract":"<div><h3>Purpose</h3><p>Beta titanium (β-Ti) alloys have shown promising outcomes in recent years, but whether they have intrinsic antimicrobial activity is unclear. So the objective was to assess the existing literature and answer “Do surface treatments applied to beta titanium alloys for implants present statistically significant results for antimicrobial activity when compared to the control group?”.</p></div><div><h3>Methods</h3><p>The Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines were followed. The personalized search strategy was applied to Embase, PubMed, Science Direct, and Scopus. Experimental in vitro studies that evaluated the influence of surface treatments on β-Ti alloys to improve antimicrobial activity without the restriction of time and language were included. The risk of bias was assessed by Joanna Briggs Institute (JBI) adapted tool.</p></div><div><h3>Results</h3><p>690 articles were found, and after the removal of duplicates, 642 remained. Nineteen were selected for full-text reading, and two were selected from their reference lists. Eight of them met the eligibility criteria and were included. Quantitative analysis was not performed due to the heterogeneity of the studies. All studies had a low risk of bias.</p></div><div><h3>Conclusion</h3><p>All treatments evaluated provided a statistically significant improvement in antimicrobial activity with a significant reduction in bacterial adhesion despite the heterogeneity of the studies. Current literature presents three groups of surface treatment for beta titanium alloys: 1. Implantation of antimicrobial ion, 2. Bioactive polymers with antibiotics, and 3. Non-antimicrobial surface treatments.</p></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"4 1","pages":"Article 100079"},"PeriodicalIF":0.0,"publicationDate":"2024-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772559624000026/pdfft?md5=adeded5bd75af877775ff6cc007b096d&pid=1-s2.0-S2772559624000026-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139749577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dentistry ReviewPub Date : 2024-01-21DOI: 10.1016/j.dentre.2024.100078
Karanjot Gill , Richard G. Stevenson III
{"title":"Navigating Through Caries Excavation and Pulp Capping Techniques in Permanent Teeth","authors":"Karanjot Gill , Richard G. Stevenson III","doi":"10.1016/j.dentre.2024.100078","DOIUrl":"10.1016/j.dentre.2024.100078","url":null,"abstract":"<div><p>Dental caries is a prevalent oral health issue and requires appropriate intervention to mitigate its progression and consequent effects. In recent times, dental research has witnessed remarkable advancements that have revolutionized the way we approach caries removal. By examining the recent literature, we aim to provide a clinical guide for safe caries removal and pulp capping techniques while preserving sound tooth structure and preventing iatrogenic damage.</p></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"4 1","pages":"Article 100078"},"PeriodicalIF":0.0,"publicationDate":"2024-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772559624000014/pdfft?md5=9a40ee4a4cc37cf0389cd8b996f67dfc&pid=1-s2.0-S2772559624000014-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139639755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Does sandblasting improve bond strength in resin composite repair?","authors":"Roberto Zimmer , Aveline Ribeiro Mantelli , Kelin Montagna , Eduardo Galia Reston , Guilherme Anziliero Arossi","doi":"10.1016/j.dentre.2023.100077","DOIUrl":"10.1016/j.dentre.2023.100077","url":null,"abstract":"<div><p>There are many studies investigating the application of air abrasion as a surface treatment for resin-based composite (RBC) repair, some with conflicting results, which makes it difficult for the dentist to know whether to use it or not. The aim of this study is to produce an integrative literature review to identify the scientific evidence on the use of air abrasion for repairing direct RBC restorations. A PICO question was elaborated to guide the selection of literature in a database following the PRISMA statement. The keywords used in Medical Literature Analysis and Retrieval System Online (PubMed) and Service Scopus (SCOPUS) were “composite resin*\" AND \"air abrasion\" OR sandblasting AND repair* OR \"composite repair\". In Web of Science (WoS), the search strategy was \"composite resins\" AND \"air abrasion\" OR sandblasting AND \"composite repair\". Papers published in peer-reviewed journals since 2010, in English, and related to the aim of this study were the goal of this search. After applying inclusion and exclusion criteria to titles, abstracts, and full text, forty-nine scientific papers were selected for this study. This literature review focused on <em>in vitro</em> studies evaluating bond strength. The most common methodology found in the literature to evaluate bond strength in composite repair were shear and microshear bond strength tests (23 studies), as well as tensile and microtensile bond strength tests (24 studies). Several studies evidence air abrasion as an efficient mechanical surface treatment for composite repair, leading to a greater bond strength when compared to no preparation, diamond bur preparation alone, or distinct types of lasers.</p></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"4 1","pages":"Article 100077"},"PeriodicalIF":0.0,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772559623000159/pdfft?md5=d3aba05334c4247b9f4a83f42c8c329c&pid=1-s2.0-S2772559623000159-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138622983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dentistry ReviewPub Date : 2023-12-01DOI: 10.1016/j.dentre.2023.100075
Rathburn Tyler, McLagan Raymond, Amara Abreu, Levy-Bercowski Daniel
{"title":"What's new in nasoalveolar molding technique: A current literature review","authors":"Rathburn Tyler, McLagan Raymond, Amara Abreu, Levy-Bercowski Daniel","doi":"10.1016/j.dentre.2023.100075","DOIUrl":"https://doi.org/10.1016/j.dentre.2023.100075","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of this study was to review and summarize the effects of nasoalveolar molding (NAM) therapy published in the most recent literature.</p></div><div><h3>Method</h3><p>A search were conducted from “nasoalveolar molding,” “nasoalveolar molding Grayson,” and “nasolabial esthetics”. The articles were then subdivided into case reports, editorials/expert opinions, and traditional prospective and retrospective studies</p></div><div><h3>Results</h3><p>In order to summarize the results of the literature review, the discussion section was organized into three primary categories. The first of these categories deals with the burden of treatment to the NAM patient and the caregiver, the psychological and monetary effect on the caregiver(s), and the effect of NAM treatment on the number of surgeries required. The second category deals primarily with the specific treatment effects seen as a result of NAM therapy, such as the improvement of nasal symmetry and lengthening of the columella, as well as studies that compare NAM treated patients to non-NAM treated and normal controls. Lastly, we have included a brief summary of alternative methods to NAM therapy, including the recent use of CAD/CAM technology in NAM therapy.</p></div><div><h3>Conclusions</h3><p>Based on the current literature, NAM does indeed show significant improvements in nasolabial esthetics and increases columellar length. It is shown to have positive psychosocial outcomes and lower cost for caregivers via reduction of future surgeries. Finally, technological advancements are allowing for streamlined NAM fabrication.</p></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"3 4","pages":"Article 100075"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772559623000135/pdfft?md5=3548b5e4ca029b02e5fddea9b4f9e45c&pid=1-s2.0-S2772559623000135-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138475462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dentistry ReviewPub Date : 2023-10-20DOI: 10.1016/j.dentre.2023.100074
Abdulraheem Alwafi , Yashodhan M. Bichu , Ariga Avanessian , Bingshuang Zou
{"title":"Overview of systematic reviews and meta-analyses assessing the predictability and clinical effectiveness of clear aligner therapy","authors":"Abdulraheem Alwafi , Yashodhan M. Bichu , Ariga Avanessian , Bingshuang Zou","doi":"10.1016/j.dentre.2023.100074","DOIUrl":"https://doi.org/10.1016/j.dentre.2023.100074","url":null,"abstract":"<div><p>This study conducted an overview of systematic reviews (SRs) and included randomized controlled trials (RCTs) to evaluate the predictability of tooth movements and clinical effectiveness of clear aligner therapy (CAT) compared to fixed appliances (FAs). The PRISMA guidelines were followed, and seven electronic databases were systematically searched for publications up to March 15, 2022. The quality of the included SRs and RCTs was assessed using the AMSTAR-2 and RoB-2 tools, respectively. Initially, 18 SRs and 2 RCTs were identified, and after quality assessments, 11 SRs and 1 RCT were retained for data synthesis. The comparison between software-predicted and actual tooth movements indicated that CAT's accuracy in predicting rotational movements, especially for canines, was not reliable. Horizontal movements, particularly in the upper incisors, were more predictable, while vertical movements were less predictable. The overall American Board of Orthodontics (ABO) objective grading system (OGS) scores did not show a significant difference between the CAT and FAs groups, with a high heterogeneity of 90 % (<em>P</em> < 0.0001) and a confidence interval of -2.32 to 18.4. The current evidence level regarding the predictability of tooth movements and clinical effectiveness of CAT compared to conventional FAs is considered to be low to moderate. While CAT can be used for treating complex malocclusions, it tends to yield less accurate results than FAs.</p></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"3 4","pages":"Article 100074"},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772559623000123/pdfft?md5=d6182aa46aceca45be7dbad66cb3f564&pid=1-s2.0-S2772559623000123-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92136189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}