Journal of OrthodonticsPub Date : 2024-03-01Epub Date: 2023-04-27DOI: 10.1177/14653125231172212
Liam Monaghan, Charlotte Dugdale
{"title":"An unusual case of erythema multiforme presenting to an orthodontic department: A case report.","authors":"Liam Monaghan, Charlotte Dugdale","doi":"10.1177/14653125231172212","DOIUrl":"10.1177/14653125231172212","url":null,"abstract":"<p><p>A 16-year-old female patient presented to the orthodontic department with a 2-week history of painful oral lesions that were affecting her ability to eat. Clinical examination revealed widespread oral ulceration, crusted bleeding from the lips with evidence of a herpes simplex infection in the region of the right buccal commissure. A diagnosis of oral erythema multiforme (EM) was made after a detailed clinical history and examination by the oral and maxillofacial team. Supportive care was provided alongside management with topical corticosteroids. Within 6 weeks of initial presentation, complete resolution of the lesions had occurred and the patient was able to resume active orthodontic treatment.</p>","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":" ","pages":"60-62"},"PeriodicalIF":1.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9349826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of OrthodonticsPub Date : 2024-03-01Epub Date: 2023-05-04DOI: 10.1177/14653125231172211
Radka Cholakova, Konstantin Georgiev
{"title":"Effect of maxillary anterior supernumerary tooth extraction on the underlying malocclusion.","authors":"Radka Cholakova, Konstantin Georgiev","doi":"10.1177/14653125231172211","DOIUrl":"10.1177/14653125231172211","url":null,"abstract":"<p><strong>Introduction: </strong>Orthodontic discrepancies are a common finding in patients with supernumerary teeth (ST). The presence of a ST can cause a number of orthodontic discrepancies, including delayed eruption or retention of adjacent teeth, crowding, spacing, and abnormal root formation. The aim of the present study was to assess the effect of extraction of an anterior supernumerary tooth on the underlying orthodontic discrepancies without additional treatment for a 6-month period.</p><p><strong>Methods: </strong>This was a prospective, longitudinal, observational, study. It included 40 participants with orthodontic malocclusions due to maxillary anterior supernumeraries. We examined the changes in the crowding and excessive space in the anterior and posterior segments on cast models.</p><p><strong>Results: </strong>In the group that presented with crowding, a statistically significant decrease of 0.95 ± 0.17 mm (<i>P</i> < 0.001) was found between T0 and T1. Of the participants, three exhibited full self-correction. The excessive space at T0 (3.06 mm) decreased by 1.78 ± 0.19 mm to T1 (1.28 mm) in the anterior segment. Seven participants showed full self-correction of the diastemas after the 6-month observation period.</p><p><strong>Conclusion: </strong>The results imply that orthodontic treatment can be postponed for at least 6 months after the extraction of the supernumerary tooth as potential self-correction can be expected. This natural alleviation of the malocclusions may make the orthodontic treatment simpler, shorten the treatment time and decrease overall appliance wear time.</p>","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":" ","pages":"63-69"},"PeriodicalIF":1.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9758015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Meet the Author.","authors":"Stacey Tsang","doi":"10.1177/14653125241228970","DOIUrl":"10.1177/14653125241228970","url":null,"abstract":"","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":"51 1","pages":"93"},"PeriodicalIF":1.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140059620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of OrthodonticsPub Date : 2024-03-01Epub Date: 2023-07-18DOI: 10.1177/14653125231186825
Romee Me van Ommeren, Tom Ct van Riet, Jean-Pierre Tf Ho, Ronald Eg Jonkman, Alfred G Becking
{"title":"A review and evaluation of orthodontic brackets, molar bands and orthodontic auxiliaries during orthognathic surgery: A prospective cohort study.","authors":"Romee Me van Ommeren, Tom Ct van Riet, Jean-Pierre Tf Ho, Ronald Eg Jonkman, Alfred G Becking","doi":"10.1177/14653125231186825","DOIUrl":"10.1177/14653125231186825","url":null,"abstract":"<p><strong>Objective: </strong>The primary aim of this study was to provide a review of the types and frequency of orthodontic brackets, molar bands and orthodontic auxiliaries used for patients undergoing orthognathic surgery. The secondary aim was to evaluate the risk of failure of these items during orthognathic surgery.</p><p><strong>Methods: </strong>From three Dutch hospitals, 124 adult patients were included in this prospective cohort study. Five independent researchers collected the data during surgery using a specifically created data extraction form. The type of surgery, surgeon, orthodontist and type of orthodontic bracket, molar band or auxiliary were noted for each tooth. To evaluate their failure risk, the following variables were noted: failure and site; and type and cause of failure.</p><p><strong>Results: </strong>Stainless-steel brackets were the most frequently (75.8%) used bracket type seen in patients undergoing orthognathic surgery. Ceramic brackets were seen in 24.2% of the cases and were only applied in the anterior region. Molar bands were present in 58.9% of the patients and mostly with bands on the first molars in combination with bonded tubes on the second molars. In 32.2% of all cases, one or more failures were noted. One-third of all failures were described as detachment of the molar tube on the most posterior molar. Kobayashi ligatures and powerpins showed the highest risk of failure (odds ratio [OR] 3.70, 95% confidence interval [CI] = 1.91-7.15). No significant difference in failure rate was found between stainless-steel brackets, molar bands (OR 0.34, 95% CI = 0.08-1.43) and ceramic brackets (OR 0.44, 95% CI = 0.14-1.45).</p><p><strong>Conclusion: </strong>Stainless-steel brackets, ceramic brackets, molar bands and surgical hooks are suitable for orthognathic cases. Kobayashi ligatures and powerpins had a significantly higher risk of failure so are not recommended for temporary intraoperative maxillomandibular fixation (TIO-MMF).</p>","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":" ","pages":"79-86"},"PeriodicalIF":1.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10924552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9824735","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}
Journal of OrthodonticsPub Date : 2024-03-01Epub Date: 2023-05-28DOI: 10.1177/14653125231176569
Queenie Ong, Hamza Anwar, Ahmed El-Angbawi
{"title":"Contemporary Twin Block appliance wear protocols: A survey of UK orthodontists.","authors":"Queenie Ong, Hamza Anwar, Ahmed El-Angbawi","doi":"10.1177/14653125231176569","DOIUrl":"10.1177/14653125231176569","url":null,"abstract":"<p><strong>Objective: </strong>This study was undertaken to determine contemporary trends in the use of the Twin Block appliance among UK orthodontists, including the wear time currently prescribed. In addition, the study explored if there had been any change in wear time prescribed, considering recent research evidence proposing part-time wear.</p><p><strong>Design: </strong>Cross-sectional, online survey.</p><p><strong>Participants: </strong>Members of the British Orthodontic Society (BOS).</p><p><strong>Methods: </strong>The questionnaire was emailed to all BOS members in November 2021 and hosted on the QualtricsXM platform. The questionnaire was piloted for content validity and tested for reliability.</p><p><strong>Results: </strong>A response rate of 19% was attained. Nearly all (n = 244, 99%) participants used the Twin Block, and 90% (n = 218) prescribed full-time wear including/excluding eating. Although the majority (n = 168, 69%) had not made changes to their wear time prescriptions, nearly one-third (n = 75, 31%) had. Those who reported a change in their prescriptions currently prescribe less wear time than before, and commonly quoted 'research evidence' as the reason. A wide range in success rates (41%-100%) was reported, with patient compliance as the main reason for treatment discontinuation.</p><p><strong>Conclusion: </strong>The Twin Block is a popular functional appliance among orthodontists in the UK, originally designed by Clark to be worn full time to maximise functional forces applied to the dentition. However, this wear regime may place considerable strain on patient compliance. Most participants prescribed full-time Twin Block wear excluding eating. Approximately one-third of orthodontists made changes to their wear time prescriptions during their practising career, and currently instruct less wear time than before.</p>","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":" ","pages":"70-78"},"PeriodicalIF":1.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9532803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"2023 at the Journal of Orthodontics.","authors":"","doi":"10.1177/14653125241228960","DOIUrl":"10.1177/14653125241228960","url":null,"abstract":"","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":"51 1","pages":"89-92"},"PeriodicalIF":1.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140059618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Continued Professional Development.","authors":"","doi":"10.1177/14653125231211392","DOIUrl":"https://doi.org/10.1177/14653125231211392","url":null,"abstract":"","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":"50 4","pages":"450-452"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138470440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A personal view of orthodontic research since the first edition of the <i>British / Journal of Orthodontics</i>.","authors":"Kevin O'Brien","doi":"10.1177/14653125231214813","DOIUrl":"10.1177/14653125231214813","url":null,"abstract":"","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":"50 1_suppl","pages":"6-8"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139697711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of OrthodonticsPub Date : 2023-12-01Epub Date: 2023-02-14DOI: 10.1177/14653125231152502
Andre Walter, Fernando de la Iglesia, Heinz Winsauer, Oliver Ploder, Brigitte Wendl, Andreu Puigdollers Perez
{"title":"Evaluation of expansion forces of five pure bone-borne maxillary expander designs anchored with orthodontic mini-implants: An in vitro study.","authors":"Andre Walter, Fernando de la Iglesia, Heinz Winsauer, Oliver Ploder, Brigitte Wendl, Andreu Puigdollers Perez","doi":"10.1177/14653125231152502","DOIUrl":"10.1177/14653125231152502","url":null,"abstract":"<p><strong>Aim: </strong>This in vitro study investigates the limit of expansion forces and torque wrench forces developed by five skeletal bone expander designs (MICRO 2/4 expanders™) for clinical application.</p><p><strong>Material and methods: </strong>A total of 30 skeletal expanders were placed in artificial bone blocks and mechanically tested, simulating maxillary expansion. Differences in jackscrew (Dentaurum™ [D], Superscrew™ [S] and Powerscrew™ [P]), number of orthodontic mini-implants (OMIs; two or four) and their placement inclinations (parallel 0° or 10° inclination) form five designs (D4/10°, S4/0°, S4/10°, P4/10° and P2/10°). Expansion forces and torque wrench values were registered, and radiographs were made initially and after 4 mm of expansion. Stress-strain curves were obtained after successive activations and the statistical analysis was performed as appropriate.</p><p><strong>Results: </strong>Plastic deformations in the OMIs and jackscrew occurred around the activation numbers 11-13, with torque wrench values in the range of 500-700 cN. The maximum expansion forces in expanders with four OMIs varied from 93.0 (D4/10°) to 166.6 N (P4/10°) whereas two OMI expanders (P2/10°) registered forces of 79.4 N. Radiographs revealed during loads bending forces (S4/00°, S4/10°) with jackscrew and OMIs deformation in a convex shape, and shear forces (P4/10°, P2/10°) demonstrated only OMIs deformation in a concave shape, providing 15% more expansive force. The jackscrew D4/10° did not have any deformation, but its wire key did not allow reliable activations from activation number 10 and compared to S4/10° and P4/10°, these expanders provided greater expansion forces (<i>P</i> = 0.000 and <i>P</i> = 0.032, respectively).</p><p><strong>Conclusion: </strong>The different results obtained in stability and expansion forces indicate that if the activations are carried out under extreme conditions, they may have clinical importance with deformations and non-working expansion mechanics. Jackscrew designs play an important role in expansive forces and expander stability. Torque wrench values can be used clinically as a tool to asses the expansion forces and to avoid deformations.</p>","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":" ","pages":"335-343"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10699856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}