Journal of Orthodontics最新文献

{"title":"Artificial intelligence for treatment planning and soft tissue outcome prediction of orthognathic treatment: A systematic review.","authors":"Daisy Salazar, Paul Emile Rossouw, Fawad Javed, Dimitrios Michelogiannakis","doi":"10.1177/14653125231203743","DOIUrl":"10.1177/14653125231203743","url":null,"abstract":"<p><strong>Background: </strong>The accuracy of artificial intelligence (AI) in treatment planning and outcome prediction in orthognathic treatment (OGT) has not been systematically reviewed.</p><p><strong>Objectives: </strong>To determine the accuracy of AI in treatment planning and soft tissue outcome prediction in OGT.</p><p><strong>Design: </strong>Systematic review.</p><p><strong>Data sources: </strong>Unrestricted search of indexed databases and reference lists of included studies.</p><p><strong>Data selection: </strong>Clinical studies that addressed the focused question 'Is AI useful for treatment planning and soft tissue outcome prediction in OGT?' were included.</p><p><strong>Data extraction: </strong>Study screening, selection and data extraction were performed independently by two authors. The risk of bias (RoB) was assessed using the Cochrane Collaboration's RoB and ROBINS-I tools for randomised and non-randomised clinical studies, respectively.</p><p><strong>Data synthesis: </strong>Eight clinical studies (seven retrospective cohort studies and one randomised controlled study) were included. Four studies assessed the role of AI for treatment decision making; and four studies assessed the accuracy of AI in soft tissue outcome prediction after OGT. In four studies, the level of agreement between AI and non-AI decision making was found to be clinically acceptable (at least 90%). In four studies, it was shown that AI can be used for soft tissue outcome prediction after OGT; however, predictions were not clinically acceptable for the lip and chin areas. All studies had a low to moderate RoB.</p><p><strong>Limitations: </strong>Due to high methodological inconsistencies among the included studies, it was not possible to conduct a meta-analysis and reporting biases assessment.</p><p><strong>Conclusion: </strong>AI can be a useful aid to traditional treatment planning by facilitating clinical treatment decision making and providing a visualisation tool for soft tissue outcome prediction in OGT.</p><p><strong>Registration: </strong>PROSPERO CRD42022366864.</p>","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":" ","pages":"107-119"},"PeriodicalIF":1.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41125454","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":"Editorial.","authors":"Jayne Harrison","doi":"10.1177/14653125241248740","DOIUrl":"10.1177/14653125241248740","url":null,"abstract":"","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":"51 2","pages":"103-105"},"PeriodicalIF":1.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141175881","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":"Guest Editorial: Research: A top priority for BOS.","authors":"Peter Mossey","doi":"10.1177/14653125241256696","DOIUrl":"10.1177/14653125241256696","url":null,"abstract":"","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":"51 2","pages":"106"},"PeriodicalIF":1.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141175885","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":"Three-dimensional comparison of continuous and segmented arch techniques in the traction of palatally impacted canines using a non-linear finite element analysis.","authors":"Stephanie Bou Malhab, Richard Karam, Fouad Kaddah, Tony El Khoury, Nabil Ghosn, Elie Khoury, Adib Kassis, Joseph Ghoubril","doi":"10.1177/14653125231187422","DOIUrl":"10.1177/14653125231187422","url":null,"abstract":"<p><strong>Objective: </strong>To compare the three-dimensional (3D) effects of canine traction on the maxillary teeth when using two different traction methods, the continuous and the segmented arch wire techniques; then to test whether adding a transpalatal arch (TPA) would affect their response to traction.</p><p><strong>Design: </strong>Finite element analysis.</p><p><strong>Methods: </strong>A cone-beam computed tomography (CBCT) scan of a patient with bilateral palatally impacted canines was chosen, from which a 3D model was derived and imported into ABAQUS. Two arch wires were modelled, a continuous round one and a segmented rectangular one. Four models were obtained by adding a TPA to both techniques. A 100° imposed rotation was then applied at the intersection between the vertical loop and the horizontal segment of each wire. Initial displacement of the maxillary tooth in the labio-lingual and in the vertical directions was measured. The absolute maximum principal stress of the periodontal ligament (PDL) was also assessed.</p><p><strong>Results: </strong>Traction using a continuous arch wire led to different movement patterns of all teeth, some of them were tipped in a labial direction while others were lingually tipped. Traction using a segmented arch wire resulted in a retroclination of the posterior teeth and a proclination of the anterior teeth with a high level of stress on the premolars' PDL. Adding the TPA only affected the displacement of the first molars. The right side showed a maximum displacement of the first premolar, while the left side showed it on the lateral. The total displacement on the right side was higher than the left side.</p><p><strong>Conclusion: </strong>The segmented technique caused a uniform displacement of all teeth while the continuous one showed a non-uniform displacement. The angulation and position of the vertical loop affected the displacement of the maxillary teeth. The addition of a TPA acted only on the first molars.</p>","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":" ","pages":"192-201"},"PeriodicalIF":1.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10195840","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":"Evidence that ectopic upper third molars can result in upper second molar impactions: A case series.","authors":"Rachna Chawla, Prabjot Garcha, Alexandra Lyne, Zahra Sheriteh","doi":"10.1177/14653125231178039","DOIUrl":"10.1177/14653125231178039","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of these four case reports was to illustrate the presence of potential upper second molar impactions associated with ectopic third molars and to highlight that some cases have an atypical radiographic presentation.</p><p><strong>Case presentations: </strong>Four patients (age range = 7-12 years) with various malocclusions presented to the paediatric and orthodontic departments for treatment to address their presenting complaints. Incidental radiographic findings demonstrated potentially impacted upper second molars associated with ectopic third molars. In all of these cases, a joint paediatric-orthodontic approach was adopted to address their dental health, prevent upper second molar impaction and to treat their malocclusion.</p><p><strong>Discussion: </strong>Careful and systematic review of radiographic imaging was necessary in order to diagnose these cases correctly. These cases demonstrated that it was not always simple to determine impactions, particularly as identification of third molar crypts can be difficult. On occasion, sequential radiographic monitoring is advocated, particularly in patients in the mixed dentition; however, clinicians must be mindful of the risks of ionising radiation as it is not routine practice to irradiate a patient multiple times.</p><p><strong>Conclusion: </strong>The series of cases highlights the need for a systematic assessment of OPTs to identify ectopic upper third molars. The input from radiologists is invaluable and if necessary, supplemental three-dimensional cone-beam computed tomography can be performed.</p>","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":" ","pages":"177-182"},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9583218","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":"Awareness and usage of mobile applications as an orthodontic diagnostic tool among Croatian orthodontic clinicians.","authors":"Matea Markusi, Tadeja Blagec, Luka Šimunović, Marina Lapter Varga, Senka Meštrović","doi":"10.1177/14653125231217307","DOIUrl":"10.1177/14653125231217307","url":null,"abstract":"<p><strong>Objective: </strong>To assess the impact of gender and orthodontic qualification length on the awareness, knowledge and usage of orthodontic diagnostic mobile applications, non-diagnostic mobile applications and social media platforms among orthodontic clinicians.</p><p><strong>Design: </strong>Cross-sectional questionnaire-based study.</p><p><strong>Setting: </strong>The Republic of Croatia.</p><p><strong>Participants: </strong>A total of 92 orthodontic specialists, members of the Croatian Dental Chamber.</p><p><strong>Methods: </strong>This study was conducted using a questionnaire distributed via email to orthodontic clinicians between May and July 2022.</p><p><strong>Results: </strong>In total, 92 respondents were divided into groups according to sex and median orthodontic qualification length: more recently qualified (MRQ) with ⩽12 years; and longer qualified (LQ) with >12 years. Nearly one-third of respondents did not have any prior knowledge of mobile applications used as an orthodontic diagnostic tool. MRQ respondents were more interested in using mobile apps as opposed to computer software for digital analysis (<i>P</i> < 0.05). This interest was in a negative correlation with orthodontic qualification length (<i>P</i> < 0.01) and was more prevalent among female respondents (<i>P</i> < 0.001). About one-third (32.6%) of respondents did not use non-diagnostic mobile applications and 44.6% did not use social media platforms. Nearly two-thirds (62%) of the respondents did not promote their work through social media. Male respondents and LQ promoted their work more frequently than others (<i>P</i> < 0.05). The usage of other mobile applications was in a positive correlation with the knowledge and awareness of orthodontic mobile applications (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>Orthodontic clinicians lacked knowledge, awareness and the usage of orthodontic diagnostic mobile applications according to sex and orthodontic qualification length. One-third used non-diagnostic mobile applications and less than half used social platforms in daily clinical work.</p>","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":" ","pages":"130-136"},"PeriodicalIF":1.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139048869","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":"The effect of text message reminders on compliance with Twin Block appliances: A randomised controlled trial.","authors":"Emily Higgins, Thérèse Garvey, Angus Burns","doi":"10.1177/14653125231188378","DOIUrl":"10.1177/14653125231188378","url":null,"abstract":"<p><strong>Aims: </strong>The aim of this study was to evaluate whether text reminders influence patient compliance with Twin Block appliances. The null hypothesis was that there was no statistically significant differences in Twin Block compliance between those who receive text reminders and those that do not.</p><p><strong>Design: </strong>Single-blind parallel randomised controlled clinical trial.</p><p><strong>Setting: </strong>Health Service Executive (HSE) orthodontic outpatient clinic in Dublin, Ireland.</p><p><strong>Participants: </strong>A total of 59 patients aged 11-15 years with a 5a Index of Orthodontic Treatment Need (IOTN grade) starting treatment with Twin Block appliances.</p><p><strong>Methods: </strong>A computer-generated unstratified allocation sequence was used to randomise the participants into the control group (CG) or the text group (TG). Both groups were asked to wear their appliances full-time. In addition to the same verbal and written instruction received by the CG, the TG received text message reminders, every 3 days, to wear their appliances. The primary outcome measure was wear time reported by Theramon^® sensors embedded in the appliances. Data on wear time were uploaded from the Theramon^® sensors onto cloud software. Participants in both groups were asked to fill out wear diaries and submit these at each visit. Treating clinicians and the primary investigator were blinded to the allocation group. Participants were followed up for 4 months. Participants were not blinded to their treatment group.</p><p><strong>Results: </strong>In total, 29 participants were allocated to the CG and 30 to the TG. The data for 53 participants were analysed, 24 from the CG and 29 from the TG. The median hours/day of wear recorded using the Theramon^® sensors was 13.77 (interquartile range [IQR] = 10.19) for the CG and 17.72 (IQR = 5.62) for the TG. The difference in wear time recorded was not statistically significant (<i>P</i> = 0.16).</p><p><strong>Conclusion: </strong>The study concluded that text message reminders had no statistically significant influence on patient compliance with Twin Block appliances.</p>","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":" ","pages":"202-210"},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11141082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9922967","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":"Survey of National Health Service (NHS) orthodontic practitioners in Wales, UK. Part 1: working patterns 2021-2022.","authors":"Benjamin Rk Lewis, Olivia J Spicer, William S McLaughlin, Kirstie Moons","doi":"10.1177/14653125231224459","DOIUrl":"10.1177/14653125231224459","url":null,"abstract":"<p><strong>Objective: </strong>To ascertain the working patterns of the NHS orthodontic workforce in Wales and any possible future changes.</p><p><strong>Design: </strong>Descriptive cross-sectional survey.</p><p><strong>Participants: </strong>NHS orthodontic practitioners in Wales.</p><p><strong>Methods: </strong>An anonymised email distributed an electronic two-part survey of the Welsh NHS orthodontic workforce. The survey consisted of three sections: (1) demographic information; (2) respondents' working pattern (part 1); and (3) perceptions of professional satisfaction (part 2).</p><p><strong>Results: </strong>Part 1 of the survey yielded a 70.5% response rate (n = 79); 65.8% of the respondents were women. Of the respondents, 45.6% (n = 36) worked full time (F/T), 39.2% (n = 31) worked less than F/T and 15.2% (n = 12) worked more than F/T. Of the male respondents, 81.5% (n = 22) worked 10 sessions or more compared to 50% (n = 26) of women. The respondents undertook 508.5 orthodontic clinical sessions per week within Wales; of these sessions, 87.6% (n = 445.5) delivered NHS orthodontic care. Of the respondents, 8.4% (n = 7) were planning to increase their orthodontic clinical time within the next 2 years, 24.1% (n = 19) were planning to decrease it and 20.3% (n = 16) were unsure. One-quarter of respondents indicated that they were planning to stop clinical orthodontic activity within the next 5 years, including 53.3% (n = 8) of DwSIs, 37% (n = 10) of primary care specialists and 13.3% (n = 2) of consultants. The pandemic was an influencing factor for 80% of these clinicians.</p><p><strong>Conclusions: </strong>Part 1 of the survey suggested that the majority of the orthodontic workforce was female, were working full time or more, and spent most sessions delivering NHS care. One-quarter of respondents were planning to cease undertaking orthodontic activity within the next 5 years.</p>","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":" ","pages":"137-146"},"PeriodicalIF":1.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139569686","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":"Class III malocclusion treated with a 3D-printed hybrid hyrax distalizer combined with mentoplate using Alt-RAMEC protocol: A case report.","authors":"Sarah Joda Kathem, Rannvá Caroline Matras, Salaheddin Omar Mahmoud Abbas","doi":"10.1177/14653125231184910","DOIUrl":"10.1177/14653125231184910","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of this report was to assess the skeletal, dental and soft tissue changes in a juvenile patient with a severe class III malocclusion. This case report describes a novel method of class III treatment using skeletal anchorage for maxillary protraction and Alt-RAMEC protocol.</p><p><strong>Patient concerns: </strong>The patient did not have any subjective complaints before treatment and there was no family history of class III malocclusion.</p><p><strong>Clinical findings and primary diagnoses: </strong>Extra-orally, the patient had a concave profile with a retrusive mid-face and prominent lower lip. The intra-oral examination revealed angle class III malocclusion with a -3-mm overjet. There was no anterior displacement on closure when the patient was assessed clinically. According to the cephalometric analysis, the sagittal jaw relation and Wits appraisal were reduced due to a retrognathic maxilla and prognathic mandible.</p><p><strong>Interventions: </strong>The treatment plan involved maxillary protraction, Alt-RAMEC protocol for 10 weeks and upper molar distalisation with a hybrid hyrax distalizer in combination with a mentoplate. The active treatment time was estimated to 18 months followed by 6 months retention with the appliance.</p><p><strong>Outcomes: </strong>The sagittal jaw relationship was increased by approximately 9°, mainly due to maxillary advancement of 8 mm and a positional change of the mandible anteroposteriorly. Natural decompensation of the lower incisors was also observed. In addition, both the facial profile and the smile became more harmonious after treatment. The treatment analysis revealed that the changes achieved were mainly skeletal and it was possible to avoid adverse effects on the dentition.</p><p><strong>Conclusion: </strong>In conclusion, treatment with a hybrid hyrax distalizer combined with mentoplate using the Alt-RAMEC protocol is effective in correcting the anteroposterior discrepancy in a juvenile class III patient and it is possible to achieve maxillary advancement of 8 mm.</p>","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":" ","pages":"183-191"},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9727697","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":"Survey of National Health Service (NHS) orthodontic practitioners in Wales, UK. Part 2: job satisfaction perceptions of the workforce 2021-2022.","authors":"Benjamin Rk Lewis, Olivia J Spicer, Kirstie Moons, William S McLaughlin","doi":"10.1177/14653125231224452","DOIUrl":"10.1177/14653125231224452","url":null,"abstract":"<p><strong>Objective: </strong>To ascertain the perceptions of the Welsh NHS orthodontic workforce regarding their job satisfaction and work life balance.</p><p><strong>Design: </strong>Descriptive cross-sectional survey.</p><p><strong>Participants and setting: </strong>Clinicians providing NHS orthodontic treatment in Wales.</p><p><strong>Methods: </strong>An anonymised, email-distributed, electronic, two-part survey (onlinesurveys.ac.uk) of the Welsh NHS orthodontic workforce working within Wales was undertaken. The survey consisted of three sections: (1) demographic information (part 1); (2) respondents' working pattern (part 1); and (3) perceptions of professional job satisfaction and work/life balance (part 2). The responses received were exported into an Excel spreadsheet for descriptive analysis. The free-text comments were collated for each question and subsequently underwent a content analysis to identify any common themes.</p><p><strong>Results: </strong>Part 2 of the survey yielded an overall response rate of 69.6% (n = 78). Over 96% (n = 75) of respondents felt that they had 'made the right career choice, including 100% of orthodontic trainees, orthodontic specialists and orthodontic consultants. Of the respondents, 88.5% (n = 69) said they 'enjoyed going to work', with the remaining being mostly neutral in their opinion. Of the respondents, 79.5% (n = 62) felt they were able to 'provide their patients the optimum care' and 64.1% (n = 50) felt that more demands were being placed upon them by patients and parents. Overall, 52.6% (n = 41) of survey respondents believed it was becoming increasingly difficult to achieve an effective work/life balance, and this was more prevalent among male respondents (61.5%, n = 16) than female respondents (48.1%, n = 25), although this difference was not statistically significant (<i>P</i> >0.05).</p><p><strong>Conclusions: </strong>Over 96% of respondents felt they have chosen the right career and that flexibility and a good working environment are important to job satisfaction. Respondents felt that there are increasing demands being placed upon them by patients/parents, employers, the Regulators, the Government and Health Boards. This is leading to increased difficulty in achieving a satisfactory work/life balance, especially among male respondents.</p>","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":" ","pages":"147-159"},"PeriodicalIF":1.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139569812","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}