Orthodontics & Craniofacial Research最新文献

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Sustained Protraction Increases Lengthening of the Mandibular Condylar Process Whilst Changes Its Growth Direction in a Rat Model. 在大鼠模型中,持续牵引可增加下颌骨髁突的延长,同时改变其生长方向。
IF 2.4 3区 医学
Orthodontics & Craniofacial Research Pub Date : 2024-11-07 DOI: 10.1111/ocr.12869
Yuan Li, Naiqi Liao, Ruyi Wang, Lingli Pang, Hengyi Fu, Shijia Li, Wei Zheng, Yu Li
{"title":"Sustained Protraction Increases Lengthening of the Mandibular Condylar Process Whilst Changes Its Growth Direction in a Rat Model.","authors":"Yuan Li, Naiqi Liao, Ruyi Wang, Lingli Pang, Hengyi Fu, Shijia Li, Wei Zheng, Yu Li","doi":"10.1111/ocr.12869","DOIUrl":"https://doi.org/10.1111/ocr.12869","url":null,"abstract":"<p><strong>Objective: </strong>In Class II elastics treatment, the mandible is subject to sustained protraction. The study aimed to investigate the morphological and histological changes resulting from sustained mandibular protraction, through establishment of a novel model in rat.</p><p><strong>Materials and methods: </strong>Forty-eight 4-week-old male Sprague-Dawley rats were randomly divided into three groups, including the 50 and 100 cN protraction groups, and the control. In the two protraction groups, NiTi coil springs were fixed between the metal bands on the maxillary incisors and mandibular molars to pull the mandible forward. CBCT scans were taken immediately before (T0), 2 weeks (T1) and 4 weeks (T2) after the traction. Histological and immunohistochemical analyses were performed at T1 and T2.</p><p><strong>Results: </strong>Increase of the condylar process length and angular process length were significantly larger in the two protraction groups than that in the control; however, the condylar process angle (∠CPA) was significantly reduced by the protraction at T2, leading to decreased condylar height. The protraction decreased the condylar cartilage thickness at T1, which recovered to the control level at T2, with no significant changes detected in the expression of SRY-related high mobility group-box gene 9 (SOX9) and type II collagen (COL II), two chondrogenic markers.</p><p><strong>Conclusion: </strong>The established rat model is manoeuvrable and reliable, which exerts sustained and measurable mandibular protraction. The sustained protraction increases the lengthening of the mandibular condylar process, but alters its growth direction by causing it to turn downwards.</p>","PeriodicalId":19652,"journal":{"name":"Orthodontics & Craniofacial Research","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142605101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Role of Nasopharyngeal Airway in Management of Craniofacial Syndrome-Associated Upper Airway Obstruction in Children. 鼻咽通气道在治疗颅面综合征相关儿童上呼吸道阻塞中的作用。
IF 2.4 3区 医学
Orthodontics & Craniofacial Research Pub Date : 2024-11-06 DOI: 10.1111/ocr.12872
Samara Thambar, Matthew D Wong, Sandra Schilling, Nitin Kapur
{"title":"Role of Nasopharyngeal Airway in Management of Craniofacial Syndrome-Associated Upper Airway Obstruction in Children.","authors":"Samara Thambar, Matthew D Wong, Sandra Schilling, Nitin Kapur","doi":"10.1111/ocr.12872","DOIUrl":"10.1111/ocr.12872","url":null,"abstract":"<p><strong>Introduction: </strong>Upper airway obstruction (UAO) management in children, particularly those with associated anatomical mid-face structural differences, poses a significant challenge. This study describes using a nasopharyngeal airway (NPA) in managing infants with severe upper airway obstruction.</p><p><strong>Methods: </strong>Infants discharged home from Queensland Children's Hospital with an NPA in situ for the management of upper airway obstruction were retrospectively evaluated for clinical and demographic parameters, underlying diagnoses and respiratory support, including NPA insertion details and comorbidities.</p><p><strong>Results: </strong>Sixty-seven children (24 male) were included with a median age at NPA insertion of 24 (IQR 7-59) days and a median duration of NPA use of 229.1 (IQR 151.50-297.75) days. Fifty-two (77.6%) had Pierre Robin sequence. Other diagnoses included CHARGE syndrome, Treacher Collins syndrome, Stickler syndrome, Crouzon syndrome, Bohring-Opitz syndrome, isolated cleft palate, Beckwith-Wiedemann syndrome, Chromosome 3 deletion and VACTERL association. Four infants required tracheostomy, and no complications related to NPA use were reported. Those with oximetry and polysomnography data showed improving indices following NPA insertion [pre NPA median (IQR) SpO<sub>2</sub>: 95.9% (94.73-97.73), AHI: 51.40 (44.50-69.45), OAHI 65.9 (56.45-73.35) and TcCO<sub>2</sub> (mmHg) 65.70 (61.95-67.30) vs. post-NPA median (IQR) SpO<sub>2</sub>: 97.1% (96.19-97.9), AHI: 12.20 (11.25-24.35), OAHI 10.20 (6.12-5.62) and TcCO<sub>2</sub> (mmHg) 52.40 (47.90-58.40)].</p><p><strong>Conclusion: </strong>Our findings highlight the effectiveness and safety of NPA as a noninvasive management option for severe upper airway obstruction in children, particularly in those with anatomical midface structural differences. Further research and larger studies are warranted to confirm these findings and optimise management strategies for these patients.</p>","PeriodicalId":19652,"journal":{"name":"Orthodontics & Craniofacial Research","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of Active Presurgical Orthopaedics Appliances in Infants With Complete Unilateral Cleft Lip and 'T-Shaped' Alveolus: A Preliminary Study. 活性术前矫形器对完全性单侧唇裂和 "T形 "齿槽婴儿的影响:初步研究。
IF 2.4 3区 医学
Orthodontics & Craniofacial Research Pub Date : 2024-10-30 DOI: 10.1111/ocr.12870
Trang Thi-Huyen Nguyen, Thuy-Trang Thi Ho, Dau Van Nguyen, Nam Cong-Nhat Huynh
{"title":"Effects of Active Presurgical Orthopaedics Appliances in Infants With Complete Unilateral Cleft Lip and 'T-Shaped' Alveolus: A Preliminary Study.","authors":"Trang Thi-Huyen Nguyen, Thuy-Trang Thi Ho, Dau Van Nguyen, Nam Cong-Nhat Huynh","doi":"10.1111/ocr.12870","DOIUrl":"https://doi.org/10.1111/ocr.12870","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to assess the efficacy of active presurgical orthopaedics appliances in infants presenting with complete unilateral cleft lip and overlapped alveolus (T-shaped alveolus).</p><p><strong>Materials and methods: </strong>A retrospective and prospective longitudinal study was performed. Infants diagnosed with complete unilateral cleft lip and overlapped alveolus, received treatment with the active presurgical orthopaedics appliances from June 2020 to June 2023, at Children's Hospital 1, Ho Chi Minh City. The treatment duration averaged 3 months. Pre- and posttreatment casts of noses and alveolus were scanned using TRIOS3 Wireless intraoral scanner (3Shape, Denmark) and analysed with Slicer 5.2.2 software. There were 16 quantitative variables. A pair t-test and Wilcoxon signed ranks were used for analysis. The statistical significance was adopted as p < 0.05.</p><p><strong>Results: </strong>A total 40 patients (17 males, 23 females, mean age 23.85 ± 19.22 days) were evaluated. After treatment, the nostril height increased by 2.62 ± 0.22 mm and the deviation columella decreased by -23.45° ± 2.29°. There was a reduction in cleft gap (-3.77 ± 2.01 mm), and in the overlap of alveolus (-3.71 ± 1.83 mm), the growth of cleft segment increased by 2.27 ± 2.00 mm, while the rotation of the noncleft side alveolus decreased by -5.29° ± 5.31°. The changes were statistically significant (p < 0.001).</p><p><strong>Conclusions: </strong>Active presurgical orthopaedics appliances improved the nasal deformity and overlapped alveolus morphology in infants with complete unilateral cleft lip and T-shaped alveolus.</p>","PeriodicalId":19652,"journal":{"name":"Orthodontics & Craniofacial Research","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142546652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficacy of Clear Aligner Therapy for the Treatment of Anterior Open Bite in Adults: A Systematic Review and Meta-Analysis. 透明矫治器治疗成人前开放性咬合的疗效:系统回顾与元分析》。
IF 2.4 3区 医学
Orthodontics & Craniofacial Research Pub Date : 2024-10-24 DOI: 10.1111/ocr.12868
Erika Correa, Dimitrios Michelogiannakis, Abdul Basir Barmak, Paul Emile Rossouw, Fawad Javed
{"title":"Efficacy of Clear Aligner Therapy for the Treatment of Anterior Open Bite in Adults: A Systematic Review and Meta-Analysis.","authors":"Erika Correa, Dimitrios Michelogiannakis, Abdul Basir Barmak, Paul Emile Rossouw, Fawad Javed","doi":"10.1111/ocr.12868","DOIUrl":"https://doi.org/10.1111/ocr.12868","url":null,"abstract":"<p><p>The objective of the present systematic review and meta-analysis was to assess the effectiveness of clear aligner therapy (CAT) for the treatment of anterior open bite (AOB) in adults. The focused question was \"Is CAT effective for the management of AOB in adults?\". Databases were searched without time and language barriers up to and including August 2024 based on pre-specified eligibility criteria. Risk of Bias (RoB) assessment was performed using the Risk-of-Bias-In-Non-randomised-Studies-of-Intervention (ROBINS-I) tool. Meta-analyses were conducted using a random effects model (REM) for change in AOB and cephalometric measurements with an evaluation of the mean difference (MD) and/or standardised mean difference (SMD). The Grades of Recommendation, Assessment, Development and Evaluation (GRADE) tool was used to assess the quality of evidence. Publication bias was assessed using Funnel plots and Egger's regression test. There were 14 studies included in the qualitative assessment and 12 in the meta-analysis. The RoB was moderate in 13 studies and low in one. The meta-analysis showed significant AOB correction with CAT [(MD) = 2.76 mm, 95% confidence interval (CI): 2.23-3.28] due to maxillary and mandibular incisor extrusion (MD = 0.85 mm, CI: 0.43-1.26 and MD = 0.86 mm, CI: 0.29-1.44, respectively). There were no significant changes identified for maxillary and mandibular molar intrusion or changes in the mandibular plane angle (MPA). The level of confidence was high for AOB correction, incisor extrusion, and molar intrusion and low for MPA. CAT leads to a significant correction of AOB of approximately 2.76 mm, which can be mainly attributed to incisor extrusion.</p>","PeriodicalId":19652,"journal":{"name":"Orthodontics & Craniofacial Research","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142505335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Mechanical Properties of Orthodontic Aligners of Clear Aligner After Intraoral Use in Different Time Periods. 不同时间段口内使用透明矫治器后矫治器的机械性能。
IF 2.4 3区 医学
Orthodontics & Craniofacial Research Pub Date : 2024-10-23 DOI: 10.1111/ocr.12867
Kalliopi Siotou, Theofanis Chountalas, Athanasios Katsavrias, Charalampos Siotos, Konstantinos Mpalias, Dionysios Semitekolos, Constantinos Charitidis, Apostolos I Tsolakis
{"title":"The Mechanical Properties of Orthodontic Aligners of Clear Aligner After Intraoral Use in Different Time Periods.","authors":"Kalliopi Siotou, Theofanis Chountalas, Athanasios Katsavrias, Charalampos Siotos, Konstantinos Mpalias, Dionysios Semitekolos, Constantinos Charitidis, Apostolos I Tsolakis","doi":"10.1111/ocr.12867","DOIUrl":"https://doi.org/10.1111/ocr.12867","url":null,"abstract":"<p><strong>Objective: </strong>Although the technique of orthodontic aligners has risen in popularity, their mechanical properties have not been thoroughly investigated. The aim of this study was to evaluate the mechanical properties of the orthodontic aligners Clear Aligner after intraoral use for 7, 10 and 14 days, and to compare them with as-received aligners (0 days). It was also sought to examine the properties of the unprocessed raw material (polyethylene glycol terephthalate) used to manufacture these aligners.</p><p><strong>Materials/methods: </strong>Thirty-two aligners by four patients were evaluated and studied at 0, 7, 10, 14 days of use. Each aligner was divided into three segments (two posterior and one anterior), which resulted in 96 samples. Also, 16 samples of unprocessed material were studied. For all samples, elastic modulus, ultimate tensile stress (UTS) and yield stress were calculated by conducting tensile testing. Additionally, material hardness was tested. The two-tailed Mann-Whitney test was performed, having set the level of significance at p = 0.05.</p><p><strong>Results: </strong>Analysis of the measurements indicated a statistically significant decrease in elastic modulus between days 0 and 14 of use, of UTS between days 0 and 7, 7 and 10, and of yield stress between days 0 and 7. For hardness, in every period, posterior segments demonstrated significantly higher values than anterior segments. All properties of the unprocessed material were statistically significantly higher than the processed samples.</p><p><strong>Conclusions: </strong>The unprocessed material presented significant differences in every property tested in comparison to the processed aligners. The processed material showed further deterioration over time during use. The present study provides evidence that thermoforming and ageing affect the mechanical properties of the aligners.</p>","PeriodicalId":19652,"journal":{"name":"Orthodontics & Craniofacial Research","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142505336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Practices and Perception of Paediatric Obstructive Sleep Apnea Among Orthodontists and Paediatric Dentists in Brazil: A Mixed-Methods Study. 巴西正畸医师和儿童牙医对小儿阻塞性睡眠呼吸暂停的做法和认识:混合方法研究。
IF 2.4 3区 医学
Orthodontics & Craniofacial Research Pub Date : 2024-10-10 DOI: 10.1111/ocr.12866
Nathalia Carolina Fernandes Fagundes, Renata Travassos da Rosa Moreira Bastos, Arnaldo Perez, Carlos Flores-Mir, David Normando
{"title":"Practices and Perception of Paediatric Obstructive Sleep Apnea Among Orthodontists and Paediatric Dentists in Brazil: A Mixed-Methods Study.","authors":"Nathalia Carolina Fernandes Fagundes, Renata Travassos da Rosa Moreira Bastos, Arnaldo Perez, Carlos Flores-Mir, David Normando","doi":"10.1111/ocr.12866","DOIUrl":"https://doi.org/10.1111/ocr.12866","url":null,"abstract":"<p><strong>Objectives: </strong>To explore orthodontists' (OTs) and paediatric dentists' (PDs) practices and perceptions regarding the screening and management of paediatric obstructive sleep apnea (OSA).</p><p><strong>Methods: </strong>This explanatory sequential mixed methods design included OTs and PDs with active clinical practice in Brazil and encompassed a quantitative phase followed by a qualitative phase. In the quantitative phase, a survey assessing OSA screening and management practices was administered to OTs and PDs practicing in Brazil. Information-rich OTs and PDs were interviewed in the qualitative phase. Descriptive statistics and the chi-square test were used to analyse the survey data, while inductive content analysis was applied to the interview data. The results from both phases were integrated and reported narratively.</p><p><strong>Results: </strong>Three hundred eighty-one OTs and PDs completed the survey, and ten of them were interviewed. Nearly half of OTs and PDs administered sleep questionnaires and demonstrated some knowledge about paediatric OSA signs and symptoms. PDs and OTs primarily offered rapid maxillary expansion and functional mandibular advancement for managing selected children with OSA, with OTs being more frequently involved in this task than PDs. OTs and PDs identified several barriers and expressed the need for support regarding access to reliable screening tools and interprofessional care.</p><p><strong>Conclusion: </strong>Brazilian OTs and PDs were aware of the main signs and symptoms of paediatric OSA and were somewhat involved in offering oral appliance management options. To further define the role of these professionals, increasing support for dental professionals in OSA management and updating existing clinical guidelines is warranted.</p>","PeriodicalId":19652,"journal":{"name":"Orthodontics & Craniofacial Research","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142471719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
In Vitro Comparison of Direct Attachment Shape and Size on the Orthodontic Forces and Moments Generated by Thermoplastic Aligners During Expansion. 体外比较直接附着体的形状和大小对热塑性矫治器在扩张过程中产生的矫治力和力矩的影响。
IF 2.4 3区 医学
Orthodontics & Craniofacial Research Pub Date : 2024-10-09 DOI: 10.1111/ocr.12865
Megann Lear, Amin Akbari, Olivia Robertson, Janine Magura, Alexandra Bojrab, George Eckert, Jie Chen, Richard Scott Conley, Hakan Turkkahraman
{"title":"In Vitro Comparison of Direct Attachment Shape and Size on the Orthodontic Forces and Moments Generated by Thermoplastic Aligners During Expansion.","authors":"Megann Lear, Amin Akbari, Olivia Robertson, Janine Magura, Alexandra Bojrab, George Eckert, Jie Chen, Richard Scott Conley, Hakan Turkkahraman","doi":"10.1111/ocr.12865","DOIUrl":"https://doi.org/10.1111/ocr.12865","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effects of varying direct attachment shape and size on the forces and moments generated by thermoplastic aligners during simulated expansion.</p><p><strong>Materials and methods: </strong>An in vitro orthodontic force tester (OFT) was used to measure the forces and moments from a typodont where the buccal teeth were translated lingually 0.2 mm to simulate expansion. Hemi-ellipsoid and rectangular attachments with either 0.5 or 1.0 mm thickness were added on upper right first premolar (UR4), second premolar (UR5) and first molar (UR6). Analysis of variance (ANOVA) was used to determine two-way interactions among the factors on the outcomes.</p><p><strong>Results: </strong>The interactions between group and tooth were significant for all outcomes (p < 0.001). The greatest buccal forces (Fy) were observed with 1 mm rectangular attachment on the UR4 (0.78 ± 0.29 N), with 1 mm hemi-ellipsoid attachment on UR5 (0.28 ± 0.21 N) and with 0.5 mm rectangular attachment on UR6 (1.71 ± 0.18 N). The greatest buccolingual moments (Mx) were obtained with 1 mm rectangular attachment on UR4 (5.61 ± 1.43 Nmm), without any attachments on UR5 (3.33 ± 1.73 Nmm) and with 1 mm hemi-ellipsoid attachment on UR6 (4.18 ± 4.31).</p><p><strong>Conclusion: </strong>Direct attachment shape and size had a significant effect on the orthodontic forces and moments generated by thermoplastic aligners during simulated expansion. Although loads varied significantly by tooth morphology and its location in the arch, best forces and moments for expansion were obtained with 1 mm rectangular attachments on UR4s, 1 mm hemi-ellipsoid attachments on UR5s and 0.5 mm rectangular attachments on UR6s.</p>","PeriodicalId":19652,"journal":{"name":"Orthodontics & Craniofacial Research","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patient's Perspective on Miniscrews During Orthodontic Treatment-A Systematic Review With Meta-Analysis. 患者对正畸治疗过程中微型螺钉的看法--带 Meta 分析的系统性综述。
IF 2.4 3区 医学
Orthodontics & Craniofacial Research Pub Date : 2024-10-08 DOI: 10.1111/ocr.12864
Francisco Vale, Raquel Travassos, Isabela Couto, Madalena Ribeiro, Filipa Marques, Francisco Caramelo, Carlos Miguel Marto, Gianrico Spagnuolo, Anabela Baptista Paula, Catarina Nunes, Inês Francisco
{"title":"Patient's Perspective on Miniscrews During Orthodontic Treatment-A Systematic Review With Meta-Analysis.","authors":"Francisco Vale, Raquel Travassos, Isabela Couto, Madalena Ribeiro, Filipa Marques, Francisco Caramelo, Carlos Miguel Marto, Gianrico Spagnuolo, Anabela Baptista Paula, Catarina Nunes, Inês Francisco","doi":"10.1111/ocr.12864","DOIUrl":"https://doi.org/10.1111/ocr.12864","url":null,"abstract":"<p><p>During orthodontic treatment, undesirable reciprocal forces are generated during tooth movement, which explains the use of anchorage strategies to minimise their harmful effects through intra and/or extraoral appliances. Miniscrews are intraoral devices used for temporary skeletal anchorage. Miniscrews are small-sized intraoral devices used for temporary skeletal anchorage and are easy to place and remove. However, some studies refer to adverse effects such as inflammation, pain, and discomfort. This systematic review aims to synthesise the available evidence on the use of miniscrews during orthodontic treatment from the patient's perspective. The literature search was conducted using various databases MedLine through PubMed, Cochrane Library, Web of Science Core Collection, and EMBASE. A search was also carried out in the grey literature. The search terms used were \"Orthodontic Anchorage Procedures,\" \"mini-implant,\" \"Mini Dental Implant,\" \"Miniscrew,\" and \"microimplant.\" Cochrane risk of bias tools was used to assess the quality of included studies. Patients tend to overestimate the pain inherent in this procedure. The insertion of micro implants is more accepted than the tooth extraction procedure, with less postoperative pain reported. The location, surgical technique, and type of anaesthesia used in the placement of miniscrews influence levels of discomfort. Additionally, the execution of a good surgical technique and the clinician's communication skills are factors that influence patient satisfaction and positive perception. The most frequent outcome reported is pain and discomfort, which varies depending on its location (less with mini interradicular screws than with extra-alveolar screws). Most patients are satisfied or very satisfied with this application.</p>","PeriodicalId":19652,"journal":{"name":"Orthodontics & Craniofacial Research","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predicting the Risk of Maxillary Canine Impaction Based on Maxillary Measurements Using Supervised Machine Learning. 利用监督式机器学习,根据上颌测量结果预测上颌犬齿嵌塞风险。
IF 2.4 3区 医学
Orthodontics & Craniofacial Research Pub Date : 2024-10-04 DOI: 10.1111/ocr.12863
Cristiano Miranda de Araujo, Pedro Felipe de Jesus Freitas, Aline Xavier Ferraz, Patricia Kern Di Scala Andreis, Michelle Nascimento Meger, Flares Baratto-Filho, Cesar Augusto Rodenbusch Poletto, Erika Calvano Küchler, Elisa Souza Camargo, Angela Graciela Deliga Schroder
{"title":"Predicting the Risk of Maxillary Canine Impaction Based on Maxillary Measurements Using Supervised Machine Learning.","authors":"Cristiano Miranda de Araujo, Pedro Felipe de Jesus Freitas, Aline Xavier Ferraz, Patricia Kern Di Scala Andreis, Michelle Nascimento Meger, Flares Baratto-Filho, Cesar Augusto Rodenbusch Poletto, Erika Calvano Küchler, Elisa Souza Camargo, Angela Graciela Deliga Schroder","doi":"10.1111/ocr.12863","DOIUrl":"https://doi.org/10.1111/ocr.12863","url":null,"abstract":"<p><strong>Objectives: </strong>To predict palatally impacted maxillary canines based on maxilla measurements through supervised machine learning techniques.</p><p><strong>Materials and methods: </strong>The maxilla images from 138 patients were analysed to investigate intermolar width, interpremolar width, interpterygoid width, maxillary length, maxillary width, nasal cavity width and nostril width, obtained through cone beam computed tomography scans. The predictive models were built using the following machine learning algorithms: Adaboost Classifier, Decision Tree, Gradient Boosting Classifier, K-Nearest Neighbours (KNN), Logistic Regression, Multilayer Perceptron Classifier (MLP), Random Forest Classifier and Support Vector Machine (SVM). A 5-fold cross-validation approach was employed to validate each model. Metrics such as area under the curve (AUC), accuracy, recall, precision and F1 Score were calculated for each model, and ROC curves were constructed.</p><p><strong>Results: </strong>The predictive model included four variables (two dental and two skeletal measurements). The interpterygoid width and nostril width showed the largest effect sizes. The Gradient Boosting Classifier algorithm exhibited the best metrics, with AUC values ranging from 0.91 [CI95% = 0.74-0.98] for test data to 0.89 [CI95% = 0.86-0.94] for crossvalidation. The nostril width variable demonstrated the highest importance across all tested algorithms.</p><p><strong>Conclusion: </strong>The use of maxillary measurements, through supervised machine learning techniques, is a promising method for predicting palatally impacted maxillary canines. Among the models evaluated, both the Gradient Boosting Classifier and the Random Forest Classifier demonstrated the best performance metrics, with accuracy and AUC values exceeding 0.8, indicating strong predictive capability.</p>","PeriodicalId":19652,"journal":{"name":"Orthodontics & Craniofacial Research","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Piezo1 Promotes Osteogenesis Through CaMKII Signalling in a Rat Maxillary Expansion Model. 在大鼠上颌骨扩张模型中,Piezo1 通过 CaMKII 信号促进骨生成
IF 2.4 3区 医学
Orthodontics & Craniofacial Research Pub Date : 2024-10-01 DOI: 10.1111/ocr.12862
Zhengquan He, Yugui Du, Chuhan Peng, Bowen Xu, Jiayue Tang, Runxuan Liu, Kai Yang
{"title":"Piezo1 Promotes Osteogenesis Through CaMKII Signalling in a Rat Maxillary Expansion Model.","authors":"Zhengquan He, Yugui Du, Chuhan Peng, Bowen Xu, Jiayue Tang, Runxuan Liu, Kai Yang","doi":"10.1111/ocr.12862","DOIUrl":"https://doi.org/10.1111/ocr.12862","url":null,"abstract":"<p><strong>Objectives: </strong>Rapid maxillary expansion (RME) is a widely used technique to treat maxillary transverse deficiency. Piezo1 is a cation channel that is activated by mechanical force and regulates bone formation. This study aims to elucidate the role of Piezo1 in bone remodelling during the RME process.</p><p><strong>Materials and methods: </strong>In this study, the periosteal-derived stem cells (PDSCs) were cultured and stretched by the Flexcell system. The effects of Piezo1 on osteogenesis were assessed via RNA sequencing, real-time quantitative PCR, and western blot analyses. Moreover, for in vivo analyses, the rat RME model was established. The function of Piezo1 in mid-palatal suture bone remodelling was evaluated using micro-CT, haematoxylin-eosin (HE) staining, and immunohistochemistry analyses.</p><p><strong>Results: </strong>It was revealed that under tension force, the osteogenic factors (Runt-related transcription factor 2, Osterix, and Alkaline Phosphatase) and Ca<sup>2+</sup>/calmodulin -dependent protein kinase (CaMKII) were significantly enhanced in PDSCs over time. Furthermore, these were also upregulated in the RME model with the expansion of the mid-palatal suture. However, Piezo1 inhibition by Grammostola spatulata mechanotoxin 4 downregulated the levels of these factors in the RME model.</p><p><strong>Conclusions: </strong>This study indicated that Piezo1 is associated with the osteogenesis of PDSCs and bone remodelling in the RME process. CaMKII might also participate in this process.</p>","PeriodicalId":19652,"journal":{"name":"Orthodontics & Craniofacial Research","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142351422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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