{"title":"The twin block appliance in the era of digital orthodontics","authors":"Richard RJ Cousley","doi":"10.1053/j.sodo.2024.06.003","DOIUrl":"10.1053/j.sodo.2024.06.003","url":null,"abstract":"<div><div>The traditional Twin Block appliance (TBA) has been an effective treatment for adolescent Class II patients since the 1980s, but with limitations related to its design, and combination of acrylic and metal components. This paper describes a paradigm shift following the recent introduction of the digital Twin Block appliance (DTB) with its virtual design, indirect and direct 3D printing options, in-house fabrication, potential advantages and difficulties.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"31 1","pages":"Pages 121-129"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141412201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cheryl Su-Hsyen LAI , Mark Joo Seng GAN , Ching-Chiuan YEN , Kelvin Weng Chiong FOONG
{"title":"Does 3D simulation impact clinical reasoning for orthodontic treatment planning of impacted maxillary canines?","authors":"Cheryl Su-Hsyen LAI , Mark Joo Seng GAN , Ching-Chiuan YEN , Kelvin Weng Chiong FOONG","doi":"10.1053/j.sodo.2024.06.011","DOIUrl":"10.1053/j.sodo.2024.06.011","url":null,"abstract":"<div><div>Clinical reasoning is an essential competence to develop in the diagnosis and treatment planning of impacted maxillary canines to ensure good treatment outcomes. It involves skills of radiographic interpretation and mental visualization. To master these, postgraduate students learn to interpret 2D and 3D X-rays to locate these canines accurately. This process demands the creation of mental models of the impaction and resolving it either by envisioning the canine's movement to its correct position or considering its removal. To facilitate this cognitive exercise, a 3D-printed simulator, derived from Cone Beam Computed Tomography scans, serves as a tool to allow students to experiment with various movement simulations, helping them select the most viable treatment approach.</div><div>This project aimed to assess the differences in expert and novice orthodontists’ clinical reasoning for impacted maxillary canines, and whether the addition of a 3D simulator would affect their reasoning. Thirteen (13) novices randomly assigned to a control and intervention group and three (3) experts took part in a Think-Aloud exercise to diagnose and treatment plan a case of bilaterally impacted maxillary canines. Experts and intervention group novices had the 3D simulator in addition to standardized patient records. Their responses were recorded and analyzed according to a coding scheme reflecting the clinical reasoning process. While experts demonstrated quick clinical judgment and found the 3D simulator redundant, novices were more uncertain and required additional cues. Novices using the 3D simulator described more elaborate treatment plans and had increased awareness of potential complications as compared to the control group.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"31 1","pages":"Pages 158-166"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141577844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christoph J. Roser , Vincenzo D'Anto , Chrisopher J. Lux , Cristiano Segnini
{"title":"A digital CAD/CAM configurator for the production of orthodontic appliances – Going new ways","authors":"Christoph J. Roser , Vincenzo D'Anto , Chrisopher J. Lux , Cristiano Segnini","doi":"10.1053/j.sodo.2024.06.010","DOIUrl":"10.1053/j.sodo.2024.06.010","url":null,"abstract":"<div><div>Functional therapy in growing patients is a highly relevant area in orthodontics. With the increasing integration of computer-aided design and manufacturing technology (CAD/CAM) in orthodontics, we are witnessing significant advancements in the design of orthodontic appliances. Modern 3D printing technologies allow for the creation of complex, customized equipment in a cost-effective and time-efficient manner, using robust and durable resins. Additionally, the creative input of dental CAD design programs has led to the development of new designs.</div><div>The aim of this report is to present a novel digital orthodontic prescription that aligns with the concept of a “full digital workflow”. This prescription utilizes a digital virtual configurator, enabling effective communication between the clinician, the technician and the patient.</div><div>Using this prescription system, clinicians can easily configurate an orthodontic appliance before sending it to a dental technician for individualisation. 3D printing of the final design can then be performed directly within the dental office or by the technician. This approach allows the clinician to explore different orthodontic equipment options and modules, without the requirement for a demanding and sophisticated design process and without any knowledge of CAD. The availability of the present configurator might represent a fundamental advancement in the field of the CAD/CAM production of removable appliance linked to economic and ecological benefits.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"31 1","pages":"Pages 104-109"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141709463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Design and clinical use of a completely digitally created twin block","authors":"Jörg Glockengießer , Jens Johannes Bock","doi":"10.1053/j.sodo.2024.05.012","DOIUrl":"10.1053/j.sodo.2024.05.012","url":null,"abstract":"","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"31 1","pages":"Pages 115-120"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141718263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Direct-to-print aligners: An exploration of current knowledge, from software to printers, materials, and design variations","authors":"Marco Migliorati, Anna De Mari, Sara Drago","doi":"10.1053/j.sodo.2024.06.002","DOIUrl":"10.1053/j.sodo.2024.06.002","url":null,"abstract":"","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"31 1","pages":"Pages 144-149"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141711639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"FMi --- Ed Board","authors":"","doi":"10.1053/S1073-8746(24)00145-2","DOIUrl":"10.1053/S1073-8746(24)00145-2","url":null,"abstract":"","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"31 1","pages":"Pages i-iv"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143134017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The evolution of the M.A.R.A. appliance from analogue to digital","authors":"V. Özkan, U. Gönner, S. Blasius","doi":"10.1053/j.sodo.2024.07.002","DOIUrl":"10.1053/j.sodo.2024.07.002","url":null,"abstract":"<div><div>The Mandibular Anterior Repositioning Appliance (M.A.R.A.) is a Class II fixed functional appliance invented by Douglas E. Toll in 1991. Since then, several modifications to its design have been made. From our perspective as clinicians and long-term users, having treated approximately 1000 cases collectively, the M.A.R.A. appliance is undervalued as a highly effective Class II appliance. Its versatility in addressing individual treatment needs in Class II corrections can be likened to that of a Swiss army knife.</div><div>The simplicity of each component of the M.A.R.A. allows for easy individual adjustments, ensuring that function follows form. The optimization of the analog M.A.R.A. and its clinical reliability were informed by long-term experience, encompassing biomechanical, hygiene, and usability aspects. These insights were incorporated into the digital design process. In the past, the analog customization process in the lab was extensive and time-consuming.</div><div>The virtual design process, utilizing the OrthoApps module embedded in OnyxCeph software by Image Instruments (Germany), facilitates the implementation of patient needs. This allows for the creation of an individually tailored M.A.R.A. appliance in real-time, with instant access to the manufacturing company. Manual adjustments, once integral in the clinic, are now largely handled by computer technology. Consequently, chairside time has been significantly reduced.</div><div>The evolution of the M.A.R.A. from analog to digital has followed the principle of \"less but better,\" aiming to understand what is relevant in use and seeking ways to improve.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"31 1","pages":"Pages 130-138"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142212657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sachin Chhatwani , Daniel Hoffmann , Gholamreza Danesh , Lea Hoffmann , Vanessa Knode , Björn Ludwig
{"title":"Digital 3D imaging and its application to midpalatal suture maturation assessment","authors":"Sachin Chhatwani , Daniel Hoffmann , Gholamreza Danesh , Lea Hoffmann , Vanessa Knode , Björn Ludwig","doi":"10.1053/j.sodo.2024.06.012","DOIUrl":"10.1053/j.sodo.2024.06.012","url":null,"abstract":"<div><div>The incorporation of digital technologies in orthodontics, particularly in the area of maxillary expansion, represents a significant shift in research, diagnostic techniques, treatment planning, and the personalization of orthodontic devices. Rapid maxillary expansion (RME), which involves the separation of the midpalatal suture for maximal widening of the maxilla, is at the forefront of this digital integration. In complex cases where advanced suture maturation is present, miniscrew-assisted rapid palatal expansion (MARPE) and/or surgically assisted palatal expansion (SARPE) may be required. The use of cone beam computed tomography imaging and virtual appliance design allows for customized treatment plans to be created and implemented by clinicians. However, challenges still exist in the diagnostic process despite the use of digital technologies. This study aims to evaluate the midpalatal suture maturation stages of a group of patients using three-dimensional imaging and to assess the feasibility of using grayscale values for evaluating midpalatal suture maturation. One objective of this study is to establish a more objective method for assessing midpalatal suture maturation stages.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"31 1","pages":"Pages 74-80"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141710780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"FMii --- Table of Contents","authors":"","doi":"10.1053/S1073-8746(24)00146-4","DOIUrl":"10.1053/S1073-8746(24)00146-4","url":null,"abstract":"","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"31 1","pages":"Pages v-vi"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143134019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}