Cristiano Segnini , Vincenzo D'Anto , Rosa Valetta , Christopher J. Lux , Christoph J. Roser
{"title":"CAD-based functional therapy during aligner treatment – the “En-Nova”-protocol (technical report)","authors":"Cristiano Segnini , Vincenzo D'Anto , Rosa Valetta , Christopher J. Lux , Christoph J. Roser","doi":"10.1053/j.sodo.2024.06.009","DOIUrl":"10.1053/j.sodo.2024.06.009","url":null,"abstract":"<div><div>Functional orthodontic therapy represents a fundamental element of orthodontic therapy, intending to correct skeletal discrepancies of growing patients by changing their neuromuscular patterns on the long run. To date, consequent functional orthodontic therapy is the first part of a two-phase treatment protocol, which is followed by subsequent dental alignment. For aligners several features are present, which aim to integrate functional therapy into aligner treatment. Examples include inclined planes (“precision wings”) incorporated into the aligners or elastics, both trying to force a mandibular advancement. However, all of them suffer from a rather small skeletal effect, which is why the development of new approaches, which allow for more growth control during aligner therapy, is justified. Against this background, the present article describes a new treatment concept which consists of a CAD-based functional orthodontic appliance overlaying over the aligners during the entire treatment time. By increasing the skeletal control, it is intended to guarantee a consequent functional orthodontic treatment while saving treatment time.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"31 1","pages":"Pages 110-114"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141708624","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}
Domingo Martin Salvador MD, DMD, MS , Javier Aznar Arraiz DMD, MS, PhD , Anna Andrzejewska DMD, MS , Pablo Arias Camison DMD, MS , Alberto Canabez Berthet MD, DMD, MS
{"title":"The importance of 4D records in orthodontics: It's all about chewing. Technical aspects and clinical cases","authors":"Domingo Martin Salvador MD, DMD, MS , Javier Aznar Arraiz DMD, MS, PhD , Anna Andrzejewska DMD, MS , Pablo Arias Camison DMD, MS , Alberto Canabez Berthet MD, DMD, MS","doi":"10.1053/j.sodo.2024.10.003","DOIUrl":"10.1053/j.sodo.2024.10.003","url":null,"abstract":"<div><div>This article explores the importance of achieving orthopedic stability, focusing on occlusal splints designed using advanced technologies like intraoral scanners and virtual articulators. These splints aid in repositioning condyles, stabilizing dental occlusion, reducing muscular hyperactivity, and alleviating symptoms of temporomandibular dysfunction.</div><div>Central to these advancements is ModJaw<sup>TM</sup>, a 4D kinematic imaging device that accurately records mandibular movements and condylar trajectories. ModJaw<sup>TM</sup> enhances diagnosis and treatment planning by visualizing dynamic occlusal contacts, detecting chewing anomalies, allowing virtual mountings and enabling precise adjustments.</div><div>Two clinical cases are shown demonstrating successful outcomes using ModJaw<sup>TM</sup> data in orthodontic interventions, emphasizing the importance of maintaining the arc of closure for achieving desired orthopedic stability and optimal occlusion.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"31 1","pages":"Pages 47-73"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143134020","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}
Carol Weinstein , Miguel Hirschhaut , Patricia Vergara , Angelica de la Hoz Chois , Carlos Flores-Mir
{"title":"A three-dimensional perspective on Brodie Bite's diagnosis, planning, treatment alternatives, and complications","authors":"Carol Weinstein , Miguel Hirschhaut , Patricia Vergara , Angelica de la Hoz Chois , Carlos Flores-Mir","doi":"10.1053/j.sodo.2023.12.008","DOIUrl":"10.1053/j.sodo.2023.12.008","url":null,"abstract":"<div><div>This narrative review describes the different diagnostic, prognostic, management aspects and complications of the Brodie Bite. A current literature review was completed to identify relevant case reports, case series, and reviews about the Brodie Bite. Brodie Bite cases, fortunately, are not frequent. A checklist for this malocclusion<span> is presented. Additionally, a description of the advantages of an early diagnosis will be discussed to avoid its progression to a more complex clinical scenario. The importance of solving the Brodie Bite before correcting any other simultaneous malocclusion problem is stressed. Emphasis is given on a three-dimensional diagnosis and planning. Different management mechanics are presented - ranging from TADS to fixed and functional appliances<span>. Alternative disocclusion methods are also discussed. It is noted that some cases benefit from a combined surgical orthodontic correction. Finally, periodontal issues and difficulties are addressed.</span></span></div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"30 5","pages":"Pages 538-556"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139070299","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}
Li-Fang Hsu , Johnny Joung-Lin Liaw , Ib Leth Nielsen , Yi-Jane Chen , Yunn-Jy Chen , Chung-Chen Jane Yao , Jae Hyun Park
{"title":"Management of open bite in patients with temporomandibular joint degeneration","authors":"Li-Fang Hsu , Johnny Joung-Lin Liaw , Ib Leth Nielsen , Yi-Jane Chen , Yunn-Jy Chen , Chung-Chen Jane Yao , Jae Hyun Park","doi":"10.1053/j.sodo.2024.05.004","DOIUrl":"10.1053/j.sodo.2024.05.004","url":null,"abstract":"<div><div>Open bite<span><span> is a multifactorial problem, which is a challenging type of malocclusion for the orthodontist to treat. A careful and detailed diagnosis is important to ensure the correct treatment approach. With the use of temporary skeletal anchorage<span> devices (TSADs), it is now possible in most cases to treat these malocclusions without surgical intervention. Several etiological factors are involved in the development of this malocclusion, including the patient's facial growth pattern, persistent sucking habits, tongue dysfunction, and mouth breathing due to compromised airways. These factors should always be identified early in a patient's life. Treatment strategies have included habit control, tongue crib, and correction of any airway problems, while in the more severe open bite patients, orthognathic surgery was necessary to correct the problem. Now, it can be treated by the intrusion of the </span></span>posterior teeth<span> using TSADs. This article presents one type of open bite resulting from condylar degeneration. In the past, this problem could have only been corrected with orthognathic surgery. Here, we demonstrate the result of an acquired open bite treated by intruding the posterior teeth with TSADs. In addition, we provide guidelines for selecting those cases that lend themselves to treatment with TSADs and those where combined orthodontic and orthognathic surgical correction is still needed.</span></span></div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"30 5","pages":"Pages 712-718"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141508648","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}
Jung Jin Park , Jin-Young Choi , Ki-Ho Park , Soon-Yong Kwon , Young-Guk Park , Jae Hyun Park
{"title":"Clinical application of a lingual retractor with temporary anchorage devices (TADs) for patients with lip protrusion and anterior open bite","authors":"Jung Jin Park , Jin-Young Choi , Ki-Ho Park , Soon-Yong Kwon , Young-Guk Park , Jae Hyun Park","doi":"10.1053/j.sodo.2024.05.006","DOIUrl":"10.1053/j.sodo.2024.05.006","url":null,"abstract":"<div><div>Anterior open bite (AOB) is considered one of the most difficult malocclusions to correct and achieve successful and stable results. Various treatment approaches have been proposed for the treatment of AOB in adults. Intrusion of the entire maxillary dentition is necessary for AOB patients with severe incisor exposure. In previous reports, a labial appliance with temporary anchorage devices (TADs) implanted in various positions has been used to achieve total intrusion of the maxillary dentition. This article describes the design and biomechanics of an anteroposterior lingual retractor (APLR) to attempt retraction of anterior teeth and total intrusion of maxillary dentition after premolar extraction in patients with both lip protrusion and AOB and the functions of each component of APLR is considered. When force is applied between the anterior lever arm of the APLR and a TAD in the midpalatal area, the anterior teeth are intruded and retracted with torque control. Because the direction of the APLR force and the guide bar are not parallel, intrusive force is generated in the posterior teeth. Due to this total intrusion of the maxillary dentition, the mandible is rotated counterclockwise, improving AOB with severe incisor exposure. Various cases are presented in which APLR was applied to AOB patients, and the clinical considerations behind the treatment are explained in detail.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"30 5","pages":"Pages 623-631"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141049310","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":"Orthodontic re-treatment of class II malocclusion – Strategies for correction of anchorage loss","authors":"Abhisek Ghosh , Gina Theodoridis , Adith Venugopal","doi":"10.1053/j.sodo.2024.09.005","DOIUrl":"10.1053/j.sodo.2024.09.005","url":null,"abstract":"<div><div>Orthodontic re-treatment may be required in cases of sub-optimal treatment outcomes. These outcomes may often be due to appliance-driven treatment plan, inadequate bio-mechanical considerations during treatment or poor operator skills. Common issues include anchorage loss, deepening of bite, incorrect extraction protocols, re-opened extraction spaces and loss of vertical control. To address these problems, traditional orthodontic appliances, skeletal anchorage systems, customized appliances, and clear aligners may offer a ray of hope, provided they are used judiciously. To effectively manage re-treatment techniques, it's important to have a solid understanding of the anatomic limits, biomechanics, and potential side effects<em>.</em> Proper case selection is extremely crucial for overall clinical success in such complex situations. Therefore, establishing guidelines and understanding the biomechanical perspectives of various appliance systems are essential to address these challenges in modern orthodontic practice.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"30 5","pages":"Pages 755-778"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743585","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}
Ahmet Nejat Erverdi , Yasemin Bahar Acar , Aybüke Ensarioğlu
{"title":"Are zygomatic implants an alternative to orthognathic surgery in the treatment of a vertical discrepancy ? A case series to describe an open bite treatment protocol","authors":"Ahmet Nejat Erverdi , Yasemin Bahar Acar , Aybüke Ensarioğlu","doi":"10.1053/j.sodo.2024.09.002","DOIUrl":"10.1053/j.sodo.2024.09.002","url":null,"abstract":"<div><h3>Introduction</h3><div>This report aims to present case series to describe a treatment protocol for correction of severe open bite in non-growing patients</div></div><div><h3>Methodology</h3><div>Patients diagnosed with skeletal open bite malocclusion (overbite range: -3 to -6 mm) were treated using a bonded appliance and skeletal anchorage. Intrusive force was applied between buccal bars of appliance and zygomatic multipurpose implants (MPI). Intrusion was continued until positive overbite occurred. Treatment progressed with conventional fixed orthodontic treatment for alignment and settling. MPIs were retained until the end of treatment for retention of intrusion</div></div><div><h3>Results</h3><div>Clinically effective open bite correction was achieved by intrusion of maxillary buccal segment and mandibular counterclockwise autorotation</div></div><div><h3>Conclusion</h3><div>This protocol includes zygomatic anchorage and an appliance that aims triple intrusion effect through combination of orthodontic and physiological forces. Achieving significant maxillary intrusion, controlling mandibular eruption and maximizing mandibular counterclockwise autorotation are the main outcomes of this protocol.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"30 5","pages":"Pages 742-754"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743586","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}
Juan Carlos Pérez-Varela , María Dolores Campoy , Miriam López-Vila , Sara Camañes-Gonzalvo , Verónica García-Sanz , Vanessa Paredes-Gallardo
{"title":"Management of skeletal class III discrepancies using temporary anchorage devices. Clinical cases review and biomechanical considerations","authors":"Juan Carlos Pérez-Varela , María Dolores Campoy , Miriam López-Vila , Sara Camañes-Gonzalvo , Verónica García-Sanz , Vanessa Paredes-Gallardo","doi":"10.1053/j.sodo.2024.04.002","DOIUrl":"10.1053/j.sodo.2024.04.002","url":null,"abstract":"<div><div>The diagnosis and treatment of class III malocclusion can be challenging due to its complexity, impacting not only the jaws but the entire craniofacial complex. For adult patients with skeletal class III malocclusion, potential treatment options include evaluating orthognathic surgery or using dentoalveolar compensation strategies. The aim of this clinical case review is to present a series of cases involving skeletal class III malocclusion, with or without associated transverse issues, treated through various approaches. Additionally, this review will discuss different biomechanical and biological aspects that should be considered in these procedures.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"30 5","pages":"Pages 572-590"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140790505","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}
Sungsu Heo , Jae Hyun Park , Seung Pil Jung , Sung-Kwon Choi , Jae-Soo Kim , Jong-Moon Chae
{"title":"Biomechanical and clinical considerations for the correction of Class II anterior open bite","authors":"Sungsu Heo , Jae Hyun Park , Seung Pil Jung , Sung-Kwon Choi , Jae-Soo Kim , Jong-Moon Chae","doi":"10.1053/j.sodo.2024.02.003","DOIUrl":"10.1053/j.sodo.2024.02.003","url":null,"abstract":"<div><div>Anterior open bite<span> (AOB) with mild-to-moderate skeletal discrepancies can be camouflaged by an orthodontic tooth movement<span>. Conventional methods can improve occlusal<span><span> relationships and some profile esthetics, but their mechanics may result in detrimental side effects such as a gummy smile, a high-frequency relapse, and an unfavorable facial profile. The emergence of temporary skeletal anchorage devices (TSADs) has facilitated the treatment of skeletal Class II AOB through intrusion of the </span>posterior teeth<span> and autorotation of the mandible, improving facial esthetics while minimizing the side effects. TSADs can also simplify treatment plans and offer a more predictable treatment result. Finite element studies have identified the location of the center of resistance of the dentition, providing a biomechanical basis for understanding 3-dimensional tooth movement patterns using TSADs. Therefore, biomechanical and clinical considerations are essential for correcting Class II AOB using TSADs.</span></span></span></span></div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"30 5","pages":"Pages 502-513"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140272435","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}