Seminars in Orthodontics最新文献

{"title":"Non-surgical management of extreme vertical problems with micro-implants","authors":"Won Moon , Ney Paredes","doi":"10.1053/j.sodo.2024.08.002","DOIUrl":"10.1053/j.sodo.2024.08.002","url":null,"abstract":"","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"30 5","pages":"Pages 632-647"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142212653","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":"Transverse Autocorrection of molar inclination in Class III Patients: Case Insights on Maxillary Protraction Using Class III Palatal Plate","authors":"You-Sun Lee ,&nbsp;Mohamed Bayome ,&nbsp;Alex Hung Kuo Chou ,&nbsp;Nikhillesh Vaiid ,&nbsp;Sung-Hoon Han ,&nbsp;Yoon-Ah Kook","doi":"10.1053/j.sodo.2024.10.007","DOIUrl":"10.1053/j.sodo.2024.10.007","url":null,"abstract":"<div><div>Maxillary transverse deficiency is a frequent finding in growing patients with Class III malocclusion, where the relative position of the mandible to the maxilla contributes to a transverse skeletal discrepancy, often accompanied by dental compensations in both the sagittal and transverse planes. This case series examines the impact of midfacial protraction using a temporary anchorage device (TAD)-anchored Class III palatal plate in patients with relative maxillary transverse deficiency. The series highlights the occurrence of transverse autocorrection, particularly the spontaneous improvement of maxillary molar inclination, following protraction without the need for concurrent maxillary expansion.</div><div>Key diagnostic considerations for maxillary transverse deficiency and the severity-based differential diagnosis are explored to guide the appropriate therapeutic approach. The potential mechanisms underlying the autocorrection of maxillary transverse discrepancies are discussed, alongside the biomechanical advantages of TAD-anchored maxillary protraction. Notably, this case series illustrates that the inclination of the maxillary molars corrected automatically after midfacial protraction, offering an alternative to conventional expansion techniques.</div><div>The findings from this case series suggest that maxillary protraction without expansion may be a viable treatment option for growing Class III patients with relative maxillary transverse deficiency. However, while these preliminary observations are promising, further controlled clinical trials are necessary to validate the efficacy and long-term stability of this approach. Future studies will be crucial in confirming these outcomes and optimizing protocols for the management of transverse discrepancies in Class III malocclusions.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"31 2","pages":"Pages 329-341"},"PeriodicalIF":2.2,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143479398","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 clinical applications and outcomes of digital MARPE in orthodontics: A scoping review","authors":"Hoang Viet ,&nbsp;Anand Marya ,&nbsp;Fabrizia d’ Apuzzo ,&nbsp;Ludovica Nucci","doi":"10.1053/j.sodo.2024.10.002","DOIUrl":"10.1053/j.sodo.2024.10.002","url":null,"abstract":"<div><h3>Aim</h3><div>This scoping review aims to assess the literature on the use of digital Miniscrew-Assisted Rapid Palatal Expander (MARPE) appliances, highlighting the technological advancements in the planning, design, and manufacturing process, the clinical outcomes, and potential advantages offered by integrating digital technology into the MARPE workflow.</div></div><div><h3>Background</h3><div>MARPE is a widely used technique to address maxillary skeletal deficiencies, particularly in adult and late adolescent patients. The core function of MARPE remains consistent regardless of whether conventional or digital approaches are used. However, digital technologies like CAD-CAM and CBCT have introduced new methods for improving precision and customization in MARPE treatments.</div></div><div><h3>Methodology</h3><div>The PRISMA-ScR guidelines were followed, conducting a comprehensive literature search across databases such as PubMed, Scopus, Web of Science, and Google Scholar. The search terms used included “digital MARPE,” “miniscrew-assisted rapid palatal expander,” and “digital orthodontic appliances.” Inclusion criteria focused on studies incorporating digital technologies in the design, planning, or manufacturing stages of MARPE. Studies only describing the conventional MARPE, or non-English articles were excluded.</div></div><div><h3>Results</h3><div>A total of 1,024 publications were identified and after applying the inclusion criteria and full-text screening,12 articles were included in the final analysis. It was observed that the integration of digital technologies, such as CAD-CAM, has dramatically enhanced the precision, customization, and predictability of MARPE treatments, as evidenced in the studies reviewed. Digital workflows enable orthodontists to precisely align MARPE devices with the patient's anatomy, minimizing complications and enhancing treatment efficiency. CAD-CAM-enabled MARPE devices were able to produce effective mid-palatal suture separation and skeletal expansion even in situations where the thickness of the palatal bone was less than optimum for conventional expansion methods. It was observed that 3D-printing combined with CBCT could help overcome the limitations of prefabricated MARPE designs, which may not always fit well in cases with high-arched palates, thus compromising anchorage.</div></div><div><h3>Conclusion</h3><div>The introduction of digital technologies in MARPE treatments has offered clear procedural advantages in terms of precision, customization, and workflow efficiency. However, the fundamental clinical efficacy of MARPE remains consistent, regardless of whether digital or conventional methods are used. Future research should focus on quantitatively assessing the long-term impact of digital workflows on treatment outcomes, patient comfort, and procedural efficiency.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"31 2","pages":"Pages 299-309"},"PeriodicalIF":2.2,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143479445","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":"Principals for placement and expansion protocol for the bone-first Quadexpander in adolescents and adults","authors":"Nour Eldin Tarraf ,&nbsp;Maximilian Küffer ,&nbsp;Oronzo de Gabriele ,&nbsp;Benedict Wilmes","doi":"10.1053/j.sodo.2024.09.003","DOIUrl":"10.1053/j.sodo.2024.09.003","url":null,"abstract":"<div><div>Transverse maxillary deficiency is a common malocclusion in orthodontics, particularly challenging to treat in adults due to increased resistance from the midpalatal suture and circummaxillary sutures. Traditional tooth-borne expansion methods are effective in children but cause significant dental side effects in older patients. Surgically assisted rapid maxillary expansion (SARME) is invasive, leading to the development of minimally invasive, miniscrew-supported devices like the Quadexpander. The Quadexpander is a purely bone-borne appliance anchored by four miniscrews, designed using the \"Bone First\" principle, which prioritizes optimal bone quality for screw placement. This custom-designed appliance avoids the negative side effects on teeth associated with hybrid devices and allows for effective skeletal expansion in adults. The article discusses the TAD insertion sites, design, placement, and activation protocols of the Quadexpander, emphasizing its advantages in achieving non-surgical maxillary expansion with minimal complications.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"31 2","pages":"Pages 197-206"},"PeriodicalIF":2.2,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143479476","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":"Comparison of geometric changes in basal arch form after maxillary expansion between pure bone-borne and tissue-bone-borne appliance","authors":"Jae-Woo Kim ,&nbsp;Jung-Jin Park ,&nbsp;Seong-Hun Kim","doi":"10.1053/j.sodo.2024.08.004","DOIUrl":"10.1053/j.sodo.2024.08.004","url":null,"abstract":"<div><div>Attaining good occlusion, a key aspect of successful treatment, relies heavily on coordinating dental arch form. Therefore, achieving a coordinated basal arch form with acceptable tooth inclination becomes imperative. In this retrospective study, our objective was to explore changes in basal arch form and discern variations in expansion patterns during maxillary transverse discrepancy (MTD) correction between two types of bone-borne expanders: the ATOZ expander and the C-expander. The center of resistance (CR) points for the maxillary and mandibular first molars, first premolars, and lateral incisors were determined from cone-beam computed tomography (CBCT) data and CR arch form analysis was performed using 25 ATOZ group and 25 C-expander group. Our findings reveal that both the ATOZ expander and the C-expander effectively expand the maxillary premolar and molar regions. Particularly noteworthy is the superior expansion achieved by the ATOZ expander in the anterior region and CR-width ratio and CR-area ratio which showed more site-specific change in basal arch form after expansion in the ATOZ group. With the utilization of CR-arch form analysis to evaluate MTD throughout the entire arch, the ATOZ expander emerges as a viable option for patients requiring customized basal arch form changes after expansion.</div></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"31 2","pages":"Pages 271-279"},"PeriodicalIF":2.2,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142268727","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":"Orthodontics post graduate education for generation Z: Current landscape, opportunities, and challenges!","authors":"Veerasathpurush Allareddy ,&nbsp;Sumit Yadav","doi":"10.1053/j.sodo.2024.08.001","DOIUrl":"10.1053/j.sodo.2024.08.001","url":null,"abstract":"","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"30 4","pages":"Pages 367-368"},"PeriodicalIF":2.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142212654","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":"Defining orthodontic learning outcomes for general dentists: A modified Delphi process-based curricular modification","authors":"","doi":"10.1053/j.sodo.2024.04.007","DOIUrl":"10.1053/j.sodo.2024.04.007","url":null,"abstract":"<div><h3>Background</h3><p>The quest to define orthodontic competencies for general dentists has been ongoing. The translation of these competencies into explicit learning outcomes and their integration into curriculum through instructional strategies and assessment tools has not been thoroughly documented in orthodontic literature. This study presents a methodical approach undertaken by a dental school to establish core orthodontic learning outcomes for newly graduated general dentists.</p></div><div><h3>Objectives</h3><p>We aim to detail the consensus-building process for establishing fundamental orthodontic learning outcomes.</p></div><div><h3>Methods</h3><p>Employing a modified Delphi method, this study sought to construct a consensus on orthodontic learning outcomes over three stages. Reviewing existing literature, we identified primary competency domains and formulated a preliminary set of outcomes. An expert panel was then convened, to critique and refine these outcomes. Miller's pyramid of clinical competence provided a framework for categorization. Disagreements on critical outcomes were addressed in the final stage, ensuring alignment with teaching and assessment methods.</p></div><div><h3>Results</h3><p>A diverse panel of orthodontists participated in successive Delphi stages. We derived 93 learning outcomes across seven domains of practice, critical for new dental graduates. The outcomes were stratified into categories corresponding to Miller's pyramid. These categorizations informed the enhancement of assessment techniques and instructional strategies, culminating in the creation of a self-assessment tool.</p></div><div><h3>Conclusions</h3><p>The learning outcomes developed offer a strategic guide for evolving the undergraduate orthodontic curriculum. Such a structured set of outcomes can aid in the identification of learning gaps and foster a deeper understanding of educational needs.</p></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"30 4","pages":"Pages 413-421"},"PeriodicalIF":2.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140931360","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":"Decoding the nuances of scholarly output and publication metrics in orthodontics","authors":"","doi":"10.1053/j.sodo.2024.05.013","DOIUrl":"10.1053/j.sodo.2024.05.013","url":null,"abstract":"<div><p><span>This comprehensive manuscript endeavors to furnish orthodontic researchers with the necessary tools and knowledge to adeptly navigate the multifaceted landscape of academic publishing, thereby enhancing the efficacy and reach of their scholarly endeavors. It meticulously imparts critical insights and methodologies for comprehending and leveraging publication metrics, such as citation counts, the h-index, and Journal Impact Factors, to strategically plan research trajectories. Furthermore, it offers guidance on adeptly engaging with evaluation agencies such as the American Dental Association (ADA) and the National Institute of Dental and Craniofacial Research (NIDCR), thereby optimizing alignment with grant opportunities. Through the adept utilization of orthodontic bibliometrics, researchers can gain invaluable insights into prevailing collaboration trends and emerging research domains, thus facilitating informed decision-making and prioritization of scholarly pursuits. Additionally, the manuscript delves into the nuanced optimization of publication guidelines to maximize research impact. Spanning both established domains such as biomechanics, anchorage control, and </span>aligner therapy, as well as burgeoning frontiers including 3D printing and artificial intelligence applications in aligner treatment, this manuscript equips orthodontic researchers with the requisite acumen to embark upon a journey of impactful scholarly contributions, thereby catalyzing advancements in patient care within the discipline.</p></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"30 4","pages":"Pages 456-462"},"PeriodicalIF":2.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141277562","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":"Shaping the research agenda for dental sleep-disordered breathing education in orthodontic residency programs","authors":"","doi":"10.1053/j.sodo.2024.04.001","DOIUrl":"10.1053/j.sodo.2024.04.001","url":null,"abstract":"<div><p>Dental care providers are essential in screening and co-managing sleep-breathing disorders, particularly obstructive sleep apnea. As an integral component of dental medicine education, Dental Sleep-disordered Breathing Education (DSBE) aims to equip undergraduate and graduate dental students with the necessary knowledge, skills, and attitude to screen for and manage sleep-breading disorders as part of interdisciplinary teams. Studies on DSBE have mainly focused on undergraduate dental programs. Thus, research is needed to support the improvement of DSBE in dental residency programs, especially in orthodontics, to address the learning needs of future dental students, including Generation Z learners. This perspective paper suggests key research areas and methodologies to support this much-needed undertaking. These areas include curriculum mapping, outcome evaluation, and improvement/innovation. Dental researchers are encouraged to investigate these areas, employing the suggested methodologies. This will help overcome existing educational challenges and advance the available knowledge on DSBE in residency programs in orthodontics and dentistry at large.</p></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"30 4","pages":"Pages 405-408"},"PeriodicalIF":2.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1073874624000392/pdfft?md5=b586669d07bb88d2eb1f4bde8a592bca&pid=1-s2.0-S1073874624000392-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140588202","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":"ChatGPT and dental education: Opportunities and challenges","authors":"","doi":"10.1053/j.sodo.2024.03.004","DOIUrl":"10.1053/j.sodo.2024.03.004","url":null,"abstract":"<div><p>The advent of Chat Generative Pre-Trained Transformer (ChatGPT), a conversational artificial intelligence application, has sparked considerable interest and debate within the educational sphere. This narrative article explores the potential implications of ChatGPT on dental education, including its applications, challenges, and ethical considerations. In the realm of dental school admissions, the use of ChatGPT raises questions about academic integrity and the equitable access to resources for applicants. While it may offer benefits in aiding students with writer's block, concerns arise regarding plagiarism and the authenticity of personal statements. Furthermore, its impact on the learning experiences of dental students presents both opportunities and challenges. While ChatGPT can serve as a helpful learning tool, its use may also hinder the development of critical thinking skills and lead to issues of academic dishonesty. In the realm of research, ChatGPT holds promise for facilitating literature analysis, question-answering, and information retrieval. However, its limitations, such as the lack of domain-specific knowledge and potential for bias, must be considered. Ethical concerns surrounding AI-generated content, including misinformation and transparency, necessitate careful regulation and oversight. Looking ahead, the integration of generative AI models into dental education requires collaborative efforts to establish best practices and ethical guidelines. Future research should focus on developing tailored AI models specific to dental education and investigating their long-term effects on learning outcomes and patient care. Ultimately, as educators, it is imperative to embrace technological advancements while ensuring responsible and equitable integration into dental education curricula.</p></div>","PeriodicalId":48688,"journal":{"name":"Seminars in Orthodontics","volume":"30 4","pages":"Pages 401-404"},"PeriodicalIF":2.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140931363","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}