Theodore Eliades, Rolf G Behrents, Steven J Lindauer, David P Rice
{"title":"Reducing the quality of our evidence base by publishing at any cost.","authors":"Theodore Eliades, Rolf G Behrents, Steven J Lindauer, David P Rice","doi":"10.4041/kjod54.0000","DOIUrl":"10.4041/kjod54.0000","url":null,"abstract":"","PeriodicalId":51260,"journal":{"name":"Korean Journal of Orthodontics","volume":" ","pages":"139-141"},"PeriodicalIF":1.9,"publicationDate":"2024-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11129937/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141066466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Three-dimensional analysis of the positional relationship between the dentition and basal bone region in patients with skeletal Class I and Class II malocclusion with mandibular retrusion.","authors":"Jun Wan, Xi Wen, Jing Geng, Yan Gu","doi":"10.4041/kjod23.262","DOIUrl":"10.4041/kjod23.262","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to determine the maxillary and mandibular basal bone regions and explore the three-dimensional positional relationship between the dentition and basal bone regions in patients with skeletal Class I and Class II malocclusions with mandibular retrusion.</p><p><strong>Methods: </strong>Eighty patients (40 each with Class I and Class II malocclusion) were enrolled. Maxillary and mandibular basal bone regions were determined using cone-beam computed tomography images. To measure the relationship between the dentition and basal bone region, the root position and root inclination were calculated using the coordinates of specific fixed points by a computer program written in Python.</p><p><strong>Results: </strong>In the Class II group, the mandibular anterior teeth inclined more labially (<i>P</i> < 0.05), with their apices positioned closer to the external boundary. The apex of the maxillary anterior root was positioned closer to the external boundary in both groups. Considering the molar region, the maxillary first molars tended to be more lingually inclined in females (<i>P</i> = 0.037), whereas the mandibular first molars were significantly more labially inclined in the Class II group (<i>P</i> < 0.05).</p><p><strong>Conclusions: </strong>Mandibular anterior teeth in Class II malocclusion exhibit a compensatory labial inclination trend with the crown and apex relative to the basal bone region when mandibular retrusion occurs. Moreover, as the root apices of the maxillary anterior teeth are much closer to the labial side in Class I and Class II malocclusion, the range of movement at the root apex should be limited to avoid extensive labial movement.</p>","PeriodicalId":51260,"journal":{"name":"Korean Journal of Orthodontics","volume":"54 3","pages":"171-184"},"PeriodicalIF":1.9,"publicationDate":"2024-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11129933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141155863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yoon-Ji Kim, Moon-Young Kim, Nayansi Jha, Min-Ho Jung, Yong-Dae Kwon, Ho Gyun Shin, Min Jung Ko, Sang Ho Jun
{"title":"Treatment outcome and long-term stability of orthognathic surgery for facial asymmetry: A systematic review and meta-analysis.","authors":"Yoon-Ji Kim, Moon-Young Kim, Nayansi Jha, Min-Ho Jung, Yong-Dae Kwon, Ho Gyun Shin, Min Jung Ko, Sang Ho Jun","doi":"10.4041/kjod23.194","DOIUrl":"10.4041/kjod23.194","url":null,"abstract":"<p><strong>Objective: </strong>: This systematic review aimed to provide a comparative analysis of the treatment outcomes, including hard and soft tissues, postoperative stability, temporomandibular disorders (TMD), and quality of life (QoL), in patients with facial asymmetry who underwent orthognathic surgery.</p><p><strong>Methods: </strong>: The primary objective was to address the question, \"How do different factors related to surgery affect the outcomes and stability of orthognathic surgery in the correction of facial asymmetry?\" A meta-analysis was conducted on the outcome parameters, such as skeletal, dental, and soft tissue symmetry, TMD, QoL, and relapse, using the Hartung-Knapp-Sidik-Jonkman method for random-effects models. Subgroup analyses were conducted considering surgery-related factors such as surgical techniques (one-jaw vs. two-jaw), use of the surgery-first approach, utilization of computer simulation, and analytical methods employed to evaluate asymmetry (2D vs. 3D).</p><p><strong>Results: </strong>: Forty-nine articles met the inclusion criteria. The meta-analysis demonstrated a significant improvement in the symmetry of hard and soft tissues. The subgroup analysis indicated that the treatment outcomes showed significant improvement, regardless of the factors related to surgery. Changes in TMD signs and symptoms varied according to the surgical technique used. Quality of life improved in the facial, oral, and social domains. Skeletal relapse was observed during the follow-up.</p><p><strong>Conclusions: </strong>: Our findings support the positive outcomes of orthognathic surgery in the treatment of facial asymmetry in terms of skeletal and soft tissue improvements, stability, relief of TMD symptoms, and enhancement of QoL. However, most of the included studies showed a low certainty of evidence and high heterogeneity.</p>","PeriodicalId":51260,"journal":{"name":"Korean Journal of Orthodontics","volume":"54 2","pages":"89-107"},"PeriodicalIF":1.9,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10973727/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Renata Mayumi Kato, João Roberto Gonçalves, Jaqueline Ignácio, Larry Wolford, Patricia Bicalho de Mello, Julianna Parizotto, Jonas Bianchi
{"title":"Is three-piece maxillary segmentation surgery a stable procedure?","authors":"Renata Mayumi Kato, João Roberto Gonçalves, Jaqueline Ignácio, Larry Wolford, Patricia Bicalho de Mello, Julianna Parizotto, Jonas Bianchi","doi":"10.4041/kjod23.166","DOIUrl":"10.4041/kjod23.166","url":null,"abstract":"<p><strong>Objective: </strong>: The number of three-piece maxillary osteotomies has increased over the years; however, the literature remains controversial. The objective of this study was to evaluate the skeletal stability of this surgical modality compared with that of one-piece maxillary osteotomy.</p><p><strong>Methods: </strong>: This retrospective cohort study included 39 individuals who underwent Le Fort I maxillary osteotomies and were divided into two groups: group 1 (three pieces, n = 22) and group 2 (one piece, n = 17). Three cone-beam computed tomography scans from each patient (T1, pre-surgical; T2, post-surgical; and T3, follow-up) were used to evaluate the three-dimensional skeletal changes.</p><p><strong>Results: </strong>: The differences within groups were statistically significant only for group 1 in terms of surgical changes (T2-T1) with a mean difference in the canine region of 3.09 mm and the posterior region of 3.08 mm. No significant differences in surgical stability were identified between or within the groups. The mean values of the differences between groups were 0.05 mm (posterior region) and -0.39 mm (canine region).</p><p><strong>Conclusions: </strong>: Our findings suggest that one- and three-piece maxillary osteotomies result in similar post-surgical skeletal stability.</p>","PeriodicalId":51260,"journal":{"name":"Korean Journal of Orthodontics","volume":"54 2","pages":"128-135"},"PeriodicalIF":1.9,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10973729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Three-dimensional finite element analysis on the effects of maxillary protraction with an individual titanium plate at multiple directions and locations.","authors":"Fan Wang, Qiao Chang, Shuran Liang, Yuxing Bai","doi":"10.4041/kjod23.217","DOIUrl":"10.4041/kjod23.217","url":null,"abstract":"<p><strong>Objective: </strong>: A three-dimensional-printed individual titanium plate was applied for maxillary protraction to eliminate side effects and obtain the maximum skeletal effect. This study aimed to explore the stress distribution characteristics of sutures during maxillary protraction using individual titanium plates in various directions and locations.</p><p><strong>Methods: </strong>: A protraction force of 500 g per side was applied at forward and downward angles between 0° and 60° with respect to the Frankfort horizontal plane, after which the titanium plate was moved 2 and 4 mm upward and downward, respectively. Changes in sutures with multiple protraction directions and various miniplate heights were quantified to analyze their impact on the maxillofacial bone.</p><p><strong>Results: </strong>: Protraction angle of 0-30° with respect to the Frankfort horizontal plane exhibited a tendency for counterclockwise rotation in the maxilla. At a 40° protraction angle, translational motion was observed in the maxilla, whereas protraction angles of 50-60° tended to induce clockwise rotation in the maxilla. Enhanced protraction efficiency at the lower edge of the pyriform aperture was associated with increased height of individual titanium plates.</p><p><strong>Conclusions: </strong>: Various protraction directions are suitable for patients with different types of vertical bone surfaces. Furthermore, when the titanium plate was positioned lower, the protraction force exhibited an increase.</p>","PeriodicalId":51260,"journal":{"name":"Korean Journal of Orthodontics","volume":"54 2","pages":"108-116"},"PeriodicalIF":1.9,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10973726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cone-beam computed tomographic evaluation of mandibular incisor alveolar bone changes for the intrusion arch technique: A retrospective cohort research.","authors":"Lin Lu, Jiaping Si, Zhikang Wang, Xiaoyan Chen","doi":"10.4041/kjod23.173","DOIUrl":"10.4041/kjod23.173","url":null,"abstract":"<p><strong>Objective: </strong>: Alveolar bone loss is a common adverse effect of intrusion treatment. Mandibular incisors are prone to dehiscence and fenestrations as they suffer from thinner alveolar bone thickness.</p><p><strong>Methods: </strong>: Thirty skeletal class II patients treated with mandibular intrusion arch therapy were included in this study. Lateral cephalograms and cone-beam computed tomography images were taken before treatment (T1) and immediately after intrusion arch removal (T2) to evaluate the tooth displacement and the alveolar bone changes. Pearson's and Spearman's correlation was used to identify risk factors of alveolar bone loss during the intrusion treatment.</p><p><strong>Results: </strong>: Deep overbite was successfully corrected (<i>P</i> < 0.05), accompanied by mandibular incisor proclination (<i>P</i> < 0.05). There were no statistically significant change in the true incisor intrusion (<i>P</i> > 0.05). The labial and lingual vertical alveolar bone levels showed a significant decrease (<i>P</i> < 0.05). The alveolar bone is thinning in the labial crestal area and lingual apical area (<i>P</i> < 0.05); accompanied by thickening in the labial apical area (<i>P</i> < 0.05). Proclined incisors, non-extraction treatment, and increased A point-nasion-B point (ANB) degree were positively correlated with alveolar bone loss.</p><p><strong>Conclusions: </strong>: While the mandibular intrusion arch effectively corrected the deep overbite, it did cause some unwanted incisor labial tipping/flaring. During the intrusion treatment, the alveolar bone underwent corresponding changes, which was thinning in the labial crestal area and thickening in the labial apical area vice versa. And increased axis change of incisors, non-extraction treatment, and increased ANB were identified as risk factors for alveolar bone loss in patients with mandibular intrusion therapy.</p>","PeriodicalId":51260,"journal":{"name":"Korean Journal of Orthodontics","volume":" ","pages":"79-88"},"PeriodicalIF":1.9,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10973728/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139984501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluating anchorage loss in upper incisors during distalization of maxillary posterior teeth using clear aligners in adult patients: A prospective randomized study.","authors":"Zehra Yurdakul, Nurver Karsli","doi":"10.4041/kjod23.150","DOIUrl":"10.4041/kjod23.150","url":null,"abstract":"<p><strong>Objective: </strong>: To evaluate the effect of clear aligner treatment and differential sequence distalization of maxillary posterior teeth on anchorage loss in the upper incisors (U1s).</p><p><strong>Methods: </strong>: This study used lateral cephalometries and digital models of 12 patients treated with 33% sequential distalization (group 1, mean age: 22.9 ± 0.7 years, five males, seven females) and 12 treated with 50% sequential distalization (group 2, mean age: 25.83 ± 0.5 years, three males, nine females) acquired before and after distalization of upper second premolars (U5) and upper first molars (U6) and upper second molars (U7). The amount of distalization was determined as 2.5 mm in both the groups. Independent Samples <i>t</i> test was used to compare normally distributed parameters. Mann-Whitney U and Wilcoxon tests were used to compare parameters that were not normally distributed.</p><p><strong>Results: </strong>: In both groups, the posterior teeth significantly moved by tipping distally and the U1s were displaced anteriorly. Increase in maxillary posterior transverse width (<i>P</i> < 0.001) and distopalatal rotation were observed in U5, U6, and U7 after distalization. It was also observed that U1 was significantly more proclined (1.82°; <i>P</i> < 0.001) and protruded (0.62 mm; <i>P</i> < 0.001), and the overjet (0.45 mm; <i>P</i> < 0.001) increased more in group 1 than in group 2.</p><p><strong>Conclusions: </strong>: After sequential distalization of maxillary posterior teeth, more anchorage loss was observed in the anterior region in group 1 than in group 2.</p>","PeriodicalId":51260,"journal":{"name":"Korean Journal of Orthodontics","volume":"54 2","pages":"117-127"},"PeriodicalIF":1.9,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10973730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Biocreative Alveolar Molding Plate Treatment (BioAMP) for neonatal unilateral cleft lip and palate with excessively wide alveolar cleft and maxillary arch width.","authors":"HyeRan Choo, HyoWon Ahn","doi":"10.4041/kjod23.163","DOIUrl":"10.4041/kjod23.163","url":null,"abstract":"<p><p>Since its inception in Europe in the 1950s, alveolar molding treatment for neonates with complete cleft lip and palate has undergone significant evolution in both design and application methodology, demonstrating effectiveness in normalizing the alveolar cleft and nasal shape. However, excessively wide alveolar clefts accompanied by disproportionately wide total maxillary arch pose significant challenges when utilizing conventional alveolar molding methods involving cyclical adding and grinding of acrylic on molding plates. The current report introduces a novel alveolar molding method named Biocreative Alveolar Molding Plate Treatment (BioAMP), which can normalize the maxillary alveolar cleft and arch shape without laborious conventional acrylic procedures. BioAMP sets the target arch form and provides unrestricted space for natural growth of the maxillary alveolar bones while systematically reducing the total maxillary arch width in precise increments. Two exemplary cases are presented as proof-of-concept, showcasing the clinical innovation of BioAMP.</p>","PeriodicalId":51260,"journal":{"name":"Korean Journal of Orthodontics","volume":"54 1","pages":"69-73"},"PeriodicalIF":2.6,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10811360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139546826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}