Journal of Orofacial Orthopedics-Fortschritte Der Kieferorthopadie最新文献

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Effectiveness of surface polishing after debonding of metal brackets from different CAD-CAM materials. 不同 CAD-CAM 材料金属托架脱钩后的表面抛光效果。
IF 1.7 4区 医学
Journal of Orofacial Orthopedics-Fortschritte Der Kieferorthopadie Pub Date : 2024-05-01 Epub Date: 2023-03-07 DOI: 10.1007/s00056-023-00456-4
Aslıhan Zeynep Oz, Abdullah Alper Oz, Cagrı Ural, Necati Kaleli, İbrahim Duran
{"title":"Effectiveness of surface polishing after debonding of metal brackets from different CAD-CAM materials.","authors":"Aslıhan Zeynep Oz, Abdullah Alper Oz, Cagrı Ural, Necati Kaleli, İbrahim Duran","doi":"10.1007/s00056-023-00456-4","DOIUrl":"10.1007/s00056-023-00456-4","url":null,"abstract":"<p><strong>Purpose: </strong>The purposes of this study were to compare and evaluate the surface texture of different restorative computer-aided design and computer-aided manufacturing (CAD/CAM) materials before bonding and after debonding of metal orthodontic brackets.</p><p><strong>Materials and methods: </strong>A total of 60 rectangular ceramic test specimens (n = 20 in each group) were prepared using feldspathic ceramic blocks (FLD; served as control), hybrid ceramic blocks (HC), and lithium disilicate ceramic blocks (LDC). Surface roughness (Ra) analysis was conducted using a profilometer before bonding the metal brackets. After the debonding and polishing procedures, a second surface roughness analysis was conducted on each specimen. The shear bond strength (SBS) test was applied to each specimen using a universal test machine for debonding the metal brackets. The debonded specimens were examined under a stereomicroscope and scored using a 4-step adhesive remnant index (ARI). The Ra and SBS values and the ARI scores were saved, and the data were analyzed statistically at a significance level of 0.05. One specimen from each group was examined under atomic force microscopy to visualize surface roughness. Furthermore, one specimen from each group was additionally prepared for scanning electron microscopy analysis.</p><p><strong>Results: </strong>Statistically significant differences in SBS measurements were observed between all three groups. The highest SBS values were obtained from the FLD group, the lowest from the LDC group. The HC group showed significantly (P = 0.001) lower Ra values than the LDC and FLD groups after debonding and polishing. No significant differences were observed in the ARI scores between the groups.</p><p><strong>Conclusions: </strong>Hybrid ceramics could be a suitable alternative for fixed restorations in adult patients receiving subsequent treatments with fixed orthodontic appliances.</p>","PeriodicalId":54776,"journal":{"name":"Journal of Orofacial Orthopedics-Fortschritte Der Kieferorthopadie","volume":" ","pages":"19-26"},"PeriodicalIF":1.7,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10839299","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}
引用次数: 0
Mitteilungen der DGKFO. DGKFO 的通信。
IF 1.7 4区 医学
Journal of Orofacial Orthopedics-Fortschritte Der Kieferorthopadie Pub Date : 2024-05-01 DOI: 10.1007/s00056-024-00522-5
{"title":"Mitteilungen der DGKFO.","authors":"","doi":"10.1007/s00056-024-00522-5","DOIUrl":"https://doi.org/10.1007/s00056-024-00522-5","url":null,"abstract":"","PeriodicalId":54776,"journal":{"name":"Journal of Orofacial Orthopedics-Fortschritte Der Kieferorthopadie","volume":"85 3","pages":"233-237"},"PeriodicalIF":1.7,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140864479","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}
引用次数: 0
Discoloration of stretched colored elastomeric modules : An in vivo study. 拉伸彩色弹性模块的变色 :体内研究
IF 1.7 4区 医学
Journal of Orofacial Orthopedics-Fortschritte Der Kieferorthopadie Pub Date : 2024-05-01 Epub Date: 2023-02-02 DOI: 10.1007/s00056-022-00444-0
Athraa A Abass, Akram S Alyessary
{"title":"Discoloration of stretched colored elastomeric modules : An in vivo study.","authors":"Athraa A Abass, Akram S Alyessary","doi":"10.1007/s00056-022-00444-0","DOIUrl":"10.1007/s00056-022-00444-0","url":null,"abstract":"<p><strong>Background: </strong>As the demands on esthetic orthodontic devices continue to increase, discoloration of colored elastomeric modules is still a concern for patients and orthodontics. Thus, we performed an in vivo study evaluating discoloration of stretched colored elastomeric modules (i.e., white, gray, and pink).</p><p><strong>Materials and methods: </strong>In all, 90 elastomeric modules of three different colors (white, gray and pink; 30 elastics from each color) were placed around brackets. The elastomeric modules were distributed and arranged randomly in the patients' four dental quadrants, and were removed after 1, 2, and 4 weeks. Color measurements were made before and after insertion into each patient's mouth. Digital images were taken with the camera of a mobile phone (iPhone X, Cupertino, CA, USA), and the variations in color were characterized using the Commission Internationale de l'Eclairage (CIE) color space system (L*a*b*) offered by Photoshop (Adobe, San Jose, CA, USA). Analysis of variance (ANOVA) and least significant difference (LSD) tests were used for statistical analyses.</p><p><strong>Results: </strong>The white elastomeric modules were most prone to discoloration, followed by the pink and then finally by the gray colored modules. The amount of discoloration resulting from a random diet practiced by the patients increased gradually (but was not significant) for all elastomeric modules studied and reach a peak after 2 weeks for the white and gray elastomeric modules, while discoloration of the pink elastomeric modules plateaued after 1 week.</p><p><strong>Conclusion: </strong>Colored elastomeric modules (e.g., white, gray, and pink) discolor to variable degrees over time. Thus, patients should be advised that the consumption of food and drinks may result in discoloration of the elastomeric modules.</p>","PeriodicalId":54776,"journal":{"name":"Journal of Orofacial Orthopedics-Fortschritte Der Kieferorthopadie","volume":" ","pages":"1-6"},"PeriodicalIF":1.7,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10593999","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}
引用次数: 0
Prevalence and local causes for retention of primary teeth and the associated delayed permanent tooth eruption. 乳牙滞留及相关恒牙萌出延迟的发生率和局部原因。
IF 1.7 4区 医学
Journal of Orofacial Orthopedics-Fortschritte Der Kieferorthopadie Pub Date : 2024-05-01 Epub Date: 2023-07-03 DOI: 10.1007/s00056-023-00479-x
Suelyn Danielle Henklein, Erika Calvano Küchler, Peter Proff, César Penazzo Lepri, Flares Baratto-Filho, Natanael Henrique Ribeiro Mattos, Fernando Carlos Hueb de Menezes, Christian Kirschneck, Isabela Ribeiro Madalena, Maria Angélica Hueb de Menezes-Oliveira
{"title":"Prevalence and local causes for retention of primary teeth and the associated delayed permanent tooth eruption.","authors":"Suelyn Danielle Henklein, Erika Calvano Küchler, Peter Proff, César Penazzo Lepri, Flares Baratto-Filho, Natanael Henrique Ribeiro Mattos, Fernando Carlos Hueb de Menezes, Christian Kirschneck, Isabela Ribeiro Madalena, Maria Angélica Hueb de Menezes-Oliveira","doi":"10.1007/s00056-023-00479-x","DOIUrl":"10.1007/s00056-023-00479-x","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to evaluate the prevalence of retained primary teeth (RPT) associated with delayed permanent tooth eruption and the factors associated with this condition in German children.</p><p><strong>Methods: </strong>This is a cross-sectional retrospective study that evaluated panoramic radiographs from orthodontic patients. The diagnosis of RPT was established according to Nolla developmental stage. The primary tooth was considered retained when its successor permanent tooth was in Nolla stage 8, 9, or 10. Statistical analysis was performed with an α of 5% (p < 0.05).</p><p><strong>Results: </strong>A total of 102 children (48 girls and 54 boys), and 574 primary teeth and their respective permanent successor teeth were evaluated. We classified 192 teeth as RPT. Sixty-one (59.8%) children presented one or more RPT. Gender was not significantly different between RPT and control teeth (p = 0.838; odds ratio 0.95, confidence interval 95% 0.44-2.16). In the majority of the RPT cases (68.7%), no clear cause to explain the prolonged retention was identified. The pathological problems most commonly observed with RPT were dental fillings (19.3%), followed by dental caries (4.6%), and ectopic tooth eruption (2.1%).</p><p><strong>Conclusions: </strong>The incidence of RPT associated with delayed permanent tooth eruption in German children was high and the most common pathological condition associated with RPT was dental caries.</p>","PeriodicalId":54776,"journal":{"name":"Journal of Orofacial Orthopedics-Fortschritte Der Kieferorthopadie","volume":" ","pages":"73-78"},"PeriodicalIF":1.7,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9739213","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}
引用次数: 0
Alveolar bone changes around maxillary incisors after intrusion and retraction with controlled tipping versus bodily movement : A retrospective cone-beam computed tomography study. 上颌切牙在受控倾倒与身体移动下的侵入和后缩后周围牙槽骨的变化 :一项回顾性锥形束计算机断层扫描研究。
IF 1.7 4区 医学
Journal of Orofacial Orthopedics-Fortschritte Der Kieferorthopadie Pub Date : 2024-05-01 Epub Date: 2023-09-06 DOI: 10.1007/s00056-023-00493-z
Mais Medhat Sadek, Ramy M Gaber
{"title":"Alveolar bone changes around maxillary incisors after intrusion and retraction with controlled tipping versus bodily movement : A retrospective cone-beam computed tomography study.","authors":"Mais Medhat Sadek, Ramy M Gaber","doi":"10.1007/s00056-023-00493-z","DOIUrl":"10.1007/s00056-023-00493-z","url":null,"abstract":"<p><strong>Objective: </strong>To compare the effect of maxillary incisor intrusion and retraction with controlled tipping (CT) versus bodily movement (BM) in extraction cases on alveolar bone height and thickness, using cone-beam computed tomography (CBCT). Correlations between changes in alveolar dimensions and crown or root retraction, incisor inclination, and intrusion were also investigated.</p><p><strong>Materials and methods: </strong>In all, 144 incisors of 36 women were retrospectively evaluated. All patients were treated with anterior intrusion and retraction with either controlled tipping (CT) (group 1) or bodily movement (BM) (group 2). CBCT scans were taken before and after retraction and intrusion and measurements of alveolar bone height and thickness at the level of mid-root and root apex were measured. The prevalence of dehiscence was also calculated.</p><p><strong>Results: </strong>Labial bone thickness (BT) increased at the level of the root apex with increased total BT in the CT group (p < 0.05). The BM group showed decreased palatal BT. Significant vertical bone loss with an increased incidence of dehiscences occurred on the palatal side in both groups. Changes in palatal bone area was negatively correlated with the amount of root apex retraction, while the total BT at the level of root apex was positively correlated with amount of intrusion.</p><p><strong>Conclusions: </strong>Bodily retraction can result in reduced palatal bone dimensions and an increase risk of iatrogenic sequelae following anterior retraction in extraction cases. Vertical bone loss and an increased incidence of dehiscences is to be expected following anterior retraction. Careful attention must be paid to the bone boundary conditions to avoid moving the incisors out of the alveolar housing.</p>","PeriodicalId":54776,"journal":{"name":"Journal of Orofacial Orthopedics-Fortschritte Der Kieferorthopadie","volume":" ","pages":"79-93"},"PeriodicalIF":1.7,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10534788","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}
引用次数: 0
Preciseness of artificial intelligence for lateral cephalometric measurements. 人工智能头颅侧位测量的精确性。
IF 1.7 4区 医学
Journal of Orofacial Orthopedics-Fortschritte Der Kieferorthopadie Pub Date : 2024-05-01 Epub Date: 2023-03-09 DOI: 10.1007/s00056-023-00459-1
Mostafa El-Dawlatly, Khaled Hazem Attia, Ahmed Yehia Abdelghaffar, Yehya Ahmed Mostafa, Mohamed Abd El-Ghafour
{"title":"Preciseness of artificial intelligence for lateral cephalometric measurements.","authors":"Mostafa El-Dawlatly, Khaled Hazem Attia, Ahmed Yehia Abdelghaffar, Yehya Ahmed Mostafa, Mohamed Abd El-Ghafour","doi":"10.1007/s00056-023-00459-1","DOIUrl":"10.1007/s00056-023-00459-1","url":null,"abstract":"<p><strong>Background: </strong>The aim of the study was to assess the accuracy and efficiency of a new artificial intelligence (AI) method in performing lateral cephalometric radiographic measurements.</p><p><strong>Materials and methods: </strong>A total of 200 lateral cephalometric radiographs were assessed for quality and included. Three methods were used to perform the cephalometric measurements: (1) the AI method using WebCeph software (AssembleCircle Corp., Gyeonggi-do, Republic of Korea), (2) the modified AI method using WebCeph software after manual modification of the landmarks' position, and (3) using OnyxCeph software (Image Instruments GmbH, Chemnitz, Germany) by manual landmark identification and digital measurements generation. The results of the measurements produced by the three methods were compared, in addition to comparing the time required for the measurements' generation required for each method.</p><p><strong>Results: </strong>Statistically significant differences were detected between the measurements resulting from the three used methods. Fewer differences were detected between the modified AI method and the OnyxCeph method. The AI method produced the measurements the fastest followed by the modified AI method and then the OnyxCeph method.</p><p><strong>Conclusions: </strong>Considering the used AI software, AI followed by manual tuning of the landmarks' position might be an accurate method in lateral cephalometric analysis. AI alone is still not fully reliable at locating the different landmarks on the lateral cephalometric radiographs.</p>","PeriodicalId":54776,"journal":{"name":"Journal of Orofacial Orthopedics-Fortschritte Der Kieferorthopadie","volume":" ","pages":"27-33"},"PeriodicalIF":1.7,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11126516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9435174","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}
引用次数: 0
Effect of use of antiseptics and fluorides during orthodontic treatment on working properties of NiTi archwires in levelling dental arches : A randomized controlled trial. 正畸治疗期间使用防腐剂和氟化物对镍钛弓丝矫治牙弓的工作性能的影响:随机对照试验。
IF 1.3 4区 医学
Journal of Orofacial Orthopedics-Fortschritte Der Kieferorthopadie Pub Date : 2024-05-01 Epub Date: 2023-06-26 DOI: 10.1007/s00056-023-00475-1
Tihana Zibar Belasic, Martina Zigante, Mia Uhac, Sven Karlovic, Ivana Jelovica Badovinac, Stjepan Spalj
{"title":"Effect of use of antiseptics and fluorides during orthodontic treatment on working properties of NiTi archwires in levelling dental arches : A randomized controlled trial.","authors":"Tihana Zibar Belasic, Martina Zigante, Mia Uhac, Sven Karlovic, Ivana Jelovica Badovinac, Stjepan Spalj","doi":"10.1007/s00056-023-00475-1","DOIUrl":"10.1007/s00056-023-00475-1","url":null,"abstract":"<p><strong>Purpose: </strong>The goal was to investigate whether the application of antiseptics and fluorides during orthodontic treatment affects the biomechanics of the levelling of dental arches by changing the working properties of nickel-titanium (NiTi) archwires.</p><p><strong>Methods: </strong>The sample consisted of 60 individuals aged 12-22 years (53% females). There were 20 individuals in each experimental group: (I) individuals conducted regular oral hygiene, (II) individuals used a high concentration of fluorides for intensive prophylaxis for the first month; and (III) individuals used chlorhexidine in the same manner. NiTi alloy archwires (dimensions 0.508 × 0.508 mm) were analyzed 3 months after intraoral exposure and compared to as-received NiTi wires. Elastic modulus, yield strength, springback ratio, and modulus of resilience were calculated. Dimensions of the dental arches were analyzed when NiTi alloy (T1) was placed intraorally and after 3 months (T2). Change was quantified as the difference in dimensions (T2-T1). Anterior width-to-length ratio was used as a measure for dental arch shape.</p><p><strong>Results: </strong>Intraoral exposure reduced elastic modulus, yield strength, springback ratio, modulus of resilience, loading, and unloading forces of NiTi wires (p ≤ 0.021). Chlorhexidine mouthwash and gel with high concentration of fluorides did not change these properties more than saliva with regular hygiene. The amount of change of dental arch shape in the maxilla and mandible did not differ significantly between the experimental groups.</p><p><strong>Conclusion: </strong>Using antiseptics or a high concentration of fluorides during orthodontic treatment does not significantly affect the mechanical properties of NiTi wires and would not have clinical implications in changing orthodontic biomechanics.</p>","PeriodicalId":54776,"journal":{"name":"Journal of Orofacial Orthopedics-Fortschritte Der Kieferorthopadie","volume":" ","pages":"63-72"},"PeriodicalIF":1.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9686700","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}
引用次数: 0
Comparison of the efficacy of occlusal splint and botulinum toxin therapies in patients with temporomandibular disorders with sleep bruxism. 咬合夹板和肉毒杆菌毒素治疗颞下颌关节紊乱病伴睡眠磨牙症的疗效比较。
IF 1.3 4区 医学
Journal of Orofacial Orthopedics-Fortschritte Der Kieferorthopadie Pub Date : 2024-05-01 Epub Date: 2023-10-16 DOI: 10.1007/s00056-023-00498-8
Hatice Hosgor, Sezen Altindis, Esengul Sen
{"title":"Comparison of the efficacy of occlusal splint and botulinum toxin therapies in patients with temporomandibular disorders with sleep bruxism.","authors":"Hatice Hosgor, Sezen Altindis, Esengul Sen","doi":"10.1007/s00056-023-00498-8","DOIUrl":"10.1007/s00056-023-00498-8","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to evaluate the efficacy of occlusal splint and botulinum toxin (BTX) therapies for improving the pain scores and mouth opening in patients with temporomandibular disorders (TMD) with sleep bruxism (SB).</p><p><strong>Materials and methods: </strong>A retrospective cohort study was conducted based on clinical record reviews of patients with TMD symptoms (e.g., temporomandibular joint [TMJ] pain, masticatory muscle pain, TMJ internal derangements, joint sounds, and limited mouth opening) and SB. The patients were divided into two groups: occlusal splint group and BTX group. Maximum unassisted mouth opening (MMO) and pain score on a visual analogue scale (VAS) before treatment and at 1‑, 3‑, and 6‑month follow-up were analyzed to evaluate the clinical outcomes.</p><p><strong>Results: </strong>A total of 60 patients (49 women and 11 men, mean age 34.63 ± 11.85 years) were enrolled. Each group had 30 patients. The comparisons of the groups at 1 and 3 months after treatment indicated that the BTX group had higher MMO values (P = 0.013 and 0.034, respectively) and lower VAS scores than the occlusal splint group (P = 0.000 and 0.001, respectively). No difference between the two groups was observed 6 months after treatment (P > 0.05).</p><p><strong>Conclusions: </strong>Both occlusal splint and BTX treatment methods were successful in treating TMD with SB. BTX provided patients with rapid relief in the early period; therefore, BTX can be recommended as a primary treatment option in patients with greater pain.</p>","PeriodicalId":54776,"journal":{"name":"Journal of Orofacial Orthopedics-Fortschritte Der Kieferorthopadie","volume":" ","pages":"102-108"},"PeriodicalIF":1.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41240961","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}
引用次数: 0
Breathing changes following mini-implant-supported maxillary skeletal expander treatment in late adolescent or adult patients : Assessment of objective and subjective functional breathing changes. 青少年后期或成年患者接受微型种植体支持的上颌骨骨骼扩张器治疗后的呼吸变化 :客观和主观功能性呼吸变化评估。
IF 1.7 4区 医学
Journal of Orofacial Orthopedics-Fortschritte Der Kieferorthopadie Pub Date : 2024-03-11 DOI: 10.1007/s00056-024-00521-6
Ramon Dominguez-Mompell, Boshi Zhang, Ney Paredes, Andrew Combs, Islam Elkenawy, Luca Sfogliano, Layla Fijany, Ozge Colak, Martin Romero-Maroto, Won Moon
{"title":"Breathing changes following mini-implant-supported maxillary skeletal expander treatment in late adolescent or adult patients : Assessment of objective and subjective functional breathing changes.","authors":"Ramon Dominguez-Mompell, Boshi Zhang, Ney Paredes, Andrew Combs, Islam Elkenawy, Luca Sfogliano, Layla Fijany, Ozge Colak, Martin Romero-Maroto, Won Moon","doi":"10.1007/s00056-024-00521-6","DOIUrl":"https://doi.org/10.1007/s00056-024-00521-6","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to assess objective and subjective breathing changes in adult patients who underwent maxillary skeletal expansion with the mini-implant-supported maxillary skeletal expander (MSE).</p><p><strong>Methods: </strong>Twenty-nine patients (mean age 18.1 ± 4.3 years) who underwent expansion using the MSE were compared pre- and posttreatment and with a control group (mean age 19.9 ± 2.6 years) to assess objective and subjective functional breathing changes. Objective measurements of the airway including peak nasal inspiratory flow (PNIF) and peak oral inspiratory flow (POIF) were measured utilizing the In-Check medical device (Clement Clarke, Harlow, United Kingdom). Patients reported subjective breathing assessment utilizing the visual analog scale (VAS). Intragroup comparisons were performed with Wilcoxon tests and intergroup comparison with Mann-Whitney U tests. Spearman correlation coefficients were calculated among the studied variables (P < 0.05).</p><p><strong>Results: </strong>Following MSE treatment, there were significantly higher values for PNIF total (P < 0.0001), PNIF right (P < 0.0001), PNIF left (P < 0.0001), and POIF (P < 0.01) compared to pretreatment and control group results. Also, patients reported a significant decrease in troubled breathing as measured by the VAS for breathing through the right nostril (P < 0.01), left nostril (P < 0.001), and both nostrils (P < 0.01). Comparing the objective and subjective variables for both the pre-MSE or post-MSE groups, the results indicated no significant correlation between total PNIF and total VAS. However, the values had significant correlations between PNIF and VAS on each side when the patients were asked to block one nostril.</p><p><strong>Conclusions: </strong>Objective functional breathing measurements were increased immediately after treatment with MSE. Subjective functional breathing measurements changes were significantly higher after MSE treatment and compared with the control group. MSE presents a nonsurgical alternative to achieving orthopedic expansion in adult patients which may provide a benefit for patients with nasal airway obstruction.</p>","PeriodicalId":54776,"journal":{"name":"Journal of Orofacial Orthopedics-Fortschritte Der Kieferorthopadie","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140102876","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}
引用次数: 0
Prevalence of malocclusions requiring treatment according to the KIG classification : A multipart cross-sectional study over a 20-year period in the district of Viersen/North Rhine. 根据 KIG 分类法得出的需要治疗的畸形患病率:在维耶森/北莱茵地区进行的一项为期 20 年的多部分横断面研究。
IF 1.7 4区 医学
Journal of Orofacial Orthopedics-Fortschritte Der Kieferorthopadie Pub Date : 2024-03-07 DOI: 10.1007/s00056-024-00518-1
Gero Stefan Michael Kinzinger, Jan Hourfar, Jörg Alexander Lisson
{"title":"Prevalence of malocclusions requiring treatment according to the KIG classification : A multipart cross-sectional study over a 20-year period in the district of Viersen/North Rhine.","authors":"Gero Stefan Michael Kinzinger, Jan Hourfar, Jörg Alexander Lisson","doi":"10.1007/s00056-024-00518-1","DOIUrl":"https://doi.org/10.1007/s00056-024-00518-1","url":null,"abstract":"<p><strong>Background and aim: </strong>In Germany, the reimbursement of orthodontic treatment costs within the framework of the statutory health insurance (GKV) was restricted on 01 January 2002 by the introduction of the orthodontic indication groups (KIG). The aim of this study was to evaluate the prevalence of findings requiring treatment in a specialist practice over a 20-year period. The results were then compared with data from existing older studies.</p><p><strong>Patients and methods: </strong>The distribution of treatment-eligible KIG (KIG classifications grades 3-5) among patients with statutory health insurance in an orthodontic practice in North Rhine was determined over a 20-year period (2002-2021) after the introduction of the KIG system. This period was additionally scrutinized in four 5‑year periods according to the operating cycles of the practice. Findings were classified into the highest of 19 possible KIG treatment needs levels. Multiple classifications were not made.</p><p><strong>Results: </strong>Orthodontic treatment was indicated in a total of 4537 (2393 female, 2144 male) patients according to current statutory health insurance guidelines. The KIG classification \"D\" (increased overjet) was the most frequent within the observed 20 years with 24.3%. Among 11 KIG classifications, 86.1% of the 6 most frequent and 13.9% of the 5 rarest findings were observed constantly over all periods. Of 19 possible indications, \"D4\" was the most frequent with 19.6%. Of 4537 patients, 20.7% had KIG grade 3, 63.6% KIG grade 4 and 15.7% KIG grade 5. The prevalence of sagittal deviations \"D\" and \"M\" was 35.0%, transverse \"B\" and \"K\" 17.9% and vertical \"O\" and \"T\" 3.7%. Tooth position anomalies \"E\" and \"P\" had a share of 24.6%.</p><p><strong>Conclusions: </strong>The present study confirms existing findings as well as the nationwide data of the National Association of Statutory Health Insurance Dentists (KZBV) from 2020: The sagittal deviations \"D\" (increased overjet) and \"M\" (negative overjet) represented the most frequent findings with KIG D4 as the most common classification. The prevalence and age distribution of KIG grades 3-5 requiring treatment corresponded to nationwide comparative data.</p>","PeriodicalId":54776,"journal":{"name":"Journal of Orofacial Orthopedics-Fortschritte Der Kieferorthopadie","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140051072","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}
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