Mariam M. Masaes , Ahmad S. Burhan , Fehmieh R. Nawaya , Odayy S. Al-Horini
{"title":"Comparison of maxillary canine retraction patterns with the T-loop spring and the Ricketts maxillary canine retractor: A cone-beam computed tomography study","authors":"Mariam M. Masaes , Ahmad S. Burhan , Fehmieh R. Nawaya , Odayy S. Al-Horini","doi":"10.1016/j.xaor.2023.12.002","DOIUrl":"10.1016/j.xaor.2023.12.002","url":null,"abstract":"<div><h3>Introduction</h3><p>This study aimed to detect the pattern of canine retraction movement using the T-loop spring (TLS) compared with the Ricketts maxillary canine retractor (RMCR).</p></div><div><h3>Methods</h3><p>A total of 31 patients treated with bilateral maxillary first premolar extraction, having their canines retracted by either the TLS or the RMCR, were included in this study. Each patient had two cone-beam computed tomography scans: before and after achieving a Class I canine relationship on each side. The outcome measures were the intragroup and intergroup differences in the crown and apex movement amount obtained using paired and independent <em>t</em> tests. In addition, the difference in the distribution of the controlled and uncontrolled retraction pattern resulting from each device was detected using the chi-square test.</p></div><div><h3>Results</h3><p>No significant differences were found between the two groups regarding the crown movement amount (<em>P</em> = 0.206). The apex showed insignificant distal movement in the TLS (<em>P</em> = 0.366) and a significant mesial movement in the RMCR (<em>P</em> = 0.019); the differences between them were significant (<em>P</em> = 0.022). The controlled and uncontrolled tipping distribution percentages were 67.9% and 32.1% for the TLS, respectively, whereas they were 50% and 50% for the RMCR, respectively, with a nonsignificant difference between the values.</p></div><div><h3>Conclusions</h3><p>The two different springs result in similar amounts of distal crown movement. The canine apex almost does not move when the TLS is used; however, it moves mesially when the RMCR is used. Both controlled and uncontrolled tipping patterns can occur during retraction with both springs, and their distribution is similar for both devices.</p></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"4 1","pages":"Pages 31-38"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S266643052300153X/pdfft?md5=2b2684a72c37746d89c29be93d80ebff&pid=1-s2.0-S266643052300153X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139020804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Step-by-step practical procedures to close midline diastema with a vacuum-formed retainer","authors":"Li Mei, Lucy Jiang","doi":"10.1016/j.xaor.2023.10.003","DOIUrl":"10.1016/j.xaor.2023.10.003","url":null,"abstract":"<div><p>Midline diastema affects dental esthetics. Clinical management of midline diastema includes prosthodontic options and orthodontic space closure. This study described a simple yet effective step-by-step practical procedure to close a midline diastema with a vacuum-formed retainer and elastics. The diastema was closed in two weeks; a lingual fixed wire was bonded another two weeks after the space closure for stability. The novelty of this paper includes the inside-out perforation of a vacuum-formed retainer and the formation of a mechanical lock enhancing the mechanical strength of the elastic hooks. This method is cost-effective and time-efficient for closing a midline diastema.</p></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"4 1","pages":"Pages 26-30"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666430523001334/pdfft?md5=2d05da9adab0827ec74416619a482d00&pid=1-s2.0-S2666430523001334-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136159894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vanessa Paredes-Gallardo, Verónica García-Sanz, Carlos Bellot-Arcís
{"title":"Miniscrew-assisted multidisciplinary orthodontic treatment with surgical mandibular advancement and genioplasty in a patient with a brachyfacial Class II relationship with mandibular asymmetry: A 7-year posttreatment update","authors":"Vanessa Paredes-Gallardo, Verónica García-Sanz, Carlos Bellot-Arcís","doi":"10.1016/j.xaor.2023.11.001","DOIUrl":"10.1016/j.xaor.2023.11.001","url":null,"abstract":"<div><p>This article is a 7-year posttreatment follow-up from a patient with a skeletal Class II relationship who presented with a severe brachyfacial pattern, a narrow middle and lower pharyngeal airway space, severe deep overbite and overjet, and the presence of several old single metal-ceramic crowns in both arches. A multidisciplinary treatment care was developed, achieving a molar and canine Class I relationship and a good overbite and overjet. The total volume and area of the pharyngeal airway space increased, and the patient's snoring ceased. Photographic and radiographic records 7 years after the completion of treatment showed good facial esthetics, occlusion, and oral health.</p></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"4 1","pages":"Pages 64-68"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666430523001401/pdfft?md5=0eda9e2fda62bc313faaa9b43625910c&pid=1-s2.0-S2666430523001401-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135764030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nearchos C. Panayi , Spyridonas Efstathiou , Isidora Christopoulou , Georgia Kotantoula , Ioannis A. Tsolakis
{"title":"Digital orthodontics: Present and future","authors":"Nearchos C. Panayi , Spyridonas Efstathiou , Isidora Christopoulou , Georgia Kotantoula , Ioannis A. Tsolakis","doi":"10.1016/j.xaor.2023.12.001","DOIUrl":"10.1016/j.xaor.2023.12.001","url":null,"abstract":"<div><p>Digital technology has been at the forefront of many innovations in everyday life in recent years. The development of computer-aided design software, 3-dimensional (3D) printers, surface and volume scanners, and printing resins has had an impact on dentistry and orthodontics. These tools are all already in the armamentarium of the orthodontist, enabling the technological advancement of orthodontic appliances, diagnosis, and treatment. Digital technology has not only helped in the development of the concept of in-office orthodontic laboratories but also allowed the customization of most orthodontic appliances. Orthodontic imaging and analysis software is responsible for gathering all digital data obtained by digital units and the clinical examination. Surface scanners are the key to the entire digital workflow, providing a digital impression in which all appliances will be designed and manufactured. Computer-aided design software is used to design customized appliances that will be manufactured later using 3D printing technology. Metal printing is a technology performed in special laboratories that enables the customization of various metallic appliances but cannot be used in an orthodontic office. All other orthodontic appliances can be designed and manufactured in the orthodontic office, including thermoformed aligners and directly printed aligners. Lately, software advancements have allowed customized lingual and labial orthodontic brackets to be designed and printed in the orthodontic office. To guarantee the security of both patients and orthodontic staff, certain regulations pertaining to the installation of laboratories in orthodontic offices must be developed. In the last few years, orthodontics has made use of artificial intelligence. Nevertheless, artificial intelligence will only be an assistant in orthodontic treatment and will never replace orthodontists.</p></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"4 1","pages":"Pages 14-25"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666430523001528/pdfft?md5=9c0d7a021cb0b6b60c9dbbf9cb1419f5&pid=1-s2.0-S2666430523001528-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139023474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"4-year follow-up of presurgical nasoalveolar molding with 3D printing for a patient with unilateral cleft lip, alveolus, and palate","authors":"Jie Zheng, Hong He, Wenying Kuang, Wenjun Yuan","doi":"10.1016/j.xaor.2023.11.003","DOIUrl":"10.1016/j.xaor.2023.11.003","url":null,"abstract":"<div><p>This article presents a 4-year posttreatment follow up of a patient with complete unilateral cleft lip and palate. During infancy, before surgery, he was treated with a novel digital nasoalveolar molding appliance, which consisted of a series of 3-dimensionally printed molding plates and a nasal hook. Then, the patient underwent primary cheiloplasty and primary palatoplasty. Four years after nasoalveolar molding treatment, his nasolabial morphology was acceptable, and the alveolar arch remained continuous and symmetrical with no overlap or collapse.</p></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"4 1","pages":"Pages 69-71"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666430523001516/pdfft?md5=fe227e79f5f0ecbb9f14e667454ddd74&pid=1-s2.0-S2666430523001516-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138617715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Adult skeletal Class III correction with camouflage orthodontic treatment: A 6-year follow-up","authors":"Jae Hyun Park , Megan Do , Kiyoshi Tai","doi":"10.1016/j.xaor.2024.01.001","DOIUrl":"10.1016/j.xaor.2024.01.001","url":null,"abstract":"<div><p>This case report update follows the camouflage treatment of a 26-year-old woman with Class III skeletal and dental relationships and anterior and posterior crossbites. A conventional rapid palatal expander and facemask therapy were used to correct her crossbites and achieve Class I molar relationships. It is typically assumed that rapid palatal expander use results in dentoalveolar tipping and other side effects in adults. However, although the patient was an adult when orthodontic treatment was initiated, she did not demonstrate any significant side effects. At 6 years posttreatment, the patient was assessed using model superimpositions, the Yonsei transverse index, and midpalatal suture comparison. These tools showed that the patient's results and occlusion were stable.</p></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"4 1","pages":"Pages 72-78"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666430524000013/pdfft?md5=c53bbfd1c47a120824704d208c177acd&pid=1-s2.0-S2666430524000013-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139455604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A 17-year case report: Smile-clenching-swallowing exercise treatment to control tongue behavior and posture of anterior open bite","authors":"Hyung-Kyu Noh, Ho-Jin Kim, Hyo-Sang Park","doi":"10.1016/j.xaor.2023.11.004","DOIUrl":"10.1016/j.xaor.2023.11.004","url":null,"abstract":"<div><p>This case report emphasizes the importance of tongue habit control and careful monitoring in the treatment and stability of anterior open bite. An 8-year-old girl sought treatment for a severe open bite. On clinical examination, the patient was diagnosed with a dental open bite with infantile swallowing. Attempts for habit control using tongue crib and spur were unsuccessful, resulting in prolonged treatment and relapse of the open bite. Tongue habits could only be eliminated by the patient actively performing the smile-clenching-swallowing exercise after renewed motivation. The treatment, retention, and retreatment lasted for 12 years and focused on the closure of open bite with mechanotherapy and habit control, and the treatment results were stable even after 5.7 years. Hence, when treating an anterior open bite accompanied by tongue habits, focusing on habit control is essential.</p></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"4 1","pages":"Pages 51-63"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666430523001504/pdfft?md5=5a441bc90fba32c54a6bf0d2cc0e87ed&pid=1-s2.0-S2666430523001504-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138617924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}