Yanfang Wang , Wanping Jia , Xiaoman Pan , Yutong Lu , Ruoqi Zhang , Yonghua Lei
{"title":"Orthodontic treatment of multiple impacted teeth in the maxilla and mandible","authors":"Yanfang Wang , Wanping Jia , Xiaoman Pan , Yutong Lu , Ruoqi Zhang , Yonghua Lei","doi":"10.1016/j.xaor.2024.11.005","DOIUrl":"10.1016/j.xaor.2024.11.005","url":null,"abstract":"<div><div>This case report examines a 13-year-old male patient who successfully underwent multidisciplinary combined treatment to correct multiple impacted permanent teeth in the maxilla and mandible. The patient exhibited impaction of canines in the maxilla and multiple premolars in both jaws. The 3-dimensional positions of the canines in the maxilla showed significant heterogeneity. Consequently, we selected specific treatment strategies based on the conditions of the 3-dimensional positions, including the angle between the canine teeth and the midline, as well as the degree of overlap with the lateral incisors. In addition, because of the impaction of multiple premolars and the close positional relationship of the impacted teeth on the right side of the maxilla, we applied orderly traction to the impacted teeth, emphasizing the use of light force throughout the treatment process. On completion of the treatment, Class I molar and canine occlusion with ideal overbite and overjet was achieved. There were no signs of root resorption, and the roots were parallel. This case report demonstrates that the treatment approaches for impacted canines and multiple impacted teeth should be based on their positional and anatomic features, using orthodontic traction or inducing spontaneous eruption as necessary.</div></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"5 1","pages":"Pages 114-126"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143395569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kübra Yıldız Erkuş , Kübra Gülnur Topsakal , Gökhan Serhat Duran , Serkan Görgülü
{"title":"Evaluation of composite materials with different viscosities on the accuracy of in-office aligner attachments","authors":"Kübra Yıldız Erkuş , Kübra Gülnur Topsakal , Gökhan Serhat Duran , Serkan Görgülü","doi":"10.1016/j.xaor.2024.07.001","DOIUrl":"10.1016/j.xaor.2024.07.001","url":null,"abstract":"<div><h3>Introduction</h3><div>To evaluate the accuracy of two different composites with low and high viscosity in different attachment designs, in-office clear aligner therapy was used.</div></div><div><h3>Methods</h3><div>The study consisted of two main groups: the flowable composite group (n = 60) and the nanofilled composite group (n = 60), and in each group, five attachments (rectangular, beveled, ellipsoid, pentagon, and concave) (n = 12, per group) were used. The typodont model was scanned with an intraoral scanner to obtain a stereolithography file. The stereolithography data was transferred to the software, and attachments were placed on the teeth. A total of five models with attachments and 60 models without attachments were obtained with digital light processing technology. Attachments were applied to test models using two different types of composites with guide plates. Models with attachments applied were scanned with an intraoral scanner, and the attachments on the models were separated through the software. As a result of the comparison, the root mean square and the depth, width, and height linear dimensional measurements of the attachments were obtained. The 1-way analysis of variance test was used to compare attachment shapes, and the Tukey test was used in post-hoc comparisons.</div></div><div><h3>Results</h3><div>According to the 3-dimensional digital comparison data, there is a statistically significant difference between flowable composite and nanofilled composite groups in root mean square values and width, height, and depth measurements (<em>P</em> = 0.034, <em>P</em> <0.001, <em>P</em> = 0.007, and <em>P =</em> 0.001, respectively).</div></div><div><h3>Conclusions</h3><div>Although the flowable composite used in this study provides more accurate results compared with the nanofilled composite, both composite types have clinically applicable accuracy.</div></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"5 1","pages":"Pages 15-25"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143395561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jae Hyun Park, Roberto Hernandez-Orsini, Paul Emile Rossouw, Anthony M. Puntillo, Daniel J. Rejman, Meenakshi Vishwanath, Onur Kadioglu, Timothy Tremont, Timothy S. Trulove
{"title":"The American Board of Orthodontics: Scenario-based clinical examination development and preparation","authors":"Jae Hyun Park, Roberto Hernandez-Orsini, Paul Emile Rossouw, Anthony M. Puntillo, Daniel J. Rejman, Meenakshi Vishwanath, Onur Kadioglu, Timothy Tremont, Timothy S. Trulove","doi":"10.1016/j.xaor.2025.01.001","DOIUrl":"10.1016/j.xaor.2025.01.001","url":null,"abstract":"<div><div>This article outlines the development process for the scenario-based clinical examination of the American Board of Orthodontics (ABO). It emphasizes the importance of gaining hands-on experience with patients and critically analyzing the facts when formulating sound clinical judgments. These exercises enhance critical thinking skills, allowing for self-assessment and reflection on patient outcomes. In addition, the ABO now offers both virtual and live presentations through “The Pathway Program” to further support examination preparation. For more information, please visit the ABO's official Web site at <span><span>AmericanBoardOrtho.com</span><svg><path></path></svg></span>.</div></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"5 1","pages":"Pages 6-14"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143395560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Long-term follow-up of two sisters with opposite responses to early treatment of familial Class III malocclusion","authors":"Roy Sabri","doi":"10.1016/j.xaor.2024.10.004","DOIUrl":"10.1016/j.xaor.2024.10.004","url":null,"abstract":"<div><div>Despite the known positive effects of early orthopedic intervention in children with developing Class III malocclusions, uncertainty remains on its effectiveness and long-term benefits. In this case report, the effects of early facemask treatment followed by fixed orthodontic intervention in early permanent dentition were compared in two sisters who had a familial Class III pattern over 20 years. Facial and dental changes at various treatment phases and long-term follow-ups were recorded. The pubertal and postpubertal growth patterns and long-term outcomes between the sisters were different, although the treatment protocols were similar. One patient required orthognathic surgery at a later stage, and her sister maintained the positive early treatment changes. These observations underscore the difficulty of accurate facial prediction in the individual patient, warranting extensive research.</div></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"5 1","pages":"Pages 93-113"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143395568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christopher Burns , Elli Anna Kotsailidi , Fares Alshuraim , Shaahin Dadjoo , Konstantina Tzouma , Ignacio Pedrinaci , Paul Emile Rossouw , Dimitrios Michelogiannakis
{"title":"Interdisciplinary orthodontic treatment with digitally-guided autotransplantation in a patient with a missing permanent maxillary left lateral incisor and a supernumerary mandibular incisor","authors":"Christopher Burns , Elli Anna Kotsailidi , Fares Alshuraim , Shaahin Dadjoo , Konstantina Tzouma , Ignacio Pedrinaci , Paul Emile Rossouw , Dimitrios Michelogiannakis","doi":"10.1016/j.xaor.2024.08.005","DOIUrl":"10.1016/j.xaor.2024.08.005","url":null,"abstract":"<div><div>This case report describes the interdisciplinary orthodontic treatment of a patient with a congenitally missing and a supernumerary tooth. A 15-year-old boy presented with a retrognathic convex profile, generalized maxillary and mandibular dental spacing, deep overbite, peg-shaped maxillary right permanent lateral incisor, missing permanent maxillary left lateral incisor, and a supernumerary mandibular incisor. The permanent maxillary left canine had ectopically erupted in the missing lateral incisor position, and the primary maxillary left canine was retained. Fixed orthodontic treatment with miniscrew implant-facilitated anchorage and extraction of the primary maxillary left canine was performed to bodily distalize the maxillary left permanent canine into Class I position while creating space for restoration of the missing permanent maxillary left lateral incisor. Cone-beam computed tomography was used for digitally-planned autotransplantation of the mandibular supernumerary incisor to the space of the congenitally missing lateral incisor. Root canal treatment of the donor tooth was performed the week before the extraction because of the complete root development of the tooth. A 3-dimensional printed surgical guide and tooth replica were used for socket preparation in the edentulous space. After 6 weeks of semirigid fixation of the transplanted tooth, a composite build-up of the peg-shaped and transplanted tooth was performed, and orthodontic treatment resumed to close residual spaces and detail the occlusion. Acceptable occlusion and facial esthetics were achieved with no adverse outcomes up to 1 year and 9 months after autotransplantation.</div></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"4 6","pages":"Pages 483-498"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143179911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Class III subdivision malocclusion corrected with asymmetrical intermaxillary elastics: A 23-year update","authors":"Guilherme Janson , Marcos Roberto de Freitas , Eduardo Jacomino Franco , Sérgio Estelita Cavalcante Barros , Gabriela de Domênico Alcaraz Ros , Janine Araki","doi":"10.1016/j.xaor.2024.09.001","DOIUrl":"10.1016/j.xaor.2024.09.001","url":null,"abstract":"<div><div><span><figure><span><img><ol><li><span><span>Download: <span>Download high-res image (127KB)</span></span></span></li><li><span><span>Download: <span>Download full-size image</span></span></span></li></ol></span></figure></span></div><div>This article reports a 23-year update of a successful treatment of a skeletal Class III subdivision left malocclusion. The patient presented initially with an anterior crossbite and protrusion of the lower lip. A combined orthodontic and surgical approach was proposed but the patient opted for a conservative compensatory treatment because he had a positive perception of his facial esthetic. At the end of the orthodontic treatment, the patient had normal occlusion and improved facial esthetics, which remained stable 23 years after the end of treatment, without any clinically significant change in occlusal relationships because of relapse or aging.</div></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"4 6","pages":"Pages 521-523"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143179913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A novel straight-wire edgewise system to shorten orthodontic treatment in adolescent patients: The Jiyugaoka Enjoyable Treatment system","authors":"Shinichi Narita, Kiyoko Narita, Masaru Yamaguchi","doi":"10.1016/j.xaor.2024.09.005","DOIUrl":"10.1016/j.xaor.2024.09.005","url":null,"abstract":"<div><div>This report describes a patient who underwent orthodontic treatment using a novel straight-wire edgewise system (Jiyugaoka Enjoyable Treatment [JET] system; Smiledesign, Tokyo, Japan). The JET system shortened the overall treatment duration by leveling, canine distalization, and detailing simultaneously under the regional acceleratory phenomenon (RAP) induced by premolar extraction. Indirect bonding initiated the detailing from the beginning, a 3-dimensional slot self-ligating bracket system for smooth sliding mechanics, and superelastic nickel-titanium wires and coil springs to apply light continuous forces. RAP is a tissue response to noxious stimuli (eg, tooth extraction) characterized by an increased healing capacity of the affected tissues. A 13-year-old girl with Class II subdivision malocclusion, infralabioversion of the maxillary left canine, rightward deviation of the mandibular midline, and crowding of the mandibular anterior teeth underwent orthodontic treatment using the JET system. Light continuous forces were used for efficient tooth movement to reduce pain during orthodontic treatment. The orthodontic appliance was provided soon after the extraction of the maxillary first premolars and mandibular left first premolar and adjusted once a month. Active treatment was completed within 7 months, after which anterior crowding and occlusion were improved. The panoramic radiograph showed no significant reduction in alveolar crest height, but slight apical root resorption was observed. The JET system can shorten the duration of orthodontic treatment in patients during the RAP stage induced by tooth extraction.</div></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"4 6","pages":"Pages 434-444"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143179939","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}
Emilio Macias-Escalada , Félix de Carlos-Villafranca
{"title":"Posttraumatic impaction of maxillary central incisors: A 20-year follow-up","authors":"Emilio Macias-Escalada , Félix de Carlos-Villafranca","doi":"10.1016/j.xaor.2024.09.004","DOIUrl":"10.1016/j.xaor.2024.09.004","url":null,"abstract":"<div><div><span><figure><span><img><ol><li><span><span>Download: <span>Download high-res image (74KB)</span></span></span></li><li><span><span>Download: <span>Download full-size image</span></span></span></li></ol></span></figure></span></div><div>The treatment outcomes of impacted teeth resulting from trauma are often uncertain. The presence of root dilaceration and the displacement of the affected tooth increase the uncertainty regarding forced eruption, long-term prognosis, and stability. This paper presents the follow-up of a patient who presented with complete inversion (2 teeth were completely upside down, with the crowns facing the nasal floor and the roots toward the alveolar bone) and severe dilaceration of the maxillary central incisors resulting from dental trauma. The treatment involved a 2-stage surgical forced-eruption orthodontic technique, successfully repositioning both teeth in the arch and achieving good occlusal and periodontal results. The patient was 10 years old at the beginning of the treatment. A 20-year follow-up after the forced eruption showed maintenance of function, periodontal situation, and esthetics.</div></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"4 6","pages":"Pages 524-526"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143179910","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}