{"title":"Less is More medicine: Proposing a top-five list for choosing wisely in orthodontics","authors":"Fabio Ciuffolo, Gianvittorio Ferritto, Michele Tepedino, Domenico Ciavarella","doi":"10.1016/j.xaor.2024.04.001","DOIUrl":"10.1016/j.xaor.2024.04.001","url":null,"abstract":"","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"4 3","pages":"Pages 163-164"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140758327","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":"Progressive idiopathic condylar resorption: 6-year update","authors":"Sylvain Chamberland","doi":"10.1016/j.xaor.2024.02.003","DOIUrl":"10.1016/j.xaor.2024.02.003","url":null,"abstract":"<div><p>Idiopathic condylar resorption (ICR) is a rare and aggressive form of temporomandibular joint degeneration. Herein, we reported the long-term outcomes of three patients with ICR; two of whom underwent total temporomandibular joint replacement (TMJR), and one was managed conservatively. Both patients who underwent TMJR reported significant improvement in their symptoms and quality of life. The patient who was managed conservatively also experienced improvement in her symptoms, although she continued to have a large centric slide. This case report suggests that TMJR can be a successful treatment for end-stage ICR and that conservative management may be effective in some patients with juvenile idiopathic arthritis-associated ICR.</p></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"4 2","pages":"Pages 152-159"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140465202","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":"World's greatest celebration of orthodontics: The American Association of Orthodontists 2024 Annual Session in New Orleans","authors":"Jae Hyun Park","doi":"10.1016/j.xaor.2023.12.007","DOIUrl":"https://doi.org/10.1016/j.xaor.2023.12.007","url":null,"abstract":"","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"4 2","pages":"Pages 84-85"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140542748","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":"Esmail Eruptor: A novel approach to align partially erupted teeth","authors":"Mischa Railton , Zaid Esmail","doi":"10.1016/j.xaor.2024.02.004","DOIUrl":"10.1016/j.xaor.2024.02.004","url":null,"abstract":"<div><p>Orthodontic treatment often encounters challenges posed by partially erupted teeth, necessitating innovative approaches to expedite alignment. This article introduces the Esmail Eruptor, a novel device designed to align partially erupted teeth within 4-6 weeks. The Esmail Eruptor consists of a stainless-steel attachment with a mesh base and an offset wire slot, facilitating its bonding to teeth with minimal enamel exposure, yet allowing greater activation of the nickel-titanium wires. Clinical patients demonstrate successful outcomes with the Esmail Eruptor, highlighting its efficacy in expediting treatment progression. Moreover, considerations for impacted teeth, biomechanics, and potential side effects are also discussed. The device offers a promising solution to the challenges posed by partially erupted teeth, ensuring timely and efficient orthodontic treatment.</p></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"4 2","pages":"Pages 86-92"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140087165","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}
Qiuying Li , Junyi Zheng , Benxiang Hou , Jingchao Hu , Kai Yang
{"title":"Interdisciplinary treatment of an impacted dilacerated maxillary central incisor","authors":"Qiuying Li , Junyi Zheng , Benxiang Hou , Jingchao Hu , Kai Yang","doi":"10.1016/j.xaor.2024.01.006","DOIUrl":"10.1016/j.xaor.2024.01.006","url":null,"abstract":"<div><p>Dilaceration<span><span> refers to an angular deformity affecting the longitudinal axis of a formed tooth's crown or root. Eruption difficulties are commonly observed in dilacerated teeth, resulting in approximately 50% of them becoming impacted. Treating impacted dilacerated teeth is challenging because of the associated risks of ankylosis<span><span>, cortical bone penetration, attachment loss, and </span>root resorption. This case report presents an interdisciplinary approach to treating a 9-year-old girl with an inverted impacted </span></span>maxillary central incisor<span><span> displaying severe tooth dilaceration. The treatment approach encompassed surgical exposure, </span>orthodontic<span> traction, apicoectomy<span><span>, root canal filling, and </span>periodontal surgery<span><span>, aiming to preserve the impacted incisor and reposition it correctly. Favorable outcomes were achieved, characterized by satisfactory occlusion and a healthy periodontium on the completion of treatment. A stable condition was observed during the 6-month follow-up period, with no evidence of root resorption or </span>alveolar bone loss.</span></span></span></span></span></p></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"4 2","pages":"Pages 140-151"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140523852","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}
Kyla M. Swearingen , Nicholas Merwin , James L. McKay , Daranee Tantbirojn , Wanda I. Claro , Richard A. Williams , Antheunis Versluis
{"title":"Debonding forces of a bioactive material compared with those of resin-based and glass ionomer-based orthodontic adhesives","authors":"Kyla M. Swearingen , Nicholas Merwin , James L. McKay , Daranee Tantbirojn , Wanda I. Claro , Richard A. Williams , Antheunis Versluis","doi":"10.1016/j.xaor.2024.01.002","DOIUrl":"10.1016/j.xaor.2024.01.002","url":null,"abstract":"<div><h3>Introduction</h3><p>This study investigated if a bioactive material used for bonding orthodontic brackets had bond strength comparable to a conventional resin-based adhesive in combination with the potential of reducing white spot lesions like a glass ionomer-based adhesive.</p></div><div><h3>Methods</h3><p>Brackets were bonded to 90 premolars, extracted for orthodontic purposes, with a bioactive, conventional resin-based, or glass ionomer material. Brackets were debonded by a shear force using a universal testing machine after 24 hours or after artificial aging (thermocycling) with or without subsequent acid challenge. Removal forces were compared among the 9 groups (n = 10/group). After debonding, adhesive remnants were indexed, and the demineralization around the brackets was measured. In addition, the diametral tensile strength of each material was determined.</p></div><div><h3>Results</h3><p>Materials (bioactive, conventional, and glass ionomer) had a significant effect on debonding forces (<em>P</em> <0.001; 2-way analysis of variance), whereas conditions (24-hour, aged, and aged + acid challenged) had no significant effect (<em>P</em> = 0.811). Bond strengths correlated positively with diametral tensile strengths (<em>r</em> = 0.67). The bioactive material generally had bond strengths comparable with those of the conventional adhesive and higher than those of the glass ionomer. Surface demineralization with the bioactive adhesive was similar when compared with that of the glass ionomer group and significantly lower than that of the conventional adhesive group (<em>P</em> <0.001). Significantly less adhesive remnant was left by the bioactive resin in the aged + acid-challenged group (<em>P</em> = 0.001).</p></div><div><h3>Conclusions</h3><p>Debonding forces for brackets bonded with the bioactive resin were comparable to those of a conventional orthodontic adhesive. In vitro, the bioactive resin showed the potential to reduce demineralization around the brackets, similar to glass ionomer cement.</p></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"4 2","pages":"Pages 93-100"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139631374","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}
Jaehyun Kim , Jae Hyun Park , Yoonji Kim , Yoon-Ah Kook , Nam-Ki Lee
{"title":"Growth modification using a modified C-palatal plate in a patient with a Class II hyperdivergent relationship with arthrogryposis multiplex congenita","authors":"Jaehyun Kim , Jae Hyun Park , Yoonji Kim , Yoon-Ah Kook , Nam-Ki Lee","doi":"10.1016/j.xaor.2023.12.006","DOIUrl":"10.1016/j.xaor.2023.12.006","url":null,"abstract":"<div><p>A 9-year-old male patient with arthrogryposis multiplex congenita (AMC) had a history of at least 2 joint contractures in multiple areas of his body. In addition, he had a dentoskeletal Class II malocclusion and a hyperdivergent growth pattern. He was successfully treated with growth modification using a modified C-palatal plate (MCPP) with a 2-phase treatment. An MCPP was applied 3 times throughout treatment, and the patient was observed from age 10 to 20 years. In phase 1, an MCPP was placed twice to induce the headgear effect in the maxilla. In phase 2, an MCPP and fixed appliances were used in the whole dentition to improve the dental Class II relationship and functional occlusion. Phase 1 occurred over 6 years and 9 months, whereas Phase 2 occurred over 20 months. Patient with a Class II hyperdivergent AMC relationship with micrognathia have shown improved anteroposterior discrepancy in dental and skeletal structures and effective vertical control using MCPPs. Therefore, clinicians should consider the application of MCPPs as a treatment modality for patients with a Class II growth modification in AMC.</p></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"4 2","pages":"Pages 117-127"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139195487","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}
Yunfan Zhang , Yijiao Zhao , Xiangliang Xu , Zuhua Wang , Xin Zhang , Jiale Yan , Weiran Li , Si Chen
{"title":"Autotransplantation of a first premolar with buccal root amputation using a 3-dimensionally printed replica of the donor tooth","authors":"Yunfan Zhang , Yijiao Zhao , Xiangliang Xu , Zuhua Wang , Xin Zhang , Jiale Yan , Weiran Li , Si Chen","doi":"10.1016/j.xaor.2024.01.005","DOIUrl":"10.1016/j.xaor.2024.01.005","url":null,"abstract":"<div><p>This case report presents the successful treatment of a woman (aged 23 years) with unilateral molar Brodie bite, crowding, midline deviation, and a convex profile. The extraction of two maxillary premolars was performed to establish facial esthetics. Three-dimensional printing-assisted autologous tooth transplantation was performed to replace the residue root of the mandibular left first premolar with the extracted maxillary left first premolar. Accurate recipient socket preparation, minimum extraalveolar time of the donor tooth, and better fitting were ensured via a digital setup and 3-dimensional printing technique. The total treatment procedure was performed over 46 months. After a 3-year follow-up, the transplanted tooth remained healthy and stable.</p></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"4 2","pages":"Pages 128-139"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139633292","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}
Toru Inami , Goshi Ito , Masako Tabuchi , Shigemi Goto , Toru Deguchi , Ken Miyazawa
{"title":"Long-term evaluation of an adult with a skeletal Class II with severe crowding and periodontitis treated with an interdisciplinary approach with lingual brackets and miniscrews","authors":"Toru Inami , Goshi Ito , Masako Tabuchi , Shigemi Goto , Toru Deguchi , Ken Miyazawa","doi":"10.1016/j.xaor.2023.12.005","DOIUrl":"10.1016/j.xaor.2023.12.005","url":null,"abstract":"<div><p>Orthodontic treatment for adults with severe periodontal disease requires an interdisciplinary approach. An adequate periodontal diagnosis and extensive initial treatment are important for successful orthodontic treatment. The combination of lingual brackets with miniscrews as the anchorage is an ideal tooth movement in adult patients who have esthetic concerns with buccal brackets. A 45-year-old man with a skeletal Class II, high-angle malocclusion with crowding and severe periodontitis was successfully treated with a periodontal and orthodontic multidisciplinary approach to achieve long-term stability. Extensive periodontal treatment was performed for approximately 6 months before the orthodontic treatment. Lingual brackets were used because the patient was concerned about esthetics, and miniscrews were used to reinforce the anchorage (anteroposterior) and control the vertical dimension (high angle) and anterior torque. Adequate incisor torque control was achieved by ribbon-wise lingual brackets and with the use of midpalatal miniscrews. The incisor retraction direction was close to the center of resistance, which resulted in the bodily movement of maxillary incisors with intrusion. There was no substantial change in the pocket depth, and the periodontal status was maintained throughout the entire orthodontic treatment. Therefore, we believe that ideal occlusion can be achieved in cases of a severe periodontal compromised status in adults using ribbon-wise lingual brackets and midpalatal miniscrews, which result in long-term stability.</p></div>","PeriodicalId":72140,"journal":{"name":"AJO-DO clinical companion","volume":"4 2","pages":"Pages 101-116"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666430523001589/pdfft?md5=0c770c16bdd1aa34051eaad6c6c3b67e&pid=1-s2.0-S2666430523001589-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139193959","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}