Hai-Van Giap, Ji Yoon Jeon, Joo-Hee Chun, Kee-Joon Lee
{"title":"Combined distalization and lingual cortex remodeling during mandibular growth for facial profile improvement: a case report.","authors":"Hai-Van Giap, Ji Yoon Jeon, Joo-Hee Chun, Kee-Joon Lee","doi":"10.2319/060123-390.1","DOIUrl":"10.2319/060123-390.1","url":null,"abstract":"<p><p>Borderline crowding poses a challenge in deciding whether or not to prescribe premolar extraction. This case report describes the two-phase nonextraction orthodontic treatment of an 11-year-old girl with a hyperdivergent skeletal Class I pattern exhibiting anterior crowding and moderate lip protrusion. The initial phase of treatment included maxillary and mandibular expansion to correct the transverse discrepancy as an early intervention. Subsequently, comprehensive treatment was initiated at the age of 13 years, with fully erupted permanent second molars and growth potential remaining. Phase II treatment involved a second round of maxillary expansion, followed by simultaneous bimaxillary total arch intrusive distalization, using interradicular, temporary skeletal anchorage devices to correct dental crowding and improve the facial profile. Although the limited retromolar space posed a challenge to mandibular tooth distalization, gradual bone remodeling was observed in the lingual cortex of the mandibular body, enabling sufficient orthodontic tooth movement without noticeable side effects. After 4 years 3 months of treatment, her dental crowding was relieved, with significant improvement in the facial profile and proper occlusion. The treatment outcomes remained stable 2 years 4 months after retention.</p>","PeriodicalId":94224,"journal":{"name":"The Angle orthodontist","volume":" ","pages":"353-365"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11050464/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107593182","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":"Effects of transpalatal arch wire dimension and temporary skeletal anchorage device position on maxillary molar intrusion","authors":"Xiaoting Wang, Yi-chen Zhao, Mingyue Fan, Ting Zhou, Bing Fang, Niansong Ye","doi":"10.2319/102423-721.1","DOIUrl":"https://doi.org/10.2319/102423-721.1","url":null,"abstract":"\u0000 \u0000 \u0000 To investigate the effects of transpalatal (TPA) wire dimension and temporary skeletal anchorage device (TSAD) position on maxillary molar intrusion.\u0000 \u0000 \u0000 \u0000 The maxillary molar intrusion measurement system included a maxillary acrylic model, TPA, TSADs, and a three-dimensional Force/Moment (F/M) sensor. The intrusion patterns were categorized into six groups: buccal-mesial, buccal-distal, buccal-mesiodistal, palatal-mesial, palatal-distal, and palatal-mesiodistal. TPA wire dimensions were designed to be 0.7 mm, 0.9 mm, and 1.2 mm. The force and moment loads of the maxillary first molar were measured by the F/M sensor.\u0000 \u0000 \u0000 \u0000 Single buccal or palatal TSADs induced torquing movement, and single mesial or distal TSADs tended to promote tipping movement. Mesiodistal TSADs would have eliminated tipping, but accentuated torquing movement. The TPA significantly reduced the force and moment experienced by the maxillary first molar along three-dimensional axes. The thicker the TPA wire, the smaller the force and moment to which the maxillary first molar was subjected.\u0000 \u0000 \u0000 \u0000 Precise placement of TSADs might have a substantial influence on tooth movement and should be determined in accordance with specific clinical requirements. Increasing the TPA wire dimension could diminish the tipping, torquing, and rotation during TSAD-assisted maxillary molar intrusion, but these tendencies could not be completely eliminated.\u0000","PeriodicalId":94224,"journal":{"name":"The Angle orthodontist","volume":"53 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140675779","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}
Gen Li, Zhenwei Chen, Yingyi Li, Guanhui Cai, Xiaolei Ruan, Ting Wang, Zhaolan Guan, Lian Sun, Wei Wang, Wen Sun, Hua Wang
{"title":"Correlation between oral cavity volume and upper airway changes in skeletal Class III patients undergoing bimaxillary orthognathic surgery: a pilot cone-beam computed tomography study","authors":"Gen Li, Zhenwei Chen, Yingyi Li, Guanhui Cai, Xiaolei Ruan, Ting Wang, Zhaolan Guan, Lian Sun, Wei Wang, Wen Sun, Hua Wang","doi":"10.2319/112223-774.1","DOIUrl":"https://doi.org/10.2319/112223-774.1","url":null,"abstract":"\u0000 \u0000 \u0000 To evaluate changes of the upper airway and oral cavity volumes in patients with skeletal Class III malocclusion undergoing bimaxillary orthognathic surgery, and to analyze the correlation between postoperative upper airway decrease and the amount of jaw movement and oral cavity volume reduction.\u0000 \u0000 \u0000 \u0000 Thirty patients (16 males and 14 females) undergoing bimaxillary surgery were included. Three-dimensional reconstruction of the upper airway and oral cavity were performed using preoperative (T0) and postoperative (T1) (6 months) cone-beam computed tomography scans.\u0000 \u0000 \u0000 \u0000 The volume, sagittal area and minimum cross-sectional area of the upper airway were diminished (P < .001). The decrease in volume and minimum cross-sectional area in the oropharyngeal region of the upper airway were weakly correlated with B-point posterior movement (P < .05). Total oral cavity volume was decreased, with maxillary oral volume increasing and mandibular oral volume decreasing (P < .001). Upper airway decrease was highly correlated with total oral volume reduction and mandibular oral volume reduction, with the most significant correlation being with total oral volume reduction (P < .001).\u0000 \u0000 \u0000 \u0000 Class III bimaxillary surgery reduced the volume, sagittal area, and minimum cross-sectional area of the upper airway as well as oral cavity volume. Upper airway changes were weakly correlated with anterior-posterior mandibular movement but significantly correlated with oral cavity volume changes. Thus, oral cavity volume reduction is a crucial factor of upper airway decrease in patients with skeletal Class III malocclusion undergoing bimaxillary orthognathic surgery.\u0000","PeriodicalId":94224,"journal":{"name":"The Angle orthodontist","volume":"32 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140674379","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":"Changes in the upper airway and its surrounding structures after bimaxillary surgery in patients with cleft-related Class III deformity","authors":"Chung-Yi Ho, Ting-Chen Lu, Y. Hsieh, Chun-Shin Chang, Ying-An Chen, Yu-Fang Liao","doi":"10.2319/082523-579.1","DOIUrl":"https://doi.org/10.2319/082523-579.1","url":null,"abstract":"\u0000 \u0000 \u0000 To compare upper airway changes following bimaxillary surgery for correction of Class III deformity between patients with unilateral cleft lip and palate (UCLP) and bilateral cleft lip and palate (BCLP) and to compare the preoperative and postoperative upper airway among patients with UCLP and BCLP to healthy controls.\u0000 \u0000 \u0000 \u0000 Sixty adults with CLP-related skeletal Class III deformity (30 UCLP and 30 BCLP) who consecutively underwent bimaxillary surgery were studied retrospectively. Cone-beam computed tomography (CBCT) was performed before and after surgery to measure upper airway and movements of facial skeletal and surrounding structures. CBCT images from 30 noncleft skeletal Class I adults, matched by age, gender, and body mass index and without surgical intervention, served as controls.\u0000 \u0000 \u0000 \u0000 After surgery, the volume of the nasopharynx increased in patients with CLP (both P < .001). Patients with CLP did not differ from controls in postoperative volume of the nasopharynx or oropharynx. However, the nasal cavity differed significantly between patients with CLP and controls (P < .001).\u0000 \u0000 \u0000 \u0000 After bimaxillary surgery, the nasal cavity of patients with CLP differed significantly compared with the controls. Volumes of the nasopharynx and oropharynx did not differ between patients with CLP after surgery and controls.\u0000","PeriodicalId":94224,"journal":{"name":"The Angle orthodontist","volume":"15 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140673721","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":"\"Digital orthodontics\" or just \"orthodontics\"?","authors":"Andre Wilson Machado","doi":"10.2319/1945-7103-94.3.369","DOIUrl":"https://doi.org/10.2319/1945-7103-94.3.369","url":null,"abstract":"","PeriodicalId":94224,"journal":{"name":"The Angle orthodontist","volume":" 373","pages":"369"},"PeriodicalIF":0.0,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140682448","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}
Karim Gamal Elias, Gautham Sivamurthy, David R Bearn
{"title":"Letters From Our Readers.","authors":"Karim Gamal Elias, Gautham Sivamurthy, David R Bearn","doi":"10.2319/1945-7103-94.3.371","DOIUrl":"https://doi.org/10.2319/1945-7103-94.3.371","url":null,"abstract":"","PeriodicalId":94224,"journal":{"name":"The Angle orthodontist","volume":" 11","pages":"371"},"PeriodicalIF":0.0,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140684283","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}
R. Lione, F. C. De Razza, F. Gazzani, P. Cozza, C. Pavoni
{"title":"Wilson curve modification in permanent dentition: a retrospective comparison between clear aligners and continuous archwire treatment","authors":"R. Lione, F. C. De Razza, F. Gazzani, P. Cozza, C. Pavoni","doi":"10.2319/101123-691.1","DOIUrl":"https://doi.org/10.2319/101123-691.1","url":null,"abstract":"\u0000 \u0000 \u0000 To evaluate leveling of the Curve of Wilson (COW) by two different treatment appliances (clear aligners [CA] and continuous archwire fixed appliances [FA]) in a permanent dentition sample of patients.\u0000 \u0000 \u0000 \u0000 Digital casts of 40 patients (CA group = 20 patients; FA group = 20 patients) were collected. Angular values for COW, right and left vertical height difference of lower first molars, and linear distance between lower teeth and the WALA ridge were analyzed for pre- (T1), posttreatment (T2) and on final virtual (ClinCheck) models (T2-CC) of the CA group. An unpaired t-test was used to evaluate significant intergroup differences (P < .05), while a paired t-test was used for posttreatment CA intragroup comparison.\u0000 \u0000 \u0000 \u0000 FA group showed better control of second molar crown positions compared to CA group (47-WALA = −0.2 ± 0.1 mm, 37-WALA = −0.6 ± 0.3 mm). No significant difference was detected for linear distance of lower first molars and the WALA ridge or for vertical height difference. CA group showed a greater reduction of distance between lower premolars and the WALA ridge (mean difference: –0.5 mm for both 45-WALA and 35-WALA; mean difference: −0.5 mm for 44-WALA, −0.6 mm for 34-WALA). Predictability for the CA group was high for every measurement (87% Right COW, 89% Left COW, 88% 46 Vertical Diff, 87% 36 Vertical Diff).\u0000 \u0000 \u0000 \u0000 Clear aligner and continuous archwire mechanics were effective in leveling COW. FA was more effective in changing crown position of lower second molars with respect to the WALA ridge, while CA provided a greater distance reduction between lower premolars and WALA ridges compared to FA.\u0000","PeriodicalId":94224,"journal":{"name":"The Angle orthodontist","volume":"950 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140748989","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}
Safa A. Azim Osman, Elham Abu Alhaija, Ahed M. Alwahadni, Emad Al Maaitah, Saba O. Daher, Hasan O. Daher, Hamza AlTal
{"title":"Evaluation of nasal septal deviation and maxillary bone and nasal airway dimensions and volumes using cone-beam computed tomography in patients with unilateral palatal canine displacement: a retrospective study","authors":"Safa A. Azim Osman, Elham Abu Alhaija, Ahed M. Alwahadni, Emad Al Maaitah, Saba O. Daher, Hasan O. Daher, Hamza AlTal","doi":"10.2319/110523-736.1","DOIUrl":"https://doi.org/10.2319/110523-736.1","url":null,"abstract":"\u0000 \u0000 \u0000 To detect any association between palatally displaced canine (PDC) and nasal septal deviation (NSD), palatal bone thickness and volume, and nasal airway dimensions and volume.\u0000 \u0000 \u0000 \u0000 A total of 92 patients were included and subdivided into two groups: group 1, unilateral PDCs (44 patients), and group 2, normally erupted canines (NDCs) (48 subjects). The following variables were measured using cone-beam computed tomography: presence and type of NSD, nasal width, inferior conchae, hard palate and nasal septum thickness, maxillary bone and nasal airway volumes.\u0000 \u0000 \u0000 \u0000 NSD was detected in 77% and 50% of PDC and NDC subjects, respectively. Within the PDC subjects, significant differences between the displaced and nondisplaced sides were detected. Palate thickness was increased in the canine region and reduced in the molar region. Compared with the control group, PDC subjects had reduced palate thickness and lower nasal airway volume. Two predictors were significant for predicting the odds of PDC occurrence: NSD and maxillary bone volume.\u0000 \u0000 \u0000 \u0000 NSD is more frequent in PDC subjects. PDC subjects have reduced palate thickness and decreased nasal airway volume. In the presence of NSD, the odds of developing PDC increase by 3.35 times, and for each one-unit increase in the maxillary bone volume, the odds of developing PDC decrease by 20%.\u0000","PeriodicalId":94224,"journal":{"name":"The Angle orthodontist","volume":"12 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140252446","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}