Hisham Mohammed, Ahmed Morsi, Khaled Wafaie, Ben K Daniel, Mauro Farella
{"title":"Patients' perspectives of the long-term impact of orthodontic treatment: a qualitative study.","authors":"Hisham Mohammed, Ahmed Morsi, Khaled Wafaie, Ben K Daniel, Mauro Farella","doi":"10.2319/031424-216.1","DOIUrl":"10.2319/031424-216.1","url":null,"abstract":"<p><strong>Objectives: </strong>To explore how orthodontic treatment affects different aspects of life, such as self-esteem, well-being, and social interactions and, additionally, to identify the long-term challenges that orthodontic patients experience after treatment.</p><p><strong>Materials and methods: </strong>This qualitative study involved in-depth semistructured face-to-face interviews. A purposive sampling strategy aimed to recruit a representative cohort of orthodontic patients who had their orthodontic treatment in adolescence and had their treatment concluded at least 5 years previously. Twenty-one patients (13 females and 8 males) were interviewed using a prepiloted topic guide. These interviews were transcribed and analyzed verbatim, using the general inductive method of data analysis.</p><p><strong>Results: </strong>The thematic analysis revealed four key themes and related subthemes: (1) self-confidence and interpersonal communication, (2) social and professional opportunities, (3) oral health and function, and (4) challenges. In-depth analysis revealed positive treatment outcomes regarding enhanced self-confidence, social interactions, and perceived improvement in oral health and function. It also highlighted ongoing challenges with retainers and dissatisfaction with relapse.</p><p><strong>Conclusions: </strong>Orthodontic treatment can significantly impact patient lives. Orthodontic patients described direct long-term positive effects on their social lives and well-being. However, it is equally important to remain mindful of the long-term challenges that may arise after treatment, especially with retainer choices and relapse, enabling proactive measures to mitigate their impact.</p>","PeriodicalId":94224,"journal":{"name":"The Angle orthodontist","volume":" ","pages":"205-211"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11842113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866904","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}
Rodrigo Teixeira, Daniela Garib, João Gabriel Rando Poiani, Camila Massaro, Guilherme Adam Fraga, Sergio Henrique Kiemle Trindade, Luiz Fernando Manzoni Lourençone, Djessyca Miranda E Paulo, Carlos Flores-Mir
{"title":"Nasal septum deviation after rapid maxillary expansion in the early mixed dentition.","authors":"Rodrigo Teixeira, Daniela Garib, João Gabriel Rando Poiani, Camila Massaro, Guilherme Adam Fraga, Sergio Henrique Kiemle Trindade, Luiz Fernando Manzoni Lourençone, Djessyca Miranda E Paulo, Carlos Flores-Mir","doi":"10.2319/050124-344.1","DOIUrl":"10.2319/050124-344.1","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate nasal septum changes after rapid maxillary expansion (RME) during the mixed dentition and to verify the association between quantitative and qualitative assessments of nasal septum deviation (NSD) by ear, nose, and throat (ENT) specialists.</p><p><strong>Materials and methods: </strong>The sample comprised 24 patients (11 male, 13 female) with a mean age of 7.62 ± 0.92 years with maxillary transverse deficiencies. Cone-beam computed tomography (CBCT) images were obtained before and after RME. Three CBCT coronal sections passing through the maxillary first molars, 5 mm anterior and 5 mm posterior, were used for quantitative assessment. NSD was calculated using the ratio of nasal cavity height to nasal septum contour. Additionally, five ENT professionals evaluated NSD qualitatively using scores from 1 to 3 through CBCT sequential axial and coronal sections. Absent NSD was scored as zero. Interstage changes were assessed using Wilcoxon tests. Spearman correlation and linear regression were performed to evaluate the association between quantitative and qualitative analyses (P < .05).</p><p><strong>Results: </strong>No significant change was observed in the NSD ratio. In pre-expansion CBCT images, absence of NSD and scores 1, 2, and 3 for NSD were found for 45.8%, 41.7%, 12.5%, and 0%, respectively. In the qualitative assessment, no significant change in NSD was observed after expansion. A strong association was found between NSD ratio and ENT score (r = 0.750).</p><p><strong>Conclusions: </strong>In the mixed dentition, no significant change was observed in the NSD ratio. Qualitative analysis of NSD was associated with quantitative assessment of the ratio between nasal septum contour and nasal cavity height.</p>","PeriodicalId":94224,"journal":{"name":"The Angle orthodontist","volume":" ","pages":"166-172"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11842104/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019352","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":"Evaluation of IL-8 and IL-6 levels in gingival crevicular fluid of individuals undergoing clear aligner therapy.","authors":"Dicle Altındal, Yasemin Tunca, Murat Tunca","doi":"10.2319/050224-347.1","DOIUrl":"10.2319/050224-347.1","url":null,"abstract":"<p><strong>Objectives: </strong>To compare short-term changes in the levels of interleukin-8 (IL-8) and interleukin-6 (IL-6) in the gingival crevicular fluid (GCF) of individuals undergoing orthodontic treatment with clear aligners.</p><p><strong>Materials and methods: </strong>This study included 15 individuals. Each patient used clear aligners designed not to cause tooth movement in the GCF sampled teeth, to be changed every 10 days. GCF samples were collected from teeth 16 (upper right first molar) and 31 (lower left central incisor) at baseline and after the procedure at the first hour, third, seventh, 14th, and 21st days. In addition, clinical periodontal parameters for the full mouth and the teeth from which GCF was collected were recorded initially and on the 21st day.</p><p><strong>Results: </strong>A statistically significant difference was observed between the levels of IL-8 before the procedure, on the third and seventh days, and on the 21st day (P < .01). The increase in IL-6 levels on the 14th and 21st days was significantly different compared to the levels before the procedure (P < .01). A positive correlation was detected between IL-8 and IL-6 levels at the first hour, a negative correlation on the third day, and a lower level of positive correlation on the seventh, 14th, and 21st days.</p><p><strong>Conclusions: </strong>Within 21 days, the levels of IL-8 and IL-6 significantly increased in individuals undergoing orthodontic treatment with clear aligners. Within the limits of this study, the clear aligner material may affect the levels of IL-8 and IL-6 in the GCF.</p>","PeriodicalId":94224,"journal":{"name":"The Angle orthodontist","volume":" ","pages":"212-218"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11842106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857525","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":"Does orthognathic surgery affect tooth root length and volume: a retrospective cohort study.","authors":"Merve Ece Erdem, Celal Irgın","doi":"10.2319/052024-390.1","DOIUrl":"10.2319/052024-390.1","url":null,"abstract":"<p><strong>Objectives: </strong>To examine tooth root length and root volume in cone beam computed tomography (CBCT) images in patients with skeletal Class II and III anomalies who have undergone single-jaw (SJ) and double-jaw (DJ) orthognathic surgery, and to compare the changes between jaws with and without osteotomy.</p><p><strong>Materials and methods: </strong>This study was conducted on the archive records of a total of 60 adults: 36 women and 24 men with an average age of 21.1 ± 3.1 years, whose CBCT images were recorded just before orthognathic surgery and within 6-12 months after surgery. The sample was divided into four groups with 15 individuals in each: Class II SJ (mandibular advancement only), Class II DJ (maxillary advancement and impaction with mandibular advancement), Class III SJ (maxillary advancement and impaction), and Class III DJ (maxillary advancement and impaction with mandibular setback).</p><p><strong>Results: </strong>Within groups, statistically significant decreases in root length and root volume were found in the period between preorthognatic and postorthognathic surgery (P < .05). No statistically significant differences were found in comparisons between groups (P > .05).</p><p><strong>Conclusions: </strong>Regardless of the type of skeletal anomaly in the sagittal direction and the orthognathic surgery performed, a statistically significant but clinically insignificant decrease was found in tooth root length and root volume during the postorthognathic surgery period, both in jaws with and without osteotomy.</p>","PeriodicalId":94224,"journal":{"name":"The Angle orthodontist","volume":" ","pages":"188-198"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11842105/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142974222","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}
Jong-Hak Kim, Jun-Ho Moon, Jeffrey Roseth, Heeyeon Suh, Heesoo Oh, Shin-Jae Lee
{"title":"Craniofacial growth prediction models based on cephalometric landmarks in Korean and American children.","authors":"Jong-Hak Kim, Jun-Ho Moon, Jeffrey Roseth, Heeyeon Suh, Heesoo Oh, Shin-Jae Lee","doi":"10.2319/052324-399.1","DOIUrl":"10.2319/052324-399.1","url":null,"abstract":"<p><strong>Objectives: </strong>To compare differences in craniofacial growth prediction results for Korean and American children according to growth prediction models developed using Korean and American longitudinal growth data.</p><p><strong>Materials and methods: </strong>Growth prediction models based on cephalometric landmarks were built for each population using longitudinally taken lateral cephalograms of Korean children and American children of northern European origin. The sample sizes of the serial datasets were 679 and 1257 for Korean and American children, respectively. On each cephalogram, 78 cephalometric landmarks were identified. The prediction models were based on the partial least squares method with 160 input and 154 output variables. For each group, growth was predicted by applying the prediction models developed using data from the same and different populations. The growth prediction results were compared and analyzed.</p><p><strong>Results: </strong>The growth prediction results obtained with the prediction model developed using data from the same population were more accurate (P < .0001). The results distinctively visualized the discrepancies in the growth prediction results if different population types were not considered.</p><p><strong>Conclusions: </strong>Applying a growth prediction model generated using data from the same population may be desirable.</p>","PeriodicalId":94224,"journal":{"name":"The Angle orthodontist","volume":" ","pages":"219-226"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11842116/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142974215","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":"Comparison of patient testimonials of orthognathic surgery on YouTube and TikTok.","authors":"Arianna Alvarado Garcia, Leah Rahman, Mathew J Gregoski, Ildeu Andrade","doi":"10.2319/071724-571.1","DOIUrl":"10.2319/071724-571.1","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate and compare the educational value of the most popular testimonials between TikTok (TT) and YouTube (YT), and to classify the emotional response of viewers through sentiment analysis of video comments on both platforms involving orthodontic patients who will undergo orthognathic surgery.</p><p><strong>Materials and methods: </strong>Two distinct social media searches were conducted using specific search phrases on TT and YT. For each search phrase, 30 videos were gathered from each platform, and details such as number of views, likes, and comments were recorded for each video. Each video was then evaluated for completeness of information using an Information Completeness Score (ICS). A set of comments were collected for each video, and a Sentiment Analysis Score (SAS) was assigned using Azure Machine Learning.</p><p><strong>Results: </strong>TT had a higher number of views, likes, and comments. YT videos had a significantly higher ICS than TT (P < .0001). No statistically significant difference was found when evaluating SAS between the platforms or across phrase groups (P > .05), and no relationship was found between views, likes, comments, and SAS or ICS.</p><p><strong>Conclusions: </strong>YT had higher-quality information within patient testimonials posted due to higher ICS values found than TT. Patient testimonials were not determined to have a positive or negative influence on potential patient opinions in either platform. Orthodontists should leverage their own TT profiles to help direct patients toward meaningful YT testimonials through informative video links.</p>","PeriodicalId":94224,"journal":{"name":"The Angle orthodontist","volume":" ","pages":"199-204"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11842115/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070578","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":"Incidence of unexpected condylar displacement following comprehensive orthodontic treatment in adults.","authors":"Hosik Jang, Ji-Hyun Lee, Tung Nguyen, Kyung-Ho Kim, Chooryung J Chung","doi":"10.2319/010924-24.1","DOIUrl":"10.2319/010924-24.1","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the incidence and pattern of unexpected/excessive condylar displacement after comprehensive orthodontic treatment in adults.</p><p><strong>Materials and methods: </strong>Adult patients (age ≥18 years) who underwent comprehensive orthodontic treatment with pre-(T1) and post-treatment (T2) cone beam computed tomography scans were consecutively collected within an orthodontic cohort (N = 291). T1 and T2 CBCTs were superimposed three-dimensionally (3D) and condylar displacement was estimated by the 3D changes of condylar neck point (CdN) between T1 and T2 (ΔCdN). Participants with excessive condylar displacement (ΔCdN >1 mm) were classified as condylar displacement (+) and otherwise as displacement (-). The incidence and pattern of condylar displacement, association with factors such as sex, age, skeletal relationship, extraction pattern, treatment duration, history of temporomandibular joint disorder, and presence of condylar resorption with the final occlusal outcome were investigated.</p><p><strong>Results: </strong>The incidence of unexpected condylar displacement >1 mm in the adult orthodontic cohort was 6.2%. Females (vs males; OR: 9.07; [95% CI: 1.19-69.23]) and Skeletal Class II (vs Classes I and III; OR: 4.57 [95% CI: 1.58-13.20]) demonstrated significantly higher odds of unexpected condylar displacement (P < .05). Condylar resorption was not evident in participants with condylar displacement and did not interfere with the final orthodontic outcome.</p><p><strong>Conclusions: </strong>Unexpected 3D condylar displacement exceeding 1 mm was noted in approximately 6% of the adult orthodontic patient cohort. However, the condylar displacement per se was not associated with condylar resorption and did not cause clinical concerns.</p>","PeriodicalId":94224,"journal":{"name":"The Angle orthodontist","volume":" ","pages":"179-187"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11842111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484729","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":"Effect of orthodontic treatment on traumatized teeth treated by regenerative endodontic procedure.","authors":"Margarita Yoshpe, Arieh Y Kaufman, Shmuel Einy","doi":"10.2319/030924-197.1","DOIUrl":"10.2319/030924-197.1","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the effect of orthodontic movement on traumatized teeth treated with the regenerative endodontic procedure (REP).</p><p><strong>Materials and methods: </strong>The increase of the radiographic root area (RRA) of each REP tooth was measured at each follow-up visit after the end of orthodontic treatment. The study included two experimental groups of patients aged 7-17 with REP-treated teeth. The Ortho REP group consisted of eight patients who underwent orthodontic treatment, whereas the second group (no Ortho REP group) included seven patients who did not receive orthodontic treatment. The control groups comprised the same patients and their homologous or adjacent healthy teeth that did not undergo REP treatment.</p><p><strong>Results: </strong>Orthodontic treatment did not negatively affect root development of immature, traumatized REP-treated teeth during the treatment or retention periods. Additionally, the increase in RRA in regenerated teeth was age-dependent, with the greatest RRA increase in young patients.</p><p><strong>Conclusions: </strong>Close collaborative endodontic-orthodontic follow-up is recommended to ensure favorable results. The findings suggest that REP-treated teeth may undergo orthodontic treatment without adverse effects.</p>","PeriodicalId":94224,"journal":{"name":"The Angle orthodontist","volume":" ","pages":"173-178"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11842107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142981140","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}
Jae Hyun Park, Tae-Hyun Choi, Moon-Jung Jang, So-Yeon Kim, Nam-Ki Lee
{"title":"Treatment effects of modified miniscrew-assisted rapid palatal expander and rapid palatal expander for molar distalization.","authors":"Jae Hyun Park, Tae-Hyun Choi, Moon-Jung Jang, So-Yeon Kim, Nam-Ki Lee","doi":"10.2319/042024-308.1","DOIUrl":"10.2319/042024-308.1","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the treatment effects of the modified miniscrew-assisted rapid palatal expander (MARPE) and rapid palatal expander (RPE) with distalizers in patients with Class II malocclusion and maxillary crowding.</p><p><strong>Materials and methods: </strong>The sample comprised 28 skeletal Class I adolescents with dental Class II malocclusion and maxillary crowding of >4 mm who received nonextraction treatment. Fourteen patients were treated with a modified MARPE with distalizer (MMD), while another 14 patients were treated with a modified RPE with distalizer (MRD). Lateral cephalograms and study casts were taken at pretreatment (T1) and after expansion, distalization, and at the initiation of alignment (T2). Twenty-nine variables were compared using a Bonferroni-adjusted independent t-test and a Mann-Whitney U-test.</p><p><strong>Results: </strong>From T1 to T2, the maxillary first molars in the MMD group exhibited distalization of 3.0 mm and 2.4 mm at the crown and root (P < .001) compared with 2.1 mm and 1.4 mm in the MRD group. However, no significant difference was found in distalization between the two groups. The first molars in the MRD group showed a significantly greater distal tipping of 2.8° than in the MMD group (P < .001).</p><p><strong>Conclusions: </strong>Although both groups showed maxillary molar distalization, the MMD group had no distal molar tipping, while there was significant molar tipping in the MRD group. It can be useful to plan nonextraction treatment with maxillary expansion and molar distalization in patients with Class II malocclusion and a narrow maxillary arch.</p>","PeriodicalId":94224,"journal":{"name":"The Angle orthodontist","volume":" ","pages":"157-165"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11842109/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142974190","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}