The Angle orthodontistPub Date : 2025-05-08eCollection Date: 2025-09-01DOI: 10.2319/112324-960.1
Nitsan Miron, Nir Shpack, Michael V Joachim, Amir Laviv
{"title":"Differences in the cooperation of teenagers for orthodontic treatment: Z Generation versus Y Generation.","authors":"Nitsan Miron, Nir Shpack, Michael V Joachim, Amir Laviv","doi":"10.2319/112324-960.1","DOIUrl":"10.2319/112324-960.1","url":null,"abstract":"<p><strong>Objectives: </strong>To compare orthodontic treatment cooperation between Generation Y and Generation Z teenagers and evaluate influence of age on compliance.</p><p><strong>Materials and methods: </strong>This was a retrospective cohort study analyzing records of 124 patients (62 from each generation) treated at Tel Aviv University Dental School between 2007 and 2021. Patient cooperation was assessed through weighted noncompliance scores incorporating elastic or headgear wear, oral hygiene, appointment attendance, appliance breakage, and new caries development. Each noncompliance incident was weighted (1.0 point for major incidents, 0.5 for minor) and standardized by treatment duration. Multiple regression analysis accounted for age differences.</p><p><strong>Results: </strong>Mean age differed significantly between Generation Y (15.5 ± 1.7 years) and Generation Z (13.1 ± 1.6 years; <i>P</i> < .001). Initial noncooperation scores were similar (Generation Y: 36.8% ± 16.4%; Generation Z: 35.8% ± 15.8%; <i>P</i> = .732). After age adjustment, regression analysis revealed significantly higher noncooperation in Generation Y (B = 8.29; <i>P</i> = .014). Age independently influenced cooperation, with each year increase associated with a 3% decrease in noncooperation scores (B = -3.04; <i>P</i> < .001).</p><p><strong>Conclusions: </strong>Generation Z teenagers exhibited better orthodontic treatment cooperation than Generation Y after age adjustment. Age independently predicted cooperation, with older teenagers showing better compliance regardless of generation. Treatment planning should consider both generational differences and individual patient factors when selecting compliance-dependent treatment options.</p>","PeriodicalId":94224,"journal":{"name":"The Angle orthodontist","volume":"95 5","pages":"538-543"},"PeriodicalIF":3.2,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145042969","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}
The Angle orthodontistPub Date : 2025-05-08eCollection Date: 2025-09-01DOI: 10.2319/112524-963.1
Niki Arveda, Marco Migliorati, Anna De Mari, Filippo Forin Valvecchi, Irene Schiavetti, Fabio Annarumma, Giovanni Battista, Hussein Aghazada
{"title":"Miniscrew-assisted slow palatal expansion with bone borne expander in adult patients: a case control study on consecutively treated patients.","authors":"Niki Arveda, Marco Migliorati, Anna De Mari, Filippo Forin Valvecchi, Irene Schiavetti, Fabio Annarumma, Giovanni Battista, Hussein Aghazada","doi":"10.2319/112524-963.1","DOIUrl":"10.2319/112524-963.1","url":null,"abstract":"<p><strong>Objectives: </strong>To compare a slow, rapid activation protocol for miniscrew-assisted maxillary expansion in adults.</p><p><strong>Materials and methods: </strong>Fifteen consecutive adult patients underwent miniscrew-assisted slow palatal expansion (MASPE) using a bone borne device. A control group treated with miniscrew-assisted rapid palatal expansion (MARPE) was matched for initial demographic data and expansion need.</p><p><strong>Results: </strong>No statistically significant differences in bispinal expansion were observed between the MASPE and MARPE groups at the anterior, middle, or posterior levels.</p><p><strong>Conclusions: </strong>MASPE successfully achieved skeletal expansion of the maxilla in 86.7% of adult patients treated. The expansion pattern and results were comparable to MARPE.</p>","PeriodicalId":94224,"journal":{"name":"The Angle orthodontist","volume":"95 5","pages":"513-521"},"PeriodicalIF":3.2,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145042203","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":"Influence of personalized replacement protocol and low-level laser therapy combined with vibration on tooth movement rate and tooth movement accuracy in clear aligner treatment: a randomized clinical trial.","authors":"Zeyao Miao, Liling Ren, Haijuan Zhang, Chengdong Zheng, Yuxuan Yang, Jinyuan Zhu, Yandong Han, Shuang Wang","doi":"10.2319/100424-813.1","DOIUrl":"10.2319/100424-813.1","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the influence of personalized aligner replacement, with or without physical methods of acceleration using low-frequency vibration combined with a low-level laser, on the tooth movement rate and accuracy of clear aligners.</p><p><strong>Materials and methods: </strong>Forty participants were randomly allocated to three groups. Fourteen participants used the standard replacement protocol in Group A, Group B included 14 participants using a personalized replacement protocol, and 12 participants in Group C followed the personalized replacement protocol and used a physical device that combined low-frequency vibration and low-level laser. Aligner replacement cycles of the first 12 steps were recorded, and GOM inspect suite software 2022 (GOM; Braunschweig, Germany) was used to evaluate maxillary molar movement accuracy using digital models collected before treatment and at the end of the 12th step.</p><p><strong>Results: </strong>No significant difference was found in the accuracy of maxillary molar movement between Groups A and B, but the tooth movement rate in Group B was significantly greater. The accuracy of maxillary molar movement was similar in Groups B and C, and the tooth movement rate in Group C was significantly increased.</p><p><strong>Conclusions: </strong>The personalized replacement protocol decreased the number of aligner replacement cycles without impacting the accuracy of tooth movement. With personalized replacement, a physical method of acceleration combining low-level laser and low-frequency vibration significantly accelerated orthodontic tooth movement and had little influence on the accuracy of tooth movement.</p>","PeriodicalId":94224,"journal":{"name":"The Angle orthodontist","volume":" ","pages":"530-537"},"PeriodicalIF":3.2,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059282","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":"Mandibular incisor root length and root volume changes using removable anterior bite planes in two mealtime protocols in growing deep bite patients: a randomized clinical trial.","authors":"Thanapat Sangwattanarat, Udom Thongudomporn","doi":"10.2319/121824-1034.1","DOIUrl":"10.2319/121824-1034.1","url":null,"abstract":"<p><strong>Objectives: </strong>To compare mandibular incisor root length (RL) and root volume (RV) changes after 6 months of wearing either a removable anterior bite plane (RABP) during meals (F + M) or not during meals (F - M). Additionally, changes in incisal maximum bite force (IMBF) and their correlation with RL and RV changes were assessed.</p><p><strong>Materials and methods: </strong>Thirty-six children with deep bite using RABPs full time were randomly assigned in equal numbers to either the F + M group or F - M group. Cone-beam computed tomographic radiographs and IMBF were recorded at baseline (CT0) and after 6 months (CT1). Within and between group comparisons of RL and RV were performed (P = .05) with Bonferroni correction applied for segmental RV differences (P = .008). Relationships between IMBF changes and RL and RV changes were analyzed (P = .05).</p><p><strong>Results: </strong>Both groups showed significant reductions in RL and RV. RL decrease in the F + M group (0.25 ± 0.14 mm) was significantly greater than in the F - M group (0.21 ± 0.14 mm). Reduction in RV was not significantly different between the groups, but IMBF significantly increased in both groups. Significant correlations were observed between IMBF changes and RL (r = 0.56) and RV (r = 0.86) changes.</p><p><strong>Conclusions: </strong>Deep bite correction using RABPs for 6 months with F + M protocol resulted in a greater decrease in mandibular incisor RL compared to the F - M protocol. However, RV changes were comparable between protocols. IMBF may influence the degree of RL and RV changes.</p>","PeriodicalId":94224,"journal":{"name":"The Angle orthodontist","volume":" ","pages":"497-503"},"PeriodicalIF":3.2,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060840","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 skeletal Class III young adult with severe maxillary transverse deficiency treated with maxillary skeletal expander.","authors":"Fengcong Wang, Ping Liu, Bo Ding","doi":"10.2319/012724-71.1","DOIUrl":"10.2319/012724-71.1","url":null,"abstract":"<p><p>This case report describes correction of maxillary constriction using a maxillary skeletal expander (MSE) in a 15-year-old female with a skeletal Class III pattern and asymmetry. The maxillary expansion device with four mini-implants was used to correct the constricted maxilla, bilateral crossbite of the posterior teeth, and crowding of the dentition. Comparison of cone-beam computed tomography scans before and after treatment showed that the majority of maxillary expansion was orthopedic, with minimal alveolar bone bending and tooth tipping. Fixed appliances were used to correct the crowding and malocclusion. Stable and satisfactory maxillary expansion was obtained by using MSE non-urgically.</p>","PeriodicalId":94224,"journal":{"name":"The Angle orthodontist","volume":" ","pages":"332-346"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082951","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}
Arnaldo Perez-Garcia, Ava Nasr Esfahani, Manuel Lagravere, Enoch Ng
{"title":"Outcome and barrier: the double-edged sword of the patient satisfaction dilemma.","authors":"Arnaldo Perez-Garcia, Ava Nasr Esfahani, Manuel Lagravere, Enoch Ng","doi":"10.2319/ANGL-Guest_Editorial.1","DOIUrl":"https://doi.org/10.2319/ANGL-Guest_Editorial.1","url":null,"abstract":"","PeriodicalId":94224,"journal":{"name":"The Angle orthodontist","volume":"95 3","pages":"347-348"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017547/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056678","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":"Investigation of MMP1 rs1799750 and TGF-ß1 rs1800470 polymorphisms in individuals with different vertical facial patterns and temporomandibular joint disorder.","authors":"Begum Turan, Elvan Onem Ozbilen, Beste Tacal Aslan, Ozlem Ozge Yilmaz","doi":"10.2319/070324-528.1","DOIUrl":"10.2319/070324-528.1","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the effects of rs1799750 1G/2G polymorphism of the MMP1 gene and rs1800470 T/C polymorphism of the TGF-ß1 gene on temporomandibular disk displacement and vertical facial development.</p><p><strong>Materials and methods: </strong>Sixty-six individuals were examined radiographically prior to evaluation of the signs/symptoms of temporomandibular disorders according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). Class II, hyperdivergent individuals with TMD (+) were assigned to Group 1, and individuals with TMD (-) were included in Group 2; while Class I, normodivergent individuals with TMD (-) were included in Group 3. For genetic analysis, oral mucosa swab samples were collected, and genotype analysis was performed.</p><p><strong>Results: </strong>The incidence of 2G alleles in Group 2 (72.7%) was significantly higher than the other groups (P < .05). ANB angle and mean Wits of the 1G/1G genotype of the MMP1 gene were significantly lower than 1G/2G and 2G/2G. Mean Go-Gn of the 1G/1G genotype was significantly higher than that of 1G/2G. The mean SNB of the TGF-β1 TT genotype was significantly higher than TC. The mean Co-Gn of TT was significantly higher than CC.</p><p><strong>Conclusions: </strong>A relationship was found between the 2G allele of rs1799750 1G/2G polymorphisms of the MMP1 gene and the risk of individuals developing disk displacement. Also, it was found that TGF-ß1 gene rs1800470 29 T/C polymorphisms had a detrimental effect on mandibular development.</p>","PeriodicalId":94224,"journal":{"name":"The Angle orthodontist","volume":" ","pages":"317-322"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143401129","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}
Inna Burnett, Vaibhav Gandhi, Loiy Alshami, Jay Patel, Janakiraman Nandakumar
{"title":"Evaluation of treatment outcome assessment using the American Board of Orthodontics Objective Grading System in subjects treated with lower incisor extraction with severe to moderate crowding.","authors":"Inna Burnett, Vaibhav Gandhi, Loiy Alshami, Jay Patel, Janakiraman Nandakumar","doi":"10.2319/120524-997.1","DOIUrl":"10.2319/120524-997.1","url":null,"abstract":"<p><strong>Objectives: </strong>To assess case outcomes using the American Board of Orthodontics (ABO) Objective Grading System (OGS) in patients treated with lower incisor extraction.</p><p><strong>Materials and methods: </strong>Discrepancy indices (DI) were used to stratify patients into mild, moderate, and complex categories and overjet, overbite, and buccal occlusion were examined. Nineteen subjects were included in the study, among which 52.6% were females.</p><p><strong>Results: </strong>The average (SD) age was 28.5 (15.1) years, and the average (SD) DI was 15.2 (8.6) with an even distribution of mild, moderate, and complex cases. The mean post-treatment OGS was 31, with 52.6% of the patients achieving passing ABO clinical scores. 31.6% achieved normal post-treatment overjet. A total of 52.6% achieved normal post-treatment overbite, and 84.2% achieved normal post-treatment buccal occlusion.</p><p><strong>Conclusions: </strong>An increase in overbite and overjet, and a decrease in buccal occlusion measurement, were found after lower incisor extraction treatment. The ABO-OGS scores obtained were high, indicating that they may not pass the ABO criteria established.</p>","PeriodicalId":94224,"journal":{"name":"The Angle orthodontist","volume":" ","pages":"420-428"},"PeriodicalIF":3.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12418968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995769","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}