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TheScientificWorldJournal 2021OSA pediatric subjects suffer from episodes of upper airway obstruction that can be partial or complete, with atypical sleep patterns and blood-gas level alteration. If... (Review)
Review
OSA pediatric subjects suffer from episodes of upper airway obstruction that can be partial or complete, with atypical sleep patterns and blood-gas level alteration. If poor treated and/or diagnosed, it can cause cardiovascular disease, learning difficulties, behavioural issues, and retardation of growth. In the literature, there are conflicting evidence about OSA assessment and treatment in pediatric age, so the aim of this paper is to highlight the multidisciplinary approach in the management of sleep disorders, stressing the role of the pediatric dentist in both diagnosing and treating the OSAS in children, according to the current evidence of the treatment options effectiveness of the syndrome itself. . Scientific evidence shows that OSAS management requires a multidisciplinary approach in order to make an early diagnosis and a correct treatment plan. The orthodontic treatment approach includes orthopedic maxillary expansion and mandibular advancement using intraoral appliances. Hence, the orthodontist and the pediatric dentist play an important role not only in early diagnosis but also in the treatment of pediatric OSAS.
Topics: Airway Obstruction; Cardiovascular Diseases; Child; Dentists; Early Diagnosis; Growth Disorders; Humans; Mandibular Advancement; Orthodontics, Corrective; Orthodontists; Sleep Apnea, Obstructive
PubMed: 33981185
DOI: 10.1155/2021/5591251 -
Dental Press Journal of Orthodontics 2021The digital technology has contributed to improve and simplify diagnosis, treatment planning and execution in Orthodontics. Among CAD/CAM system (Computer-Aided Design /...
INTRODUCTION
The digital technology has contributed to improve and simplify diagnosis, treatment planning and execution in Orthodontics. Among CAD/CAM system (Computer-Aided Design / Computer-Aided Manufacturing) applications in Orthodontics, we highlight the installation and removal of fixed appliance, clear aligners, customized appliances, and retainers fabricated in digital environment. This approach has several advantages for practitioner and patient, as it enhances appliances precision, directly interferes in treatment time and predictability. Even with all the benefits arising from the digital workflow, few orthodontists have adopted this technique in their clinical practice, most due to high cost and lack of technical preparation for proper execution.
OBJECTIVES
Thus, given the importance of digital technology to improve specialty performance and the still incipient incorporation of digital flow in Orthodontics, the purpose of this article is to describe the available resources and clinical applications of the CAD/CAM technology in Orthodontics.
Topics: Computer-Aided Design; Humans; Orthodontics; Orthodontists; Patient Care Planning; Workflow
PubMed: 34932716
DOI: 10.1590/2177-6709.26.6.e21spe6 -
Dental Press Journal of Orthodontics 2022There are different possibilities of orthodontic planning for cases with congenital absence of maxillary lateral incisors. This subject divides the opinion of...
INTRODUCTION
There are different possibilities of orthodontic planning for cases with congenital absence of maxillary lateral incisors. This subject divides the opinion of orthodontists and oral rehabilitation clinicians, due to the advantages and disadvantages of each treatment option, which may involve opening spaces for future implants and/or prosthetic restorations, or closing the spaces by positioning the maxillary canines in the place of lateral incisors. The correct diagnosis and careful evaluation of each patient allow to determine the best therapeutic approach. This paper discusses the main topics to be considered when planning these cases.
OBJECTIVES
To evaluate the main aspects related to orthodontic treatment planning in cases of congenital absence of maxillary lateral incisors, to aid the decision-making, with clinical and scientific basis.
Topics: Anodontia; Cuspid; Esthetics, Dental; Humans; Incisor; Malocclusion; Maxilla
PubMed: 35674572
DOI: 10.1590/2177-6709.27.1.e22spe1 -
The Angle Orthodontist Mar 2018
Topics: Evidence-Based Dentistry; Humans; Orthodontics; Practice Patterns, Dentists'
PubMed: 29470133
DOI: 10.2319/0003-3219-88.2.246 -
Hua Xi Kou Qiang Yi Xue Za Zhi = Huaxi... Dec 2023Orthodontics is a discipline that is based on aesthetics. It coordinates the relationship among nose, lip, and chin through the movement of teeth and the adjustment of... (Review)
Review
Orthodontics is a discipline that is based on aesthetics. It coordinates the relationship among nose, lip, and chin through the movement of teeth and the adjustment of jaw relationship. Orthodontists need to fully analyze the patient's soft tissue profile before treatment. They also need to analyze the existing problems and those that may be solved or caused during orthodontics to guide the design of orthodontic treatment and effectively improve the clinical effect of orthodontics. This article reviews the aesthetic preconditions that guide the design of orthodontic treatment from the perspective of orthodontists.
Topics: Humans; Esthetics, Dental; Orthodontics; Orthodontists; Chin; Nose
PubMed: 38597026
DOI: 10.7518/hxkq.2023.2023231 -
International Scholarly Research Notices 2017Aggressive periodontitis is a type of periodontitis with early onset and rapid progression and mostly affecting young adults who occupy a large percentage of orthodontic... (Review)
Review
Aggressive periodontitis is a type of periodontitis with early onset and rapid progression and mostly affecting young adults who occupy a large percentage of orthodontic patients. The role of the orthodontist is important in screening the disease, making a provisional diagnosis, and referring it to a periodontist for immediate treatment. The orthodontist should be aware of the disease not only before starting the appliance therapy, but also during and after the active mechanotherapy. The orthodontic treatment plan, biomechanics, and appliance system may need to be modified to deal with the teeth having reduced periodontal support. With proper force application and oral hygiene maintenance, orthodontic tooth movement is possible without any deleterious effect in the tooth with reduced bone support. With proper motivation and interdisciplinary approach, orthodontic treatment is possible in patients with controlled aggressive periodontitis.
PubMed: 28299350
DOI: 10.1155/2017/8098154 -
Dental Press Journal of Orthodontics 2020Due to the search for more aesthetic and comfortable alternatives to perform orthodontic treatments and to the great technological development, orthodontic aligners have...
INTRODUCTION
Due to the search for more aesthetic and comfortable alternatives to perform orthodontic treatments and to the great technological development, orthodontic aligners have assumed great importance. More and more complex treatments have been carried out with these appliances without, however, having all aspects involved in their use being studied in depth. Its biomechanical planning requires different approaches than those used in fixed orthodontics, as the force systems involved in movements, responses and side effects are distinct, and the professional must be prepared when opting for the technique.
OBJECTIVE
The objective of this article is to perform an evaluation of the force systems created on the space closure with aligners, its characteristics, and problems, as well as make some suggestions to overcome the difficulties inherent to its use.
CONCLUSION
Space closure with aligners is possible, but depends on the correct selection of the patient, in addition to requiring the proper planning of the applied forces. The use of auxiliary resources and overcorrections to address the deficiencies of the aligner systems should always be considered. Digital planning should be used as a map of the force systems that will be applied, and not just as a marketing tool, keeping in mind that determining the objectives and the way to achieve them is the responsibility of the orthodontist, and that treatment plans must be individualized for each situation, following appropriate biomechanical precepts.
Topics: Esthetics, Dental; Humans; Orthodontic Appliance Design; Orthodontic Appliances, Removable; Orthodontists; Tooth Movement Techniques
PubMed: 32965392
DOI: 10.1590/2177-6709.25.4.085-100.sar -
Cureus Oct 2023One of the most crucial technologies used by orthodontists to assess and document the dimensions of craniofacial features is imaging. Orthodontists frequently employ... (Review)
Review
One of the most crucial technologies used by orthodontists to assess and document the dimensions of craniofacial features is imaging. Orthodontists frequently employ two-dimensional (2D) imaging methods, although 2D imaging cannot localize or determine the depth of structures. Early in the 1990s, three-dimensional (3D) imaging was invented, and it has since become a crucial part of dentistry, especially in orthodontics. One of the newest and most important breakthroughs in dentistry is 3D technology. Clinicians have been able to significantly improve patient care while also shortening the time spent on treatment planning due to these technologies, which include intra-oral scanning, 3D imaging, computed-axial tomography (CAT) scan, cone-beam computed tomography (CBCT), computer-aided design/computer-aided manufacturing (CAD/CAM), and 3D software. 3D models of maxillary and mandibular arches can take the place of conventional plaster casts and their limits for planning treatments, appliance production, and estimated treatment results as part of this continuous progress. Digital orthodontics procedures have become more popular in the recent past. The development of "personalized" orthodontic appliances makes use of technology. These technologies' overall improvement can increase clinicians' productivity and efficiency by simplifying traditional methods that are seen to be particularly laborious. The objectives of this review are to provide an overall description of the 3D technology nowadays and to assess its orthodontic applications.
PubMed: 38022318
DOI: 10.7759/cureus.47170 -
Journal of Medicine and Life 2021During the first two months of the Coronavirus Disease 2019 (Covid-19) pandemic, Romania was in lockdown, and all dental practices were closed, so orthodontic patients...
During the first two months of the Coronavirus Disease 2019 (Covid-19) pandemic, Romania was in lockdown, and all dental practices were closed, so orthodontic patients had to postpone their check-ups for at least eight weeks. This led not only to a delayed end of treatment but also to accidents and complications. The present study tried to evaluate the orthodontic situation both from the patient's and orthodontist's point of view, so the patients were given a few questions to answer, and the orthodontist analyzed each treatment before and after the two-month lockdown and decided if it was mildly or severely affected by the absence of check-ups. The study group consisted of 105 patients evaluated by three orthodontists in the same private practice. Patients that have gotten worse after the lockdown or who had problems were included in the study. Also, all the patients were given a 7-question form in order to find out their opinion. After two months without check-ups, our orthodontists found that 9.52% got worse because of the lack of intermaxillary elastics, broken brackets, broken removable orthodontic appliances, and others. Most of the patients believe that their treatment was delayed by the Covid-19 pandemic, but none of the patients felt unsafe when visiting the clinic. The Covid-19 pandemic had severe effects on orthodontic treatments. Orthodontists noticed a delay for about one-third of their patients. However, from the patient's point of view, half believe that their treatment was negatively affected by the Covid-19 pandemic in different degrees.
Topics: Adolescent; Adult; Bruxism; COVID-19; Child; Humans; Male; Nail Biting; Orthodontics; Pandemics; Physical Distancing; Romania; SARS-CoV-2; Young Adult
PubMed: 34104243
DOI: 10.25122/jml-2021-0038 -
Journal of Oral Biology and... 2018Management of facial asymmetry is one of the arduous and challenging task to accomplish in disciplines of orthodontics and maxillofacial surgery. This article aims to... (Review)
Review
Management of facial asymmetry is one of the arduous and challenging task to accomplish in disciplines of orthodontics and maxillofacial surgery. This article aims to describe various treatment modalities adopted conjointly by the orthodontist and maxillofacial surgeon, taking into consideration the realistic concerns and expectations of the patient. This would help improve treatment outcomes while ensuring overall well-being of the patient.
PubMed: 29556457
DOI: 10.1016/j.jobcr.2017.09.008