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Journal of Orthodontics Dec 2022
Topics: Humans; Orthodontic Appliances, Removable; Orthodontic Appliance Design
PubMed: 36408575
DOI: 10.1177/14653125221135677 -
BMC Oral Health Jul 2023The objective of this study was to explore and compare patient's experience with the use of a removable functional appliance or fixed orthodontic appliance and its... (Clinical Trial)
Clinical Trial Comparative Study Observational Study
BACKGROUND
The objective of this study was to explore and compare patient's experience with the use of a removable functional appliance or fixed orthodontic appliance and its influence on oral health-related quality of life.
MATERIAL AND METHODS
This clinical trial included 81 participants having Class II Division 1 and age ranging between 10 and 16 years. The participants were included in any of a three equal groups according to the set inclusion and exclusion criteria; Group 1: patients treated with a Twin-Block functional appliance; Group 2: patients treated with a fixed orthodontic appliance only; and Group 3 (control group): patients not in orthodontic treatment yet. The COHIP SF-19 was used. Patients were given the questionnaire as follows: Group 1: (1) after at least 8 months from starting treatment; (2) after completing phase 1 by 2-3 months without wearing the appliance; Group 2: (1) just before debonding; (2) after finishing the treatment by 2-3 months without any appliances; and Group 3: (1) at the patient's first visit to the orthodontic clinic; (2) after 2-3 months from the first visit to the orthodontic clinic and before starting any treatment.
RESULTS
The 81 participants were 31 males and 50 females with median age of 13 years. The total COHIP SF-19 scores at baseline were 57 (49-64), 67 (63-72), and 47 (42-53) for the Twin-Block, the fixed appliance, and the malocclusion groups, respectively. Two-month mean scores adjusted to the baseline scores were 64.82 ± 1.15, 65.65 ± 1.47, and 54.45 ± 1.44 for the Twin-Block, the fixed appliance, and the malocclusion groups, respectively.
CONCLUSIONS
Both at baseline and two-months (adjusted to the baseline scores), participants in the malocclusion group showed compromised socio-emotional quality of life and reported the poorest total OHRQoL. At the baseline, better socio-emotional and total OHRQoL was reported by the fixed appliance group compared to the Twin-Block group but, after two months both groups gave similar sores. Therefore; patients' perceptions about their experience with the orthodontic appliance might change.
Topics: Adolescent; Child; Female; Humans; Male; Malocclusion; Malocclusion, Angle Class II; Orthodontic Appliances; Orthodontic Appliances, Functional; Orthodontics, Corrective; Quality of Life
PubMed: 37468940
DOI: 10.1186/s12903-023-03205-6 -
British Journal of Orthodontics Aug 1998
Topics: Humans; Orthodontic Appliance Design; Orthodontic Appliances, Removable; Orthodontics, Corrective; Patient Compliance
PubMed: 9800024
DOI: 10.1093/ortho/25.3.235a -
Journal of the American Dental... Jan 2011The authors reviewed the literature regarding inhalation and ingestion of orthodontic appliances and suggest ways to manage and prevent these events. (Review)
Review
BACKGROUND
The authors reviewed the literature regarding inhalation and ingestion of orthodontic appliances and suggest ways to manage and prevent these events.
TYPES OF STUDIES REVIEWED
The authors conducted literature searches of free text and Medical Subject Headings terms by using PubMed and Embase databases and selected appropriate studies. They analyzed retrieved articles according to several parameters: inhalation or ingestion event, number of cases, patient's sex and age, type of orthodontic appliance, in-office event or out-of-office event, and medical treatment.
RESULTS
The authors found a total of 2,279 articles in their preliminary search. Eighteen reports of 24 cases from this search met all of the search criteria (that is, clinical studies, case reports or reviews limited to English, Hebrew or Arabic on any form of aspiration or inhalation of orthodontic appliances). Most cases (67 percent) involved ingested objects, and of those cases, the majority (57 percent) occurred in female patients. Most cases (85 percent) occurred outside the orthodontist's office. Seventeen patients (71 percent) had been treated with a fixed orthodontic appliance. In 60 percent of cases, the maxilla was involved. With one exception, no severe complications were reported (only seven patients were examined in a hospital emergency department), and patients were discharged uneventfully from the orthodontic office or emergency department.
CLINICAL IMPLICATIONS
Orthodontists and team members should participate in medical emergency management courses that emphasize the use of guidelines in cases of inhalation or ingestion of orthodontic objects. Each orthodontist's office should develop written emergency protocols for out-of-office events and present them to patients and their parents at the start of treatment.
Topics: Deglutition; Dental Offices; Emergencies; Esophagus; Foreign Bodies; Humans; Inhalation; Lung; Orthodontic Appliances; Respiratory Aspiration
PubMed: 21193766
DOI: 10.14219/jada.archive.2011.0027 -
American Journal of Orthodontics and... Feb 2020The aim of this study was to evaluate the impact of being overweight or obese while wearing orthodontic fixed appliances on the prevalence of gingivitis in adolescents.
INTRODUCTION
The aim of this study was to evaluate the impact of being overweight or obese while wearing orthodontic fixed appliances on the prevalence of gingivitis in adolescents.
METHODS
A total of 334 adolescents, aged between 12 and 18 years, were recruited from 3 public schools in Cuiabá, Brazil. Participants were divided in dichotomized categories of body mass index (BMI) (under and normal weight or overweight and obesity) and fixed orthodontic appliance usage (yes or no). Gingival inflammation was evaluated by Löe & Silness index. Socioeconomic status was determined by the criteria of the Brazilian Association of Research Companies, and sugar consumption was assessed by a questionnaire of dietary habits. The statistical analysis was performed with P <0.05 considered significant.
RESULTS
In a multivariate linear regression model, gingivitis was directly related to BMI (%) variation and orthodontic appliance use. In addition, excess weight seemed to be 2 times more relevant in predicting gingivitis than orthodontic fixed appliance usage. A strong positive correlation was observed between BMI (%) variation and gingival index (ρ = 0.97, P <0.001).
CONCLUSIONS
Orthodontic fixed appliance usage and excess weight were associated with increased gingivitis in adolescents; BMI (%) variation was the most significant predictor of gingival inflammation.
Topics: Adolescent; Brazil; Child; Gingiva; Gingivitis; Humans; Orthodontic Appliances; Orthodontic Appliances, Fixed
PubMed: 32005468
DOI: 10.1016/j.ajodo.2019.02.019 -
Dental Clinics of North America Jan 1999This article reviews stability and retention of the orthodontically treated dentition. Factors and conditions that influence post-treatment stability are discussed.... (Review)
Review
This article reviews stability and retention of the orthodontically treated dentition. Factors and conditions that influence post-treatment stability are discussed. Methods for stabilizing and retaining the occlusion are reviewed.
Topics: Humans; Malocclusion; Occlusal Splints; Orthodontic Appliance Design; Orthodontic Appliances, Removable; Orthodontic Retainers; Orthodontics, Corrective; Patient Care Planning; Periodontium; Pressure; Recurrence; Tooth
PubMed: 9929804
DOI: No ID Found -
COMPARISON OF ECONOMIC EFFICIENCY OF ORTHODONTIC APPLIANCE FOR TREATMENT OF SAGITTAL BITE ANOMALIES.Georgian Medical News Oct 2019Despite the rapid emergence of new devices in the practice of the orthodontist, the topical issue is not only to identify the effectiveness of the use of the proposed...
Despite the rapid emergence of new devices in the practice of the orthodontist, the topical issue is not only to identify the effectiveness of the use of the proposed methods, but also to justify their economic component. The purpose of the work is to study the economic feasibility of applying the generally accepted and proposed methods during the treatment of sagittal bite anomalies. To assess the economic effect of the proposed technology, a comparison was made between the time spent by the orthodontist and the dental technician when applying the proposed and generally accepted methodology. 130 time tables were analyzed and the time of manufacture and correction of 130 orthodontic appliances was evaluated: 72 elastopozitioners, 36 activators function of the Frenkel and 22 activators of Andrezen-Goipl. As a result of the evaluation of chronometric tables with data on the use of laboratory and clinical time, when using the proposed and conventional devices, it was found that the consumption of time of a dental technician in the manufacture of elastopozitioners is 25 minutes more compared to the process of manufacturing functional double-jaw apparatus (activator Andresen-Goypl and the Frenkl's function regulator). However, from the point of view of saving the clinical time, that is, the time of the orthodontist, elastopozitioners is much more advantageous to use, since they do not need correction. Thus, in the process of assessing the possible economic effectiveness of the proposed methodology, it was found that by introducing individual myofunctional devices, elastopozitioners, into orthodontic practice, it is possible to increase the productivity of the dentist orthodontist almost 10 times.
Topics: Dental Occlusion; Humans; Orthodontic Appliances
PubMed: 31804198
DOI: No ID Found -
International Journal of Paediatric... Sep 2020Quality of life (QoL) measurements have been employed in medicine and dentistry to assess the effect of diseases and treatment on individuals' lives.
Quality of life of families of adolescents undergoing fixed orthodontic appliance therapy: Evaluation of a cohort of parents/guardians of treated and untreated individuals.
BACKGROUND
Quality of life (QoL) measurements have been employed in medicine and dentistry to assess the effect of diseases and treatment on individuals' lives.
AIM
To assess the effect of the initial 12 months of fixed orthodontic appliance therapy on the families of Brazilian adolescents.
DESIGN
A cohort of 11- to 12-year-old adolescents and their parents/guardians participated. Treatment group (TG) consisted of 101 parents/guardians of adolescents who began fixed orthodontic appliance therapy. They completed four sets of the Family Impact Scale (FIS) at baseline, 1 month, 6 months and 12 months after the bonding of fixed appliances. Control group (CG) was composed of 175 parents/guardians of adolescents, who did not begin treatment, answering four sets of the FIS at the same intervals. The subscales of FIS were parental/family activity (PA), parental emotions (PE), family conflict (FC) and financial burden (FB). Statistical analysis was performed.
RESULTS
The interaction of group (treatment) with time allowed one to observe significant changes in the PA (P < .001), PE (P < .001), FC (P < .001) and overall FIS score (P < .001), demonstrating an improvement in the subscale and overall QoL of families of adolescents.
CONCLUSIONS
The effect of fixed orthodontic appliance therapy on the families of adolescents was highly beneficial.
Topics: Adolescent; Brazil; Child; Cohort Studies; Humans; Orthodontic Appliances; Orthodontic Appliances, Fixed; Quality of Life
PubMed: 32061106
DOI: 10.1111/ipd.12630 -
BMC Oral Health Oct 2022This pilot study aimed to investigate how fixed orthodontic appliances simultaneously applied on the upper and lower arches affect the oral environment in the medium...
BACKGROUND
This pilot study aimed to investigate how fixed orthodontic appliances simultaneously applied on the upper and lower arches affect the oral environment in the medium term.
METHODS
The oral status of 30 orthodontic patients was evaluated using the number of decay-missing-filled teeth (DMFT), plaque (PI), and gingival indices (GI) before bonding of fixed orthodontic appliances (T0) and during the therapy (T1). Besides, the gingival crevicular fluid (GCF) and a dental plaque were collected. Samples were analyzed for selected Candida sp. and for 10 selected oral bacteria using mass spectroscopy and multiplex polymerase chain reaction, respectively.
RESULTS
In 60% of patients, deterioration of the oral status (demonstrated by the increase in PI) was recorded (p < 0.05). Moreover, the changes in PI correlated with those of GI (p < 0.001). At the T1 time point, the mean representation of Actinomyces sp. in the total prokaryotic DNA in GCF and dental plaque of individual patients increased compared to T0 (p < 0.05). The probability of finding any of the 7 selected periodontal bacteria combined with Candida sp. was 10 times higher in patients in whom PI deteriorated between T0 and T1 (p < 0.01).
CONCLUSIONS
Changes in the oral microbial diversity and an increase in PI were observed in the medium term after bonding of orthodontic appliance. Our study highlights the importance of a complex approach in this type of research as the association between clinical characteristics and combined microbial parameters is higher than when evaluated separately.
Topics: Humans; Dental Plaque; Dental Plaque Index; Microbiota; Orthodontic Appliances; Orthodontic Appliances, Fixed; Pilot Projects; Candida
PubMed: 36303145
DOI: 10.1186/s12903-022-02511-9 -
American Journal of Orthodontics and... Apr 2022The aim was to investigate the type, incidence, and degree of orthodontic-related emergencies in orthodontic patients during the 2020 coronavirus disease 2019 pandemic...
INTRODUCTION
The aim was to investigate the type, incidence, and degree of orthodontic-related emergencies in orthodontic patients during the 2020 coronavirus disease 2019 pandemic and compare the different effects of clear aligner (CA) and fixed self-ligating appliances on the orthodontic emergency.
METHODS
The questionnaire was based on emergencies in orthodontics. The responses of 428 patients between the ages of 12 and 38 years (20.4 ± 7.03) in orthodontic treatment during 2020 were examined.
RESULTS
The gender, age, and the type of orthodontic appliance affect the incidence of orthodontic-related emergencies. Female or adolescent patients treated by self-ligating appliances showed a higher incidence of emergencies. The patients treated by CA exhibited a much lower incidence of emergency. Appliance detachment and mucosa injury were very common in respondents, whereas accidental ingestion and other rare emergencies were less common. The most common reason leading to appliance detachment was chewing hard food. Interestingly, the fixed self-ligating appliances group was also affected by the accidental detachment of appliances to a large extent. The CA and self-ligating groups showed an almost equal incidence of accidental ingestion. The most common foreign body was elastics in both groups. However, the self-ligating group could accidentally ingest dangerous foreign bodies, such as archwires, miniscrews, and welded attachments.
CONCLUSIONS
Orthodontic-related emergencies were very common in patients. The CA could effectively reduce orthodontic-related emergencies. Dentists should raise patients' awareness of proper appliance care. A proper and standard protocol should be developed.
Topics: Adolescent; Adult; COVID-19; Child; Female; Humans; Orthodontic Appliance Design; Orthodontic Appliances; Orthodontic Appliances, Fixed; Orthodontic Appliances, Removable; Orthodontic Brackets; Pandemics; Young Adult
PubMed: 35058102
DOI: 10.1016/j.ajodo.2021.12.009