The risks associated with miniscrew placement should be clearly understood by both the clinician and the patient. Complications can arise during miniscrew placement and after orthodontic loading that ...affect stability and patient safety. A thorough understanding of proper placement technique, bone density and landscape, peri-implant soft-tissue, regional anatomic structures, and patient home care are imperative for optimal patient safety and miniscrew success. The purpose of this article was to review the potential risks and complications of orthodontic miniscrews in regard to insertion, orthodontic loading, peri-implant soft-tissue health, and removal.
Introduction The purpose of this prospective clinical study was to evaluate the efficacy of tooth movement with removable polyurethane aligners (Invisalign, Align Technology, Santa Clara, Calif). ...Methods The study sample included 37 patients treated with Anterior Invisalign. Four hundred one anterior teeth (198 maxillary and 203 mandibular) were measured on the virtual Treat models. The virtual model of the predicted tooth position was superimposed over the virtual model of the achieved tooth position, created from the posttreatment impression, and the 2 models were superimposed over their stationary posterior teeth by using ToothMeasure, Invisalign's proprietary superimposition software. The amount of tooth movement predicted was compared with the amount achieved after treatment. The types of movements studied were expansion, constriction, intrusion, extrusion, mesiodistal tip, labiolingual tip, and rotation. Results The mean accuracy of tooth movement with Invisalign was 41%. The most accurate movement was lingual constriction (47.1%), and the least accurate movement was extrusion (29.6%)— specifically, extrusion of the maxillary (18.3%) and mandibular (24.5%) central incisors, followed by mesiodistal tipping of the mandibular canines (26.9%). The accuracy of canine rotation was significantly lower than that of all other teeth, with the exception of the maxillary lateral incisors. At rotational movements greater than 15°, the accuracy of rotation for the maxillary canines fell significantly. Lingual crown tip was significantly more accurate than labial crown tip, particularly for the maxillary incisors. There was no statistical difference in accuracy between maxillary and mandibular teeth of the same tooth type for any movements studied. Conclusions We still have much to learn regarding the biomechanics and efficacy of the Invisalign system. A better understanding of Invisalign's ability to move teeth might help the clinician select suitable patients for treatment, guide the proper sequencing of movement, and reduce the need for case refinement.
COVID-19 has impacted and increased risks for all populations, including orthodontic patients and providers. It also changes the practice management and infection control landscape in the practices. ...This study aimed to investigate the COVID-19 infection and vaccination status of orthodontic providers and mitigation approaches in orthodontic practices in the United States during 2021.
A validated 50-question research electronic data capture (REDCap) browser-based questionnaire was distributed to 12,393 orthodontists and pediatric dentists who reported actively providing orthodontic treatment. Questions were designed to collect demographic data of respondents, evaluate the COVID-19 mitigation approaches, and evaluate the history of COVID-19 infection and vaccination status of the orthodontic providers. Associations of demographic and the COVID-19 mitigation approaches were assessed using chi-square tests at the significance level of 0.05.
Four hundred fifty-seven returned the survey (response rate 3.69%) for analysis. Most respondents were vaccinated, and increased infection control measures in response to the pandemic. Half of the respondents practiced teledentistry and switched to digital impression systems. Two-thirds reported difficulties in attaining PPEs due to the increased cost and scarcity of PPEs. About 6% of respondents reported a history of COVID-19 infection, and 68.9% of their staff had COVID-19 infection. Statistically significant associations were found between increased practice experience with difficulties in acquiring PPE (p = .010). There were no significant associations between races of respondents, geographic location, and years of practicing when cross-tabulated with vaccination status or COVID-19 infection rate (p > .05).
Increased infection control strategies were employed in almost all orthodontic practices in addition to existing universal precaution. Most of the orthodontic providers and their staff members were vaccinated. While staff's infection rates were an issue, doctors' infection rates remained low.
The COVID-19 pandemic significantly impacted dental services, resulting in reduced staff availability, limited appointments, and some dental clinics even being forced to close their doors. Despite ...these challenges, the need for dental consultants remained present, particularly in emergency situations. One area of orthodontics that had seen a surge in demand during the pandemic is Teleorthodontics. With the help of Teleorthodontics, orthodontic consultations, assessments, and even treatment monitoring could be conducted remotely, making it a safe and convenient option for patients during those challenging times.
This survey aimed to evaluate the acceptance of patients and their orthodontists on the use of different modes of communication through Teleorthodontics during the COVID-19 pandemic and their willingness to continue using this in the future.
An online survey instrument in Qualtrics was distributed to orthodontic patients at the University of Illinois, Chicago. The survey was available on a rolling basis for up to 6 months. A total number of 364 partients voluntarily participated in the survey. The Faculty and Residents were also asked to participate in a survey through recruitment via their UIC email addresses.
According to our survey, both patients and providers showed acceptance of Teleorthodontics and have used it in different forms during orthodontic treatment. The application is easy-to-use, convenient, and not at all time-consuming. Overall satisfaction with using this application was recorded at 92%, with 66% of patients stating that it saved them time by eliminating the need to travel to the orthodontic clinic. 30% of providers found that the interaction with patients using Teleorthodontics was a positive experience and would recommend it in future.
Teleorthodontics has shown great potential, particularly in follow-up cases, and holds promise as a valuable tool for online remote dental consultations in the future.
Cephalometric radiographs provide for standardized skull/facial views that allow for comparison over time to assess growth in an individual, and to compare that individual against standardized ...population norms. Cephalometric analysis and surgical prediction are done by robust cephalometric imaging software that can rapidly analyze the radiograph, and retrace and recalculate the analysis for a variety of possible surgical outcomes; however, the validity of the prediction depends on the accuracy of the records, the algorithm specific to the software, and the specifics of the patient population. Three-dimensional digital imaging to replace conventional two-dimensional photographic images and CT scans, with corresponding cephalometric analysis to replace two-dimensional cephalometric films, is already on the horizon.
A device for recreating three-dimensional (3D) objects on a computer is the surface laser scanner. By triangulating distances between the reflecting laser beam and the scanned surface, the surface ...laser scanner can detect not only an object's length and width but also its depth. The scanner's ease of use has opened various possibilities in laboratory research and clinical investigation. We assessed the reliability of generating 3D object reconstructions using the Minolta Vivid700 3D surface laser scanner (Minolta USA, Ramsey, NJ). Accuracy and reproducibility were tested on a geometrical calibrated cylinder, a dental study model, and a plaster facial model. Tests were conducted at varying distances between the object and the scanner. It was found that (1) in the calibrated cylinder tests, spatial distance measurement was accurate to 0.5 mm (± 0.1 mm) in the vertical dimension and 0.3 mm (± 0.3 mm) in the horizontal dimension; (2) in the study model test, molar width was accurate to 0.2 mm (± 0.1 mm, P >.05), and palatal vault depth could be measured to 0.7 mm (± 0.2 mm, P > 0.05); and (3) for the facial model, an accuracy of 1.9 ± 0.8 mm was obtained. The findings suggest that the surface laser scanner has great research potential because of its accuracy and ease of use. Treatment changes, growth, surgical simulations, and many other orthodontic applications can be approached 3-dimensionally with this device. (Am J Orthod Dentofacial Orthop 2002;122:342-8)
Introduction: The availability of new, reliable, objective, and 3-dimensional techniques to assess the effects of rapid maxillary expansion on the morphology of the maxillary dental arch, nasal ...cavity dimensions, and nasal airway resistance led to the development of this research. Methods: Thirty-eight subjects participated in this study (mean age, 13 years). Data were collected before expansion, when the expander was stabilized, when the expander was removed, and 9 to 12 months after the expander was removed. Subjective assessment of improvement in nasal respiration was obtained when the expander was stabilized. Three-dimensional imaging and acoustic rhinometry were used to assess the virtual cast and the nasal cavity, respectively. Results and Conclusions: The statistically significant short-term effects of RME were (1) mean increases in palatal area, volume, and intermolar distance; (2) a mean reduction of nasal airway resistance; and (3) mean increases in total nasal volume and nasal valve area. Our long-term findings were the following: (1) mean palatal area and intermolar distance were reduced, while palatal volume was stable, and (2) nasal airway resistance was stable, whereas mean nasal cavity volume and minimal cross-sectional area increased. Additionally, 61.3% of our subjects reported subjective improvement in nasal respiration. Weak correlations were found between all variables analyzed.
Soft-tissue lasers in orthodontics: An overview Kravitz, Neal D; Kusnoto, Budi
American journal of orthodontics and dentofacial orthopedics,
04/2008, Letnik:
133, Številka:
4
Journal Article
Recenzirano
Soft-tissue lasers have numerous applications in orthodontics, including gingivectomy, frenectomy, operculectomy, papilla flattening, uncovering temporary anchorage devices, ablation of aphthous ...ulcerations, exposure of impacted teeth, and even tooth whitening. As an adjunctive procedure, laser surgery has helped many orthodontists to enhance the design of a patient's smile and improve treatment efficacy. Before incorporating soft-tissue lasers into clinical practice, the clinician must fully understand the basic science, safety protocol, and risks associated with them. The purpose of this article is to provide an overview regarding safe and proper use of soft-tissue lasers in orthodontics.
Context: Improved esthetics is an important factor for most patients undergoing orthognathic surgery. Thus, a treatment simulation that can provide patients with a realistic view of the esthetic ...outcome after surgery is important in clinical practice. Aims: To evaluate the accuracy of simulations generated using algorithms specific for patient's type of malocclusion and surgical procedure compared to nonspecific algorithms. Settings and Design: A total of 36 patients (average age 18.41 years) who had undergone maxillary advancement and mandibular setback for Class III malocclusion were included. Subjects and Methods: The presurgical and postsurgical cone-beam computed tomography scans were used to generate the lateral cephalograms and the surgical simulations were created with the patient-specific algorithm (specific for Class III patients) and the nonspecific algorithm (default algorithm not specific for any particular malocclusion or type of surgery) using the treatment simulation feature in Dolphin Imaging software. The accuracy of the simulations was examined by comparing the soft-tissue changes in the surgical simulations with the postsurgical result. Statistical Analysis Used: Statistical analyses were performed with SPSS-software at 0.05 significance level. For the mean difference between the postsurgical and surgical-simulation landmarks, a paired sample t-test (Student's t-test) was performed. Results: Patient-specific algorithms were accurate in vertical prediction of lower lip, B', tip of nose, upper lip, and horizontal prediction of pogonion'. Whereas the nonspecific algorithm was accurate in the horizontal prediction of the lower lip, pogonion', and menton'. Conclusions: Patient-specific and nonspecific algorithms for generating surgical simulations showed different accuracy for vertical and horizontal predictions of the parameters.
Treatment duration is one of the most important factors that patients consider when deciding whether to undergo orthodontic treatment or not. This study aimed to build and compare machine learning ...(ML) models for the prediction of orthodontic treatment length and to identify factors affecting the duration of orthodontic treatment using the ML approach. Records of 518 patients who had successfully finished orthodontic treatment were used in this study. Seventy percent of the patient data were used for training ML models, and thirty percent of the data were used for testing these models. We applied and compared nine machine-learning algorithms: simple linear regression, modified simple linear regression, polynomial linear regression, K nearest neighbor, simple decision tree, bagging regressor, random forest, gradient boosting regression, and adaboost regression. We then calculated the importance of patient data features for the ML models with the highest performance. The best overall performance was obtained through the bagging regressor and adaboost regression ML methods. The most important features in predicting treatment length were age, crowding, artificial intelligence case difficulty score, overjet, and overbite. Without patient information, several ML algorithms showed comparable performance for predicting treatment length. Bagging and adaboost showed the best performance when patient information, including age, malocclusion, and crowding, was provided.
