Orthodontic Treatment Outcome Research Articles

Research progress on labial protuberances of anterior teeth in orthodontic treatment

During orthodontic treatment, irregular and varying sized nodular bony protrusions may sometimes appear on the labial side of the patient's anterior alveolar bone, which is closely related to the differential bone remodeling on the inner and outer surfaces of the alveolar bone. Labial protuberances not only affect the aesthetic results of orthodontic treatment, but also pose potential risks to periodontal health. Currently, it is believed that the influencing factors of the formation of the labial protuberances may be related to the patient's gender and age, tooth movement speed, and extent of anterior teeth retraction. Labial protuberances typically resolve spontaneously, however, if persistent, alveoloplasty may be necessary for treatment. This review provides a summary on the occurrence, influencing factors of formation, potential biological mechanisms, and corresponding treatment methods of labial protuberances during orthodontic treatment.

The perspectives of laypeople, prosthodontists, orthodontists, and general dentists regarding the efficacy of different types of photographs in revealing the orthodontic treatment results

Aim: This study assessed the perspectives of laypeople, prosthodontists, orthodontists, and general dentists regarding the efficacy of different photographs in revealing the orthodontic treatment results. Methods: In this cross-sectional study, one Cl I and one Cl III orthodontic patient were selected by consensus of several orthodontists, and their preoperative and postoperative photographs were shown to 125 raters in 4 groups of laypeople, prosthodontists, orthodontists, and general dentists. The raters were asked to rate the clarity of the impact of treatment shown on each photograph using a 100-mm visual analog scale (VAS). Results: In the Cl I malocclusion patient, the frontal smiling view acquired the highest score among extraoral photographs, followed by the profile view and frontal view at rest (P<0.001). Of intraoral photographs, the frontal view of occlusion acquired the highest score, followed by the maxillary occlusal view, mandibular occlusal view, and left and right views of occlusion (P<0.001). In the Cl III patient (orthosurgery), the profile view acquired the highest score among extraoral photographs, followed by the frontal smiling view and frontal view at rest (P<0.001). Of intraoral photographs, the frontal view of occlusion acquired the highest score, followed by the left and right occlusal views, maxillary occlusal view, and mandibular occlusal view (P<0.001). Conclusion: For patients with intraoral intra-arch changes, the frontal smiling view extraoral photograph and frontal occlusal view intraoral photograph best revealed the results. In patients with additional facial and extraoral changes, the extraoral profile view and intraoral frontal occlusal view best revealed the treatment results.

Comparative Efficacy of Self-ligating Bracket Systems versus Conventional Bracket Systems in Orthodontic Treatment: A Systematic Review

Abstract This systematic review aimed to compare the efficacy of self-ligating bracket (SLB) systems with conventional bracket systems in orthodontic treatment. A comprehensive search of electronic databases was conducted to identify relevant studies published up to 11. Inclusion criteria encompassed comparative studies evaluating orthodontic treatment outcomes between SLB and conventional bracket systems. Data extraction and quality assessment were performed independently by two reviewers. Key outcome measures included treatment duration, complications, patient-reported outcomes and clinical effectiveness. A total of 11 studies met the inclusion criteria and were included in the systematic review. Findings indicated comparable treatment durations between SLB and conventional bracket systems, with significant differences in complication rates. Patient-reported outcomes suggested more levels of comfort and satisfaction with SLB systems. In addition, clinical effectiveness measures, such as tooth alignment and occlusal outcomes, showed significant discrepancies in favour of SLB systems. However, there was variability amongst studies regarding specific clinical parameters assessed. Based on the findings of this systematic review, SLB systems demonstrate comparable efficacy to conventional bracket systems in orthodontic treatment. While both SLB systems exhibit lesser treatment durations, complication rates and patient-reported outcomes, further research is warranted to elucidate potential differences in specific clinical parameters and long-term treatment outcomes.

RELAPSE AFTER ORTHODONTIC TREATMENT

Orthodontic treatment results are prone to relapse over time, which is the unfavorable change in position of teeth to its original position before orthodontic treatment. With that said, retention is an important part of almost every case of orthodontic treatment. There are many contributing factors to the incidence of a relapse. This article aims to explain the incidence and prevention of relapse after orthodontic treatment through reviewing literature published during 2012 to 2022 which discusses topics that are appropriate and related to relapse and retention. Sources were taken from textbooks, journals and websites that can be accessed through Google Scholar and PubMed databases. A total of 30 references were found, and 9 articles were included in the integrative review after further analysis. This article concludes that relapse is a common occurrence after orthodontic treatment because of gingival and periodontal factors, occlusal factors, soft tissue factors, hard tissue factors, and growth factors, and its prevention requires the use of retainers, either removable or fixed, depending on the case.

Influence of Orthodontist Change on Orthodontic Treatment Outcomes

Influence of Orthodontist Change on Orthodontic Treatment Outcomes

Satisfaction questionnaire survey after surgical orthodontic treatment in patients with jaw deformities

ObjectiveSurgical orthodontic treatment leads to morphological, functional and psychological changes in patients with jaw deformities. For the evaluation of outcomes of surgical orthodontic treatment from the patient's point of view, a questionnaire survey was performed after treatment and factors affecting patient satisfaction were examined. MethodsA survey by mailing questionnaires that each consisted of 30 items was conducted in 250 patients with jaw deformities who underwent orthognathic surgery in our department during the period from January 2015 to December 2020. Eighty-four patients responded (response rate of 34.0%). The patients who responded included 24 males and 60 females. The mean age at the time of surgery was 26 years. ResultsFifty-four patients complained of morphological abnormalities such as facial appearance and malocclusion, and 30 patients complained of functional disturbances such as masticatory disabilities. Eighty-two patients were satisfied with the outcome of surgery, but there were two patients with postoperative paresthesia and residual facial asymmetry who were not satisfied with the outcome. Improvements were observed in mastication and pronunciation in 74 and 46 patients, respectively. Psychologically, 26 patients showed positive personality changes postoperatively. Thirty-three patients had TMJ symptoms before surgery, and the symptoms were resolved after surgery in 24 of those patients. Two patients developed snoring during sleep after surgery. ConclusionsThis survey showed that most patients with jaw deformities were satisfied with the results of surgical orthodontic treatment.

Esthetic preferences of orthodontists, general dentists, and laypersons for Indian facial profiles: A cross-sectional study.

Background: Disparity in the esthetic perceptions between a patient and clinician could result in patient dissatisfaction with orthodontic treatment outcomes. The aim of this study was to compare the perceptions of a group of orthodontists, general dentists, and laypersons about the attractiveness of Indian facial profiles. Methods: In this study, a male and a female participants' photographs and lateral cephalograms were digitally manipulated by inserting them into Dolphin software; we considered four soft tissue parameters at a nasolabial angle, upper lip E-line, lower lip E-line, and pg-pg', so that 20 profiles were created for each model. A visual analog scale (VAS) along with a question about surgical correction opinion was given to 18 orthodontists, 18 general dentists, and 18 laypersons to score (1-5) from least to most attractive. Spearman's rank correlation was computed to assess correlation, as well as ANOVA, followed by post hoc Tukey analysis to compare the mean scores, and Chi-square test to determine the opinion about surgical treatment. Results: There was an overall weak and negative correlation between the three groups, indicating that orthodontists attributed lower pleasantness scores to almost all the altered female and male facial profiles. Additionally, statistically significantly lower mean scores were attributed by orthodontists to many females and few male facial profiles. More orthodontists identified the need for surgical correction for a few severely distorted profiles but there was a statistically non-significant difference among the groups for most of the profiles. Conclusions: It was concluded that participants in the three groups had diverse concepts of facial attractiveness in all the parameters considered. Compared to general dentists and laypersons, orthodontists were much more precise, firmer, and meticulous in identifying a favorable or good-looking profile.

Assessment of Zygomaticomaxillary Suture Maturation in Patients With Unilateral Cleft Lip and Palate: Implications for Orthodontic Treatment Planning.

Introduction The zygomaticomaxillary suture (ZMS) is vital for craniofacial development and orthodontic treatment planning. Located at the junction of the zygomatic and maxillary bones, the ZMS undergoes significant changes during growth, affecting midfacial morphology and stability. Understanding ZMS maturation is essential for optimizing orthodontic interventions, especially in patients with cleft lip and palate (CLP), who often exhibit altered craniofacial growth patterns due to congenital deformities and surgical interventions. Methodology A retrospective analysis was conducted with 50 participants, including 25 patients with unilateral CLP and 25 age-matched controls. Clinical and radiographic data, including lateral cephalometric radiographs and cone-beam computed tomography (CBCT) scans, were collected to assess ZMS maturation stages. The stages, ranging from immature (stage 0) to fully mature (stage 4), were evaluated using established radiographic criteria. Statistical analyses, including Chi-square tests and logistic regression, were performed to compare the distribution of maturation stages between groups. Results Significant differences were observed in ZMS maturation stages between the cleft side, non-cleft side, and control group. The cleft side exhibited a higher prevalence of immature (stage 0) and early maturation (stage 1) stages compared to the control group, with mean values of 4 ± 1.2 and 5 ± 1.3, respectively. The control group showed a higher prevalence of fully mature (stage 4) sutures, with a mean value of 8 ± 1.4. The p-values for stages 0, 1, and 4 were 0.045, 0.034, and 0.039, respectively, indicating statistical significance. The findings highlight distinct maturation patterns in CLP patients, with delayed ZMS maturation on the cleft side. This suggests the need for tailored orthodontic interventions to accommodate prolonged growth phases in CLP patients. The study underscores the importance of detailed ZMS assessments for personalized treatment planning. Future research should focus on longitudinal studies to further understand CLP's impact on craniofacial development. Conclusion Assessing ZMS maturation provides critical insights for optimizing orthodontic and surgical treatment outcomes in CLP patients. By identifying specific developmental delays and tailoring interventions accordingly, clinicians can improve the effectiveness and stability of treatments. This study contributes to the growing body of evidence supporting individualized treatment plans based on precise developmental assessments.

Assessment of Various Archwire Materials and Their Impact on Orthodontic Treatment Outcomes.

Aim Orthodontic treatment relies heavily on the mechanical properties and surface characteristics of archwire materials to achieve optimal outcomes. This study aimed to comprehensively evaluate the mechanical properties, including tensile strength, yield strength, and modulus of elasticity, as well as the surface characteristics, such as surface roughness and frictional properties, of different archwire materials. Methods Four types of archwire materials, stainless steel, nickel-titanium (NiTi), beta-titanium, and esthetic archwires, were subjected to mechanical testing and surface analysis, with 31 in each group. Tensile testing was conducted to determine the maximum tensile strength, yield strength, and elastic modulus of each material. Surface roughness analysis was performed using profilometry techniques, and frictional properties were evaluated using an orthodontic friction testing apparatus. Results Stainless steel exhibited the highest tensile strength (900 N), followed by beta-titanium (850 N), NiTi (800 N), and esthetic archwire (750 N). Stainless steel also demonstrated the highest yield strength (780 N), followed by beta-titanium (740 N), NiTi (710 N), and esthetic archwire (650 N). The modulus of elasticity was the highest for stainless steel (200 GPa), followed by beta-titanium (170 GPa), NiTi (150 GPa), and esthetic archwires (120 GPa). Surface roughness was lowest in stainless steel archwires (mean Ra value of 0.25 µm), leading to reduced frictional resistance, whereas esthetic archwires exhibited the highest surface roughness (mean Ra value of 0.40 µm) and frictional forces. Significant differences in the mechanical properties and surface characteristics were observed among the materials (p < 0.05). Conclusions The choice of archwire material significantly influences orthodontic treatment outcomes by affecting the efficiency and effectiveness of tooth movement. Stainless steel and beta-titanium wires are ideal for high-stress applications, providing the robust mechanical strength necessary for complex movements. In contrast, NiTi wires, with their superelasticity, offer consistent and gentle forces, enhancing patient comfort and accelerating the alignment phase. Esthetic archwires, while visually appealing, often compromise mechanical performance, potentially prolonging treatment duration.

Tele-Orthodontics: A Lifesaver during COVID-19 Second Wave

Aim: The study aims to evaluate the outcome of orthodontic treatment during the COVID-19 Pandemic using Tele-Orthodontics.  Objective: To explain how Tele-orthodontics represents an excellent way to perform orthodontic follow-ups during a period of restriction and to assess the effectiveness of follow-up using Tele-Orthodontics during the COVID-19 Pandemic.  Materials and Methods: Study design: Our study involves 30 patients in total, where 15 patients did not receive any further therapy and 15 patients had Tele-orthodontics treatment, with 10 patients receiving bonding treatment, 10 receiving mid- treatment treatment, and 10 receiving retention appliances. The communication tools used in our study and proposed in our model of tele-orthodontics include an online questionnaire using Google form once every 15 days, Tele-calling with Google Meet once a month, and frontal, side profile, and occlusal view (if possible) photos via WhatsApp messenger.  Results: Tele-orthodontics proved to be the only option to complete some orthodontic tasks during COVID-19 because it provided a means of communication between the dentist and the patient. Most of the patients who underwent bonding (66.7%), on retainer (96.7%), and during mid-treatment (93.3) maintained good oral hygiene during treatment. 93.3% of the patients’ appliances on retainer were holding tight in place with no discomfort and during the treatment, 70% of the patients were comfortable while speaking and 63.3% noticed changes in their appearance. Overall, Tele orthodontics was more time-saving and more desirable economically to both practitioners and patients.  Conclusion: Tele-Orthodontics is experiencing rapid growth and fierce competition. Most of the patients maintained good oral hygiene, and also had a positive perception of the use of Tele-Orthodontics.

A Comparative Analysis of Sector Classification and the Impacted Canine Grading System by Kumar and Daigavane in Patients With Unilateral Cleft Lip and Palate Utilizing Orthopantomogram (OPG) as a Diagnostic Tool.

Introduction Non-syndromic oral clefts, affecting one in 700 newborns in India, are the most prevalent craniofacial anomalies, with genetic or environmental causes impacting various life aspects. Studies indicate higher dental disturbances, particularly impacted canines, in cleft lip and palate (CLP) patients compared to non-cleft individuals. Impacted canines, trapped by hard tissues, require early diagnosis to prevent orthodontic issues. The widely used Ericson and Kurol method employs orthopantomograms (OPGs) to classify canine impaction in typical children. However, diagnosing canines in CLP patients is challenging due to palate defects and post-grafting complications. This study aims to compare the utility of the Kumar and Daigavane (KD) grading system and the sector classification to determine the best method for diagnosing impacted canine eruption paths. Method This cross-sectional comparative observational study was conducted at Sharad Pawar Dental College's Department of Orthodontics and Dentofacial Orthopaedics. The sample size, calculated using a significance level of 5% and a prevalence of 1%, required a minimum of 16 participants aged 9-11 years with non-syndromic clefts and impacted canines. Patients with systemic diseases or over 12 years of age were excluded. The sectoral and KD classification systems collected and evaluated OPGs from qualifying cleft patients. Sector classification considered the angle between the occlusal plane or canine tip and the adjacent tooth's long axis, while KD's classification considered the Frankfort horizontal plane, occlusal plane, vertical height from the occlusal plane, canine apex root position, and canine exposure to the cleft defect. Results The study found an 81.25% agreement between the KD grading system and the sector classification, with a Cohen's kappa value of 0.586, indicating a moderate agreement. The KD system showed 81.82% sensitivity and 80.00% specificity, with positive and negative predictive values of 90.00% and 66.67%, respectively. The receiver operating characteristic (ROC) curve analysis revealed the KD system's superior performance in identifying impacted and non-impacted canines compared to the sector classification. Conclusion The KD grading system demonstrated higher efficacy than the sector classification for evaluating the impacted canines in children with unilateral cleft lip and palate (UCLP). The KD system's high sensitivity and specificity make it a valuable tool for predicting canine eruption paths and addressing anatomical challenges in cleft conditions. This study highlights the need for accurate diagnostic tools tailored to cleft patients and contributes to advancing orthodontic treatment outcomes through improved classification systems.

Evaluating the Impact of Myofunctional Therapy on Orthodontic Treatment Outcomes

ABSTRACT Background: Myofunctional therapy has gained attention as a potential adjunct to orthodontic treatment, focusing on improving orofacial muscle function and balance. Despite its increasing popularity, the precise impact of myofunctional therapy on orthodontic treatment outcomes remains to be fully elucidated. Materials and Methods: A retrospective cohort study was conducted, involving 80 orthodontic patients aged 8–18 years, divided into two groups: Group A received orthodontic treatment alone, while Group B received orthodontic treatment combined with myofunctional therapy. Orthodontic treatment outcomes were assessed based on occlusal stability, facial aesthetics (evaluated through standardized photographs), and patient-reported satisfaction scores. Posttreatment stability of occlusion was assessed using the peer assessment rating (PAR) index, with lower scores indicating better occlusal outcomes. Results: The results indicated a significant improvement in orthodontic treatment outcomes among patients who received myofunctional therapy in addition to orthodontic treatment. Group B demonstrated a mean decrease of 25% in PAR index scores compared to Group A, indicating superior occlusal stability posttreatment. Facial aesthetics were also notably enhanced in Group B, with a higher percentage of patients achieving harmonious facial profiles than Group A. Additionally, patient satisfaction scores were significantly higher in Group B, with 85% of patients reporting high satisfaction levels, compared to 60% in Group A. Conclusion: Myofunctional therapy as an adjunct to orthodontic treatment has a positive impact on treatment outcomes, including improved occlusal stability, enhanced facial aesthetics, and increased patient satisfaction.

Comparative Analysis of Braces and Aligners: Long-Term Orthodontic Outcomes.

The purpose of this retrospective study was to evaluate the long-term results of orthodontic treatment with traditional braces and Invisalign, with a particular emphasis on treatment length, patient satisfaction, correction of malocclusion, and long-term stability. Between 2020 and 2022, individuals who had orthodontic treatment at a tertiary care center had their data analysed. Patients with mild to severe malocclusions treated with conventional braces or Invisalign between the ages of 12 and 18 met the inclusion criteria. Assessments were done on results, length of treatment, degree of malocclusion, and long-term stability. With significance set at P < 0.05, statistical analyses comprised t-tests for treatment duration and Chi-square testing for malocclusion correction. The mean treatment time for Invisalign was much shorter (18 months) than for conventional braces (24 months) (P < 0.001). With 88-90% success rates, both techniques demonstrated remarkable success rates in malocclusion treatment. Even though Invisalign was associated with a somewhat greater percentage of relapse instances, the difference was not statistically significant (P > 0.05). In conclusion, Invisalign showed a much shorter treatment period than conventional braces, yet both showed excellent malocclusion correction. The choice of modality should be based on patient satisfaction, treatment objectives, and case complexity, taking into account the trade-offs between treatment length and potential variations in long-term stability.

Oral and Extra-Oral Manifestations of Hypersensitivity Reactions in Orthodontics: A Comprehensive Review.

Although rare, oral manifestations of hypersensitivity reactions in orthodontic patients pose a significant clinical challenge due to their heterogeneous presentations, and can cause discomfort and pain, possibly impacting patients' quality of life and orthodontic treatment duration and outcomes. This comprehensive review aimed to elucidate the oral, perioral, and systemic manifestations of hypersensitivity reactions in orthodontic subjects, focusing on patients with fixed appliances, removable appliances, and clear aligners, and detailing their epidemiology, macroscopic and microscopic features, allergy testing, clinical implications, and specific management strategies. Oral and extra-oral manifestations of (immediate and delayed) hypersensitivity reactions occur rarely and are due to the release of metal and non-metal ions from orthodontic appliances. They typically present as erythema, erosive-ulcerative lesions, and gingival hyperplasia, with histopathological findings showing inflammatory infiltrates. Nickel is a significant allergen, and diagnostic tests like patch tests are essential for managing these reactions. Likely due to prolonged contact with oral tissues, fixed orthodontic appliances pose a higher risk compared to removable appliances and clear aligners. Early identification and removal of allergenic materials, combined with effective treatments, can resolve symptoms and prevent recurrence. Keeping dental and medical records updated and knowing family and personal medical histories helps clinicians choose appropriate materials and counsel patients about potential risks. Proper patient education, regular monitoring, and using hypoallergenic materials are key strategies for managing these reactions.

Genetic polymorphisms linked to extreme postorthodontic external apical root resorption in Koreans

BackgroundExternal apical root resorption (EARR) is a common undesirable outcome of orthodontic treatment, this study aimed to identify genetic polymorphisms associated with the susceptibility to extreme orthodontic-induced EARR in a Korean population using extreme phenotype analysis sampling.MethodsGenomic DNA was isolated from the saliva of 77 patients who underwent orthodontic treatment involving two maxillary premolar extractions. The patients were divided into two groups based on EARR values measured on periapical radiographs: The significant resorption group (SG, EARR ≥ 4 mm) and the normal group (NG, EARR < 2 mm). In the NG group, patients with EARR < 1 mm were named the non-resorption group (NonG). Targeted next-generation sequencing was performed using the screened single nucleotide polymorphisms (SNPs), and firth logistic regression analysis was used to determine genetic associations with EARR. Haplotype-based association analysis was performed for specific SNPs.ResultsSNPs related to genes TNFSF11, TNFRSF11B, WNT3A, SFRP2, LRP6, P2RX7, and LRP1 were found to be significantly associated with severe EARR (p < 0.05, pre-Bonferroni correction p-values). Additionally, the haplotype CCA of rs17525809, rs208294, and rs1718119 P2RX7 had a higher frequency in the SG group.ConclusionExtreme phenotype analysis has identified eleven SNPs related to genes TNFSF11, TNFRSF11B, WNT3A, SFRP2, LRP6, P2RX7, and LRP1 that are associated with severe root resorption in the Korean population. These findings will contribute to the development of predictive diagnostic tools for identifying severe root resorption that may occur during orthodontic treatment.

Orthodontic treatment outcome predictive performance differences between artificial intelligence and conventional methods.

To evaluate an artificial intelligence (AI) model in predicting soft tissue and alveolar bone changes following orthodontic treatment and compare the predictive performance of the AI model with conventional prediction models. A total of 1774 lateral cephalograms of 887 adult patients who had undergone orthodontic treatment were collected. Patients who had orthognathic surgery were excluded. On each cephalogram, 78 landmarks were detected using PIPNet-based AI. Prediction models consisted of 132 predictor variables and 88 outcome variables. Predictor variables were demographics (age, sex), clinical (treatment time, premolar extraction), and Cartesian coordinates of the 64 anatomic landmarks. Outcome variables were Cartesian coordinates of the 22 soft tissue and 22 hard tissue landmarks after orthodontic treatment. The AI prediction model was based on the TabNet deep neural network. Two conventional statistical methods, multivariate multiple linear regression (MMLR) and partial least squares regression (PLSR), were each implemented for comparison. Prediction accuracy among the methods was compared. Overall, MMLR demonstrated the most accurate results, while AI was least accurate. AI showed superior predictions in only 5 of the 44 anatomic landmarks, all of which were soft tissue landmarks inferior to menton to the terminal point of the neck. When predicting changes following orthodontic treatment, AI was not as effective as conventional statistical methods. However, AI had an outstanding advantage in predicting soft tissue landmarks with substantial variability. Overall, results may indicate the need for a hybrid prediction model that combines conventional and AI methods.

Functional and morphological evaluation of the dentofacial system in patients with distal occlusion using ultrasonic diagnostic methods

Relevance. The integrity of the dentofacial system, significantly influenced by the functional condition of the masseter muscles (MM) and the morphological alterations in the alveolar bone, plays a crucial role in the outcome and duration of orthodontic treatment for distal occlusion. Ultrasonic diagnostic methods, due to their physiological compatibility, high information content, and ergonomic design, offer a preferable alternative for assessing and tracking these changes throughout orthodontic treatment.Materials and methods. This study included 55 individuals of both genders, aged 9-12, with either normal occlusions (NO) or distal occlusions (DO). Ultrasound examinations of the MM at rest and during maximum voluntary teeth clenching were conducted to evaluate MM thickness and echotexture. Ultrasonic densitometry measurements were conducted through the assessment of ultrasound transit velocity (UTV). This was carried out across the interalveolar bone with probes positioned on the buccal and oral sides between two neighboring teeth roots.Results. The findings indicated that DO patients had a notably thicker MM compared to their NO counterparts. Variations in MM echotexture were observed, with differences in the anechogenic and hyper echogenic zones. Recorded UTV values illustrated that the highest alveolar bone density in DO subjects was predominantly in the frontal regions of both jaws on the left side, whereas the lowest density was observed in the right lateral regions. For NO subjects, the highest density values were identified in the frontal region of the mandibular bone, with the lowest in the maxillary bone's lateral regions on both sides.Conclusion. The application of advanced ultrasonic diagnostic methods in this study facilitated a detailed functional and morphological analysis of the MM, as well as an evaluation of alveolar bone density in individuals with both distal and normal occlusions. The development of ultrasonic alveolar bone density chart from this research provides a valuable addition to dental examination protocols for patients undergoing orthodontic treatment.

Study on decision-making for orthodontic treatment plans based on analytic hierarchy process

BackgroundOrthodontics is a common treatment for malocclusion and is essential for improving the oral health and aesthetics of patients. Currently, patients often rely on the clinical expertise and professional knowledge of doctors to select orthodontic programs. However, they lack their own objective and systematic evaluation methods to quantitatively compare different programs. Therefore, there is a need for a more comprehensive and quantitative approach to selecting orthodontic treatment plans, aiming to enhance their scientific validity and effectiveness.MethodsIn this study, a combination of the analytic hierarchy process (AHP) and semantic analysis was used to evaluate and compare different orthodontic treatment options. An AHP model and evaluation matrix were established through thorough research and semantic analysis of patient requirements. This model considered various treatment factors. Expert panels were invited to rate these factors using a 1–9 scale. The optimal solution was determined by ranking and comparing different orthodontic treatment plans using the geometric mean method to calculate the weights of each criterion.ResultsThe research indicates a higher preference for invisible correction compared to other orthodontic solutions, with a weight score that is 0.3923 higher. Factors such as comfort and difficulty of cleaning have been given significant attention.ConclusionThe Analytic Hierarchy Process (AHP) method can be utilized to effectively develop orthodontic treatment plans, making the treatment process more objective, scientific, and personalized. The design of this study offers strong decision support for orthodontic treatment, potentially improving orthodontic treatment outcomes in clinical practice and ultimately enhancing oral health and patients’ quality of life.

Innovative and simple technique of stabilizing the lingual retainer wire before bonding

Long-term stability of orthodontic treatment outcome is attained through retention. Fabrication and bonding of the lingually bonded retainer on the lingual tooth surface are a technique-sensitive and time-consuming procedure. Stabilizing the lingual retainer wire on the tooth surface throughout the bonding procedure is a challenging task for the operator. This article introduces a new simplified technique of stabilizing the lingual retainer wire before bonding.

Postural balance in the comprehensive rehabilitation of adolescents with cleft lip and palate and maxillofacial anomalies: A literature review

BACKGROUND: Patients with cleft lip and palate experience significant jaw relationship disorders and pathological bite formation, leading to changes in the motor activity of chewing muscles and postural balance disturbances. Most studies on postural control are conducted on patients with skeletal dentofacial anomalies and deformities without cleft lip and palate. The state of postural balance in children with cleft lip and palate requiring long-term complex medical rehabilitation, including bone-reconstructive operations on the jaw bones, remains poorly understood.&#x0D; AIM: To analyze publications dedicated to the evaluation of postural balance in adolescents with cleft lip and palate combined with jaw relationship disorders and pathological bite formation.&#x0D; MATERIALS AND METHODS: The article includes an analysis and review of several studies that investigated the state of postural balance in adolescents with cleft lip and palate, particularly at the final stages of growth and formation of the musculoskeletal system. Scientific articles published in various medical journals, monographs, dissertations, and materials from scientific symposiums related to this topic were used in the literature review. PubMed, Medline, Scopus, Web of Science, and RSCI were searched without language restrictions. The search depth was 23 years, and 64 studies were selected.&#x0D; RESULTS: The article analyzes literature data related to theories of the mechanism of mutual influence between postural balance and the dentofacial apparatus (disorders and pathological bite formation). The state of postural balance is influenced by various factors, including the craniosacral system and anomalies of the cervical spine. Patients with cleft lip and palate, hemifacial microsomia, and other craniofacial dysostoses with growth disorders of jaw bones experience an imbalance in the entire “descending” chain, causing postural disturbances, increased plantar pressure, increased foot rigidity, and changes in photogrammetry indicators, which should be considered when developing an individual rehabilitation program for these patients. The treatment of these patients without considering postural balance disorders can lead to temporomandibular joint pathologies, unstable results of the conservative orthodontic treatment of bite pathologies, and bone-reconstructive operations on jaws.&#x0D; CONCLUSIONS: The study highlights the ways of adaptation of the musculoskeletal system in the presence of occlusal relationship disorders and emphasizes the need to evaluate this influence comprehensively for the treatment of these patients. The limitations of the presented studies should be emphasized: insufficient sample size, lack of control groups and prospective studies, limited types of examination, and lack of studies dedicated to more severe anomalies of craniofacial development.