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The article in the Laryngoscope journal discusses the use of a pre-epiglottic baton plate as a non-invasive treatment for newborns with Pierre Robin Sequence, a condition that can lead to upper airway obstruction. The study outlines the practical workflow and steps involved in customizing and using the baton plate to relieve airway obstruction, facilitate feeding, and support mandibular growth. The case example presented in the article demonstrates successful treatment without the need for surgical intervention, highlighting the potential efficacy of this non-invasive approach for managing PRS in newborns. [Extracted from the article]

Copyright of Clinical Orthodontics is the property of Dental Press International and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Current standardized in vitro bending experiments for orthodontic archwires cannot capture friction conditions and load sequencing during multi-bracket treatment. This means that clinically relevant forces exerted by superelastic wires cannot be predicted. To address these limitations, this study explored a novel test protocol that estimates clinical load range. The correction of a labially displaced maxillary incisor was simulated using an in vitro model with three lingual brackets. Deflection force levels derived from four different protocols were designed to explore the impact of friction and wire load history. These force levels were compared in nickel-titanium (NiTi) archwires with three commonly used diameters. The unloading path varied between protocols, with single or multiple sequences and different load orders and initial conditions. Deflection forces from the new protocol, employing multiple continuous load/unload cycles (CC incr), consistently exceeded those from the conventional protocol using a single continuous unloading path (CU decr). Mean differences in plateau force ranged from 0.54 N (Ø 0.014" wire) to 1.19 N (Ø 0.016" wire). The CC inr protocol also provided average force range estimates of 0.47 N (Ø 0.012" wire), 0.89 N (Ø 0.014" wire), and 1.15 N (Ø 0.016" wire). Clinical orientation towards CU decr carries a high risk of excessive therapeutic forces because clinical loading situations caused by friction and load history are underestimated. Physiological tooth mobility using NiTi wires contributes decisively to the therapeutic load situation. Therefore, only short unloading sequences starting from the maximum deflection in the load history, as in CC incr , are clinically meaningful. • Friction and load history affect deflection forces of orthodontic NiTi wires. • Conventional in vitro 3-bracket bending tests underestimate clinical force levels. • Physiological tooth movement must be considered to derive clinically relevant loads. • Reactive forces from wire deflection may vary because of physiological conditions. • Sequential short unloading sequences allow characterization of clinical load range. [ABSTRACT FROM AUTHOR]

Objective: To evaluate tooth displacement and periodontal stress generated by the dual action vertical intra-arch technique (DAVIT) for open-bite correction using three-dimensional finite element analysis. Methods: A three-dimensional model of the maxilla was created by modeling the cortical bone, cancellous bone, periodontal ligament, and teeth from the second molar to the central incisor of a hemiarch. All orthodontic devices were designed using specific software to reproduce their morpho-dimensional characteristics, and their physical properties were determined using Young's modulus and Poisson's coefficient of each material. A linear static simulation was performed to analyze the tooth displacements (mm) and maximum stresses (Mpa) induced in the periodontal ligament by the posterior intrusion and anterior extrusion forces generated by the DAVIT. Results: The first and second molars showed the greatest intrusion, whereas the canines and lateral incisors showed the greatest extrusion displacement. A neutral zone of displacement corresponding to the fulcrum of occlusal plane rotation was observed in the premolar region. Buccal tipping of the molars and lingual tipping of the anterior teeth occurred with intrusion and extrusion, respectively. Posterior intrusion generated compressive stress at the apex of the buccal roots and furcation of the molars, while anterior extrusion generated tensile stress at the apex and apical third of the palatal root surface of the incisors and canines. Conclusions: DAVIT mechanics produced a set of beneficial effects for open-bite correction, including molar intrusion, extrusion and palatal tipping of the anterior teeth, and occlusal plane rotation with posterior teeth uprighting. [ABSTRACT FROM AUTHOR]

Ectopic eruption of molars occurs more frequently in developing permanent dentition, and requires immediate intervention. Herein, two cases are discussed with ectopic eruption of permanent maxillary first molars which were diagnosed and managed conservatively using a modified Humphrey's appliance, named the NR's appliance. The appliance was fabricated by band adaptation and using wire components of a 21-gauge stainless-steel wire. Also, the Nance palatal arch was used as the anchorage unit. The molars were uprighted and distalized within 3 months. Early diagnosis and prompt treatment could result in prevention of malocclusion in the early mixed dentition period. [ABSTRACT FROM AUTHOR]

Objective: The aim of this case series was to test various personalized, CAD/CAM-manufactured orthodontic extrusion appliances. The appliances were characterized by high rigidity and manufacturing precision. In addition, the orthodontic force vector could be precisely and three-dimensionally planned. Method and materials: After a comprehensive diagnosis of three patients with deep fractured teeth by an interdisciplinary team, each patient's personalized extrusion protocol was determined (slow or rapid extrusion). Based on an intraoral scan, the personalized extrusion appliances were then digitally planned and manufactured using selective laser melting. The force vector was also precisely planned during this process. The appliances were inserted, and the force on the teeth to be extruded was precisely applied in accordance with the extrusion protocol. After extrusion, the teeth were retained and, if necessary, permanently restored. Results: The target teeth of all three patients were successfully extruded. Furthermore, good cleanability and high wearing comfort of the appliances were maintained throughout treatment, as was the precise application of force. Conclusion: The effectiveness of the tested digital workflow for precise and simplified orthodontic extrusion was clinically proven. The workflow guaranteed the following throughout treatment: precise planning and application of the force system; improved periodontal hygiene; and improved wearing comfort of the appliance, without affecting the patient's existing occlusion. [ABSTRACT FROM AUTHOR]

Copyright of Dental Press Journal of Orthodontics is the property of Dental Press International and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

ABSTRACT Objective: This cross-sectional study evaluated the bone thickness on mini-implants insertion site, the factors that influence the digital planning of MARPE appliance (miniscrew-assisted rapid palatal expansion), and its different designs. Methods: A total of 135 plannings were assessed regarding the size of the expander screw used, the positioning and the type of the mini-implant rings, and their location in relation to the teeth. Bone thickness measurements were assessed in the region of the mini-implants’ trajectory. Differences between the sexes was verified using the ANOVA test (5% significance). Results: 73 cases were planned with 4 mini-implants and 62 cases, with 6 mini-implants. In 90% of cases, teeth #16 and #26 were used as supports, and the most used expander screw was 13mm (64.1% of cases). The anterior mini-implants of conventional MARPE showed more pronounced insertion in bone in males (5.9 ± 2mm; p= 0.025). The extra mini-implants (anterior region) were inserted with greater bone thickness in males (11.1 ± 2.3mm) compared to females (9.9 ± 1.8mm; p=0.041). A greater bone thickness was observed in males (10.1 ± 2.1 mm) when using mini-implants in the paramedian region. Conclusion: Additional rings allow more pronounced bone insertion. Male patients had greater bone thickness, which may be related to greater difficulty in opening the sutures. The alveolar process region seems to be a satisfactory site for mini-implants to those patients with reduced bone thickness in the paramedian posterior region. MARPE appliance must be customized for each patient, due to bone thickness and anatomical variations.

Ectopic eruption of molars occurs more frequently in developing permanent dentition, and requires immediate intervention. Herein, two cases are discussed with ectopic eruption of permanent maxillary first molars which were diagnosed and managed conservatively using a modified Humphrey's appliance, named the NR’s appliance. The appliance was fabricated by band adaptation and using wire components of a 21-gauge stainless-steel wire. Also, the Nance palatal arch was used as the anchorage unit. The molars were uprighted and distalized within 3 months. Early diagnosis and prompt treatment could result in prevention of malocclusion in the early mixed dentition period.

ABSTRACT Objective: This study aimed to compare the influence of four different maxillary removable orthodontic retainers on speech. Material and Methods: Eligibility criteria for sample selection were: 20-40-year subjects with acceptable occlusion, native speakers of Portuguese. The volunteers (n=21) were divided in four groups randomized with a 1:1:1:1 allocation ratio. The four groups used, in random order, the four types of retainers full-time for 21 days each, with a washout period of 7-days. The removable maxillary retainers were: conventional wraparound, wraparound with an anterior hole, U-shaped wraparound, and thermoplastic retainer. Three volunteers were excluded. The final sample comprised 18 subjects (11 male; 7 female) with mean age of 27.08 years (SD=4.65). The speech evaluation was performed in vocal excerpts recordings made before, immediately after, and 21 days after the installation of each retainer, with auditory-perceptual and acoustic analysis of formant frequencies F1 and F2 of the vowels. Repeated measures ANOVA and Friedman with Tukey tests were used for statistical comparison. Results: Speech changes increased immediately after conventional wraparound and thermoplastic retainer installation, and reduced after 21 days, but not to normal levels. However, this increase was statistically significant only for the wraparound with anterior hole and the thermoplastic retainer. Formant frequencies of vowels were altered at initial time, and the changes remained in conventional, U-shaped and thermoplastic appliances after three weeks. Conclusions: The thermoplastic retainer was more harmful to the speech than wraparound appliances. The conventional and U-shaped retainers interfered less in speech. The three-week period was not sufficient for speech adaptation.

Retrognathic mandible is the most common feature in growing children with skeletal Class II malocclusion. This does not self-correct with growth. Functional appliances are known to exert beneficial effects to improve this skeletal pattern. Among several removable functional appliances, Twin Block is the most preferred. Twin Blocks are designed for full-time wear such that maximum benefit from functional forces can be obtained. The maxillary and mandibular bite blocks occlude at a 70° angle on complete closure. It is important to angulate the inclines at exactly 70°, as an increase in this angulation will require a conscious effort from the patient. Incline Correct is designed to accurately measure and construct inclines at 70° to the occlusal plane. [ABSTRACT FROM AUTHOR]

Objective: Some modifications of orthodontic appliances such as the rapid maxillary expansion (RME) device with a Hyrax screw or Herbst are fabricated using traditional investment casting (lost-wax casting). This is precise but very labor-intensive. New technologies enable us today to use direct selective laser sintering (SLS) to produce freeform metallic structures. These machines are very expensive and only available in specialized laboratories. The aim of this investigation was to combine fused filament fabrication (FFF) 3D printing with wax-based filaments to produce orthodontic appliances via investment casting. Method and materials: For demonstration purposes, a lingual arch, a palatal arch, and an RME appliance were digitally designed based on an intraoral scan. The *.stl files were sliced and printed with a dual-nozzle FFF printer. The object was printed with a wax-based filament especially suited for investment casting, and support structures were printed with water-soluble polyvinyl-alcohol (PVA) filament. The printed objects were cast in metal and finished. Results: All appliances were successfully cast and polished. They were provisionally placed intraorally. The fit was clinically very good and comparable to traditionally crafted appliances. The printing and handling of the parts made of these special filaments is challenging. Conclusion: With this experiment, the successful production of investment casting using FFF printing was shown for the first time. [ABSTRACT FROM AUTHOR]

Copyright of Clinical Orthodontics is the property of Dental Press International and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Clinical Orthodontics is the property of Dental Press International and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: Infrazygomatic crestal (IZC) implants have gained increased popularity over the past few years. Hardly any studies have been done to assess the rate and reasons for failure of IZCs. This prospective study was planned and designed with the primary objective of assessing the rate of failure of bone-screws (BS) placed in the infrazygomatic crest. In continuation, the secondary objective was to assess the factors that were associated with the failure. Materials and methods: The study was carried out by taking a detailed case history, (age, gender, vertical skeletal pattern, medical history), photographic records, radiographs, and clinical examination of a total of 32 randomly selected. patients of south indian origin who required infrazygomatic implants bilaterally as the choice of anchorage conservation to retract their incisors. All selected subjects were required to take a PA Cephalogram after the implant placement. The age of the patients ranged from 18 to 33 with an average age of 25 years. The patient log was maintained which included the treatment mechanics, status of oral hygiene, stability of implants, time of loading of the implant, presence of inflammation and time of failure of implant. The angulation of implant was measured on a digital PA cephalogram using Nemoceph software. These parameters were examined to evaluate independent and dependent variables using the Chi-Square test and Fischer's exact test. Result: A failure rate 28.1% for IZC placed in the infrazygomatic crest region was observed. Patients with a high mandibular plane angle, poor oral hygiene, immediately loaded implant, peri-implantitis, and severe clinical mobility showed higher failure rates. Variables such as age, gender, sagittal skeletal pattern, length of the implant, type of movement, occluso-gingival position, method of force application, and angle of placement were not significantly associated with implant failure. Conclusion: Oral hygiene and peri-screw inflammation must be controlled to minimize the failure of bone screws placed in the infrazygomatic crest region. Loading of the implant should be done after a latent period of two weeks. A higher failure rate was observed in patients with vertical growth pattern.

Purpose: The aim of this study was to evaluate how continuous heavy orthopedic forces affect the stability of sandblasted, large-grit, acid-etched (SLA)–surfaced miniscrew implants and surrounding bone tissue healing at three different loading periods with treatment of photobiomodulation and ozone therapy. Materials and Methods: Miniscrew implants were applied on the tibias of 9-month-old rabbits (n = 18). The animals were randomly divided into three groups: control, photobiomodulation, and ozone therapy. In all groups, miniscrew implants were loaded with 500 gf at 0, 4, and 8 weeks, respectively (G1, G2, and G3). Several biomechanical and histologic analyses were performed in different centers to measure the implant stability quotient level, bone volume, and bone-to-implant contact. Results: According to the results of the Infinite Focus Microscopy, the ozone therapy group revealed significantly higher scores than the control group and photobiomodulation group at the 4-week loading time, whereas the photobiomodulation and ozone therapy groups revealed significantly higher scores than the control group at the 8-week loading time in terms of bone volume measurements in mm3 (P < .05). According to the histologic analysis, the ozone therapy and photobiomodulation groups revealed significantly higher scores than the control group at the 4-week loading time, whereas the photobiomodulation group showed the highest scores among the 8-week loading groups (P < .05). Conclusion: This is the first study in the literature that reveals a better osseointegration process in miniscrew implants when treated with photobiomodulation and ozone therapy compared with control groups. Although the photobiomodulation and ozone therapy groups did not reveal significantly higher scores in immediately loaded miniscrew implants (G1), these treatments were significantly more effective when loaded after 4 or 8 weeks of osseointegration (G2 and G3). SLA-surfaced miniscrew implants are successful in the orthopedic forces (500 gf) and can be removed without complications. [ABSTRACT FROM AUTHOR]

Nowadays, many people use clear aligners to address their dental issues. The efficacy of transparent dental aligners must be investigated even though they are more aesthetically pleasing, easy to use, and tidy than permanent tools. Thirty-five patients in this study's sample group who used Nuvola® clear aligners for their orthodontic therapy were prospectively observed. Initial, simulated, and final digital scans were analysed with a digital calliper. The actual results were compared with the prescribed ending position to evaluate the efficacy of transversal dentoalveolar expansion. Aligner treatments in Groups A (12) and B (24), particularly in the dental tip measures, demonstrated high adherence to the prescription. On the other hand, the gingival measures exhibited a greater level of bias, and the differences were statistically significant. However, there was no difference in the outcomes between the two groups (12 vs. 24). Within specific parameters, the evaluated aligners were shown to be helpful in predicting movements in the transverse plane, particularly when considering movements linked to the vestibular–palatal inclination of the dental elements. This article compares the expansion effectiveness of Nuvola® aligners compared with other work in the literature using competitor companies. [ABSTRACT FROM AUTHOR]

Infrazygomatic crestal (IZC) implants have gained increased popularity over the past few years. Hardly any studies have been done to assess the rate and reasons for failure of IZCs. This prospective study was planned and designed with the primary objective of assessing the rate of failure of bone-screws (BS) placed in the infrazygomatic crest. In continuation, the secondary objective was to assess the factors that were associated with the failure. The study was carried out by taking a detailed case history, (age, gender, vertical skeletal pattern, medical history), photographic records, radiographs, and clinical examination of a total of 32 randomly selected. patients of south indian origin who required infrazygomatic implants bilaterally as the choice of anchorage conservation to retract their incisors. All selected subjects were required to take a PA Cephalogram after the implant placement. The age of the patients ranged from 18 to 33 with an average age of 25 years. The patient log was maintained which included the treatment mechanics, status of oral hygiene, stability of implants, time of loading of the implant, presence of inflammation and time of failure of implant. The angulation of implant was measured on a digital PA cephalogram using Nemoceph software. These parameters were examined to evaluate independent and dependent variables using the Chi-Square test and Fischer's exact test. A failure rate 28.1% for IZC placed in the infrazygomatic crest region was observed. Patients with a high mandibular plane angle, poor oral hygiene, immediately loaded implant, peri-implantitis, and severe clinical mobility showed higher failure rates. Variables such as age, gender, sagittal skeletal pattern, length of the implant, type of movement, occluso-gingival position, method of force application, and angle of placement were not significantly associated with implant failure. Oral hygiene and peri-screw inflammation must be controlled to minimize the failure of bone screws placed in the infrazygomatic crest region. Loading of the implant should be done after a latent period of two weeks. A higher failure rate was observed in patients with vertical growth pattern. [Display omitted] • Bone screws can be positioned in movable mucosa without risking failure. • Loading bone screws after a period of two weeks had higher scope for success. • Bone screw failure is highly influenced by poor oral hygiene & peri-implantitis. • Individuals with vertical growth show an increased risk of failure of bone screws. • Minimal bone screw mobility is acceptable if it can withstand orthodontic loading. [ABSTRACT FROM AUTHOR]

Copyright of Kieferorthopädie: die Zeitschrift für die Praxis is the property of Quintessenz Verlags GmbH and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

There is a critical need for an accurate device for orthodontists to know the magnitude of forces exerted on the tooth by the orthodontic brackets. Here, we propose a new orthodontic force measurement principle to detect the deformation of the elastic semi-sphere sensor. Specifically, we aimed to detail technical issues and the feasibility of the sensor performance attached to the inner surface of the orthodontic aligner or on the tooth surface. Accurate force tracking is important for the optimal decision of aligner replacement and cost reduction. A finite element (FE) model of the semi-sphere sensor was developed, and the relationship between the force and the contact area change was investigated. The prototype was manufactured, and the force detection performance was experimentally verified. In the experiment, the semi-sphere sensor was manufactured using thermoplastic polymer, and a high-precision mold sized 3 mm in diameter. The change in the contact area in the semi-sphere sensor was captured using a portable microscope. Further development is justified, and future implementation of the proposed sensor would be an array of multiple semi-sphere sensors in different locations for directional orthodontic force detection. [ABSTRACT FROM AUTHOR]

Introduction and Purpose Class II malocclusion is a common anomaly. Both adults and adolescents with Class II malocclusion can be treated. One of the methods for correction is Carriere ® Motion 3D ™ appliance (CMA). The aim was to evaluate and compare the rate of tooth movement depending on age during treatment with Carriere ® Motion 3D ™ appliance (CMA). Material and method The retrospective study investigated medical records of 28 adult and 27 adolescent subjects who were treated with the Carriere ® Motion 3D ™ distalizer to correct Class II malocclusion. Time (in days) needed to achieve 1 mm correction was calculated for each patient, based on the quotient of days needed for Class II correction and the distance required to achieve Class I canine relationship. The difference between groups was analyzed using the Mann-Whitney-U test. Results Phase I treatment with CMA lasted on average 5,67 ± 2,01 months for adults and 4,67 ± 1,48 months for teenagers. The mean time to achieve 1 mm correction was 36,77 ± 11,01 days in the adult group and 36,59 ± 26,17 days in the adolescent group. The results showed no statistically significant difference between the two groups. Conclusions CMA can be applied to efficiently treat Class II malocclusion in adolescent as well as adult patients. No difference in age related tooth movement using the CMA was found.

To discern the effects of computer-aided design (CAD)/computer-aided manufactured (CAM) customized appliances and piezocision on orthodontic treatment (OT). The study combined findings from two previously published randomized controlled trials: (1) standard OT vs piezocision-assisted standard OT, and (2) CAD/CAM OT vs piezocision-assisted CAD/CAM OT. Piezocision is a minimally invasive corticotomy surgical procedure used to accelerate orthodontic treatment and CAD/CAM refers to CAD/CAM customized brackets and archwires. The outcomes were the overall treatment time, and the durations of the alignment phase and fine-tuning phase. Clinical and radiological features also were evaluated. The combined study included 48 patients with similar baseline characteristics. Compared to the standard treatment, CAD/CAM technology alone significantly decreased the overall median OT time from 543 to 394 days (P <.001) and from 543 to 254 days (P <.0001) when combined with piezocision. Although piezocision significantly reduced the duration of the alignment phase in the mandible and maxilla, CAD/CAM technology considerably shortened the fine-tuning phase. All periodontal and radiographic parameters remained stable from the start to the end of treatment in all groups. CAD/CAM technology combined with piezocision accelerates the entire OT process, during the alignment phase for piezocision and during the fine-tuning phase for CAD/CAM, with a global reduction of the overall treatment time of more than 50%. [ABSTRACT FROM AUTHOR]

ABSTRACT Objective: This study aimed at comparing the dentoskeletal changes in patients with Class II division 1 malocclusion, treated with three types of fixed functional appliances. Methods: A sample comprising 95 patients with the same malocclusion, retrospectively selected, and divided into four groups, was used: G1 consisted of 25 patients (mean age 12.77 ± 1.24 years) treated with Jasper Jumper appliance; G2, with 25 patients (mean age 12.58 ± 1.65 years) treated with the Herbst appliance; G3, with 23 patients (mean age 12.37 ± 1.72 years) treated with the Mandibular Protraction Appliance (MPA); and a Control Group (CG) comprised of 22 untreated subjects (mean age 12.66 ± 1.12 years). Intergroup comparison was performed with ANOVA, followed by Tukey test. Results: The Jasper Jumper and the Herbst group showed significantly greater maxillary anterior displacement restriction. The Jasper Jumper demonstrated significantly greater increase in the mandibular plane angle, as compared to the control group. The MPA group demonstrated significantly greater palatal inclination of the maxillary incisors. Vertical development of the maxillary molars was significantly greater in the Herbst group. Conclusions: Despite some intergroup differences in the amount of dentoskeletal changes, the appliances were effective in correcting the main features of Class II malocclusions.

Background. The design of an orthodontic mini-implant is a significant factor in determining its primary stability and its clinical success. The aim of this study was to measure the relative effect of mini-implant design factors on primary stability of orthodontic mini-implants. Methods. Thirty-two 3-dimensional assemblies of mini-implant models with their surrounding bone were generated using finite element analysis software. The maximum displacement of each mini-implant model was measured as they were loaded with a 2-N horizontal force. Employing Taguchi’s design of experiments as a statistical method, the contribution of each design factor to primary stability was calculated. As a result of the great effect of the upper diameter and length, to better detect the impact of the remaining design factors, another set of 25 models with a fixed amount of length and diameter was generated and evaluated. Results. The diameter and length showed a great impact on the primary stability in the first set of experiments (P

Introduction: Information regarding the adhesion of bacterial species and plaque accumulation to bracket material is limited. Adequate information is needed in order to offer patients orthodontic treatment without significantly increasing their risk of developing white spots, caries, or gingival inflammation. Aim: To determine the levels of the caries-inducing S. mutans species on metallic, self-ligating and ceramic brackets and to compare the total bacterial counts and counts of species present on these bracket materials. Materials and Methods: By means of an in-vitro study, six commercially available bracket systems {3M Gemini (A), American Ortho (B), Ormco (C), Begg (D), Ceramic (E) and Self-ligating (F)} were compared. The brackets were bonded in the cell well culture plate and the agar plates were prepared. Brain heart infusion medium including bacteria and artificial saliva was introduced to each bracket system containing 10 premolar brackets and were incubated. After 72 hours, the adherent bacteria were then detached by sonication and the Colony-Forming Units (CFU) of Streptococcus mutans were calculated on each bracket and were analysed using Statistical Package for the Social Sciences (SPSS) software version 17.0 for Windows. Results: Between the different bracket types, significant differences were found in terms of biofilm formation. The Begg brackets showed the least bacterial adhesion and the selfligating brackets showed the highest bacterial adhesion and was statistically significant among all the groups (p0.05). Conclusion: Different orthodontic brackets serve as different loci for biofilm formation showing that the Begg brackets are the most hygienic among all the brackets taken in this study.

Aim: To create a precise tooth preparation guide tray for attachment placement during the orthodontic clear aligner treatment. Background: The primary issue clinicians encounter with the clear aligners is precisely etching the future area of attachments on the teeth, which when arbitrarily done might lead to excess flash when placing the attachments. Technique: Here we present a Modified Attachment Template (MAT) tray created by sectioning the attachment bubble from the custom attachment tray to precisely etch the future area of attachments. This MAT tray will help us in resolving the problem of composite flash removal. Clinical Significance: By precisely etching the future attachment areas we can reduce the patient discomfort and avoid the added chair-side time involved while removing excess flash using burs. [ABSTRACT FROM AUTHOR]

Copyright of Clinical Orthodontics is the property of Dental Press International and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Information regarding the adhesion of bacterial species and plaque accumulation to bracket material is limited. Adequate information is needed in order to offer patients orthodontic treatment without significantly increasing their risk of developing white spots, caries, or gingival inflammation. Aim: To determine the levels of the caries-inducing S. mutans species on metallic, self-ligating and ceramic brackets and to compare the total bacterial counts and counts of species present on these bracket materials. Materials and Methods: By means of an in-vitro study, six commercially available bracket systems {3M Gemini (A), American Ortho (B), Ormco (C), Begg (D), Ceramic (E) and Self-ligating (F)} were compared. The brackets were bonded in the cell well culture plate and the agar plates were prepared. Brain heart infusion medium including bacteria and artificial saliva was introduced to each bracket system containing 10 premolar brackets and were incubated. After 72 hours, the adherent bacteria were then detached by sonication and the Colony-Forming Units (CFU) of Streptococcus mutans were calculated on each bracket and were analysed using Statistical Package for the Social Sciences (SPSS) software version 17.0 for Windows. Results: Between the different bracket types, significant differences were found in terms of biofilm formation. The Begg brackets showed the least bacterial adhesion and the selfligating brackets showed the highest bacterial adhesion and was statistically significant among all the groups (p<0.05). Ceramic brackets also showed a higher bacterial adhesion after the self-ligating brackets. Among the three groups of metallic brackets, 3M brackets showed the least bacterial adhesion but was statistically insignificant (p>0.05). Conclusion: Different orthodontic brackets serve as different loci for biofilm formation showing that the Begg brackets are the most hygienic among all the brackets taken in this study. [ABSTRACT FROM AUTHOR]

Backrgound/Aim. Researchers in the field of dentistry have been conducting research into modelling and defining dental arches equitations. Nowadays, when 3D digital modelling is commonly utilized in dentistry, the approach to modelling, analysis and synthesis has changed. Clinical researches are related to aesthetic and functional analysis. The aim of this study was to increase repeatability and accuracy of defining and determining the coordinate system of the jaw as well as to defining mathematical criteria for monitoring and evaluating orthodontic treatment. Methods. In this study, we used the plaster models of the jaw, optical scanner with structured light, 3D digital models, computer aided design (CAD) engineering tools adjusting the coordinate system, spline fitting of 3rd, 4th, 5th, 6th, 7th and 8th degrees. Results. Splines of 3rd, 4th, 5th, 6th, 7th and 8th degrees were fitted from the initial state (K0) in all 10 successive controls (K1, K2, K3,…, K10). All splines were fitted through 12 points, from the right to the left side of the jaw: 6-5-4-3-2-1-1-2-3-4-5-6. Tabular and graphic presentations of the maximum and average deviation of dental arch fitting curves in successive controls were given. Conclusion. The parameters of the maximum and average errors of fitting curves converge the dental arch values that are lower than the accuracy of the used optical scanners. The average error of fitting provides a general picture of the entire dental arch at each stage of treatment. Maximum error fitting points at a specified tooth where the largest deviation. This article has been corrected. Link to the correction 10.2298/VSP190515051E

Copyright of Clinical Orthodontics is the property of Dental Press International and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Clinical Orthodontics is the property of Dental Press International and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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Introduction. An appliance according to Veltri is a kind of palatal construction which is rarely used in our region. It appeared as a logical consequence of the evolution of appliances for rapid palatal separation. It is primarily indicated for upper molars distalization. However, its good qualities allow the use it in case of some other orthodontic problems. Case report. The aim of this report is overview of the therapy of 14-year-old boy with asymmetry of the upper dental arch and unilateral open bite and crossbite, using the appliance according to Veltri. The plan of therapy was primarily aimed at correction of upper arch asymmetry by using appliance according to Veltri. Extraction of the lower first premolars was done and then upper and lower fixed appliance for leveling the upper and lower dental arch, normalization overjet and the depth of overlap was placed. The total duration of the therapy was two years. Conclusion. Presented combined camouflage therapy achieved a satisfactory result, regardless of the poor prognosis due to hyperdivergent growth.

Introduction: There are different orthodontic treatment systems, and currently the most common include standard edgewise and straightwire. Achieving ideal axial inclinations of all teeth at the end of active treatment is regarded as one of the criteria to possess a functional occlusion. As the frequency of use of preadjusted edgewise appliance become increasingly prevalent, it is important to compare them with standard edgewise appliances. Aim: Considering the fact that the buccolingual angle of the crown has significant effect on the treatment outcomes, the present paper aims at comparing the treatment outcomes and buccolingual angle of crowns in patients treated with standard edgewise and straightwire (MBT). Materials and Methods: This retrospective cohort study compared 100 cephalometric radiographs from 50 class II division 1 patients extracting the maxillary first premolar with twenty-five patients being treated with an edgewise system and 25 patients with straightwire system. The cephalometric landmarks were selected in hard and soft tissue. Linear and angular measurements were used to investigate the soft and hard tissue. U1-SN was used during the cephalometric analysis to measure the inclination of the maxillary incisors. Data analysis was performed using ANCOVA (Analysis of Covariance) at the significant level of 0.05 in SPSS ver. 23. Results: There was no significant difference between the two study groups in terms of gender and age (p>0.05). Also, the buccolingual angle of the crowns was similar between the two groups. Considering the adjustment of the pre-intervention effect, the mean of the U1-SN after the intervention did not show a statistically significant difference between the two groups (F=0.01, P=0.942). The result of ANCOVA was significant only for the OCC Plan _FH after the intervention between two groups (F=4.65, P=0.036). Conclusion: The present study concluded that the buccolingual angle of the crowns was similar between the two groups.

Introduction: There are different orthodontic treatment systems, and currently the most common include standard edgewise and straightwire. Achieving ideal axial inclinations of all teeth at the end of active treatment is regarded as one of the criteria to possess a functional occlusion. As the frequency of use of pre-adjusted edgewise appliance become increasingly prevalent, it is important to compare them with standard edgewise appliances. Aim: Considering the fact that the buccolingual angle of the crown has significant effect on the treatment outcomes, the present paper aims at comparing the treatment outcomes and buccolingual angle of crowns in patients treated with standard edgewise and straightwire (MBT). Materials and Methods: This retrospective cohort study compared 100 cephalometric radiographs from 50 class II division 1 patients extracting the maxillary first premolar with twenty-five patients being treated with an edgewise system and 25 patients with straightwire system. The cephalometric landmarks were selected in hard and soft tissue. Linear and angular measurements were used to investigate the soft and hard tissue. U1-SN was used during the cephalometric analysis to measure the inclination of the maxillary incisors. Data analysis was performed using ANCOVA (Analysis of Covariance) at the significant level of 0.05 in SPSS ver. 23. Results: There was no significant difference between the two study groups in terms of gender and age (p>0.05). Also, the buccolingual angle of the crowns was similar between the two groups. Considering the adjustment of the pre-intervention effect, the mean of the U1-SN after the intervention did not show a statistically significant difference between the two groups (F=0.01, P=0.942). The result of ANCOVA was significant only for the OCC Plan &lowbar;FH after the intervention between two groups (F=4.65, P=0.036). Conclusion: The present study concluded that the buccolingual angle of the crowns was similar between the two groups. [ABSTRACT FROM AUTHOR]

Background. The design of an orthodontic mini-implant is a significant factor in determining its primary stability and its clinical success. The aim of this study was to measure the relative effect of mini-implant design factors on primary stability of orthodontic mini-implants. Methods. Thirty-two 3-dimensional assemblies of mini-implant models with their surrounding bone were generated using finite element analysis software. The maximum displacement of each mini-implant model was measured as they were loaded with a 2-N horizontal force. Employing Taguchi's design of experiments as a statistical method, the contribution of each design factor to primary stability was calculated. As a result of the great effect of the upper diameter and length, to better detect the impact of the remaining design factors, another set of 25 models with a fixed amount of length and diameter was generated and evaluated. Results. The diameter and length showed a great impact on the primary stability in the first set of experiments (P<0.05). According to the second set of experiments, increased taper angle in the threaded and non-threaded area decreased the primary stability. There was also an optimum amount of 2.5 mm for threaded taper length beyond which the primary stability decreased. Conclusion. It is advisable to increase the diameter and length if primary stability is at risk. In the second place, a minimum amount of taper angle, both in the threaded and non-threaded area with an approximate proportion of 20% of threaded taper length to MI length, would be desirable for MIs with a moderate size. [ABSTRACT FROM AUTHOR]

Objectives: This retrospective study aimed to evaluate the dentoalveolar, skeletal, and soft tissue effects obtained with bone-anchored pendulum appliance in patients with Class II malocclusion. Materials And Methods: A total of 18 patients (4 male, 14 female) at a mean pretreatment age of 14.0 years (+1.08) were enrolled in this study. All patients were treated with the bone-anchored pendulum appliance for an average duration of 4.8 months. Only the active distalization period was evaluated with predistalization and postdistalization lateral cephalograms. Skeletal, dentoalveolar, and soft tissue variables were obtained. Based on these variables, the treatment effects were evaluated with dependent t-test. Results: Correction of Class II molar relationship resulted from distal movement of 3.45 mm and tipping of 11.24° of the first maxillary molars. The premolars were distalized accompanying the molars. Conclusions: The bone-anchored pendulum appliance proved to be an effective method for distalization of maxillary molars in cases that require maximum anchorage, avoiding reciprocal mesial movement of premolars and incisors.