Innovations and Trends in Modern Orthodontics

A special issue of Dentistry Journal (ISSN 2304-6767).

Deadline for manuscript submissions: 30 June 2026 | Viewed by 4087

Special Issue Editors


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Guest Editor
1. Galilee Medical Center, Orthodontic Department, College of Dental Sciences, Nahariya 22100, Israel
2. The Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel
Interests: orthodontics; clear aligner orthodontic modality; dental and maxillofacial trauma

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Guest Editor
Mike Petryk School of Dentistry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2R3, Canada
Interests: orthodontics; biomechanics; therapeutic ultrasound; dental tissue engineering
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Special Issue Information

Dear Colleagues,

I am pleased to present this Special Issue, titled “Innovations and Trends in Modern Orthodontics”. This Special Issue aims to bridge traditional orthodontic practices with cutting-edge technologies that are reshaping treatment strategies and elevating the standard of patient care.

Orthodontics is currently undergoing a technological, clinical, and conceptual transformation. Among the most significant developments is the growing use of clear aligners that integrate AI-driven planning, 3D printing, and advanced biomechanics for efficient and precise treatment. Artificial intelligence itself is emerging as one of the most transformative forces in modern orthodontics. Its thoughtful implementation holds great promise—from aiding diagnosis and supporting clinical decision-making to enabling predictive modeling and real-time patient monitoring through smart digital platforms. Similarly, telemedicine and remote monitoring tools are improving patient compliance, engagement, and continuity of care. As these innovations become more widespread, it is essential to evaluate their reliability and appropriate clinical boundaries, ensuring they empower—rather than replace—the expertise of the orthodontist.

This Special Issue will also examine the growing interdisciplinary connections between orthodontics and general health—focusing on areas such as airway development, respiratory function, and sleep quality. In addition, it will address the implementation of new treatment philosophies in multidisciplinary dental practice. The growing role of increasing use of temporary anchorage devices (TADs) will be explored as a minimally invasive yet highly effective biomechanical tool. This Special Issue will also focus on accelerated orthodontics, aimed at shortening treatment duration without compromising quality or stability.

Our goal is to offer an up-to-date snapshot of the orthodontic landscape, critically assess both opportunities and challenges, and foster dialogue on the innovations shaping the future of our profession .

We warmly invite clinicians, researchers, and dental professionals to contribute to this Special Issue. We welcome literature reviews, original research, case reports, and perspectives that highlight clinical advances, novel techniques, or technological integration. Collectively, these contributions will reflect the rapidly evolving nature of orthodontics and enrich professional dialogue across disciplines.

Join us in contributing to this exciting and rapidly evolving field. We look forward to receiving your submissions.

Warm regards,

Prof. Dr. Shmuel Einy
Prof. Dr. Tarek El-Bialy
Guest Editors

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Keywords

  • clear aligners
  • artificial intelligence
  • telemedicine
  • interdisciplinary
  • multidisciplinary treatment
  • temporary anchorage devices
  • accelerated orthodontics

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Published Papers (3 papers)

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Research

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12 pages, 1179 KB  
Article
Effectiveness of Modified Clear Aligner Attachment Designs on Molar Extrusion: An In Vitro Typodont Study
by Aisha Bin Hussain, Tarek Elshazly, Amar Hassan and Ahmed Ghoneima
Dent. J. 2025, 13(12), 551; https://doi.org/10.3390/dj13120551 - 22 Nov 2025
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Abstract
Background/Objectives: Clear aligner therapy (CAT) has become a popular, aesthetic, and comfortable alternative to fixed appliances. Advancement of in-house 3D printing has improved accessibility and customization of aligners. However, their effectiveness in achieving certain tooth movements, particularly extrusion, remains uncertain. This study [...] Read more.
Background/Objectives: Clear aligner therapy (CAT) has become a popular, aesthetic, and comfortable alternative to fixed appliances. Advancement of in-house 3D printing has improved accessibility and customization of aligners. However, their effectiveness in achieving certain tooth movements, particularly extrusion, remains uncertain. This study aimed to evaluate the effectiveness of modified aligner designs with different attachment configurations in producing extrusion of the upper first molar using typodont models. Methods: An in vitro study was performed with 400 clear aligners fabricated from shape memory polymer (Graphy Tera Harz TC-85DAC) using a Uniz Slash-C LCD 3D printer. Aligners were divided into four groups (n = 100 each) based on attachment location: no attachment (G1), buccal (G2), palatal (G3), and combined buccal–palatal (G4). Typodont models were used to simulate clinical conditions. Tooth extrusion, inclination, and angulation were measured using CBCT scans (Veraviewepocs 3D R100) and analyzed with Dolphin 3D imaging software. Results: Tooth movement varied by attachment configuration. G1 showed negligible extrusion. G2 and G3 produced significant vertical and angular changes, particularly in cusp extrusion and buccolingual tipping. G4 achieved the most consistent and statistically significant extrusion, with mean values of 0.97 mm (palatal cusp), 0.87 mm (mesiobuccal cusp), 0.72 mm (distobuccal cusp), and 1.62° mesiodistal tipping. The extrusion detected at the mesiobuccal cusp was 0.27, 0.41, 0.95, and 0.87 in G1, G2, G3, and G4, respectively. Buccal-only attachments demonstrated limited effectiveness. Conclusions: Attachment placement significantly affects the efficiency of clear aligners in achieving upper first molar extrusion. Combined buccal and palatal attachments provide superior control of extrusion and tipping movements. Customized attachment strategies may enhance clinical outcomes in CAT. Full article
(This article belongs to the Special Issue Innovations and Trends in Modern Orthodontics)
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Review

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16 pages, 2424 KB  
Review
Clinical Management of Orthodontic Miniscrew Complications: A Scoping Review
by Cristina del Rosso, Pier Paolo Poli, Martina Ghizzoni and Alberto Caprioglio
Dent. J. 2025, 13(12), 582; https://doi.org/10.3390/dj13120582 - 5 Dec 2025
Cited by 2 | Viewed by 1825
Abstract
Background/Objective: To outline strategies for the safe clinical use of orthodontic temporary anchorage devices (TADs) by analyzing papers that examine associated risks, complications, and approaches for their prevention and resolution. Methods: The research protocol used PubMed, Medline, and Scopus [...] Read more.
Background/Objective: To outline strategies for the safe clinical use of orthodontic temporary anchorage devices (TADs) by analyzing papers that examine associated risks, complications, and approaches for their prevention and resolution. Methods: The research protocol used PubMed, Medline, and Scopus up to May 2024, focusing on controlled and randomized clinical trials aligned with the review objective. Fourteen studies were included; bias risk was assessed, key data extracted, and a descriptive analysis performed. Study quality and evidence strength were also evaluated. Results: TADs optimize anchorage control without relying on patient compliance. However, they carry risks and complications. TAD contact with the periodontal ligament or root without pulp involvement requires removal for spontaneous healing. If pulp is involved, the TAD should be removed and endodontic therapy performed. If anatomical structures are violated, TAD should be removed. If transient, spontaneous recovery occurs, but sometimes pharmacological treatment may be needed. A 2 mm gap between the TAD and surrounding structures can prevent damage. In the maxillary sinus, a less than 2 mm perforation of the Schneiderian membrane recovers spontaneously; wider perforations require TAD removal. Good oral hygiene and TAD abutments prevent soft tissue inflammation, which resolves with 0.2% chlorhexidine for 14 days. Unwanted forces can cause TAD fractures, requiring removal. Minor TAD mobility due to loss of primary stability can be maintained; significant instability requires repositioning. Conclusions: The use of TADs requires meticulous planning, radiological guidance, and monitoring to minimize risks and manage complications. With proper care, TADs improve orthodontic outcomes and patient satisfaction. Full article
(This article belongs to the Special Issue Innovations and Trends in Modern Orthodontics)
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Other

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16 pages, 1017 KB  
Systematic Review
Artificial Intelligence Models for the Detection and Quantification of Orthodontically Induced Root Resorption Using Cone-Beam Computed Tomography: A Systematic Review and Meta-Analysis
by Carlos M. Ardila, Eliana Pineda-Vélez and Anny M. Vivares-Builes
Dent. J. 2026, 14(2), 79; https://doi.org/10.3390/dj14020079 - 2 Feb 2026
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Abstract
Background/Objectives: Orthodontically induced root resorption (OIRR) is a well-documented but undesired consequence of orthodontic treatment. This systematic review and meta-analysis aimed to assess the diagnostic performance of artificial intelligence (AI) models applied to cone-beam computed tomography (CBCT) for detecting and quantifying OIRR [...] Read more.
Background/Objectives: Orthodontically induced root resorption (OIRR) is a well-documented but undesired consequence of orthodontic treatment. This systematic review and meta-analysis aimed to assess the diagnostic performance of artificial intelligence (AI) models applied to cone-beam computed tomography (CBCT) for detecting and quantifying OIRR while evaluating their agreement with manual reference standards and the impact of model architecture, validation design, and quantification strategy. Methods: Comprehensive searches were conducted across PubMed/MEDLINE, Scopus, Web of Science, and EMBASE up to November 2025. Studies were included if they employed AI for OIRR diagnosis using CBCT and reported relevant performance metrics. Following PRISMA guidelines, data were extracted and a random-effect meta-analysis was performed. Subgroup analyses explored the influence of model design and validation. Results: Seven studies were included. Pooled sensitivity from three eligible studies was 0.903 (95% CI: 0.818–0.989), suggesting excellent true positive rates. Specificity ranged from 82% to 98%, and area under the receiver operating characteristic curve values reached up to 0.96 across studies using EfficientNet, U-Net, and other convolutional neural network (CNN)-based architectures. The pooled intraclass correlation coefficient for agreement with manual quantification was 1.000, reflecting near-perfect concordance. Subgroup analyzes showed slightly superior performance in CNN-only models compared to hybrid approaches, and better diagnostic metrics with internal validation. Linear assessments appeared more sensitive to early apical shortening than volumetric methods. Conclusions: AI models applied to CBCT demonstrate excellent diagnostic accuracy and high concordance with expert assessments for OIRR detection. These findings support their potential integration into clinical orthodontic workflows. Full article
(This article belongs to the Special Issue Innovations and Trends in Modern Orthodontics)
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