Tradition and Innovation in Orthodontics

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

Deadline for manuscript submissions: 10 March 2025 | Viewed by 9097

Special Issue Editor


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Guest Editor
Department of Surgical Sciences, Traumatology and Sport Dental Research Center, University of Cagliari, Via Ospedale, 09124 Cagliari, Italy
Interests: sports medicine; pediatric dentistry; dental trauma; prosthodontic; orthodontics and forensic dentistry
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Special Issue Information

Dear Colleagues,

This new Special Issue was born in the wake of celebrating 50 years since the foundation of the School of Specialization in Orthodontics of the University of Cagliari, the first in Italy and among the first in Europe. Over the years, the school has made a strong contribution and pushed the evolution of orthodontic discipline, having produced numerous illustrious professors and university directors and brilliant clinicians who have contributed to the strong innovative process over the last 30 years.

This Special Issue was formed to create a scientific bridge, as well as a generational one, between traditional methods and techniques using the latest technologies and diagnostic advances that have characterized these last few years. Contributions in the form of literature reviews, retrospective and prospective studies, case reports, and case series of particular quality and high iconographic definition and solid methodology are welcomed to be submitted.

Prof. Dr. Enrico Spinas
Guest Editor

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Keywords

  • University of Cagliari
  • dentistry
  • orthodontics
  • new technologies in Orthodontics
  • aligners and tooth movements

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Published Papers (5 papers)

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Research

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12 pages, 4356 KiB  
Article
Two-Dimensional Radiographic Diagnosis of Maxillary Canine Impactions
by Alin M. Iacob, Matías Ferrán Escobedo Martínez, Sonsoles Olay García, Sonsoles Junquera Olay and Luis Manuel Junquera Gutiérrez
Dent. J. 2024, 12(11), 360; https://doi.org/10.3390/dj12110360 - 13 Nov 2024
Viewed by 512
Abstract
Background: The primary aim of this study was to evaluate, using conventional radiographic imaging, the height, angulation, and mesiodistal position of impacted maxillary canines to determine if these variables are significantly associated with the palatal or buccal positioning of the tooth. Methods: A [...] Read more.
Background: The primary aim of this study was to evaluate, using conventional radiographic imaging, the height, angulation, and mesiodistal position of impacted maxillary canines to determine if these variables are significantly associated with the palatal or buccal positioning of the tooth. Methods: A retrospective analysis was conducted on all patients diagnosed and treated for at least one impacted maxillary canine over a 4-year period in the Principality of Asturias. The final sample included 159 impacted canines. The variables analyzed were age, gender, associated pathology, location, angulation, height, mesiodistal position, buccopalatal position, and treatment method. Follow-up periods ranged from 12 to 50 months. Results: The mean age of the patients was 21 years (range 10–41 years), with most cases occurring in patients aged 14 to 30 years. Females accounted for 66.1% of the sample, with a female-to-male ratio of 1.95:1. The type of treatment (extraction/traction, surgical–orthodontic approach) was significantly associated with patient age. Additionally, the proximity of the impacted canine crown to the palatal or buccal cortices was significantly related to the treatment choice. However, no significant relationship was observed between the palatal/buccal position of the canine crown and its height or angulation. Conclusions: In the present work, the upper canines included by the palatal did not have a greater height or angulation than the canines included by the vestibule. Full article
(This article belongs to the Special Issue Tradition and Innovation in Orthodontics)
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12 pages, 1691 KiB  
Article
Comparison of Upper Central Incisor Torque in the ClinCheck® with and without CBCT Integration: A Cross-Sectional Study
by Cíntia Queirós, Maria Gonçalves, Sofia Ferreira, Inês de Castro, Rui M. S. Azevedo and Teresa Pinho
Dent. J. 2024, 12(8), 269; https://doi.org/10.3390/dj12080269 - 20 Aug 2024
Viewed by 1073
Abstract
Controlling root movement is one of the greatest challenges in orthodontic treatment with aligners, like Invisalign® aligners. Cone Beam Computed Tomography (CBCT) integration into ClinCheck®, enabling bone and root visualisation, allows a more accurate follow-up of the teeth position. This [...] Read more.
Controlling root movement is one of the greatest challenges in orthodontic treatment with aligners, like Invisalign® aligners. Cone Beam Computed Tomography (CBCT) integration into ClinCheck®, enabling bone and root visualisation, allows a more accurate follow-up of the teeth position. This study aims to compare torque measurements of the upper central incisors with and without CBCT and relate them to the upper incisor inclination and facial biotype. In a sample of 70 teeth, torque measurements were obtained by importing images into AutoCAD® software (version 2024). The angle between the tooth’s long axis with CBCT duplicate and the tooth’s long axis without CBCT was obtained to assess the difference. Statistically significant differences between torque measurements with and without CBCT were found, as well as between these measurements and the inclination of the upper incisors. No statistically significant differences were found among the facial biotypes. The average values of 27.8° ± 3.4° and 21.5° ± 3.2° were obtained for the angle between the axes. Torque without CBCT was lower than torque with CBCT, for the same tooth. The angle between the axes had a similar mean for both teeth. CBCT integration into ClinCheck® allows for a more correct torque measurement. Full article
(This article belongs to the Special Issue Tradition and Innovation in Orthodontics)
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18 pages, 1666 KiB  
Article
Evaluation of Biomarkers of Bone Metabolism on Salivary Matrix in the Remodeling of Periodontal Tissue during Orthodontic Treatment
by Angela Pia Cazzolla, Vincenzo Brescia, Roberto Lovero, Antonietta Fontana, Arcangela Giustino, Mario Dioguardi, Maria Severa Di Comite, Francesca Di Serio, Domenico Ciavarella and Vito Crincoli
Dent. J. 2024, 12(7), 209; https://doi.org/10.3390/dj12070209 - 9 Jul 2024
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Abstract
The aim of this study was to evaluate changes in the concentration of N-terminal type I collagen extension pro-peptide (PINP), tartrate-resistant acid phosphatase (TRAcP), and parathyroid hormone-related protein (PTHrP) in saliva during orthodontic treatment in order to evaluate whether changes in bone turnover [...] Read more.
The aim of this study was to evaluate changes in the concentration of N-terminal type I collagen extension pro-peptide (PINP), tartrate-resistant acid phosphatase (TRAcP), and parathyroid hormone-related protein (PTHrP) in saliva during orthodontic treatment in order to evaluate whether changes in bone turnover marker (BTM) concentration can help highlight the effects of orthodontic mechanical loading in the absence of clinical evidence of tooth movement in terms of tooth movement. Saliva samples from 25 apparently healthy young subjects (10 females and 15 males) were collected using Salivette® (Sarstedt) with cotton swabs and the concentrations of PTHrP, TRAcP 5b, and PINP were analyzed at time 0 (T1), 25 days (T2), and at 45 days (T3). Differences in the median value of biomarker levels between baseline T1 and follow-up of the different groups (T2 and T3) were assessed using the non-parametric Mann–Whitney U test. Trough concentrations of P1NP, PTHrP, and TRAcP were 0.80 µg/L, 0.21 ng/mL, and 0.90 U/L above the method LOD. The non-parametric Mann–Whitney U test confirmed a statistically significant difference in T1 versus concentrations of T2 and T3. All subjects evaluated had a statistically significant difference between T1 vs. T3. when compared with the specific critical difference (RCV) for the analyte The results obtained demonstrate that the evaluation of BTM changes in saliva can help the evaluation of orthodontic procedures and the monitoring of biomechanical therapy. Full article
(This article belongs to the Special Issue Tradition and Innovation in Orthodontics)
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Review

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31 pages, 818 KiB  
Review
Temporomandibular Disorders Management—What’s New? A Scoping Review
by Giovanni Mauro, Alessio Verdecchia, Carlota Suárez-Fernández, Riccardo Nocini, Enrico Mauro and Nicoletta Zerman
Dent. J. 2024, 12(6), 157; https://doi.org/10.3390/dj12060157 - 23 May 2024
Cited by 4 | Viewed by 3169
Abstract
Temporomandibular disorders include various conditions that impact the masticatory system, affecting its structure, function, or physiology. Clinicians face a complex array of therapeutic options when treating this group of diseases, emphasizing the importance of evaluating the current evidence to guide decisions in patient [...] Read more.
Temporomandibular disorders include various conditions that impact the masticatory system, affecting its structure, function, or physiology. Clinicians face a complex array of therapeutic options when treating this group of diseases, emphasizing the importance of evaluating the current evidence to guide decisions in patient care. The main objective of this article is to conduct a scoping review on the available treatment approaches to manage temporomandibular disorders (TMDs). An extensive search of the literature was performed on Scopus, Pubmed, Embase, and Web of Science. Systematic reviews published in the last 5 years were considered. Out of the 2183 publications identified, 109 studies were included in this review. Among them, 39 articles focused on the non-invasive approach, while 120 delved into the minimally invasive approach, and 15 explored the surgical approach. Non-invasive or conservative approaches like cognitive-behavioral therapy, physical therapy, and acupuncture offer effective pain management and functional improvements in TMDs. Emerging treatments offer promising alternatives for treating these disorders. Surgery should be reserved for severe cases, with conservative therapies used in conjunction with invasive procedures for optimal patient outcomes. Full article
(This article belongs to the Special Issue Tradition and Innovation in Orthodontics)
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13 pages, 892 KiB  
Review
Does Miniscrew-Assisted Rapid Palatal Expansion Influence Upper Airway in Adult Patients? A Scoping Review
by Mariachiara Benetti, Luca Montresor, Daniele Cantarella, Nicoletta Zerman and Enrico Spinas
Dent. J. 2024, 12(3), 60; https://doi.org/10.3390/dj12030060 - 1 Mar 2024
Cited by 1 | Viewed by 2603
Abstract
(1) Objective: This scoping review evaluates the effects of miniscrew-assisted rapid palatal expansion (MARPE) on different regions of the upper airway in adult patients and investigates various methods of measurement. (2) Methods: The search encompassed Pubmed, Cochrane Library, Scopus and Web of Science. [...] Read more.
(1) Objective: This scoping review evaluates the effects of miniscrew-assisted rapid palatal expansion (MARPE) on different regions of the upper airway in adult patients and investigates various methods of measurement. (2) Methods: The search encompassed Pubmed, Cochrane Library, Scopus and Web of Science. This review was conducted following the PRISMA_ScR guidelines, and the inclusion criteria for examined studies were chosen in accordance with the PICOS framework. (3) Results: Seven studies were included in this review, comprising four retrospective studies, one prospective and two case reports. All studies involved the use of Cone Beam Computed Tomography (CBCT) for measurements of the areas of interest. The percentage of increase in the volume of the nasal cavity varied between 31% and 9.9%, depending on the study. Volumetric variations in the nasopharynx were reported as increases between T0 (before expansion) and T1 (immediately after expansion) of 6.4%, 20.7% and 14.1%. All studies considered T0 before expansion and T1 immediately after expansion. Only one study evaluated remote follow-up to assess if the results were maintained after one year. (4) Conclusions: MARPE appears to lead to a statistically significant increase in the upper airway, especially in the nasal cavity and nasopharynx immediately after expansion. However, further prospective and retrospective trails with long-term controls are required to verify the effects of MARPE on the upper airway. Full article
(This article belongs to the Special Issue Tradition and Innovation in Orthodontics)
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