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Innovative Materials and Technologies in Paediatric Orthodontics: Quality of Life Beyond Digital

A special issue of Applied Sciences (ISSN 2076-3417). This special issue belongs to the section "Applied Dentistry and Oral Sciences".

Deadline for manuscript submissions: 20 April 2025 | Viewed by 1993

Special Issue Editors


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Guest Editor
1. Postgraduate School of Orthodontics, University of Brescia, 25123 Brescia, Italy
2. Digital Paediatric Dentistry, University of L’Aquila, 67100 L'Aquila, Italy
3. Private Practice, 21100 Varese, Italy
Interests: digital ortho paediatric dentistry

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Guest Editor
Dental School, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, 25121 Brescia, Italy
Interests: oral surgery; implant dentistry; restorative dentistry; AI; systematic reviews; 3D imaging; computed tomography
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Special Issue Information

Dear Colleagues,

Pediatric orthodontics are evolving towards increasingly custom needs with the aim of obtaining even more predictable results in accordance with the best possible quality of life for our young patients and their families, thus configuring a paradigm shift towards orthodontic pediatrics. This progress cannot ignore the technology available, including artificial intelligence, which must be democratic and easy for everyone for it to be deemed innovation. Meanwhile, we must start by abandoning the term CAD-CAM and replacing it with CAD-CAT (computer-aided design—computer-aided technofacturing), which better describes the completely digital procedures that the latest generation devices can be created with. Evaluation of the average collaboration between children and the use of "Self" or pre-programmed orthodontic devices has led researchers in the orthodontics field to explore a horizon, wherein the protagonists are the new technopolymers. In cases of allergy or hypersensitivity to metals or for specific diseases (such as epilepsy, autism, or vascular problems), which may require periodic or emergency magnetic resonance imaging (MRI) of the cranial district, it may not be possible to use fixed traditional and metal appliance retainers (“special needs” patients). In this scenario, the quality of life and comfort of the child and family go beyond digital considerations

Dr. Matteo Beretta
Dr. Domenico Dalessandri
Guest Editors

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Keywords

  • intraoral scan
  • face scan
  • CBCT
  • artificial intelligence
  • peek
  • PA12
  • graphy
  • CAD-CAT
  • technopolymers
  • quality of life

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Published Papers (2 papers)

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Research

14 pages, 1371 KiB  
Article
Preadolescents’ Smile Outcomes after Two Different Orthodontic Treatments: Traditional Interceptive Therapy with Rapid Maxillary Expansion (RME)/Schwarz Plate and Clear Aligners
by Matteo Rozzi, Manuela Mucedero, Silvia Fanelli, Patrizio Bollero and Paola Cozza
Appl. Sci. 2024, 14(20), 9325; https://doi.org/10.3390/app14209325 - 13 Oct 2024
Viewed by 692
Abstract
To compare preadolescents’ smile outcomes after two different orthodontic treatments: RME/Schwarz plate (RS) and clear aligners (CAs). A sample of 31 patients (13 M, 18 F, mean age 8.3 ± 1.2 y.m) treated with RS and a sample of 28 patients (12 M, [...] Read more.
To compare preadolescents’ smile outcomes after two different orthodontic treatments: RME/Schwarz plate (RS) and clear aligners (CAs). A sample of 31 patients (13 M, 18 F, mean age 8.3 ± 1.2 y.m) treated with RS and a sample of 28 patients (12 M, 16 F, mean age 7.9 ± 1.1 y.m) treated with CAS were included. Pre-treatment and post-treatment records were taken before the treatment (T1) and at the end of treatment (T2). Seventeen variables were evaluated. Both therapies were effective in smile width increase (RS = p < 0.02; CAs = p < 0.04) and buccal corridor reduction (RS = p < 0.02; CAs = p < 0.04). The intragroup analysis showed in the RS group an increase of incisor gingival display (p < 0.02), overbite (OVB) (p < 0.04) alongside a reduction of overjet (OVJ) (p < 0.01). Conversely, the CAs group evidenced a reduction in incisor gingival display (p < 0.04) and OVB (p < 0.01) with an increase in C angulation (p < 0.02) and maxillary incisor inclination (p < 0.04). An intergroup comparison evidenced a greater improvement in smile width, smile index and buccal corridor in the RS group with respect to the CAs group (p < 0.02; p < 0.02; p < 0.03). CAs were more effective in the management of gingival display, incisor position, midline correction (incisor gingival display p < 0.01; maxillary incisor position p < 0.04; maxillary dental midline p < 0.02), with a better control of OVJ (p < 0.01) and OVB (p < 0.02). The RS approach resulted in a greater smile width and a reduction in buccal corridor with respect to the CAs. The CAs provided a better management of both gingival display and smile aesthetics. Full article
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13 pages, 1289 KiB  
Article
Validated Questionnaire on Intraoral Scanner Effectiveness in Paediatric Patients
by Silvia Caruso, Giulia Di Benedetto, Pierluigi Pelagalli, Luca Caruso, Sara Caruso, Antonella Mattei, Fabiana Fiasca, Roberto Gatto, Gianmaria Fabrizio Ferrazzano and Elias Berdouses
Appl. Sci. 2024, 14(16), 7307; https://doi.org/10.3390/app14167307 - 19 Aug 2024
Viewed by 803
Abstract
The intraoral scanner represents an important innovation in the world of dentistry, capable of transforming and digitizing conventional workflows and significantly improving communication with the patient, especially in pediatric age. The aim of this study is to investigate how digital dentistry, using the [...] Read more.
The intraoral scanner represents an important innovation in the world of dentistry, capable of transforming and digitizing conventional workflows and significantly improving communication with the patient, especially in pediatric age. The aim of this study is to investigate how digital dentistry, using the intraoral scanner, can interact in the communicative trinomial dentist–pediatric patient–parents and how this tool can be useful in communicating and understanding the received message. The value of the introduction of digital dentistry on communication schemes is evaluated by administering a questionnaire of 17 questions. A sample of 100 children aged between 6 and 12 years was studied. Of the sample of children/parents included in the study, 50 were re-examined 4 weeks after the first visit to re-administer the questionnaire. Internal consistency, assessed through Cronbach’s alpha, was adequate, being alpha equal to 0.728. Test–retest reliability was assessed with Cohen’s kappa index for dichotomous variables (percentage of agreement was >85.71%), and for the discrete variables it was assessed with the Intraclass Correlation Coefficient (ICC). The reliability was moderate (0.5 < ICC < 0.75) for Q4, Q9, Q11 and Q1; for the other answers, the reliability was poor (ICC < 0.5) and not statistically significant. The digital approach is confirmed not only as a powerful innovation from an engineering or clinical point of view, but also as a useful tool for a more effective communication in the approach to pediatric patients. Full article
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