Orthodontics and New Technologies: 2nd Edition

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

Deadline for manuscript submissions: 31 March 2025 | Viewed by 3772

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Guest Editor
Department of Human Sciences, Innovation and Territory, School of Dental Hygiene, Postgraduate School of Orthodontics, University of Insubria, 22100 Como, Italy
Interests: oral health prevention; orthodontics;dentistry
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Special Issue Information

Dear Colleagues,

Nowadays, orthodontics is rapidly changing, and more and more patients ask for a consultation to improve their smile and aesthetics. Such an increase is paired with an incredible technological evolution that makes the orthodontic treatments really close to the needs of the patients. There are numerous new technologies in the orthodontic field:

  • Clear aligners;
  • Intra oral scanners;
  • Digital planning of the treatment;
  • Orthodontic accelerators;
  • Telemedicine;
  • New innovative materials.

The synergy between orthodontics and new technologies meets the desires of the patients, but also helps clinicians to share and improve their knowledge and clinical satisfaction in order to deliver the best outcome.

This Special Issue aims to investigate the current available state of the art in orthodontics and new dental technologies, both from researchers and clinicians’ points of view.

Prof. Dr. Luca Levrini
Guest Editor

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Keywords

  • 3D printing
  • application/apps
  • clear aligner appliances
  • dental materials
  • digital dentistry
  • digital healthacare
  • intra oral scanner
  • new materials
  • orthodontic treatment
  • telemedicine
  • tooth movement techniques

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Related Special Issue

Published Papers (4 papers)

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Research

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11 pages, 4618 KiB  
Article
Accuracy of One-Piece vs. Segmented Three-Dimensional Printed Transfer Trays for Indirect Bracket Placement
by Bayan Alyammahi, Amar Hassan Khamis and Ahmed Ghoneima
Dent. J. 2024, 12(11), 352; https://doi.org/10.3390/dj12110352 - 31 Oct 2024
Viewed by 522
Abstract
Objective: To assess the accuracy of three-dimensional (3D) printed one-piece vs. multiple segmented transfer trays for indirect bonding techniques in moderate and severe crowding cases. Methods: Eighty digital maxillary dental models were produced by an extraoral scanner. 3D-printed one-piece and segmented trays were [...] Read more.
Objective: To assess the accuracy of three-dimensional (3D) printed one-piece vs. multiple segmented transfer trays for indirect bonding techniques in moderate and severe crowding cases. Methods: Eighty digital maxillary dental models were produced by an extraoral scanner. 3D-printed one-piece and segmented trays were virtually designed utilizing Maestro 3D Ortho Studio® v4 and printed using a NextDent printer. The sample was classified into two groups: Group 1 (moderate crowding) included 40 digital models with a space deficiency of 6–7 mm, and Group 2 (severe crowding) included 40 digital models with a space deficiency of 10 mm. Ortho classic brackets were then placed into the 3D printed models with the aid of the transfer trays, and the models with the final bracket positioning were scanned using iTero scanner. Four measurements were selected on each tooth to perform the analysis. Mann–Whitney and Kruskal–Wallis tests were used for comparisons. A p-value of ≤ 0.05 was considered statistically significant. Results: In the moderate crowding group, statistically significant differences were detected between the one-piece, segmented, and control groups for three measurements (p < 0.001), while the rest of the measurements showed no significant differences (p > 0.05). In the severe crowding group, no significant differences were detected for any of the measurements. Conclusions: One-piece and segmented 3D-printed transfer trays are considered accurate tools for indirect bonding in moderate and severe malocclusion cases. The severity of crowding did not affect the accuracy of bracket transfer in indirect bonding. Full article
(This article belongs to the Special Issue Orthodontics and New Technologies: 2nd Edition)
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12 pages, 1645 KiB  
Article
Multibraided Fixed Retainers with Different Diameters after Magnetic Resonance Imaging (MRI): In Vitro Study Investigating Temperature Changes and Bonding Efficacy
by Maria Francesca Sfondrini, Maurizio Pascadopoli, Paola Gandini, Lorenzo Preda, Domenico Sfondrini, Karin Bertino, Cinzia Rizzi and Andrea Scribante
Dent. J. 2024, 12(8), 255; https://doi.org/10.3390/dj12080255 - 13 Aug 2024
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Abstract
Objectives: Orthodontists are often asked to remove fixed retainers before patients undergo magnetic resonance imaging (MRI). The present in vitro study was designed to analyze the heating and bonding efficacy of stainless steel multibraided fixed retainers after 1.5- and 3-tesla (T) MRI. Materials [...] Read more.
Objectives: Orthodontists are often asked to remove fixed retainers before patients undergo magnetic resonance imaging (MRI). The present in vitro study was designed to analyze the heating and bonding efficacy of stainless steel multibraided fixed retainers after 1.5- and 3-tesla (T) MRI. Materials and methods: A total of 180 human mandibular incisors were used to create 45 specimens of four teeth each, divided into nine groups. Handmade multibraided fixed retainers of three different sizes, defined by the diameter of the initial wire used (0.008″, 0.010″ and 0.012″), were tested. Three groups underwent MRI at 1.5 T, another three groups underwent MRI at 3 T and the last three groups did not undergo MRI. Temperature was assessed before and after MRI. Shear bond strength (SBS) and adhesive remnant index (ARI) were assessed after MRI for all groups. Data were statistically analyzed (p < 0.05). Results: After 1.5 T exposure, no significant temperature increase from T0 to T1 was observed in any of the groups (p > 0.05). Regarding the 3 T groups, a significant difference from T0 to T1 was found for all the groups (p < 0.05). Temperature changes were not clinically relevant, as they were less than 1 °C for all groups except for group 3 (ΔT0–T1: 1.18 ± 0.3 °C) and group 6 (ΔT0–T1: 1.12 ± 0.37 °C). Furthermore, there were no significant differences between the temperature variations associated with different wire diameters (p > 0.05). Conclusions: No significant changes in SBS or ARI were found (p > 0.05). Clinical significance: Since overheating was irrelevant and adhesion values did not change, the tested devices were concluded to be safe for MRI examinations at 1.5 T and 3 T. Full article
(This article belongs to the Special Issue Orthodontics and New Technologies: 2nd Edition)
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14 pages, 251 KiB  
Article
Assessment of Food Masticatory Capability with Clear Aligners
by Luca Levrini, Nicola Giannotta, Rodolfo Francesco Mastrapasqua, Davide Farronato, Vittorio Maurino, Alessandro Deppieri, Federico Tasquier and Stefano Saran
Dent. J. 2024, 12(7), 217; https://doi.org/10.3390/dj12070217 - 15 Jul 2024
Cited by 2 | Viewed by 892
Abstract
Nowadays, aligners represent a possible therapeutical approach that combines both esthetic and function in order to address dental malocclusion. However, they require a significant level of compliance from the patient. According to the manufacturer, at least 22 h of wearing a day is [...] Read more.
Nowadays, aligners represent a possible therapeutical approach that combines both esthetic and function in order to address dental malocclusion. However, they require a significant level of compliance from the patient. According to the manufacturer, at least 22 h of wearing a day is demanded to reach the optimal therapeutical level; hence, aligners can only be removed during meals. Patients’ compliance might increase and the duration of the treatment might decrease if they were allowed to eat with aligners on. The idea of patients keeping the aligners on during meals has been contemplated, not only to favor patients’ compliance but also treatment effectiveness. This study aims to assess the degree of chewing difficulty that aligners cause when eating certain kinds of food and the quantity of residue left. Material and Methods: A questionnaire titled “Questionnaire for the Assessment of Masticatory Function with Aligners” was administered using Google Forms to 240 patients in treatment with clear aligners. The survey was validated through the reliability test using the test–retest method. This method had a higher correlation coefficient of 0.9 across all items (with a cutoff of 0.8) with statistical significance, and an excellent internal correlation coefficient (α > 0.9). The statistical analysis performed consisted of descriptive analysis, frequencies, percentages, Pearson’s correlation test and Friedman’s test. Results: Pearson’s test showed a statistically significant correlation between all items except between meat or clams and yogurt or ice cream and with mozzarella or soft cheese regarding food chewing difficulties. Pearson’s test showed a statistically significant correlation between all items regarding food residues. A total of 69.2% of the cohort reported some movements of aligners during mastication. In total, 88.3% of them affirmed not to have perceived deformations or breakage of aligners during chewing. Furthermore, 79.2% of them declared that they would continue to eat if eating with aligners was proven to speed up treatment. Conclusions: Wearing clear aligners while chewing foods such as yogurt, ice cream, soft cheese, bread, rice, etc., can be possible and can help shorten the duration of orthodontic treatment, benefiting both the patient and the orthodontist. However, further research using qualitative methods is needed to understand the barriers and facilitators to chewing food with aligners. Full article
(This article belongs to the Special Issue Orthodontics and New Technologies: 2nd Edition)

Other

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15 pages, 1327 KiB  
Systematic Review
Home Biofilm Management in Orthodontic Aligners: A Systematic Review
by Alessia Pardo, Annarita Signoriello, Alessandro Zangani, Elena Messina, Selene Gheza, Paolo Faccioni, Massimo Albanese and Giorgio Lombardo
Dent. J. 2024, 12(10), 335; https://doi.org/10.3390/dj12100335 - 21 Oct 2024
Viewed by 878
Abstract
Background. Transparent aligners are recently introduced orthodontic devices considered promising for the improvement of oral health conditions, in terms of faster treatment times and enhanced comfort, especially if compared with traditional fixed orthodontic therapy. This systematic review aimed to evaluate at-home protocols for [...] Read more.
Background. Transparent aligners are recently introduced orthodontic devices considered promising for the improvement of oral health conditions, in terms of faster treatment times and enhanced comfort, especially if compared with traditional fixed orthodontic therapy. This systematic review aimed to evaluate at-home protocols for proper oral hygiene and aligners cleaning during orthodontic treatment. Methods. A search was conducted using the following four databases: PubMed, Cochrane Library, Web of Science, and Scopus. The systematic review (registered as CRD 42024562215) followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines and included prospective studies, randomized controlled trials (RCTs), controlled clinical trials, and in vivo and ex vivo studies; they had to assess treatment with invisible orthodontics compared to treatment with fixed orthodontics, home oral hygiene, or aligner disinfection protocols. The evidence in the studies was evaluated for risk of bias using the RoB-2 (for RCTs and randomized crossover studies) and ROBINS-I tools (for observational studies). Results. Eleven studies were included in this systematic review: four RCTs, four crossover studies, and three cross-sectional observational studies. Seven studies considered patients undergoing orthodontic treatment, whereas four examined orthodontic aligners. The cleaning protocols of the aligners were evaluated based on the analysis of residual biofilm on the thermoplastic surfaces. Studies included were characterized by a low level of certainty, thus further evidence is needed. Conclusions. The most effective protocols entailed a combination of mechanical and chemical agents, suggesting that it is fundamental for patients undergoing aligner treatment to focus on individually tailored home oral hygiene protocols. Full article
(This article belongs to the Special Issue Orthodontics and New Technologies: 2nd Edition)
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