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Background A dentigerous cyst (DC) is a pathology embracing the crown of an unerupted tooth at risk of malignant transformation. The causal tooth is usually removed together with the cyst. However, if there are orthodontic contraindications for extraction, two questions arise. (1) Which factors favor spontaneous eruption? (2) Which factors imply the necessity of applying orthodontic traction? This systematic review aimed to identify factors conducive/inconducive to the spontaneous eruption of teeth after dentigerous cyst marsupialization. Methods In accordance with the PRISMA guidelines, the main research question was defined in the PICO format (P: patients with dentigerous cysts; I: spontaneous tooth eruption after surgical DC treatment; C: lack of a spontaneous tooth eruption after surgical DC treatment; O: determining factors potentially influencing spontaneous tooth eruption). The MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials databases were searched for keywords combining dentigerous/odontogenic/follicular cysts with teeth and/or orthodontics, as well as human teeth and eruption patterns/intervals/periods/durations. The following data were extracted from the qualified articles (4 out of 3005 found initially): the rate of tooth eruption after surgical treatment of the cyst, the age and sex of the patients, the perpendicular projection distance between the top of the tooth cusp and the edge of the alveolar process, tooth angulation, the root formation stage, the cyst area, and the eruption space. The articles were subjected to risk of bias and quality analyses with the ROBINS-I protocol and the modified Newcastle–Ottawa QAS, respectively. Meta-analyses were performed with both fixed and random effects models. The GRADE approach was used to evaluate the quality of the evidence. The systematic review was registered in PROSPERO under ID CRD42020189044. Results Nearly 62% of DC-associated premolars erupted spontaneously after cyst marsupialization/decompression. Young age (mean = 10 years) and root formation not exceeding 1/2 of its fully developed length were the factors likely to favor spontaneous eruption. Conclusion The small number of published studies, as well as their heterogeneity and the critical risk of bias, did not allow the creation of evidence-based protocols for managing teeth with DC after marsupialization. More high-quality research is needed to draw more reliable conclusions.

Background: Recent studies have shown a strong relationship between the expression of osteopontin and oral carcinogenesis. Osteopontin (OPN) has been shown to play a major role in regulating the aggressiveness of cancer cells and promote tumor growth. Odontogenic cysts are an essential aspect of oral and maxillofacial pathology. They are relatively frequent lesions with different clinical behavior. Some of them may have a proliferative pattern of growth and neoplastic nature. Evaluation of osteopontin expression with Ki-67 index may help examine clinical behavior and recurrence of oral squamous cell cancer and radicular cyst patients.Methods: A total of 44 oral cavity cancer cases and 21 cysts samples were analyzed by immunohistochemical staining. Data used for analysis were derived from medical records. The following information was obtained from all patients' medical records: survival, age, sex, lymph node status, tumor size, and location, as well as grade and histologic type of tumor. Expression status of OPN and Ki-67 was statistically assessed.Results: Our data demonstrated that for summary immunoreactive scores of OPN and Ki-67 expressions in OSCC vs. RC patients statistical significance was found for both markers' between OSCC and RC groups. Moreover, osteopontin is significantly higher expressed in larger OSCC tumors. Conclusions:In conclusion, the role of OPN expression both in oral squamous cancer cells and radicular cyst and possible correlation with demographic and clinicopathological features remain undetermined in some aspects, further high-powered studies to develop a more standardized assessment of Ki-67 and osteopontin expression in OSCC and are needed.

Purpose The objective of this study was to investigate how daily wear time (DWT) influences class II malocclusion treatment efficiency. Materials and methods The study group consisted of 55 patients (mean age 10.4 years) diagnosed with a class II/1 malocclusion. Twin block appliances, with built-in Theramon® microsensors (MC Technology, Hargelsberg, Austria) to monitor patients’ cooperation (daily wear time assessment), were used for treatment. Cephalograms were taken and the following initial and final measurements were compared: Co-Gn, Co-Go, Co-Olp, Pg-Olp, WITS, SNA, SNB, ANB, Co-Go-Me, overjet, molar and canine relationships. The Shapiro–Wilk test, Wilcoxon signed-rank test, Student’s t-test, Levene’s test, Mann–Whitney U test, Kruskal–Wallis test, χ2 test, and Spearman’s rank correlation coefficient with p < 0.05 set as the statistical significance level were used to determine the correlation of the outcomes with DWT; a ROC (receiver operating characteristic) curve was calculated to illustrate diagnostic ability of the binary classifier system. Results DWT was very highly positively correlated with change of the Pg-Olp parameter and highly with an improvement in the ANB, SNA, and SNB angles, an increase in the WITS parameter and an increase in Co-Gn distance. DWTs < 7.5 h correlated with significantly less improvement of the investigated variables. However, DWT > 7.5 h did not significantly correlate with the improvement of the overjet and most of the linear parameters in the mandible. The ROC curve and its AUC (area under curve) allowed the determination of a DWT of 7 h and 48 min to be capable of establishing a class I relationship with 83% probability. Conclusions Class II treatment efficiency was influenced by DWT; an 8 h threshold value had an 83% probability of establishing a class I relationship.

Background: There are various methods of controlling the inclination of the incisors during retraction, but there is no evidence as to the advantages of some methods over others. The purpose of this systematic review and meta-analysis was to determine the effectiveness of the methods used to control torque during anterior teeth retraction. Methods: In accordance with the PRISMA guidelines, the main research question was defined in the PICO format [P: patients with complete permanent dentition; I: the maxillary incisor torque after (I) and before I retraction with straight-wire appliance and different modes of torque control; O: statistically significant differences in torque values of the upper incisors after orthodontic treatment]. The MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials databases were searched for keywords combining: retraction orthodontics, torque control orthodontics, torque orthodontics, inclination orthodontics, torque control retraction. The articles were subjected to risk of bias and quality analyses with the ROBINS-I protocol and the modified Newcastle–Ottawa QAS, respectively. Meta-analyses were performed with both fixed- and random-effects models. Results: 13 articles were selected in which total number of 580 subjects took part. In all studies, incisors were retroclined during retraction by 2.46° (mean difference), which was statistically significant. Considering the articles separately, the differences in torque between the study group and the control group were statistically significant in six articles. The Q statistic was 36.25 with p = 0.0003 and I2 = 66.9%, which indicated a high level of study heterogeneity. Conclusion: Both properly performed corticotomy and en-masse retraction using orthodontic microimplants seem to be the most effective and scientifically validated methods of torque control. Further high-quality research is needed to perform better quality analyses and draw more reliable conclusions.

AimThis systematic review aimed to identify factors conducive/inconducive to a spontaneous eruption of teeth after a dentigerous cyst's marsupialization.MethodsIn accordance with the PRISMA guidelines, the main research question was defined in the PICO format (P: patients with dentigerous cysts, I: spontaneous eruption after surgery, C: forced eruption, O: determining factors potentially influencing the intervention or the comparison). The MEDLINE, the EMBASE, and the Cochrane Central Register of Controlled Trials databases were searched for the keywords combining dentigerous/odontogenic/follicular cyst with teeth and/or orthodontics, as well as human teeth and eruption pattern/interval/period/duration. The qualified articles (4 out of 3005 found initially) provided following data: a rate of tooth eruption after surgical treatment of the cyst, along with age and gender of patients, a perpendicular projection distance between the top of the tooth cusp and the edge of the alveolar process, tooth angulation, a root formation stage, the cyst size, and space to erupt. The articles underwent analysis of the risk of bias and quality, with the ROBINS-I protocol and the modified Newcastle-Ottawa QAS, respectively. The systematic review was registered in PROSPERO under ID CRD42020189044.ResultsA real risk of bias was assessed as critical, while the quality of the studies was considered high (7-9 points in 9-point scale). Small distance between the top of a tooth cusp and the edge of the alveolar process, and space for eruption larger than tooth dimensions were the factors likely to favor spontaneous eruption. The cyst size was irrelevant, while the influence of the other factors could not be determined from the available data. ConclusionA small number of published studies, as well as their heterogeneity and the critical risk of bias do not allow creating the evidence-based protocol of management the teeth with DC after its marsupialization. More high-quality research is needed to be able to draw more reliable conclusions.

A -koncepcja i projekt badania, B -gromadzenie i/lub zestawianie danych, C -analiza i interpretacja danych, D -napisanie artykułu, E -krytyczne zrecenzowanie artykułu, F -zatwierdzenie ostatecznej wersji artykułu StreszczenieWprowadzenie. Wady twarzoczaszki są spowodowane nieprawidłowościami w budowie szkieletowej kości szczęki i żuchwy. Zabiegi ortognatyczne wykonuje się w celu przywrócenia prawidłowych proporcji twarzy, funkcji, estetyki. Pacjenci świadomi swojej wady gnatycznej starają się znaleźć jak najwięcej informacji dotyczących sposobów jej korygowania. Operacje wiążą się z dużą zmianą w życiu pacjenta na gruncie fizycznym i psychicznym. Informacje znalezione na forach internetowych często kształtują postępowanie pacjenta zarówno przed zabiegiem operacyjnym, jak i po nim. Cel pracy. Analiza postrzegania wad gnatycznych oraz indywidualnej oceny wpływu zabiegów ortognatycznych u pacjentów operowanych i przygotowujących się do operacji na podstawie korelacji obaw i oczekiwań pacjentów przed zabiegiem z opiniami na temat rezultatów operacji wyrażonymi przez grupę osób po zabiegu. Materiał i metody. Badane osoby były użytkownikami forum internetowego podejmującego zagadnienia róż-nych wad twarzoczaszki (www.progenia.org). Pacjentów podzielono na dwie grupy: I -pacjenci przed zabiegiem: 80 osób (69 K, 11 M) oraz II -pacjenci po zabiegu: 50 osób (43 K, 7 M). Do analizy wyników użyto elektronicznego, anonimowego badania ankietowego użytkowników internetowego forum, wykorzystującego autorskie kwestionariusze badawcze. Wyniki. Najbardziej negatywnym skutkiem posiadania wady gnatycznej jest deformacja twarzoczaszki w obrę-bie piętra dolnego (56% K, 71% M z grupy II), co jest główną przyczyną skłaniającą do poddania się zabiegowi. Większość pacjentów z wadami gnatycznymi przyznaje, że jest przez to mniej pewna siebie (28% K, 39% M). Ankietowani (65% K, 64% M) twierdzą, że leczenie zmieni znacząco ich życie. Po zabiegu zwiększa się poczucie atrakcyjności, samoocena. Dochodzi do wielu zmian w układzie stomatognatycznym. Wnioski. Pacjenci o swojej wadzie zgryzu dowiadują się głównie od lekarza. Od operacji oczekują poprawy wyglądu i funkcjonowania. Większość obawia się pooperacyjnych parestezji. Ponad 50% ankietowanych wskazuje na dobry przebieg rekonwalescencji. Oczekiwania odnośnie do zabiegu spełniły się u większości ankietowanych. Dominują pochlebne opinie na temat rezultatów leczenia. Aż 82% przyznaje, że warto było poddać się leczeniu i poleca je pacjentom z podobnymi wadami (Dent. Med. Probl. 2016, 53, 1, 89-102).Słowa kluczowe: wady gnatyczne, chirurgia ortognatyczna, jakość życia, badanie ankietowe. AbstractBackground. Dentofacial deformities are related with inappropriate skeletal structure of mandibular and maxillary bones. Orthognathic surgery is performed in order to improve proper facial proportions, as well as its function and aesthetics. Patients aware of their deformity seek information related to the potential choices of treatment. Surgeries influence both physical and mental aspects of patient's lif...