A broader look at Interceptive Orthodontics: What can we offer?

Artese, Flávia

doi:10.1590/2177-6709.24.5.007-008.edt

Cited by 5 publications

(5 citation statements)

References 5 publications

(7 reference statements)

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“…A ortodontia, especialidade odontológica voltada para o desenvolvimento das estruturas dentofaciais, se subdivide em duas vertentes: preventiva, cuja intervenção ocorre anterior ao aparecimento de uma alteração no sistema estomatognático, a fim de evitá-la; ou, interceptativa, que atua após a instalação de uma maloclusão, e visa impedir evolução do agravo e/ou reestabelecer as condições de normalidade (Félix Junior, 2019;Artese, 2019;Mostafiz, 2019).…”

Section: Resultsunclassified

Mantenedor de espaço fixo convencional como intervenção ortodôntica para perda precoce de dentes decíduos: relato de caso

Maçãira

Mangabeira

Coelho

2022

RSD

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A perda precoce do elemento dentário é caracterizada pela esfoliação antes do tempo previsto e acarreta a falta das funções que estes dentes exerciam, dentre elas a preservação do espaço dos sucessores permanentes, estabelecimento da oclusão, mastigação, fonação e estética. Objetivo: Relatar um caso clínico de confecção de um mantenedor de espaço fixo convencional como intervenção ortodôntica para perda precoce de dente decíduo e controle do crescimento vertical posterior unilateral. Metodologia: Trata-se de um relato de caso, de caráter qualitativo e descritivo. Relato de caso: Paciente do sexo feminino, melanoderma, 05 anos de idade. Após anamnese, exames clínico e radiográfico, foi indicada a exodontia do elemento 85 como tratamento de escolha e posterior confecção de dispositivo ortodôntico mantenedor de espaço. Para conter o crescimento vertical posterior da maxila do lado direito, o dispositivo não funcional foi adaptado com resina acrílica, restabelecendo a oclusão e crescimento do paciente de maneira funcional. Discussão: A correta posição do elemento no arco dentário é consequência do equilíbrio de forças que atuam sobre ele. A desarmonia entre as mesmas altera diretamente o posicionamento deste, bem como pode gerar desequilíbrio no crescimento vertical ósseo (assimetria). Conclusão: A intervenção ortodôntica se tornou indispensável e agiu de forma preventiva e interceptativa. Para ambos, o mantenedor de espaço fixo convencional do tipo banda alça foi uma alternativa efetiva.

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Section: Resultsunclassified

Mantenedor de espaço fixo convencional como intervenção ortodôntica para perda precoce de dentes decíduos: relato de caso

Maçãira

Mangabeira

Coelho

2022

RSD

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“…Early orthodontic treatment effectively addresses interceptive orthodontic issues in growing patients, generally aligning with the planned ClinCheck ® predictions [50,51].…”

Section: Early Benefits and Challenges Of Early Orthodontic Treatment...mentioning

confidence: 99%

Clear Aligners in the Growing Patient: A Systematic Review

Inchingolo,

Dipalma,

Ferrara

et al. 2024

Children

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Mixed dentition represents a critical phase in the oral development of pediatric patients, characterized by the simultaneous presence of primary and permanent teeth. This article proposes a comprehensive systematic review of the application of aligners as an innovative methodology in managing mixed dentition. The primary objective is to explore the efficacy, safety, and acceptability of this emerging orthodontic technology in the evolving age group. This systematic review focuses on randomized controlled trials, cohorts, and observational studies investigating the use of aligners in patients with mixed dentition. Clinical, radiographic, and psychosocial parameters will be considered to assess the overall impact of aligner therapy in this critical phase of dental development. An in-depth analysis of such data aims to provide a comprehensive overview of the potential of this technology in pediatric orthodontics. Expected outcomes may contribute to outlining practical guidelines and targeted therapeutic strategies for orthodontists involved in managing mixed dentition. Furthermore, this article aims to identify gaps in the current research and suggest future directions for studies exploring the use of transparent aligners in patients with mixed dentition, thereby contributing to the ongoing evolution of evidence-based orthodontic practices.

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“…Interceptive orthodontics has the purpose of preventing or improving occlusal problems that might be happening in the transition period from deciduous to permanent dentition [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

Predictability of expansion movements performed by clear aligners in mixed dentition in both arches: a retrospective study on digital casts

Loberto,

Pavoni,

Fanelli

et al. 2024

BMC Oral Health

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Background to evaluate the predictability of expansion achieved in patients in early mixed dentition treated with Clear Aligners (CA), analyzing the efficiency of the expansion at the end of the first set of aligners and at the end of the therapy in the upper and lower arch. Methods 36 patients (20 F, 16 M; mean age 8.3 ± 1.5 years) were selected retrospectively from the Department of Orthodontics of the Hospital of Rome “Tor Vergata”. All subjects were treated with CA with no other auxiliaries than attachments. For each patient a standardized sequential expansion protocol was planned for both arches. Digital dental casts were created at three observation periods from an intraoral scanner: prior to treatment (T0), at the end of the first set of aligners (T1), at the end of treatment (T2). The 3D models in planned position determined by the first Clincheck (CC) were obtained for comparison with T1 and T2. Six linear transversal measurements were used to evaluate the dimensional changes and the predictability of expansion movements, comparing T1-CC and T2-CC. Results a statistically significant increase within the pre-treatment and the final outcomes for all the variables examined was found. In the upper arch, the greatest level of predictability was detected at the level of the first (46.44%) and second deciduous molar width (44.95%) at T1. The analysis of T2-CC changes showed a significant increase in the percentage of predictability of expansion at the level of the first permanent molars, at mesial (54.86%) and distal (58.92%) width. In the lower arch, a higher percentage of predictability than the upper arch was reported at T1-CC and T2-CC, with the greatest values at the level of second (T1-CC: 48.70%; T2-CC: 75.32%) and first deciduous molar width (T1-CC: 45.71%; T2-CC: 72.75%). Conclusions CA can induce significant transversal increments. The predictability of expansion is variable, but it did not exceed the 50% during the first set of aligners. It was necessary to apply refinement set to achieve a good predictability for expansion of about 70%. The expansion in the lower arch was observed to be more predictable than in the upper arch.

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A broader look at Interceptive Orthodontics: What can we offer?

Cited by 5 publications

References 5 publications

Mantenedor de espaço fixo convencional como intervenção ortodôntica para perda precoce de dentes decíduos: relato de caso

Mantenedor de espaço fixo convencional como intervenção ortodôntica para perda precoce de dentes decíduos: relato de caso

Clear Aligners in the Growing Patient: A Systematic Review

Predictability of expansion movements performed by clear aligners in mixed dentition in both arches: a retrospective study on digital casts

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