Elastodontic treatment with oral bio-activators in young children

Marra, Paola Martina; Fiorillo, Luca; Cervino, Gabriele; Cardarelli, Filippo; Cicciù, Marco; Laino, Luigi

doi:10.23736/s2724-6329.22.04696-4

Cited by 7 publications

(17 citation statements)

References 21 publications

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“…After a comprehensive examination of the entire texts of these papers, 13 studies were judged to be appropriate for the review. Three studies were case reports [28][29][30], three were case-control studies [31][32][33], one was a case series [34], five were retrospective studies [21,[35][36][37][38], and one was a prospective study [22].…”

Section: Resultsmentioning

confidence: 99%

“…EAs not only promote muscle growth but also prevent bilabial contact, compel the tongue to assume the correct position and instruct on proper swallowing techniques, according to a retrospective study [37]. By eliminating functional deficiencies in the stomatognathic system and operating in three dimensions within the oral cavity, elastodontics improves postural problems, bad habits, and breathing (which can occasionally be incorrect in class II patients with a tendency to oral breathing) according to a case-control study [33].…”

Section: Atypical Swallowing Spoiled Habits and Teeth Malpositionmentioning

confidence: 99%

“…As a result, the device itself does not control dental movement. This neutral zone in which they are positioned is created by the harmony between the muscles of the lips, tongue, and cheeks [21,25,28,37,42,[49][50][51][52][53][54][55].…”

Section: Design Principles Of Easmentioning

confidence: 99%

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Elastodontic Appliances for the Interception of Malocclusion in Children: A Systematic Narrative Hybrid Review

Ronsivalle,

Nucci,

Bua

et al. 2023

Children

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Background. Interceptive orthodontic treatment aims to eliminate factors that prevent the harmonious development of the maxillary and mandibular arches during childhood, and elastodontic appliances (EAs) represent a group of devices with an increasingly important role. This systematic narrative hybrid review (HR) aims to provide an overview of the clinical indications for the use of EAs according to the available evidence and to identify potential research areas for unexplored applications. Materials and methods. To assess the available literature on the subject, selective database searches were performed between July 2023 and September 2023. With the assistance of a health sciences librarian, a search strategy that utilized terms related to elastodontic therapy was developed. Embase, Scopus, PubMed, and Web of Science were the databases used. Results. The current literature addressing the usability of EAs is scarce and mostly limited to case reports and case series. After 2168 citations were found through the searches, 13 studies were ultimately included. In this regard, information about the clinical use and effectiveness of EAs are reported in a narrative form, defining specific domains of the application that are clinically oriented, including sagittal and transversal discrepancies, atypical swallowing, teeth malposition, two-phase orthodontics and a lack of teeth retention. Conclusions. Within the intrinsic quality limitation of the available literature, it seems that EAs may represent a promising treatment alternative for managing mild-to-moderate malocclusion in children as an adjuvant therapy to the interruption of spoiled habits.

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Section: Resultsmentioning

confidence: 99%

Section: Atypical Swallowing Spoiled Habits and Teeth Malpositionmentioning

confidence: 99%

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Elastodontic Appliances for the Interception of Malocclusion in Children: A Systematic Narrative Hybrid Review

Ronsivalle,

Nucci,

Bua

et al. 2023

Children

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“…In addition to the issue mentioned above, a functional appliance has another possible drawback because it is a removal appliance. The effect of functional appliances depends on the degree of cooperation and compliance [ 16 , 17 ]. Therefore, removable functional appliances could only obtain dentoalveolar correction of Class II malocclusion without clinically significant skeletal changes [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

Mandibular Endochondral Growth Is Specifically Augmented by Nutritional Supplementation with Myo-Inositol Even in Rabbits

Shimoyama,

Kanzaki,

Tohyama

et al. 2024

Dentistry Journal

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Mandibular retrognathism occurs by insufficient mandibular growth and causes several issues, such as respiratory difficulty and diminished masticatory function. At present, functional orthodontic appliances are used for stimulating mandibular growth in pediatric cases. However, the effectiveness of functional appliances is not always stable in daily practices. A more effective, reliable, and safer therapeutic method for mandibular growth promotion would be helpful for growing mandibular retrognathism patients. As we previously discovered that nutritional supplementation of myo-inositol in growing mice specifically increases mandibular endochondral growth, we performed preclinical animal experiments in rabbits in this study. Briefly, six-week-old male Japanese white rabbits were fed with or without myo-inositol supplementation in laboratory chow until 25 weeks old, and 3D image analysis using micro CT data and histological examinations was done. Myo-inositol had no systemic effect, such as femur length, though myo-inositol specifically augmented the mandibular growth. Myo-inositol increased the thickness of mandibular condylar cartilage. We discovered that the nutritional supplementation of myo-inositol during the growth period specifically augmented mandibular growth without any systemic influence, even in rabbits. Our results suggest the possibility of clinical use of myo-inositol for augmentation of the mandibular growth in growing mandibular retrognathism patients in the future.

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“…These devices are removable, comfortable, simple in construction and function, and can be used in very young patients without impression taking but by choosing the size based on a simple intraoral measurement or by using classic waxes to detect the size of the arches. They act in a three-dimensional way on all the structures of the stomatognathic apparatus and can correct soft tissue functional problems, promoting restoration of oral, perioral, and lingual muscle function [ 38 , 39 , 40 , 41 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of Elastodontic Appliance on the Pharyngeal Airway Space in Class II Malocclusion

Patano

Inchingolo

Cardarelli

et al. 2023

JCM

Self Cite

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Background: The present study analyzed the changes obtained on the upper airway and hyoid bone dimensions in a group of patients with skeletal Class II malocclusion treated with functional elastodontic devices compared to an untreated control group. Methods: A group of 33 patients (19 females and 14 males) with Class II malocclusion treated with AMCOP® SC elastodontic device was compared with a control group of 35 subjects (17 females and 18 males) with untreated Class II malocclusion. Lateral cephalograms were available at the start (T0) and end of treatment/period of observation (T1). Cephalometric analysis was performed and linear measurements to evaluate airway space and hyoid bone position were also obtained. A multivariate analysis of variance for repeated measures (MANOVA) was performed to determine the effects of interactions for the groups for time. Results: Statistically significant differences were found in the study group from T0 and T1 with an improvement of superior upper airway (SPAS p < 0.0001), while in the control group it did not change in a statistically significant way from T0 to T1. The MANOVA test showed statistically significant differences between the two groups for the changes of SPAS (p = 0.003), IAS (p = 0.049), and H-C3 vertical (p = 0.038) values. Conclusions: Functional elastodontic therapy produced significant favorable airway changes in skeletal class II subjects.

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Elastodontic treatment with oral bio-activators in young children

Cited by 7 publications

References 21 publications

Elastodontic Appliances for the Interception of Malocclusion in Children: A Systematic Narrative Hybrid Review

Elastodontic Appliances for the Interception of Malocclusion in Children: A Systematic Narrative Hybrid Review

Mandibular Endochondral Growth Is Specifically Augmented by Nutritional Supplementation with Myo-Inositol Even in Rabbits

Effects of Elastodontic Appliance on the Pharyngeal Airway Space in Class II Malocclusion

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