scholarly journals Facial asymmetry correction: From conventional orthognathic treatment to surgery-first approach

2019 ◽  
Vol 13 (4) ◽  
pp. 311-320 ◽  
Author(s):  
Tahereh Hosseinzadeh Nik ◽  
Elaheh Gholamrezaei ◽  
Mohammad Ali Keshvad
Keyword(s):  
Tooth Movement ◽  
Three Dimensional ◽  
Orthodontic Tooth Movement ◽  
Facial Asymmetry ◽  
Class Iii ◽  
Surgery First ◽  
Condylar Hyperplasia ◽  
Regional Acceleratory Phenomenon ◽  
Bimaxillary Surgery ◽  
Dimensional Assessment

The surgery-first approach (SFA), which proceeds without presurgical orthodontic treatment, is assumed to shorten the treatment course because the direction of post-surgical orthodontic tooth movement conforms to the normal muscular forces. Moreover, the regional acceleratory phenomenon (RAP), evoked by surgery, helps in tooth alignment and compensation in a faster way. Although SFA has definite advantages, especially in class III individuals, there is a lack of data about its indications in patients with facial asymmetry. In this article, we reviewed recently published articles on the treatment of asymmetric patients using the SFA. Different aspects, including the three-dimensional assessment of stability in different planes, approaches for fabrication of a surgical splint, predictability of the results, skills needed for bimaxillary surgery, indications as the treatment of choice for condylar hyperplasia, and combination with distraction osteogenesis in candidates with severe asymmetries were found to be the main topics discussed for patients presenting with facial asymmetry

scholarly journals Three-dimensional assessment of facial asymmetry among pre-pubertal class III subjects: a controlled study

2013 ◽  
Vol 36 (4) ◽  
pp. 431-435 ◽  
Author(s):  
M. Ovsenik ◽  
G. Perinetti ◽  
A. Zhurov ◽  
S. Richmond ◽  
J. Primozic
Keyword(s):  
Three Dimensional ◽  
Facial Asymmetry ◽  
Controlled Study ◽  
Class Iii ◽  
Dimensional Assessment

scholarly journals Highly variable rate of orthodontic tooth movement measured by a novel 3D method correlates with gingival inflammation

2020 ◽  
Author(s):  
Marc A. de Gouyon Matignon de Pontouraude ◽  
Johannes W. Von den Hoff ◽  
Frank Baan ◽  
Robin Bruggink ◽  
Marjon Bloemen ◽  
...  
Keyword(s):  
Biological Markers ◽  
Orthodontic Treatment ◽  
Tooth Movement ◽  
Gingival Crevicular Fluid ◽  
Contact Point ◽  
Anterior Segment ◽  
Three Dimensional ◽  
Orthodontic Tooth Movement ◽  
Large Individual ◽  
Gingival Inflammation

Abstract Objectives Individual orthodontic treatment duration is hard to predict. Individual biological factors are amongst factors influencing individual rate of orthodontically induced tooth movement (OTM). The study aim is to determine the rate of OTM by a novel 3D method and investigate parameters that may predict the rate of tooth movement. Materials and methods In this prospective cohort study, rate of OTM was determined from 90 three-dimensional intra-oral scans in 15 patients (aged 12–15) undergoing orthodontic treatment. For each patient, intra-oral scans were taken every week for up to 6 weeks (T0–T5). The teeth were segmented from the scans and the scans were superimposed on the palatal rugae. The rate of OTM was calculated for each tooth. Other parameters were gingival inflammation, contact-point displacement and the biological markers, matrix metalloproteinases (MMP), MMP-9 and MMP-2 in gingival crevicular fluid (GCF). Results Our study showed a high variation in the rate of OTM, varying from 0.15 to 1.24 mm/week. Teeth in the anterior segment tended to move more compared with the posterior segment. The contact point displacement and gingival inflammation varied greatly amongst the patients. The MMPs measured did not correlate with tooth movement. However, the gingival inflammation index showed a significant correlation with OTM. Future studies should include other biological markers related to bone-remodeling. Conclusion This novel and efficient 3D method is suitable for measuring OTM and showed large individual variation in rate of OTM. Clinical relevance Patients show different rates of OTM. The rate of OTM in an individual patient can provide guidance in timing of follow-up appointments.

scholarly journals Micro-osteoperforations and Its Effect on the Rate of Tooth Movement: A Systematic Review

2020 ◽  
Author(s):  
Khalifa S. Al-Khalifa ◽  
Hosam A. Baeshen
Keyword(s):  
Minimally Invasive ◽  
Cortical Bone ◽  
Web Of Science ◽  
Tooth Movement ◽  
Treatment Time ◽  
Orthodontic Tooth Movement ◽  
Inclusion Criteria ◽  
Electronic Search ◽  
Invasive Method ◽  
Regional Acceleratory Phenomenon

AbstractProlonged orthodontic treatments have inconvenienced patients and clinicians alike. Surgically assisted techniques for accelerating orthodontic tooth movement have shown promising results in the literature over the years. The minimally invasive nature of micro-osteoperforations (MOPs), however, for enhanced orthodontic tooth movement has recently gained momentum, with many clinical trials conducted on both animals and humans. An electronic search was performed to extract papers using PubMed, Google Scholar, Scopus, and Web of Science. The keywords that were used included “MOP,” “accelerating tooth movement,” “orthodontic tooth movement,” and “regional acceleratory phenomenon.” The studies that met our inclusion criteria were extracted and evaluated in this review. MOPs have been proven time and again, in animal and human studies alike, to increase the rate of orthodontic tooth movement. The application of perforations to cortical bone present in the pathway of teeth, which are specifically to be moved creates transient osteopenia. This reduces the density of the cortical bone, hence speeding up the rate of orthodontic tooth movement. Many techniques have been implemented and perfected to enhance orthodontic tooth movement and shorten the treatment time in the literature. MOPs have proven to be a universally applied, nontechnical, repeatable, and minimally invasive method of accelerating tooth movement, with extremely minimal consequences.

Sign in / Sign up

Export Citation Format

Share Document