“A Century of Orthodontic Progress” – Innovations in Orthodontics

2021 ◽  
Vol 11 (1) ◽  
pp. 65-71
Author(s):  
Sonam Sehrawat ◽  
M S Sidhu ◽  
Seema Grover ◽  
Mona Prabhakar

Innovation is the roadmap towards improvement .Creation, implementation and execution of new ideas, methods and technology aiming at efficiency and improvement is known as innovation. Innovation is the roadmap towards improvement. The speciality of orthodontics has obtained new dimensions due to innovations such as holistic orthodontic approach, Laser assisted orthodontics, digitization in diagnosis and treatment planning, nanotechnology, genetically driven orthodontic treatment plans with gene therapy, interactive self ligating bracket and flash free adhesive coated appliance system, robotic wire bending, 3D bioprinted scaffolds to treat osseous defects of the craniofacial complex, forensic orthodontics, mobile apps in orthodontics and dentoalveolar distraction modalities. These innovations have lead to an accurate treatment with reduced clinician efforts, enhanced treatment precision and better patient compliance. The future of orthodontic speciality with these adjunts is bright and progressive. With reduced clinician’s efforts and improved patient’s compliance these advancement are certainly a boon to our orthodontic speciality

1996 ◽  
Vol 23 (4) ◽  
pp. 359-365 ◽  
Author(s):  
A. A. Parfitt ◽  
W. P. Rock

A group of 30 general dental practitioners were asked to plan treatment for a series of 10 Class II division 1 malocclusions of graded severity. The results were assessed against a gold standard provided by three consultants. Only 14 per cent of practitioner treatment plans agreed with the gold standard and agreement was worst for those cases requiring the use of headgear. When consultants and General Dental Practitioners (GDPs) were asked whether a case should be referred for advice before the GDP began treatment, 64 per cent of GDP decisions agreed with those of the consultants. On 13 per cent of occasions, however, the GDP would have initiated incorrect treatment without seeking consultant advice.


2013 ◽  
Vol 83 (6) ◽  
pp. 1059-1065 ◽  
Author(s):  
Robert Ritschel ◽  
Till E. Bechtold ◽  
Mirjam Berneburg

ABSTRACT Objective: To assess the extent to which cephalograms modify therapeutic decisions related to early orthodontic treatment. Materials and Methods: Diagnostic records of six patients requiring early treatment were digitized for this purpose. A total of 234 orthodontists were then asked to select therapeutic measures on a treatment-planning sheet at two different times (T1 and T2). Three groups of orthodontists were formed and were provided with case-specific records either including or not including cephalograms and the appended tracing values. Forty-seven orthodontists completed all phases of the questions. Results: Statistical analysis revealed only two statistically significant differences between the first (T1) and second (T2) treatment plans, both concerning options of transverse treatment. None of the other results showed any significant changes from T1 to T2 treatment planning. Conclusion: It follows that cephalograms did not influence therapeutic decisions for early orthodontic treatment and should not be routinely used in very young patients.


2014 ◽  
Vol 85 (3) ◽  
pp. 501-509 ◽  
Author(s):  
Camila Pachêco-Pereira ◽  
Graziela De Luca Canto ◽  
Paul W. Major ◽  
Carlos Flores-Mir

ABSTRACTObjective: To determine in which clinical scenarios digital models are valid as replacements for plaster models during orthodontic treatment decision-making process and treatment planning.Materials and Methods: An attempt to identify all pertinent published information was made. Retained articles were those where a decision-making process leading to differential orthodontic treatment plans based on either method were compared. The search was tailored for PubMed and adapted for EMBASE, MEDLINE, the Cochrane Library, LILACS, and Web of Science. A partial grey literature search was conducted through Google Scholar. References lists of the included articles were screened for potential relevant studies. The methodology of selected studies was evaluated using the Quality Assessment Tool for Diagnostic Accuracy Studies (QUADAS).Results: Only two studies were finally selected for the qualitative and quantitative synthesis. QUADAS results scores from selected studies ranged from 61% to 83% of 11 items evaluated. In one, the overall treatment plan regarding orthognathic surgery for Class II malocclusion changed in 13% to 22% of the cases. In the other one, 6% of the orthodontic treatment plans changed.Conclusion: Digital models could be used to replace plaster models in Class II malocclusion treatment planning.


2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Stefan Gerlach ◽  
Christoph Fürweger ◽  
Theresa Hofmann ◽  
Alexander Schlaefer

AbstractAlthough robotic radiosurgery offers a flexible arrangement of treatment beams, generating treatment plans is computationally challenging and a time consuming process for the planner. Furthermore, different clinical goals have to be considered during planning and generally different sets of beams correspond to different clinical goals. Typically, candidate beams sampled from a randomized heuristic form the basis for treatment planning. We propose a new approach to generate candidate beams based on deep learning using radiological features as well as the desired constraints. We demonstrate that candidate beams generated for specific clinical goals can improve treatment plan quality. Furthermore, we compare two approaches to include information about constraints in the prediction. Our results show that CNN generated beams can improve treatment plan quality for different clinical goals, increasing coverage from 91.2 to 96.8% for 3,000 candidate beams on average. When including the clinical goal in the training, coverage is improved by 1.1% points.


2007 ◽  
Vol 77 (4) ◽  
pp. 735-741 ◽  
Author(s):  
Richard Scott Conley ◽  
Scott B. Boyd ◽  
Harry L. Legan ◽  
Christopher C. Jernigan ◽  
Craig Starling ◽  
...  

Abstract An impacted or missing permanent tooth can add significant complications to an otherwise straightforward case. When multiple impacted teeth are present, the case complexity increases further. Developing a treatment sequence, determining appropriate anchorage, and planning and executing sound biomechanics can be a challenge. The following case report illustrates a patient reportedly diagnosed with mild scleroderma as an adolescent. He presented for orthodontic treatment as an adult with multiple retained primary teeth and multiple impacted teeth. Diagnosis, treatment planning, and various methods of managing guided eruption of impacted teeth will be discussed. Following orthodontic treatment that required extraction of multiple primary and permanent teeth as well as exposure and ligation of multiple permanent teeth by an oral surgeon, the patient finished with a significantly improved functional and esthetic result.


2008 ◽  
Vol 133 (5) ◽  
pp. 640.e1-640.e5 ◽  
Author(s):  
Maria Alves Garcia Silva ◽  
Ulrich Wolf ◽  
Frank Heinicke ◽  
Axel Bumann ◽  
Heiko Visser ◽  
...  

2015 ◽  
Vol 16 (11) ◽  
pp. 873-875 ◽  
Author(s):  
Luai Mahaini

ABSTRACT The aim of this study investigates mesiodistal crown size of the maxillary and mandibular incisors of patients with palatally impacted canines (PDC). Pretreatment dental casts of orthodontic patients with PDC of one or both maxillary canines (N: 33) were collected. This PDC sample was matched according to age and sex with pretreatment dental casts from unaffected orthodontic patients. For the PDC and matched control samples, maximum mesiodistal crown diameters were recorded for the four incisors on the right side only. The results showed that, on average, the mesiodistal crown diameters for the maxillary and mandibular incisors measured smaller in the PDC sample than in the control sample. These findings of statistically significant tooth-size reductions associated with PDC occurrence indicate a generalized pattern of reduced tooth size as a characteristic associated with the PDC anomaly. Further, the presence of generalized tooth-size reduction in cases with palatally displaced canines help explain why most orthodontic treatment plans for PDC patients are of the nonextraction type. How to cite this article Mahaini L. The Relationship between Palatal Displacement of Upper Canines and Incisors Widths in a Syrian Sample of Patients with Uncrowded Arches. J Contemp Dent Pract 2015;16(11):873-875


1985 ◽  
Vol 11 (1) ◽  
pp. 41-47 ◽  
Author(s):  
Marshall H. Becker ◽  
Nancy K. Janz

Inadequate adherence to prescribed treatment plans is perhaps the most serious obstacle to achieving success ful therapeutic outcomes, and non compliance by diabetic patients is no exception. This is partly based on pa tients' realization that compliance does not necessarily result in lack of illness. A psychosocial framework for under standing patient compliance is the Health Belief Model, which is based upon the value an individual places on the identified goal and the likelihood that compliance will achieve that goal. This Model has been useful to explain noncompliance, to make an "educa tional diagnosis," and for designing compliance-enhancing interventions.


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