Orthodontics: Current Advances and Future Options

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Dentistry, Oral Surgery and Oral Medicine".

Deadline for manuscript submissions: 31 March 2025 | Viewed by 523

Special Issue Editors

Special Issue Information

Dear Colleagues,

The advancement of digital orthodontics allows for faster and more efficient orthodontic treatments. With the spread of digital technologies, treatment planning and clinical management have become more reliable and predictable. The use of software to design and plan orthodontic appliances offers many advantages, and digitalization has revolutionized the way therapeutic treatments are set up. On the other hand, we are seeing a gradual reduction in functional orthodontics in favor of more esthetic but less effective treatments. The advent of digital technology allows for the customization of devices and more effective use of orthodontic appliances. Digital orthodontics and functional therapy can be complementary, allowing for increasingly personalized therapeutic treatments. In this Special Issue, we welcome authors to present articles on advances in functional orthodontic treatments in the digital field, from planning to therapeutic management.

Dr. Domenico Ciavarella
Dr. Michele Tepedino
Guest Editors

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Keywords

  • digital orthodontics
  • functional devices
  • cranial growth
  • orthodontic therapy
  • customized devices

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Published Papers (1 paper)

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Research

12 pages, 1163 KiB  
Article
Cone-Beam Computed Tomography (CBCT) Analysis of Mandibular Condyles’ Diameters in Patient with Juvenile Idiopathic Arthritis and Temporomandibular Joint Affection: A Cross-Sectional Investigation
by Margherita Donelli, Valentina Lanteri, Alessandro Ugolini, Alessandro Bruni, Paolo Cressoni, Andrea Abate and Cinzia Maspero
J. Clin. Med. 2024, 13(17), 5104; https://doi.org/10.3390/jcm13175104 - 28 Aug 2024
Viewed by 387
Abstract
Objectives: The aim of this study was to evaluate through analysis using CBCT the transverse and axial diameters of the mandibular condyles in subjects affected by juvenile idiopathic arthritis (JIA) and compare them with those of healthy subjects. Methods: The study was conducted [...] Read more.
Objectives: The aim of this study was to evaluate through analysis using CBCT the transverse and axial diameters of the mandibular condyles in subjects affected by juvenile idiopathic arthritis (JIA) and compare them with those of healthy subjects. Methods: The study was conducted on CBCT scans from the digital archive of the Department of Biomedical Surgical and Dental Sciences, University of Milan, including patients with JIA and using healthy subjects as controls. Inclusion criteria: aged between 7 and 25 years old at the time of the CBCT examination; Caucasian ethnicity; diagnosis of JIA according to the International League of Associations for Rheumatology (ILAR) criteria documented in patients’ records; TMJ involvement; good quality CBCTs covering our region of interest (ROI), from the glabella to the mandibular inferior border; no previous orthodontic/orthopedic treatment; no history of craniofacial trauma or congenital birth defects involving the craniofacial area. Each CBCT scan underwent examination using 3Diagnosys® software. Since data were normally distributed, parametric tests were used for analysis. The sample was divided into three groups: (1) bilateral JIA subjects, (2) unilateral JIA subjects, and (3) healthy controls. Results: We found a statistically significant reduction (p < 0.0001) in the transverse diameter (TR-Diam) of the affected condyles by an average of 1.7 mm, while the axial diameter (AX-Diam) again showed a slight reduction, on average by 0.1 mm, with a non-statistically significant value. Another comparison was made between the unaffected condyles of patients with unilateral JIA and the healthy condyles of the control group. The unilateral unaffected condyles were found to be slightly smaller than those of healthy patients, but without statistically significant differences. We found that in both JIA males and females, the condylar growth tends to stop earlier than the healthy ones. Conclusions: The transverse diameter was found to be more affected than the axial one, causing typical bone resorption and condylar shape. Moreover, we showed that the pathology, in the case of unilateral JIA, does not compromise only the affected condyles; the corresponding condyle that seems to be healthy is actually partially compromised. In addition, we observed that the growth of affected condyles of JIA subjects tends to stop earlier than the condyles of the healthy controls. Full article
(This article belongs to the Special Issue Orthodontics: Current Advances and Future Options)
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