Deep Bite Treatment with Aligners: A New Protocol

Pasciuti, Enzo; Coloccia, Giovanni; Inchingolo, Alessio Danilo; Patano, Assunta; Ceci, Sabino; Bordea, Ioana Roxana; Cardarelli, Filippo; Venere, Daniela Di; Inchingolo, Francesco; Dipalma, Gianna

doi:10.3390/app12136709

Cited by 17 publications

(12 citation statements)

References 37 publications

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“…If caught early, WSLs result in reversible lesions. If, on the contrary, the acidic environment is not eliminated or reduced, WSLs can evolve into cavitated lesions ( Figure 2 ) [ 18 , 28 , 29 ].…”

Section: Introductionmentioning

confidence: 99%

Analysis of Dental Enamel Remineralization: A Systematic Review of Technique Comparisons

et al. 2023

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The demineralization process conditions the structure of the enamel and begins with a superficial decalcification procedure that makes the enamel surface porous and gives it a chalky appearance. White spot lesions (WSLs) are the first clinical sign that can be appreciated before caries evolves into cavitated lesions. The years of research have led to the testing of several remineralization techniques. This study’s objective is to investigate and assess the various methods for remineralizing enamel. The dental enamel remineralization techniques have been evaluated. A literature search on PubMed, Scopus, and Web of Science was performed. After screening, identification, and eligibility processes 17 papers were selected for the qualitative analysis. This systematic review identified several materials that, whether used singly or in combination, can be effective in the process of remineralizing enamel. All methods have a potential for remineralization when they come into contact with tooth enamel surfaces that have early-stage caries (white spot lesions). From the studies conducted in the test, all of the substances used to which fluoride has been added contribute to remineralization. It is believed that by developing and researching new remineralization techniques, this process might develop even more successfully.

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Section: Introductionmentioning

confidence: 99%

Analysis of Dental Enamel Remineralization: A Systematic Review of Technique Comparisons

et al. 2023

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“…The considerable drop in salivary pH and rise in plaque index may be one cause of the rise in DMFT index. Because increased salivary flow is associated with a rise of the plaque index, which reduces pH, it does not seem to be good to reduce the possibility of carious lesion occurrence [ 28 , 39 ].…”

Section: Discussionmentioning

confidence: 99%

White Spots: Prevention in Orthodontics—Systematic Review of the Literature

Patano

Malcangi

Sardano

et al. 2023

IJERPH

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Early-stage dental demineralization, called white spots (WS), get their name from the characteristic colour that enamel takes on due to the acid attack of salivary cariogenic bacteria. They are often associated with fixed orthodontic therapy (FOT) and, if left untreated, evolve into caries with repercussions on oral health and dental aesthetics. This review aims to identify the most effective prophylaxis strategies to prevent WS during FOT. The search for the reviewed studies was conducted on the Pubmed, Scopus, and Web of Science databases, selecting English-only articles published in the 5 years from January 2018 to January 2023. The keywords used were “WS” and “fixed orthodontic*”, using “AND” as the Boolean operator. A total of 16 studies were included for qualitative analysis. Prevention begins with maintaining proper oral hygiene; fluoride in toothpaste, mouthwashes, gels, varnishes, and sealants can be added to prophylaxis and used regularly. Using a laser in combination with fluoride helps prevent the occurrence of WS and assists in the repair processes of initial lesions. Further studies are needed to establish international guidelines for preventing WS in orthodontically treated patients.

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“…Further factors influencing mesiodistal tooth width include racial characteristics, sex and inherited traits [ 18 ]. Lateral cephalograms can be used for skeletal parameters contributing to dental crowding such as effective maxillary and mandibular length, mandibular plane angle, Y axis, lower anterior face height and dental parameters such as axial inclination of the lower incisor, inclination of the lower incisor to the mandibular plane and interincisal angle [ 38 ]. Some authors have found that the use of 2D lateral cephalograms or profile photos for orthodontic measurements may not be adequately accurate.…”

Section: Discussionmentioning

confidence: 99%

“…Early primary molar loss might result in a reduction in arch length, increasing the severity of crowding/malocclusion; therefore, in the affected patient, every effort should be made to preserve the natural leeway space [ 29 ]. The unilateral loss of a primary canine or first molar can result in a significant centerline disparity and mesial migration of the buccal segments, which is another critical clinical condition to preserve space [ 38 ]. Space maintainers are classified into three types: fixed unilateral appliances, fixed bilateral appliances and removable partial dentures.…”

Section: Discussionmentioning

confidence: 99%

Mandibular Crowding: Diagnosis and Management—A Scoping Review

Patano

Malcangi

Inchingolo

et al. 2023

JPM

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Background: Crowding is the most frequent malocclusion in orthodontics, with a strong hereditary tendency. It already occurs in pediatric age and is mainly hereditary. It is a sign of a lack of space in the arches, and is not self-correcting, but can worsen over time. The main cause of the worsening of this malocclusion is a progressive and physiological decrease in the arch perimeter. Methods: To identify relevant studies investigating the most common possible treatments for mandibular dental crowding, a comprehensive search of PubMed, Scopus and Web of Science was conducted encompassing the last 5 years (2018–2023) using the following MeSH: “mandibular crowding AND treatment” and “mandibular crowding AND therapy “. Results: A total of 12 studies were finally included. An orthodontic treatment cannot ignore the concept of “guide arch”, which concerns the lower arch, because of the objective difficulty in increasing its perimeter; the bone structure of the lower jaw is more compact than that of the upper one. Its expansion, in fact, is limited to a slight vestibularization of the incisors and lateral sectors that may be associated with a limited distalization of the molars. Conclusions: There are various therapeutic solutions available to the orthodontist, and a correct diagnosis through clinical examination, radiographs and model analysis are essential. The decision of how to deal with crowding cannot be separated from an overall assessment of the malocclusion to be treated.

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Deep Bite Treatment with Aligners: A New Protocol

Cited by 17 publications

References 37 publications

Analysis of Dental Enamel Remineralization: A Systematic Review of Technique Comparisons

Analysis of Dental Enamel Remineralization: A Systematic Review of Technique Comparisons

White Spots: Prevention in Orthodontics—Systematic Review of the Literature

Mandibular Crowding: Diagnosis and Management—A Scoping Review

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