Orthodontic Surgical Treatment of Impacted Mandibular Canines: Systematic Review and Case Report

Inchingolo, Alessio Danilo; Carpentiere, Vincenzo; Piras, Fabio; Netti, Anna; Ferrara, Irene; Campanelli, Merigrazia; Latini, Giulia; Viapiano, Fabio; Costa, Stefania; Malcangi, Giuseppina; Patano, Assunta; Ceci, Sabino; Mancini, Antonio; Lucia, Carlo; Lorusso, Felice; Palermo, Andrea; Ciocia, Anna Maria; Inchingolo, Francesco; Rapone, Biagio; Inchingolo, Angelo Michele; Venere, Daniela Di; Dipalma, Gianna

doi:10.3390/app12168008

Cited by 14 publications

(12 citation statements)

References 41 publications

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“…Since gingival regions are frequently affected by WSLs, laser settings at these locations should be modified to aid in the reduction of these lesions. Additionally, better oral hygiene can lower the incidence of gingival lesions (due to increased plaque accumulation) [ 61 ].…”

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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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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“…For treatment planning, it is crucial to identify the causes of anterior mandibular tooth crowding in mixed dentition [ 22 ]. If malocclusion is characterized by a deep bite, the cause could be skeletal, dental or both [ 39 ].…”

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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“…The expression "resective surgery" refers to the excision of diseased bone down to healthy tissue in one piece [39,42].…”

Section: Discussionmentioning

confidence: 99%

Sixty-Month Follow Up of Clinical MRONJ Cases Treated with CGF and Piezosurgery

et al. 2023

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Aims: Medication-related osteonecrosis of the jaw (MRONJ) is a drug-related adverse reaction characterized by bone destruction and necrosis in the jaw. This case series aims to evaluate the treatment approaches and outcomes in MRONJ patients. Materials and methods: The retrospective study was conducted at the Dental Unit of the University of Bari, Italy. Patients with MRONJ were treated and followed up for 60 months. The treatment approach involved piezosurgery and concentrated growth factor (CGF). Six clinical cases from this group are described in detail. Results: None of the patients showed recurrence of necrotic MRONJ lesions during the follow-up period. The surgical interventions, including bone resections and the application of CGF, resulted in successful mucosal healing and the prevention of disease progression. Conclusions: This study highlights the complexity of managing MRONJ and the importance of a multidisciplinary approach. Conservative treatment options and minimally invasive surgery have shown efficacy in controlling symptoms and improving patients’ quality of life. However, the optimal treatment approach remains a challenge, and further studies are needed to evaluate alternative therapies and resective surgery. A comprehensive preoperative evaluation and collaboration among dental, endocrinology, and oncology specialists are crucial for personalized and multidisciplinary management. Ongoing research efforts are necessary to explore new therapeutic modalities and improve our understanding of MRONJ management, providing better support to patients dealing with this complex condition.

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Orthodontic Surgical Treatment of Impacted Mandibular Canines: Systematic Review and Case Report

Cited by 14 publications

References 41 publications

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

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

Mandibular Crowding: Diagnosis and Management—A Scoping Review

Sixty-Month Follow Up of Clinical MRONJ Cases Treated with CGF and Piezosurgery

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