Tooth Complications after Orthodontic Miniscrews Insertion

Inchingolo, Angelo Michele; Malcangi, Giuseppina; Costa, Stefania; Fatone, Maria Celeste; Avantario, Pasquale; Campanelli, Merigrazia; Piras, Fabio; Patano, Assunta; Ferrara, Irene; Pede, Chiara Di; Netti, Anna; Ruvo, Elisabetta de; Palmieri, Giulia; Settanni, Vito; Carpentiere, Vincenzo; Tartaglia, Gianluca Martino; Bordea, Ioana Roxana; Lorusso, Felice; Sauro, Salvatore; Venere, Daniela Di; Inchingolo, Francesco; Inchingolo, Alessio Danilo; Dipalma, Gianna

doi:10.3390/ijerph20021562

Cited by 18 publications

(13 citation statements)

References 61 publications

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“…When dealing with patients with infraoccluded deciduous molars, a correct clinical approach would involve extracting these deciduous elements, if infraocclusion > 2–3 mm, before the growth spurt, and being optimistic about primary teeth with a short root. A primary element in proper occlusion with a short root can serve as an effective (semi) permanent replacement [ 50 , 55 ].…”

Section: Discussionmentioning

confidence: 99%

Therapeutic Strategies of Primary Molar Infraocclusion: A Systematic Review

et al. 2023

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Background: Infraocclusion of deciduous molars is a clinical disturbance that occurs during primary and mixed dentition and has some orthodontic implications. Infraoccluded teeth are believed to be potential sites of malocclusion, with a risk of tipping neighbouring teeth and losing space. This systematic review aims to analyse the management of primary molars infraocclusion and to provide updated guidelines. Methods: A literature search was performed using PubMed, Scopus, and Web of Science databases from 1 January 2017 to 28 November 2022. The inclusion criteria were: studies only on human subjects, open access studies, case reports, randomised trials, retrospective, observational studies, and English language. Results: A total of 372 publications were identified from the databases and a final number of nine studies were included in the review for qualitative analysis. Conclusion: Management of patients suffering from infraocclusion depends on the severity, age at diagnosis, and presence of succeeded premolars. Early diagnosis of infraoccluded primary elements is fundamental and cannot be postponed. Preservation of the primary molars may be a valid option with long-term stability if there is no or moderate primary molar infraocclusion, root resorption of less than half of the root, and no decay or restoration.

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Section: Discussionmentioning

confidence: 99%

Therapeutic Strategies of Primary Molar Infraocclusion: A Systematic Review

et al. 2023

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“…While good at preventing WS, sealants do peel off over time, predominantly in the gum area, leaving the enamel exposed to plaque and acid bacteria. Sealants like ProSeal have been proven to totally prevent mineral loss from enamel if they stay on the tooth surface, but the application of the product should be repeated every few months [ 48 ].…”

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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“…The modalities of space recovery in mixed dentition are: arch perimeter increment, reduction in mesiodistal widths of teeth and serial extractions [ 2 , 43 , 44 ]. In the upper arch, the expansions are quite stable, but inferiorly, it is universally recognized that the expansion of the intercanine diameter always recurs, whereas expansion at the molar level is quite stable, which should be considered [ 27 , 45 , 46 , 47 ]. The space that can be recovered in the lower arch depends on the type of sector: in general, in the posterior sector, utilizing a lip bumper-style device, it is possible to recover a maximum of 2 mm of space per molar distalization in the posterior regions [ 48 ].…”

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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Tooth Complications after Orthodontic Miniscrews Insertion

Cited by 18 publications

References 61 publications

Therapeutic Strategies of Primary Molar Infraocclusion: A Systematic Review

Therapeutic Strategies of Primary Molar Infraocclusion: A Systematic Review

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

Mandibular Crowding: Diagnosis and Management—A Scoping Review

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