Mini-implant assisted posterior intrusion: A quantification of anterior bite closure in nongrowing subjects.

Introduction: This study aimed to identify the vertical radiographic changes in nongrowing patients after treatment of anterior open bites (AOBs) using mini-implant assisted intrusion and to provide a predictive model to quantify the achievable intrusion.

Methods: This retrospective radiographic study evaluated the dentoskeletal changes in adults using orthodontic mini-implants in 53 treated patients with AOB. Radiographs before and after posterior intrusion were utilized to evaluate the associated changes.

The digital Twin Block appliance: Concept, design and fabrication.

The Twin Block appliance (TBA) has evolved over the decades to remain a very effective treatment for growing Class II patients. This article introduces how two new versions of the TBA may be produced through an entirely digital workflow, from intra-oral scanning to thermoplastic appliance fabrication, using a novel computer-aided design process.

In-house three-dimensional printing within the digital orthodontic workflow.

Intraoral scanning techniques, and the associated software, have revolutionized model acquisition, analysis, and virtual planning in orthodontics. Three-dimensional printing is the final aspect of this digital workflow, converting these virtual models and simulations of the tooth and occlusal movements into physical reality. This article provides an insight into how in-house three-dimensional printing is now a feasible and transformative reality for many orthodontic settings and how this empowers orthodontists to optimize their patient care.

Introducing 3D printing in your orthodontic practice.

Many orthodontists are aware of the potential applications of three-dimensional (3D) printing in orthodontics but are hesitant in introducing this technology into their clinical practice and workflow. Therefore, this article explains the hardware and software requirements, plus the workflow.

The accuracy of maxillary positioning using digital model planning and 3D printed wafers in bimaxillary orthognathic surgery.

Objective: Orthognathic wafers may be made using digital model movements and CAD-CAM technology. This paper analysed the accuracy of maxillary movements using this new process.

Design: Retrospective study of pre and post-operative cephalograms.

A 3D printed surgical analogue to reduce donor tooth trauma during autotransplantation.

Surgical trauma and prolonged extra-alveolar exposure of the donor tooth's root sheath are both complicating factors during tooth autotransplantation surgery. This case report describes a 12-year-old female patient who underwent surgical transplantation of a maxillary second premolar to a central incisor site. A three-dimensional printed analogue of the donor tooth was fabricated from a cone beam (CBCT) scan of the tooth in order to minimise the extra-oral (exposure) time and frequency of trial insertions of the donor tooth into the recipient socket.

Early class III protraction facemask treatment reduces the need for orthognathic surgery: a multi-centre, two-arm parallel randomized, controlled trial.

Objective: To evaluate whether patients who had received early class III protraction facemask treatment were less likely to need orthognathic surgery compared with untreated controls. This paper is a 6-year follow-up of a previous clinical trial.

Design: Multi-centre 2-arm parallel randomized controlled trial.

Controlled canine retraction using orthodontic mini-implants coupled with bondable powerarms.

Many patients present with a substantial amount of anterior dental crowding, necessitating canine retraction prior to incisor alignment. Conventional biomechanics typically requires anchorage reinforcement and risks distal tipping of the canine crown and a delay before incisor alignment. However, it is now possible to produce controlled canine retraction without anchorage loss, even with narrow, flexible archwires in situ.

Advances in orthodontic anchorage with the use of mini-implant techniques.

Orthodontic mini-implants (OMIs) represent a new form of anchorage provision and appear to provide a variety of benefits for both anchorage-demanding and complex orthodontic cases. This paper reports the latest perspectives on OMIs in terms of the emerging clinical evidence base coupled with their varied clinical applications.

Dentoskeletal changes following mini-implant molar intrusion in anterior open bite patients.

Objective: To evaluate skeletal and dental changes after intrusion of the maxillary molars in subjects with anterior open bite.

Materials And Methods: This retrospective cephalometric study evaluated skeletal and dental changes resulting from the use of maxillary orthodontic mini-implants in 31 consecutively treated patients. Radiographs were taken at the start and end of maxillary molar intrusion to evaluate the associated changes.

Mini-implant applications in orthognathic surgical treatment.

Orthognathic surgical treatment conventionally relies on the use of full arch fixed orthodontic appliances. However, the introduction of orthodontic mini-implants has altered surgical options in terms of providing an alternative to fixation (intermaxillary fixation, IMF) screws and even to maxillary osteotomy. This paper describes the integration of mini-implants within orthognathic treatments in terms of 'surgery first' treatments and by introducing the concept of the conversion of bimaxillary cases into mandible-only surgery treatments.

Molar intrusion in the management of anterior openbite and 'high angle' Class II malocclusions.

Orthodontic correction of anterior openbite has conventionally involved extraction therapy or an adjunctive maxillary impaction osteotomy. However, bone anchored molar intrusion treatments have been reported in recent years as a less invasive alternative for such patients. This paper describes the concepts and treatment processes involved with mini-implant molar intrusion to correct anterior openbite and reduce patients' excessive vertical facial proportions.

Correction of the occlusal and functional sequelae of mandibular condyle fractures using orthodontic mini-implant molar intrusion.

We report on the non-surgical management of an adult female whose bilateral mandibular condylar fractures had resulted in a clockwise (posterior) mandibular rotation, limitation of mandibular movements and increased occlusal loading on the molar teeth. She refused maxillary surgery and was treated with a minimally-invasive approach, involving orthodontic fixed appliances and mini-implant intrusion of the maxillary molar teeth. This provided both occlusal and functional improvements, including a significant increase in the inter-incisal distance, which were stable after one year of retention.

Digital model planning and computerized fabrication of orthognathic surgery wafers.

Conventional orthognathic wafers are made by a process involving manual movement of stone dental models and acrylic laboratory fabrication. In addition, a facebow record and semi-adjustable articulator system are required for maxillary osteotomy cases. This paper introduces a novel process of producing both intermediate and final orthognathic surgical wafers using a combination of computerized digital model simulation and three-dimensional print fabrication, without the need for either a facebow record or the additional ionizing radiation exposure associated with cone beam computerized tomography.

Spontaneous resolution of a periapical lesion during orthodontic treatment: a case report.

Unlabelled: Teeth with periapical lesions can undergo successful orthodontic treatment, but conventional protocols indicate that such teeth should be endodontically stabilized prior to such treatment. A case report is presented where such endodontic stabilization was not possible, yet a chronic periapical lesion resolved as orthodontic treatment progressed. This paper will discuss the possible causes of the initial lesion, and reasons why it resolved without endodontic treatment.

Treatment time and occlusal outcome of orthognathic therapy in the East of England region.

Objectives: To evaluate the process of combined orthognathic and orthodontic care. To identify factors that affect treatment time and percentage Peer Assessment Rating (PAR) reduction, and the PAR efficiency factor for such cases.

Design And Setting: Retrospective multi centre study of patients who underwent orthognathic treatment in the East of England region.