This is a discussion about the interesting RCT on hemisection for space closure for missing mandibular primary molars that I posted about a few weeks ago. The results of this trial were discussed in depth on social media, and I thought we should cover some of this discussion on my blog. This post includes contributions from Martyn Cobourne, Jörge Glockengießer , and Julia Naoumova, who is the author of the paper. I also decided to comment!
Stiamo ancora cercando metodi per accelerare la velocità del movimento dentale ortodontico. Come sappiamo da recenti ricerche, non è stato trovato alcun metodo che fornisca una riduzione clinicamente significativa dei tempi di trattamento ortodontico. Questo nuovo studio fornisce una panoramica sull'effetto della combinazione di interventi sulla velocità del movimento dentale.
È stato suggerito che gli apparecchi funzionali possano indurre cambiamenti scheletrici alterando la morfologia dell'articolazione temporo-mandibolare (ATM). Questo effetto potrebbe essere particolarmente significativo nel trattamento con apparecchi funzionali fissi, poiché sono permanentemente applicati e richiedono una minore collaborazione rispetto agli apparecchi rimovibili. Queste teorie si basano principalmente su indagini retrospettive e non sono state testate a fondo utilizzando la metodologia degli studi randomizzati. Questo nuovo studio colma questa lacuna nelle nostre conoscenze ed è prezioso.
Traditionally, we feel that digital single-lens reflex (DSLR) cameras are the best option for capturing clinical photographs. However, advancements in smartphone camera technology have led to a growing trend of using smartphones for clinical photography. Despite this shift, we still do not know if there are any significant differences between images taken with smartphones and those captured with DSLR cameras. This new study evaluates the use of smartphones for imaging.
Adenotonsillar hypertrophy can obstruct the upper airway, which may result in children breathing through their mouths. It is a common belief that this may influence their craniofacial growth and dental occlusion. This new systematic review, which incorporates data from many studies, is of both clinical and scientific importance.
Padhraig Fleming writes this excellent post on expansion. There is ongoing debate about the scope of expansion, with increasing discussion about systemic rather than dental benefits. He has decided to avoid that and instead focus on how the mode of expansion influences the prospects of stability. Read on for his thoughts...
Do you allow influences to bias your decision-making?This is another guest post by Dhru Shah, following on from his interesting and challenging posts that we published last year. In this new post, he uses the treatment of a compromised tooth as an example of the factors that may influence clinical decisions. This example is particularly relevant to orthodontics when considering our choices regarding the use of clear aligners, methods to expedite tooth movement, and special brackets. His viewpoint is both valuable and pertinent to our clinical practice.
In this post Padhraig Fleming outlines a new randomised trial into the use of CAD/CAM titanium retainers. The authors therefore aimed to test the clinical effectiveness of CAD-CAM Ti5 fixed retainers comparing these to established 8-stranded stainless steel fixed retainers over a 6-month period.
This post is by Martyn Cobourne, who condenses his views on orthodontics and mouth breathing. He counters some of the nonsense we are currently seeing in orthodontics.
L'assenza congenita dei secondi premolari mandibolari è comune. Un'opzione terapeutica è l'estrazione del molare deciduo per favorire la chiusura spontanea dello spazio se non sono necessarie estrazioni permanenti. In alternativa, è possibile sezionare il secondo molare ed estrarne i segmenti mesiale e distale in momenti diversi, il che può migliorare la chiusura dello spazio. Questo nuovo studio clinico randomizzato controllato (RCT) su questo trattamento è interessante e clinicamente rilevante.
