Orthodontics
Amirhossein Mirhashemi; Nasim Chiniforush; Rashin Bahrami
Abstract
Aim: Hygiene is a challenge of orthodontic treatment due to its appliances and can lead to periodontal diseases. Antimicrobial photodynamic therapy (aPDT) is a preventive technique for periodontal diseases owing to its antimicrobial and anti-inflammatory properties. The present study reviews the effect ...
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Aim: Hygiene is a challenge of orthodontic treatment due to its appliances and can lead to periodontal diseases. Antimicrobial photodynamic therapy (aPDT) is a preventive technique for periodontal diseases owing to its antimicrobial and anti-inflammatory properties. The present study reviews the effect of aPDT on the management of gingivitis induced by orthodontic treatment.Methods: The research was conducted using databases such as Scopus, PubMed, Google Scholar, and Cochrane via inputting keywords such as photodynamic therapy, photo-activated chemotherapy, photoactivated disinfection, antimicrobial photodynamic therapy, laser-activated disinfection, light-activated disinfection, laser therapy, gingivitis, gingival inflammation, and orthodontic patient. The time frame for searching articles was from January 2010 to July 2022.Results: In terms of anti-inflammatory properties, aPDT technique is associated with reductions in clinical parameters (probing depth, bleeding on probing, plaque score, and plaque index) as well as paraclinical parameters (levels of the inflammatory cytokines IL-6, TNF- α, IL-1β, and human beta defensin-2). Also, this technique has caused a decline in the number of Porphyromonas gingivalis, Tannerella forsythia, Treponema denticola, and Prevotella intermedia, although the effect was short-term (one month).Conclusion: The results of the study demonstrated that aPDT is an effective and safe method in reducing gingivitis induced by orthodontic treatment via its reduction effect on dental plaque, gingival inflammation, inflammatory reactions, and infective pathogens load.
Amirhossein Mirhashemi; Nasim Chiniforush; Rashin Bahrami
Abstract
Aim: Tooth bleaching is known as a non-invasive, cosmetic treatment option. It has been noted that bleaching has a detrimental impact on bond quality of enamel. With increasing adult patients who need multidisciplinary treatments, concurrency of bleaching with other treatments such as composite filling ...
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Aim: Tooth bleaching is known as a non-invasive, cosmetic treatment option. It has been noted that bleaching has a detrimental impact on bond quality of enamel. With increasing adult patients who need multidisciplinary treatments, concurrency of bleaching with other treatments such as composite filling or orthodontic treatment in which bond quality to enamel plays an important role, a dilemma has arisen. This review aimed to evaluate the impact of the laser-assisted bleaching technique on bond quality of enamel to brackets drawn from the available literature.Methods: All original articles that evaluated the effect of laser-assisted bleaching on bond strength of enamel in MEDLINE (NCBI PubMed and PMC), EMBASE, Scopus, Corchane Library, Web of Science, and Google Scholar were assessed until July 2022.Results: Six in-vitro studies were entered into this review. All of them evaluated bond strength of orthodontic brackets to bleached enamel expect one, in which composite resin bond to bleached enamel was examined. Several laser types including Nd:YAG, Er:YAG, CO2, diode, and LED were used in these studies. A few studies indicated that bond strength of bleached enamel is higher after laser-assisted bleaching compared to the conventional bleaching technique, whereas others did not.Conclusion: In cases of immediate bonding to bleached enamel, the laser-assisted bleaching approach is recommended. There is still a need for more studies in this field because of the high diversity of laser types, bleaching agents, and type of adhesives that have been introduced to the market recently.
Amirhossein Mirhashemi; Sepideh Arab; Rashin Bahrami
Abstract
Background and Objective: Palatal expansion can be done with tooth-borne and bone-borne appliances; Bone maturity is one of the factors required placing a mini-screw in the palate for expansion. Expansion with bone-based appliance also has two dental and skeletal responses; Part of the skeletal response ...
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Background and Objective: Palatal expansion can be done with tooth-borne and bone-borne appliances; Bone maturity is one of the factors required placing a mini-screw in the palate for expansion. Expansion with bone-based appliance also has two dental and skeletal responses; Part of the skeletal response can be to increase the size of the airway. The present study evaluates the effect of Miniscrew-assisted palatal expansion on airway volume.Methods: Search was conducted for articles published between January 2010 to January 2021 in PubMed, Embase, Google Scholar, and Cochrane using the following inclusion criteria: 1) patients whose treatment with Miniscrew-assisted palatal expansion and who with transverse discrepancy 2) all languages, 3) Randomized clinical trials (RCTs) or non-randomized clinical trials (Non-RCTs) and retrospective studies were considered.Results: Of the 123 studies on miniscrew-assisted palatal expansion, only 7 studies clinically evaluated the effect of miniscrew-assisted palatal expansion on airway dimensions. The results of studies show that the miniscrew-assisted palatal expansion increasing airway dimensions; so that, increased nasal cavity volume and nasopharyngeal volume have been observed following this treatment. However, studies have shown that this approch does not effect on oropharyngeal, palatopharyngeal, glossopharyngeal and posterior areas.Conclusion: The results of the study demonstrated that Miniscrew-assisted palatal expansion is an effective and efficient treatment in increasing airway dimensions via its increasing nasal cavity and nasopharynx volume.
Amirhossein Mirhashemi; Rashin Bahrami
Abstract
Background and Objective: The aim of this study is a systematic review on the long-term stability of growth modification treatment in children with obstructive sleep apnea (SA).Methods: At first, all the papers (n=87) related to keywords (growth modification, headgear, functional therapy, herbst, twin ...
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Background and Objective: The aim of this study is a systematic review on the long-term stability of growth modification treatment in children with obstructive sleep apnea (SA).Methods: At first, all the papers (n=87) related to keywords (growth modification, headgear, functional therapy, herbst, twin block, forsus, AHI, orthodontics, sleep apnea, systematic review, meta-analysis) were searched for English databases; PubMed, Scopus, Embase, google scholar and Cochrane Database of Systematic Reviews covering the period from 2000 through 2021 was studied. As a result to inclusion and exclusion criteria, papers related to growth modification treatment in children with sleep apnea were found and analyzed (n=5). Predefined inclusion and exclusion criteria were: papers related to growth modification treatment for children with SA, Children 7 to 11 years old with SA grade 2 and above, follow-up 10 months to 11 years old, use of functional appliance and headgear, papers were English, papers were original and all the papers were free full text.Results: Of the 87 studies on growth modification treatment and sleep apnea, only 5 studies clinically evaluated the long-term stability of growth modification treatment on airway dimensions. Growth modification treatments for sleep apnea are very important and can play very significant role in health improvement. So, paying more attention to benefits of orthodontics therapeutic tools in sleep apnea is necessary. On important points is the orthodontist’s active role play in screening the patients for this disease and advice oral appliance therapy, if needed.Conclusion: The long-term stability of using orthodontic functional appliances in the treatment of sleep apnea in children demonstrated that the utilization of these tools can increase the width of airways in the oral cavity improving the respiratory condition in children eliminating problems associated with apnea.
