1.Digital early intervention and multi-disciplinary treatment with malocclusion
STOMATOLOGY 2024;44(8):576-580
The article discusses the application and importance of digital technology in the early intervention and multidisciplinary treatment of malocclusion in children.It emphasizes the significance of early intervention during the critical period of children's growth and development,pointing out that the high plasticity of children's jawbones can be leveraged to achieve efficient correction through simple and gentle methods.Additionally,the article introduces digital oral habit-blocking treatments,such as the application of tongue crib appliances,and explores the potential of digital clear aligner technology in the treatment of malocclusion in children.Finally,by discussing the multidisciplinary diagnostic and therapeutic strategies for pediatric obstructive sleep apnea,the article underscores the importance of multidisciplinary team collaboration in ensuring that patients receive scientific and effective treatment.
2.A study on the arthroscopic temporomandibular joint disc reduction on the outcome of orthodontic patients with anterior disc displacement without reduction
Guoli ZHOU ; Lingjun YUAN ; Chao LIU ; Ning ZHAO ; Lunguo XIA ; Bing FANG
Chinese Journal of Stomatology 2023;58(10):996-1003
Objective:To investigate the arthroscopic temporomandibular joint disc reduction on the outcome of orthodontic patients with anterior disc displacement without reduction.Methods:From January 2012 to December 2021, forty treated orthodontic patients with anterior disc displacement without reduction (unilateral/bilateral) and no obvious articular cartilage absorption were selected from Department of Orthodontics, Shanghai Ninth People′s Hospital, Shanghai Jiao Tong University School of Medicine. The patients were (17.5±3.8) years old (12-25 years old), including 8 males and 32 females. Twenty patients who had completed arthroscopic temporomandibular joint disc reduction were included in the control group, and twenty patients with untreated temporomandibular joint disc were included in the experimental group. Model measurement (including overjet, etc.), cephalometric analysis (including ANB angle, which was formed by subspinale, nasion and supramental, etc.) and temporomandibular joint magnetic resonance imaging (including measurement of the condyle height of the displacement sides) were used to compare the difference of two groups. Objective grading system was used to evaluate the efficacy of orthodontic treatment.Results:The overjet of the experimental group and the control group after orthodontic treatment was (2.19±0.76) and (1.92±0.94) mm, respectively. Both two groups achieved ideal overjet with no statistical difference ( t=1.02, P=0.314). The ANB angle difference before and after treatment in the control group (-1.97°±2.87°) was greater than that in the experimental group (0.09°±1.82°), and the difference was statistically significant ( t=2.72, P=0.010). The variation of condyle height before and after treatment was (0.30±1.11) mm in the experimental group and (0.82±1.25) mm in the control group, with no statistical significance ( t=1.80, P=0.076). The post-treatment objective grading system scores of the experimental group and the control group were 21.00 (16.00, 24.00) and 21.00 (17.00, 25.00), respectively, which had no statistical difference ( U=0.24, P=0.808). Conclusions:In orthodontic patients with anterior disc displacement without reduction and no obvious articular cartilage absorption, whether displaced discs are repositioned after arthroscopic surgery has no significant effect on the orthodontic treatment outcome.