Effects of rapid maxillary expansion on respiratory and bruxism indexes in children with obstructive sleep apnea: a pilot study.

Objective: The aim of this study was to investigate the impact of rapid maxillary expansion (RME) on sleep bruxism (SB) and respiratory indexes in pediatric patients.

Methods: Twenty-four subjects needing orthodontic treatment and with suspicion of obstructive sleep apnea (OSA) were recruited. Before orthodontics, a clinical and anamnestic evaluation as well as a polygraphic recording was performed.

Accuracy of orthodontic movement with nocturnal three-dimensionally printed and thermoformed aligners : Retrospective cohort study comparing two different treatments protocols.

Purpose: This study aimed to compare the accuracy of orthodontic tooth movements achieved with three-dimensionally (3D) printed aligners (Noxi, Sweden&Martina, Due Carrare, Padova, Italy) using a 12 h/day protocol with that of thermoformed aligners (F22 aligner, Sweden&Martina, Due Carrare, Padova, Italy) using a 22 h/day protocol.

Methods: Of the 40 white adult patients (12 men and 28 women, mean age 30.1 years) undergoing orthodontic treatment with aligners selected based on specific inclusion criteria, 20 patients were treated with Noxi aligners using a 12 h/day protocol (study group), and the remaining 20 patients were treated with F22 aligners using a 22 h/day protocol (control group).

Clinical feasibility of a quick response code-based digital self-reporting of medication adherence: results in patients on ticagrelor therapy from the APOLLO-QR observational study.

Aims: The APOLLO-QR (APPlying smartphOne for piLLs intake cOnfirmation by QR code reading) study assessed the congruence between a quick response (QR) code-based digital self-reporting and pill count in measuring medication adherence.

Methods And Results: The APOLLO-QR pilot, observational study prospectively included patients owning a smartphone accepting to undergo a home-telemonitoring of ticagrelor adherence by sending feedback of each pill intake through an email generated by framing a QR code placed on the medication packaging. Ticagrelor adherence was measured at 1 and 3 months by pill count allowing to calculate accuracy of the digital self-reporting in estimating drug adherence by assessing the correspondence between the number of received feedback emails and the number of pills taken from those prescribed.

Should MitraClip also be used in less severe functional mitral regurgitation? The RESHAPE-HF2 study.

Transcatheter edge-to-edge repair (TEER) is currently indicated in symptomatic patients with severe functional mitral regurgitation (MR) who are not eligible for surgery and who have a high likelihood of responding to treatment. This recommendation is based on two randomized trials suggesting that the benefits of TEER may be limited to patients with severe MR, defined by an effective regurgitant orifice area (EROA) ≥0.40 cm, and a non-excessively remodelled left ventricle.

Chemical, optical, and morphological properties of TPU and PET-G samples after aging in artificial saliva: an in vitro study.

Background: Thermoplastic materials, such as glycol-modified polyethylene terephthalate (PET-G) and thermoplastic polyurethane (TPU), undergo alterations due to environmental factors in the oral cavity, which can affect their composition and surface properties over time. While previous studies have explored these changes, a comprehensive characterization of TPU and PET-G properties, particularly after immersion in artificial saliva, remains limited. This study aimed to evaluate the aging process of 24 TPU and 24 PET-G dumbbell-shaped specimens before and after exposure to artificial saliva.

Does operator experience affect the accuracy of guided palatal miniscrew insertion via surgical guide? An in-vitro study.

Introduction: To compare the in-vitro accuracy of guided palatal miniscrew insertion comparing expert and inexpert clinicians.

Material And Methods: Twenty-one synthetic bone models, derived from a single master model, were acquired to simulate the clinical act of miniscrew insertion. Digital planning and CAD/CAM surgical guide manufacturing were executed by matching the CBCT of the master model with its corresponding STL file.

Skeletal versus conventional anchorage in dentofacial orthopedics: an international modified Delphi consensus study.

Background: To establish consensus of skeletal anchorage versus conventional anchorage in treating: 1. Maxillary transverse deficiency in growing and adult patients, 2. Class II skeletal disharmony due to mandibular retrusion in growing patients, 3.

Severe anterior open bite in a Class II hyperdivergent adult patient: A case report of clear aligner orthodontic camouflage treatment.

The aim of this study was to describe the successful treatment of an anterior open bite in an adult Class II hyperdivergent patient. A 31-year-old female presented for orthodontic treatment, seeking an aesthetic solution to correct her anterior open bite and lower crowding to enhance her smile. As an initial step, all third molars were extracted to facilitate the forward rotation of the mandible and the initial closure of the open bite.

Multipurpose miniscrew-anchored palatal appliance combined with a fixed multibracket appliance to correct a Class II Division 2 malocclusion with maxillary constriction and impacted upper canine in a 13-year-old girl: A case report.

This case report describes the successful non-extraction orthodontic treatment of a 13-year-old female patient affected by a Class II Division 2 malocclusion, maxillary constriction and a unilateral impacted maxillary canine. The miniscrew-assisted palatal expansion (MAPA) system was used for precise palatal miniscrew placement, achieving bicortical engagement. A hybrid T-Rex rapid palatal expander was then employed to achieve both skeletal expansion and molar distalization without requiring patient compliance.

Non-surgical correction of an adult Class II high-angle with occlusal plane cant by four compromised permanent first molars extraction, preadjusted lingual appliance and miniscrews: A case report.

This case report describes a complex full-step asymmetrical Class II division 1 high-angle in an adult patient treated by extraction of compromised first molars with a preadjusted lingual appliance. Since the patient presented severe sagittal and vertical discrepancies combined with an Izard orthofrontal profile with upper lip protrusion, an extraction camouflage was performed with the twofold aim of obtaining ideal occlusal relationship and profile improvement, correcting occlusal plane cant by selective intrusion with interradicular miniscrews. Appropriate biomechanical strategies, including extraction choice and anchorage control during space closure, were needed to achieve the planned results.

Non-extraction camouflage on a fully cooperative full-step class II division 2 adult patient treated with en-masse distalization, class II elastics and preadjusted lingual appliance: A case report.

This article describes one adult bilateral full-step class II case with severe initial upper incisors retroclination successfully treated by a completely invisible lingual appliance. A non-extraction treatment to compensate for the severe sagittal discrepancy was made possible following the excellent patient cooperation with intermaxillary elastics, combined with upper arch en-masse effective distalization with miniscrews. The application of an auxiliary torque spring was essential to increase upper incisors torque during class II mechanics.

Invisible treatment with preadjusted lingual appliance and monolateral space opening for an adult Class II malocclusion with upper lateral incisors agenesis: An ortho-prosthetic case report.

This case report describes the treatment of a Class II malocclusion with upper lateral incisors agenesis in an adult patient, performed by an invisible preadjusted lingual appliance, monolateral space opening and dental Class II correction. The patient had previously been treated by clear aligners with the insertion of an implant in upper right canine position in order to close the remaining space. With the twofold aim of obtaining ideal occlusal relationship and smile aesthetic improvement, it highlights how a fixed orthodontic technique is needed to achieve the planned results, when anterior torque, bodily translations and deep-bite correction are necessary.

Soft tissue changes during orthopedic therapy: An in vivo 3-dimensional facial scan study.

Introduction: The aim was to compare the soft tissue changes in pretreatment and posttreatment facial scans of patients who had undergone various orthopedic treatments vs a control group of untreated growing patients.

Methods: Facial scans were performed before (T0) and after (T1) orthopedic treatment in 15 patients prescribed rapid palatal expander (RPE), 15 cervical headgear (HG), and 15 facemasks (FM), as well as 6 months apart in 15 untreated growing patients. After best-fit scan alignment using Geometric Control X software (3D Systems Inc, Rock Hill, SC), a 3-dimensional (3D) analysis of soft tissue changes was performed, comparing 3D reference points (total 22) and 8 areas on T0 and T1 scans.

Development of a rapid and fruit-saving method for fatty acid composition analysis in olive: a comparative study on 27 cultivars.

Fatty acid composition is an essential aspect of the qualitative assessment of olive oil. A method for evaluating and trending fatty acid composition of olive varieties directly from a limited amount of drupes, has been proven reliable in comparison with traditional oil analysis. No significant difference was detected between the two methods for the 27 cultivars tested, despite presenting decidedly different acid compositions.

Compliance with Headgear Evaluated by Force- and Temperature-Sensitive Monitoring Device: A Case-Control Study.

The aim was to objectively assess compliance in patients prescribed headgear and evaluate the impact of monitoring awareness, treatment duration, gender, and age on compliance levels. A total of 22 patients with Class II malocclusion wore the headgear integrated with the force and temperature sensitive Smartgear monitoring system (Smartgear, Swissorthodontics AG, Cham, Switzerland). Patients were instructed to wear the headgear for 13 h daily over a 3-month period.