Publications by authors named "Roberto Rongo"

Background And Objective: Cervical spine impairments are frequent findings among patients with temporomandibular disorders (TMDs). Previous studies have demonstrated that treatments targeting the upper cervical region can improve pain symptoms in patients with TMD. The aim of the current study was to assess whether counselling alone and counselling plus occlusal splint therapy can also provide relief for coexisting neck pain.

View Article and Find Full Text PDF

Objectives: Anxiety is strongly associated with chronic musculoskeletal pain, including painful temporomandibular disorders (p-TMD). Non-functional oral behaviors-such as wake-time tooth clenching or keeping the lower jaw in a tense position-are prevalent stress-related behaviors among individuals with elevated anxiety. These behaviors are thought to act as maladaptive coping strategies increasing strain on the masticatory muscles and the temporomandibular joint, thereby enhancing peripheral nociceptive input and contributing to the onset or persistence of p-TMD in individuals with high anxiety.

View Article and Find Full Text PDF

Background/objectives: Parents/caregivers' reports are valuable because they frequently play a crucial role in making decisions concerning a child's health, and their perspectives can significantly impact treatment choices. Furthermore, negative effects of oral health issues extend beyond just the adolescent patient, having an impact on family life. The aim of this study is to explore the perception of parents/caregivers regarding their children's oral-health-related quality of life (OHRQoL) and how the OHRQoL of adolescents impacts their family life.

View Article and Find Full Text PDF

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.

View Article and Find Full Text PDF

Introduction: In recent years, the use of Clear aligners (CA) has been diffused among children and adolescents. This systematic review aimed to summarize the literature regarding the effects of CA therapy in growing patients, including dentoalveolar and skeletal effects, periodontal changes, and quality of life measurements.

Methods: An electronic search on four databases was performed until September 2023, and studies including patients <18 years, treated with CA were selected.

View Article and Find Full Text PDF

Objective: This retrospective study aims to assess the predictability of Overbite (OVB) reduction and Curve of Spee (COS) levelling in patients with deep bite malocclusion treated with Clear Aligner Therapy (CAT). The research evaluates the accuracy of the prescribed movements in growing and non-growing patients.

Materials And Methods: Thirty-six patients treated with Invisalign from January 2018 using SmartTrack were included.

View Article and Find Full Text PDF
Article Synopsis
  • - The study aimed to analyze the psychosocial status of a large adult population and its connection to Temporomandibular Disorders (TMD), oral behaviors, and self-reported facial trauma, moving beyond previous studies that mostly examined treatment-seeking patients.
  • - A sample of 4,299 adults (1,700 males and 2,599 females with an average age of 40.4) was randomly recruited from public spaces; assessments included mental health questionnaires and TMD symptom evaluations, revealing significant rates of psychosocial impairment and chronic pain.
  • - Results indicated that mental health issues like anxiety and depression were notably linked to gender, TMD pain, and certain behaviors; additionally, TMD symptoms and pain disability correlated
View Article and Find Full Text PDF

Objective: To present a list of key points for good Temporomandibular Disorders (TMDs) clinical practice on behalf of the International Network for Orofacial Pain and Related Disorders Methodology (INfORM) group of the International Association for Dental, Oral and Craniofacial Research (IADR).

Methods: An open working group discussion was held at the IADR General Session in New Orleans (March 2024), where members of the INfORM group finalized the proposal of a list of 10 key points.

Results: The key points covered knowledge on the etiology, diagnosis, and treatment.

View Article and Find Full Text PDF

Background: To achieve a successful result, the orthodontist must use a systematic approach to plan the orthodontic treatment. Defining the correct position of the upper and lower incisors and evaluating their relationship with intermaxillary discrepancy and facial divergence have been recognized as the starting point for the diagnostic decision regarding extractions and anchorage requirements. The aim of our study was to analyze the relationship between intermaxillary discrepancy (ANPg^), mandibular inclination (SN^GoGn), lip incompetence, and the positioning of the upper and lower incisors (UIPs and LIPs) in a group of orthodontic patients.

View Article and Find Full Text PDF

Aim: This study aimed to identify pretreatment cephalometric variables as possible predictors of the mandibular length increase in Class II patients with mandibular retrusion, treated by means of the Bite Jumping Appliance (BJA).

Materials And Methods: Forty-three subjects (22 males and 21 females) with Class II malocclusion, treated with a BJA, were selected on the basis of the following inclusion criteria: full Class II molar relationship, Overjet (OVJ) ≥ 6 mm and a skeletal Class II malocclusion with mandibular retrusion at the start of the treatment (T0); cervical vertebral maturation stage 2 or 3 at time 0 (T0). The following mandibular structural features were measured on lateral cephalograms at time 0 and time 1 (15 months of treatment): the width and height of the mandibular symphysis and its width/height ratio, the width and height of the mandibular ramus and its width/height ratio, the antegonial notch depth and the Condilion-Gonion-Menton (Co-Go-Me) angle.

View Article and Find Full Text PDF

Clear aligners are employed daily for the treatment of several malocclusions. Previous clinical studies indicated low accuracy for the correction of tooth rotations. The aim of this study was to evaluate the predictability of tooth rotations with clear aligners.

View Article and Find Full Text PDF

Background: Preformed elastodontic appliances (EAs) have been described as safe, cost-effective, and easy-to-use devices for interceptive orthodontic treatment in growing patients. This study aimed to assess the knowledge and the attitude of dentists toward the use of EAs and to compare the behaviors of orthodontists (Os) with those of general dental practitioners (GDPs).

Methods: An anonymous survey was distributed among dentists through social media.

View Article and Find Full Text PDF

Background: Early orthopaedic treatment with rapid maxillary expansion (RME) associated with facemask (FM) has been shown to be effective in correcting Class III malocclusions in children. Treatment with pushing splints 3 (PS3) has shown to correct skeletal discrepancies in Class III growing patients. However, the effects of orthopaedic treatment on the upper airways in children with Class III malocclusion is controversial.

View Article and Find Full Text PDF

: This present retrospective study aimed to introduce Lower Incisor-Pg and to assess how this new parameter varies with the skeletal sagittal and vertical relationships. : A total of 1256 cephalometric analyses were performed using lateral cephalometric radiographs of a sample of subjects divided according to , , and measurements. The differences in between the groups were assessed through ANOVA tests and posthoc analyses, while Pearson's correlation analysis was used to assess the correlations between the measurements.

View Article and Find Full Text PDF

Juvenile idiopathic arthritis (JIA) is the most common inflammatory rheumatic disease of childhood. JIA can affect any joint and the temporomandibular joint (TMJ) is one of the joints most frequently involved. TMJ arthritis impacts mandibular growth and development and can result in skeletal deformity (convex profile and facial asymmetry), and malocclusion.

View Article and Find Full Text PDF
Article Synopsis
  • The Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) has been adapted for adolescents, filling a gap as no previous version existed for this age group.
  • A Delphi process involving experts led to modifications that make the assessment tools developmentally appropriate for individuals aged 10-19, focusing on physical and psychosocial health.
  • The adapted DC/TMD includes revised questionnaires and additional assessments for anxiety, depression, stress, and sleep disorders, aiming for reliability and validity in clinical and research settings globally.
View Article and Find Full Text PDF

Arch expansion might be used to correct buccal corridors, improve smile aesthetics, resolve dental cross bite, and gain space to resolve crowding. In clear aligner treatment, the predictability of the expansion is still unclear. The purpose of this study was to evaluate the predictability of dentoalveolar expansion and molar inclination with clear aligners.

View Article and Find Full Text PDF

Clear aligners are employed daily for the treatment of Class II malocclusions, when a valid option involves distalization and derotation of the upper first and second molars. Evidence regarding the predictability of these movements is slight, and the treatment outcome that clinicians plan may not be achieved. Therefore, the purpose of this study is to assess the accuracy of distalization and derotation with clear aligners.

View Article and Find Full Text PDF

A comprehensive evaluation of obstructive sleep apnoea (OSA) may allow for the development of more efficient management of Down syndrome (DS). We aimed to evaluate the effect of a multidisciplinary approach to DS with OSA. A total of 48 DS children aged 4−12 years were prospectively investigated with nasal endoscopy, orthodontic examination, and overnight polygraphy (PG); the Italian Child Sleep Habits Questionnaire (CSHQ-IT) was filled out by the mothers.

View Article and Find Full Text PDF

Aim: To evaluate the dental effects of the treatment with clear aligners and intermaxillary elastics in adult patients with Class II malocclusion. Material and methods: A sample of 20 Class II patients treated with Invisalign aligners (5 M and 15 F; mean age of 27.6 ± 6.

View Article and Find Full Text PDF

Orthodontic treatment is suggested in growing individuals to correct transverse maxillary deficiency and mandibular retrusion. Since, as a secondary effect, these orthodontic procedures may improve pediatric obstructive sleep apnea (OSA), this systematic review assessed their effects on apnea-hypopnea index (AHI) and oxygen saturation (SaO2). Twenty-five (25) manuscripts were included for qualitative synthesis, 19 were selected for quantitative synthesis.

View Article and Find Full Text PDF
Article Synopsis
  • - The study presents adaptations of the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) specifically designed for children aged 6-9, filling a gap since no previous adaptations existed.
  • - Through expert consultation, developmental changes were made to both Axis I and Axis II, including adjustments in language for questionnaires, incorporation of general health assessments, and new protocols for assessing psychosocial factors like anxiety and sleep disorders.
  • - The newly adapted criteria are suitable for clinical and research use, requiring further reliability and validity testing, and will undergo translation for global application in various languages.
View Article and Find Full Text PDF

Objectives:  The study aims to report the perception of dental practices and assess the individual's psychological stress level and related temporomandibular disorders (TMD) symptoms by evaluating the changes that occurred during the year following the first lockdown (May 2020).

Materials And Methods:  An online questionnaire was submitted to the Italian population between 20 March and 20 April 2021. It was sent via online platforms and included 14 questions.

View Article and Find Full Text PDF

Background. Clear aligners treatment (CAT) is a common solution in orthodontics to treat both simple and complex malocclusions. This study aimed to evaluate the predictability of CAT, comparing the virtually planned and the achieved tooth movement at the end of stage 15, which is often the time of first refinement.

View Article and Find Full Text PDF
Article Synopsis
  • There is currently no standardized psychosocial assessment for children and adolescents with temporomandibular disorders (TMD), unlike the established criteria for adults.
  • The study aims to develop a new assessment tool for young patients by adapting existing adult frameworks and incorporating additional measures for psychosocial health.
  • Using a modified Delphi method, experts reached a consensus on the assessment tools needed, resulting in a comprehensive evaluation framework that includes pain-related disability, depression, anxiety, and other psychological factors for children and adolescents with TMD.
View Article and Find Full Text PDF