ORIGINAL RESEARCH ARTICLE | Aug. 5, 2024
Predictability of Aligners in Incisor Extrusion and Molar Intrusion Movements: A Systematic Review of in Vitro Studies
Fatma Abdelkader, Yesmine Abid, Ala Hajjem, Wiem Ben Amor, Ines Dallel, Samir Tobji, Adel Ben Amor
Page no 167-174 |
DOI: https://doi.org/10.36348/sjodr.2024.v09i08.001
Background: Aligners, commonly used in orthodontic treatments, have shown varying degrees of effectiveness depending on the type of tooth movement required. This systematic review will outline recent findings and updates regarding the predictability of aligners in incisor extrusion and molar intrusion movements. Haut du formulaire. Objective: The purpose of this study was to systematically review the literature and evaluate the predictability of clear aligners in incisor extrusion and molar intrusion movements based on the available evidence. Materials and Methods: A total of three databases (Pubmed, Sciences Direct and Google Scholar) were searched until March 2023, in addition to a manual search in the following journals: the American Journal of Orthodontics and Dentofacial Orthopedics, The Angle Orthodontist, and the European Journal of Orthodontics. Finite elements studies assessing the ability of aligners in achieving incisor extrusion and molar intrusion movements published during the last 10 years in English were eligible to be selected. Study selection and data extraction were undertaken independently by two reviewers. Risk-of-bias (RoB) assessment was evaluated using the Methodological Quality of Single Subject Finite Element Analysis. The reporting of this review was based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Results: Four pertinent articles were incorporated into the analysis, all of which are finite element studies. Among these, three studies assessed the efficacy of aligners in achieving incisor extrusion, while one solely examined their predictability in molar intrusion. The risk of bias was categorized moderate in all studies. All these studies have agreed that attachments are essential for achieving incisor extrusion and molar intrusion movements. In fact, the position of the attachment has a greater influence on the amount of movement than its shape. Conclusion: The use of attachments has proven to be crucial for successfully achieving vertical movements with aligners. Horizontal rectangular palatal attachments are essential for incisor extrusion, while a combination of buccal and palatal attachments is necessary for molar intrusion.
ORIGINAL RESEARCH ARTICLE | Aug. 5, 2024
Effectiveness of Charcoal-infused Toothbrushes on Dental Plaque Removal: A Systematic Review and Meta-Analysis
Bandar Saud Shukr, Mohammed Abdullah Alzubaidi
Page no 175-184 |
DOI: https://doi.org/10.36348/sjodr.2024.v09i08.002
Background: This systematic review aimed to evaluate the available clinical evidence on the plaque removal effectiveness of charcoal-infused toothbrushes in comparison to non-charcoal brushes. Methods: An online search was conducted in major scientific databases. Inclusion criteria were experimental clinical trials conducted on participants aged 18 years or older that evaluated the plaque removal effectiveness of charcoal-infused toothbrushes compared to non-charcoal brushes, with no limitations on the language or publication date. Results: Out of 147 studies, 2 met the inclusion criteria. The Risk of Bias in the included articles was determined as “high”. The findings were mixed regarding the plaque removal effectiveness. One of the studies showed higher efficacy for charcoal-infused toothbrushes. In contrast, the other study showed a similar effect for both types of brushes. The meta-analysis could not be performed due to the small number of eligible studies, with each utilizing different outcome measures. Conclusions: Within the context of this review, it is unclear whether charcoal-infused toothbrushes are better oral hygiene aids than non-charcoal brushes. Therefore, further research over a longer duration is needed to reach a conclusive statement. Healthcare professionals and the public should be cautious when recommending or utilizing such novel products that lack enough scientific support.
This report aimed to discuss aesthetic rehabilitation utilizing monolithic zirconia restorations to produce a homogeneous and pleasing smile in a patient with facial asymmetry. A patient had a previously failed root canal treatment RCT for maxillary anterior teeth, resulting in midline shift and slightly stained teeth, with many remaining roots causing functional and aesthetic concerns. The treatment plan involved monolithic computer-aided designed/computer-aided manufactured zirconia restorations to enhance his natural teeth appearance. Excellent aesthetic satisfaction was observed during the follow-up visits, resulting in self-happiness, self-esteem, and confidence.