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New Techniques, Technologies and Materials for Dentistry and Maxillofacial Surgery
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New Techniques, Technologies and Materials for Dentistry and Maxillofacial Surgery

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601).

Deadline for manuscript submissions: closed (31 January 2022) | Viewed by 38357

Special Issue Editor

Dr. Edoardo Staderini

E-Mail Website
Guest Editor
Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Postgraduate School of Orthodontics, Largo Francesco Vito 1, 00168 Rome, Italy
Interests: orthodontics; clear aligners; interceptive orthodontic treatment; 3D imaging; cleft lip and palate
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

This Special Issue aimed to explore the use of innovative approaches in dentistry and maxillofacial surgery.

Medicine has been changed by the introduction of materials, CAD-CAM technologies, paving the way for new diagnostic and treatment options.

Nowadays, scientific research is oriented towards improved efficiency and efficacy in patient’s care; if we search the keyword “digital dentistry” in Medline, we found that the number of articles has an exponential growth in the last two decades. Maxillo-facial surgery has introduced new procedures (surgery-first, virtual planning) and materials (PEEK, custom-made splints for orthognathic surgery). Moreover, the use of three-dimensional examinations (cone-beam computed tomography, stereophotogrammetry) is a key point for the esthetic assessment and evaluation of orthodontic therapies/corrective surgeries.

We need to explore new technologies, as well to validate each protocol for best use of health-care resources to produce a maximum benefit/risk ratio for all patients. This Special Issue is focused on the methodological quality of innovative approaches in order to push research towards a straight methodology; the background should give a critical appraisal of the clinical relevance of an innovative technique (as compared with conventional know-how) and specify primary and secondary outcomes. Materials and methods should compare the accuracy, reliability, sensitivity, and specificity of a new approach with a control group. Discussion should involve the generalization of the results in the context of the available literature, and address the strengths and limitations of the proposed method; a paragraph should include some key points point for the implementation of the use of new techniques in the diagnostic workflow and the assessment of treatment outcomes.

We would highlight four counterpoints that can interfere with patient-centered care:  timesaving, productivity, business; and 4p (predictive, preventive, personalized, and participatory) medicines that encompass practical guidelines to optimize healthcare.

This Special Issue welcomes proof of concepts, and clinical papers that examine the effectiveness of innovative technologies in the diagnostic and therapeutic workflow. We aim to receive and publish systematic and narrative reviews, randomized controlled trials, prospective and retrospective studies, as well as case reports that accord to the EQUATOR guidelines. The main topics for the Special Issue are presented below:

  • Dental radiology: Cone-beam computed tomography, ALARA principles, and ionizing radiation exposure;
  • Three-dimensional imaging: accuracy and reliability of integration of digital data, precision of intraoral scanners and digital models, stereophotogrammetry, virtual/digital setup, and esthetic assessment;
  • Orthodontics: clear aligners, custom-made orthodontic appliances, tooth movement, and growth and development;
  • Maxillofacial surgery: cleft lip and palate, facial asymmetries, surgery-first vs, conventional orthognathic surgery, and guided-surgery.

Dr. Edoardo Staderini
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • Cone-beam computed tomography
  • Radiation, ionizing
  • Imaging, three-dimensional
  • Orthodontics
  • Maxillofacial surgery
  • Treatment outcome
  • Technology, dental
  • radiometry
  • Relative biological effectiveness
  • Risk assessment
  • Software
  • Esthetic assessment
  • Medicine, personalized.

Published Papers (6 papers)

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Research

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33 pages, 40548 KiB  
Article
The Efficacy of a New AMCOP® Elastodontic Protocol for Orthodontic Interceptive Treatment: A Case Series and Literature Overview
by Alessio Danilo Inchingolo, Assunta Patano, Giovanni Coloccia, Sabino Ceci, Angelo Michele Inchingolo, Grazia Marinelli, Giuseppina Malcangi, Valentina Montenegro, Claudia Laudadio, Chiara Di Pede, Mariagrazia Garibaldi, Zamira Kruti, Maria Elena Maggiore, Antonio Mancini, Ludovica Nucci, Ioana Roxana Bordea, Antonio Scarano, Felice Lorusso, Gianna Dipalma, Daniela Di Venere, Filippo Cardarelli and Francesco Inchingoloadd Show full author list remove Hide full author list
Int. J. Environ. Res. Public Health 2022, 19(2), 988; https://doi.org/10.3390/ijerph19020988 - 16 Jan 2022
Cited by 31 | Viewed by 4736
Abstract
Background: Elastodontics is a specific interceptive orthodontic treatment that uses removable elastomeric appliances. They are functional appliances that produce neuromuscular, orthopedic and dental effects. Thus, these devices are useful in the developmental age, when skeletal structures are characterized by important plasticity and adaptation [...] Read more.
Background: Elastodontics is a specific interceptive orthodontic treatment that uses removable elastomeric appliances. They are functional appliances that produce neuromuscular, orthopedic and dental effects. Thus, these devices are useful in the developmental age, when skeletal structures are characterized by important plasticity and adaptation capacity, allowing to remove factors responsible for malocclusions. Elastomeric devices are generally well tolerated by patients requiring simple collaboration and management. This work can be useful to update all orthodontists already adopting these appliances or for those who want to approach them for the first time. This study aimed to describe four cases treated with new elastomeric devices called AMCOP Bio-Activators and to provide an overview of elastodontics, its evolution, indications and limits. Methods: A total of four clinical cases were presented after a treatment period of 16–20 months to evaluate the clinical and radiological effects of the elastodontic therapy. Results: The effectiveness of Bio-Activators on clinical cases was evidenced with a significant improvement in skeletal and dentoalveolar relationship, and malocclusion correction in a limited treatment period (16–20 months). Conclusions: The Bio-Activators showed clinical effectiveness to achieve therapeutic targets according to a low impact on the patient’s compliance. Full article
(This article belongs to the Special Issue New Techniques, Technologies and Materials for Dentistry and Maxillofacial Surgery)
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11 pages, 2015 KiB  
Article
Effect of Craniofacial Morphology on Pharyngeal Airway Volume Measured Using Cone-Beam Computed Tomography (CBCT)—A Retrospective Pilot Study
by Rohan Diwakar, Anuraj Singh Kochhar, Harshita Gupta, Harneet Kaur, Maninder Singh Sidhu, Helen Skountrianos, Gurkeerat Singh and Michele Tepedino
Int. J. Environ. Res. Public Health 2021, 18(9), 5040; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18095040 - 10 May 2021
Cited by 4 | Viewed by 2814
Abstract
Background: The present study aimed to determine the correlation between pharyngeal airway volume and craniofacial morphology through cone-beam computed tomography (CBCT). Additionally, the study analyzed the influence of gender on pharyngeal airway volume. (2) Methods: 80 CBCT scans of 40 male and 40 [...] Read more.
Background: The present study aimed to determine the correlation between pharyngeal airway volume and craniofacial morphology through cone-beam computed tomography (CBCT). Additionally, the study analyzed the influence of gender on pharyngeal airway volume. (2) Methods: 80 CBCT scans of 40 male and 40 female patients (mean age: 15.38 + 1.10 years) fulfilling the eligibility criteria were included. CBCT scans were evaluated for pharyngeal airway volume using the In Vivo Dental 5.1 software. Additionally, CBCT-derived lateral cephalograms were used to assess various craniofacial morphology parameters. To examine the influences of gender on airway volume, T-test was carried out. Correlation between airway volume and craniofacial parameters were measured using Pearson correlation followed by regression analysis. The value of p < 0.05 was considered statistically significant. Results: The mean airway volume was significantly greater in males than in females. A statistically significant negative correlation was found between maxillary plane inclination and pharyngeal airway volume. In contrast, a positive correlation was observed between mandibular length and lower molar inclination with oropharyngeal and total pharyngeal airway volume. Females showed a statistically significant positive correlation between the pharyngeal airway volume and sagittal position of maxilla and mandible; they also showed a negative correlation between oropharyngeal airway volume and the mandibular plane angle. Conclusions: Overall, the pharyngeal airway space differs significantly between males and females. Craniofacial morphology does have a significant effect on the pharyngeal airway, especially on the oropharyngeal airway volume. Full article
(This article belongs to the Special Issue New Techniques, Technologies and Materials for Dentistry and Maxillofacial Surgery)
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12 pages, 1796 KiB  
Article
Antimicrobial Efficacy of Fruit Peels Eco-Enzyme against Enterococcus faecalis: An In Vitro Study
by Hetal Ashvin Kumar Mavani, In Meei Tew, Lishen Wong, Hsu Zenn Yew, Alida Mahyuddin, Rohi Ahmad Ghazali and Edmond Ho Nang Pow
Int. J. Environ. Res. Public Health 2020, 17(14), 5107; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17145107 - 15 Jul 2020
Cited by 15 | Viewed by 8674
Abstract
Sodium hypochlorite (NaOCl), an effective endodontic irrigant against Enterococcus faecalis (EF), is harmful to periapical tissues. Natural pineapple-orange eco-enzymes (M-EE) and papaya eco-enzyme (P-EE) could be potential alternatives. This study aimed to assess the antimicrobial efficacy of M-EE and P-EE at different concentrations [...] Read more.
Sodium hypochlorite (NaOCl), an effective endodontic irrigant against Enterococcus faecalis (EF), is harmful to periapical tissues. Natural pineapple-orange eco-enzymes (M-EE) and papaya eco-enzyme (P-EE) could be potential alternatives. This study aimed to assess the antimicrobial efficacy of M-EE and P-EE at different concentrations and fermentation periods against EF, compared to 2.5% NaOCl. Fermented M-EE and P-EE (3 and 6 months) at various concentrations were mixed with EF in a 96-well plate incubated for 24 h anaerobically. Minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) of M-EE and P-EE were determined via EF growth observation. EF inhibition was quantitatively measured and compared between different irrigants using the one-way analysis of variance (ANOVA), and different fermentation periods using the independent-samples T-test. M-EE and P-EE showed MIC at 50% and MBC at 100% concentrations. There was no significant difference in antimicrobial effect when comparing M-EE and P-EE at 50% and 100% to 2.5% NaOCl. P-EE at 6 months fermentation exhibited higher EF inhibition compared to 3 months at concentrations of 25% (p = 0.017) and 0.78% (p = 0.009). The antimicrobial properties of M-EE and P-EE, at both 100% and 50% concentrations, are comparable to 2.5% NaOCl. They could therefore be potential alternative endodontic irrigants, but further studies are required. Full article
(This article belongs to the Special Issue New Techniques, Technologies and Materials for Dentistry and Maxillofacial Surgery)
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Review

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15 pages, 2074 KiB  
Review
Orthodontic Extrusion vs. Surgical Extrusion to Rehabilitate Severely Damaged Teeth: A Literature Review
by Martina Cordaro, Edoardo Staderini, Ferruccio Torsello, Nicola Maria Grande, Matteo Turchi and Massimo Cordaro
Int. J. Environ. Res. Public Health 2021, 18(18), 9530; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18189530 - 10 Sep 2021
Cited by 8 | Viewed by 12038
Abstract
The need to rehabilitate severely compromised teeth is frequent in daily clinical practice. Tooth extraction and replacement with dental implant represents a common treatment choice. However, the survival rate for implants is inferior to teeth, even if severely damaged but properly treated. In [...] Read more.
The need to rehabilitate severely compromised teeth is frequent in daily clinical practice. Tooth extraction and replacement with dental implant represents a common treatment choice. However, the survival rate for implants is inferior to teeth, even if severely damaged but properly treated. In order to reestablish a physiological supracrestal tissue attachment of damaged teeth and to arrange an efficient ferrule effect, three options can be considered: crown lengthening, orthodontic extrusion and surgical extrusion. Crown lengthening is considered an invasive technique that causes the removal of part of the bony support, while both orthodontic and surgical extrusion can avoid this inconvenience and can be used successfully in the treatment of severely damaged teeth. The aim of the present narrative review is to compare advantages, disadvantages, time of therapy required, contraindications and complications of both techniques. Full article
(This article belongs to the Special Issue New Techniques, Technologies and Materials for Dentistry and Maxillofacial Surgery)
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Other

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6 pages, 1381 KiB  
Case Report
3D Printing of Polyamide to Fabricate a Non-Metal Clasp Removable Partial Denture via Fused Filament Fabrication: A Case Report
by Sebastian Spintzyk, Roman Schmunk, Pablo Kraemer Fernandez, Fabian Huettig and Alexey Unkovskiy
Int. J. Environ. Res. Public Health 2021, 18(16), 8241; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18168241 - 04 Aug 2021
Cited by 1 | Viewed by 3228
Abstract
The fabrication of a non-metal clasp removable partial denture (RPD) using polymethylmethacrylate in a fully digital workflow has been reported. According to some studies, the polyamide material may be alternatively used for this purpose. The authors are unaware of any reports concerning the [...] Read more.
The fabrication of a non-metal clasp removable partial denture (RPD) using polymethylmethacrylate in a fully digital workflow has been reported. According to some studies, the polyamide material may be alternatively used for this purpose. The authors are unaware of any reports concerning the additive manufacturing of polyamide. The current proof-of-concept dental technique describes the pathway to construct the non-metal clasp RPD using intraoral scanning and fused filament fabrication (FFF) printing of gingiva-colored polyamide. The present RPD showed acceptable fit and sufficient retention and was considered a valid temporary treatment option. Full article
(This article belongs to the Special Issue New Techniques, Technologies and Materials for Dentistry and Maxillofacial Surgery)
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18 pages, 15745 KiB  
Case Report
An Orthodontic Approach for Garre’s Sclerosing Osteomyelitis of the Mandible
by Ioan Barbur, Simion Bran, Mihaela Baciut, Gabriel Armencea, Alexandra Iulia Aghiorghiesei, Tudor-Sergiu Suciu, Adina Maria Barbur, Horia Opris, Grigore Baciut and Cristian Dinu
Int. J. Environ. Res. Public Health 2021, 18(6), 3159; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18063159 - 18 Mar 2021
Cited by 2 | Viewed by 5446
Abstract
The nonsuppurative osteomyelitis of the mandible is a rare condition that can occur in children due to low-grade inflammatory processes, dental cavities, periodontal lesions as well as the eruption process of the teeth. We submit a case report involving the orthodontic management of [...] Read more.
The nonsuppurative osteomyelitis of the mandible is a rare condition that can occur in children due to low-grade inflammatory processes, dental cavities, periodontal lesions as well as the eruption process of the teeth. We submit a case report involving the orthodontic management of a 9-year-old female patient who presented in our service in the mixed dentition period with diagnosed Garre’s sclerosing osteomyelitis of the entire mandibular body. After a full work-up, the following symptoms and signs were noted: bilateral temporomandibular joint (TMJ) pain, loss of the leeway space, anterior open bite, distalization of the secondary maxillary right canine, nail biting and tongue thrust. Our orthodontic objectives were to relieve the TMJ pain, limit the eruption process of the teeth and to diminish the evolution of the osteomyelitis, reduce the growth of the inferior lower third of the face and to prevent further invasive treatment of the patient. In the first phase of treatment, we established a centric relationship using an orthopedic appliance (occlusal splint) and physiotherapy to deprogram the muscles and the TMJ. Throughout the second phase of treatment, we used orthopedic appliances to inhibit the overeruption of the secondary molars. After another year of treatment, the osteomyelitis lesions were under control with the permanent teeth in final position, good facial esthetic and as a functional result, no root resorption. We can conclude that by using low physiological forces to direct and control the growth pattern, good results could be obtained in stabilizing and controlling the sclerosing osteomyelitis of the mandible. Full article
(This article belongs to the Special Issue New Techniques, Technologies and Materials for Dentistry and Maxillofacial Surgery)
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