Relevant bibliographies by topics / Malocclusion Orthodontic Appliances

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers

Academic literature on the topic 'Malocclusion Orthodontic Appliances'

Author: Grafiati
Published: 4 June 2021
Last updated: 1 February 2022

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Journal articles on the topic "Malocclusion Orthodontic Appliances"

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Mangat, Sukhpreet, Modi S. Kichorchandra, Akash Handa, and Suresh Bindhumadhav. "Correlation of Orthodontic Treatment by Fixed or Myofunctional Appliances and Periodontitis: A Retrospective Study." Journal of Contemporary Dental Practice 18, no. 4 (2017): 322–25. http://dx.doi.org/10.5005/jp-journals-10024-2039.

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ABSTRACT Introduction Malocclusion plays an important role in the development of periodontitis. Thus, by treating malocclusion, a good gingival health can be achieved. This study was conducted to establish the correlation between orthodontic tooth movement and periodontitis. Materials and methods This is a retrospective study conducted on 220 patients who underwent orthodontic treatment for malocclusion. They were divided into two groups: Group I patients were treated with fixed orthodontics, while group II patients received myofunctional appliances. Results The value for plaque, gingival recession, and tooth mobility significantly increased in group I patients. However, the difference was statistically nonsignificant in group II patients. Conclusion The authors concluded that there is correlation between malocclusion and periodontitis. Malocclusion leads to periodontitis. Clinical significance Malocclusion is the main reason for the development of poor periodontal health. Combined effort has to be played by both periodontist and orthodontist for the treatment of various orthodontic-periodontal problems. How to cite this article Sharma K, Mangat S, Kichorchandra MS, Handa A, Bindhumadhav S, Meena M. Correlation of Orthodontic Treatment by Fixed or Myofunctional Appliances and Periodontitis: A Retrospective Study. J Contemp Dent Pract 2017;18(4):322-325.
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Skufca, Bojan, and Tatjana Jelenic. "Class II malocclusion therapy using fixed orthodontic appliance." Vojnosanitetski pregled 64, no. 11 (2007): 779–82. http://dx.doi.org/10.2298/vsp0711779s.

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Background. Depending on the indication, and the age of a patient, class II division I malocclusion can be treated by a fixed or mobile orthodontic appliance, with or without teeth extraction. Case report. A treatment of a male patient, 15 years old, with dentoalveolar class II division I was described. On the base of clinical findings, study case analysis, analysis of orthopan and profile cephalogram, there were class II division I with protrusion of frontal teeth and mild crowding in lower jaw assessed. The patient was treated by fixed orthodontics appliances (SWA Roth .022") in both jaws for 18 months, with the retention period of the same length. Conclusion. Fixed ortodontic appliances are necessary when bodily movement of the teeth is indicated - in this case for cuspids distalization and retraction of incisors.
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Paley, Jonathan S., George J. Cisneros, Olivier F. Nicolay, and Etoile M. LeBlanc. "Effects of fixed labial orthodontic appliances on speech sound production." Angle Orthodontist 86, no. 3 (September 14, 2015): 462–67. http://dx.doi.org/10.2319/052415-351.1.

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ABSTRACT Objective: To explore the impact of fixed labial orthodontic appliances on speech sound production. Materials and Methods: Speech evaluations were performed on 23 patients with fixed labial appliances. Evaluations were performed immediately prior to appliance insertion, immediately following insertion, and 1 and 2 months post insertion. Baseline dental/skeletal variables were correlated with the ability to accommodate the presence of the appliances. Results: Appliance effects were variable: 44% of the subjects were unaffected, 39% were temporarily affected but adapted within 2 months, and 17% of patients showed persistent sound errors at 2 months. Resolution of acquired sound errors was noted by 8 months post–appliance removal. Maladaptation to appliances was correlated to severity of malocclusion as determined by the Grainger’s Treatment Priority Index. Sibilant sounds, most notably /s/, were affected most often. Conclusions: (1) Insertion of fixed labial appliances has an effect on speech sound production. (2) Sibilant and stopped sounds are affected, with /s/ being affected most often. (3) Accommodation to fixed appliances depends on the severity of malocclusion.
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Premkumar, Sridhar, and Varun Peter. "Lingual orthodontics with customized functional appliance." Orthodontic Update 12, no. 4 (October 2, 2019): 151–56. http://dx.doi.org/10.12968/ortu.2019.12.4.151.

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Every treatment technique in the orthodontic specialty has its own set of advantages. Combining the techniques in an effective manner could result in a synergistic effect. Two such techniques are lingual orthodontics and functional orthopaedic appliances. This case report shows the effective and efficient use of a customized functional appliance, along with lingual orthodontics, in the management of Class II division 1 malocclusion. It emphasizes the importance of combining the benefits of different strategies of orthodontic treatment. CPD/Clinical Relevance: The use of a customized functional appliance along with lingual orthodontics can produce desirable changes in Class II division 1 cases and clinicians should be aware of these advantages.
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Dogra, Namrata, Archana Jaglan, Sidhu M. S., Seema Grover, and Suman Suman. "Skeletal Class II Malocclusion Treated with AdvanSync 2 - A Case Report." Journal of Evolution of Medical and Dental Sciences 10, no. 34 (August 23, 2021): 2951–53. http://dx.doi.org/10.14260/jemds/2021/603.

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Treatment of complex malocclusion poses a challenge for the orthodontist because of its multifactorial aetiology. Class II malocclusion is the most frequently encountered and treated malocclusion in orthodontic practice and affects approximately 14.6 % of the North Indian population.1 A common reason for Class II malocclusion is mandibular skeletal retrusion which is the most common characteristic, as reported by McNamara.2 This can be caused by genetic or hereditary factors. When evaluating treatment options for Class II patients, the extent of the skeletal discrepancy and the skeletal maturity of the patient needs to be considered. Treatment may range from dental compensation including camouflage with extractions to surgical procedures targeted at moving the jaw at fault. In growing patients, growth modification with functional appliances offers an intermediate treatment option. Functional appliances are basically of two types; Removable and Fixed. Removable functional appliances such as Activator, Bionator, Frankel Function regulator and Twin Block appliance change Class II relationship by the transmission of soft tissue tension to the dentition. Treatment success with these appliances relies heavily on patient compliance. Therefore, in non-compliant patients, fixed Class II correctors in conjunction with fixed orthodontic appliances are the best choice.3 Fixed functional appliances generate continuous stimuli for mandibular growth without break and permit better adaptation to functions like mastication, swallowing, speech and respiration.1 The Herbst fixed functional appliance has been used routinely for Class II patients and has undergone many design variations over time.4 The AdvanSync2 Class II corrector is a recently introduced fixed functional appliance. It has a much smaller size than the conventional Herbst appliances, is easier to place, activate and remove and most importantly, can be used in conjunction with full-arch fixed appliances throughout.3 Here we describe a case report of a patient treated with the AdvanSync2 Class II corrector and the findings observed in the sagittal and vertical dimensions
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Zawawi, Khalid H. "Orthodontic Treatment of a Mandibular Incisor Extraction Case with Invisalign." Case Reports in Dentistry 2014 (2014): 1–4. http://dx.doi.org/10.1155/2014/657657.

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Mandibular incisor extraction for orthodontic treatment is considered an unusual treatment option because of the limited number of patients that meet the criteria for such treatment. Accurate diagnosis and treatment planning is essential to achieve the desired results. Adult orthodontic patients are increasingly motivated by esthetic considerations and reject the idea of conventional fixed appliances. In recent years, Invisalign appliances have gained tremendous attention for orthodontic treatment of adult patients to meet their esthetic demands. In this case report, a case of Class I malocclusion was treated with mandibular incisor extraction using the Invisalign appliance system. Successful tooth alignment of both arches was achieved. The use of Invisalign appliance is an effective treatment option in adult patients with Class I malocclusion that requires incisor extraction due to moderate to severe mandibular anterior crowding.
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Karadjinovic, Drasko, and Branislav Vidovic. "Correction of incisor malpositions in mixed dentition with 2x4 orthodontic appliance." Serbian Dental Journal 49, no. 1-2 (2002): 50–52. http://dx.doi.org/10.2298/sgs0202050k.

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Depending of indication, malocclusion in mixed dentition can be treated by removable or fixed orthodontic appliances. Malpositions of permanent incisors are successfully treated with 2x4 orthodontic appliance representing economical, safer and simple solution for contemporary general dentists, paedodontists and orthodontists.
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Polkowska, Izabela, Magdalena Gołyńska, Aleksandra Sobczyńska-Rak, Katarzyna Putowska, Teresa Matthews-Brzozowska, Anna Szyszkowska, Marcin Gołyński, Artur Chełmiński, and Igor Capik. "Orthodontic treatment of dogs on the basis of modern knowledge and own experience." Bulletin of the Veterinary Institute in Pulawy 58, no. 4 (December 1, 2014): 645–50. http://dx.doi.org/10.2478/bvip-2014-0098.

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Abstract The aim of the study was to demonstrate the orthodontic treatment of malocclusions in dogs, a condition which can lead to cranio-mandibular and functional disorders of the stomatognathic system. The treatment involved the use of maxillofacialorthopaedic appliances, which type depended on the type of disorder and the degree of malocclusion. The applied treatment induced changes in the alveolar bone. Throughout the process of the treatment a great attention was paid to regular brushing off the orthodontic appliance using antiseptics for prophylactic prevention of inflammation of gingival tissue and the palate caused by food getting stuck in the spaces between the teeth.
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Oltramari-Navarro, Paula Vanessa Pedron, Renato Rodrigues de Almeida, Ana Cláudia de Castro Ferreira Conti, Ricardo de Lima Navarro, Marcio Rodrigues de Almeida, and Leandra Sant'Anna Ferreira Parron Fernandes. "Early Treatment Protocol for Skeletal Class III Malocclusion." Brazilian Dental Journal 24, no. 2 (April 2013): 167–73. http://dx.doi.org/10.1590/0103-6440201301588.

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Skeletal Class III malocclusion, with its unpredictable and unfavorable nature, has been characterized by a growth pattern with doubtful prognosis regarding orthodontic mechanics, even when performed early. For a long time, Class III malocclusion was regarded as a synonym of mandibular prognathism, regardless of the affected skeletal structures. Mandibular growth, essentially determined by genetic factors, could barely be controlled by early orthodontic interventions. Therefore, the treatment choice was to wait for the patient to grow, and then make an orthodontic intervention associated with an orthognathic surgery. Maxillary involvement in the etiology of Class III malocclusion was conclusive to change orthodontic therapeutics. Maxillary intramembranous growth has a better response to orthopedic treatment, based on growth control and redirection, thus contributing for early intervention success. In several cases, excellent results have been achieved with rapid maxillary expansion and protraction. The aim of this study was to describe and discuss the treatment of a patient with Class III malocclusion, whose treatment planning comprised two phases: interceptive (mechanical orthopedic appliances) and comprehensive (fixed orthodontic appliance). The results of this case showed that Class III malocclusion should be intercepted as early as possible to permit growth redirection, mainly when the maxilla is the primary etiologic factor or dental and/or functional factors are involved. Diagnosis, treatment planning and prognosis depend on patient age, growth potential and severity of malocclusion. Early intervention, adequate indication of appliances, and patient compliance are key factors for good outcomes.
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Jian Lau, Matthew Wen. "Comprehensive orthodontic treatment in an adolescent patient with Class II Division 1 malocclusion and ankylosed maxillary central incisors." APOS Trends in Orthodontics 9 (September 28, 2019): 190–97. http://dx.doi.org/10.25259/apos_52_2019.

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While uncommon in orthodontics, the extraction of central incisors may be indicated when such teeth are of poor prognosis. This report details orthodontic treatment of a 13-year and 5-month-old Chinese female, who presented with Class II/1 malocclusion on a Class II skeletal jaw base relationship. Her maxillary central incisors were ankylosed and had undergone severe external root resorption following a previous traumatic episode. Orthodontic treatment involved removal of the maxillary central incisors and the mandibular first premolars. Pre-adjusted edgewise appliances with MBT prescription were used. To enhance anterior esthetics, prosthetic buildup of the four maxillary anterior teeth was performed before appliance removal. Tight intercuspation of teeth and optimal facial esthetics were achieved at appliance debond and maintained at 2-year follow-up.
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Dissertations / Theses on the topic "Malocclusion Orthodontic Appliances"

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Do-deLatour, Thuy B. "Effective maxillary protraction hyrax expansion appliance vs. double-hinged expansion appliance /." Morgantown, W. Va. : [West Virginia University Libraries], 2009. http://hdl.handle.net/10450/10287.

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Thesis (M.S.)--West Virginia University, 2009.
Title from document title page. Document formatted into pages; contains viii, 99 p. : ill. (some col.). Includes abstract. Includes bibliographical references (p. 83-90).
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Heinrichs, Dean. "Treatment effects of the Forsus fatigue resistant device a cephalometric investigation /." Morgantown, W. Va. : [West Virginia University Libraries], 2010. http://hdl.handle.net/10450/10930.

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Thesis (M.S.)--West Virginia University, 2010.
Title from document title page. Document formatted into pages; contains viii, 101 p. : ill. (some col.). Includes abstract. Includes bibliographical references (p. 83-92).
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Tse, Lap Kee Edmond. "A comparative study of the skeletal and dental effects of a modified herbst and the traditional herbst appliances in Southern Chinese a prospective cephalometric study /." Click to view the E-thesis via HKUTO, 1994. http://sunzi.lib.hku.hk/HKUTO/record/B38628454.

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謝立祺 and Lap Kee Edmond Tse. "A comparative study of the skeletal and dental effects of a modified herbst and the traditional herbst appliances in Southern Chinese: a prospective cephalometric study." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1994. http://hub.hku.hk/bib/B38628454.

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Wigal, Timothy G. "Long-term follow-up of patients treated with the edgewise crowned Herbst appliance in the mixed dentition." Morgantown, W. Va. : [West Virginia University Libraries], 2008. https://eidr.wvu.edu/etd/documentdata.eTD?documentid=5621.

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Thesis (M.S.)--West Virginia University, 2008.
Title from document title page. Document formatted into pages; contains xii, 290 p. : ill. (some col.). Vita. Includes abstract. Includes bibliographical references (p. 186-196).
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Van, Laecken Ryan. "Treatment effects of the edgewise Herbst appliance a cephalometric and tomographic investigation /." Morgantown, W. Va. : [West Virginia University Libraries], 2002. http://etd.wvu.edu/templates/showETD.cfm?recnum=2452.

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Thesis (M.S.)--West Virginia University, 2002.
Title from document title page. Document formatted into pages; contains x, 155 p. : ill. (some col.). Vita. Includes abstract. Includes bibliographical references (p. 116-124).
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Du, Xi. "Skeletal, dental and muscular effects in class II division 1 malocclusion treated by Herbst appliance /." Hong Kong : University of Hong Kong, 1999. http://sunzi.lib.hku.hk/hkuto/record.jsp?B21129447.

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Tse, Pui-yee Agnes. "Long-term follow-up in early treatment of Class III." Hong Kong : University of Hong Kong, 2002. http://sunzi.lib.hku.hk/hkuto/record.jsp?B25314142.

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Casellas, Clemente. "Skeletal and dental changes with the acrylic splint Herbst appliance." Morgantown, W. Va. : [West Virginia University Libraries], 2001. http://etd.wvu.edu/templates/showETD.cfm?recnum=1868.

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Thesis (M.S.)--West Virginia University, 2001.
Title from document title page. Document formatted into pages; contains vii, 73 p. : ill. Vita. Includes abstract. Includes bibliographical references (p. 64-69).
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杜熹 and Xi Du. "Skeletal, dental and muscular effects in class II division 1 malocclusion treated by Herbst appliance." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1999. http://hub.hku.hk/bib/B31238439.

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Books on the topic "Malocclusion Orthodontic Appliances"

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Isaacson, Keith Geoffrey. Functional orthodontic appliances. Oxford: Blackwell Scientific, 1990.

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Thomas, Rakosi, and Petrovic Alexandre G, eds. Dentofacial orthopedics with functional appliances. St. Louis: Mosby, 1985.

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Thomas, Rakosi, and Petrovic Alexandre G, eds. Dentofacial orthopedics with functional appliances. 2nd ed. St. Louis: Mosby, 1997.

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Yahya, Tosun, ed. Biomechanics in orthodontics: Principles and practice. Chicago: Quintessence Pub. Co., 2010.

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Bastien, Gill B. Applied orthodontic therapy, the straight arch appliance. San Marcos, Calif. (1619 S. Rancho Santa Fe Rd., San Marcos, 92069): Ortho Organizers, 1986.

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T, Reske Neil, ed. Essentials of orthodontics: Diagnosis and treatment. Ames, Iowa: Wiley-Blackwell, 2011.

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Orthodontic management of uncrowded class II division 1 malocclusion in children. Edinburgh: Mosby Elsevier, 2006.

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Fränkel, Rolf. Orofacial orthopedics with the function regulator. Basel: Karger, 1989.

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Fränkel, Rolf. Orofacial orthopedics with the function regulator. Basel: Karger, 1989.

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Walther, D. P. Walther and Houston's orthodontic notes. 5th ed. Oxford: Wright, 1994.

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Book chapters on the topic "Malocclusion Orthodontic Appliances"

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DiBiase, Andrew. "The use of functional appliances in the correction of Class III malocclusion." In Orthodontic Functional Appliances, 119–26. Chichester, UK: John Wiley & Sons, Ltd, 2016. http://dx.doi.org/10.1002/9781119004332.ch9.

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Grigolato, Luca, Stefano Filippi, Daniela Barattin, Daniele Cantarella, Won Moon, Roberto Meneghello, Gianmaria Concheri, and Gianpaolo Savio. "Conceptual Design of a Functional Orthodontic Appliance for the Correction of Skeletal Class II Malocclusion." In Lecture Notes in Mechanical Engineering, 329–41. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-31154-4_28.

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Longridge, Nicholas, Pete Clarke, Raheel Aftab, and Tariq Ali. "Orthodontics." In Oxford Assess and Progress: Clinical Dentistry, edited by Katharine Boursicot and David Sales. Oxford University Press, 2019. http://dx.doi.org/10.1093/oso/9780198825173.003.0014.

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Orthodontics is ‘the specialty of dentistry concerned with growth of the face, the development of dentition, and the prevention and correction of occlusal anomalies. A malocclusion can be defined as ‘a deviation from the ideal that may be aesthetically or functionally unsatisfactory, with a wide range of occlusal traits’. Orthodontics is a constantly evolving specialty, with ever changing principles and techniques continuing to be developed. There has been huge progress in orthodontics in recent times, with changes in the types of brackets, archwire materials, and appliance systems (such as tem­porary anchorage devices and aligner technology). The key principles of orthodontics date back to 1899 when Edward Angle described ‘the key to a normal occlusion as the anteropos­terior relationship between the upper and lower first molars’. In 1972, Lawrence Andrews described ‘six keys to an ideal static occlusion’. This was the basis of early orthodontic treatment planning. Knowledge of craniofacial development and growth is required as a foundation for understanding the aetiology of a patient’s malocclusion, to reach a diagnosis, and to plan orthodontic treatment. A basic under­standing of the types of orthodontic appliances is beneficial (mainly fixed appliances, functional appliances, some use of removable appliances, and retainers). In addition to the management of a malocclusion, orthodontic treat­ment is often required in conjunction with other specialties, including oral and maxillofacial surgery, paediatric and restorative dentistry Key topics discussed in this chapter include: ● Fixed appliances ● Functional appliances ● Removable appliances ● Retention ● Index of treatment need ● Orthodontic assessment and diagnosis ● Cephalometric analysis ● Malocclusion ● Ectopic canines ● Dental anomalies.
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Cohen-Levy, DDS, Julia. "Orthodontic Monitoring and Case Finishing With the T-Scan System." In Advances in Medical Technologies and Clinical Practice, 1057–124. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-5225-9254-9.ch015.

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This chapter reviews T-Scan use in orthodontics from diagnosis to case finishing, and then in retention, while defining normal T-Scan recording parameters for orthodontically-treated subjects versus untreated subjects. T-Scan use in the case-finishing process is also described, which compensates for changes in the occlusion that occur during “post-orthodontic settling,” as teeth move freely within the periodontium to find an equilibrium position when the orthodontic appliances have been removed. T-Scan implementation is necessary because, often, despite there being a post treatment, visually “perfect” angle's Class I relationship established with the orthodontic treatment, ideal occlusal contacts do not result solely from tooth movement. Creating simultaneous and equal force occlusal contacts following fixed appliance removal can be accomplished using T-Scan data to optimize the end-result occlusal contact pattern. The T-Scan software's force distribution and timing indicators (the two- and three-dimensional force views, force percentage per tooth and arch half, the center of force trajectory and icon, the occlusion time [OT], and the disclusion time [DT]), all aid the Orthodontist in obtaining an ideal occlusal force distribution during case-finishing. Fortunately, most orthodontic cases remain asymptomatic during and after tooth movement. However, an occlusal force imbalance or patient discomfort may occur along with the malocclusion that needs orthodontic treatment. Symptomatic cases require special documentation at the baseline, and careful monitoring throughout the entire orthodontic process. The clinical use of T-Scan in these “fragile” cases of patient muscle in-coordination, mandibular deviation, atypical pain, and/or TMJ idiopathic arthritis, are illustrated by several case reports. The presented clinical examples highlight combining T-Scan data recorded during case diagnosis, tooth movement, and in case finishing, with patients that underwent lingual orthodontics and orthognathic surgery, orthodontic treatment using clear aligners, or conventional fixed treatment with a camouflage treatment plan, which require special occlusal finishing (when premolars are extracted in only one arch).
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"Designs and Applications of Intraoral Appliances in Class III Malocclusion." In Orthodontic Treatment of Class III Malocclusion, edited by Nobuyuki Ishii and Ryuzo Kanomi, 306–14. BENTHAM SCIENCE PUBLISHERS, 2014. http://dx.doi.org/10.2174/9781608054916114010014.

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Wilmes, Benedict. "The Beneslider and Pendulum B appliances." In Skeletal Anchorage in Orthodontic Treatment of Class II Malocclusion, 174–77. Elsevier, 2015. http://dx.doi.org/10.1016/b978-0-7234-3649-2.00033-6.

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Dandajena, Tarisai C. "Hybrid Functional Appliances for Management of Class II Malocclusions." In Current Therapy in Orthodontics, 103–14. Elsevier, 2010. http://dx.doi.org/10.1016/b978-0-323-05460-7.00010-7.

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N. Moore, Kristin, David R. Musich, Donald Taylor, Budi Kusnoto, and Carla A. Evans. "A Removable Class III Traction Appliance for Early Class III Treatment." In Current Trends in Orthodontics [Working Title]. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.99885.

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Maxillary, mandibular, and dental effects resulting from the use of a removable intraoral Class III traction appliance as well as the protraction facemask in treatment of Class III malocclusion were assessed. This is a retrospective study comparing measurements from pre-treatment and post-treatment lateral cephalometric radiographs of two groups. Group 1 consisted of 25 patients treated with rapid palatal expansion followed by a removable intraoral Class III traction appliance. Group 2 consisted of 25 patients treated with rapid palatal expansion followed by a protraction facemask. The subjects were Caucasian, both male and female, with an age range of 3 to 12 years. The only significant differences were in length of treatment time and the skeletal change of angle SNA. The mean treatment times were 6.96 months and 10.96 months in the removable Class III traction appliance and protraction facemask groups, respectively. The mean increase in SNA was 0.46 degrees in the removable Class III traction appliance group and 1.81 degrees in the protraction facemask group. A removable Class III traction appliance provides orthodontists with another useful Class III treatment modality.
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Papadopoulos, Moschos A. "The Advanced Molar Distalization Appliance." In Skeletal Anchorage in Orthodontic Treatment of Class II Malocclusion, 160–67. Elsevier, 2015. http://dx.doi.org/10.1016/b978-0-7234-3649-2.00030-0.

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Ludwig, Björn, Bettina Glasl, Michael Schauseil, Ben Piller, and Gero Kinzinger. "The skeletal Pendulum-K appliance." In Skeletal Anchorage in Orthodontic Treatment of Class II Malocclusion, 183–85. Elsevier, 2015. http://dx.doi.org/10.1016/b978-0-7234-3649-2.00035-x.

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Conference papers on the topic "Malocclusion Orthodontic Appliances"

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Tilli, Jacopo, Alessandro Paoli, Armando V. Razionale, and Sandro Barone. "A Novel Methodology for the Creation of Customized Eruption Guidance Appliances." In ASME 2015 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. American Society of Mechanical Engineers, 2015. http://dx.doi.org/10.1115/detc2015-47232.

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Within the orthodontic field, malocclusion problems are usually treated by using different types of appliances. In particular, Eruption Guidance Appliances (EGAs) are recommended for early orthodontic treatment or prevention of malocclusion problems. The traditional approach with EGAs is based on the use of standard prefabricated appliances. Experts in the orthodontic field believe that the customization of the EGAs would strongly enhance the results of malocclusion treatments. This paper presents an innovative methodology for the design and manufacturing of fully customized EGAs. The methodology is based on an extensive integration between traditional orthodontic procedures with advanced computer aided design processes. The methodology moves from the digitalization of the plaster models obtained by optical scanning techniques. The patient morphology is then exploited, under dental practitioner supervision, for the design of the appliance geometry through CAD modeling tools. Medical guided assessment is required throughout the most of the data elaboration processes, in order to design the EGAs accordingly to the patient’s clinical conditions. Low-pressure injection molds for the physical manufacturing of the appliances are then 3D printed by using rapid prototyping techniques. The proposed methodology allows the production of patient customized appliances guaranteeing low cost manufacturing and high quality standards, similar to those typically obtained by in series productions. Moreover, the presented approach offers a high integration level with numerical and finite element methods, which can be used for evaluating the stress applied on the EGA, thus allowing the reinforcement of the appliance prior its manufacturing.
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