Academic literature on the topic 'Softwares. Dental practice management. Orthodontics'

Among the innovations that have changed modern orthodontics, the introduction of new digital technologies in daily clinical practice has had a major impact, in particular the use of 3D models of dental arches. The possibility for direct 3D capture of arches using intraoral scanners has brought many clinicians closer to the digital world. The digital revolution of orthodontic practice requires both hardware components and dedicated software for the analysis of STL models and all other files generated by the digital workflow. However, there are some negative aspects, including the need for the clinician and technicians to learn how to use new software. In this context, we can distinguish two main software types: dedicated software (i.e., developed by orthodontic companies) and open-source software. Dedicated software tend to have a much more user-friendly interface, and be easier to use and more intuitive, due to being designed and developed for a non-expert user, but very high rental or purchase costs are an issue. Therefore, younger clinicians with more extensive digital skills have begun to look with increasing interest at open-source software. The aim of the present study was to present and discuss some of the best-known open-source software for analysis of 3D models and the creation of orthodontic devices: Blue Sky Plan, MeshMixer, ViewBox, and Blender.

Dental ankylosis may be a significant complication in orthodontic clinical practice. This case report describes the management of a malocclusion, complicated by an ankylosed maxillary central incisor, which arose during orthodontic treatment, following an acute traumatic injury. The use of the ankylosed incisor in successfully managing the significant Class II division 1 malocclusion is described.

Abstract A 15-year-old girl with ectodermal dysplasia who had been treated previously with minimal orthodontic intervention and removal prosthesis was seen and evaluated at the General Practice Program at the University of Kentucky. After consultations with orthodontics and oral and maxillofacial surgery, an interdisciplinary staged treatment plan was developed to address her skeletal and dental issues. The authors briefly review the literature with respect to current therapy for patients with ectodermal dysplasia and present the case as an example of the coordinated care provided for a patient with complex skeletal and dental issues.

OBJECTIVES The aim is to assess the knowledge, attitude and practice of dental practitioners concerning physiotherapy management of Temporomandibular joint dysfunctions (TMDs.). METHOD 61 dentists were included from Tertiary, secondary and private dental clinics of Karachi, and the study design was cross sectional. RESULTS Prior to survey 45.9% of did not had knowledge about physical therapy management TMD. Maxillofacial surgeons and master’s degree holders had more knowledge about physical therapy (PT) management. 45.9% dentists reported that PT is non-effective treatment approach. Lack of knowledge on dentist’s behalf is the foremost cause of less referral to PT 88.5%. Jaw exercises were prescribed by 83.6% of dentists. In the end of the survey 52.5% dentists were reluctant to refer, 47.5% were maybe they will refer and 96.7% dentists were eager to gain more knowledge about the benefits of PT and collaborative treatment. CONCLUSIONS This study concluded that the dental practitioners of Karachi lack knowledge, attitude and practice regarding physiotherapy treatment of TMD. The benefits of multidisciplinary approach while treating TMDs were not very well known to dental practitioners and its benefits to patients. This study increased the knowledge of surveyed practitioners KEYWORDS Dentistry, Masticatory Muscles, Temporomandibular Joint Disorders, Orthodontics, Temporomandibular Joint, Manipulation

The usage of the portable electronic devices such as the smartphones and handheld tablets has increased over the years, and this is true in the health-care industry also. This is because of the development of various patient management softwares. The use of apps to manage, educate, and inform patient is not uncommon among orthodontists nowadays. The aim of this article was to review the various apps available on the Google Play Store and iOS Apple Store for orthodontists and patients. Four smartphones using orthodontically relevant keywords such as orthodontics, orthodontists, and braces were searched and reviewed in detail. Out of the 354 orthodontically relevant apps available in both Android and Apple operating systems, the apps could be categorized as orthodontist-related apps or patient-related apps. Under these categories they could be further classified as practice managements apps, patient education apps, model analysis apps, tooth material calculators, patient reminder apps, etc.

This paper is mainly intended for postgraduate orthodontic students especially for those who will learn and practice the Fixed Appliance Technique. With the advancement of research, introduction of new biomaterials and techniques, the orthodontic treatment has been scientifically affordable for the last few decades. In Bangladesh the orthodontic treatment and education is also becoming very popular in the private and institutional level day by day. In fact, post-graduate trainee doctors in the department of orthodontics & Dentofacial Orthopedics, Dhaka Dental College and Hospital were the once who had the idea of writing this paper. While supervising & conducting FCPS Part II examination as a convener, I felt this sort of clinical and technical review would be very helpful for the trainees as well as practitioners. Keeping that thought in my mind, I also intend to write a series of papers that will contain the basic as well as contemporary orthodontic techniques and philosophy. Post-graduate trainee doctors, faculty members and private practitioners will all find this paper as a guideline during their training as well as in professional practicing period. I am very much delighted to present this paper and series of papers in the next subsequent issues. The present paper describes training techniques, the design of standard edge-wise-technique in sequential stages for treating Angle Class II maxillary protrusion with excessive over jet, overbite (upper and lower 1st premolar extraction case), and illustrated case reports1,2 of class II malocclusion. The author acknowledges that the paper is summarized from lectures, handouts during his postgraduate studies in Kyushu University and Hiroshima University, Japan and also clinical experience acheived from the Department of Orthodontics and Dentofacial Orthopedics, Dhaka dental College and Hospital and private practice in Bangladesh. DOI: http://dx.doi.org/10.3329/bjodfo.v1i1.15976 Ban J Orthod & Dentofac Orthop, October 2010; Vol-1, No.1, 27-37

The article presents results of content analysis of Russian and foreign reference materials, scientific and educational literature regarding a rare pathology: the Scheuthauer-Marie-Sainton syndrome (cleidocranial dysplasia). The results are provided in the form of an explicit diagnostic algorithm for dental practitioners revealing this disease in patients in orthopaedic dentistry and orthodontics practice being a guideline for involvement of allied general profile specialists in consulting of such a patient. The clinical case reflected in the paper describes orthopaedic dental treatment provided to a 19-years-old female patient with cleidocranial dysplasia as well as a complex and ambiguous clinical picture of the oral cavity. The case demonstrates possibilities in efficacy of dental rehabilitation procedures for this category of patients using minimally invasive methods as the most justified and predictable approach providing a wide spectrum of furtherclinical decisions in short- and long-term patient management after treatment

Objective: To survey the opinion of recently qualified and established orthodontists on the perceived value of their training and to identify specific areas which which were considered to be deficient, adequately covered or focussed on excessively. Design: Descriptive cross-sectional survey Setting: Online electronic questionnaire. Participants: Members of the British Orthodontic Society (BOS). Methods: An electronic questionnaire was circulated to members of the BOS focusing on dental education history, and opinions concerning orthodontic teaching generally and specific clinical and non-clinical subjects. Information was also obtained in terms of possible need for improvement, modification or removal of teaching on focused academic and clinical aspects. Results: A total of 217 responses were received from 1080 emailed invitations resulting in a response rate of 20.1%. Respondents were generally satisfied with their training both in relation to theoretical, academic and practical aspects. However, training was regarded as deficient by some respondents in respect of temporary anchorage devices (38%), bonded retainers (6%), experience with lingual appliances (47%), removable aligners (44%), inter-proximal reduction (24%) and adult orthodontics (16%), working with therapists (32%), and NHS contracts (47%) and commissioning (47%). Conclusion: The overall satisfaction of BOS members with postgraduate orthodontic training is generally high, although both recently qualified and established practitioners emphasised the need for better exposure to training in specific practical aspects and practice management within the NHS.

Patients commonly present to orthodontists with complaints of facial and/or mandibular asymmetry. It is important that all asymmetry complaints are taken seriously and further investigated. Orthodontists play an important role in the diagnosis, management and follow-up of these conditions. For condylar hyperactivity, management is generally in a multidisciplinary setting. Clinicians who practice orthodontics in a primary care setting need to be aware of the correct terminology and the appropriate investigations required for diagnosis and the management of this condition. This paper aims to describe the contemporary management of condylar hyperactivity and presents a case of combined orthodontic-surgical treatment. CPD/Clinical Relevance: Condylar hyperactivity can lead to severe orofacial deformities and severe malocclusions. The orthodontist must understand the terminology, diagnostic techniques and treatment of this condition in order to offer the most appropriate management. The entire dental team may be involved in cases of condylar hyperactivity from diagnosis through to follow-up. Increased awareness may therefore improve diagnosis and ensure appropriate early referrals are made, thus potentially improving outcomes.

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The calculation of tooth mass discrepancy, essential for good planning and a proper orthodontic finishing, when performed manually, besides being laborious, requires considerable time consumption. The aim of this study was to develop and test Bolton Freeware, a software for analysis of the tooth mass discrepancy of Bolton, aiming to minimize the consumption of time in a less onerous way. The digital analysis of the software was done by means of two-dimensional scanning of plaster study models and compared to manual evaluation (gold standard), using 75 pairs of stone plaster study models divided into two groups according to the magnitude of the Curve of Spee (group I from 0 to 2 mm, group II greater than 2 to 3mm). All the models had permanent dentition and were in perfect condition. The manual evaluation was performed with a digital caliper and a calculator, and the time required to perform the analysis for both methods was recorded and compared. In addition, the software was evaluated by orthodontists regarding its use, by means of questionnaires developed specifically for this purpose. Calibration was performed prior to manual analysis, and excellent levels of inter-rater agreement were achieved, with ICC > 0.75 and r > 0.9 for total and anterior proportion. It was observed in the evaluation of error of the digital method that some teeth showed a significant systematic error, being the highest measured at 0.08 mm. The analysis of total tooth mass discrepancy performed by Bolton Freeware, for those cases in which the curve of Spee is mild and moderate, differ from manual analysis, on average, 0.09 mm and 0.07 mm respectively, for each tooth evaluated, with r> 0, 8 for total and anterior proportion. According to the specificity and sensitivity test, Bolton Freeware has an improved ability to detect true negatives, i.e. the presence of discrepancy. The Bolton analysis digitally performed was faster, with an average difference of time consumed to perform the analysis of Bolton between the two methods of approximately 6 minutes. Most experts interviewed (93%) approved the usability of the software
O c?lculo da discrep?ncia de massa dent?ria, efetivo recurso para um bom planejamento e uma adequada finaliza??o ortod?ntica, quando realizado manualmente, al?m de trabalhoso, exige um consider?vel consumo de tempo. O objetivo desse estudo foi o desenvolvimento e teste do Bolton Freeware, um programa de computador para an?lise de discrep?ncia de massa dent?ria de Bolton, visando minimizar o consumo de tempo de forma menos onerosa. A an?lise digital no software foi feita por meio da digitaliza??o bidimensional de modelos de estudos de gesso e comparada com a avalia??o manual (padr?o-ouro), utilizando 75 pares de modelos de estudo em gesso pedra, divididos em dois grupos conforme a magnitude da curva de Spee (0 a 2mm e de 2 a 3mm). Todos os modelos possuiam dentadura permanente e se encontravam em perfeito estado de conserva??o. A avalia??o manual foi realizada com paqu?metro digital e calculadora e o tempo requerido para realiza??o da an?lise nos dois m?todos foi cronometrado e comparado. Al?m disso o programa foi avaliado por 30 ortodontistas quanto ao seu uso, por meio de question?rios desenvolvidos especialmente para essa finalidade. Foi realizada calibra??o pr?via para an?lise manual e se obtiveram ?timos n?veis de concord?ncia interexaminador, com CCI>0,75 e r>0,9 para a discrep?ncia total e anterior. Observou-se, na avalia??o do erro do m?todo digital, que alguns dentes apresentaram um erro sistem?tico significante, sendo o maior quantificado em 0,08mm. A an?lise da discrep?ncia de massa dent?ria total realizada pelo Bolton Freeware, para aquele casos de curva de Spee leve e moderada, diferiu da an?lise manual, em m?dia, de 0,09mm e 0,07mm respectivamente, para cada dente avaliado, com r>0,8 para propor??o total e anterior. De acordo com os testes de especificidade e sensibilidade, o Bolton Freeware possui uma melhor capacidade de detectar os verdadeiros negativos, ou seja, a presen?a da discrep?ncia. A an?lise de Bolton realizada digitalmente foi mais r?pida, com a m?dia das diferen?as dos tempos consumidos para realiza??o da an?lise de Bolton entre os dois m?todos de aproximadamente 6 minutos. A maioria dos especialistas entrevistados (93%) aprovou a usabilidade do programa

The Oxford Handbook of Clinical Dentistry distils the essentials of clinical practice. It balances a pragmatic approach alongside evidence-based clinical knowledge, guidelines, and protocols. It details how to take a history and perform an examination, moving on to discussing preventive and community dentistry, paediatric dentistry, and orthodontics. It thoroughly examines the subject of restorative dentistry through periodontology, tooth repair, tooth replacement, endodontics, and dental implants. It also explores oral surgery, oral medicine, and maxillofacial surgery. It reviews medicine relevant to dentistry, therapeutics, analgesia, anaesthesia, sedation, and dental materials. It explores law and ethics, professionalism and communication, and practice management, as well as syndromes of the head and neck, and also includes summary useful information and addresses. It is written for undergraduate dental students, dental foundation trainees, qualified dental practitioners, medical graduates and nurses involved in hospital dental specialities, and MJDF/MFDS trainees.

All members of the oral healthcare team have a part to play in patient management, and the team is comprised of the lead dentist (plus other colleagues in the dental practice), the dental nurse, hygienist, receptionist, laboratory technician, and possibly a dental therapist. In the UK, registered dental nurses can take further qualifications in teaching, oral health education, and radiography, and can specialize in other aspects of dentistry, including orthodontics, oral surgery, sedation, and special care. If the dentist wishes to have a second specialist opinion regarding a difficult diagnosis, formulating a care plan or even executing it, they may refer the patient to a specialist dentist working in another practice, or to a hospital-based consultant specialist in restorative dentistry. These specialists have undergone further postgraduate clinical and academic training and gained qualifications enabling them to be registered as specialists with the General Dental Council (GDC) in the UK in their specific trained fields (e.g. endodontics, periodontics, prosthodontics), or have further specialist training in restorative dentistry. The lead dentist will act as a central hub in the coordinating wheel of patient management, possibly outsourcing different aspects of work to relevant specialist colleagues, as spokes of that wheel. This is the clinical environment in which patients are diagnosed and treated. This room has traditionally been known as the ‘dental surgery’, but a more appropriate modern description might be the ‘dental clinic’, as much of the more holistic care offered to patients within its four walls will be non-surgical in the first instance. The operator and nurse must work closely together. To be successful, each must build up an understanding of how the other works. The clinic consists of a dental operating chair with an attached or mobile bracket table carrying the rotary instruments and 3-1 air/water syringe (and possibly the light-cure unit and ultrasonic scaler), work surfaces (which should be as clutter-free as possible for good-quality infection control; see later), cupboards for storage, and two sinks, one for normal hand washing and another for decontaminating soiled instruments prior to sterilization. Often the surgery will also house an X-ray unit for taking intra-oral radiographs. Most clinics are designed to accommodate right-handed practitioners, in terms of the location of many of the instruments and controls.