Long-term skeletal and dentoalveolar effects of hybrid rapid maxillary expansion and facemask treatment in growing skeletal Class III patients: a retrospective follow-up study.

BACKGROUND: Regardless of the treatment protocol, stability in Class III patients always represents a major concern. The aim of this study was to assess the short and long-term skeletal and dentoalveolar modifications in a group of class III patients treated with hybrid rapid maxillary expander (RME) and facemask (FM). Indeed, no long-term studies have been conducted yet with the objective of evaluating the effects of this kind of approach when applied to patients who have already gone thought their peak of growth. MATERIAL AND METHODS: 27 patients with skeletal Class III malocclusion were treated using hybrid RME according to alternating rapid maxillary expansion and constriction (ALT-RAMEC) protocol, followed by 4 months of facemask therapy. After the orthopaedic phase, each patient underwent orthodontic treatment with fixed multibracket appliances. A mean follow-up of 7 years, 10 months was performed. Pre-treatment (TO), post-treatment (T1) and follow up (T2) cephalometric tracing were analysed, comparing dental and skeletal measurements. RESULTS: Point A advanced by a mean of 3.5 mm with respect to VerT, then relapsed by 0.7 in the post-facemask period, thereby yielding of a mean advancement of 2.7 at T2. The sagittal relationship significantly changed after RME + facemask protraction (3.8° of ANB and 5.189 mm of Wits). Although both Wits and ANB values worsened over time, the improvement from T0 is still appreciable at T2. CONCLUSION: Despite the physiological relapse due to mandibular growth, the long-term cephalometric follow-up confirms the maintenance of all positive outcomes of the previous orthopaedic treatment with hybrid RME and facemask.

MAPA-cision: A New Regenerative Technique for Periodontally Facilitated Orthodontic Treatment. A Case Series.

MAPA-cision, named after those who first introduced the method, is a novel simplified regenerative technique for periodontal-orthodontic cases that can be used in all circumstances where bone thickening is required. It is an innovative, minimally invasive piezoelectric surgical procedure designed to facilitate orthodontic tooth movement while simultaneously increasing bone thickness with guided bone regeneration principles. A new regenerative device consisting of a resorbable collagen membrane with filling materials (a "bone bundle" or "small sausage") is inserted through a tunneling procedure to increase the bone envelope width by allowing the teeth to move within an enhanced periodontal support.

[Orthodontic correction of malpositioned teeth before restorative treatment: efficiency improvement using Temporary Anchorage Devices (TADs)]. / Déplacements orthodontiques pré-prothétiques : vers une meilleure efficacité en utilisant des ancrages osseux temporaires (TADs).

INTRODUCTION: Orthodontic treatment is a fundamental tool when approaching in a multidisciplinary manner a prosthetic rehabilitation, thanks to the possibility to place in an ideal position the involved teeth and to improve or even correct any periodontal defects. Several orthodontic tricks and version have been developed to limit as much as possible orthodontic appliances extension and treatment duration. However, it is not always easy to control teeth movements and manage anchorage when only few teeth are involved. Furthermore, treatment duration can increase due to the need to apply light forces and to correct adverse dental movements that eventually could appear. MATERIAL AND METHODS: Different clinical cases are presented. RESULTS: These exemples illustrate how, with the addition of the TADs in clinical practice, the biomechanics of the multidisciplinary treatment can be simplified, the result becomes highly predictable and the treatment time can often be reduced.

Combined piezosurgery and selective distraction osteogenesis to correct malpositioned implants: a case report.

This case report shows the combined use of piezosurgical and orthodontic procedures to successfully relocate two severely malpositioned implants in the anterior maxilla by moving them separately, with the objective of attaining functional prosthetic restoration and acceptable esthetics.