Publications
2022
A, Cong; de Oliveria Ruellas A.C,; S.K, Tai; C.T, Loh; M, Barkley; M, Yatabe; M, Caminiti; C, Massaro; J, Bianchi; R, Deleat-Besson
Presurgical orthodontic decompensation with clear aligners Journal Article
In: American Journal of Orthodontics & Dentofacial Orthopedics, vol. 162, iss. 4, pp. 538-553, 2022.
Abstract | Links | BibTeX | Tags: clear aligners, decomposition, ortho, orthodontic
@article{Bianchi2022c,
title = {Presurgical orthodontic decompensation with clear aligners},
author = {Cong A and de Oliveria Ruellas A.C and Tai S.K and Loh C.T and Barkley M and Yatabe M and Caminiti M and Massaro C and Bianchi J and Deleat-Besson R},
url = {https://pubmed.ncbi.nlm.nih.gov/36182208/},
doi = {10.1016/j.ajodo.2021.12.019},
year = {2022},
date = {2022-10-01},
journal = {American Journal of Orthodontics & Dentofacial Orthopedics},
volume = {162},
issue = {4},
pages = {538-553},
abstract = {Introduction: Orthodontists, surgeons, and patients have taken an interest in using clear aligners in combination with orthognathic surgery. This study aimed to evaluate the accuracy of tooth movements with clear aligners during presurgical orthodontics using novel 3-dimensional superimposition techniques.
Methods: The study sample consisted of 20 patients who have completed presurgical orthodontics using Invisalign clear aligners. Initial (pretreatment) digital dental models, presurgical digital dental models, and ClinCheck prediction models were obtained. Presurgical models were superimposed onto initial ones using stable anatomic landmarks; ClinCheck models were superimposed onto presurgical models using surface best-fit superimposition. Five hundred forty-five teeth were measured for 3 angular movements (buccolingual torque, mesiodistal tip, and rotation) and 4 linear movements (buccolingual, mesiodistal, vertical, and total scalar displacement). The predicted tooth movement was compared with the achieved amount for each movement and tooth, using both percentage accuracy and numerical difference.
Results: Average percentage accuracy (63.4% ± 11.5%) was higher than in previously reported literature. The most accurate tooth movements were buccal torque and mesial displacement compared with lingual torque and distal displacement, particularly for mandibular posterior teeth. Clinically significant inaccuracies were found for the buccal displacement of maxillary second molars, lingual displacement of all molars, intrusion of mandibular second molars, the distal tip of molars, second premolars, and mandibular first premolars, buccal torque of maxillary central and lateral incisors, and lingual torque of premolars and molars.
Conclusions: Superimposition techniques used in this study lay the groundwork for future studies to analyze advanced clear aligner patients. Invisalign is a treatment modality that can be considered for presurgical orthodontics-tooth movements involved in arch leveling and decompensation are highly accurate when comparing the simulated and the clinically achieved movements.},
keywords = {clear aligners, decomposition, ortho, orthodontic},
pubstate = {published},
tppubtype = {article}
}
Introduction: Orthodontists, surgeons, and patients have taken an interest in using clear aligners in combination with orthognathic surgery. This study aimed to evaluate the accuracy of tooth movements with clear aligners during presurgical orthodontics using novel 3-dimensional superimposition techniques.
Methods: The study sample consisted of 20 patients who have completed presurgical orthodontics using Invisalign clear aligners. Initial (pretreatment) digital dental models, presurgical digital dental models, and ClinCheck prediction models were obtained. Presurgical models were superimposed onto initial ones using stable anatomic landmarks; ClinCheck models were superimposed onto presurgical models using surface best-fit superimposition. Five hundred forty-five teeth were measured for 3 angular movements (buccolingual torque, mesiodistal tip, and rotation) and 4 linear movements (buccolingual, mesiodistal, vertical, and total scalar displacement). The predicted tooth movement was compared with the achieved amount for each movement and tooth, using both percentage accuracy and numerical difference.
Results: Average percentage accuracy (63.4% ± 11.5%) was higher than in previously reported literature. The most accurate tooth movements were buccal torque and mesial displacement compared with lingual torque and distal displacement, particularly for mandibular posterior teeth. Clinically significant inaccuracies were found for the buccal displacement of maxillary second molars, lingual displacement of all molars, intrusion of mandibular second molars, the distal tip of molars, second premolars, and mandibular first premolars, buccal torque of maxillary central and lateral incisors, and lingual torque of premolars and molars.
Conclusions: Superimposition techniques used in this study lay the groundwork for future studies to analyze advanced clear aligner patients. Invisalign is a treatment modality that can be considered for presurgical orthodontics-tooth movements involved in arch leveling and decompensation are highly accurate when comparing the simulated and the clinically achieved movements.
Methods: The study sample consisted of 20 patients who have completed presurgical orthodontics using Invisalign clear aligners. Initial (pretreatment) digital dental models, presurgical digital dental models, and ClinCheck prediction models were obtained. Presurgical models were superimposed onto initial ones using stable anatomic landmarks; ClinCheck models were superimposed onto presurgical models using surface best-fit superimposition. Five hundred forty-five teeth were measured for 3 angular movements (buccolingual torque, mesiodistal tip, and rotation) and 4 linear movements (buccolingual, mesiodistal, vertical, and total scalar displacement). The predicted tooth movement was compared with the achieved amount for each movement and tooth, using both percentage accuracy and numerical difference.
Results: Average percentage accuracy (63.4% ± 11.5%) was higher than in previously reported literature. The most accurate tooth movements were buccal torque and mesial displacement compared with lingual torque and distal displacement, particularly for mandibular posterior teeth. Clinically significant inaccuracies were found for the buccal displacement of maxillary second molars, lingual displacement of all molars, intrusion of mandibular second molars, the distal tip of molars, second premolars, and mandibular first premolars, buccal torque of maxillary central and lateral incisors, and lingual torque of premolars and molars.
Conclusions: Superimposition techniques used in this study lay the groundwork for future studies to analyze advanced clear aligner patients. Invisalign is a treatment modality that can be considered for presurgical orthodontics-tooth movements involved in arch leveling and decompensation are highly accurate when comparing the simulated and the clinically achieved movements.
2021
Bianchi, J; Ruellas, A; Prieto, J C; Li, T; Soroushmehr, R; Najarian, K; Gryak, J; Deleat-Besson, R; Le, C; Yatabe, M; Gurgel, M; Turkestani, N A; Paniagua, B; Cevidanes, L
Decision support systems in temporomandibular Joint osteoarthritis: A review of data science and artificial intelligence applications. Journal Article
In: Seminars in Orthodontics, vol. 27, no. 2, pp. 78-86, 2021.
Abstract | Links | BibTeX | Tags: AAOF, Cone-beam computed tomography, Discrepency Index, malocclusion severity, mandibular asymmetry, orthodontic, Peer Assessment Rating Index, technique, vertical control, x-ray
@article{Bianchi2021,
title = {Decision support systems in temporomandibular Joint osteoarthritis: A review of data science and artificial intelligence applications.},
author = {J Bianchi and A Ruellas and J C Prieto and T Li and R Soroushmehr and K Najarian and J Gryak and R Deleat-Besson and C Le and M Yatabe and M Gurgel and N A Turkestani and B Paniagua and L Cevidanes},
url = {https://pubmed.ncbi.nlm.nih.gov/34305383/},
doi = {10.1053/j.sodo.2021.05.004},
year = {2021},
date = {2021-05-19},
urldate = {2021-05-19},
journal = {Seminars in Orthodontics},
volume = {27},
number = {2},
pages = {78-86},
abstract = {With the exponential growth of computational systems and increased patient data acquisition, dental research faces new challenges to manage a large quantity of information. For this reason, data science approaches are needed for the integrative diagnosis of multifactorial diseases, such as Temporomandibular joint (TMJ) Osteoarthritis (OA). The Data science spectrum includes data capture/acquisition, data processing with optimized web-based storage and management, data analytics involving in-depth statistical analysis, machine learning (ML) approaches, and data communication. Artificial intelligence (AI) plays a crucial role in this process. It consists of developing computational systems that can perform human intelligence tasks, such as disease diagnosis, using many features to help in the decision-making support. Patient's clinical parameters, imaging exams, and molecular data are used as the input in cross-validation tasks, and human annotation/diagnosis is also used as the gold standard to train computational learning models and automatic disease classifiers. This paper aims to review and describe AI and ML techniques to diagnose TMJ OA and data science approaches for imaging processing. We used a web-based system for multi-center data communication, algorithms integration, statistics deployment, and process the computational machine learning models. We successfully show AI and data-science applications using patients' data to improve the TMJ OA diagnosis decision-making towards personalized medicine.},
keywords = {AAOF, Cone-beam computed tomography, Discrepency Index, malocclusion severity, mandibular asymmetry, orthodontic, Peer Assessment Rating Index, technique, vertical control, x-ray},
pubstate = {published},
tppubtype = {article}
}
With the exponential growth of computational systems and increased patient data acquisition, dental research faces new challenges to manage a large quantity of information. For this reason, data science approaches are needed for the integrative diagnosis of multifactorial diseases, such as Temporomandibular joint (TMJ) Osteoarthritis (OA). The Data science spectrum includes data capture/acquisition, data processing with optimized web-based storage and management, data analytics involving in-depth statistical analysis, machine learning (ML) approaches, and data communication. Artificial intelligence (AI) plays a crucial role in this process. It consists of developing computational systems that can perform human intelligence tasks, such as disease diagnosis, using many features to help in the decision-making support. Patient's clinical parameters, imaging exams, and molecular data are used as the input in cross-validation tasks, and human annotation/diagnosis is also used as the gold standard to train computational learning models and automatic disease classifiers. This paper aims to review and describe AI and ML techniques to diagnose TMJ OA and data science approaches for imaging processing. We used a web-based system for multi-center data communication, algorithms integration, statistics deployment, and process the computational machine learning models. We successfully show AI and data-science applications using patients' data to improve the TMJ OA diagnosis decision-making towards personalized medicine.
2020
Serge, B; Maxime, D; Bianchi, J; Antonio, R; Lucia, C; Marilia, Y; Joao, G; Erika, C; Fabiana, S; Beatriz, P; Juan, P; Kayvan, N; Jonathan, G; Reza, S
3D Auto-Segmentation of Mandibular Condyles Journal Article
In: 2020 42nd Annual International Conference of the IEEE Engineering in Medicine & Biology Society (EMBC), pp. 1270-1273, 2020.
Abstract | Links | BibTeX | Tags: AAOF, Adolescents, anterior openbite, Cone-beam computed tomography, Cranial base, craniofacial, Discrepency Index, extraction, hyperdivergent, mandibular asymmetry, Mandibular fixed retainer, Mandibular remodeling, orthodontic, Peer Assessment Rating Index, Posttreatment, teaching
@article{Brosset2020,
title = {3D Auto-Segmentation of Mandibular Condyles},
author = {B Serge and D Maxime and J Bianchi and R Antonio and C Lucia and Y Marilia and G Joao and C Erika and S Fabiana and P Beatriz and P Juan and N Kayvan and G Jonathan and S Reza },
url = {https://pubmed.ncbi.nlm.nih.gov/33018219/},
doi = {10.1109/EMBC44109.2020.9175692},
year = {2020},
date = {2020-07-00},
urldate = {2020-07-00},
journal = {2020 42nd Annual International Conference of the IEEE Engineering in Medicine & Biology Society (EMBC)},
pages = {1270-1273},
abstract = {Temporomandibular joints (TMJ) like a hinge connect the jawbone to the skull. TMJ disorders could cause pain in the jaw joint and the muscles controlling jaw movement. However, the disease cannot be diagnosed until it becomes symptomatic. It has been shown that bone resorption at the condyle articular surface is already evident at initial diagnosis of TMJ Osteoarthritis (OA). Therefore, analyzing the bone structure will facilitate the disease diagnosis. The important step towards this analysis is the condyle segmentation. This article deals with a method to automatically segment the temporomandibular joint condyle out of cone beam CT (CBCT) scans. In the proposed method we denoise images and apply 3D active contour and morphological operations to segment the condyle. The experimental results show that the proposed method yields the Dice score of 0.9461 with the standards deviation of 0.0888 when it is applied on CBCT images of 95 patients. This segmentation will allow large datasets to be analyzed more efficiently towards data sciences and machine learning approaches for disease classification.},
keywords = {AAOF, Adolescents, anterior openbite, Cone-beam computed tomography, Cranial base, craniofacial, Discrepency Index, extraction, hyperdivergent, mandibular asymmetry, Mandibular fixed retainer, Mandibular remodeling, orthodontic, Peer Assessment Rating Index, Posttreatment, teaching},
pubstate = {published},
tppubtype = {article}
}
Temporomandibular joints (TMJ) like a hinge connect the jawbone to the skull. TMJ disorders could cause pain in the jaw joint and the muscles controlling jaw movement. However, the disease cannot be diagnosed until it becomes symptomatic. It has been shown that bone resorption at the condyle articular surface is already evident at initial diagnosis of TMJ Osteoarthritis (OA). Therefore, analyzing the bone structure will facilitate the disease diagnosis. The important step towards this analysis is the condyle segmentation. This article deals with a method to automatically segment the temporomandibular joint condyle out of cone beam CT (CBCT) scans. In the proposed method we denoise images and apply 3D active contour and morphological operations to segment the condyle. The experimental results show that the proposed method yields the Dice score of 0.9461 with the standards deviation of 0.0888 when it is applied on CBCT images of 95 patients. This segmentation will allow large datasets to be analyzed more efficiently towards data sciences and machine learning approaches for disease classification.
Bianchi, J; Goncalves, J R; de Oliveira Ruellas, A C; Ashman, L M; Vimort, J B; Yatabe, M; Paniagua, B; Hernandez, P; Benavides, E; Soki, F N; Loshida, M; Cevidanes, L H S
Quantitative bone imaging biomarkers to diagnose temporomandibular joint osteoarthritis Journal Article
In: International Journal of Oral and Maxillofacial Surgery, vol. 50, no. 2, pp. 227-235, 2020.
Abstract | Links | BibTeX | Tags: AAOF, Cone-beam computed tomography, Cranial base, Growth, hyperdivergent, mandibular asymmetry, Mandibular fixed retainer, Mandibular remodeling, orthodontic, pressure tension, technique
@article{Bianchi2020,
title = {Quantitative bone imaging biomarkers to diagnose temporomandibular joint osteoarthritis},
author = {J Bianchi and J R Goncalves and A C de Oliveira Ruellas and L M Ashman and J B Vimort and M Yatabe and B Paniagua and P Hernandez and E Benavides and F N Soki and M Loshida and L H S Cevidanes},
url = {https://www.sciencedirect.com/science/article/pii/S0901502720301636#:~:text=%20Quantitative%20bone%20imaging%20biomarkers%20to%20diagnose%20temporomandibular,This%20study%20followe...%204%20References.%20%20More%20},
doi = {0.1016/j.ijom.2020.04.018},
year = {2020},
date = {2020-04-28},
urldate = {2020-04-28},
journal = {International Journal of Oral and Maxillofacial Surgery},
volume = {50},
number = {2},
pages = {227-235},
abstract = {Bone degradation of the condylar surface is seen in temporomandibular joint osteoarthritis (TMJ OA); however, the initial changes occur in the subchondral bone. This cross-sectional study was performed to evaluate 23 subchondral bone imaging biomarkers for TMJ OA. The sample consisted of high-resolution cone beam computed tomography scans of 84 subjects, divided into two groups: TMJ OA (45 patients with TMJ OA) and control (39 asymptomatic subjects). Six regions of each mandibular condyle scan were extracted for computation of five bone morphometric and 18 grey-level texture-based variables. The groups were compared using the Mann–Whitney U-test, and the receiver operating characteristics (ROC) curve was determined for each variable that showed a statically significance difference. The results showed statistically significant differences in the subchondral bone microstructure in the lateral and central condylar regions between the control and TMJ OA groups (P < 0.05). The area under the ROC curve (AUC) for these variables was between 0.620 and 0.710. In conclusion, 13 imaging bone biomarkers presented an acceptable diagnostic performance for the diagnosis of TMJ OA, indicating that the texture and geometry of the subchondral bone microarchitecture may be useful for quantitative grading of the disease.},
keywords = {AAOF, Cone-beam computed tomography, Cranial base, Growth, hyperdivergent, mandibular asymmetry, Mandibular fixed retainer, Mandibular remodeling, orthodontic, pressure tension, technique},
pubstate = {published},
tppubtype = {article}
}
Bone degradation of the condylar surface is seen in temporomandibular joint osteoarthritis (TMJ OA); however, the initial changes occur in the subchondral bone. This cross-sectional study was performed to evaluate 23 subchondral bone imaging biomarkers for TMJ OA. The sample consisted of high-resolution cone beam computed tomography scans of 84 subjects, divided into two groups: TMJ OA (45 patients with TMJ OA) and control (39 asymptomatic subjects). Six regions of each mandibular condyle scan were extracted for computation of five bone morphometric and 18 grey-level texture-based variables. The groups were compared using the Mann–Whitney U-test, and the receiver operating characteristics (ROC) curve was determined for each variable that showed a statically significance difference. The results showed statistically significant differences in the subchondral bone microstructure in the lateral and central condylar regions between the control and TMJ OA groups (P < 0.05). The area under the ROC curve (AUC) for these variables was between 0.620 and 0.710. In conclusion, 13 imaging bone biomarkers presented an acceptable diagnostic performance for the diagnosis of TMJ OA, indicating that the texture and geometry of the subchondral bone microarchitecture may be useful for quantitative grading of the disease.
2017
J, Bianchi; Dos, S P Ary; Jaqueline, I; Daniel, P O R; Joao, R G
Effect of temporomandibular joint articular disc repositioning on anterior open-bite malocclusion: An orthodontic-surgical approach Journal Article
In: Am J Orthod Dentofacial Orthop, vol. 152, no. 6, pp. 848-858, 2017.
Abstract | Links | BibTeX | Tags: AAOF, Cone-beam computed tomography, Cranial base, craniofacial, Discrepency Index, hyperdivergent, Mandibular fixed retainer, Mandibular remodeling, orthodontic, retrospective, teaching, vertical control
@article{Bianchi2017,
title = {Effect of temporomandibular joint articular disc repositioning on anterior open-bite malocclusion: An orthodontic-surgical approach},
author = {Bianchi J and S P Ary Dos and I Jaqueline and P O R Daniel and R G Joao },
url = {https://www.sciencedirect.com/science/article/pii/S0889540617306121},
doi = {10.1016/j.ajodo.2016.09.032},
year = {2017},
date = {2017-12-00},
urldate = {2017-12-00},
journal = {Am J Orthod Dentofacial Orthop},
volume = {152},
number = {6},
pages = {848-858},
abstract = {An anterior open bite is a challenge to orthodontic treatment; it has a multifactorial etiology and a wide range ofintervention options. Temporomandibular joint (TMJ) disorders are a risk factor for the development of malocclu-sions such as the anterior open bite, especially in patients who have TMJ osteoarthritis with disc displacement.Articular disc repositioning surgery is an available option for treating this pathology, and it contributes to main-taining the condyles in a more stable position. The aim of this article was to report the case of a 20-year-oldwoman diagnosed with anterior open bite and TMJ osteoarthritis with bilateral disc displacement. The patientreceived both orthodontic treatment and TMJ disc repositioning surgery. Cone-beam computed tomographywas used to create 3-dimensional models of the condyles with regional superposition, and assessment ofbone remodeling was performed at different time intervals. Complete orthodontic and surgical treatment timewas approximately 12 months. The results provided a stable correction of the patient's anterior open bite witha 2-year follow-up and favorable bone remodeling of the condyles due to functional improvement of the TMJ.(Am J Orthod Dentofacial Orthop 2017;152:848-58)},
keywords = {AAOF, Cone-beam computed tomography, Cranial base, craniofacial, Discrepency Index, hyperdivergent, Mandibular fixed retainer, Mandibular remodeling, orthodontic, retrospective, teaching, vertical control},
pubstate = {published},
tppubtype = {article}
}
An anterior open bite is a challenge to orthodontic treatment; it has a multifactorial etiology and a wide range ofintervention options. Temporomandibular joint (TMJ) disorders are a risk factor for the development of malocclu-sions such as the anterior open bite, especially in patients who have TMJ osteoarthritis with disc displacement.Articular disc repositioning surgery is an available option for treating this pathology, and it contributes to main-taining the condyles in a more stable position. The aim of this article was to report the case of a 20-year-oldwoman diagnosed with anterior open bite and TMJ osteoarthritis with bilateral disc displacement. The patientreceived both orthodontic treatment and TMJ disc repositioning surgery. Cone-beam computed tomographywas used to create 3-dimensional models of the condyles with regional superposition, and assessment ofbone remodeling was performed at different time intervals. Complete orthodontic and surgical treatment timewas approximately 12 months. The results provided a stable correction of the patient's anterior open bite witha 2-year follow-up and favorable bone remodeling of the condyles due to functional improvement of the TMJ.(Am J Orthod Dentofacial Orthop 2017;152:848-58)
Hwang, Hyeon-Shik; Oh, Min-Hee; Oh, Hee-Kyun; Oh, Heesoo
Surgery-first approach in correcting skeletal Class III malocclusion with mandibular asymmetry Journal Article
In: American Journal of Orthodontics and Dentofacial Orthopedics, vol. 152, no. 2, pp. 255-267, 2017.
Abstract | Links | BibTeX | Tags: AAOF, adult, Class III, Cranial base, Discrepency Index, hyperdivergent, mandibular asymmetry, Mandibular fixed retainer, Mandibular remodeling, mapping, open bite, orthodontic, surgery-first
@article{Hwang2017,
title = {Surgery-first approach in correcting skeletal Class III malocclusion with mandibular asymmetry},
author = {Hyeon-Shik Hwang and Min-Hee Oh and Hee-Kyun Oh and Heesoo Oh},
url = {http://162.214.24.32/~crilorg/wp-content/uploads/2018/11/Surgery-first-approach-in-correctingskeletal-CLass-III_AJODO-2017.pdf},
doi = {10.1016/j.ajodo.2014.10.040},
year = {2017},
date = {2017-08-01},
urldate = {2017-08-01},
journal = {American Journal of Orthodontics and Dentofacial Orthopedics},
volume = {152},
number = {2},
pages = {255-267},
abstract = {This case report describes a surgical orthodontic case that used the recently introduced surgery-first approach to correct a severe skeletal Class III malocclusion. A 19-year-old woman presented with severe mandibular prognathism and facial asymmetry; she had been waiting for growth completion in order to pursue surgical correction. After prediction of the postsurgical tooth movement and surgical simulation, 2-jaw surgery that included maxillary advancement and differential mandibular setback was performed using a surgery-first approach. Immediate facial improvement was achieved and postsurgical orthodontic treatment was efficiently carried out. The total treatment time was 16 months. The patient's facial appearance improved significantly and a stable surgical orthodontic outcome was obtained. (Am J Orthod Dentofacial Orthop 2017;152:255-67) },
keywords = {AAOF, adult, Class III, Cranial base, Discrepency Index, hyperdivergent, mandibular asymmetry, Mandibular fixed retainer, Mandibular remodeling, mapping, open bite, orthodontic, surgery-first},
pubstate = {published},
tppubtype = {article}
}
This case report describes a surgical orthodontic case that used the recently introduced surgery-first approach to correct a severe skeletal Class III malocclusion. A 19-year-old woman presented with severe mandibular prognathism and facial asymmetry; she had been waiting for growth completion in order to pursue surgical correction. After prediction of the postsurgical tooth movement and surgical simulation, 2-jaw surgery that included maxillary advancement and differential mandibular setback was performed using a surgery-first approach. Immediate facial improvement was achieved and postsurgical orthodontic treatment was efficiently carried out. The total treatment time was 16 months. The patient's facial appearance improved significantly and a stable surgical orthodontic outcome was obtained. (Am J Orthod Dentofacial Orthop 2017;152:255-67)
Afrand, M; Oh, H; Flores-Mir, C; Lagravere-Vich, M
Growth changes in the anterior and middle cranial bases as assessed through cone-beam computed tomography in adolescents. Journal Article
In: Am J Orthod Dentofacial Orthop, vol. 151, no. 2, pp. 342-350, 2017.
Abstract | Links | BibTeX | Tags: AAOF, anterior openbite, clear aligners, clinical orthodontist, Cone-beam computed tomography, Cranial base, hyperdivergent, Mandibular fixed retainer, orthodontic, Peer Assessment Rating Index, Posttreatment, retrospective, technique
@article{Afrand2017b,
title = {Growth changes in the anterior and middle cranial bases as assessed through cone-beam computed tomography in adolescents.},
author = {M Afrand and H Oh and C Flores-Mir and M Lagravere-Vich},
url = {https://www.sciencedirect.com/science/article/pii/S0889540616307405},
doi = {10.1016/j.ajodo.2016.02.032},
year = {2017},
date = {2017-02-00},
journal = {Am J Orthod Dentofacial Orthop},
volume = {151},
number = {2},
pages = {342-350},
abstract = {Initially, cone-beam computed tomography images from dry skulls were used to 3 dimensionallyevaluate intrarater and interrater reliabilities and accuracy of selected 3-dimensional landmarks located in theanterior and middle cranial bases. Thereafter, dimensional changes of the anterior and middle cranial baseswith growth were evaluated by using the previously selected landmarks.Methods:Cone-beam computed to-mography images of 10 dry skulls were used to identify useful landmarks from different areas of the anteriorand middle cranial bases based on their reliability and accuracy. These selected landmarks were identified inthe images of an already available sample of adolescents (n560) taken at 2 time points (19 months apart)to assess dimensional changes with growth.Results:The majority of the proposed 3-dimensional landmarkswith the exception of the lesser wing of the sphenoid showed acceptable intrarater and interrater reliabilities.The distances measured between foramina and canals in the transverse dimension showed evidence ofincreases in size. However, the mean amounts of increase in these transverse distances were equal to orless than 1.05 mm (from 1.1% to 4.1%). No change was observed between the right and left anterior andposterior clinoid processes. The vertical dimensions showed evidence of some changes, but these werewithin 2% of the original distances.Conclusions:In this adolescent sample, minor growth-related changeswere observed in the anterior and middle cranial bases. The midsagittal area of the anterior cranial base(foramen caecum to presphenoid) was stable. The right and left anterior and posterior clinoid processes canbe used for transverse superimposition. (Am J Orthod Dentofacial Orthop 2017;151:342-50)},
keywords = {AAOF, anterior openbite, clear aligners, clinical orthodontist, Cone-beam computed tomography, Cranial base, hyperdivergent, Mandibular fixed retainer, orthodontic, Peer Assessment Rating Index, Posttreatment, retrospective, technique},
pubstate = {published},
tppubtype = {article}
}
Initially, cone-beam computed tomography images from dry skulls were used to 3 dimensionallyevaluate intrarater and interrater reliabilities and accuracy of selected 3-dimensional landmarks located in theanterior and middle cranial bases. Thereafter, dimensional changes of the anterior and middle cranial baseswith growth were evaluated by using the previously selected landmarks.Methods:Cone-beam computed to-mography images of 10 dry skulls were used to identify useful landmarks from different areas of the anteriorand middle cranial bases based on their reliability and accuracy. These selected landmarks were identified inthe images of an already available sample of adolescents (n560) taken at 2 time points (19 months apart)to assess dimensional changes with growth.Results:The majority of the proposed 3-dimensional landmarkswith the exception of the lesser wing of the sphenoid showed acceptable intrarater and interrater reliabilities.The distances measured between foramina and canals in the transverse dimension showed evidence ofincreases in size. However, the mean amounts of increase in these transverse distances were equal to orless than 1.05 mm (from 1.1% to 4.1%). No change was observed between the right and left anterior andposterior clinoid processes. The vertical dimensions showed evidence of some changes, but these werewithin 2% of the original distances.Conclusions:In this adolescent sample, minor growth-related changeswere observed in the anterior and middle cranial bases. The midsagittal area of the anterior cranial base(foramen caecum to presphenoid) was stable. The right and left anterior and posterior clinoid processes canbe used for transverse superimposition. (Am J Orthod Dentofacial Orthop 2017;151:342-50)
2014
Oh, H; Herchold, K; et al,
Orthodontic tooth movement through the maxillary sinus in an adult patient with multiple missing teeth. Journal Article
In: American Journal of Orthodontics & Dentofacial Orthopedics, vol. 146, no. 4, pp. 493-505, 2014.
Abstract | Links | BibTeX | Tags: Cone-beam computed tomography, fixed appliances, Growth, hyperdivergent, orthodontic, Peer Assessment Rating Index, research, vertical control
@article{Oh2014,
title = {Orthodontic tooth movement through the maxillary sinus in an adult patient with multiple missing teeth. },
author = {H Oh and K Herchold and et al},
url = {https://pubmed.ncbi.nlm.nih.gov/25263152/},
doi = {10.1016/j.ajodo.2014.03.025},
year = {2014},
date = {2014-10-00},
journal = {American Journal of Orthodontics & Dentofacial Orthopedics},
volume = {146},
number = {4},
pages = {493-505},
abstract = {This case report describes the successful orthodontic tooth movement through the maxillary sinus in an adult patient. A 41-year-old Asian woman had severe lip protrusion and multiple missing posterior teeth. Her orthodontic treatment included the extraction of 2 teeth, maximum retraction of the incisors using the extraction spaces and the existing spaces from the missing molars, and closure of all remaining spaces. Even though the treatment time was extended because of the anatomic and biologic challenges associated with moving posterior teeth over a long distance through the maxillary sinus, a successful outcome was obtained, with significant bone modeling of the maxillary sinus. The results demonstrate that a carefully selected force system can overcome the anatomic limitations of moving tooth against the cortical bone of the maxillary sinus wall in adult patients.},
keywords = {Cone-beam computed tomography, fixed appliances, Growth, hyperdivergent, orthodontic, Peer Assessment Rating Index, research, vertical control},
pubstate = {published},
tppubtype = {article}
}
This case report describes the successful orthodontic tooth movement through the maxillary sinus in an adult patient. A 41-year-old Asian woman had severe lip protrusion and multiple missing posterior teeth. Her orthodontic treatment included the extraction of 2 teeth, maximum retraction of the incisors using the extraction spaces and the existing spaces from the missing molars, and closure of all remaining spaces. Even though the treatment time was extended because of the anatomic and biologic challenges associated with moving posterior teeth over a long distance through the maxillary sinus, a successful outcome was obtained, with significant bone modeling of the maxillary sinus. The results demonstrate that a carefully selected force system can overcome the anatomic limitations of moving tooth against the cortical bone of the maxillary sinus wall in adult patients.
2011
Baumrind, Sheldon; Curry, Sean
The AAOF craniofacial growth legacy collection: A powerful new tool for orthodontic teaching and research Journal Article
In: AAOF Craniofacial Growth Legacy Collection, pp. 297-318, 2011.
Abstract | Links | BibTeX | Tags: AAOF, craniofacial, Legacy Collection, orthodontic, research, teaching
@article{Baumrind2011,
title = {The AAOF craniofacial growth legacy collection: A powerful new tool for orthodontic teaching and research},
author = { Sheldon Baumrind and Sean Curry},
url = {http://162.214.24.32/~crilorg/wp-content/uploads/2018/12/AAOF-Collection-Mich-Monographs-S.BaumrindS.Curry_.pdf},
year = {2011},
date = {2011-01-01},
journal = {AAOF Craniofacial Growth Legacy Collection},
pages = {297-318},
abstract = {This chapter reports and illustrates a multi-institutional project that uses the capabilities of cloud computing and the Internet to collect and share craniofacial images and numerical data of importance to orthodontic education and research. The project will provide interested investigators all over the world with near instantaneous access to longitudinal information on the spontaneous craniofacial growth of untreated children with various kinds of malocclusion. The collection will facilitate investigations on the spontaneous course of development in children with malocclusions of different types. In addition, the AAOF Legacy Collection constitutes a unique source of control samples for testing the validity of consensually accepted beliefs about the effects of orthodontic treatment.},
keywords = {AAOF, craniofacial, Legacy Collection, orthodontic, research, teaching},
pubstate = {published},
tppubtype = {article}
}
This chapter reports and illustrates a multi-institutional project that uses the capabilities of cloud computing and the Internet to collect and share craniofacial images and numerical data of importance to orthodontic education and research. The project will provide interested investigators all over the world with near instantaneous access to longitudinal information on the spontaneous craniofacial growth of untreated children with various kinds of malocclusion. The collection will facilitate investigations on the spontaneous course of development in children with malocclusions of different types. In addition, the AAOF Legacy Collection constitutes a unique source of control samples for testing the validity of consensually accepted beliefs about the effects of orthodontic treatment.
2010
Xu, T-M; Zhang, X; Oh, HS; Boyd, R; Korn, El; Baumrind, S
A Randomized Clinical Trial (RCT) Comparing Maxillary Molar Anchorage Loss Using Two Retraction Techniques. Journal Article
In: American Journal of Orthodontics & Dentofacial Orthopedics, vol. 138, no. 5, pp. 544-5, 2010.
Abstract | Links | BibTeX | Tags: adult, clinical orthodontist, Cone-beam computed tomography, Cranial base, hyperdivergent, Mandibular fixed retainer, open bite, orthodontic, Peer Assessment Rating Index, retrospective
@article{Xu2010,
title = {A Randomized Clinical Trial (RCT) Comparing Maxillary Molar Anchorage Loss Using Two Retraction Techniques.},
author = {T-M Xu and X Zhang and HS Oh and R Boyd and El Korn and S Baumrind},
url = {https://pubmed.ncbi.nlm.nih.gov/21055588/},
doi = {10.1016/j.ajodo.2009.12.027},
year = {2010},
date = {2010-11-00},
journal = {American Journal of Orthodontics & Dentofacial Orthopedics},
volume = {138},
number = {5},
pages = {544-5},
abstract = {The objective of this pilot randomized clinical trial was to investigate the relative effectiveness of anchorage conservation of en-masse and 2-step retraction techniques during maximum anchorage treatment in patients with Angle Class I and Class II malocclusions.},
keywords = {adult, clinical orthodontist, Cone-beam computed tomography, Cranial base, hyperdivergent, Mandibular fixed retainer, open bite, orthodontic, Peer Assessment Rating Index, retrospective},
pubstate = {published},
tppubtype = {article}
}
The objective of this pilot randomized clinical trial was to investigate the relative effectiveness of anchorage conservation of en-masse and 2-step retraction techniques during maximum anchorage treatment in patients with Angle Class I and Class II malocclusions.
A, Cong; de Oliveria Ruellas A.C,; S.K, Tai; C.T, Loh; M, Barkley; M, Yatabe; M, Caminiti; C, Massaro; J, Bianchi; R, Deleat-Besson
Presurgical orthodontic decompensation with clear aligners Journal Article
In: American Journal of Orthodontics & Dentofacial Orthopedics, vol. 162, iss. 4, pp. 538-553, 2022.
@article{Bianchi2022c,
title = {Presurgical orthodontic decompensation with clear aligners},
author = {Cong A and de Oliveria Ruellas A.C and Tai S.K and Loh C.T and Barkley M and Yatabe M and Caminiti M and Massaro C and Bianchi J and Deleat-Besson R},
url = {https://pubmed.ncbi.nlm.nih.gov/36182208/},
doi = {10.1016/j.ajodo.2021.12.019},
year = {2022},
date = {2022-10-01},
journal = {American Journal of Orthodontics & Dentofacial Orthopedics},
volume = {162},
issue = {4},
pages = {538-553},
abstract = {Introduction: Orthodontists, surgeons, and patients have taken an interest in using clear aligners in combination with orthognathic surgery. This study aimed to evaluate the accuracy of tooth movements with clear aligners during presurgical orthodontics using novel 3-dimensional superimposition techniques.
Methods: The study sample consisted of 20 patients who have completed presurgical orthodontics using Invisalign clear aligners. Initial (pretreatment) digital dental models, presurgical digital dental models, and ClinCheck prediction models were obtained. Presurgical models were superimposed onto initial ones using stable anatomic landmarks; ClinCheck models were superimposed onto presurgical models using surface best-fit superimposition. Five hundred forty-five teeth were measured for 3 angular movements (buccolingual torque, mesiodistal tip, and rotation) and 4 linear movements (buccolingual, mesiodistal, vertical, and total scalar displacement). The predicted tooth movement was compared with the achieved amount for each movement and tooth, using both percentage accuracy and numerical difference.
Results: Average percentage accuracy (63.4% ± 11.5%) was higher than in previously reported literature. The most accurate tooth movements were buccal torque and mesial displacement compared with lingual torque and distal displacement, particularly for mandibular posterior teeth. Clinically significant inaccuracies were found for the buccal displacement of maxillary second molars, lingual displacement of all molars, intrusion of mandibular second molars, the distal tip of molars, second premolars, and mandibular first premolars, buccal torque of maxillary central and lateral incisors, and lingual torque of premolars and molars.
Conclusions: Superimposition techniques used in this study lay the groundwork for future studies to analyze advanced clear aligner patients. Invisalign is a treatment modality that can be considered for presurgical orthodontics-tooth movements involved in arch leveling and decompensation are highly accurate when comparing the simulated and the clinically achieved movements.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Introduction: Orthodontists, surgeons, and patients have taken an interest in using clear aligners in combination with orthognathic surgery. This study aimed to evaluate the accuracy of tooth movements with clear aligners during presurgical orthodontics using novel 3-dimensional superimposition techniques.
Methods: The study sample consisted of 20 patients who have completed presurgical orthodontics using Invisalign clear aligners. Initial (pretreatment) digital dental models, presurgical digital dental models, and ClinCheck prediction models were obtained. Presurgical models were superimposed onto initial ones using stable anatomic landmarks; ClinCheck models were superimposed onto presurgical models using surface best-fit superimposition. Five hundred forty-five teeth were measured for 3 angular movements (buccolingual torque, mesiodistal tip, and rotation) and 4 linear movements (buccolingual, mesiodistal, vertical, and total scalar displacement). The predicted tooth movement was compared with the achieved amount for each movement and tooth, using both percentage accuracy and numerical difference.
Results: Average percentage accuracy (63.4% ± 11.5%) was higher than in previously reported literature. The most accurate tooth movements were buccal torque and mesial displacement compared with lingual torque and distal displacement, particularly for mandibular posterior teeth. Clinically significant inaccuracies were found for the buccal displacement of maxillary second molars, lingual displacement of all molars, intrusion of mandibular second molars, the distal tip of molars, second premolars, and mandibular first premolars, buccal torque of maxillary central and lateral incisors, and lingual torque of premolars and molars.
Conclusions: Superimposition techniques used in this study lay the groundwork for future studies to analyze advanced clear aligner patients. Invisalign is a treatment modality that can be considered for presurgical orthodontics-tooth movements involved in arch leveling and decompensation are highly accurate when comparing the simulated and the clinically achieved movements.
Methods: The study sample consisted of 20 patients who have completed presurgical orthodontics using Invisalign clear aligners. Initial (pretreatment) digital dental models, presurgical digital dental models, and ClinCheck prediction models were obtained. Presurgical models were superimposed onto initial ones using stable anatomic landmarks; ClinCheck models were superimposed onto presurgical models using surface best-fit superimposition. Five hundred forty-five teeth were measured for 3 angular movements (buccolingual torque, mesiodistal tip, and rotation) and 4 linear movements (buccolingual, mesiodistal, vertical, and total scalar displacement). The predicted tooth movement was compared with the achieved amount for each movement and tooth, using both percentage accuracy and numerical difference.
Results: Average percentage accuracy (63.4% ± 11.5%) was higher than in previously reported literature. The most accurate tooth movements were buccal torque and mesial displacement compared with lingual torque and distal displacement, particularly for mandibular posterior teeth. Clinically significant inaccuracies were found for the buccal displacement of maxillary second molars, lingual displacement of all molars, intrusion of mandibular second molars, the distal tip of molars, second premolars, and mandibular first premolars, buccal torque of maxillary central and lateral incisors, and lingual torque of premolars and molars.
Conclusions: Superimposition techniques used in this study lay the groundwork for future studies to analyze advanced clear aligner patients. Invisalign is a treatment modality that can be considered for presurgical orthodontics-tooth movements involved in arch leveling and decompensation are highly accurate when comparing the simulated and the clinically achieved movements.
Bianchi, J; Ruellas, A; Prieto, J C; Li, T; Soroushmehr, R; Najarian, K; Gryak, J; Deleat-Besson, R; Le, C; Yatabe, M; Gurgel, M; Turkestani, N A; Paniagua, B; Cevidanes, L
Decision support systems in temporomandibular Joint osteoarthritis: A review of data science and artificial intelligence applications. Journal Article
In: Seminars in Orthodontics, vol. 27, no. 2, pp. 78-86, 2021.
@article{Bianchi2021,
title = {Decision support systems in temporomandibular Joint osteoarthritis: A review of data science and artificial intelligence applications.},
author = {J Bianchi and A Ruellas and J C Prieto and T Li and R Soroushmehr and K Najarian and J Gryak and R Deleat-Besson and C Le and M Yatabe and M Gurgel and N A Turkestani and B Paniagua and L Cevidanes},
url = {https://pubmed.ncbi.nlm.nih.gov/34305383/},
doi = {10.1053/j.sodo.2021.05.004},
year = {2021},
date = {2021-05-19},
urldate = {2021-05-19},
journal = {Seminars in Orthodontics},
volume = {27},
number = {2},
pages = {78-86},
abstract = {With the exponential growth of computational systems and increased patient data acquisition, dental research faces new challenges to manage a large quantity of information. For this reason, data science approaches are needed for the integrative diagnosis of multifactorial diseases, such as Temporomandibular joint (TMJ) Osteoarthritis (OA). The Data science spectrum includes data capture/acquisition, data processing with optimized web-based storage and management, data analytics involving in-depth statistical analysis, machine learning (ML) approaches, and data communication. Artificial intelligence (AI) plays a crucial role in this process. It consists of developing computational systems that can perform human intelligence tasks, such as disease diagnosis, using many features to help in the decision-making support. Patient's clinical parameters, imaging exams, and molecular data are used as the input in cross-validation tasks, and human annotation/diagnosis is also used as the gold standard to train computational learning models and automatic disease classifiers. This paper aims to review and describe AI and ML techniques to diagnose TMJ OA and data science approaches for imaging processing. We used a web-based system for multi-center data communication, algorithms integration, statistics deployment, and process the computational machine learning models. We successfully show AI and data-science applications using patients' data to improve the TMJ OA diagnosis decision-making towards personalized medicine.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
With the exponential growth of computational systems and increased patient data acquisition, dental research faces new challenges to manage a large quantity of information. For this reason, data science approaches are needed for the integrative diagnosis of multifactorial diseases, such as Temporomandibular joint (TMJ) Osteoarthritis (OA). The Data science spectrum includes data capture/acquisition, data processing with optimized web-based storage and management, data analytics involving in-depth statistical analysis, machine learning (ML) approaches, and data communication. Artificial intelligence (AI) plays a crucial role in this process. It consists of developing computational systems that can perform human intelligence tasks, such as disease diagnosis, using many features to help in the decision-making support. Patient's clinical parameters, imaging exams, and molecular data are used as the input in cross-validation tasks, and human annotation/diagnosis is also used as the gold standard to train computational learning models and automatic disease classifiers. This paper aims to review and describe AI and ML techniques to diagnose TMJ OA and data science approaches for imaging processing. We used a web-based system for multi-center data communication, algorithms integration, statistics deployment, and process the computational machine learning models. We successfully show AI and data-science applications using patients' data to improve the TMJ OA diagnosis decision-making towards personalized medicine.
Serge, B; Maxime, D; Bianchi, J; Antonio, R; Lucia, C; Marilia, Y; Joao, G; Erika, C; Fabiana, S; Beatriz, P; Juan, P; Kayvan, N; Jonathan, G; Reza, S
3D Auto-Segmentation of Mandibular Condyles Journal Article
In: 2020 42nd Annual International Conference of the IEEE Engineering in Medicine & Biology Society (EMBC), pp. 1270-1273, 2020.
@article{Brosset2020,
title = {3D Auto-Segmentation of Mandibular Condyles},
author = {B Serge and D Maxime and J Bianchi and R Antonio and C Lucia and Y Marilia and G Joao and C Erika and S Fabiana and P Beatriz and P Juan and N Kayvan and G Jonathan and S Reza },
url = {https://pubmed.ncbi.nlm.nih.gov/33018219/},
doi = {10.1109/EMBC44109.2020.9175692},
year = {2020},
date = {2020-07-00},
urldate = {2020-07-00},
journal = {2020 42nd Annual International Conference of the IEEE Engineering in Medicine & Biology Society (EMBC)},
pages = {1270-1273},
abstract = {Temporomandibular joints (TMJ) like a hinge connect the jawbone to the skull. TMJ disorders could cause pain in the jaw joint and the muscles controlling jaw movement. However, the disease cannot be diagnosed until it becomes symptomatic. It has been shown that bone resorption at the condyle articular surface is already evident at initial diagnosis of TMJ Osteoarthritis (OA). Therefore, analyzing the bone structure will facilitate the disease diagnosis. The important step towards this analysis is the condyle segmentation. This article deals with a method to automatically segment the temporomandibular joint condyle out of cone beam CT (CBCT) scans. In the proposed method we denoise images and apply 3D active contour and morphological operations to segment the condyle. The experimental results show that the proposed method yields the Dice score of 0.9461 with the standards deviation of 0.0888 when it is applied on CBCT images of 95 patients. This segmentation will allow large datasets to be analyzed more efficiently towards data sciences and machine learning approaches for disease classification.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Temporomandibular joints (TMJ) like a hinge connect the jawbone to the skull. TMJ disorders could cause pain in the jaw joint and the muscles controlling jaw movement. However, the disease cannot be diagnosed until it becomes symptomatic. It has been shown that bone resorption at the condyle articular surface is already evident at initial diagnosis of TMJ Osteoarthritis (OA). Therefore, analyzing the bone structure will facilitate the disease diagnosis. The important step towards this analysis is the condyle segmentation. This article deals with a method to automatically segment the temporomandibular joint condyle out of cone beam CT (CBCT) scans. In the proposed method we denoise images and apply 3D active contour and morphological operations to segment the condyle. The experimental results show that the proposed method yields the Dice score of 0.9461 with the standards deviation of 0.0888 when it is applied on CBCT images of 95 patients. This segmentation will allow large datasets to be analyzed more efficiently towards data sciences and machine learning approaches for disease classification.
Bianchi, J; Goncalves, J R; de Oliveira Ruellas, A C; Ashman, L M; Vimort, J B; Yatabe, M; Paniagua, B; Hernandez, P; Benavides, E; Soki, F N; Loshida, M; Cevidanes, L H S
Quantitative bone imaging biomarkers to diagnose temporomandibular joint osteoarthritis Journal Article
In: International Journal of Oral and Maxillofacial Surgery, vol. 50, no. 2, pp. 227-235, 2020.
@article{Bianchi2020,
title = {Quantitative bone imaging biomarkers to diagnose temporomandibular joint osteoarthritis},
author = {J Bianchi and J R Goncalves and A C de Oliveira Ruellas and L M Ashman and J B Vimort and M Yatabe and B Paniagua and P Hernandez and E Benavides and F N Soki and M Loshida and L H S Cevidanes},
url = {https://www.sciencedirect.com/science/article/pii/S0901502720301636#:~:text=%20Quantitative%20bone%20imaging%20biomarkers%20to%20diagnose%20temporomandibular,This%20study%20followe...%204%20References.%20%20More%20},
doi = {0.1016/j.ijom.2020.04.018},
year = {2020},
date = {2020-04-28},
urldate = {2020-04-28},
journal = {International Journal of Oral and Maxillofacial Surgery},
volume = {50},
number = {2},
pages = {227-235},
abstract = {Bone degradation of the condylar surface is seen in temporomandibular joint osteoarthritis (TMJ OA); however, the initial changes occur in the subchondral bone. This cross-sectional study was performed to evaluate 23 subchondral bone imaging biomarkers for TMJ OA. The sample consisted of high-resolution cone beam computed tomography scans of 84 subjects, divided into two groups: TMJ OA (45 patients with TMJ OA) and control (39 asymptomatic subjects). Six regions of each mandibular condyle scan were extracted for computation of five bone morphometric and 18 grey-level texture-based variables. The groups were compared using the Mann–Whitney U-test, and the receiver operating characteristics (ROC) curve was determined for each variable that showed a statically significance difference. The results showed statistically significant differences in the subchondral bone microstructure in the lateral and central condylar regions between the control and TMJ OA groups (P < 0.05). The area under the ROC curve (AUC) for these variables was between 0.620 and 0.710. In conclusion, 13 imaging bone biomarkers presented an acceptable diagnostic performance for the diagnosis of TMJ OA, indicating that the texture and geometry of the subchondral bone microarchitecture may be useful for quantitative grading of the disease.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Bone degradation of the condylar surface is seen in temporomandibular joint osteoarthritis (TMJ OA); however, the initial changes occur in the subchondral bone. This cross-sectional study was performed to evaluate 23 subchondral bone imaging biomarkers for TMJ OA. The sample consisted of high-resolution cone beam computed tomography scans of 84 subjects, divided into two groups: TMJ OA (45 patients with TMJ OA) and control (39 asymptomatic subjects). Six regions of each mandibular condyle scan were extracted for computation of five bone morphometric and 18 grey-level texture-based variables. The groups were compared using the Mann–Whitney U-test, and the receiver operating characteristics (ROC) curve was determined for each variable that showed a statically significance difference. The results showed statistically significant differences in the subchondral bone microstructure in the lateral and central condylar regions between the control and TMJ OA groups (P < 0.05). The area under the ROC curve (AUC) for these variables was between 0.620 and 0.710. In conclusion, 13 imaging bone biomarkers presented an acceptable diagnostic performance for the diagnosis of TMJ OA, indicating that the texture and geometry of the subchondral bone microarchitecture may be useful for quantitative grading of the disease.
J, Bianchi; Dos, S P Ary; Jaqueline, I; Daniel, P O R; Joao, R G
Effect of temporomandibular joint articular disc repositioning on anterior open-bite malocclusion: An orthodontic-surgical approach Journal Article
In: Am J Orthod Dentofacial Orthop, vol. 152, no. 6, pp. 848-858, 2017.
@article{Bianchi2017,
title = {Effect of temporomandibular joint articular disc repositioning on anterior open-bite malocclusion: An orthodontic-surgical approach},
author = {Bianchi J and S P Ary Dos and I Jaqueline and P O R Daniel and R G Joao },
url = {https://www.sciencedirect.com/science/article/pii/S0889540617306121},
doi = {10.1016/j.ajodo.2016.09.032},
year = {2017},
date = {2017-12-00},
urldate = {2017-12-00},
journal = {Am J Orthod Dentofacial Orthop},
volume = {152},
number = {6},
pages = {848-858},
abstract = {An anterior open bite is a challenge to orthodontic treatment; it has a multifactorial etiology and a wide range ofintervention options. Temporomandibular joint (TMJ) disorders are a risk factor for the development of malocclu-sions such as the anterior open bite, especially in patients who have TMJ osteoarthritis with disc displacement.Articular disc repositioning surgery is an available option for treating this pathology, and it contributes to main-taining the condyles in a more stable position. The aim of this article was to report the case of a 20-year-oldwoman diagnosed with anterior open bite and TMJ osteoarthritis with bilateral disc displacement. The patientreceived both orthodontic treatment and TMJ disc repositioning surgery. Cone-beam computed tomographywas used to create 3-dimensional models of the condyles with regional superposition, and assessment ofbone remodeling was performed at different time intervals. Complete orthodontic and surgical treatment timewas approximately 12 months. The results provided a stable correction of the patient's anterior open bite witha 2-year follow-up and favorable bone remodeling of the condyles due to functional improvement of the TMJ.(Am J Orthod Dentofacial Orthop 2017;152:848-58)},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
An anterior open bite is a challenge to orthodontic treatment; it has a multifactorial etiology and a wide range ofintervention options. Temporomandibular joint (TMJ) disorders are a risk factor for the development of malocclu-sions such as the anterior open bite, especially in patients who have TMJ osteoarthritis with disc displacement.Articular disc repositioning surgery is an available option for treating this pathology, and it contributes to main-taining the condyles in a more stable position. The aim of this article was to report the case of a 20-year-oldwoman diagnosed with anterior open bite and TMJ osteoarthritis with bilateral disc displacement. The patientreceived both orthodontic treatment and TMJ disc repositioning surgery. Cone-beam computed tomographywas used to create 3-dimensional models of the condyles with regional superposition, and assessment ofbone remodeling was performed at different time intervals. Complete orthodontic and surgical treatment timewas approximately 12 months. The results provided a stable correction of the patient's anterior open bite witha 2-year follow-up and favorable bone remodeling of the condyles due to functional improvement of the TMJ.(Am J Orthod Dentofacial Orthop 2017;152:848-58)
Hwang, Hyeon-Shik; Oh, Min-Hee; Oh, Hee-Kyun; Oh, Heesoo
Surgery-first approach in correcting skeletal Class III malocclusion with mandibular asymmetry Journal Article
In: American Journal of Orthodontics and Dentofacial Orthopedics, vol. 152, no. 2, pp. 255-267, 2017.
@article{Hwang2017,
title = {Surgery-first approach in correcting skeletal Class III malocclusion with mandibular asymmetry},
author = {Hyeon-Shik Hwang and Min-Hee Oh and Hee-Kyun Oh and Heesoo Oh},
url = {http://162.214.24.32/~crilorg/wp-content/uploads/2018/11/Surgery-first-approach-in-correctingskeletal-CLass-III_AJODO-2017.pdf},
doi = {10.1016/j.ajodo.2014.10.040},
year = {2017},
date = {2017-08-01},
urldate = {2017-08-01},
journal = {American Journal of Orthodontics and Dentofacial Orthopedics},
volume = {152},
number = {2},
pages = {255-267},
abstract = {This case report describes a surgical orthodontic case that used the recently introduced surgery-first approach to correct a severe skeletal Class III malocclusion. A 19-year-old woman presented with severe mandibular prognathism and facial asymmetry; she had been waiting for growth completion in order to pursue surgical correction. After prediction of the postsurgical tooth movement and surgical simulation, 2-jaw surgery that included maxillary advancement and differential mandibular setback was performed using a surgery-first approach. Immediate facial improvement was achieved and postsurgical orthodontic treatment was efficiently carried out. The total treatment time was 16 months. The patient's facial appearance improved significantly and a stable surgical orthodontic outcome was obtained. (Am J Orthod Dentofacial Orthop 2017;152:255-67) },
keywords = {},
pubstate = {published},
tppubtype = {article}
}
This case report describes a surgical orthodontic case that used the recently introduced surgery-first approach to correct a severe skeletal Class III malocclusion. A 19-year-old woman presented with severe mandibular prognathism and facial asymmetry; she had been waiting for growth completion in order to pursue surgical correction. After prediction of the postsurgical tooth movement and surgical simulation, 2-jaw surgery that included maxillary advancement and differential mandibular setback was performed using a surgery-first approach. Immediate facial improvement was achieved and postsurgical orthodontic treatment was efficiently carried out. The total treatment time was 16 months. The patient's facial appearance improved significantly and a stable surgical orthodontic outcome was obtained. (Am J Orthod Dentofacial Orthop 2017;152:255-67)
Afrand, M; Oh, H; Flores-Mir, C; Lagravere-Vich, M
Growth changes in the anterior and middle cranial bases as assessed through cone-beam computed tomography in adolescents. Journal Article
In: Am J Orthod Dentofacial Orthop, vol. 151, no. 2, pp. 342-350, 2017.
@article{Afrand2017b,
title = {Growth changes in the anterior and middle cranial bases as assessed through cone-beam computed tomography in adolescents.},
author = {M Afrand and H Oh and C Flores-Mir and M Lagravere-Vich},
url = {https://www.sciencedirect.com/science/article/pii/S0889540616307405},
doi = {10.1016/j.ajodo.2016.02.032},
year = {2017},
date = {2017-02-00},
journal = {Am J Orthod Dentofacial Orthop},
volume = {151},
number = {2},
pages = {342-350},
abstract = {Initially, cone-beam computed tomography images from dry skulls were used to 3 dimensionallyevaluate intrarater and interrater reliabilities and accuracy of selected 3-dimensional landmarks located in theanterior and middle cranial bases. Thereafter, dimensional changes of the anterior and middle cranial baseswith growth were evaluated by using the previously selected landmarks.Methods:Cone-beam computed to-mography images of 10 dry skulls were used to identify useful landmarks from different areas of the anteriorand middle cranial bases based on their reliability and accuracy. These selected landmarks were identified inthe images of an already available sample of adolescents (n560) taken at 2 time points (19 months apart)to assess dimensional changes with growth.Results:The majority of the proposed 3-dimensional landmarkswith the exception of the lesser wing of the sphenoid showed acceptable intrarater and interrater reliabilities.The distances measured between foramina and canals in the transverse dimension showed evidence ofincreases in size. However, the mean amounts of increase in these transverse distances were equal to orless than 1.05 mm (from 1.1% to 4.1%). No change was observed between the right and left anterior andposterior clinoid processes. The vertical dimensions showed evidence of some changes, but these werewithin 2% of the original distances.Conclusions:In this adolescent sample, minor growth-related changeswere observed in the anterior and middle cranial bases. The midsagittal area of the anterior cranial base(foramen caecum to presphenoid) was stable. The right and left anterior and posterior clinoid processes canbe used for transverse superimposition. (Am J Orthod Dentofacial Orthop 2017;151:342-50)},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Initially, cone-beam computed tomography images from dry skulls were used to 3 dimensionallyevaluate intrarater and interrater reliabilities and accuracy of selected 3-dimensional landmarks located in theanterior and middle cranial bases. Thereafter, dimensional changes of the anterior and middle cranial baseswith growth were evaluated by using the previously selected landmarks.Methods:Cone-beam computed to-mography images of 10 dry skulls were used to identify useful landmarks from different areas of the anteriorand middle cranial bases based on their reliability and accuracy. These selected landmarks were identified inthe images of an already available sample of adolescents (n560) taken at 2 time points (19 months apart)to assess dimensional changes with growth.Results:The majority of the proposed 3-dimensional landmarkswith the exception of the lesser wing of the sphenoid showed acceptable intrarater and interrater reliabilities.The distances measured between foramina and canals in the transverse dimension showed evidence ofincreases in size. However, the mean amounts of increase in these transverse distances were equal to orless than 1.05 mm (from 1.1% to 4.1%). No change was observed between the right and left anterior andposterior clinoid processes. The vertical dimensions showed evidence of some changes, but these werewithin 2% of the original distances.Conclusions:In this adolescent sample, minor growth-related changeswere observed in the anterior and middle cranial bases. The midsagittal area of the anterior cranial base(foramen caecum to presphenoid) was stable. The right and left anterior and posterior clinoid processes canbe used for transverse superimposition. (Am J Orthod Dentofacial Orthop 2017;151:342-50)
Oh, H; Herchold, K; et al,
Orthodontic tooth movement through the maxillary sinus in an adult patient with multiple missing teeth. Journal Article
In: American Journal of Orthodontics & Dentofacial Orthopedics, vol. 146, no. 4, pp. 493-505, 2014.
@article{Oh2014,
title = {Orthodontic tooth movement through the maxillary sinus in an adult patient with multiple missing teeth. },
author = {H Oh and K Herchold and et al},
url = {https://pubmed.ncbi.nlm.nih.gov/25263152/},
doi = {10.1016/j.ajodo.2014.03.025},
year = {2014},
date = {2014-10-00},
journal = {American Journal of Orthodontics & Dentofacial Orthopedics},
volume = {146},
number = {4},
pages = {493-505},
abstract = {This case report describes the successful orthodontic tooth movement through the maxillary sinus in an adult patient. A 41-year-old Asian woman had severe lip protrusion and multiple missing posterior teeth. Her orthodontic treatment included the extraction of 2 teeth, maximum retraction of the incisors using the extraction spaces and the existing spaces from the missing molars, and closure of all remaining spaces. Even though the treatment time was extended because of the anatomic and biologic challenges associated with moving posterior teeth over a long distance through the maxillary sinus, a successful outcome was obtained, with significant bone modeling of the maxillary sinus. The results demonstrate that a carefully selected force system can overcome the anatomic limitations of moving tooth against the cortical bone of the maxillary sinus wall in adult patients.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
This case report describes the successful orthodontic tooth movement through the maxillary sinus in an adult patient. A 41-year-old Asian woman had severe lip protrusion and multiple missing posterior teeth. Her orthodontic treatment included the extraction of 2 teeth, maximum retraction of the incisors using the extraction spaces and the existing spaces from the missing molars, and closure of all remaining spaces. Even though the treatment time was extended because of the anatomic and biologic challenges associated with moving posterior teeth over a long distance through the maxillary sinus, a successful outcome was obtained, with significant bone modeling of the maxillary sinus. The results demonstrate that a carefully selected force system can overcome the anatomic limitations of moving tooth against the cortical bone of the maxillary sinus wall in adult patients.
Baumrind, Sheldon; Curry, Sean
The AAOF craniofacial growth legacy collection: A powerful new tool for orthodontic teaching and research Journal Article
In: AAOF Craniofacial Growth Legacy Collection, pp. 297-318, 2011.
@article{Baumrind2011,
title = {The AAOF craniofacial growth legacy collection: A powerful new tool for orthodontic teaching and research},
author = { Sheldon Baumrind and Sean Curry},
url = {http://162.214.24.32/~crilorg/wp-content/uploads/2018/12/AAOF-Collection-Mich-Monographs-S.BaumrindS.Curry_.pdf},
year = {2011},
date = {2011-01-01},
journal = {AAOF Craniofacial Growth Legacy Collection},
pages = {297-318},
abstract = {This chapter reports and illustrates a multi-institutional project that uses the capabilities of cloud computing and the Internet to collect and share craniofacial images and numerical data of importance to orthodontic education and research. The project will provide interested investigators all over the world with near instantaneous access to longitudinal information on the spontaneous craniofacial growth of untreated children with various kinds of malocclusion. The collection will facilitate investigations on the spontaneous course of development in children with malocclusions of different types. In addition, the AAOF Legacy Collection constitutes a unique source of control samples for testing the validity of consensually accepted beliefs about the effects of orthodontic treatment.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
This chapter reports and illustrates a multi-institutional project that uses the capabilities of cloud computing and the Internet to collect and share craniofacial images and numerical data of importance to orthodontic education and research. The project will provide interested investigators all over the world with near instantaneous access to longitudinal information on the spontaneous craniofacial growth of untreated children with various kinds of malocclusion. The collection will facilitate investigations on the spontaneous course of development in children with malocclusions of different types. In addition, the AAOF Legacy Collection constitutes a unique source of control samples for testing the validity of consensually accepted beliefs about the effects of orthodontic treatment.
Xu, T-M; Zhang, X; Oh, HS; Boyd, R; Korn, El; Baumrind, S
A Randomized Clinical Trial (RCT) Comparing Maxillary Molar Anchorage Loss Using Two Retraction Techniques. Journal Article
In: American Journal of Orthodontics & Dentofacial Orthopedics, vol. 138, no. 5, pp. 544-5, 2010.
@article{Xu2010,
title = {A Randomized Clinical Trial (RCT) Comparing Maxillary Molar Anchorage Loss Using Two Retraction Techniques.},
author = {T-M Xu and X Zhang and HS Oh and R Boyd and El Korn and S Baumrind},
url = {https://pubmed.ncbi.nlm.nih.gov/21055588/},
doi = {10.1016/j.ajodo.2009.12.027},
year = {2010},
date = {2010-11-00},
journal = {American Journal of Orthodontics & Dentofacial Orthopedics},
volume = {138},
number = {5},
pages = {544-5},
abstract = {The objective of this pilot randomized clinical trial was to investigate the relative effectiveness of anchorage conservation of en-masse and 2-step retraction techniques during maximum anchorage treatment in patients with Angle Class I and Class II malocclusions.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
The objective of this pilot randomized clinical trial was to investigate the relative effectiveness of anchorage conservation of en-masse and 2-step retraction techniques during maximum anchorage treatment in patients with Angle Class I and Class II malocclusions.
2022 |
A, Cong; de Oliveria Ruellas A.C,; S.K, Tai; C.T, Loh; M, Barkley; M, Yatabe; M, Caminiti; C, Massaro; J, Bianchi; R, Deleat-Besson: Presurgical orthodontic decompensation with clear aligners. In: American Journal of Orthodontics & Dentofacial Orthopedics, vol. 162, iss. 4, pp. 538-553, 2022. (Type: Journal Article | Abstract | Links | BibTeX | Tags: clear aligners, decomposition, ortho, orthodontic)@article{Bianchi2022c,Introduction: Orthodontists, surgeons, and patients have taken an interest in using clear aligners in combination with orthognathic surgery. This study aimed to evaluate the accuracy of tooth movements with clear aligners during presurgical orthodontics using novel 3-dimensional superimposition techniques. Methods: The study sample consisted of 20 patients who have completed presurgical orthodontics using Invisalign clear aligners. Initial (pretreatment) digital dental models, presurgical digital dental models, and ClinCheck prediction models were obtained. Presurgical models were superimposed onto initial ones using stable anatomic landmarks; ClinCheck models were superimposed onto presurgical models using surface best-fit superimposition. Five hundred forty-five teeth were measured for 3 angular movements (buccolingual torque, mesiodistal tip, and rotation) and 4 linear movements (buccolingual, mesiodistal, vertical, and total scalar displacement). The predicted tooth movement was compared with the achieved amount for each movement and tooth, using both percentage accuracy and numerical difference. Results: Average percentage accuracy (63.4% ± 11.5%) was higher than in previously reported literature. The most accurate tooth movements were buccal torque and mesial displacement compared with lingual torque and distal displacement, particularly for mandibular posterior teeth. Clinically significant inaccuracies were found for the buccal displacement of maxillary second molars, lingual displacement of all molars, intrusion of mandibular second molars, the distal tip of molars, second premolars, and mandibular first premolars, buccal torque of maxillary central and lateral incisors, and lingual torque of premolars and molars. Conclusions: Superimposition techniques used in this study lay the groundwork for future studies to analyze advanced clear aligner patients. Invisalign is a treatment modality that can be considered for presurgical orthodontics-tooth movements involved in arch leveling and decompensation are highly accurate when comparing the simulated and the clinically achieved movements. |
2021 |
Bianchi, J; Ruellas, A; Prieto, J C; Li, T; Soroushmehr, R; Najarian, K; Gryak, J; Deleat-Besson, R; Le, C; Yatabe, M; Gurgel, M; Turkestani, N A; Paniagua, B; Cevidanes, L: Decision support systems in temporomandibular Joint osteoarthritis: A review of data science and artificial intelligence applications.. In: Seminars in Orthodontics, vol. 27, no. 2, pp. 78-86, 2021. (Type: Journal Article | Abstract | Links | BibTeX | Tags: AAOF, Cone-beam computed tomography, Discrepency Index, malocclusion severity, mandibular asymmetry, orthodontic, Peer Assessment Rating Index, technique, vertical control, x-ray)@article{Bianchi2021,With the exponential growth of computational systems and increased patient data acquisition, dental research faces new challenges to manage a large quantity of information. For this reason, data science approaches are needed for the integrative diagnosis of multifactorial diseases, such as Temporomandibular joint (TMJ) Osteoarthritis (OA). The Data science spectrum includes data capture/acquisition, data processing with optimized web-based storage and management, data analytics involving in-depth statistical analysis, machine learning (ML) approaches, and data communication. Artificial intelligence (AI) plays a crucial role in this process. It consists of developing computational systems that can perform human intelligence tasks, such as disease diagnosis, using many features to help in the decision-making support. Patient's clinical parameters, imaging exams, and molecular data are used as the input in cross-validation tasks, and human annotation/diagnosis is also used as the gold standard to train computational learning models and automatic disease classifiers. This paper aims to review and describe AI and ML techniques to diagnose TMJ OA and data science approaches for imaging processing. We used a web-based system for multi-center data communication, algorithms integration, statistics deployment, and process the computational machine learning models. We successfully show AI and data-science applications using patients' data to improve the TMJ OA diagnosis decision-making towards personalized medicine. |
2020 |
Serge, B; Maxime, D; Bianchi, J; Antonio, R; Lucia, C; Marilia, Y; Joao, G; Erika, C; Fabiana, S; Beatriz, P; Juan, P; Kayvan, N; Jonathan, G; Reza, S: 3D Auto-Segmentation of Mandibular Condyles. In: 2020 42nd Annual International Conference of the IEEE Engineering in Medicine & Biology Society (EMBC), pp. 1270-1273, 2020. (Type: Journal Article | Abstract | Links | BibTeX | Tags: AAOF, Adolescents, anterior openbite, Cone-beam computed tomography, Cranial base, craniofacial, Discrepency Index, extraction, hyperdivergent, mandibular asymmetry, Mandibular fixed retainer, Mandibular remodeling, orthodontic, Peer Assessment Rating Index, Posttreatment, teaching)@article{Brosset2020,Temporomandibular joints (TMJ) like a hinge connect the jawbone to the skull. TMJ disorders could cause pain in the jaw joint and the muscles controlling jaw movement. However, the disease cannot be diagnosed until it becomes symptomatic. It has been shown that bone resorption at the condyle articular surface is already evident at initial diagnosis of TMJ Osteoarthritis (OA). Therefore, analyzing the bone structure will facilitate the disease diagnosis. The important step towards this analysis is the condyle segmentation. This article deals with a method to automatically segment the temporomandibular joint condyle out of cone beam CT (CBCT) scans. In the proposed method we denoise images and apply 3D active contour and morphological operations to segment the condyle. The experimental results show that the proposed method yields the Dice score of 0.9461 with the standards deviation of 0.0888 when it is applied on CBCT images of 95 patients. This segmentation will allow large datasets to be analyzed more efficiently towards data sciences and machine learning approaches for disease classification. |
Bianchi, J; Goncalves, J R; de Oliveira Ruellas, A C; Ashman, L M; Vimort, J B; Yatabe, M; Paniagua, B; Hernandez, P; Benavides, E; Soki, F N; Loshida, M; Cevidanes, L H S: Quantitative bone imaging biomarkers to diagnose temporomandibular joint osteoarthritis. In: International Journal of Oral and Maxillofacial Surgery, vol. 50, no. 2, pp. 227-235, 2020. (Type: Journal Article | Abstract | Links | BibTeX | Tags: AAOF, Cone-beam computed tomography, Cranial base, Growth, hyperdivergent, mandibular asymmetry, Mandibular fixed retainer, Mandibular remodeling, orthodontic, pressure tension, technique)@article{Bianchi2020,Bone degradation of the condylar surface is seen in temporomandibular joint osteoarthritis (TMJ OA); however, the initial changes occur in the subchondral bone. This cross-sectional study was performed to evaluate 23 subchondral bone imaging biomarkers for TMJ OA. The sample consisted of high-resolution cone beam computed tomography scans of 84 subjects, divided into two groups: TMJ OA (45 patients with TMJ OA) and control (39 asymptomatic subjects). Six regions of each mandibular condyle scan were extracted for computation of five bone morphometric and 18 grey-level texture-based variables. The groups were compared using the Mann–Whitney U-test, and the receiver operating characteristics (ROC) curve was determined for each variable that showed a statically significance difference. The results showed statistically significant differences in the subchondral bone microstructure in the lateral and central condylar regions between the control and TMJ OA groups (P < 0.05). The area under the ROC curve (AUC) for these variables was between 0.620 and 0.710. In conclusion, 13 imaging bone biomarkers presented an acceptable diagnostic performance for the diagnosis of TMJ OA, indicating that the texture and geometry of the subchondral bone microarchitecture may be useful for quantitative grading of the disease. |
2017 |
J, Bianchi; Dos, S P Ary; Jaqueline, I; Daniel, P O R; Joao, R G: Effect of temporomandibular joint articular disc repositioning on anterior open-bite malocclusion: An orthodontic-surgical approach. In: Am J Orthod Dentofacial Orthop, vol. 152, no. 6, pp. 848-858, 2017. (Type: Journal Article | Abstract | Links | BibTeX | Tags: AAOF, Cone-beam computed tomography, Cranial base, craniofacial, Discrepency Index, hyperdivergent, Mandibular fixed retainer, Mandibular remodeling, orthodontic, retrospective, teaching, vertical control)@article{Bianchi2017,An anterior open bite is a challenge to orthodontic treatment; it has a multifactorial etiology and a wide range ofintervention options. Temporomandibular joint (TMJ) disorders are a risk factor for the development of malocclu-sions such as the anterior open bite, especially in patients who have TMJ osteoarthritis with disc displacement.Articular disc repositioning surgery is an available option for treating this pathology, and it contributes to main-taining the condyles in a more stable position. The aim of this article was to report the case of a 20-year-oldwoman diagnosed with anterior open bite and TMJ osteoarthritis with bilateral disc displacement. The patientreceived both orthodontic treatment and TMJ disc repositioning surgery. Cone-beam computed tomographywas used to create 3-dimensional models of the condyles with regional superposition, and assessment ofbone remodeling was performed at different time intervals. Complete orthodontic and surgical treatment timewas approximately 12 months. The results provided a stable correction of the patient's anterior open bite witha 2-year follow-up and favorable bone remodeling of the condyles due to functional improvement of the TMJ.(Am J Orthod Dentofacial Orthop 2017;152:848-58) |
Hwang, Hyeon-Shik; Oh, Min-Hee; Oh, Hee-Kyun; Oh, Heesoo: Surgery-first approach in correcting skeletal Class III malocclusion with mandibular asymmetry. In: American Journal of Orthodontics and Dentofacial Orthopedics, vol. 152, no. 2, pp. 255-267, 2017. (Type: Journal Article | Abstract | Links | BibTeX | Tags: AAOF, adult, Class III, Cranial base, Discrepency Index, hyperdivergent, mandibular asymmetry, Mandibular fixed retainer, Mandibular remodeling, mapping, open bite, orthodontic, surgery-first)@article{Hwang2017,This case report describes a surgical orthodontic case that used the recently introduced surgery-first approach to correct a severe skeletal Class III malocclusion. A 19-year-old woman presented with severe mandibular prognathism and facial asymmetry; she had been waiting for growth completion in order to pursue surgical correction. After prediction of the postsurgical tooth movement and surgical simulation, 2-jaw surgery that included maxillary advancement and differential mandibular setback was performed using a surgery-first approach. Immediate facial improvement was achieved and postsurgical orthodontic treatment was efficiently carried out. The total treatment time was 16 months. The patient's facial appearance improved significantly and a stable surgical orthodontic outcome was obtained. (Am J Orthod Dentofacial Orthop 2017;152:255-67) |
Afrand, M; Oh, H; Flores-Mir, C; Lagravere-Vich, M: Growth changes in the anterior and middle cranial bases as assessed through cone-beam computed tomography in adolescents.. In: Am J Orthod Dentofacial Orthop, vol. 151, no. 2, pp. 342-350, 2017. (Type: Journal Article | Abstract | Links | BibTeX | Tags: AAOF, anterior openbite, clear aligners, clinical orthodontist, Cone-beam computed tomography, Cranial base, hyperdivergent, Mandibular fixed retainer, orthodontic, Peer Assessment Rating Index, Posttreatment, retrospective, technique)@article{Afrand2017b,Initially, cone-beam computed tomography images from dry skulls were used to 3 dimensionallyevaluate intrarater and interrater reliabilities and accuracy of selected 3-dimensional landmarks located in theanterior and middle cranial bases. Thereafter, dimensional changes of the anterior and middle cranial baseswith growth were evaluated by using the previously selected landmarks.Methods:Cone-beam computed to-mography images of 10 dry skulls were used to identify useful landmarks from different areas of the anteriorand middle cranial bases based on their reliability and accuracy. These selected landmarks were identified inthe images of an already available sample of adolescents (n560) taken at 2 time points (19 months apart)to assess dimensional changes with growth.Results:The majority of the proposed 3-dimensional landmarkswith the exception of the lesser wing of the sphenoid showed acceptable intrarater and interrater reliabilities.The distances measured between foramina and canals in the transverse dimension showed evidence ofincreases in size. However, the mean amounts of increase in these transverse distances were equal to orless than 1.05 mm (from 1.1% to 4.1%). No change was observed between the right and left anterior andposterior clinoid processes. The vertical dimensions showed evidence of some changes, but these werewithin 2% of the original distances.Conclusions:In this adolescent sample, minor growth-related changeswere observed in the anterior and middle cranial bases. The midsagittal area of the anterior cranial base(foramen caecum to presphenoid) was stable. The right and left anterior and posterior clinoid processes canbe used for transverse superimposition. (Am J Orthod Dentofacial Orthop 2017;151:342-50) |
2014 |
Oh, H; Herchold, K; et al,: Orthodontic tooth movement through the maxillary sinus in an adult patient with multiple missing teeth. . In: American Journal of Orthodontics & Dentofacial Orthopedics, vol. 146, no. 4, pp. 493-505, 2014. (Type: Journal Article | Abstract | Links | BibTeX | Tags: Cone-beam computed tomography, fixed appliances, Growth, hyperdivergent, orthodontic, Peer Assessment Rating Index, research, vertical control)@article{Oh2014,This case report describes the successful orthodontic tooth movement through the maxillary sinus in an adult patient. A 41-year-old Asian woman had severe lip protrusion and multiple missing posterior teeth. Her orthodontic treatment included the extraction of 2 teeth, maximum retraction of the incisors using the extraction spaces and the existing spaces from the missing molars, and closure of all remaining spaces. Even though the treatment time was extended because of the anatomic and biologic challenges associated with moving posterior teeth over a long distance through the maxillary sinus, a successful outcome was obtained, with significant bone modeling of the maxillary sinus. The results demonstrate that a carefully selected force system can overcome the anatomic limitations of moving tooth against the cortical bone of the maxillary sinus wall in adult patients. |
2011 |
Baumrind, Sheldon; Curry, Sean: The AAOF craniofacial growth legacy collection: A powerful new tool for orthodontic teaching and research. In: AAOF Craniofacial Growth Legacy Collection, pp. 297-318, 2011. (Type: Journal Article | Abstract | Links | BibTeX | Tags: AAOF, craniofacial, Legacy Collection, orthodontic, research, teaching)@article{Baumrind2011,This chapter reports and illustrates a multi-institutional project that uses the capabilities of cloud computing and the Internet to collect and share craniofacial images and numerical data of importance to orthodontic education and research. The project will provide interested investigators all over the world with near instantaneous access to longitudinal information on the spontaneous craniofacial growth of untreated children with various kinds of malocclusion. The collection will facilitate investigations on the spontaneous course of development in children with malocclusions of different types. In addition, the AAOF Legacy Collection constitutes a unique source of control samples for testing the validity of consensually accepted beliefs about the effects of orthodontic treatment. |
2010 |
Xu, T-M; Zhang, X; Oh, HS; Boyd, R; Korn, El; Baumrind, S: A Randomized Clinical Trial (RCT) Comparing Maxillary Molar Anchorage Loss Using Two Retraction Techniques.. In: American Journal of Orthodontics & Dentofacial Orthopedics, vol. 138, no. 5, pp. 544-5, 2010. (Type: Journal Article | Abstract | Links | BibTeX | Tags: adult, clinical orthodontist, Cone-beam computed tomography, Cranial base, hyperdivergent, Mandibular fixed retainer, open bite, orthodontic, Peer Assessment Rating Index, retrospective)@article{Xu2010,The objective of this pilot randomized clinical trial was to investigate the relative effectiveness of anchorage conservation of en-masse and 2-step retraction techniques during maximum anchorage treatment in patients with Angle Class I and Class II malocclusions. |