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Challenges and Motivating Factors of orthodontic treatment among Patients Attending Komfo Anokye Teaching Hospital

Open Journal of Stomatology 2024年第6期14卷 291-308页

作者： Ama Agyeibea Amuasi Kwaku Owusu-Ansah The Department of Child Oral Health and orthodontics School of Dentistry College of Health Sciences Kwame Nkrumah University of Science and Technology Kumasi Ghana

Background: orthodontic treatment poses challenges such as discomfort, aesthetic concerns, dietary restrictions, time commitment, and financial considerations for patients. These challenges can deter individuals from pursuing treatment or cause anxiety during the process. However, patients are motivated by the desire to improve their appearance, boost self-confidence, and enhance oral health. They also value the long-term benefits of treatment, including improved dental function and overall well-being. Professional recommendations from dentists and orthodontists, along with social support from family and friends, further encourage patients to undergo treatment. Understanding these challenges and motivating factors is crucial for orthodontic professionals to tailor treatment plans and ensure positive experiences and successful outcomes for their patients. Objective: To determine the challenges and motivating factors of orthodontic treatment among patients attending Komfo Anokye Teaching Hospital. Method: The study was conducted at Komfo Anokye Teaching Hospital in Kumasi, Ghana, with a sample size of 60 orthodontic patients. Data was collected using self-administered questionnaires and analyzed using SPSS software. Ethical approval was obtained, and the findings were shared with stakeholders. Results: Findings showed a higher representation of females (63.3%) seeking orthodontic treatment. Common motivations for seeking orthodontic treatment included aesthetic Concerns (38.2%), misaligned teeth (28.1%) and recommendation from dentist (19.2%). Challenges reported included pain and discomfort (36.7%), difficulty chewing (15%), expensive treatment (14.4%) and missed appointments (11.7%). Factors motivating treatment continuation were visible improvements (30%), achieving optimal results (23%), reducing pain and discomfort (17%). External influences, such as family pressure, also played a role. Patients appreciated the support of healthcare providers during treatment but

关键词： orthodontic treatment Aesthetics Motivation Chewing Cross-Sectional Design

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Multivariate analysis of oral mucosal ulcers during orthodontic treatment

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World Journal of Clinical Cases 2024年第26期12卷 5868-5876页

作者： Jing Chang Xue Li The Fifth Clinic Peking University School and Hospital of StomatologyNational Center for StomatologyNational Clinical Research Center for Oral DiseasesNational Engineering Research Center of Oral Biomaterials and Digital Medical Devices Beijing 100081China

BACKGROUND orthodontic treatment can easily cause local soft tissue reactions in the oral cavity of patients under mechanical stress,leading to oral mucosal ulcers and affecting their quality of *** present,only limited literature has explored the factors leading to oral ulcers in orthodontic treatment,and these research results are still *** To investigate the current status and related factors of oral mucosal ulcers during orthodontic treatment,aiming to provide a valuable reference for preventing this disease in clinical *** A total of 587 patients who underwent orthodontic treatment at the Peking University School of Stomatology and Hospital of Stomatology between 2020 and 2022 were selected and allocated to an observation or control group according to the incidence of oral mucosal ulcers during orthodontic therapy.A questionnaire survey was constructed to collect patient data,including basic information,lifestyle and eating habits,treatment details,mental factors,and trace element levels,and a comparative analysis of this data was performed between the two *** A logistic regression model with oral ulcers as the dependent variable was *** regression results showed that age(≥60 years:odds ratio[OR]:6.820;95%confidence interval[CI]:2.226–20.893),smoking history(smoking:OR:4.434;95%CI:2.527–7.782),toothbrush hardness(hard:OR:2.804;95%CI:1.746–4.505),dietary temperature(hot diet:OR:1.399;95%CI:1.220–1.722),treatment course(>1 year:OR:3.830;95%CI:2.203–6.659),and tooth brushing frequency(>1 time per day:OR:0.228;95%CI:0.138–0.377)were independent factors for oral mucosal ulcers(Ptreatment course for>1 year,tooth brushing frequency of≤1 time per day,and m

关键词： orthodontic treatment Oral ulcers Multivariate Logistic regression Prevent disease

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Development and accuracy of artificial intelligence-generated prediction of facial changes in orthodontic treatment:a scoping review

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Journal of Zhejiang University-Science B(Biomedicine & Biotechnology) 2023年第11期24卷 974-984页

作者： Jiajun ZHU Yuxin YANG Hai Ming WONG Stomatology Hospital School of StomatologyZhejiang University School of MedicineZhejiang Provincial Clinical Research Center for Oral DiseasesKey Laboratory of Oral Biomedical Research of Zhejiang ProvinceCancer Center of Zhejiang UniversityEngineering Research Center of Oral Biomaterials and Devices of Zhejiang ProvinceHangzhou310000China Faculty of Dentistry The University of Hong KongHong KongChina

Artificial intelligence(AI)has been utilized in soft-tissue analysis and prediction in orthodontic treatment planning,although its reliability has not been systematically *** scoping review was conducted to outline the development of AI in terms of predicting soft-tissue changes after orthodontic treatment,as well as to comprehensively evaluate its prediction *** electronic databases(PubMed,EBSCOhost,Web of Science,Embase,Cochrane Library,and Scopus)were searched up to March 14,*** studies investigating the performance of AI-based systems in predicting post-orthodontic soft-tissue alterations were *** Quality Assessment of Diagnostic Accuracy Studies-2(QUADAS-2)and Joanna Briggs Institute(JBI)appraisal checklist for diagnostic test accuracy studies were applied to assess risk of bias,while the Grading of Recommendation,Assessment,Development,and Evaluation(GRADE)assessment was conducted to evaluate the certainty of *** screening 2500 studies,four non-randomized clinical trials were finally included for full-text *** found a low level of evidence indicating an estimated high overall accuracy of AI-generated prediction,whereas the lower lip and chin seemed to be the least predictable ***,the facial morphology simulated by AI via the fusion of multimodality images was considered to be reasonably *** all of the included studies that were not randomized clinical trials(non-RCTs)showed a moderate to high risk of bias,more well-designed clinical trials with sufficient sample size are needed in future work.

关键词： Facial morphology Soft-tissue changes Artificial intelligence(AI) orthodontic treatment

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Modified orthodontic treatment of substitution of canines by first premolars:A case report

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World Journal of Clinical Cases 2022年第25期10卷 9078-9086页

作者： Fang-Fei Li Min Li Meng Li Xi Yang Department of Stomatological Stomatological Hospital of Chongqing Medical UniversityChongqing 401147China Department of Stomatological Chongqing Key Laboratory of Oral Diseases and Biomedical SciencesChongqing 401147China Department of Stomatological Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher EducationChongqing 401147China Department of Stomatology Daping HospitalThird Military Medical University(Army Military Medical University)Chongqing 400042China

BACKGROUND Canines are the most important teeth in the ***,doctors choose to remove premolars rather than *** extraction is extremely rare in orthodontic ***,dentists sometimes encounter situations in which canines require extraction due to defects caused by improper medical *** SUMMARY The present study reports a case of a class II adult patient treated with the extraction of maxillary canines and right mandibular second *** postactive treatment for 28 mo,then the canines were substituted by the upper first premolar,a satisfactory occlusal was established,the lips were competent,and the profile was *** pictures and X-ray data retrieved 3 years after the end of orthodontic treatment demonstrated the possibility of canine extraction and premolar substitution of canines in function and *** The extraction of canines and substitution by first premolars could be a feasible orthodontic treatment.

关键词： orthodontic treatment Canine extraction Tooth substitution Root resorption Case report

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Factors Influencing Subjective orthodontic treatment Need and Culture-related Differences among Chinese Natives and Foreign Inhabitants

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International Journal of Oral Science 2010年第3期2卷 149-157页

作者： Xiao-ting Li Yin Tang Xue-lian Huang Hua Wan Yang-xi Chen Department-of orthodontics West China College of Stomatology Sichuan University Chengdu China Department of Operative Dentistry and Endodontics West China College of Stomatology Sichuan University Chengdu China Department of Health Statistics West China College of Public Health Sichuan University Chengdu China

Aim The aim of this survey was to compare Chinese natives and foreign inhabitants in Chengdu, China, with respect to：（1） attitudes towards dental appearance, （2） subjective orthodontic treatment need, and （3） the main factors influencing orthodontic treatment need. Methodology A total of 522 subjects, including 227 foreign inhabitants and 295 Chinese natives in Chengdu participated in the survey. A simple random sampling method was adopted and a face-to-face interview was conducted at some public sites using a questionnaire. Data was entered by two persons synchronously using Epidata 3.0, and SPSS 13.0 was used to analyze these data. Results 89.0% of foreign inhabitants were satisfied with their teeth compared to only 46.8% of Chinese natives. Females were more dissatisfied with their teeth than males. Chinese natives put improving appearance as the top priority （55.9%） for seeking orthodontic treatment; however, in foreign inhabitants, the main reason for seeking treatment was to improve masticatory function（44.1%）, followed by ＂to be pretty＂（35.2%）. The importance of well-aligned teeth and self-perception of psychosocial impact of malocclusion were the same two main factors influencing subjective orthodontic treatment need （P〈0.05） in foreign inhabitants and Chinese natives. Sub- jective orthodontic treatment need between the two target groups was significantly different （P〈0.05）. Conclusion （1） It was very common that Chinese natives were dissatisfied with their dental appearance, and their subjective orthodontic treatment needs were high. （2） There were some differences in orthodontic treatment motives between the two target groups. （3） There were differences in subjective orthodontic treatment needs between foreign inhabitants and Chinese natives. However, the prominent influential factors were almost the same. There may be benefit to understanding subjective orthodontic needs of different races.

关键词： orthodontic treatment motives subjective needs,comparative study

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Oral Hygiene in the Presence of orthodontic Therapy

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Journal of Biosciences and Medicines 2024年第2期12卷 98-110页

作者： Emmanuel John Aryeetey Hicham Benyahia Fatima Zaoui Faculty of Dental Medicine Mohammed University in Rabat Rabat Morocco

orthodontic treatment offers great advantages in improving facial and smile aesthetics, self-confidence and the function of the stomatognathic apparatus. The pursuit of these advantages makes use of orthodontic appliances that could be fixed or removable. However, it’s worth stating that these appliances interfere with tooth brushing, making it more difficult to brush teeth effectively. orthodontics appliances therefore promote the accumulation of dental plaque, which results in both quantitative and qualitative changes in the oral microbiota, hence, exposing patients to several adverse effects such as White spot lesions, dental caries, periodontal pathologies and halitosis. For this reason, oral assessment of patients before, during and after treatment is necessary as well as oral hygiene instructions and motivation. Orthodontists therefore, should educate patients on oral and periodontal hygiene in order to control dental and periodontal complications. Prescriptions of plaque control materials adapted to each patient are done in order to optimize the final result and minimize unwanted complications.

关键词： orthodontic treatment Oral Microbiome Oral Hygiene Periodontitis Gingivitis orthodontic Fixed Appliances orthodontic Removable Appliances White Spot Lesions (WSL)

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Tough adhesion and antifouling poly(vinyl alcohol)hydrogel coating on the arch wire for antibacterial adhesion

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Science China(Technological Sciences) 2023年第10期66卷 2786-2796页

作者： LI MingWen TANG Chen YU XiXi SHI XinLei YU Hui YIN HaiYan YOU Min CHEN Qiang DING Xi Department of Stomatology The First Affiliated Hospital of Wenzhou Medical UniversityWenzhou 325000China Wenzhou Institute University of Chinese Academy of SciencesWenzhou 325001China Oujiang Laboratory(Zhejiang Lab for Regenerative Medicine Vision and Brain Health)Wenzhou 325000China

The arch wire(AW)plays an important role in providing continuous force,aligning the teeth,and excellent dental arch stability for orthodontic ***,the high friction performance of the AW surface can increase bacterial adhesion and colonization,leading to oral hygiene ***,a simple method is developed to modify the surface of the orthodontic wire with a poly(vinyl alcohol)(PVA)hydrogel coating,which can improve the lubricity and antibacterial adhesion of the AW and prevent the oral hygiene problems caused by *** PVA hydrogel coating can toughly adhere to the surface of the AW and remarkably reduce the friction performance of the AW,and then its friction coefficient in water can reach *** the action of brushing and bending,the PVA hydrogel coating possesses superior ultralubrication and hardly affects the mechanical properties of the stainless-steel ***,the PVA hydrogel coating can significantly inhibit bacterial adhesion on the surface of the AW,thereby reducing bacterial colonization and maintaining oral hygiene while correcting the shape of the mouth and ***,the PVA hydrogel coating exhibits tough adhesion and good antibacterial adhesion while maintaining the mechanical properties of the AW,and it is a promising antifouling coating for improving the performance of the AW.

关键词： orthodontic treatment arch wire hydrogel coating tough adhesion antifouling

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Chinese Journal Of Plastic and Reconstructive Surgery 2022年第4期4卷 171-177页

作者： Youbai Chen Tianqi Li Yujian Xu Jiahua Xing Weiqian Jiang Xiangye Yin Haizhong Zhang Meredith August Katherine P.Klein Tong Zhang Department of Plastic and Reconstructive Surgery The First Medical CenterChinese PLA General HospitalBeijing 100853China Department of Oral and Maxillofacial Surgery Massachusetts General HospitalBeijing 100853China Department of Stomatology The First Medical CenterChinese PLA General HospitalBostonMA 02114USA Harvard School of Dental Medicine BostonMA 02115USA

Background:Although oral health-related quality of life(OHRQoL)in orthodontic patients has been assessed in the past,to date,no study has compared the OHRQoL between two *** aimed to compare the OHRQoL between Chinese and American orthodontic ***:We conducted a two-center questionnaire-based cross-sectional study among patients who underwent orthodontic treatments at the Chinese PLA General Hospital(PLAGH)in Beijing,China and Massachusetts General Hospital(MGH)in Boston,Massachusetts,United *** variables included the participating center,patients’age,sex,Angle’s classification of malocclusion,evaluation stage,and appliances *** primary outcome was patients’OHRQoL assessed with the Oral Health Impact Profile-14(OHIP-14).Descriptive statistics,stratification,and univariate and multivariate analyses were ***:The average age was lower for PLAGH patients than for MGH patients(21.1±7.9 vs.33.1±14.6 years,Porthodontic patients had lower OHIP-14 scores,indicating a higher OHRQoL than American *** addition to the younger age,this difference may be attributed to the different ethical

关键词： Oral Health Impact Profile orthodontic treatment Quality of life Chinese PLA General Hospital Massachusetts General Hospital

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orthodontic simulation system with force feedback for training complete bracket placement procedures

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Virtual Reality & Intelligent Hardware 2021年第4期3卷 261-273页

作者： Fan YE Luwei LIU Bin YAN Xiaohan ZHAO Aimin HAO State Key Laboratory of Virtual Reality Technology and Systems Beihang UniversityBeijing 100083China Jiangsu Key Laboratory of Oral Diseases Nanjing Medical UniversityNanjing 210029China Department of orthodontics School of StomatologyNanjing Medical UniversityNanjing 210029China

Background A virtual system that simulates the complete process of orthodontic bracket placement can be used for pre-clinical skill training to help students gain confidence by performing the required tasks on a virtual *** The hardware for the virtual simulation system is built using two force feedback devices to support bi-manual force feedback operation.A 3D mouse is used to adjust the position of the virtual patient.A multi-threaded computational methodology is adopted to satisfy the requirements of the frame *** computation threads mainly consist of the haptic thread running at a frequency of>1000Hz and the graphic thread at>*** graphic thread allows the graphics engine to effectively display the visual effects of biofilm removal and acid erosion through texture *** the haptic thread,the physics engine adopts the hierarchy octree collision-detection algorithm to simulate the multi-point and multi-region interaction between the tools and the virtual *** high efficiency guarantees that the time cost can be controlled within 1 *** physics engine also performs collision detection between the tools and particles,making it possible to simulate paint and removal of *** surface-contact constraints are defined in the system;this ensures that the bracket will not divorce from or embed into the tooth during the adjustment of the ***,the simulated adjustment is more realistic and *** A virtual system to simulate the complete process of orthodontic bracket bonding was *** addition to bracket bonding and adjustment,the system simulates the necessary auxiliary steps such as smearing,acid etching,and ***,the system supports personalized case *** The system provides a new method for students to practice orthodontic skills.

关键词： orthodontic treatment Complete procedures Force feedback Simulation system

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Generalized periodontitis treated with periodontal,orthodontic,and prosthodontic therapy:A case report

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World Journal of Clinical Cases 2021年第21期9卷 6110-6124页

作者： Masato Kaku Shinji Matsuda Takayasu Kubo Saiji Shimoe Kazuhiro Tsuga Hidemi Kurihara Kotaro Tanimoto Department of Anatomy and Functional Restorations Hiroshima University Graduate School of Biomedical SciencesHiroshima 734-8553Japan Department of Periodontal Medicine Hiroshima University Graduate School of Biomedical SciencesHiroshima 734-8553Japan Department of Advanced Prosthodontics Hiroshima University Graduate School of Biomedical SciencesHiroshima 734-8553Japan Department of orthodontics and Craniofacial Developmental Biology Hiroshima University Graduate School of Biomedical SciencesHiroshima 734-8553Japan

BACKGROUND Generalized periodontitis is a severe periodontal disease characterized by rapid periodontal destruction in healthy *** case report describes the treatment of a severe crowding,large overjet,and occlusal collapse due to the loss of anterior guidance with generalized *** SUMMARY A 35-year-old female patient with a chief complaint of crowding and maxillary protrusion was diagnosed with generalized periodontitis by clinical and radiographic *** improve crowding and overjet,orthodontic treatment was performed after basic periodontal *** damaged upper right lateral incisor and left canine were extracted,and lower right first premolar and left second premolar were also removed to treat severe *** orthodontic treatment,periodontal flap surgery for upper left molars and guided tissue regeneration for the lower left second molar was ***,a dental implant was inserted in the upper left canine *** esthetics of the maxillary anterior tooth was improved by prosthetic *** treatment result showed a well-improved occlusion with proper anterior guidance and healthy periodontal tissue after a retention period of 10 *** Periodontal,orthodontic,and prosthodontic treatments are extremely useful to improve function and stable periodontal tissue for generalized periodontitis.

关键词： Generalized periodontitis orthodontic treatment Periodontal regenerative therapy Prosthodontic treatment Comprehensive dental treatment Long-term case study Case report

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