Disentangling the effects of CAD/CAM customized appliances and piezocision in orthodontic treatment
© 2021 by the EH Angle Education and Research Foundation, Inc..
OBJECTIVES: To discern the effects of computer-aided design (CAD)/computer-aided manufactured (CAM) customized appliances and piezocision on orthodontic treatment (OT).
MATERIALS AND METHODS: The study combined findings from two previously published randomized controlled trials: (1) standard OT vs piezocision-assisted standard OT, and (2) CAD/CAM OT vs piezocision-assisted CAD/CAM OT. Piezocision is a minimally invasive corticotomy surgical procedure used to accelerate orthodontic treatment and CAD/CAM refers to CAD/CAM customized brackets and archwires. The outcomes were the overall treatment time, and the durations of the alignment phase and fine-tuning phase. Clinical and radiological features also were evaluated.
RESULTS: The combined study included 48 patients with similar baseline characteristics. Compared to the standard treatment, CAD/CAM technology alone significantly decreased the overall median OT time from 543 to 394 days (P < .001) and from 543 to 254 days (P < .0001) when combined with piezocision. Although piezocision significantly reduced the duration of the alignment phase in the mandible and maxilla, CAD/CAM technology considerably shortened the fine-tuning phase. All periodontal and radiographic parameters remained stable from the start to the end of treatment in all groups.
CONCLUSIONS: CAD/CAM technology combined with piezocision accelerates the entire OT process, during the alignment phase for piezocision and during the fine-tuning phase for CAD/CAM, with a global reduction of the overall treatment time of more than 50%.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:91 |
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| Enthalten in: |
The Angle orthodontist - 91(2021), 6 vom: 01. Nov., Seite 764-771 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Charavet, Carole [VerfasserIn] |
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| Links: |
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| Themen: |
Accelerated orthodontic treatment |
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| Anmerkungen: |
Date Completed 04.11.2021 Date Revised 06.11.2021 published: Print Citation Status MEDLINE |
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| doi: |
10.2319/112620-962.1 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2021 by the EH Angle Education and Research Foundation, Inc. | ||
| 520 | |a OBJECTIVES: To discern the effects of computer-aided design (CAD)/computer-aided manufactured (CAM) customized appliances and piezocision on orthodontic treatment (OT) | ||
| 520 | |a MATERIALS AND METHODS: The study combined findings from two previously published randomized controlled trials: (1) standard OT vs piezocision-assisted standard OT, and (2) CAD/CAM OT vs piezocision-assisted CAD/CAM OT. Piezocision is a minimally invasive corticotomy surgical procedure used to accelerate orthodontic treatment and CAD/CAM refers to CAD/CAM customized brackets and archwires. The outcomes were the overall treatment time, and the durations of the alignment phase and fine-tuning phase. Clinical and radiological features also were evaluated | ||
| 520 | |a RESULTS: The combined study included 48 patients with similar baseline characteristics. Compared to the standard treatment, CAD/CAM technology alone significantly decreased the overall median OT time from 543 to 394 days (P < .001) and from 543 to 254 days (P < .0001) when combined with piezocision. Although piezocision significantly reduced the duration of the alignment phase in the mandible and maxilla, CAD/CAM technology considerably shortened the fine-tuning phase. All periodontal and radiographic parameters remained stable from the start to the end of treatment in all groups | ||
| 520 | |a CONCLUSIONS: CAD/CAM technology combined with piezocision accelerates the entire OT process, during the alignment phase for piezocision and during the fine-tuning phase for CAD/CAM, with a global reduction of the overall treatment time of more than 50% | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Accelerated orthodontic treatment | |
| 650 | 4 | |a CAD/CAM orthodontic appliance | |
| 650 | 4 | |a Orthodontic appliance design | |
| 650 | 4 | |a Piezocision | |
| 650 | 4 | |a Piezosurgery | |
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| 700 | 1 | |a Maes, Nathalie |e verfasserin |4 aut | |
| 700 | 1 | |a Albert, Adelin |e verfasserin |4 aut | |
| 700 | 1 | |a Lambert, France |e verfasserin |4 aut | |
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