BioMed Research International

Interceptive Orthodontics and Temporomandibular Joint Adaptations: Such Evidences?


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Published

Lead Editor

1University Vita-Salute San Raffaele, Milan, Italy

2University Tor Vergata, Rome, Italy

3University of Sarjevo, Sarjevo, Bosnia and Herzegovina

4University Clinical Centre of Ljubljana, Ljubljana, Slovenia


Interceptive Orthodontics and Temporomandibular Joint Adaptations: Such Evidences?

Description

Interceptive orthodontic treatment, the so-called early orthodontic treatment, has been controversial since its emergence with regard to its efficacy and application. Interceptive orthodontic treatment can be defined as the orthodontic intervention in the deciduous, early mixed, or mid mixed dentition. But it is possible to refer it to the late mixed dentition stage of development. The American Association of Orthodontists defines interceptive orthodontics as “that phase of orthodontics employed to recognize and eliminate potential irregularities and malpositions in the developing dentofacial complex.” It is not yet clear, from the results of the literature, whether early treatment is desirable because tissue tolerance and its power of adjustment are at or near their maximum or no assurance that early treatment will be helpful, without causing an unnecessary lengthening of the time of treatment. In addition, from the emerging trends in orthodontics and dentofacial orthopedics, early treatment not only prolongs therapy but also may exhaust the child’s spirit of cooperation and compliance.

There is little doubt that functional appliances produce tooth movement or correct skeletal-occlusal discrepancies. The first controversy concerns the hypothesis about the modification of growth of the temporomandibular joint (TMJ) and basal parts of the jaws. Many researchers believe that mandibular and maxillary growth can be influenced by functional appliances.The TMJ area has been thought to be a reactive growth site; that is, the prolonged change in the position of the mandible during the growth period, induced by the appliance, results in bone apposition on the surfaces of the joint. Some histological evidences support this concept, and ample clinical evidence has been produced in attempts to show that the use of functional appliances can alter the skeletal relationship of the jaws, through modifications also in the TMJ areas. However, this evidence does not always take into account the effects of the normal growth of TMJ. During the period of mixed dentition, TMJ is interested by a considerable amount of growth and adaptation, which can alter jaw relationships, while the patient is using the functional appliance.

The normal growth of TMJ and the effects of appliance may be confused. While several investigators failed to evidence TMJ adaptation during functional orthopedic treatment, they think of the main effects of orthopedic functional appliances to be tipping of the incisors and rotation of the mandible. All these considerations result in a lack of definitive evidence in this field. This special issue examines the key areas relating to interceptive orthodontics and related changes, mostly in the TMJ area, with the available evidence to support the clinical management of common problems presenting in the mixed dentition. We invite investigators to submit original research articles and reviews to this special issue.

Potential topics include but are not limited to the following:

  • Growth and development of face
  • Changes of TMJ adaptations during growth
  • TMJ adaptations to functional appliances
  • Interceptive appliances and their skeletal effects on facial morphology and TMJ anatomy
  • Timing of orthodontic treatment
  • Skeletal versus dental effects of functional appliances
  • Controversies and potential therapeutic implications
  • Functional and orthopedic appliances for skeletal corrections

Articles

  • Special Issue
  • - Volume 2017
  • - Article ID 8953572
  • - Editorial

Interceptive Orthodontics and Temporomandibular Joint Adaptations: Such Evidences?

Simona Tecco | Alberto Baldini | ... | Jasmina Primozic
  • Special Issue
  • - Volume 2017
  • - Article ID 9378325
  • - Review Article

Hypodontia: An Update on Its Etiology, Classification, and Clinical Management

Azza Husam Al-Ani | Joseph Safwat Antoun | ... | Mauro Farella
  • Special Issue
  • - Volume 2017
  • - Article ID 8976284
  • - Research Article

Dental Age in Orthodontic Patients with Different Skeletal Patterns

Tomislav Lauc | Enita Nakaš | ... | Ivan Galić
  • Special Issue
  • - Volume 2017
  • - Article ID 3546262
  • - Research Article

When Do Skeletal Class III Patients Wear Their Reverse Pull Headgears?

Nurhat Ozkalayci | Orhan Cicek
  • Special Issue
  • - Volume 2017
  • - Article ID 8683970
  • - Research Article

Dental Age and Tooth Development in Orthodontic Patients with Agenesis of Permanent Teeth

Jozo Badrov | Tomislav Lauc | ... | Ivan Galić
  • Special Issue
  • - Volume 2017
  • - Article ID 2916953
  • - Review Article

Temporomandibular Joint Anatomy Assessed by CBCT Images

Silvia Caruso | Ennio Storti | ... | Roberto Gatto
  • Special Issue
  • - Volume 2017
  • - Article ID 3257235
  • - Review Article

The Gingival Crevicular Fluid as a Source of Biomarkers to Enhance Efficiency of Orthodontic and Functional Treatment of Growing Patients

Mariana Caires Sobral de Aguiar | Giuseppe Perinetti | Jonas Capelli
  • Special Issue
  • - Volume 2017
  • - Article ID 4861924
  • - Research Article

Comparison of Activator-Headgear and Twin Block Treatment Approaches in Class II Division 1 Malocclusion

Stjepan Spalj | Kate Mroz Tranesen | ... | Vaska Vandevska-Radunovic
  • Special Issue
  • - Volume 2017
  • - Article ID 1367691
  • - Review Article

Reliability of Growth Indicators and Efficiency of Functional Treatment for Skeletal Class II Malocclusion: Current Evidence and Controversies

Giuseppe Perinetti | Luca Contardo
  • Special Issue
  • - Volume 2016
  • - Article ID 4932136
  • - Research Article

The 3D Tele Motion Tracking for the Orthodontic Facial Analysis

Stefano Mummolo | Alessandro Nota | ... | Giuseppe Marzo
BioMed Research International
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