Journal of Multidisciplinary Dentistry

Treatment for anterior-open bite

2025-07-24T15:45:40-03:00

The anterior open bite is the presence of a malocclusion type, where there is no vertical contact in a physiological way between the upper and lower incisors, so there is a negative vertical overlap between the incisal edges of the anterior, upper and lower teeth. Thus, causing a negative overbite. Thus, this study aims to be a tool in the search for understanding and treatment of anterior open bite and its main difficulties and implications. This is a literature review, which aimed to gather and synthesize results of empirical research on a topic or research question. The inclusion criteria were: articles published in Portuguese, English and Spanish, which portrayed the theme of the treatment of anterior open bite and its implications and difficulties, preferably published in the last 10 years, except for those considered classics in the academic literature. Normally, anterior open bite is usually difficult to treat because it is a consequence of the interaction of different etiological factors in the growth of the maxilla and mandible, lip and tongue function, and dento-alveolar development. Early, careful diagnosis and timely intervention are essential to prevent severe bone disharmonies and to avoid more complex surgical interventions and to increase the chances of success in the treatment of this malocclusion. The correct and precise functional assessment, as well as the treatment and follow-up by a multidisciplinary team between the orthodontist and otolaryngologist and the speech therapist are fundamental for the success of the most effective treatment.

Root resorption x Orthodontics

2025-07-24T15:55:54-03:00

Orthodontics is a treatment that directly involves teeth and tooth structure. In this sense, it is necessary for the dentist to be aware of the various factors that can cause root resorption during treatment. Causes such as force employed, heredity and patient habits are strongly related to such alteration. The aim of this study was to understand the phenomenon of root resorption during and after orthodontic treatment and why it occurs. This is a bibliographic review of the literature. It was observed that several factors are related to root resorption in patients who use or have used dental braces. Root resorption is directly related to orthodontic treatment; however, the degree of resorption depends on several individual and professional factors, demanding attention from the professional who works in the case.

Deep bite correction with mini dental implant: a literature review

2025-07-24T16:02:01-03:00

Deep bite, also known as overbite, is a type of dental malocclusion in which the upper teeth completely cover the lower teeth, that is, when there is a vertical overlap, generally greater than 2 mm, between the two arches in the occlusion position. This condition is visible in the anterior region and can change people's profile. It requires a differential diagnosis and specific planning. This malocclusion is easily found in both adult patients and children. The etiological factors may be skeletal, dental or both associated. Conventional mechanics for overbite correction, although more viable for the patient, are very complex and have major side effects, including unsatisfactory anchorage. In this case, mini-implants have shown great effectiveness in the treatment, mainly because they offer satisfactory skeletal anchorage and make the intrusion of these elements a simpler procedure, from a mechanical point of view. The objective of this article is to describe how to correct a deep bite, through the use of mini dental implants as anchorage in the upper and lower anterior intrusive movement. It was concluded that mini dental implants, when well used and indicated, present satisfactory results for the correction of deep bites.

Class II treatment with miniscrew

2025-07-24T16:11:01-03:00

The treatment of Class II malocclusion is a common challenge in Orthodontics, traditionally addressed with conventional techniques such as orthodontic appliances and tooth extractions. Recently, the use of miniscrew has emerged as an effective alternative, offering greater control of anchorage and predictable results. This study aims to evaluate the effectiveness of miniscrew in the treatment of Class II malocclusion, highlighting their clinical applications and the results obtained in various cases. The methodology employed involved a literature review and analysis of clinical cases published between 2019 and 2024, including studies that address the use of miniscrew in the correction of Class II malocclusion, with an emphasis on case reports and systematic reviews. The databases used were PubMed, SciELO, and Google Scholar. Mini-implants are temporary anchorage devices inserted in the maxilla or mandible to assist in tooth movement. They provide stable and minimally invasive anchorage, allowing the application of orthodontic forces without the need for support from adjacent teeth. Studies demonstrate that mini-implants improve treatment efficiency and reduce the duration of appliance use. The analysis of clinical cases revealed that the use of miniscrew resulted in significant improvements in the correction of Class II malocclusion, with a reduction in treatment time and better aesthetic and functional outcomes. Patients treated with miniscrew showed greater stability of post-treatment results. In this context, miniscrew are an effective and versatile tool in the treatment of Class II malocclusion, offering significant advantages in terms of anchorage control, treatment efficiency, and aesthetic results. The reviewed literature confirms the efficacy of miniscrews, recommending their use as a viable and efficient option in orthodontic practice.

Treatment possibilities in case of agenesia of the upper lateral incisor

2025-07-24T16:22:54-03:00

Dental agenesis is a congenital anomaly of number, with no defined cause. Treatment for agenesis is challenging and requires careful, multidisciplinary therapeutic planning. In cases of agenesis of the upper lateral incisor, treatment basically consists of two techniques: closing the space, with the replacement of the lateral incisor by the canine, or opening the space and replacing the missing incisor with an implant. This work aims to discuss the best treatment option for agenesis of upper lateral incisors, its indications, advantages and disadvantages. There is no treatment considered best, but rather factors that help determine the most appropriate treatment. Treatment must be individualized based on the patient's expectations.

Treatment of open bite in mixed dentition: a literature review

2025-07-24T16:28:00-03:00

Mixed dentition is a growth phase where most severe occlusal problems can be diagnosed and corrected. One of the changes that can be noted in mixed dentition is anterior open bite (AOB). Factors contributing to AOB development, one of the most common malocclusions in deciduous dentition, include finger or pacifier sucking habits, presence of hypertrophic lymphoid tissues, mouth breathing, atypical speech, swallowing patterns, and lingual and labial interposition. The aim of this study is to conduct a literature review on AOB treatment in mixed dentition to guide orthodontists correctly regarding its etiology, accurate diagnosis, and treatment. It can be concluded that AOB is a malocclusion with diverse etiologies, often complicating diagnosis and treatment. The optimal treatment period is during deciduous dentition, though effective treatment can also be achieved during mixed dentition with proper diagnosis and intervention. Appliance selection can vary greatly depending on the etiology of open bite; the literature presents numerous treatment options, allowing orthodontists to choose the most suitable for each case, as there is no single appliance that fits all cases. It is worth noting that orthodontic evaluation can often be complemented by a speech therapist assessment.

Indications for cone beam computed tomography for various diagnoses in Pediatric Dentistry

2025-07-24T16:35:01-03:00

To carry out a literature review to discuss the indications and pathological conditions most observed in cone beam computed tomography (CBCT) in pediatric patients. Furthermore, we sought to discuss the safety and radiation dose of the examination in Pediatric Dentistry. The chosen design was a narrative literature review. The search for articles was carried out digitally, in the Virtual Health Library, PubMed and Google Scholar databases, using the following descriptors: pediatric dentistry, cone beam computed tomography, imaging diagnosis. Duplicate articles or articles with unavailable full text were excluded. The literature pointed out that tomography in Pediatric Dentistry has been considered impossible to obtain the necessary information by other means, since the stochastic effects of radiation are even greater in children. Tomography, when well indicated, brings benefits for diagnostic purposes and better treatment planning. In turn, CBCT has the advantage of providing a three-dimensional image and presents image precision, reduced radiation dosage and limitation of the x-ray beam, when compared to conventional tomography. Therefore, CBCT is highly relevant in cases of dental trauma, orthodontics, odontogenic cysts, diagnosis of supernumerary teeth and assessment of the maxillary sinus. CBCT proved to be an excellent diagnostic resource in cases in which conventional radiographs (2D) do not provide sufficient information. Dental tomography also has a lower radiation dose and a conical beam focused on the area of interest, differentiating it from conventional tomography.

The applicability of mandibular advancement using a Bionator

2025-07-24T16:44:43-03:00

The Bionator is a functional appliance designed to stimulate mandibular growth and correct Class II malocclusions by promoting advanced mandibular positioning. Widely used in early orthodontic interventions, it aims to optimize growth potential during childhood and adolescence. This study is a narrative literature review on the applicability of mandibular advancement using the Bionator appliance. Studies published in the last 10 years indexed in databases such as Google Scholar, SciELO, PubMed, LILACS, and book chapters were included. The installation of fixed or removable orthodontic and orthopedic appliances plays a crucial role in restoring normal functions of the stomatognathic system, correcting crossbite, anterior or posterior open bite, and dental crowding. The Bionator effectively modifies mandibular posture, improving skeletal discrepancies and contributing to favorable aesthetic and functional outcomes. Studies highlight its effectiveness in reducing overjet and promoting facial harmony through stimulation of harmonious growth of the mandibular complex. Patient compliance and precise appliance adjustment are crucial for treatment success. Thus, the Bionator emerges as a valuable tool in orthodontic practice, offering a non-invasive approach to treat mandibular deficiencies and achieve optimal dental alignment in growing.

Orthodontics in obstructive sleep apnea - literature review

2025-07-24T16:52:47-03:00

Obstructive sleep apnea is a common disorder characterized by episodes of airway collapse during sleep, leading to reduced or absent airflow and impaired oxygenation. It can result in attention difficulties, increased risk of serious illnesses, and reduced quality of life. Diagnosis is made through polysomnography and assessments like Friedman and Mallampati. Treatment options include positive airway pressure devices (CPAP/BIPAP), oral appliances, and orthognathic surgery, depending on severity. Oral appliances are effective for mild to moderate cases, while surgery is considered for severe cases with anatomical abnormalities. As materials and methods, a theoretical survey was carried out in the LILACS and SciELO databases, selecting scientific articles that met the research purposes.

Orthodontic movement in endodontically treated teeth: a literature review

2025-07-24T16:59:07-03:00

To carry out a literature review to discuss the effects of orthodontic movement on endodontically treated teeth, together with the safe possibilities of applying orthodontic forces to these elements. The design chosen was a narrative literature review. The articles were searched for digitally in the Virtual Health Library and Google Scholar databases, using the following descriptors: orthodontic movement, endodontically treated tooth, orthodontics. Publications related to the objectives listed in this study were included, as well as articles in Portuguese or English, published in the last 17 years and available in full text. Duplicate articles and those not available in full text were excluded. According to the analysis of the literature reviewed, it was possible to point out that some authors advocate a higher level of root resorption in endodontically treated teeth when submitted to orthodontic movement, others report that there are no differences in resorption between vital and non-vital teeth after movement, and there are still those who expressed a lower degree of resorption of the periradicular tissues in the group of endodontically treated teeth. There was no contraindication for orthodontic treatment in endodontically treated teeth. With regard to the effects of these forces, it is necessary to assess the quality of the endodontic treatment carried out previously, so as not to cause damage to the periradicular tissues, in addition to the use of preventive methods to reduce the level of resorption. A good medical history before starting orthodontic treatment provides clues to the best choice of the ideal appliance for each case.

Interrelationship between Periodontics and Orthodontics: literature review

2025-07-24T17:04:12-03:00

To relate orthodontics to periodontics, analyzing whether it is possible to perform orthodontic treatment in patients with periodontal disease, highlighting which care and devices can be used during treatment. The chosen design was a narrative literature review. The search for articles was performed digitally, in the Virtual Health Library, Scientific Electronic Library Online and Google Scholar databases, using the following descriptors: orthodontics, periodontics, periodontal disease, tooth movement in patients with periodontitis. Publications related to the objectives listed in this research were included, articles in Portuguese or English, published in the last 10 years, available in full text. Duplicate articles were excluded. According to the analysis of the reviewed literature, most authors advocated performing orthodontic treatment in patients with periodontal alterations, as long as the disease is controlled and/or inactive. To this end, mechanics that do not require much force in the movement are used, together with the implementation of an appropriate treatment plan for the case. As long as the periodontal patient is treated and follows all hygiene guidelines, orthodontic treatment can be performed safely. Good case planning and the assistance of a multidisciplinary team are ways to achieve success in the treatment, in addition to controlling the forces during the mechanics, in addition to the use of mini-implants and aligners.

Digital dentists: how artificial intelligence is shaping the future of Dentistry

2025-07-24T17:11:35-03:00

This study aims to investigate the application of artificial intelligence in Dentistry, focusing on oral diagnostics, dental materials development, and public health. The research employs a literature review based on a search in Google Scholar, with defined inclusion and exclusion criteria to ensure the relevance and quality of sources. Artificial intelligence has proven to be a promising tool in optimizing diagnostics, providing greater accuracy and speed, in addition to contributing to the development of new materials and the efficient management of public dental health. The analysis of the results indicates that AI has the potential to significantly transform dental practice, offering more personalized treatments and improving access to oral health care.

Advances in gene therapies and regenerative medicine for tissue regeneration in Dentistry

2025-07-25T15:25:23-03:00

This paper presents a literature review on the advancements of regenerative medicine, with a focus on its application in the field of Dentistry. The study explores the potential of regenerative therapies, such as the use of stem cells and biomaterials, to promote the regeneration of damaged oral tissues. The methodology included a detailed search on Google Scholar, where relevant articles and studies from the last five years were selected. The analysis of the results identified the main benefits and challenges of regenerative therapies in oral health, highlighting opportunities for less invasive and more effective treatments. The paper also addresses the relevance of these innovations to society and the scientific community, emphasizing their contribution to modern Dentistry.

Computed tomography and its applications in Dentistry - literature review

2025-07-25T15:30:30-03:00

The tomography computadorizad has suffered a big rise in recent years among dentists, because with the advent of computed tomography cone beam which was manufactured in with purpose in head exams and neck and can display images in slices and in three dimensions, which makes your viewing is free of overlapping and distortion, and offers great advantages over other examinations already existing, standing out in most aspects when compared with other exams and with applicability in several dental areas, such as in Implantology, Periodontics, Oral Surgery, Endodontics and Orthodontics among others, and its newest applicability is rapid prototyping, which is nothing more is that the manufacture of biomodelos in 3D through computed tomography. The accuracy of cone beam computed tomography is demonstrated in several studies that show its efficiency in the diagnosis always with very fidelity to the anatomical region examined and image quality with relatively low dose of radiation compared to conventional computed tomography.

Digital workflow and CAD/CAM technologies: operational and economic impacts in Dentistry

2025-07-25T15:35:33-03:00

This article explores the economic, operational, and clinical impacts of implementing CAD/CAM technologies and digital workflows in Dentistry. The literature review highlights how these innovations transform the relationship between dentists and patients, offering greater precision, efficiency, and personalization in treatments. Key benefits include the reduction of manual steps, the production of customized dental prostheses and devices, and resource optimization. The integration of technologies such as intraoral scanners, 3D printing, and electronic health records enhances service quality and patient experience. However, the adoption of these technologies faces significant challenges, such as initial implementation costs, the need for specialized training, and reliance on centralized production, which can impact time efficiency. The analysis suggests that integrating prosthetic laboratories into dental offices and employing hybrid models can mitigate these limitations, promoting greater agility and patient satisfaction. The study concludes that the successful digital transition in Dentistry depends on a strategic balance between technological innovation and maintaining personalized care, ensuring high-quality outcomes that meet clinical, aesthetic, and economic demands.

Digital dentists: smiles reinvented in the tech era

2025-07-24T15:42:14-03:00

Editorial

Class III dental treatment with invisible aligners in a mutilated patient

2025-07-25T15:40:23-03:00

The purpose of this study is to present a clinical case of preparation for rehabilitation in a patient with severe overbite and bruxism, treated with invisible aligners. The patient R.F.F., male, 56 years old, sought assistance at the IPEO School Clinic reporting issues of tooth wear and spaces between them. In the functional analysis, the patient exhibited adapted swallowing with tongue interposition between the incisors, a history of pacifier uses in childhood, and different CR from MIH. The malocclusion classification was Class III, left subdivision, of dento-skeletal and postural nature. The treatment consisted of removing occlusal interferences; closing diastemas by lower retraction, improving the overjet; and creating space for future prosthetic rehabilitation. At the end of orthodontic treatment, it could be observed that the main proposed objectives were achieved, making the rehabilitative treatment less complex and more conservative.

Rapid maxillary expansion using mini-implants in an adult patient with transverse deficiency: a case report

2025-07-25T15:45:17-03:00

The general objective of this study was to evaluate the effectiveness of the MARPE (Maxillary Skeletal Expander) device in opening the median palatine suture and promoting rapid maxillary expansion in a 21-year-old adult patient, as well as to assess improvements in intermolar and interpremolar distances. A clinical intervention was performed using MARPE in a 21-year-old patient. The treatment included the application of the MARPE SL expander and HS MARPE mini-implants to facilitate maxillary expansion. Tomographic images were obtained to measure intermolar and interpremolar distances before and after the intervention. The analysis involved comparing pre- and post-treatment measurements to determine the increment in expansion. The main results obtained showed that the initial intermolar distance was 44.6 mm and increased to 51 mm after treatment, resulting in a gain of 6.4 mm. The initial interpremolar distance was 36.9 mm and increased to 40.4 mm, with an increment of 3.5 mm. MARPE treatment was effective in resolving the patient's right posterior crossbite and achieving skeletal expansion. It can be concluded that the MARPE device proved to be an effective technique for rapid maxillary expansion and crossbite correction in an adult patient. Despite the positive results, further studies are needed to explore MARPE's efficacy across different levels of ossification of the median palatine suture and to validate these findings in a larger sample.

Removable orthodontic aligners- an alternative for dentoalveolar expansion in mixed dentition: a case report

2025-07-25T15:52:15-03:00

During the development process of an individual, several changes occurred from the prenatal period to adulthood. The synchronized growth between the facial bones will result in a harmonius and balanced profile, just as the discrepancy between them will result in skeletal, dental and facial problems. In the literature there are different types of devices to expand dental arches. The choice of device will be determined by the origin of the atresia. Dental atresias must be treated through dentoalveolar expansion, while for skeletal atresias rapid expansion is indicated. When properly indicated, removable orthodontic aligners are considered a promising alternative in mixed dentition and have been used to expand arches in cases of discrepancies of up to 5 mm. The objective of this work was reporting a treatment in the mixed dentition phase that required dentoalveolar expansion carried out using removable orthodontic aligners.

Predictability in correcting dental alignments with shape memory aligners without the use of attachments

2025-07-25T16:25:35-03:00

This clinical case study details the application of shape memory orthodontic aligners in the treatment of a patient with lower anterior crowding and crossed element 22, without the use of attachments. The treatment was carried out at the Neo Odontologia Orthodontic specialization clinic in Maceió, using direct-printed aligners, chosen by the patient due to the smaller number of stages required compared to thermoplastic aligners and the absence of attachments, providing a more comfortable and aesthetically favorable option. The application of the aligners demonstrated effective correction of crowding and cross-positioning of the upper lateral incisor, achieved in just five stages. Zero gap collaboration and shape memory ensured that tooth movements went according to plan. The images obtained at the end of treatment show a significant improvement in tooth alignment, resulting in aesthetic and functional benefits for the patient. The patient's feedback was extremely positive, highlighting the comfort and practicality of the aligners. This case reinforces the effectiveness of shape memory aligners as a viable alternative to thermoplastics, with good predictability and fewer stages and without the use of attachments.

Orthopedic treatment in a Class III patient in the advanced bone maturation phase - case report

2025-07-25T16:33:32-03:00

Class III malocclusion, identified by Angle in 1899, is a condition where the mandible is positioned anteriorly in relation to the maxilla and skull, leading to dental and facial misalignment. With a global prevalence below 5% and ethnic variations, the condition results from genetic and environmental factors. Treatment includes interceptive approaches during growth and corrective approaches after growth. Common techniques involve the use of a face mask and rapid maxillary expansion to correct skeletal discrepancies. Early diagnosis and effective intervention are crucial to improving facial function and aesthetics.

Maxillary sinus lift and simultaneous implant placement with addition of biomaterial and blood products - case report

2025-07-25T18:46:31-03:00

The maxillary sinus lift technique allows for an increase in bone height in the posterior region of the maxilla for the installation of dental implants. Implant placement can be performed simultaneously with maxillary sinus elevation, making this option a less invasive approach but one that may increase the risk of complications. In this case report, we present a patient who underwent the maxillary sinus lift procedure and implant placement in the same surgical session, describing the technique used, observed complications, and strategies employed to address them. The aim of this report is to contribute to the clinical and scientific understanding of the maxillary sinus lift technique with the use of blood products and simultaneous implant placement.

Orthodontic mini-implant in the temporary rehabilitation of edentulous space: a case report

2025-07-25T18:51:14-03:00

This study aims to demonstrate the effectiveness of temporary rehabilitation in a young patient using a mini-implant and a provisional crown in the anterior maxillary region, assessing functional and aesthetic stability during the orthodontic treatment phase. The patient had a loss of tooth 11, resulting in reduced dental space and compromised smile aesthetics. During the orthodontic phase of dental alignment and leveling, a mini-implant and a provisional crown were placed in the edentulous space. The mini-implant offers several advantages in temporary rehabilitation, including stability, aesthetic improvement, bone preservation, and enhanced functionality. These advantages significantly contribute to the patient's quality of life during the provisional treatment phase, facilitating a smoother transition to definitive rehabilitation.