Rinaldo Zotti

Background: many papers investigate the role of the cranial base in facial development, but the results are not in agreement. This can be due to a difference between the central and lateral parts of the cranial base. The aim of the present study is to evaluate the relationship between the central and the lateral cranial base and the facial skeleton in pre-pubertal peak subjects and at the end of growth. Material/Methods: a total sample of 52 latero-lateral cranial teleradiographs were analyzed. To test the correlation between structures, the “Partial Least Square” analysis was performed. Geometric morphometric analysis were applied and partial least square analysis was used to test correlation. Integration was studied removing the effect of allometry. Results: facial skeleton has no significant relation with central cranial base. Facial skeleton has significant relationships with the lateral portion of the cranial base. This relationship is higher in the post-peak phase of growth. Conclusion: the Integration between facial structures and cranial base is significant. The Spatial orientation and shape of the facial structures are both influenced by cranial base. This is mainly due to the lateral portion of cranial base.

Purpose: To determine whether the use of social media is useful in improving compliance and follow-up attendance among patients wearing retainers after orthodontic treatment. Patients and methods: Sixty post-orthodontic patients (aged 16–19 years), randomized in two groups: follow-up supported by participation in WhatsApp chat group (SG), and Control Group (CG). All patients were scheduled for quarterly check-ups for monitoring of orthodontic stability by measurement of intercanine width at the beginning of the study (t₀) and every 4 months t₁, t₂, t₃) for 1 year of observation. Patients in the SG additionally participated in a WhatsApp chat group, where they would send, on a weekly basis, snapshots showing his/her occlusion. Every month, the orthodontist acting as the moderator awarded the best five snapshots by publishing a ranking in the chat. Results: Participants in the SG featured smaller changes from the intercanine widths at baseline (at debonding) compared to the CG patients at all times during 1 year of follow-up. Follow-up attendance was regular in both groups in the first 8 months of follow-up. After that, patient compliance decreased in the CG, with eight patients missing check-up appointments. Conclusion: Engaging adolescent patients directly through WhatsApp activity seems to increase regularity in wearing removable retainers, attendance to follow-up schedule, and yield better long-term outcome in terms of orthodontic stability and compliance.