Yasemin Nur Korkmaz

Günümüzde internet ve sosyal medyaya erişimin oldukça kolaylaşmasının etkisiyle, yetişkin hastaların ortodontik tedaviye olan ilgisi üst seviyeye ulaşmıştır. Erişkin hastaların ortodontik tedavi esnasındaki estetik beklentileri, diğer hasta gruplarından oldukça fazladır ve bu nedenle ortodontistin tedavi metodu seçiminde oldukça belirleyici bir faktördür. Ortodontik tedavi sırasında geleneksel metal braketlere göre daha estetik bir görünüm sunan şeffaf plak tedavileri, lingual ortodonti ve estetik braket seçenekleri, erişkin hasta grubu için önemli tedavi alternatifleridir. Bunun yanında, erişkin popülasyondaki ortodontik tedavi, sadece dişlerin düzgün seviyelenmesi ve hizalanmasını değil; estetik, fonksiyonel, periodontal ve protetik gereksinimlerin bütünlük içinde ele alınmasını gerektiren kompleks bir süreçtir. Büyümenin sona ermiş olması, sınırlı biyolojik cevap, estetik kaygılar ve restoratif beklentiler gibi faktörler, erişkin ortodontisinin çocuk ve genç bireylerden önemli ölçüde farklılaşmasına neden olur. Erişkin hastalarda tedavinin başarısı için bireyselleştirilmiş planlama, multidisipliner yaklaşım ve hasta ile etkili iletişim vazgeçilmezdir. Bu bölümde erişkin hastaların ortodontik tedavisindeki farklılıklar ve dikkat edilmesi gereken noktalar ele alınacaktır. Today, thanks to the increased access to the internet and social media, adult patients' interest in orthodontic treatment has reached a high level. Adult patients' aesthetic expectations during orthodontic treatment are significantly higher than those of other patient groups and, therefore, are a significant determining factor in the orthodontist's choice of treatment method. Clear aligners, lingual orthodontics, and esthetic brackets, which offer a more aesthetic appearance than traditional metal brackets, are important treatment options for adult patients. Furthermore, orthodontic treatment in the adult population is a complex process that requires not only proper tooth leveling and alignment but also a holistic approach to aesthetic, functional, periodontal, and prosthetic needs. Factors such as the end of growth, limited biological response, aesthetic concerns, and restorative expectations cause adult orthodontics to differ significantly from those in children and adolescents. Individualized planning, a multidisciplinary approach, and effective communication with the patient are essential for successful treatment in adult patients. In this section, the differences and points to be considered in the orthodontic treatment of adult patients will be discussed.

The aim of this study was to investigate the quality and reliability of the information about orthodontics on TikTok by analyzing the related videos using DISCERN tool and Global Quality Scale. Five orthodontic-related “hashtags” were searched, and a total of 250 video posts were reviewed. Non-English and inappropriate content/quality posts were excluded from the study. The videos were evaluated by using Quality Criteria for Consumer Health Information (DISCERN) toolkit and Global Quality Scale (GQS). Most of the posts were posted by dental professionals (68 posts; 55%), followed by dental clinics (23 posts; 19%), layperson (18 posts; 15%), and technician/dental laboratories (13 posts; 11%). The mean DISCERN score (section 1 + section 2) for 122 posts was 38.7/75. The mean overall quality of the 122 posts (section 3) in the DISCERN toolkit was 3.15/5. The average GQS score of 122 posts was 3.18 ± 0.93. The DISCERN and GQS scores did not have significant differences among the groups (p > 0.05). The DISCERN and GQS results of evaluated TikTok video posts were moderate quality. DISCERN and GQS scores did not differ significantly between the groups. Orthodontists should warn their patients about the reliability of information on social media platforms and should guide them to the right resources.

Objectives: To determine if an association exists between the prevalence of white spot lesions (WSLs) and orthodontic treatment using clear aligners. Methods: Electronic databases were searched with no restrictions on year. Article selection criteria included human clear aligner studies conducted during the permanent dentition and with a full description of the applied technique and oral hygiene status. Results: The search strategy resulted in a total of 4177 articles. After title and abstract screening, 156 relevant articles were identified from which five remained after the application of the exclusion criteria. The articles were mostly classified as having a low risk of bias. Conclusions: Clear aligner therapy induces a lower development rate of new WSLs than orthodontic treatment by fixed appliances. In patients who have poor oral hygiene and/or existing WSLs, clear aligner treatment could be recommended.

Objective: An orthodontic malocclusion may affect the temporomandibular joint structures in susceptible individuals. This study aims to investigate the bone density of the mandibular condyles in patients presenting with different dentofacial skeletal patterns. Methods: Panoramic radiographs of 200 randomly selected patients with a skeletal and dental Class I, Class II division 1, Class II division 2 and Class III malocclusion were evaluated. Bone density of the right and left mandibular condyles was measured using fractal analysis. Results: No significant difference was detected between the right and left condyles in the various malocclusion groups. However, post-hoc tests showed that Class I patients had significantly higher FD values than Class III and Class II division 1 patients in both right and left condyles following intergroup comparisons. The only significant difference between the genders was detected in the left condyle of Class II division 1 patients, as male patients were found to have significantly higher FD values than females. Conclusions: The results of the present study showed that Class II division 1 and Class III patients displayed significantly lower fractal dimension (FD) values in their mandibular condyles when compared to Class I patients. This might be associated with the possible presence of a temporomandibular disorder in Class II division I patients which resulted in changes to condylar structure, and with less bone complexity in the temporomandibular joint of older Class III patients likely due to continued condylar growth.

Objectives This in vitro study aimed to investigate the color changes of the bracket-bonded tooth surfaces after the use of 4 different mouthwashes. Materials and methods A total of 100 human premolar teeth were randomly divided into 10 equal groups. Color values (L*a*b*) of the buccal surfaces of each tooth were assessed using a digital spectrophotometer. Then the brackets were bonded. The groups were put either in sterile saline (4 test+1 control) or artificial saliva (4 test+1 control) solutions, and test groups were immersed in their mouthwashes (Colgate Plax, Listerine Cool Mint, Klorhex, and Tantum Verde) for 1 min each in the morning/evening to simulate the mouth washing for 21 days after the bonding. After the debonding and finishing procedures, final color measurements were performed. Color changes ( increment E) were calculated. Results All of the parameters showed statistically significant differences among the groups. The least noticeable color changes were detected in the control groups. The most noticeable color change (Delta E) was observed in the Tantum Verde + artificial saliva group, followed by Tantum Verde + sterile saline and Klorhex + artificial saliva groups, all of which were significantly higher than the control groups. Conclusion The use of mouthwashes during orthodontic treatment may cause noticeable changes in tooth color. Listerine Cool Mint may be the choice of mouthwash with its less discoloring effects. Artificial saliva should be preferred in similar in vitro studies to reflect the oral environment better.

Objective: The aim of this study was to evaluate the relationship between chronological ages and pulp areas of mandibular canine teeth of patients who underwent orthodontic treatment and patients who never received orthodontic treatment. Methods: 102 patients that completed fixed orthodontic treatment and between the ages of 13-24 and 102 age and sex-matched control group was included in the study. A total of 204 dental panoramic radiographs taken with the same procedures and with the same device (Soredex; Cranex Novus, Tuusula, Finland) were evaluated. The pulp areas of the mandibular canine teeth were measured using the Image J software (US National Institutes of Health, Bethesda, MD). Data were analyzed with Independent t-test and Pearson’s rank correlation test. Results: In both the orthodontic group (r = -0,511) and in the control group (r = -0,592), there was a negative correlation between chronological age and pulp area. There was no significant difference between the groups with respect to the pulp area and gender (p> 0.05). Conclusions: Orthodontic treatment did not result in a significant difference in the correlation between the pulp area and the chronological age.