Background: The relationship between respiratory function and craniofacial morphology has garnered significant attention due to its implications for upper airway and stomatognathic development. Nasal breathing plays a key role in craniofacial growth and dental positioning. This study investigated upper airway morphology and volume differences among individuals with class I, II, and III skeletal anomalies. Methods: Ninety orthodontic patients’ CBCT scans were analyzed to assess the oropharynx and hypopharynx volumes. Skeletal diagnosis was established based on the cephalometric analysis. Results: A significant volume change in the oropharynx and pharynx was demonstrated when comparing class II with class III anomalies (p = 0.0414, p = 0.0313). The total volume of the pharynx was increased in class III anomalies. The area of the narrowest part of the pharynx (MIN-CSA) significantly decreased in classes I and II compared to class III (p = 0.0289, p = 0.0003). Patients with Angle class III anomalies exhibited higher values in the narrowest pharyngeal segment. Gender differences were significant in pharyngeal volumes and morphologies across malocclusion classes. Conclusions: The narrowest segment of the pharynx had the highest values in patients with Angle class III. The volume of the oropharynx was found to be greater in patients with Angle class III versus patients with Angle class II.
Background and Objectives: This five-year retrospective study evaluated the survival and clinical performance of 1143 zirconium oxide restorations, including both monolithic (144) and layered (999) restorations. Materials and Methods: The analysis included clinical records and follow-up data of patients treated with zirconium oxide restorations. Failures in layered restorations were examined, particularly focusing on chipping caused by unsupported feldspathic ceramic exceeding 1.5 mm. Monolithic restorations were used as a benchmark for durability. Results: The results demonstrated a high overall survival rate of 96.3%, with monolithic restorations achieving a perfect survival rate of 100%, while layered restorations had a survival rate of 95.8%. Failures in the layered restorations were primarily associated with chipping, especially when the unsupported feldspathic ceramic exceeded 1.5 mm. Conclusions: This finding highlights the importance of maintaining adequate support for the ceramic layer to prevent such complications. Monolithic restorations, in contrast, showed superior durability, with no failures reported, making them a more reliable option for long-term success. These findings emphasize the need for the careful selection of zirconium oxide restoration types based on the clinical context, particularly in cases where durability is critical.
Dental agenesis is one of the most common developmental anomalies in humans and it is frequently associated with several other oral abnormalities. The present case describes non-familial agenesis of permanent teeth in a twenty-one-year-old boy with no apparent systemic abnormalities. The treatment included a personalized and interdisciplinary approach involving endodontics, orthodontics, implant-supported restorations and prosthetic treatments. The treatment plan was thoroughly elaborated using photographic analysis, study models, orthopantomogram, CBCT and cephalograms. Virtual smile design, diagnostic waxing and mock-ups previsualized the treatment objectives. The edentulous spaces were reconstructed by inserting dental implants and monolithic zirconia implant-supported restorations. The final results showed a highly esthetic and functional rehabilitation. Periodic check-ups have shown that the stability of the result is well maintained and that the implant-supported restorations are an optimal solution for patients with multiple anodontia.
Background and Objectives: Conventional stainless-steel orthodontic molar bands may exhibit limited anatomical adaptation, favoring plaque retention and periodontal inflammation. This study aimed to compare the periodontal outcomes of standard bands and CAD/CAM-customized molar bands in adolescents. Materials and Methods: A prospective randomized controlled clinical study was conducted in 180 adolescents (mean age: 11.9 years) undergoing fixed orthodontic therapy. Participants were allocated to CAD/CAM-customized bands (n = 90) or standard stainless-steel bands (n = 90). Periodontal parameters—Plaque Control Record (PCR), Bleeding on Probing (BOP), and Periodontal Probing Depth (PPD)—were assessed at baseline, 1, 3, and 6 months. Data were analyzed using the Mann–Whitney U test (p < 0.05). Results: Baseline values were comparable between groups (p > 0.05). During follow-up, the CAD/CAM group showed significantly lower PCR, BOP, and PPD values. At 6 months, PCR was 21 ± 8% vs. 42 ± 12%, BOP was 17 ± 6% vs. 40 ± 10%, and PPD was 2.5 ± 0.5 mm vs. 3.1 ± 0.6 mm (all p < 0.001). Conclusions: CAD/CAM-customized molar bands demonstrated superior periodontal performance compared with conventional bands. Improved anatomical adaptation may reduce plaque accumulation and gingival inflammation during orthodontic treatment.
Dental agenesis is one of the most common developmental anomaly in humans and it is frequently as-sociated with several other oral abnormalities. The present case describes nonfamilial agenesis of per-manent teeth in a twenty-one-year-old boy, with no apparent systemic abnormalities. The treatment in-cluded a personalized and interdisciplinary approach by the means of endodontics, orthodontics, im-plants supported restorations and prosthetic treatments. The treatment plan was thoroughly elaborated using photographic analysis, study models, orthopantomogram, CBCT and cephalograms. Virtual smile design, diagnostic waxing, and mock-up previsualized the treatment objectives. The edentulous spaces were reconstructed by inserting dental implants, and monolithic Zirconia implant supported restorations. The final results showed a highly aesthetic and functional rehabilitation. Periodic checkups have shown that the stability of the result is well maintained and that the implant supported restorations are an op-timal solution for patients with multiple anodontia.