Introduction/Objective. Orthodontic extrusion is the procedure for moving the teeth in a vertical, coronal direction. This movement induces changes in the periodontal ligament and the production of new alveolar bone. The objective of the study was to determine the changes on buccal, palatal and interdental alveolar bone as a result of orthodontic extrusion. Methods. Experimental group included six patients who received orthodontic treatment with the fixed appliances; the control group included four patients without orthodontic treatment. Two cone-beam computed tomography scans (initial and final) were obtained for each patient in both groups. Length of a tooth, shortest distance from tooth?s center of resistance to the referent plane, distance from buccal or palatal plate tip to the enamel-cement junction, the height of interdental septum, buccal and palatal plate vertical gain, buccal and palatal plate thicknesses were measured on initial and final scan in the experimental and control group. Results. The reduced length of the extruded tooth was observed in the experimental group. The distance from buccal and palatal plate tip to the enamel-cement junction, mesial interproximal bone septum and buccal plate gain significantly increased in the experimental group. No significant difference was found in the distal interproximal bone septum, palatal plate gain and buccal/palatal plate thickness between groups. Conclusion. Orthodontic extrusion affects alveolar bone level by gaining the hard tissue buccal and mesial of extruded teeth, while buccal and palatal plate thickness insignificantly changed.

Background and Objectives: The key factor that enables osteoblastic activity and the formation of new bone, as well as gingiva, during orthodontic tooth extrusion (OE) is the periodontal ligament. The reaction of periodontal tissues associated with changes in the gingiva is a part of orthodontic tooth displacement. The aim of this study was to examine the effect of OE on the width of the zone of the keratinized and attached gingiva, the position of the mucogingival junction, and the height of the interdental papillae in the region where the OE was performed as well as in the adjacent region. Materials and Methods: This research included 28 adult patients (both orthodontically treated and untreated). The treated group included 15 patients, in whom orthodontic extrusion of the upper or lower frontal teeth was indicated and performed. The untreated group included 13 patients, with no previous or undergoing orthodontic treatment. Patients with periodontal disease and periodontal pockets in the frontal region and patients allergic to iodine were excluded from the study. Gingivomorphometric measurements were performed on two occasions in three groups of teeth (24 extruded and 30 agonist teeth in the treated patients; 66 teeth in the untreated patients). Statistical analysis of the obtained data was performed using the software package SPSS version 26.0. Results: Orthodontic extrusion induced changes in the position of the mucogingival line and an increase in the width of the keratinized gingiva. There were no statistically significant effects on the depth of the gingival sulcus, the attached gingiva width, or the height of the interdental papillae. Conclusions: Orthodontic tooth extrusion has an effect on the periodontium in the observed region. Vertical orthodontic force, directed towards the coronal plane, affects the surrounding soft oral tissues.

A 26‐year‐old woman had a masticatory dysfunction, straight profile, retrognathic maxilla and mandible, and Angle’s class I with a tendency to class III malocclusion on both sides, with bilateral posterior crossbites and a 4 mm anterior open bite. Orthognathic surgery and orthodontic camouflage with and without tooth extraction were considered as treatment options. The patient’s preferred method of treatment was orthodontic camouflage without extraction. The transpalatal arch had been placed for the bilateral molars’ derotation. After 3 months, the upper segmented fixed appliance was implanted to address the posterior crossbites in the premolar’s region. One mini‐implant was inserted into the anterior palatum after the transpalatal arch was removed, and a supporting device was attached to the first permanent molars to give indirect skeletal stability. Orthodontic treatment’s active phase lasted 23 months, and all treatment objectives were achieved during that time: the desired facial profile, adequate occlusion, appropriate overbite, and overjet.

Objectives: In this study, we aimed to evaluate the accuracy of four radiological methods for dental age estimation and to test which method is the most reliable in Montenegrin children. Methods: To determine dental age, we examined 351 panoramic radiographs of 190 female and 161 male children between the ages of 6 and 12 using the Demirjian method, Willems method, the European formula, and the BAF. The estimated dental age was compared with the chronological age, and the average, absolute, and standard deviations were calculated. Results: When comparing dental age to chronological age in females, overestimation occurred when using the Demirjian and Willems methods, whereas the European formula and the BAF resulted in underestimations. Only the European formula underestimated dental age in males, while the other three methods caused overestimations in comparison to chronological age. The European formula and the BAF revealed that, when all age groups were included, approximately 57.1–61% of patients deviated from their chronological age by less than six months. When using Demirjian’s method, nearly 30–35% of patients had dental ages that were either overestimated or underestimated by more than a year. Conclusions: The most accurate method for estimating the dental age of children under 13 in the Montenegrin population is the European formula. The Demirjian method had the lowest accuracy, whereas that in the BAF and the Willems method was similar.

Aim of the study was to show the effect of skeletal Class II treatment with the mandibular anterior repositioning appliance (MARA) on the sagittal posterior airway space (PAS) diameter. A total of 53 patients were selected retrospectively: 26 male patients (median 13 years, age span 10–19 years) and 27 female patients (median 14 years, age span 11–47 years). All patients had lateral cephalograms taken at T1 (before MARA treatment) and at T2 (after MARA treatment). Average treatment took 13.1 ± 7.5 months (Group 1) and 10.5 ± 4.5 months (Group 2), respectively. The following PAS parameters were obtained at T1 and T2: TI (Tangent Point 1), Me/Gn (menton/gnathion), DW (dorsal wall). Additionally, Björk‘s sum angle, SNA, SNB and ANB were determined. The male patients showed a higher increase in the anteroposterior diameter of the PAS (+27.5%) compared to female patients (+11.6%). Male participants had a significantly higher PAS (p = 0.006) than female participants (p = 0.09). Although not significantly, Björk‘s sum angle decreased in both groups. In general, compared to female patients, male patients showed a greater decrease between T1 and T2. SNA and SNB exhibited varied behavior between T1 and T2, with some individuals reporting a decrease and others reporting an increase. SNA tended to decrease in general. In terms of ANB, the male participants displayed a decrease from T1 to T2. Treatment of a skeletal Class II malocclusion with the mandibular anterior repositioning appliance (MARA) caused an increase in the sagittal posterior airway space (PAS) diameter and, thereby, might be effective against obstructive sleep apnea.