Research On The Fully Digitalized Workflow Of Metal Orthodontic Appliances

Through a randomized controlled study comparing the clinical efficacy of CAD/CAM fabricated and traditionally cast anterior traction orthodontic appliances. This study included 46 cases of children with skeletal Class III malocclusion during the mixed dentition phase requiring maxillary protraction as subjects. There were 24 males and 22 females, aged between 6 to 11 years. The subjects were randomly divided into two groups, each with 23 cases. The control group was treated with appliances made by traditional casting techniques, while the experimental group was treated with appliances fabricated through a fully digital process. The number of times the appliances fell off was recorded, and changes in soft and hard tissue on lateral cephalograms were measured. Two groups of lateral radiographs, SNA, SNB, and comparisons before and after treatment didn't show any differences (P>0.05); the ANB angle and Co-A, Co-Gn after treatment were significantly increased compared to before (P<0.05). There were no significant differences in the comparison of lateral radiograph data between the two groups, but the number of times the appliance fell off was statistically significant (P<0.05), with the control group having a significantly higher number of detachments than the experimental group. CAD/CAM-assisted full digital process manufacturing of appliances for the treatment of skeletal anterior crossbites, the efficacy is the same as that of appliances made by traditional casting techniques. However, the number of times the appliances fells off is significantly lower than the control group.

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Publication Details

Journal
International Dental Journal
Published
2025-10-01
DOI
https://doi.org/10.1016/j.identj.2025.104198
Primary Topic
Orthodontics and Dentofacial Orthopedics
Type
article
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article

Research On The Fully Digitalized Workflow Of Metal Orthodontic Appliances

Zhicheng Gong, Xin Yu
International Dental Journal
Orthodontics and Dentofacial Orthopedics
article

Research On The Fully Digitalized Workflow Of Metal Orthodontic Appliances

Zhicheng Gong, Xin Yu
article en

Abstract

Through a randomized controlled study comparing the clinical efficacy of CAD/CAM fabricated and traditionally cast anterior traction orthodontic appliances. This study included 46 cases of children with skeletal Class III malocclusion during the mixed dentition phase requiring maxillary protraction as subjects. There were 24 males and 22 females, aged between 6 to 11 years. The subjects were randomly divided into two groups, each with 23 cases. The control group was treated with appliances made by traditional casting techniques, while the experimental group was treated with appliances fabricated through a fully digital process. The number of times the appliances fell off was recorded, and changes in soft and hard tissue on lateral cephalograms were measured. Two groups of lateral radiographs, SNA, SNB, and comparisons before and after treatment didn't show any differences (P>0.05); the ANB angle and Co-A, Co-Gn after treatment were significantly increased compared to before (P<0.05). There were no significant differences in the comparison of lateral radiograph data between the two groups, but the number of times the appliance fell off was statistically significant (P<0.05), with the control group having a significantly higher number of detachments than the experimental group. CAD/CAM-assisted full digital process manufacturing of appliances for the treatment of skeletal anterior crossbites, the efficacy is the same as that of appliances made by traditional casting techniques. However, the number of times the appliances fells off is significantly lower than the control group.

International Dental JournalVol. 75
Shanghai Stomatological Hospital (CN)
Openalex Percentile: Top 64%
Orthodontics and Dentofacial Orthopedics
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Research On The Fully Digitalized Workflow Of Metal Orthodontic Appliances — Zhicheng Gong, Xin Yu · International Dental Journal (2025) | TGRS Research Map | TGRS