Abstract
The introduction of 3D diagnostic methods has brought about a global revolution in modern orthodontics. Among these, the introduction of digital data systems (digital models as STL files and cone-beam computed tomography scans in DICOM format) has had great clinical impact. The latest orthodontic application of these types of data is the possibility of matching them to obtain precise and faithful 3D reconstructions that contain information on both dental arches and the dentoskeletal structures. Acquiring important information such as bone thickness and morphology has made it possible to improve the validity, safety and reliability of palatal miniscrew insertion through the construction of digitally designed surgical guides (miniscrew-assisted palatal application, MAPA system) that enable controlled miniscrew insertion at the required angle and at the optimal depth, providing bicortical or tricortical anchorage in a safe and repeatable fashion.
The 3D surgical guide is digitally designed to be perfectly congruent with the occlusal surfaces and the palatal mucosa, thereby providing stability during clinical insertion of miniscrews; these can be efficaciously used for hybrid anchorage (both dental and skeletal) of orthodontic appliances or even for pure skeletal anchorage for orthopaedic purposes, even in adult patients, increasing the range of patients that can be treated in the orthodontic clinic.
Once the more complex orthopaedic and dental issues have been resolved, it is possible to refine the occlusion using the F22 aligner system (Sweden & Martina, Due Carrare, PD, Italy). This has been designed to provide the aesthetic and comfort requested by many patients, especially adults.
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Lombardo, L., Palone, M., Maino, G.B., Paoletto, E., Siciliani, G. (2021). Potential and Applications of STL and DICOM Data Matching: MAPA Systems and F22 Aligners. In: Retrouvey, JM., Abdallah, MN. (eds) 3D Diagnosis and Treatment Planning in Orthodontics. Springer, Cham. https://doi.org/10.1007/978-3-030-57223-5_8
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