Indication and timing of soft tissue augmentation at maxillary and mandibular incisors in orthodontic patients. A systematic review

SUMMARYOBJECTIVE: To assess the indication and timing of soft tissue augmentation for prevention or treatment of gingival recession when a change in the inclination of the incisors is planned during orthodontic treatment. MATERIALS AND METHODS: Electronic database searches of literature were performed. The following electronic databases with no restrictions were searched: MEDLINE, EMBASE, Cochrane, and CENTRAL. Two authors performed data extraction independently using data collection forms. RESULTS: No randomized controlled trial was identified. Two studies of low-to-moderate level of evidence were included: one of prospective and retrospective data collection and one retrospective study. Both implemented a periodontal intervention before orthodontics. Thus, best timing of soft tissue augmentation could not be assessed. The limited available data from these studies appear to suggest that soft tissue augmentation of bucco-lingual gingival dimensions before orthodontics may yield satisfactory results with respect to the development or progression of gingival recessions. However, the strength of the available evidence is not adequate in order to change or suggest a possible treatment approach in the daily practice based on solid scientific evidence. CONCLUSIONS: Despite the clinical experience that soft tissue augmentation of bucco-lingual gingival dimensions before orthodontic treatment may be a clinically viable treatment option in patients considered at risk, this treatment approach is not based on solid scientific evidence. Moreover, the present data do not allow to draw conclusions on the best timing of soft tissue augmentation when a change in the inclination of the incisors is planned during orthodontic treatment and thus, there is a stringent need for randomized controlled trials to clarify these open issue

Morphologic characteristics, location, and associated complications of maxillary and mandibular supernumerary teeth as evaluated using cone beam computed tomography

SUMMARYOBJECTIVES: To evaluate the location and morphologic characteristics of supernumerary teeth and to assess the frequency and extent of root resorption of adjacent teeth using cone beam computed tomography (CBCT). MATERIALS AND METHODS: CBCT scans of 82 patients with supernumerary teeth in the maxilla and mandible were evaluated by two orthodontists independently. Data regarding the type, shape, and three-dimensional (3D) location of the supernumeraries including the frequency and extent of root resorption of adjacent teeth were recorded and evaluated for possible associations. RESULTS: The study comprised a total of 101 supernumerary teeth. Most of the patients (80.5 per cent) exhibited one single supernumerary tooth, while 15.8 per cent had two and 3.7 per cent had three supernumeraries. Males were affected more than females with a ratio of 1.65:1. Mesiodentes were the most frequently diagnosed type of supernumerary teeth (48.52 per cent), followed by supernumerary premolars (23.76 per cent) and lateral incisors (18.81 per cent). Supernumeraries were most commonly conical in shape (42.6 per cent) with a normal or inclined vertical position (61.4 per cent). Root resorption of adjacent teeth was detected for 22.8 per cent of the supernumerary teeth, most frequently for supernumerary premolars. There was a significant association between root resorption of adjacent teeth and type and shape of tooth. Interrater agreement for the measurements performed showed kappa values ranging from 0.55 to 1 with a kappa value of 1 for type and shape of the supernumerary teeth. CONCLUSIONS: CBCT provides 3D information about location and shape of supernumerary teeth as well as prevalence and degree of root resorption of neighbouring teeth with moderate to high interrater correlatio

Identifying Influential Bloggers: Time Does Matter

Blogs have recently become one of the most favored services on the Web. Many users maintain a blog and write posts to express their opinion, experience and knowledge about a product, an event and every subject of general or specific interest. More users visit blogs to read these posts and comment them. This "participatory journalism" of blogs has such an impact upon the masses that Keller and Berry argued that through blogging "one American in tens tells the other nine how to vote, where to eat and what to buy" \cite{keller1}. Therefore, a significant issue is how to identify such influential bloggers. This problem is very new and the relevant literature lacks sophisticated solutions, but most importantly these solutions have not taken into account temporal aspects for identifying influential bloggers, even though the time is the most critical aspect of the Blogosphere. This article investigates the issue of identifying influential bloggers by proposing two easily computed blogger ranking methods, which incorporate temporal aspects of the blogging activity. Each method is based on a specific metric to score the blogger's posts. The first metric, termed MEIBI, takes into consideration the number of the blog post's inlinks and its comments, along with the publication date of the post. The second metric, MEIBIX, is used to score a blog post according to the number and age of the blog post's inlinks and its comments. These methods are evaluated against the state-of-the-art influential blogger identification method utilizing data collected from a real-world community blog site. The obtained results attest that the new methods are able to better identify significant temporal patterns in the blogging behaviour