Dr. Moschos A. Papadopoulos is Professor, Chairman and Program Director at the Department of Orthodontics, School of Dentistry, Aristotle University of Thessaloniki, Greece. He is also President of the Balkan Association of Orthodontic Specialists and of the Orthodontic Society of Northern Greece, Honorary Editor of the “Hellenic Orthodontic Review”, and served as Asst. Editor of the “World Journal of Orthodontics” and as Assoc. Editor of “Stoma”. He also is/or served as Member of the Editorial Board of 18 peer reviewed journals, and as Referee of 40 orthodontic, dental and medical journals. He is an active member in more than 20 national and international societies, federations, and unions.
Dr. M. A. Papadopoulos received several awards and distinctions, among others the “Joseph E. Johnson Clinical Award” and the “Turpin Award for Evidence-Based Research” from the American Association of Orthodontists. Currently the main clinical and research interests of Dr. M. A. Papadopoulos include the subjects of “noncompliance orthodontic treatment”, “use of miniscrew implants as temporary anchorage devices in orthodontic treatment”, and “evidence based orthodontics”.
Dr. M. A. Papadopoulos has written the books entitled “Orthodontic treatment for the Class II non-compliant patient: Current principles and techniques”, “Skeletal anchorage in orthodontic treatment of Class II malocclusion”, and “Cleft lip and palate: Diagnosis and treatment management”, has published more than 200 scientific publications, and has presented more than 330 lectures, courses and papers worldwide.
INVITED LECTURE: Orthodontic management of cleft lip and palate patients: The path to happiness.
I. Ioannidou-Marathiotou, M. A. Papadopoulos
Treatment for patients with cleft lip and palate is a long term and complex procedure. It involves the rehabilitation of severe skeletal anomalies, bone deficiencies, malocclusions, malformations and psychological problems. Young and adolescent patients are often emotionally affected because of their appearance and the social impact in the school and their everyday life.
Treatment for patients with cleft lip and palate extends from birth to adulthood and requires a multidisciplinary team approach to restore function and aesthetics. The role of Orthodontists in cleft lip and palate treatment is paramount. It follows the child from the primary dentition stage, later during the permanent dentition and further until the end of craniofacial growth. Orthodontic intervention usually starts in the early mixed dentition preparing the maxillary arch for secondary bone graft procedure. When the permanent dentition is completed, comprehensive orthodontic treatment is performed for tooth alignment, adequate anteroposterior inter-arch relationship, and space closure or pre-surgical orthodontic preparation in cases with poor midface growth which require orthognathic surgery. It is a long and difficult road for these affected children but the road is leading to the improvement of their self-image and of their quality of life.
The aim of this lecture is to present and discuss the orthodontic involvement in the rehabilitation of cleft lip and palate patients who received treatment at the “Clinic of Craniofacial anomalies and Syndromes” of the “Postgraduate Program of Orthodontics” at the Aristotle University of Thessaloniki, Greece.
INVITED LECTURE: Bisphosphonates in orthodontics: myths and facts.
Vasileios F. Zymperdikas, Moschos A. Papadopoulos
BACKGROUND: Bisphosphonates are a class of drugs that through the inhibition of osteoclastic activity reduce bone turnover. Consequently, these drugs are reported to interfere with orthodontic movement, since the latter depends on bone metabolism.
OBJECTIVE: Aim of this review was to summarize existing evidence regarding the effectiveness of orthodontic treatment in patients receiving bisphosphonates.
MATERIALS AND METHODS: Unrestricted electronic search of 18 databases was performed up to August 2015. Studies reporting on orthodontic patients under bisphosphonate treatment due to bone-related diseases were included. Data regarding the patient characteristics, the pharmaceutical protocol and the orthodontic procedures were extracted. The primary outcomes were classified as clinical or radiographic. The ROBINS-I tool was implemented for risk of bias judgement of non-randomized studies, while a modified checklist from the one proposed by Agbabiaka et al was used for quality analyses of case reports.
RESULTS: Six studies (5 case reports and 1 retrospective cohort study) were included in the present review, reporting on 28 patients. Orthodontic treatment was associated with longer duration, slower rates of tooth movement and compromised results. Additionally, a controversy exists regarding the observed root resorption as well as the changes in PDL space and the alveolar bone. Moreover, the cohort study was judged with “critical” risk of bias, while the overall case report quality was considered as “lower medium”.
CONCLUSIONS: According to current evidence, orthodontic treatment in bisphosphonate patients appears to be associated with compromised outcomes and longer duration owing to impaired osteoclast function and subsequent reduced bone turnover.