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Review
. 2022 Jan 16;19(2):988.
doi: 10.3390/ijerph19020988.

The Efficacy of a New AMCOP® Elastodontic Protocol for Orthodontic Interceptive Treatment: A Case Series and Literature Overview

Alessio Danilo Inchingolo  1 , Assunta Patano  1 , Giovanni Coloccia  1 , Sabino Ceci  1 , Angelo Michele Inchingolo  1 , Grazia Marinelli  1 , Giuseppina Malcangi  1 , Valentina Montenegro  1 , Claudia Laudadio  1 , Chiara Di Pede  1 , Mariagrazia Garibaldi  1 , Zamira Kruti  1 , Maria Elena Maggiore  1 , Antonio Mancini  1 , Ludovica Nucci  2 , Ioana Roxana Bordea  3 , Antonio Scarano  4 , Felice Lorusso  4 , Gianna Dipalma  1 , Daniela Di Venere  1 , Filippo Cardarelli  1 , Francesco Inchingolo  1
Affiliations
Review

The Efficacy of a New AMCOP® Elastodontic Protocol for Orthodontic Interceptive Treatment: A Case Series and Literature Overview

Alessio Danilo Inchingolo et al. Int J Environ Res Public Health. .

Abstract

Background: Elastodontics is a specific interceptive orthodontic treatment that uses removable elastomeric appliances. They are functional appliances that produce neuromuscular, orthopedic and dental effects. Thus, these devices are useful in the developmental age, when skeletal structures are characterized by important plasticity and adaptation capacity, allowing to remove factors responsible for malocclusions. Elastomeric devices are generally well tolerated by patients requiring simple collaboration and management. This work can be useful to update all orthodontists already adopting these appliances or for those who want to approach them for the first time. This study aimed to describe four cases treated with new elastomeric devices called AMCOP Bio-Activators and to provide an overview of elastodontics, its evolution, indications and limits.

Methods: A total of four clinical cases were presented after a treatment period of 16-20 months to evaluate the clinical and radiological effects of the elastodontic therapy.

Results: The effectiveness of Bio-Activators on clinical cases was evidenced with a significant improvement in skeletal and dentoalveolar relationship, and malocclusion correction in a limited treatment period (16-20 months).

Conclusions: The Bio-Activators showed clinical effectiveness to achieve therapeutic targets according to a low impact on the patient's compliance.

Keywords: elastodontic appliances; elastodontic therapy; elastodontics; eruption guidance appliance; interceptive orthodontics.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
AMCOP devices available on the market.
Figure 2
Figure 2
Intraoral photo of the AMCOP INTEGRAL device which presents a flat occlusal plane for class I malocclusions.
Figure 3
Figure 3
Initial intraoral photographs of the subject (10-year-old) showed canine class I, deep bite, vestibular inclination of the frontal teeth and atypical swallowing. (A) Frontal view; (B,C) lateral view.
Figure 4
Figure 4
Initial occlusal photos of dental arches (10-year-old). (A) Upper arch; (B) lower arch.
Figure 5
Figure 5
Radiographs of the subject at the screening. Orthopantomography X-ray before treatment (10-year-old).
Figure 6
Figure 6
Cephalometric tracing (DeltaDent software) before treatment (10-year-old) reveals a skeletal class I.
Figure 7
Figure 7
Intraoral photograph with the AMCOP Integral device.
Figure 8
Figure 8
Intraoral photographs after the treatment and a 3-year follow-up period (14-year-old). (A) Frontal view; (B,C) lateral view.
Figure 9
Figure 9
Final occlusal photos of dental arches (14-year-old). (A) Upper arch; (B) lower arch.
Figure 10
Figure 10
Radiographs of the subject at the end of the treatment. Orthopantomography X-ray after treatment and a 3-year follow-up period (14-year-old).
Figure 11
Figure 11
Cephalometric tracing (DeltaDent software) after treatment and a 3-year follow-up period (14-year-old).
Figure 12
Figure 12
Intraoral photographs of the subject with skeletal class III malocclusion (7-year-old). (A) Frontal view; (B,C) lateral view.
Figure 13
Figure 13
Initial occlusal photos of dental arches (7-year-old). (A) Upper arch; (B) lower arch.
Figure 14
Figure 14
Radiographs of the patient at the screening. Orthopantomography X-ray before treatment (7-year-old).
Figure 15
Figure 15
Cephalometric tracing (DeltaDent software) before treatment reveals a skeletal class III malocclusion (7-year-old).
Figure 16
Figure 16
Intraoral photograph of the patient wearing the AMCOP TC.
Figure 17
Figure 17
Intraoral photographs at the end of the treatment (8-year-old). (A) Frontal view; (B,C) lateral view.
Figure 18
Figure 18
Final occlusal photos of dental arches (8-year-old). (A) Upper arch; (B) lower arch.
Figure 19
Figure 19
Radiographs of the subject at the end of the treatment. Orthopantomography X-ray after treatment (8-year-old).
Figure 20
Figure 20
Cephalometric tracing (DeltaDent software) after treatment shows a skeletal class I (8-year-old).
Figure 21
Figure 21
Intraoral photographs of the subject before the treatment (7-year-old). (A) Frontal view; (B,C) lateral view.
Figure 22
Figure 22
Initial occlusal photos of dental arches (7-year-old). (A) Upper arch; (B) lower arch.
Figure 23
Figure 23
Radiographs of the patient at the screening. Orthopantomography X-ray before treatment (7-year-old).
Figure 24
Figure 24
Cephalometric tracing (DeltaDent software) before treatment (7-year-old).
Figure 25
Figure 25
Intraoral photograph of the patient wearing the AMCOP OS.
Figure 26
Figure 26
Intraoral photographs at the end of the treatment (9-year-old). (A) Frontal view; (B,C) lateral view.
Figure 27
Figure 27
Final occlusal photos of dental arches (9-year-old). (A) Upper arch; (B) lower arch.
Figure 28
Figure 28
Radiographs of the patient at the screening. Orthopantomography X-ray after treatment (9-year-old).
Figure 29
Figure 29
Cephalometric tracing (DeltaDent software) after treatment (9-year-old).
Figure 30
Figure 30
Intraoral photographs of the subject before the treatment (8-year-old). (A) Frontal view; (B,C) lateral view.
Figure 31
Figure 31
Initial occlusal photos of dental arches (8-year-old). (A) Upper arch; (B) lower arch.
Figure 32
Figure 32
Radiographs of the patient at the screening. Orthopantomography X-ray before treatment (8-year-old).
Figure 33
Figure 33
Cephalometric tracing (DeltaDent software) before treatment (8-year-old).
Figure 34
Figure 34
Intraoral photographs of the subject after treatment and a 3-year follow-up period (12-year-old). (A) Frontal view; (B,C) lateral view.
Figure 35
Figure 35
Occlusal photos of dental arches after treatment and a 3-year follow-up period (12-year-old). (A) Upper arch; (B) lower arch.
Figure 36
Figure 36
Radiographs of the patient at the screening. Orthopantomography X-ray after treatment and a 3-year follow-up period (12-year-old).
Figure 37
Figure 37
Cephalometric tracing (DeltaDent software) after treatment and a 3-year follow-up period (12-year-old).
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