Romanian Journal of Oral Rehabilitation Numarul 3 TECHNOLOGICAL ADVANCES, DENTAL MATERIALS, AND CLINICAL CHALLENGES IN MODERN ORTHODONTICS: A SCOPING REVIEW

TECHNOLOGICAL ADVANCES, DENTAL MATERIALS, AND CLINICAL CHALLENGES IN MODERN ORTHODONTICS: A SCOPING REVIEW

Antonia-Theodora Vrabie, Georgiana-Andreea Frumuzache, Ciprian Iulian Axinte, Valentina-Claudia-Alina Sodor-Botezatu

DOI : 10.62610/RJOR.2026.3.18.10

ABSTRACT

Background: Modern orthodontics has evolved significantly through technological advances, the refinement of biomaterials, and multidisciplinary treatment strategies. Optimizing treatment outcomes requires a thorough understanding of material performance—such as heat-treated mini-implants and experimental or commercial bracket bonding systems—alongside accurate diagnostic evaluations and management of complex clinical scenarios, including tooth impaction, chemical necroses, and orthodontic-restorative integration.

Objective: The aim of this scoping review is to evaluate recent technological advances, material properties, and multidisciplinary clinical challenges in modern orthodontics, synthesizing current literature to guide effective clinical decision-making.

Methods: Analysis of the scientific literature was conducted by consulting the PubMed/MEDLINE, Scopus, Web of Science and ScienceDirect databases. Articles investigating orthodontic mini-implants, bracket bonding materials, malocclusion models, and multidisciplinary orthodontic-restorative approaches published from 2020 to 2026 were included.

Results: Studies demonstrate that heat treatment significantly enhances the performance and longevity of orthodontic mini-implants. Laboratory testing of bracket bonding materials reveals varying shear strength and durability, highlighting the importance of material selection. Furthermore, morphofunctional analyses on plaster models assist in precise malocclusion diagnosis, while multidisciplinary approaches are critical for managing dental anomalies and complications such as tooth impaction and chemical necrosis during orthodontic procedures.

Conclusions: Technological innovations and improved biomaterials have substantially advanced orthodontic practice, enabling more reliable outcomes. However, successful clinical execution relies on a comprehensive, interdisciplinary approach that bridges material performance with tailored diagnostic and therapeutic strategies.