The concept of Less is More (LIM) medicine has emerged in North America in the last decade. It aims to expose the potential risks of overtreatment that may result in harmful or ineffective medicine rather than better health care, with a potentially unnecessary increase in cost.1 In response, several quality-driven campaigns called Choosing Wisely have...Read More

As medical specialty in the healthcare service, quality perception (P) is essential to obtain satisfaction (S) when the orthodontic journey meets patient’s expectation (E). The relationship among these three variables is showed by the following equation [1]: S = (P – E) >= 0 The three main relative scenarios are: 1) P<E, then S <...Read More

We read with interest the article on a modified technique for indirect bonding in the April 2012 issue (Ciuffolo F, Tenisci N, Pollutri L. Modified bonding technique for a standardized and effective indirect bonding procedure. Am J Orthod Dentofacial Orthop 2012;141:504-9). First, we congratulate the authors for their efforts in describing this technique. We agree with...Read More

We often witness the promotion of a business model to practice modern orthodontics that we can call appliance-centered orthodontics (ACO). An evident example of ACO is the sale and advertising of clear aligner treatment, based only on the patient’s cosmetic demand for straightening their teeth using invisible appliances and not on clinical necessity and aptness....Read More

Fabio Ciuffolo.   Abstract In this brief commentary paper, we elaborate the differences between people-centered orthodontics and appliance-centered orthodontics with the clinical and extra clinical key factors that may help orthodontists in achieving prosperity in the future. Introduction In the past two decades, remarkable changes have occurred in the orthodontic field, from master-oriented orthodontics to...Read More

Ciuffolo F.   Abstract This article describes a new technique to transfer the 3D bracket positioning by an effective indirect bonding procedure. Advantages and disadvantages of the CAD/CAM technology for the indirect bonding technique are discussed to help clinician use the indirect digital system routinely. Introduction Recently, a modified indirect bonding technique for a standardized...Read More

D’Attilio M, Epifania E, Ciuffolo F, Salini V, Filippi MR, Dolci M, Festa F, Tecco S. Cervical lordosis angle measured on lateral cephalograms; findings in skeletal class II female subjects with and without TMD: a cross sectional study. Cranio. 2004 Jan;22(1):27-44. doi: 10.1179/crn.2004.005. PMID: 14964336.   Abstract The literature reports evidence of various types of...Read More

Merla A, Ciuffolo F, D’Attilio M, Tecco S, Festa F, De Michele G, Tangherlini A, Romani GL. Functional infrared imaging in the diagnosis of the myofascial pain. Conf Proc IEEE Eng Med Biol Soc. 2004;2004:1188-91. doi: 10.1109/IEMBS.2004.1403380. PMID: 17271899.   Abstract Functional infrared imaging has been used to study 17 patients, affected by myofascial pain,...Read More

Ciuffolo F, Manzoli L, Ferritto AL, Tecco S, D’Attilio M, Festa F. Surface electromyographic response of the neck muscles to maximal voluntary clenching of the teeth. J Oral Rehabil. 2005 Feb;32(2):79-84. doi: 10.1111/j.1365-2842.2004.01390.x. PMID: 15641971.   Abstract The purpose of this study was to evaluate the activity of digastric, sternocleidomastoid, upper trapezius, lower trapezius and...Read More

Ciuffolo F, Manzoli L, D’Attilio M, Tecco S, Muratore F, Festa F, Romano F. Prevalence and distribution by gender of occlusal characteristics in a sample of Italian secondary school students: a cross-sectional study. Eur J Orthod. 2005 Dec;27(6):601-6. doi: 10.1093/ejo/cji043. Epub 2005 Jul 11. PMID: 16009668.   Abstract The aim of this study was to...Read More