AUCTORES
Globalize your Research
Review Article
*Corresponding Author: Rohit Kulshrestha, Department of Orthodontics, Terna Dental College, and Nerul Navi Mumbai
Citation: Rohit K, Snehal B, Pavankumar V, Chetan P, Vinay U, Balagangadhar(2019) Accelerated Orthodontics: A Review. J Dentistry And Oral Maxillofacial Surgery 1(1); Doi: 10.31579/2643-6612/016
Copyright: ©2019 Rohit Kulshrestha, This is an open-access article distributed under the terms of The Creative Commons. Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Received: 05 December 2019 | Accepted: 19 December 2019 | Published: 30 December 2019
Keywords: accelerated orthodontic tooth movement, corticotomy, peizocision, micro-osteoperforation(MOPs).
Nowadays, there is an increased tendency for researches to focus on accelerating methods for tooth movement due to the greater demand for adults for a shorter orthodontic treatment duration. Unfortunately, long orthodontic treatment time has many disadvantages like higher predisposition to caries, gingival recession, and root resorption. This increases the demand to increase tooth movement with the least possible disadvantages. Several modalities have been reported for accelerating the tooth movement. Thus, accelerating orthodontic tooth movement and the resulting shortening of the treatment time would be quite beneficial.
There is an increased demand for fast orthodontic treatment, especially by adult patients. This has led researchers to focus on accelerated tooth movement with the aim of reducing treatment duration while maintaining treatment efficiency. The approach that researchers select to accelerate the rate of movement depends on interpretation of the data on the biology of tooth movement.
Orthodontic tooth movement occurs because of a mechanical stimuli which is sequenced by remodelling of the alveolar bone and periodontal ligament (PDL). Bone remodelling is a process of both bone resorption on the pressure site and bone formation on the tension site [1]. Orthodontic tooth movement can be controlled by the amount of the applied force and the biological responses from the PDL [2]. The force applied on the teeth will cause changes in the microenvironment around the PDL due to alterations of blood flow, leading to the secretion.
Three types of bone cells play a significant role in the biology of tooth movement: osteoblasts, osteocytes, and osteoclasts. Osteoblasts are mononuclear cells found along bone surfaces. They are derived from mesenchymal stem cells in the bone marrow and synthesize collagenous and non-collagenous proteins that comprise the organic bone matrix, known as osteoid. Inactive osteoblasts, particularly in the adult skeleton, are called bone-lining cells. These cells are quiescent until growth factors or other anabolic stimuli induce their proliferation and differentiation into cuboidal osteoblasts. Osteoblasts are the main cells participating in the anabolic phase of orthodontic tooth movement with a limited role during the catabolic phase.
The mechanism by which mechanical stimulation activates osteocytes is not clear. Bone loading under physiologic condition results in strain, or deformation, in the bone matrix and the osteocyte lacunae and canaliculi. Some investigators suggest that it is the strain magnitude in the matrix, rather than in the lacunae or canaliculi, that triggers bone remodeling. These responses to mechanical load activate osteocytes to secrete key factors, such as prostaglandins, nitric oxide, or insulin-like growth factors (IGFs), which then activate osteoclasts and osteoblasts in a tightly synchronized biological phenomenon called bone remodeling.
Osteoclasts control the rate of bone resorption during orthodontic treatment and, therefore, the rate of tooth movement. However, osteoclasts do not function independently. In fact, they require signals from several other cell types for their maturation, activation, and ability to perform targeted, site-specific bone resorption. The consequences of unregulated osteoclast activation would be catastrophic as bone resorption would proceed unchecked producing weakened bone and fractures. Consequently, osteoclasts cannot be direct targets of orthodontic forces. Instead, the upstream events that control osteoclast formation and activation must be the main targets.
Methods of Acceleration:
The basis for clinical procedures such as corticotomy-assisted orthodontics, piezocision-aided orthodontics, and surgery-first orthodontics is the direct injury to the both alveolar bones (maxillary arch and mandibular arch) AOTM by inducing regional acceleratory phenomenon (RAP), as a wound-healing process [3,4]. A surgical technique was introduced by Bichalmyr [5] for faster correction of severe maxillary protrusion with available orthodontic appliances. Wedges of alveolar bone were removed to decrease the volume of the bone through the radicular parts of the maxillary teeth in anterior region. Kole [6] suggested a technique of creating bony blocks (bone-teeth unit) through the corticotomy to enhance the faster tooth movement. For the next fifty years this concept prevailed until Wilcko and co-workers [7], reported a transient demineralization -remineralization procedure enchanting after corticotomy, which was termed as a periodontally accelerated osteogenic orthodontics (PAOO). The PAOO is an amalgamation of selective decortications and facilitated orthodontic techniques along with alveolar augmentation. This technique shortens the treatment time to 33% the time of conventional treatment duration in orthodontics. This concept was based on a similar technique, as regional acceleratory phenomena (RAP). This method is a local response to a lethal stimulus which describes a process of tissue formation faster than the usual local regeneration process. Enhancing a variety of healing stages, this RAP makes healing occur 2-10 times earlier than regular healing [8]. However, this is an old technique and very invasive hence, this was not accepted by all patients. Hence, latest procedures like corticision, piezosurgery, fiberotomy and microosteoperforations had demonstrated.
Bone is surgically wounded so as to initiate a localized inflammatory response. The presence of cytokines and chemokines through prostaglandin E2 pathway and the RANK/ RANKL pathway causes differentiation of osteoclasts which leads to bone resorption and thus AOTM is possible. It has been reported that this effect lasts for 4 months and this method needs to be repeated, in case faster tooth movement further if required.
Inter-septal alveolar surgery: Inter-septal alveolar surgery or distraction osteogenesis involves controlled and gradual displacement of surgically created fractures which is termed as sub-periosteal osteotomy by incremental traction that results in simultaneous expansion of soft tissue and the surrounding alveolar bone volume due to mechanical stretching of the osteotomy site. It is divided into the distraction of the dentoalveolar bone or distraction of periodontal ligament [9]. (fig. 1).
Procedure: At the time extraction of first premolars the inter-septal bone distal to the canine is undermined surgically. Eventually resistance on the pressure site will be decreased. Bone distal to canine undermined inter-septally by 1 to 1.5mm. Based on inter-septal alveolar surgery, the compact bone is replaced by the woven bone, and tooth movement is easier and quicker due to reduced resistance of the bone. These rapid movements are found to be achieved during the initial phases of tooth movement, especially in the first week. Rapid canine distraction of the dento-alveolar bone may be performed by the same principle of the distraction of periodontal ligament with the addition of more dissection and osteotomies performed at the vestibule, in some cases. Clinical trials on humans showed that this technique would reduce the resistance in the pathway of canine movement more effectively during orthodontic treatment. Among the studies reported on inter-septal alveolar surgery two were cross sectional studies and rest were randomized clinical trials (RCTs).
Corticotomy: A corticotomy is defined as a surgical procedure whereby only the cortical bone is cut, perforated, or mechanically altered without any alteration in the medullary bone. This is performed without the involvement of medullary bone unlike osteotomies which involve the entire thickness of bone [10].
Procedure: Elevation of full thickness mucoperiosteal flaps of both buccal and/or lingual region. Positioning the corticotomy cuts using piezosurgical armamentarium or micromotor under irrigation and it is followed by placement of a graft material, in required sites to enhance the thickness of the bone [10].
Advantages: Bone can be augmented and periodontal defects would be avoided. Minimal changes in the periodontal attachment apparatus. Shorter treatment time. Less root resorption. Various authors performed clinical trials using corticotomy assisted canine retraction and found reduction in treatment time by 28%-33% and a 2-3-fold increase in velocity of tooth movement when compared with conventional OTM on control side.
Disadvantages: Expensive and comparatively invasive procedure. May cause post-operative pain and swelling.
Corticision: Kim and co-workers established a technique with minimal surgical intervention called corticision which is also called as minimally invasive rapid orthodontics (MIRO). Corticision was initiated as a supplemental dento-alveolar surgery in orthodontic therapy to achieve AOTM with minimal surgical intervention[11].
Procedure: Separation of the inter-proximal cortices with a reinforced scalpel is used as a thin chisel and a mallet transmucosally without reflecting a flap. With 45°-60° an inclination to the gingiva at the long axis of the canine a reinforced surgical blade with a minimum thickness of 400 μm should be located on the inter-radicular attachment. In order to preserve the alveolar crest, the surgical injury should be 2 mm from the papillary gingival margin and 1 mm beyond the mucogingival junction. The blade should be pulled out by a swing motion. Clinical studies were conducted on humans and animals and concluded corticision effectively accelerates the tooth movement similar to corticotomy and is more advantageous because of its less invasiveness. Among the published studies on corticision two were case control studies and other was case series.
Piezocision: This is a minimally invasive procedure involves flapless in combining piezosurgical cortical micro-incisions with selective tunneling that allows for soft-tissue or bone grafting. Vercelotti and Podesta established the use of piezosurgery instead of burs, in conjunction with the conventional flap elevations to create an environment conducive for the rapid tooth movement. This technique is quite invasive as it requires extensive flap elevation and osseous surgeries, with post-surgical discomfort. This technique has not been widely accepted by patient community. Subsequently, Dibart introduced piezocision with less invasiveness to this procedure.[12]
Procedure: This is a combination of microincisions limited to the buccal gingiva that allows the use of a piezoelectric knife to give osseous cuts to the buccal cortex and initiate the RAP without involving palatal or lingual cortex. The procedure allows for rapid tooth movement without the downside of an extensive and traumatic surgical approach while maintaining the clinical benefit of a soft-tissue or grafting concomitant with a tunnel approach. Dibart and co-workers[12] established a minimally invasive flapless procedure, combining micro incisions, piezoelectric incisions and selective tunneling that allows for hard- or soft-tissue grafting. They concluded that piezocision allows a rapid correction without the drawbacks of traumatic conventional corticotomy procedures in severe malocclusion cases. They later combined this technique with invisalign and found to be more effective and esthetic.
Microosteoperforations (MOPs): A device used for this method is called as PropelTM, which was launched by Propel Orthodontics. It reduces the invasive nature of surgical irritation of bone. This procedure was initially popularized as alveocentesis, which literally means puncturing of bone. The device has an adjustable depth dial at 0mm, 3mm, 5mm, and 7mm of tip depth and an indicating arrow on the driver body. This device comes as ready-to-use sterile disposable device.
Procedure: A soft tissue flap was raised in the premolar and molar region and small perforations of about 0.25 mm are made using a round bur and hand piece through the cortical bone. 1-3 micro-osteoperforations are to be done depending on proximity of anatomical structures. Perforations can be made on buccal or lingual side of both maxillary and mandibular arch in linear or triangular patterns. Two randomized control trial studies were reported on microosteoperforations among these one was animal study and other was a human trial [13].
Contemporary status of surgical methods: Surgical methods are invasive procedures and hence, patient cooperation is much needed. Inter-septal alveolar surgery, corticotomy and corticision are more invasive and expensive with needed surgical cuts and osteotomies. Post-operative complications are sometimes present with pain, swelling and patient discomfort. Recent techniques such as piezocision and microosteoperforations are less invasive with comparatively less complications than the previously used procedures. But more research is required to be done in using those techniques for accelerating the orthodontic tooth movement.
Device assisted therapy or mechanical stimulation methods:
There are various methods used to accelerate tooth movement like direct electric currents, resonance vibration, low level laser therapy, static magnetic field, and pulsed electromagnetic field. The concept of applying orthodontic forces causes bone bending (bone bending theory) and bioelectrical potential gave an idea of using physical approaches.The bioelectrical potential is created when there is application of discontinuous forces, which leads to the idea of trying cyclic forces and vibrations.
Direct electric current: Electrical current has been tested experimentally on the animal models and have shown good results with accelerating orthodontic tooth movement. Direct current or electrical currents generated piezoelectrically thereby enhance the orthodontic tooth movement.
Procedure: An electric appliance that provides direct electric current was placed in the extracted tooth region, generated bio electric potentials causing local responses and acceleration of bone modelling. This procedure was performed by some researchers on living animals and found to be effective in tooth movement. Subsequently, Kim performed a clinical trial on humans and found 30
Acceleration of tooth movement while orthodontic treatment is of increasing demand now a days because of patient’s interest to get the treatment completed in less span of time and to decrease the number of visits. And even the adult orthodontics has gained more demands as the adult patients are increasing day by day for the orthodontic treatment. Surgical techniques are more invasive and costly but are more beneficial with fewer side effects. Hence, recent techniques such as piezocision, micro-osteoperforations has the more demand in future. Less invasive surgical techniques can be safely used to accelerate tooth movement with increased patient compliance. Device assisted therapy is also of high demand but there is a need for further studies about the proper device being used and how far it is useful. Pharmacological methods have more side effects and hence most of them are still in experimental stage. Only limited human trails are available. Accelerating orthodontic techniques can be highly useful for fastening the treatment as in every technique being used; there is increased rate of tooth movement and hence decreasing the treatment time.
Clearly Auctoresonline and particularly Psychology and Mental Health Care Journal is dedicated to improving health care services for individuals and populations. The editorial boards' ability to efficiently recognize and share the global importance of health literacy with a variety of stakeholders. Auctoresonline publishing platform can be used to facilitate of optimal client-based services and should be added to health care professionals' repertoire of evidence-based health care resources.
Journal of Clinical Cardiology and Cardiovascular Intervention The submission and review process was adequate. However I think that the publication total value should have been enlightened in early fases. Thank you for all.
Journal of Women Health Care and Issues By the present mail, I want to say thank to you and tour colleagues for facilitating my published article. Specially thank you for the peer review process, support from the editorial office. I appreciate positively the quality of your journal.
Journal of Clinical Research and Reports I would be very delighted to submit my testimonial regarding the reviewer board and the editorial office. The reviewer board were accurate and helpful regarding any modifications for my manuscript. And the editorial office were very helpful and supportive in contacting and monitoring with any update and offering help. It was my pleasure to contribute with your promising Journal and I am looking forward for more collaboration.
We would like to thank the Journal of Thoracic Disease and Cardiothoracic Surgery because of the services they provided us for our articles. The peer-review process was done in a very excellent time manner, and the opinions of the reviewers helped us to improve our manuscript further. The editorial office had an outstanding correspondence with us and guided us in many ways. During a hard time of the pandemic that is affecting every one of us tremendously, the editorial office helped us make everything easier for publishing scientific work. Hope for a more scientific relationship with your Journal.
The peer-review process which consisted high quality queries on the paper. I did answer six reviewers’ questions and comments before the paper was accepted. The support from the editorial office is excellent.
Journal of Neuroscience and Neurological Surgery. I had the experience of publishing a research article recently. The whole process was simple from submission to publication. The reviewers made specific and valuable recommendations and corrections that improved the quality of my publication. I strongly recommend this Journal.
Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.
Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.
Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.
Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.
This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.
Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.
As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.
Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.
International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.
Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.
Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.
I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!
"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".
I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.
We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.
I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.
I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.
I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.
Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.
“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.
Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
