Original Research

Year : 2022 | Volume : 13 | Issue : 2 | Page : 1 - 13

Prevalence of anaerobic microbiota in orthodontic patients – scoping review

Umarevathi Gopalakrishnan1, Vidhya Selvaraj2, Arvindh Kathir3, Samala Abhinaya4, Rajalakshmi Thakshinamoorthy5

1Professor, 2Senior Lecturer, 3, 4, 5 Post graduate, Department of Orthodontics, Sri Venkateswara Dental College and Hospitals, Chennai

Address for Correspondence:

Umarevathi Gopalakrishnan, MDS

Professor, Department of Orthodontics, Sri Venkateswara Dental College and Hospitals Chennai – 600103,

Email: gopkr_uma@yahoo.com

Abstract

Introduction:

Various appliances used in orthodontic treatment behave as plaque retentive sites which can harbor anaerobic microorganisms and this may be associated with a worsening of preexisting periodontal diseases or induce a variety of other conditions. There are contrary reports regarding the increased load of anaerobes during orthodontic treatment. This review aims to analyze the orthodontic literature regarding the prevalence of anaerobes before, during and after orthodontic treatment.

Objective:

To analyze the literature on the prevalence of anaerobic microbiota and its relationship with orthodontics by using the keywords ―anaerobes‖ OR ―anaerobic microbiome‖ OR ―red complex bacteria‖ AND ―orthodontic‖ OR ―fixed appliance‖. The Pub med and Embase databases were searched till January 2022.

Results:

Orthodontic treatment increases the prevalence of anaerobic microbiota especially the orange and red complex bacteria. The removal of orthodontic appliances has shown a significant reduction in plaque along with the corresponding anaerobic pathogens.

Conclusion:

Proper maintenance of good oral hygiene during orthodontic treatment is essential to reduce the anaerobic microbial load, thus diminishing the risk of periodontal problems.

Keywords: Anaerobes; Red complex bacteria; Orthodontic appliance;

Financial support and sponsorship - Nil

Conflicts of interest - There are no conflicts of interest

How to cite: Umarevathi Gopalakrishnan, Vidhya Selvaraj, Arvindh Kathir, Samala Abhinaya, & Rajalakshmi Thakshinamoorthy. (2022). PREVALENCE OF ANAEROBIC MICROBIOTA IN ORTHODONTIC PATIENTS – SCOPING REVIEW: Original research. International Journal of Orthodontic Rehabilitation, 13(2), 1–13. https://doi.org/10.56501/intjorthodrehabil.v13i2.155

Received : 31.03.2022 Accepted:21.06.2022 Web Published: 30.06.2022

Original Research

Year : 2022 | Volume : 13 | Issue : 2 | Page : 18 - 24

THREE-DIMENSIONAL ANALYSIS OF DENTAL ARCH FORMS IN SOUTH INDIAN POPULATION

Anjali Anna Thomas1, Navaneethan R2

1,2- Department of Orthodontics and Dentofacial Orthopedics, Saveetha Dental College and Hospital, Saveetha Institute Of

Medical and Technical Sciences, Chennai – 600077.

Address for Correspondence:

Anjali Anna Thomas

Department of Orthodontics and Dento-facial Orthopedics, Saveetha Dental College and Hospital, Saveetha Institute Of Medical and Technical Sciences162, Poonamallee high road, Chennai – 600077

Email id: dranjali85400@gmail.com

ABSTRACT

Aim:

The aim of this study was to do a 3-dimensional analysis of the upper and lower dental arch forms and compare the same between male and female South Indian subjects who were not previously treated with fixed orthodontic appliances.

Materials and Methods:

The sample consisted of 3D scans of dental casts from 50 untreated patients(25 males and 25 females) in permanent dentition. An assessment of the arch form was performed using angular and linear values on scans using a software(MEDIT).The data was tabulated and statistically analyzed using SPSS software and Student’s t test(2- tailed) was used to determine statistical significance of differences in measurements between the two groups.

Results:

In male subjects the intercanine, intermolar, interpremolar diameters and arch depth were significantly greater than females and there was a statistically significant difference (p value=<0.05).

Conclusion:

Ovoid arch form is commonly seen in both South Indian males and females followed by broader arch forms in males and tapered arch forms in females. South Indian males have wider arches when compared to females.

Keywords: Arch form, Arch width, Dental arch depth, 3D scan (MEDIT), 3 shape ortho analyzer software.

FUNDING

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

CONFLICT OF INTEREST

Authors declare no conflict of interest.

How to Cite this Article: Anjali Anna Thomas, & Navaneethan R. (2022). THREE DIMENSIONAL ANALYSIS OF DENTAL ARCH FORMS IN SOUTH INDIAN POPULATION: ORIGINAL RESEARCH. International Journal of Orthodontic Rehabilitation, 13(2), 18–24. https://doi.org/10.56501/intjorthodrehabil.v13i2.120

Received : 25.04.2022 Accepted: 20.05.2022 Web Published: 14.06.2022

Case Report

Year : 2022 | Volume : 13 | Issue : 1 | Page : 36-39

LIMITED OUTCOME ORTHODONTICS- TWO CASE REPORTS

Mohamed Iqbal J 1, Dharshini V 2, Aruna V 3

1 Senior Assistant Professor, 2,3 Interns, Department of Orthodontics, TNGDC Hospital, Chennai

ABSTRACT

There is an increasing trend in adults seeking orthodontic treatment. Visibility of braces and duration of treatment are factors detrimental to patients choice of having orthodontic treatment as well as their satisfaction with the outcome. Adult orthodontics is unique both in the treatment goals as well as tissue response. Realistic goals with adjuvant procedures and short duration of treatment are preferred. We present two cases of “Limited outcome orthodontics” in adult patients with localized malalignment, successfully managed within a very short duration of 5 months.

Keywords- Adult orthodontics, Limited outcome Orthodontics, Short term orthodontics

SOURCE OF FUNDING

The author of this review has no funding sources to declare.

How To Cite This Article:

Dharshini V, Mohamed Iqbal, & Aruna V. (2022). LIMITED OUTCOME ORTHODONTICS- TWO CASE REPORTS. International Journal of Orthodontic Rehabilitation, 13(1), 36–39. https://doi.org/10.56501/intjorthodrehabil.v13i1.3.

Original Article

Year : 2022 | Volume : 13 | Issue : 1 | Page : 28 - 35

KNOWLEDGE AND AWARENESS ON MANAGEMENT OF BIOMEDICAL WASTE AMONG ORTHODONTISTS AND GENERAL DENTAL PRACTITIONERS

Monica K1, Abilasha R1 *, Pratibha Ramani1, Gheena S1, Reshma P K1

1 Department of Oral and Maxillofacial Pathology, Saveetha Dental College and Hospitals,

Saveetha University, Chennai – 600077

Corresponding Author:

Dr Abilasha R,

Professor, Department of Oral Pathology, Saveetha Dental College and Hospitals, Chennai-600077, Tamilnadu, India.

Email: abilasha@saveetha.com

ABSTRACT:

Background:

Dental care facilities generate a high amount of Biomedical Waste (BMW) like sharps such as surgical needles, blades, wires, brackets, extracted teeth, human tissues, discarded or expired medicines and dental materials, highly contaminated with blood and saliva. Segregation and collection should be done in separate colour coded bags or containers; according to Biomedical Waste Rules, 2016 the Ministry of Environment and Forest in India. Poor management of wastes leads to high risk to public, patients and professionals and also contributes to environmental degradation.

Aim:

To assess the knowledge and awareness on management of biomedical waste management among orthodontists and practicing general dentists.

Materials and methods:

A cross sectional study was conducted through Google form (electronic based survey) among general practising dentists; survey consisted of 18 closed ended questions. The data collected were tabulated in Microsoft Excel and exported to SPSS, descriptive statistics and Chi-Square test was performed (p < 0.05 was considered statistically significant).

Results:

83.8% practising dentists follow the biomedical waste disposal policy in their hospital or clinic, among which 91% use protective barriers (e.g. gloves, masks) during handling of biomedical waste. 63.1% disposed human anatomical waste and blood contaminated waste properly where only 55.9% disposed extracted teeth and human tissue in yellow bags. Significant association was found between management of incinerated ash and qualification among orthodontists ( p=0.019) and with experience of less than 1 year had proper knowledge; (p=0.021). Disposal of plaster of Paris was properly managed among general practioners (p=0.039). Management of sharps was done properly using needle destroyers among general dentists and orthodontists (p=0.041).

Conclusion:

Safe and effective management of biomedical waste is a legal necessity but also a social responsibility of dentists, according to this present survey 7 – 9.2 % of the dentists are not effectively following the biomedical waste management.

Keywords: Biomedical wastes, BMW, Health Care Facility, segregation, colour coded bags.

SOURCE OF FUNDING

The author of this review has no funding sources to declare.

How to Cite This Article: Monica K, R, A., Ramani, P., S, G., & P K, R. (2022). KNOWLEDGE AND AWARENESS ON MANAGEMENT OF BIOMEDICAL WASTE AMONG ORTHODONTISTS AND GENERAL DENTAL PRACTITIONERS: Original research. International Journal of Orthodontic Rehabilitation, 13(1), 28–35. https://doi.org/10.56501/intjorthodrehabil.v13i1.4

Original Article

Year : 2022 | Volume : 13 | Issue : 1 | Page : 23-27

PATIENT’S PERCEPTION OF PAIN AND DISCOMFORT DURING MAXILLARY ARCH EXPANSION USING TWO DIFFERENT APPLIANCES - A PILOT QUESTIONNAIRE SURVEY

Dr. Nilesh Suresh 1 , Dr. Ravindra Kumar Jain 2

Department of Orthodontics and Dentofacial Orthopaedics, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences

Saveetha University, Chennai 600 077

ABSTRACT:

Aim:

To evaluate and compare perceived pain and discomfort levels experienced by subjects treated with tooth-borne (Hyrax) and bone-borne (MARPE) Maxillary expansion appliances.

Materials and Methods:

Ten subjects (7 boys and 3 girls) with a mean age of 15.8(+/- 2.8) years were randomized into two groups. Group A received a MARPE appliance anchored using mini-implants in the anterior palate and group B received a conventional Hyrax appliance. A self-assessment questionnaire on pain intensity, discomfort and analgesic consumption was given to subjects on the review visit and responses were collected. Descriptive statistics and Mann-Whitney U test was done to compare the mean of pain and discomfort levels between the two groups.

Results:

All 10 subjects answered the questionnaire. More pain was experienced in the posterior teeth region by subjects treated with MARPE (p&lt;0.05). No significant intergroup difference in pain levels experienced in the anterior region, palatal vault and the head region and analgesic consumption was noted. (p&gt;0.05)

Conclusions:

Although both Hyrax and MARPE were generally well tolerated there was a significantly higher pain experience in posterior teeth region for subjects treated with MARPE.

Key Words: Maxillary expansion; Pain and discomfort; Mini-implants; Questionnaire

DECLARATION OF CONFLICTING INTERESTS:

The Authors declare that there is no conflict of interest.

FUNDING:

The authors received no financial support for the research, authorship, and/or publication of this article.

How to Cite This Article:

Nilesh Suresh, & Ravindra Kumar. (2022). PATIENT’S PERCEPTION OF PAIN AND DISCOMFORT DURING MAXILLARY ARCH EXPANSION USING TWO DIFFERENT APPLIANCES - A PILOT QUESTIONNAIRE SURVEY: Original Article. International Journal of Orthodontic Rehabilitation, 13(1), 23–27. https://doi.org/10.56501/intjorthodrehabil.v13i1.5

Original Article

Year : 2022 | Volume : 13 | Issue : 1 | Page : 16-22

COMPARATIVE EVALUATION OF WOUND HEALING FOLLOWING GINGIVECTOMY USING DIODE LASER AND ERBIUM, CHROMIUM-DOPED YTTRIUM, SCANDIUM, GALLIUM AND GARNET (Er:Cr:YSGG) LASER–IN PATIENTS UNDERGOING FIXED ORTHODONTIC TREATMENT-A RANDOMIZED CONTROLLED TRIAL.

Inchara Naidu 1, Priya Lochana Gajendran 2, Saveetha Dental College and Hospitals,

Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai 600 077

ABSTRACT:

Aim:

The aim of the current study is to compare the healing following gingivectomy procedures using the Diode system and Er:Cr:YSGG lasers in patients undergoing fixed orthodontic treatment.

Methodology:

The study is a single center randomized controlled clinical study with a sample size of 40 patients who underwent gingivectomy using lasers. The patients were divided into two groups randomly (Group A= 20 and Group B= 20). Group A patients had undergone gingivectomy using diode laser (BIOLASE EPIC X,940 nm) and Group B patients had undergone gingivectomy using Er:Cr:YSGG laser (Waterlase,2780nm). The patients were followed at day3, day 7 and day 14. The wound healing was assessed post laser application using a healing index by Landry et al at different time intervals. Data were entered in Microsoft Excel spreadsheet and analyzed using SPSS software (IBM SPSS Statistics, Version 20.0, Armonk, NY: IBM Corp.). Independent t test was used to compare the mean healing index score between the groups. Repeated measures ANOVA and Post hoc Bonferroni test was used for comparison of mean healing index scores of Group A and B at different time periods

Result:

When comparing the healing index at day 3 between the groups, there was no significant difference between the diode laser and erbium laser group (P = 0.24). Similarly at day 7 and at day 14, there were no significant differences between the groups (P= 0.20), (P= 0.18) at day 7 and day 14 respectively. When comparing the healing index score of gingivectomy with diode laser between different time intervals, there was a statistically significant healing was seen at day 14 (P = 0.001). The healing at day 14 was significantly better than day 3 and day 7 in the erbium laser group (P =0.001).

Conclusion:

Within study limits it is concluded that Er:Cr:YSGG lasers have better healing compared to diode lasers following laser assisted gingivectomy although the results are not statistically significant. Thus, the use of laser is an effective treatment approach in the management of orthodontic associate gingival enlargement.

Keywords: Diode, Er:Cr:YSGG; Gingivectomy; Healing; Innovative technology; Laser.

CONFLICT OF INTERESTS:

All the authors declare that there was no conflict of interest in the present study.

SOURCE OF FUNDING:

The present project is funded by Saveetha Institute of Medical and Technical Sciences.

Saveetha Dental College and Hospitals. Saveetha University.

How to Cite This Article: Priya Lochana Gajendran, & Inchara Naidu. (2022). COMPARATIVE EVALUATION OF WOUND HEALING FOLLOWING GINGIVECTOMY USING DIODE LASER AND ERBIUM, CHROMIUM-DOPED YTTRIUM, SCANDIUM, GALLIUM AND GARNET (Er:Cr:YSGG) LASER–IN PATIENTS UNDERGOING FIXED ORTHODONTIC TREATMENT-A RANDOMIZED CONTROLLED TRIAL.: Original Article. International Journal of Orthodontic Rehabilitation, 13(1), 16–22. https://doi.org/10.56501/intjorthodrehabil.v13i1.11

Review Article

Year : 2022 | Volume : 13 | Issue : 1 | Page : 10 -15

FACTORS TO BE CONSIDERED IN ORTHODONTIC INTERDISCIPLINARY APPROACH – A REVIEW

Hamad Alqahtani,

Orthodontic Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.

Abstract

Orthodontic treatment can be part of a dental interdisciplinary treatment as a way to help other specialists in the team achieve efficient treatment results when dealing with complex cases. The team members must have basic and sufficient knowledge related to other disciplines if they are to have common ground for fruitful discussion of treatment options and possible solutions that will provide optimum esthetics and function, especially for adult patients. This article discusses important factors related to endodontics, periodontics, and restorative/prosthodontics and their interactions with orthodontics.

Keywords: interdisciplinary; orthodontics; endodontics, periodontics, prosthodontics

CONFLICT OF INTEREST

None

SOURCE OF FUNDING

The author of this review has no funding sources to declare.

How to Cite This Article:

Alqahtani H, Factors to be Considered in Orthodontic Interdisciplinary Approach – A Review. Int J Orthod Rehabil 2022;13:1:10-15

Hamad Alqahtani. (2022). FACTORS TO BE CONSIDERED IN ORTHODONTIC INTERDISCIPLINARY APPROACH – A REVIEW. International Journal of Orthodontic Rehabilitation, 13(1), 10–15. https://doi.org/10.56501/intjorthodrehabil.v13i1.14

Systematic Review

Year : 2022 | Volume : 13 | Issue : 1 | Page : 01-09

MANDIBULAR ARCH CHANGES FOLLOWING EXPANSION WITH SCHWARZ APPLIANCE IN GROWING PATIENTS – A SYSTEMATIC REVIEW.
Mathew Thomas Maliael1, R Navaneethan2, Ravindra Kumar Jain3
Department of Orthodontics, Saveetha Dental College and Hospital, Saveetha Institute of Technical and Medical Sciences, Chennai – 600 077.

ABSTRACT

Aim and Objectives

The aim of this review is to systematically evaluate and assess the available evidence on arch dimensional changes in the mandible following expansion using Schwarz Appliance in growing patients.

Materials and Methods

The protocol for the review was registered with the PROSPERO database. A systematic search was done on the following scientific databases PubMed, Cochrane Central, LILACS and Google Scholar to identify articles of relevance published until April 2021. Articles that satisfied the inclusion criteria were included in the review. The review was performed based on the PRISMA guidelines. MINORS tool was used to evaluate the Risk of Bias and quality of evidence of the included studies.

Results

243 trials were identified after implementing the search strategy. After eliminating duplicates 196 trials remained. After screening the titles and abstracts for the eligibility criteria, 190 trials were eliminated from further review. Full text was sought for the remaining six articles and one study was eliminated after review of the full text. Four the included studies showed low Risk of Bias in their methodologies and one study showed a low risk of Bias in its methodology. Qualitative analysis was performed on the remaining five trials. The studies significant increase in the Intermolar, intercanine, interpremolar and arch perimeter and also observed significant up righting of the permanent mandibular first molar.

Conclusion

Arch dimensional changes in the mandible of growing patients after expansion using Schwarz Appliance are dento-alveolar in nature. No skeletal Expansion is seen.

Key Words: Expansion, Schwarz Appliance, Growing Patients.

CONFLICT OF INTEREST

The authors of this review have no conflict of interest to declare.

FUNDING

The authors of this review have no funding sources to declare.

How to Cite This Article:

R Navaneethan, Ravindra Kumar Jain, & Mathew Thomas Maliael. (2022). MANDIBULAR ARCH CHANGES FOLLOWING EXPANSION WITH SCHWARZ APPLIANCE IN GROWING PATIENTS – A SYSTEMATIC REVIEW.: Original Article. International Journal of Orthodontic Rehabilitation, 13(1), 1–9. https://doi.org/10.56501/intjorthodrehabil.v13i1.15

Short Communication

Year : 2016 | Volume : 7 | Issue : 3 | Page : 112-114

Dental lasers: A review of safety essentials

Subbaiah Pradeep1, SR Anitha2, S Ravi1, BM Shivalinga1, H Jyothikiran1

1 Department of Orthodontics and Dentofacial Orthopaedics, JSS Dental College and Hospital, Mysore, Karnataka, India, 2 Department of Pedodontics, CODS, Davangere, Karnataka, India

Correspondence Address:

Subbaiah Pradeep

Department of Orthodontics and Dentofacial Orthopaedics, JSS Dental College and Hospital, Mysore, Karnataka, India.

Abstract:

Dental professionals are predisposed to a number of occupational hazards. These include exposure to ionizing radiation and nonionizing radiation. The current paper reviews the studies relating to occupational health problems in dental practice.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.192535

How to cite this article: Pradeep S, Anitha SR, Ravi S, Shivalinga BM, Jyothikiran H. Dental lasers: A review of safety essentials. Int J Orthod Rehabil 2016;7:112-4.

Case Report

Year : 2016 | Volume : 7 | Issue : 3 | Page : 105-107

Orthodontic rehabilitation of an adult patient with pathologic migration and crossbite

Ganesh Chinthan1, CS Ramachandra2, Sham Bhat2, Kiran Nagarahalli2, Sushruth Shetty2

1 Department of Orthodontics, Kannur Dental College, Kannur, Kerala, India, 2 Department of Orthodontics, A.E.C.S. Maaruti College Of Dental Sciences and Research Centre, Bengaluru, Karnataka, India

Correspondence Address:

Ganesh Chinthan

8-83/8, Pragathi Nagar Layout, Pakkaladka, Bajal, Mangalore - 575 027, Karnataka, India.

Abstract:

The number of adults seeking orthodontic treatment for correction of their malocclusion is increasing. More number of periodontally compromised adults is opting for orthodontic treatment. Periodontal bone loss, pathologic migration, gingival recession, traumatic occlusion, and mobility may be seen in such patients. Interdisciplinary treatment approach is required to effectively manage such cases. Orthodontic treatment can correct traumatic occlusions, correct crowding for better oral hygiene maintenance, and prevent further bone loss, to improve esthetics, function, and stability. The purpose of this article is to highlight the role of orthodontics in correcting traumatic occlusions, aligning teeth in case of pathologic migration, and improving the periodontal status of a periodontally compromised adult.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.192533

How to cite this article:Chinthan G, Ramachandra CS, Bhat S, Nagarahalli K, Shetty S. Orthodontic rehabilitation of an adult patient with pathologic migration and crossbite. Int J Orthod Rehabil 2016;7:105-7.

Review Article

Year : 2016 | Volume : 7 | Issue : 3 | Page : 101-104

Midline diastema

M Ketaki Kamath, AV Arun

Department of Orthodontics, Saveetha Dental College, Chennai, Tamil Nadu, India

Correspondence Address:

M Ketaki Kamath

D5, Sneha Sadan, #3 Karpagam Avenue, Chennai - 600 028, Tamil Nadu, India.

Abstract:

Midline diastema is a space between the maxillary and/or mandibular central incisors. Midline diastema can be due to various causes such as genetic, environmental, and so on. Proper history taking and correct diagnosis of the etiology of the diastema is essential to ensure that the orthodontic correction is successful, and no future relapse takes place. The presence of diastema between the central incisors in the adult patient has esthetics and malocclusion concerns.

Source of Support: 

None 

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.192532

How to cite this article: Kamath MK, Arun AV. Midline diastema. Int J Orthod Rehabil 2016;7:101-4.

Original Article

Year : 2016 | Volume : 7 | Issue : 3 | Page : 92-96

Comparison of perception of smile by orthodontists and other specialty dentists: A questionnaire study

Swetha Sridharan, Christine Samantha

Department of Orthodontics, Saveetha Dental College, Chennai, Tamil Nadu, India

Correspondence Address:

Christine Samantha

Department of Orthodontics, Saveetha Dental College, Chennai - 600 077, Tamil Nadu, India.

Aim:

The purpose of this study is to compare the perceptions of orthodontists and other specialty dentists, regarding smile esthetics in the form of a questionnaire.

Objectives:

To determine whether there is any difference of opinion regarding the perception of smile between orthodontists and other specialty dentists and to compare the various factors that have a high impact on the perception of smile by orthodontists and other specialty dentists.

Materials and Methods:

This study is a questionnaire survey. Totally, 104 questionnaires were distributed, of which 52 patients were completed by the orthodontists and 52 patients were completed by other specialty dentists.

Results:

This study showed that the mean scores given by orthodontists are lesser than that of the nonorthodontists. The factors that had an impact on smile by nonorthodontists include crowding of lower anterior teeth and diastema of 3-4 mm. Among orthodontists, the various factors that had an impact include diastema, midline deviation, and reverse smile arc.

Conclusions:

Different parameters have an impact on the smile perception. Diastema, smile, and reverse smile were regarded as unattractive and received the lowest score in this survey. The presence of midline shift was not considered unaesthetic by nonorthodontists.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.192530

How to cite this article: Sridharan S, Samantha C. Comparison of perception of smile by orthodontists and other specialty dentists: A questionnaire study. Int J Orthod Rehabil 2016;7:92-6.

Original Article

Year : 2016 | Volume : 7 | Issue : 3 | Page : 89-91

Factors affecting patient's desire for seeking orthodontic treatment

Danalakshmi Jayachandar, SP Saravana Dinesh

Department of Orthodontics and Dentofacial Orthopedics, Saveetha Dental College, Chennai, Tamil Nadu, India

Correspondence Address:

S P Saravana Dinesh

162, Poonamalle High Road, Velappanchavadi, Chennai - 600 095, Tamil Nadu, India

Abstract:

Aim:

The aim of this study is to determine the factors which affect a patient's desire for orthodontic treatment.

Objective:

The objective of this study is to assess the various reasons and motivating factors for patients to seek orthodontic treatment through a structured questionnaire.

Materials and Methods:

The survey was carried out in a population sample of 100 patients using a standard questionnaire before receiving orthodontic treatment. Perceived need for orthodontic treatment was assessed by asking questions to the patients.

Results:

Functional need was felt mostly by the males (36%), whereas females felt esthetics to be their major concern (72%). Fifty-three percent of the patients rated their dental appearance as bad and 47% had a teasing experience for protruded teeth. Majority of patients (76%) considered the improvement of general esthetics the most important outcome for seeking orthodontic treatment, whereas 11% sought treatment to improve dental health, 4% to enhance self-confidence, and only 1% to improve chewing and speech.

Conclusion:

People who are not satisfied with their appearance are the ones who seek orthodontic treatment. Patient's awareness of their appearance and their satisfaction are important to the orthodontist for patient satisfaction. The patient's motivation in seeking orthodontic treatment should be determined before the treatment commences to increase the chances of success of the orthodontic treatment.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.192528

How to cite this article: Jayachandar D, Saravana Dinesh SP. Factors affecting patient's desire for seeking orthodontic treatment. Int J Orthod Rehabil 2016;7:89-91.

Original Article

Year : 2016 | Volume : 7 | Issue : 3 | Page : 85-88

Patient pain response and discomfort during self ligation mechanotherapy

Priyangaa Sathasivam1, Ravindra Kumar Jain2

1 Department of Orthodontics and Dentofacial Orthopedics, Saveetha Dental College and Hospitals, Chennai, Tamil Nadu, India, 2 Department of Orthodontics, Saveetha Dental College and Hospitals, Chennai, Tamil Nadu, India

Correspondence Address:

Priyangaa Sathasivam

Saveetha Dental College and Hospitals, Chennai - 600 077, Tamil Nadu, India.

Abstract:

Aim:

The aim of this research is to assess the patient's pain response and discomfort in patients treated with self-ligating bracket system.

Objective:

Patients undergoing orthodontic treatment quite often complain about pain and discomfort during various stages of orthodontic treatment, and hence, sufficient precaution should be taken to minimize them.

Materials and Methods:

The study was conducted on a sample size of 15 patients who were reported to the Department of Orthodontics. The patients were undergoing orthodontic treatment with self-ligating brackets. The patients were requested to complete a questionnaire about duration of treatment, pain, or discomfort experienced after regular monthly activation of brackets, duration, onset and severity of pain, difficulty in brushing or chewing food, and food accumulation between the teeth.

Results:

Out of 15 patients, only six patients were aware of that they are wearing self-ligation bracket while nine other patients do not know that they are wearing self-ligation bracket. Almost 80% of the patients experienced pain and discomfort after regular monthly activation of brackets, whereas 20% of the patients did not experience any pain and discomfort after regular monthly activation of brackets. Thirteen percent experienced slight pain, 47% experienced mild pain, 7% experienced moderate pain, 7% experienced severe pain, and 7% experienced very severe pain. A great majority of patients (67%) stated that the pain started few hours after activation while 13% of patients stated that the pain started few minutes after activation. Seventy-three percent of the patients stated that the pain lasted for the whole day and 7% patients stated that the pain lasted for hours. Fifty-three percent of the patients reported difficulty in brushing and chewing food while remaining 47% did not have any difficulty in brushing and chewing food. Most of the patients about 87% reported food accumulation in between the teeth.

Conclusion:

This study highlighted the pain and discomfort experienced by the patient during self-ligation bracket system. Pain and discomfort caused in the initial stage of fixed orthodontic treatment can be moderate to severe and might last for few days. Brushing teeth might cause mild discomfort and pain can be minimized by consuming soft food. Most of the patients undergoing self-ligating bracket system experienced pain and discomfort after regular monthly activation of brackets.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.192527

How to cite this article: Sathasivam P, Jain RK. Patient pain response and discomfort during self ligation mechanotherapy. Int J Orthod Rehabil 2016;7:85-8.

Case Report

Year : 2016 | Volume : 7 | Issue : 4 | Page : 148-153

Treatment of Class II division 2 malocclusion with impacted lower canine

Pratik Patel1, Ravi Shanthraj1, Nekta Garg1, Anisha Vallakati1, B Ashwini2

1 Department of Orthodontics, JSS Dental College and Hospital, JSS University, Mysore, Karnataka, India, 2 Department of Endodontics, Farooqia Dental College and Hospital, Mysore, Karnataka, India

Correspondence Address:

Pratik Patel

Department of Orthodontics, JSS Dental College and Hospital, JSS University, Mysore, Karnataka, India.

Abstract:

A 15-year-old female presented unilateral Class II molar relation with 90% overbite, retroclined upper central incisors, and impacted lower right canine. Nonextraction treatment was planned to correct deep bite, retroclination of upper central incisors, and unilateral Class II molar relation. Intrusion arch was used to intrude and procline the upper central incisors. Correcting the axial inclination of retroclined incisors caused unlocking of the mandible. This, in turn, leads to simultaneous correction of class II molar relation. The vertical loop was used to disimpact canine. Posttreatment incisors inclination was corrected, bilateral Class I molar relation was achieved, and canine had erupted in its position. The smile arc was improved along with mentolabial sulcus and nasolabial angle.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.197464

How to cite this article: Patel P, Shanthraj R, Garg N, Vallakati A, Ashwini B. Treatment of Class II division 2 malocclusion with impacted lower canine. Int J Orthod Rehabil 2016;7:148-53.

Review Article

Year : 2016 | Volume : 7 | Issue : 4 | Page : 144-147

Dermatoglyphics and orthodontics

S Achalli1, M Patla2, USK Nayak2, CR Soans2

1 Department of Oral Medicine and Radiology, A. B. Shetty Memorial Institute of Dental Sciences, NITTE University, Mangalore, Karnataka, India, 2 Department of Orthodontics and Dentofacial Orthopaedics, A. B. Shetty Memorial Institute of Dental Sciences, NITTE University, Mangalore, Karnataka, India

Correspondence Address:

S Achalli

Department of Oral Medicine and Radiology, A. B. Shetty Memorial Institute of Dental Sciences, NITTE University, Mangalore - 575 018, Karnataka, India.

Abstract:

Dermatoglyphics is the study of fingerprints and skin patterns. These appear at the 12 th week of intrauterine life and are completely established by the 24 th week of intrauterine life. It is said that thereafter, these configurations remain constant throughout life. It is during the same embryonic period that finger and palm prints, the lip, alveolus, and palate develop. As a result, any factor causing changes in the lip, alveolus, and palate may also cause different patterns in the appearance of finger and palm prints. Hence, fingerprint patterns and other details of dermal ridges may offer distinct advantages and thus may be used as a screening tool, which is easily accessible, economical, and noninvasive marker to detect early malocclusion.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.197462

How to cite this article: Achalli S, Patla M, Nayak U, Soans CR. Dermatoglyphics and orthodontics. Int J Orthod Rehabil 2016;7:144-7.

Original Article

Year : 2016 | Volume : 7 | Issue : 4 | Page : 135-138

Comparison of cephalometric readings between manual tracing and digital software tracing: A pilot study

MK Kamath, AV Arun

Department of Orthodontics, Saveetha Dental College, Chennai, Tamil Nadu, India

Correspondence Address:

M K Kamath

D5, Sneha Sadan, #3, Karpagam Avenue, Chennai - 600 028, Tamil Nadu, India

Abstract:

Aim:

The aim of the study was to analyze and compare the cephalometric readings between manual tracings with digital software tracings using Steiner's analysis.

Materials and Methods:

The conventional lateral cephalograms of twenty participants were obtained. Six hard tissue landmarks were identified, and Steiner's analysis was carried out. The radiographs were manually traced, and the readings were recorded. Following this, the radiographs were uploaded in the FACAD digital software for digital tracing.

Results:

SNA, SNB, lower incisor to NB angle, and linear values show statistically significant differences. The remaining parameters do not show statistical difference.

Conclusion:

The results show a statistical difference between manual and digital tracing. The variation lies in the difference in identification of the hard tissue landmarks.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.197460

How to cite this article: Kamath MK, Arun AV. Comparison of cephalometric readings between manual tracing and digital software tracing: A pilot study. Int J Orthod Rehabil 2016;7:135-8.

Original Article

Year : 2016 | Volume : 7 | Issue : 4 | Page : 130-134

Craniofacial anthropometric measurements of adult Indians in Angles Class I malocclusion

SA Shinde, RB Sable, AS Patil

Department of Orthodontics and Dentofacial Orthopedics, Bharati Vidyapeeth Deemed University Dental College and Hospital, Pune, Maharashtra, India

Correspondence Address:

S A Shinde

Department of Orthodontics and Dentofacial Orthopedics, Bharati Vidyapeeth Deemed University Dental College and Hospital, Pune, Maharashtra, India.

Abstract:

Context:

The study was done on Adult Indians ranging from an age group of 18-25 years inhibiting Angles Class I malocclusion.

Aims:

The objective of the study was to establish the craniofacial anthropometric norms for the young adult (18-28 years) Indians.

Subjects and Methods:

The study group consisted of 150 healthy volunteers with equal number of male and female subjects who had no history of mixed racial parentage. Twenty-one linear measurements were studied from 28 landmarks over six craniofacial regions by two different operators.

Statistical Analysis Used:

Sample t-test was used to study the significance of the difference of each average level of all craniofacial parameters between male and female groups. Chi-square test was used to study the statistical significance of difference of the craniofacial indices between males and females.

Results:

The minimum measurements were contributed by female subjects in most of the craniofacial parameters, except for the eye fissure height (ps-pi) and nose prominence (sn-prn). There is a gender difference in all the measurements except the eye fissure width and nose prominence (independent t-test; P < 0.05). The Indians exhibit some North American White Caucasians (NAWC) features in all regions.

Conclusions:

This study establishes the craniofacial anthropometric norms of the Indians over 21 parameters. Males, in general, have a significantly higher measurement than females in most of the craniofacial parameters. The Indians do exhibit some NAWC like features.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.197459

How to cite this article: Shinde SA, Sable RB, Patil AS. Craniofacial anthropometric measurements of adult Indians in Angles Class I malocclusion. Int J Orthod Rehabil 2016;7:130-4.

Original Article

Year : 2016 | Volume : 7 | Issue : 4 | Page : 124-129

Evaluation of influence of altered lower vertical proportions in the perception of facial attractiveness

J Soni1, TR Shyagali2, N Kulkarni3, D Bhayya4

1 Department of Orthodontics and Dentofacial Orthopaedics, Ahmedabad Dental College, Ahmedabad, India, 2 Department of Orthodontics and Dentofacial Orthopaedics, Hitkarini Dental College and Hospital, Jabalpur, Madhya Pradesh, India, 3 Department of Orthodontics and Dentofacial Orthopaedics, K. M. Shah Dental College, Vadodara, Gujarat, India
4 Department of Pediatric and Preventive Dentistry, Hitkarini Dental College and Hospital, Jabalpur, Madhya Pradesh, India

Correspondence Address:

T R Shyagali

Staff Quarter, Hitkarini Dental College and Hospital Campus, Dumna Road, Jabalpur, Madhya Pradesh, India.

Abstract:

Objective:

The study aimed to evaluate the perception of facial attractiveness by the laypersons and the orthodontist using a series of silhouettes of varying lower facial vertical proportion.

Materials and Methods:

Sixty-three orthodontists and 63 laypersons judged the attractiveness of the series of seven silhouettes of the single person with the varying anterior lower facial height (LFH). The silhouettes were modified using the Corel software. The participants were asked to record their perception on a visual analog scale of 10 cm length. Independent t-test was performed to know the difference between the orthodontists and the laypersons, and the difference between female and male orthodontists and the lay persons.

Results:

Significant difference was noticed for different vertical height modifications. The master silhouette followed by the 2 mm decrease in the LFH followed by the 2 mm increase in the LFH was most preferred profiles by both the orthodontists and the laypersons. The modified silhouette with 6 mm increase or decrease was considered to be the most unattractive profile. There existed a significant difference between male and female laypersons for the lower face decreased by 4 mm and 6 mm silhouettes.

Conclusion:

The esthetic perception in relation to the vertical height by orthodontist and the laypersons in this particular population is similar, and the preferred profile is with average to the decreased LFH. It is recommended that the orthodontist keeps the LFH preference during the execution of the treatment.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.197454

How to cite this article: Soni J, Shyagali TR, Kulkarni N, Bhayya D. Evaluation of influence of altered lower vertical proportions in the perception of facial attractiveness. Int J Orthod Rehabil 2016;7:124-9.

Guest Editorial

Year : 2016 | Volume : 7 | Issue : 4 | Page : 121-123

Maxillary expansion and breathing function: Where we are now?

Department of Medical, Surgical and Health Sciences, University of Messina, Messina, Italy

Correspondence Address:

Rosamaria Fastuca

Department of Medical, Surgical and Health Sciences, University of Messina, Messina, Italy.

Fastuca R. Maxillary expansion and breathing function: Where we are now?. Int J Orthod Rehabil 2016;7:121-3

Fastuca R. Maxillary expansion and breathing function: Where we are now?. Int J Orthod Rehabil [serial online] 2016 [cited 2022 Mar 9];7:121-3. Available from: https://www.orthodrehab.org/text.asp?2016/7/4/121/197451

Since originally proposed by Angell[1]in 1860, the rapid maxillary expansion (RME) treatment has become a popular treatment to correct skeletal transverse maxillary discrepancy. However, the efficiency of such procedures was demonstrated only 100 years later[2],[3]following the advent of proper radiographical recordings.

According to the anatomical proximity between nasal cavity and hard palate, an orthopedic expansion of the former might occur as consequence of the RME treatment. This hypothesis has initially been investigated decades ago. In particular, earlier studies[4],[5]evaluated the advantages of RME treatment in improving nasal airflow in patients with nasal stenosis. It was later suggested that RME treatment triggers effects on nasal width[6],[7],[8]and volume.[9],[10],[11],[12],[13],[14]Indeed, some studies[15],[16]showed a reduction in nasal airway resistance after RME treatment. Consistently, a more recent investigation[17]reported up to 45% increase in nasal cross-sectional areas after expansion. In spite of this evidence, considering the V-shaped opening pattern of the midpalatal suture,[4],[5]the only purpose of increasing respiratory performance has been reported as not sufficient to indicate an RME treatment.[17]

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.197451

How to cite this article: Fastuca R. Maxillary expansion and breathing function: Where we are now?. Int J Orthod Rehabil 2016;7:121-3.