Original Research

Year : 2024 | Volume : 15 | Issue : 1 | Page : 39-50

Impact of irregular appointment interval on Orthodontic treatment amid COVID-19 Pandemic- A Cross sectional Observational Study.

Meera Madgavkar1, Harsh Ashok Mishra2, Raj Kumar Maurya3, Hitesh Ramdas Sawant4, Alok Ranjan4, Parag Gangurde5

1-Intern, 2-Associate Professor, 4-AssistantProfessor, 5-Professor & Head, Department of Orthodontics and Dentofacial Orthopaedics, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Navi Mumbai, Bharati Vidyapeeth (DU) University, Pune, 3-Associate Professor, Government Field Hospital, India.

Address for Correspondence:

Dr. Harsh Ashok Mishra, Associate Professor, Department of Orthodontics and Dentofacial Orthopaedics, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Navi Mumbai. Bharati Vidyapeeth (DU) University, Pune.

Email: dr.mishraharsh@gmail.com

Phone No: 8451840579

Abstract

Introduction: The COVID-19 pandemic situation has affected all professions including orthodontics. The present study proposed determination of impact of irregular appointments on Orthodontic treatment amid COVID-19 pandemic.

Materials and Methods: The cross-sectional observational study design enrolled 134 patients over period of 2 weeks were recorded such as treatment start date, total number of appointments scheduled and frequency of missed appointments after 24 March 2020, Stage of Orthodontic treatment on or before 24 March 2020 i.e., Alignment & levelling b) Space closure c) Finishing and Detailing d) Retention.

Results: The distribution of malocclusion based on Angle Molar criteria showed prevalence of 53.73 % Class I, 37.32 % Class II and 8.95% Class III. The malocclusions were treated predominantly by extraction in 57.46 % and non-extraction in 42.44 % patients. The total treatment duration revealed that more than 51 % patients’ treatment lasted beyond 24 months but finished before 36 months. Similarly, 35.82 % patients’ treatment duration was less than 12 months. It was found that more than 47 % were in Stage I, 28.36 % were in stage II, 18.66 % in stage III and lastly 5.97 % were in stage IV.

Conclusion: Orthodontic emergencies and un-schedule appointments had prevalence of Class I, followed by Class II and Class III with extraction treatment therapy. Majority patients treated with fixed mechanotherapy followed by Clear aligners and Retainers. More than half of the patients had increased treatment duration due to irregular follow up.

SOURCE OF FUNDING

STS 2022 reference ID: 2022-07984

CONFLICT OF INTEREST

The authors have no conflict of interest to declare.

How to Cite this Article: Madgaonkar, M. M., Mishra, D. H., Maurya, D. R. K., Sawant, D. H., Ranjan, D. A., & Gangurde, D. P. (2024). Impact of irregular appointment interval on Orthodontic treatment amid COVID-19 Pandemic- A Cross-sectional Observational Study.: Original Research. International Journal of Orthodontic Rehabilitation, 15(1), 39–50. https://doi.org/10.56501/intjorthodrehabil.v15i1.973.

Original Research

Year : 2024 | Volume : 15 | Issue : 1 | Page : 29-38

The Relationship Between Cervical Headgear Treatment And Maxillary Third Molar Space: A Retrospective Controlled Study

Salma H Ghoneim, Aseel M Alsolami, Samer Saad Alshamrani, Afnan A Nassar, Reem A Alansari, Amal I Linjawi, Khalid H Zawawi

1-BDS. MSc, Assistant Professor, Department of Orthodontics, 2-BDS, Dental Interns, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia, 3-BDS. MPH. Ph.D., Associate Professor, Department of Preventive Dentistry, Public Health Division, Faculty of Dentistry, Umm Al-Qura University, Makkah, Saudi Arabia, 4-BDS, Ph.D., Associate Professor, 5-BDS, MSc, Ph.D., Professor, 6-BDS, DSc, Professor, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia

Address for Correspondence:

Dr.Salma H Ghoneim, Assistant Professor and Consultant of Orthodontics, Department of Orthodontics, King Abdulaziz University, Jeddah, Saudi Arabia.

Email:shghoneim@kau.edu.sa

PhoneNo:+966536568333

Abstract

Introduction: The effect of headgear on the space available for the eruption of upper third molars needed further investigation. Only a few studies looked at the after-treatment effect of headgear on that space, and none have evaluated the long-term effect after the average age of third molar eruption. Therefore, this retrospective study evaluated the short and long-term effects of cervical headgear on the space and eruption of the maxillary third molars and their long-term eruption status.

Materials and Methods: Records of Class II cases treated with cervical headgear were collected at the following time points: (T1) before treatment, (T2) after treatment, and (T3) taken at least 4 years after T2. An untreated control sample was collected from the Bolton-Brush study records. They were matched for age at each time point and malocclusion. Lateral cephalograms were used to measure the distance from the distal surface of the maxillary first molar (U6) to the pterygoid vertical plane (PTV). The third molar status at T3 was categorized into five groups: impacted, extracted, erupted, congenitally missing, and formation stage. Thirty-three cases were included in the cervical headgear group and 19 in the control group.

Results: The position of U6 changed significantly between the headgear and control group at T2 but was similar at T3. In the headgear group, the U6 was significantly distalized (3.3 ±2.9 mm) between T1 and T2 (P=0.006), however, there was a significant relapse of 5.9 (±4.6) mm between T2 and T3 (P<0.001). In the control group, the distance between U6 and PTV increased significantly from T1 to T2 (4.8 ±4.4mm) with minimal change from T2 to T3 (1.5 ±4.8mm). There was no significant relationship between headgear use and third molar status (p=0.108).

Conclusion: Headgear caused a temporary decrease in the U6-PTV distance that was recovered later. This decrease was not observed in the control group. Using cervical headgear to correct Class II malocclusion does not increase the risk of upper third molar impaction.

SOURCE OF FUNDING

No funding was received for the study.

CONFLICT OF INTEREST

The authors have no conflict of interest to declare.

How to Cite this Article: Ghoneim, S., Alsolami, A., Alshamrani, S., Nassar, A., Alansari, R., Linjawi, A., & Zawawi, K. (2024). The Relationship Between Cervical Headgear Treatment And Maxillary Third Molar Space: A Retrospective Controlled Study: Original Research. International Journal of Orthodontic Rehabilitation, 15(1), 29–38.

Review Article

Year : 2024 | Volume : 15 | Issue : 1 | Page : 1-15

Efficacy of Antimicrobial Photodynamic Therapy as an adjunct periodontal intervention in periodontally diseased subjects undergoing orthodontic therapy

MuruganThamaraiselvan 1,SerabHusain 2

1-Professor, Department of Periodontics & Implantology, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, 2-Assistant Professor, Department of Orthodontics and Dentofacial Orthopaedics, Meenakshi Ammal Dental College and Hospital, MAHER, Chennai, Tamilnadu, India.

Address for Correspondence:

Dr. Murugan Thamaraiselvan MDS, PhD

Professor, Department of Periodontics & Implantology, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamilnadu, India.

Email id: Thamaraiselvanperiodontics@gmail.com

Abstract

Photodynamic therapy in fixed orthodontic patients with gingival disease might be beneficial, being non-invasive and having accessibility to difficulty to reach areas like, interdental region with the presence of wires and brackets. This systematic review was designed to analyze the available evidence on the efficacy of antimicrobial photodynamic therapy as an adjunct to scaling in reduction of gingival inflammation in periodontally diseased subjects undergoing fixed orthodontic treatment. Comprehensive search was conducted in electronic databases like PubMed, Scopus and Google scholar along with hand search in relevant journals. Five studies satisfied the criteria and were included in qualitative synthesis of the systematic review. The results of the primary outcome showed adjunctive aPDT did not result in any difference in reduction of gingival inflammation (BOP) compared to scaling alone in fixed orthodontic patients. Only one study showed a significant reduction of gingival inflammation with aPDT, whereas it was better in the scaling group (one study) or no significant difference (3 study) in the other studies. However, aPDT resulted in significant reduction of most of the bacterial species count and proinflammatory cytokine levels in GCF compared to scaling alone. Within the limitations of this systematic review, there is no clear evidence that aPDT adjunctive to scaling has a better effect in reducing gingival inflammation in fixed orthodontic patients. Future studies addressing this area should focus on well planned standardized, long term RCTs that will aid clinicians in making a more evidence - based decision.

CONFLICT OF INTEREST

The authors have no conflicts of interest to declare.

FUNDING

No funding was obtained for the present study.

How to cite this article: Murugan, T., & Serab Husain. (2024). Efficacy of Antimicrobial Photodynamic Therapy as an adjunct periodontal intervention in periodontally diseased subjects undergoing orthodontic therapy : Review Article. International Journal of Orthodontic Rehabilitation, 15(1), 1–15. https://doi.org/10.56501/intjorthodrehabil.v15i1.957

Case Report

Year : 2023 | Volume : 14 | Issue : 4 | Page : 58-61

Uprighting A Horizontally Impacted Mandibular Third Molar Using Modified Bach’s Technique

Anand Marya 1, Arofi Kurniawan 2, Mieke Sylvia Margaretha 2, Annissa Chusida 2, Haryono Utomo 3

1 Department of Orthodontics, Faculty of Dentistry, University of Puthisastra, Phnom Penh, Cambodia, 2 Department of Forensic Odontology, Faculty of Dental Medicine, 3Graduate ForensicStudies, Faculty of Graduate Studies, Universitas Airlangga, Surabaya, Indonesia

Address for Correspondence:

Dr. Anand Marya

Professor and Head, Department of Orthodontics, Faculty of Dentistry, University of Puthisastra, Phnom Penh-12211, Cambodia.

Email Id: amarya@puthisastra.edu.kh

ABSTRACT

There are a number of techniques with which such horizontal impactions can be treated, with no single technique being favored over the other, as these all have pros and cons. Horizontally impacted third molars are usually indicated for extraction, and only in situations where the first or the second molar has to be extracted due to decay is when these are uprighted for replacement of the missing teeth. In contrast to vertically impacted molars, there is a higher chance of success in uprighting horizontally impacted third molars as the cause is lack of space or blockage of the eruptive pathway.

Keywords: Orthodontics, Aligning archwires, Adult orthodontics, Limited outcome Orthodontics, Short term orthodontics

CONFLICT OF INTEREST

The authors have no conflicts of interest to declare.

FUNDING

No funding was obtained for the present study.

How to Cite this Article: Marya, A., Kurniawan, A., Margaretha, M. S., Chusida, A., & Utomo, H. (2024). Uprighting A Horizontally Impacted Mandibular Third Molar Using Modified Bach’s Technique: Case Report. International Journal of Orthodontic Rehabilitation, 14(4), 58–61. https://doi.org/10.56501/intjorthodrehabil.v14i4.936

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 : 108-111

The Subharti protocol for interdisciplinary management of non-vital teeth

Rohit Arora1, Shalya Raj1, Raj Kumar Verma2, Pradeep Raghav2, Smriti Rohilla3

1 Department of Conservative and Endodontics, Subharti Dental College, Meerut, Uttar Pradesh, India, 2 Department of Orthodontics, Subharti Dental College, Meerut, Uttar Pradesh, India, 3 Department of Orthodontics and Dentofacial Orthopaedics, Subharti Dental College, Meerut, Uttar Pradesh, India

Correspondence Address:

Raj Kumar Verma

Department of Orthodontics, Subharti Dental College, Subhartipuram, NH58, Meerut - 250 002, Uttar Pradesh, India.

Abstract:

Endodontic treatment of the teeth is now a common procedure across all age groups, either as a result of caries or as a result of trauma. Furthermore, as the number of adults undergoing orthodontic treatment increases, the number of orthodontic patients presenting with root-filled teeth is on the rise. Trauma is the most common cause of pulp necrosis and loss of vitality. Sometimes, adult patients may present to the clinic with grossly decayed teeth or severely traumatized teeth which often require endodontic treatment, followed by placement of prosthetic crown before orthodontic treatment. There is no consensus regarding timing of root canal treatment, extension of root end filling material, material selection for crown placement, and cement used for crown cementation. There is no well-defined protocol for such cases. Here, in this article, we present well-defined guidelines for endodontic prosthodontic-orthodontic patients so that we can provide better care to patients with less ambiguity about the role of different specialties.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.192534

How to cite this article: Arora R, Raj S, Verma RK, Raghav P, Rohilla S. The Subharti protocol for interdisciplinary management of non-vital teeth. Int J Orthod Rehabil 2016;7:108-11.

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 : 97-100

A questionnaire study about oral hygiene awareness among orthodontic patients

Shristi Nadar1, SP Saravana Dinesh2

1 Department of Orthodontics, Saveetha Dental College, Chennai, Tamil Nadu, India, 2 Department of Orthodontics in Dentofacial Orthopaedics, Saveetha Dental College, Chennai, Tamil Nadu, India

Correspondence Address:

Shristi Nadar

Saveetha Dental College, Chennai, Tamil Nadu, India.

Abstract:

Aim:

The aim of this study was to assess the oral hygiene awareness among orthodontic patients.

Objective:

This research aims to find if patients undergoing orthodontic treatment are aware of the probable accumulation of dental plaque and the consequences of it, namely, bad breath, gum disease, and dental decay.

Materials and Methods:

The study was conducted on orthodontic patients from the Department of Orthodontics in Saveetha University. A self-assessed questionnaire was formulated to assess the oral hygiene awareness among orthodontic patients. The questionnaire was pretested to assess its reliability. It was distributed to 100 patients and only completely filled questionnaires were taken for analysis.

Results:

An average of 44% of the population are aware of the oral hygiene measures. The female population who underwent orthodontic treatment was more aware of the oral hygiene measures compared to men.

Conclusion:

There is a need to incorporate more oral hygiene programs in future. Extra attention should be given in educating and motivating the patients on oral hygiene practices during orthodontic treatment in a proper manner, which will be helpful to the patients in maintaining their oral hygiene.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.192531

How to cite this article: Nadar S, Saravana Dinesh SP. A questionnaire study about oral hygiene awareness among orthodontic patients. Int J Orthod Rehabil 2016;7:97-100.

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.

Short Communication

Year : 2017 | Volume : 8 | Issue : 1 | Page : 38-39

Fibre glass splint retainer with tongue-thrusting spikes

Shrikant Shrinivas Chitko1, Udita Hasmukh Mehta1, Neeraj Suresh Patil1, Veerendra V Kerudi1, Harshal Ashok Patil2

1 Department of Orthodontics, ACPM Dental College, Dhule, Maharashtra, India, 2 Private Orthodontic Practice, Jalgaon, Maharashtra, India

Correspondence Address:

Harshal Ashok Patil

Private Orthodontic Practice, Jalgaon, Maharashtra, India.

Abstract:

Tongue-thrusting is one of the most common habits seen in orthodontics. Complete elimination of the habit to prevent relapse is one of the challenges. Correction of tongue-thrusting habit is quite difficult, more so if the habit is ingrained. Here, we are introducing a retainer made of fiber glass with spikes for tongue-thrusting habit control incorporated in it.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.200220

How to cite this article: Patel P, Shanthraj R, Garg N, Vallakati A. Skeletal Class II division 1 malocclusion treated with twin-block appliance. Int J Orthod Rehabil 2017;8:31-7.

Case Report

Year : 2017 | Volume : 8 | Issue : 1 | Page : 31-37

Skeletal Class II division 1 malocclusion treated with twin-block appliance

Pratik Patel, Ravi Shanthraj, Nekta Garg, Anisha Vallakati

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

Correspondence Address:

Pratik Patel

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

Abstract:

A 10-year-old female presented with a skeletal Class II relation with 7 mm of overjet, 40% overbite, and bilateral posterior lingual crossbite. Two-phase therapy was planned to correct Class II skeletal relation, overjet, overbite, and to achieve lip competency. Phase I therapy was done with twin-block appliance to advance the retrognathic mandible. Phase II therapy was accomplished with fixed appliance for arch coordination to correct minor displacement and to finalize occlusion. Posttreatment, skeletal Class I relation was achieved. Incisors' inclination was improved, and ideal overjet and overbite with bilateral class I molar relationship was achieved. As the mandible advanced, lip competency, facial convexity, and mentolabial sulcus improved.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.200217

How to cite this article: Patel P, Shanthraj R, Garg N, Vallakati A. Skeletal Class II division 1 malocclusion treated with twin-block appliance. Int J Orthod Rehabil 2017;8:31-7.