Original Research

Year : 2024 | Volume : 15 | Issue : 1 | Page : 16-28

Perception of Dental Caries Risk and Prevention among Orthodontic Patients – A Cross-Sectional Survey

Doaa H. Alsaggaf 1, Salha R. Aljohani 2

1,2Assistant Professor, Department of Orthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.

Address for Correspondence: Doaa H.Alsaggaf, BDS, DScD, ABO King Abdulaziz University, Faculty of Dentistry, Department of Orthodontics, Alsulemaneya, POBox80209, Jeddah 21589, Saudi Arabia

Tel: +966506357194

Email: dalsaggaf@kau.edu.sa

Abstract

Aim: To investigate the perception of dental caries risk and prevention among patients undergoing orthodontic treatment and to assess the influence of the oral hygiene information attained during orthodontic visits on patients’ perception of dental caries prevention.

Methods: A cross-sectional questionnaire gathered information from 207 orthodontic patients (aged 18 and older). The questionnaire included questions about patients’ demographics, perception of dental caries risk and prevention during orthodontic treatment, and oral hygiene information received in orthodontic visits. Frequency distributions of responses were evaluated. Chi-square test was used to assess the differences in patients’ perception of dental caries prevention by demographics, and the oral hygiene information received during orthodontic appointments.

Results: 74.9% of orthodontic patients perceived to be responsible for dental caries during orthodontic treatment, and 30.4% of patients perceived that it is abnormal to develop dental caries during treatment. Patients receiving information about tooth brushing methods and oral hygiene accessories during orthodontic appointments had a better perception of appropriate oral hygiene in preventing dental caries (P= 0.01 and P= 0.04, respectively). Moreover, patients receiving dietary information during orthodontic appointments had a better perception of supporting a good diet and avoiding sweets in preventing dental caries (P< 0.001 and P= 0.02, respectively).

Conclusion: There is a need to improve orthodontic patients’ perception of their risk of dental caries during orthodontic treatment and the manners that would help to avoid new decay lesions. Orthodontists should not underestimate the value of providing and reinforcing oral hygiene instructions throughout the course of orthodontic treatment. 

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: Alsaggaf, D. H., & Aljohani, S. R. (2024). Perception of Dental Caries Risk and Prevention among Orthodontic Patients – A Cross-Sectional Survey: Original Research. International Journal of Orthodontic Rehabilitation, 15(1), 16–28. https://doi.org/10.56501/intjorthodrehabil.v15i1.960

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 : 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

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 : 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.

Original Article

Year : 2017 | Volume : 8 | Issue : 1 | Page : 19-25

Evaluation of psychological stress in orthodontic PG students in India

A Chacko, T Tikku, K Srivastava

Department of Orthodontics, Babu Banarasi Das College of Dental Sciences, Lucknow, Uttar Pradesh, India

Correspondence Address:

K Srivastava

Department of Orthodontics, Babu Banarasi Das College of Dental Sciences, Lucknow, Uttar Pradesh, India.

Abstract:

Introduction:

Psychological stress is associated with many professions including dental surgery and is commonly encountered among BDS students, which later increases during post graduation (MDS). In this study we intended to identify the perceived sources and the extent of the psychological stress in the Orthodontic post-graduate students, and also evaluate the influence of different variables on overall stress and the effect of various stress relievers among the PG students.

Material and Method:

A questionnaire type of survey was conducted among 80 Orthodontic post graduate students (39 male and 41 female). A total of 22 factors were shortlisted for the questionnaire and were grouped under three broad categories as Personal, Curriculum Factors and Clinical Factors which were scored on a four point scale as 0- Not applicable, 1- Mild stress, 2–Moderate stress, 3–Severe stress.

Result:

The result showed that the majority of the PGs were definitely stressed, with females being more stressed than males, though the difference between two genders was statistically non-significant for most of the perceived sources of stress except for home sickness . In overall stress scores for different variables, the difference was statistically non-significant in all of them. Among the stress busters use of social media, alcohol and smoking were significantly associated with some of the student characteristics.

Conclusion:

The stress levels in PG curriculum definitely exist and the students should adopt proper stress busters to relieve the stress so as to work efficiently during their course.

Source of Support: 

None 

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.200218

How to cite this article: Chacko A, Tikku T, Srivastava K. Evaluation of psychological stress in orthodontic PG students in India. Int J Orthod Rehabil 2017;8:19-25.

Original Article

Year : 2017 | Volume : 8 | Issue : 1 | Page : 11-18

Gingival biotype and its relation to incisors' inclination and dentopapillary complex: An in vivo study

Nekta Garg1, A Bhagyalakshmi1, N Raghunath1, BM Shivalinga1, BS Avinash2

1 Department of Orthodontics, JSS Dental College, Mysore, Karnataka, India, 2 Department of Periodontology, JSS Dental College, Mysore, Karnataka, India

Correspondence Address:

Nekta Garg

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

Abstract:

Objectives:

To study the gingival biotype and its relation to maxillary and mandibular incisor inclination and its relation to dentopapillary complex.

Materials and Methods:

This cross-sectional study included 150 consecutive patients seeking orthodontic treatment at JSS Dental College, Mysore. Gingival biotype was assessed for maxillary and mandibular incisors using a digital vernier caliper. Maxillary and mandibular incisors' inclination and position were measured using cephalometric analysis. Parameters of dentopapillary complex were recorded from the dental casts.

Results:

The prevalence of thin gingival biotype was 42.66% for maxillary and 39.33% for mandibular incisors. A significant association was found between mandibular incisor inclination and thin gingival biotype, whereas there was no association between maxillary incisor inclination and gingival biotype. There was a significant correlation between gingival biotype and crown length, area of papilla, area of crown, and papilla length with P = 0.001 each.

Conclusion:

Mandibular incisor proclination is associated with thin gingival biotype, whereas no association is found in the maxilla. The correlation between gingival biotypes and dentopapillary complex is confirmed in this study. Evaluation of gingival biotype is of paramount importance during treatment planning for orthodontic patients.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.200219

How to cite this article: Garg N, Bhagyalakshmi A, Raghunath N, Shivalinga BM, Avinash BS. Gingival biotype and its relation to incisors’ inclination and dentopapillary complex: An in vivo study. Int J Orthod Rehabil 2017;8:11-8.

Original Article

Year : 2017 | Volume : 8 | Issue : 1 | Page : 5-10

Evaluation of reliability of index of orthodontic treatment need for assessment of orthodontic treatment need

N Singh, D Bagga, R Sharma, R Singh

Department of Orthodontics and Dentofacial Orthopedics, Maulana Azad Institute of Dental Sciences, New Delhi, India

Correspondence Address:

N Singh

Department of Orthodontics and Dentofacial Orthopedics, Maulana Azad Institute of Dental Sciences, New Delhi - 110 002, India.

Objective:

The aim of this study was to evaluate the reliability of index of orthodontic treatment need (IOTN) for assessment of orthodontic treatment need.

Materials and Methods:

A total of 106 subjects of aged between 18 and 25 years with no history of orthodontic treatment were selected by the convenience sampling method from the nondental student population of institutions belonging to North Indian population. The expressed demand for orthodontic treatment by the subjects was assessed using questionnaire. The self-perception of the subjects about orthodontic treatment need was done using aesthetic component (AC) of IOTN. The need for orthodontic treatment was evaluated by the investigator using AC and dental health component (DHC) of IOTN and by a panel of orthodontists using subjective assessment of the patient's study models.

Results:

Orthodontic treatment need to be determined by the investigator using DHC of IOTN moderately correlated with the demand of orthodontic treatment by the subjects as assessed using subjects response to questionnaires (ρ = 0.627) and orthodontic treatment need to be determined by the opinion of the panel of orthodontists (ρ = 0.598).

Conclusion:

DHC of IOTN was found to be reliable for evaluating orthodontic treatment need.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.200224

How to cite this article: Singh N, Bagga D, Sharma R, Singh R. Evaluation of reliability of index of orthodontic treatment need for assessment of orthodontic treatment need. Int J Orthod Rehabil 2017;8:5-10.