Journals SDC Journals SDC

Review Article

Year : 2020 | Volume : 11 | Issue : 4 | Page : 189-192

New normality among orthodontists amid pandemic COVID-19

Parijat Chakraborty, Pranshu Mathur, Ragni Tandon, Pratik Chandra, Richa Dhingra

Department of Orthodontics and Dentofacial Orthopedics, Saraswati Dental College, Lucknow, Uttar Pradesh, India

Correspondence Address:
Dr. Parijat Chakraborty
MDS, Consultant Orthodontist Lucknow, Department of Orthodontics and Dentofacial Orthopedics, Saraswati Dental College, Lucknow - 227 105, Uttar Pradesh
India

Abstract:

The most recently found illness COVID-19 is a viral disease that started in Wuhan, China, in December 2019. The dental procedures consist of the use of aerosols when treating patients. Orthodontists, hence, must be aware of the available evidence and guidelines to create a safe environment for themselves, their patients, and the entire orthodontic team. The following literature includes various protocols, and ways out to deal with the pandemic situation, as well as describes the new normality to be accepted post pandemic in clinics as well as college departments.

Source of Support: None

Conflict of Interest: None

DOI: 10.4103/ijor.ijor_27_20

How to cite this article: Chakraborty P, Mathur P, Tandon R, Chandra P, Dhingra R. New normality among orthodontists amid pandemic COVID-19. Int J Orthod Rehabil 2020;11:189-92.

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Review Article

Year : 2020 | Volume : 11 | Issue : 4 | Page : 180-188

Criteria for evaluation of finishing and detailing in orthodontics

Mahendra Kondle, Suresh Kangane, Anand Ambekar, Yatish Joshi

Department of Orthodontics and Dentofacial Orthopaedics, MIDSR Dental College, Latur, Maharashtra, India

Correspondence Address:
Dr. Suresh Kangane
Department of Orthodontics and Dentofacial Orthopaedics, MIDSR Dental College, Latur, Maharashtra
India

Abstract:

Finishing is perhaps one of the most deceiving and difficult phases of orthodontic treatment. The finishing procedures are considered from the beginning stages of the treatment as a part of total scheme of treatment. The great deal of emphasis is placed on achieving perfect finishing and detailing of the orthodontic treatment, so that the results are pleasing to the eye and are more stable and conducive to improved function and health. Thus, the aim of this article is to provide comprehensive knowledge about different criteria about finishing and detailing in orthodontics.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_10_20

How to cite this article: Kondle M, Kangane S, Ambekar A, Joshi Y. Criteria for evaluation of finishing and detailing in orthodontics. Int J Orthod Rehabil 2020;11:180-8.

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Review Article

Year : 2020 | Volume : 11 | Issue : 4 | Page : 175-179

Artificial intelligence and machine learning: The new paradigm in orthodontic practice

V Ganesh Shetty1, Rohan Rai2, K Nillan Shetty2

1 Consultant Orthodontist, Department of Orthodontics and Dentofacial Orthopedics, Mangalore, Karnataka, India, 2 Department of Orthodontics, A J Institute of Dental Sciences, Mangalore, Karnataka, India

Correspondence Address:

Dr. V Ganesh Shetty

A J Institute of Dental Sciences, Mangalore, Karnataka, India.

Abstract:

Artificial intelligence (AI) and machine learning (ML) are powerful tools that can be utilized to overcome some of the clinical problems that orthodontists face daily. With the availability of more data, better AI and ML systems should be expected to be developed that will help orthodontists to practise more efficiently and improve the quality of care. AI is a subfield of computer science concerned with developing computers and programs that have the ability to perceive information and reason, and ultimately, convert that information into intelligent actions. The future may be purely digitized, at the comforts of our home, with orthodontists developing neural programs with orthodontic decision markers to aid in developing AI for patients to take less visits, make more use of their time using orthodontic appliances, and enhance the quality of work. This article will briefly discuss the contributions AI and ML in orthodontics, its history and various uses in orthodontics in specific, and the possibility of development.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_35_20

How to cite this article: Shetty VG, Rai R, Shetty KN. Artificial intelligence and machine learning: The new paradigm in orthodontic practice. Int J Orthod Rehabil 2020;11:175-9.

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Review Article

Year : 2020 | Volume : 11 | Issue : 4 | Page : 168-174

Tooth transplantation and orthodontic movements

Ariadna Colom1, Fernando De la Iglesia2, Alvaro De la Iglesia3, Ernest Lucas-Taulé3, Marc Llaquet4, Andreu Puigdollers5, Federico Hernandez-Alfaro6

1 Dentist, Department of Orthodontics and Dentofacial Orthopedics, International University of Catalonia, Sant Cugat del Valles, Barcelona, Spain
2 Professor Department of Orthodontics and Dentofacial Orthopedics, International University of Catalonia, Sant Cugat del Valles, Barcelona, Spain
3 Dentist. International master of Oral Surgery. International University of Catalonia, Sant Cugat del Valles, Barcelona, Spain
4 Dentist. Master of Endodontics. International University of Catalonia, Sant Cugat del Valles, Barcelona, Spain
5 Chairman, Graduated Program, Department of Orthodontics and Dentofacial Orthopedics, International University of Catalonia, Sant Cugat del Valles, Barcelona, Spain
6 Chairman of International Master of Oral Surgery, International University of Catalonia, Sant Cugat del Valles, Barcelona, Spain

Correspondence Address:

Dr. Ariadna Colom

C/de Josep Trueta, 08195, Sant Cugat del Vallès, Barcelona, Spain.

Abstract:

Dental autotransplants have been performed successfully for many years, but little has been written about its relationship with orthodontics. This article is a review which analyses and highlights all the details about the orthodontic movement in autotransplanted teeth according to their root development. The inclusion criteria for the analysis were the following: human and animal model studies, retrospective and prospective clinical studies, case series, systematic reviews, any tooth type, minimum 20 transplants, languages of publication in Spanish and English, follow-up of at least 1 year, and publications between 1985 and 2017. After examining the titles and abstracts, 168 articles were evaluated, discarding those that were not within the inclusion criteria for agreement and relationship to the research topic.

Source of Support: 

None 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_26_20

How to cite this article: Colom A, la Iglesia FD, la Iglesia AD, Lucas-Taulé E, Llaquet M, Puigdollers A, et al. Tooth transplantation and orthodontic movements. Int J Orthod Rehabil 2020;11:168-74.

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Original Article

Year : 2020 | Volume : 11 | Issue : 4 | Page : 157-167

A correlative study to evaluate the effect of various skeletal and dentoalveolar parameters on smile esthetics in different malocclusion groups

Kanupriya Tarnach, Shruti Mittal, Prerna Hoogan Teja

Department of Orthodontics and Dentofacial Orthopaedics, Swami Devi Dyal Dental Hospital and College, Panchkula, Haryana, India

Correspondence Address:
Dr. Kanupriya Tarnach

H No. 2106 First Floor, Sector 71 Mohali, Punjab, India

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_9_20

Introduction:

The smile is one of the most effective means by which people convey their emotions and from a social standpoint, it is viewed frontally more often than in profile. Smiles can be either posed or spontaneous. Peck and Peck classified smiles as Stages I and II, and Ackerman et al. classified smiles into two basic types: the social smile and the enjoyment smile. Each type involves a different anatomic presentation of the elements of the display zone. Smile characteristics are determined by the interplay of static and dynamic relationships between the dentoskeletal and soft-tissue components of the face. Hence, a study was planned to understand the influence of various skeletal and dentoalveolar parameters on smile esthetics in different malocclusion groups.

Materials and Methods:

Sixty subjects in the age range of 17–25 years were selected and skeletally divided into Groups I and II on the basis of beta angle, ANB angle, and Wits appraisal. Group II was further subdivided into two groups on the basis of Angle's classification of the malocclusion. Various skeletal and dental parameters were measured on cephalogram and smile measurements were made on facial photographs in Adobe Photoshop. Various statistical tests were applied for assessment and comparison of various skeletal and dentoalveolar parameters and their correlation with smile esthetics were in different malocclusion groups.

Results:

Upper lip length was maximum in Class II div 2 malocclusion patients and least in Class I malocclusion patients. It was maximum in horizontal growth pattern patients. It decreased with the increase in proclination of upper incisors. Maxillary incisal display at rest and smile was maximum in Class II div 1 malocclusion patients and least in Class II div 2 malocclusion patients. It was maximum in vertical growth pattern individuals. It increased with the increase in proclination of upper incisors. A similar tendency was shown by the Morley ratio and modified smile. Lip competency was maximum in Class II div 2 patients and minimum in Class II div 1 patients. It was maximum in horizontal growth pattern patients. Proclination of the incisors decreased the lip competency.

Conclusions:

Different skeletal patterns exhibit their characteristic smile features. Orthodontic treatment should be planned considering the correlation of skeletal and dental effects on smile esthetics.

How to cite this article: Tarnach K, Mittal S, Teja PH. A correlative study to evaluate the effect of various skeletal and dentoalveolar parameters on smile esthetics in different malocclusion groups. Int J Orthod Rehabil 2020;11:157-67.

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Original Article

Year : 2020 | Volume : 11 | Issue : 4 | Page : 151-156

Relationship between maxillary sinus findings, Schneiderian membrane thickness, and various skeletal malocclusions in a selected sample of ethnic Kashmiri population: A retrospective cone-beam computed tomography study

Abdul Baais Akhoon1, Mohammad Mushtaq1, Zubair Ahmad Akhoon2

1 Department of Orthodontics, Government Dental College Srinagar, J and K, Skuast, Kashmir, India, 2 Department of Clinical Veterinary Medicine, Fvsc and AH, Shuhama, Skuast, Kashmir, India

Correspondence Address:

Dr. Abdul Baais Akhoon

Government Dental College, Srinagar, Jammu and Kashmir, India.

Objective:

There are very limited studies which have investigated the relationship between maxillary sinus findings and skeletal malocclusion based on cone-beam computed tomography (CBCT). The objectives of this study were to determine the relationship between the patients' skeletal malocclusion and the maxillary sinus findings in ethnic Kashmiri population.

Materials and Methods:

A total of 45 CBCT scans were examined and divided into three groups according to skeletal classification. Two experienced observers reviewed the CBCT images and recorded all maxillary sinus findings. The patients' skeletal malocclusion, the thickness of the Schneiderian membrane, and the pathologic maxillary sinus findings were evaluated.

Results:

The maxillary sinus findings were classified into five groups: 0 = no finding, 1 = mucosal thickening, 2 = polypoidal thickening, 3 = partial opacification, and 4 = total opacification. The statistical analysis showed that there was no correlation between the skeletal malocclusion and pathological maxillary sinus findings. However, there were significant differences in the Schneiderian membrane thicknesses between the groups.

Conclusion:

The Schneiderian membrane thickness was significantly different for Class II and Class III patients (P = 0.002). It was lowest for Class II and highest for Class III group. The relationship between pathological maxillary sinus findings and skeletal malocclusions was statistically insignificant (P > 0.05).

Source of Support: 

None, 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_29_20

How to Cite this Article

Akhoon AB, Mushtaq M, Akhoon ZA. Relationship between maxillary sinus findings, Schneiderian membrane thickness, and various skeletal malocclusions in a selected sample of ethnic Kashmiri population: A retrospective cone-beam computed tomography study. Int J Orthod Rehabil 2020;11:151-6.



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Case Report

Year : 2021 | Volume : 12 | Issue : 1 | Page : 44-49

Unilateral en-masse distalization of maxillary posterior teeth using miniplate

Sankalp Agnani, Kamal Bajaj, Siddharth Mehta

Department of Orthodontics and Dentofacial Orthopedics, Mahatma Gandhi Dental College and Hospital, Jaipur, Rajasthan, India

Correspondence Address:

Dr. Sankalp Agnani

413 Adarsh Nagar, Near Geeta Bhawan, Jaipur, Rajasthan, India.

Abstract

Traditional methods of distalization in maxillary arch require patient cooperation with headgear or elastics, which are awkward for the patient. Hence, numerous intraoral procedures have been offered to reduce patient discomfort. In continuance with such efforts, our aim is to present a successful method of unilateral en-masse distalization using miniplate. Treatment results were evaluated using lateral cephalogram and dental models. Findings suggested that miniplate is effective method of correcting unilateral Class II relationship.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_28_19

How to cite this article: Agnani S, Bajaj K, Mehta S. Unilateral en‐masse distalization of maxillary posterior teeth using miniplate. Int J Orthod Rehabil 2021;12:44-9.

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Case Report

Year : 2021 | Volume : 12 | Issue : 1 | Page : 37-43

En-masse intrusion and retraction with preadjusted edgewise appliance using two different sites of mini-implant placement

A Sumathi Felicita, Shabeena Abdul Kader

Department of Orthodontics, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India

Correspondence Address:

Dr. A Sumathi Felicita

Department of Orthodontics, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, 162, Poonamallee High Road, Chennai, Tamil Nadu, India.

Abstract:

This article compares the treatment outcome between two patients when en-masse intrusion and retraction of the maxillary anterior teeth were performed with mini-implants placed at different sites. Both the patients had a skeletal Class II malocclusion with Angle's Class I molar relation, Class I canine relation, proclination of upper and lower anterior teeth. In the first case, intrusion and retraction was done with conventional friction mechanics for space closure and an intrusive force from a mini-implant placed in the midline. In the second case, intrusion and retraction were done with the application of force from the anterior attachments to mini-implants placed between the second premolars and first permanent molar bilaterally. There was intrusion of the maxillary anterior teeth with both mechanics. However, the evaluation of treatment outcome at the end of space closure showed mesial movement of the maxillary first permanent molar in the first case. In the second case, distal movement and intrusion of the maxillary first permanent molar and decrease in the lower anterior facial height was noted. The mechanics in the first case can be applied for intrusion and retraction of maxillary anterior teeth when anchorage requirement is not critical. The mechanics described in the second case can be used for intrusion and retraction of maxillary anterior teeth in cases with a very high anchorage need and will be beneficial in patients with vertical growth pattern.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_44_20

How to cite this article: Felicita AS, Kader SA. En‐masse intrusion and retraction with preadjusted edgewise appliance using two different sites of mini-implant placement. Int J Orthod Rehabil 2021;12:37-43.

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Case Report

Year : 2021 | Volume : 12 | Issue : 1 | Page : 32-36

Treatment of Class II division 2 malocclusion with orthodontics and surgical combined syngeritic approach

V Ganesh Shetty, K Pratham Shetty

Department of Orthodontics, A J Institue of Dental Sciences, Mangalore, Karnataka, India

Correspondence Address:

Dr. V Ganesh Shetty

M G Road, Mudigere, Chickamagular - 577 132, Karnataka, India

Abstract:

A 21-year-old male presented with irregularily placed upper front teeth, skeletal Class II relation and also Class II molar relation with 100% overbite, retroclined upper central incisors, and proclined right lateral incisor. Nonextraction treatment was planned to correct the malccusion on the diagnosis and treatment planning. Intrusion arch was used to intrude and procline the upper central incisors. Correcting the axial inclination of retroclined incisors caused unlocking of the mandible, presurgical orthodontics was carried out. Followed by surgically correcting the posteriorily positioned mandible, bilateral sagittal split osteotomy mandibular advancement and genioplasty was proformed Posttreatment incisors inclination was corrected, bilateral Class I molar relation was achieved, and canine in its position by postsurgical orthodontics. The smile arc was improved along with mentolabial sulcus and facial profile

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_48_20

How to cite this article: Shetty VG, Shetty KP. Treatment of class II division 2 malocclusion with orthodontics and surgical combined syngeritic approach. Int J Orthod Rehabil 2021;12:32-6.

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Review Article

Year : 2021 | Volume : 12 | Issue : 1 | Page : 26-31

Fixed functional appliances for correction of Class II malocclusion: A review

AK Ckauhan, Fatima Alam, Santosh Verma, Syed Shafaq

Department of Orthodontics and Dentofacial Orthopedics, Kothiwal Dental College and Research Centre, Moradabad, Uttar Pradesh, India

Correspondence Address:
Dr. Fatima Alam

Abul Hasan House, Galshaheed, Prince Road, Moradabad, Uttar Pradesh, India.

Abstract:

This review article presents various fixed functional appliances that have been developed all these years with the aim of correcting Class II malocclusion. Class II malocclusion though multifactorial in etiology, but the main cause is mandibular retrognathia. The treatment aims to modify the direction and amount of mandibular growth rather than restricting the development of the maxilla. Hence, the various appliances were developed removable and fixed with the aim to correct Class II malocclusion. Fixed functional appliances were developed with the aim to correct Class II malocclusion without the need of patient compliance, which was a major concern toward removable functional appliances.

Source of Support: 

None, 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_38_20

How to cite this article: Chauhan AK, Alam F, Verma S, Shafaq S. Fixed functional appliances for correction of Class II malocclusion: A review. Int J Orthod Rehabil 2021;12:26-31.

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Original Article

Year : 2021 | Volume : 12 | Issue : 1 | Page : 19-25

Influence of smile and facial angulations on facial attractiveness: Perceptions of laypersons, dentists and orthodontists

Sweta Saravanan, Sridhar Kannan, Nitin Arora, Ashish Kumar Singh, Abhita Malhotra

Department of Orthodontics, Manav Rachna Dental College, Faridabad, Haryana, India

Correspondence Address:
Dr. Sridhar Kannan
8193, Sector B, Pocket IX, Vasant Kunj, New Delhi - 110 070
India

Abstract:

Objective:

To evaluate the facial profile view perceived as most attractive and whether this attractiveness was influenced in a neutral and smiling face.

Methodology:

Sixty participants (20 each of laypersons, dentists, and orthodontists) were chosen for the study. Their facial photos were taken along with professional models' with normal occlusion. Participants were asked to rate self and model photos using the Visual Analog Scale (VAS) based on attractiveness; select most attractive face by looking at panels with 0°, 30°, 45°, 60°, and 90° rotated facial photos of neutral and smiling for models and self; select most attractive photo from the combination panels of neutral and smiling photos of self and model.

Results:

VAS scores by orthodontists for both neutral and smiling faces for both self and model were more or less similar. Dentists and laypersons found smiling photographs more attractive. The 45 angle was perceived most attractive in self and model for both the neutral and smiling categories separately by all three groups. In the combination category, orthodontist perceived the 0° smiling (model) as the most attractive followed by 45° smiling, whereas dentists and laypersons found 45° smiling photographs most attractive.

Conclusion:

The 45° profile view was most preferred by all three groups when assessing self as well as models. Smiling photographs of both self and model are considered more attractive than neutral photographs.

Source of Support: 

None 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_16_20

How to cite this article: Saravanan S, Kannan S, Arora N, Singh AK, Malhotra A. Influence of smile and facial angulations on facial attractiveness: Perceptions of laypersons, dentists, and orthodontists. Int J Orthod Rehabil 2021;12:19-25.

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Original Article

Year : 2021 | Volume : 12 | Issue : 1 | Page : 13-18

Lip morphology changes after first premolar extractions in patients with bimaxillary protrusion in North Indian population – A pilot study

Swati Kapoor, Ajit Kumar Jaiswal, Girish Chaudhary, Abhimanyu Kochhar, Jasmeet Kaur Ryait, Chanpreet Singh

Department of Orthodontics and Dentofacial Orthopaedics, Baba Jaswant Singh Dental College Hospital and Research Institute, Ludhiana, Punjab, India

Correspondence Address:
Dr. Swati Kapoor
Department of Orthodontics and Dentofacial Orthopaedics, Baba Jaswant Singh Dental College Hospital and Research Institute, Chandigarh Road, Ludhiana - 141 010, Punjab,India.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_45_20

Introduction:

As we witness the soft-tissue paradigm, treating the face becomes more important than just treating the hard tissue variables. Therefore, it becomes crucial to quantify the soft-tissue response to changes in the hard tissue following orthodontic treatment.

Purpose of the Study:

To determine lip morphology changes after first premolar extractions in patients with bimaxillary protrusion as ratios of hard and soft-tissue changes.

Materials and Methods:

The sample consisted of pretreatment and posttreatment lateral cephalograms of 15 subjects with Class I bimaxillary protrusion who had undergone orthodontic treatment with four first premolars extraction and retraction of upper and lower incisors. Pre- and post-treatment lateral cephalograms were traced and superimposed by using SN-7˚ plane. Sixteen linear measurements were made. Statistical analysis was performed to analyze the co-relation between the hard and soft tissue change by Pearson's correlation. Stepwise multiple regression were made to determine factors that related with lip changes.

Results:

Significant changes after treatment were found both in dental and lip analysis. The equations of upper and lower lip changes in sagittal and vertical dimensions were derived.

Conclusion:

Stepwise multiple regression analysis revealed that a 1 mm retraction of the maxillary incisor cervical point would produce a 0.59 mm retraction of upper lip and 1 mm retraction of the mandibular incisor cervical point would produce 0.89 mm retraction of the lower lip. The predictability of this study may be helpful for the clinician in predicting the amount of change in profile of the patient post treatment, thus aiding in planning the treatment

How to cite this article: Kapoor S, Jaiswal A, Chaudhary G, Kochhar A, Ryait JK, Singh C. Lip morphology changes after first premolar extractions in patients with bimaxillary protrusion in North Indian population – A pilot study. Int J Orthod Rehabil 2021;12:13-8.

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Original Article

Year : 2021 | Volume : 12 | Issue : 1 | Page : 8-12

Assessment of condylar morphology in patients with unilateral posterior crossbite

Kiranjeet Kaur, Ajit Jaiswal, Girish Chaudhary, Jasmeet Ryait, Abhimanyu Kochhar, Chanpreet Singh,

Department of Orthodontics and Dentofacial Orthopedics, Baba Jaswant Singh Dental College Hospital and Research Institute, Ludhiana, Punjab, India

Correspondence Address:

Dr. Kiranjeet Kaur

Baba Jaswant Singh Dental College Hospital and Research Institute, Chandigarh Road, Ludhiana - 141 010, Punjab, India.

Introduction:

Symmetry and balance in the facial morphology is an important factor determining facial attractiveness. Unilateral posterior crossbite is a common form of posterior crossbite that is usually associated with a functional mandibular shift which might, in the long run, lead to mandibular asymmetry. Thus, there was a need to study this malocclusion and its influence on the facial symmetry in young adults as any factor contributing to alteration in facial symmetry requires evaluation. The purpose of the study was to assess the condylar symmetry in patients with unilateral posterior crossbite.

Materials and Methodology:

The study was conducted on the pretreatment orthopantomograms (OPGs) of sixty cases, out of which thirty had unilateral posterior crossbite (crossbite group) and thirty had normal occlusion in the transverse plane (control group). The Condylar height(CH), Ramal height(RH), and Condylar + Ramal height(CH+RH) were compared within the groups, and their asymmetry indices were compared between the groups using ANOVA test.

Results:

The CH and CH + RH were significantly reduced on the crossbite side as compared to the normal side in the unilateral posterior crossbite group. The asymmetry indices were increased in the unilateral posterior crossbite group as compared to the control group.

Discussion:

OPGs can be used to evaluate vertical mandibular asymmetry. The condylar asymmetry index was increased in the group with unilateral posterior crossbite indicating a greater asymmetry between the two condyles in that group as compared to the control group. The finding was in concordance with a study done in the past.

Conclusion:

The unilateral posterior crossbite group showed reduced CH and CH + RH values on the crossbite side in comparison to the noncrossbite side. The same group showed a greater CH index (more than 3%) as compared to the control group, indicating that the patients with unilateral crossbite develop asymmetry in the mandibular condyle region.

Source of Support: 

None, 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_46_20

How to cite this article: Kaur K, Jaiswal A, Chaudhary G, Ryait J, Kochhar A, Singh C. Assessment of condylar morphology in patients with unilateral posterior crossbite. Int J Orthod Rehabil 2021;12:8-12.



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Original Article

Year : 2021 | Volume : 12 | Issue : 1 | Page : 1-7

Comparative evaluation of frictional forces between ceramic brackets, metal insert ceramic brackets, and conventional metal brackets with three different arch wires: An in vitro study

Paul Thomas, Poornima Jnaneshwar, Krishnaraj Rajaram, Shreya Kishore, Keerthi Venkatesan

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

Correspondence Address:

Dr. Poornima Jnaneshwar

SRM Dental College, Ramapuram, Chennai, Tamil Nadu, India

Abstract:

Background:

The aim of the study was to compare and evaluate the frictional resistance of clarity advanced ceramic brackets, metal insert ceramic bracket, and conventional metal brackets with Nickel–titanium wire and stainless-steel archwire of varying dimensions.

Materials and Methods:

The sample size with 80% power was 45. The samples were divided into three groups each group consisting of 15, Group 1 – Clarity Advanced Ceramic Brackets (3M Unitek). Group 2 – Metal insert Ceramic Brackets (3M Unitek). Group 3 – Conventional Metal Brackets, the control group (3M Unitek). The wires used for testing were 0.016” Niti, 0.017 ×× 0.025” Niti and 0.019 ×× 0.025” SS.

Results:

In the present study, it was found that wire material (nickel titanium) had an effect on friction. It was found that metal insert ceramic bracket exhibited similar frictional resistance when compared to metal brackets for 0.017 × ×0.025” Niti and 0.019 × 0.025” SS wires. The Clarity Advanced bracket had the highest frictional resistance followed by metal insert ceramic and least with the conventional metal.

Conclusion:

Clarity advanced can be the bracket of choice for the esthetically discerning patients who do not require extraction for orthodontic reasons, but the high frictional resistance in relation to larger rectangular Niti archwires should be considered. In adult patients who require extraction in the treatment plan, metal insert ceramic brackets are definitely a pleasing alternative when compared to metal brackets.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_47_20

How to cite this article: Thomas P, Jnaneshwar P, Rajaram K, Kishore S, Venkatesan K. Comparative evaluation of frictional forces between ceramic brackets, metal insert ceramic brackets, and conventional metal brackets with three different arch wires: An in vitro study. Int J Orthod Rehabil 2021;12:1-7.



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Case Report

Year : 2021 | Volume : 12 | Issue : 2 | Page : 85-90

Noncompliant way of maxillary molar distalization

N Ibemcha Chanu1, Kuldeep Phukon1, Trilokya Bharali1, Jitendra Sharan2

1 Department of Orthodontic and Dentofacial Orthopedics, Regional Dental College and Hospital, Guwahati, Assam, India, 2 Department of Dentistry, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India

Correspondence Address:

Dr. Jitendra Sharan

Department of Dentistry, All India Institute of Medical Sciences, Sijua, Bhubaneswar - 751 019, Odisha, India.

ABSTRACT

An 11-year-old female patient presented with a chief complaint of labially blocked out maxillary canines and irregular teeth in the upper arch. Clinical examination and evaluation revealed an Angle's Class II malocclusion on an underlying Class II skeletal base with a crowded maxillary arch, blocked out maxillary canines, mild crowding in the mandibular arch, convex profile, and obtuse nasolabial angle. Her skeletal maturity status was Stage III of the cervical vertebrae maturity index (CVMI). A nonextraction treatment plan was considered for this case, which involves bilateral permanent first molar distalization of the maxillary arch using Jones jig distalizer followed by fixed orthodontic mechanotherapy using 022 MBT prescription. The posttreatment outcome shows an appreciable improvement in facial esthetics and occlusion. Further postorthodontic phase has retained a stable occlusion and pleasing facial profile.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_43_20

How to cite this article: Chanu NI, Phukon K, Bharali T, Sharan J. Noncompliant way of maxillary molar distalization. Int J Orthod Rehabil 2021;12:85-90.

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Case Report

Year : 2021 | Volume : 12 | Issue : 2 | Page : 79-84

An innovative therapeutic alternative for correcting the direction of eruption of a lower mandibular cuspid: A mixed dentition case report

Patricia Vergara-Villareal1, Karen Haydar Del Castillo2, Diana Milena Ramírez-Ossa3, Diana María Barbosa-Liz4

1 Orthodontic Posgraduate Program, Universidad de Cartagena, Cartagena, Colombia, 2 Orthodontic Private Practice, Cartagena, Colombia , 3 Orthodontic Posgraduate Program, GIONORTO Research Group, Universidad de Antioquia, Medellín, Colombia, 4 Maxillary Orthopedic Posgraduate Program, Orthodontic Posgraduate Program, GIONORTO Research Group, Universidad de Antioquia, Medellín, Colombia

Correspondence Address:

Prof. Diana María Barbosa-Liz
Faculty of Dentistry. University of Antioquia, Calle 70 # 52-21, Medellín, Colombia.

Abstract:

The use of miniscrews (MSs) as temporary anchorage devices in orthodontics has gained increased attention among researchers in recent years. However, these screws are usually used in permanent dentition. This case report discusses a patient for which an MS was used. An 11-year-old male with mixed dentition presented an ectopic eruption in his mandibular right canine had ectopic eruption. This altered pattern of eruption was corrected using surgical exposure and orthodontic traction with an elastic chain, assisted by a 2 mm × 10 mm interradicular MS placed between the patient's first and second lower deciduous molars. After 5 months with this traction, the patient's right lower cuspid ectopic guide was corrected. This use of an interradicular MS in mixed dentition was found to be both useful and safe.

Source of Support: 

None, 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_8_21

How to cite this article: Vergara-Villareal P, Del Castillo KH, Ramírez-Ossa DM, Barbosa-Liz DM. An innovative therapeutic alternative for correcting the direction of eruption of a lower mandibular cuspid: A mixed dentition case report. Int J Orthod Rehabil 2021;12:79-84.



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Review Article

Year : 2021 | Volume : 12 | Issue : 2 | Page : 72-78

Fast track orthodontics: A review on methods of accelerating orthodontic treatment

Vaibhav R Ambashikar, Suresh K Kangane, S Anand Ambekar, Yatishkumar S Joshi

Department of Orthodontics, MIDSR Dental College, Latur, Maharashtra, India

Correspondence Address:

Dr. Vaibhav R Ambashikar

7, Department of Orthodontics, PG Section, MIDSR Dental College and Hospital, Ambajogai Road, Vishwanathpuram, Latur - 413 512, Maharashtra, India.

Abstract:

Orthodontic treatment is, possibly, in terms of duration extent, the lengthiest dental procedure performed. There will be an increased favorable attitude for orthodontic treatment if the duration of the orthodontic treatment is reduced. Unfortunately, long-term orthodontic treatment also poses several disadvantages like a higher predisposition to dental caries, gingival recession, and root resorption. Quickening orthodontic tooth movement (OTM), i.e., accelerating, can remarkably decrease treatment time and side effects. Orthodontic treatment comprises the response of the tissues surrounding the tooth on which the force is being applied that happens on a cellular, mechanical level, and chemical. So, to improve the body's response to these orthodontic forces, various ways were found to accelerate the treatment, such as surgical methods (corticotomy, piezosurgery, etc.), mechanical/physical stimulation methods (vibration, lasers), drugs, etc., Hence, this review captures the current knowledge on accelerated OTM.

Source of Support: 

None, 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_4_21

How to cite this article: Ambashikar VR, Kangane SK, Ambekar SA, Joshi YS. Fast track orthodontics: A review on methods of accelerating orthodontic treatment. Int J Orthod Rehabil 2021;12:72-8.

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Review Article

Year : 2021 | Volume : 12 | Issue : 2 | Page : 64-71

Severe acute respiratory syndrome-coronavirus-2 viral infection and orofacial clefts: A review on patient care during and after COVID-19 pandemic

Smarika Pravinprakash Jain1, Pavankumar Vibhute1, Chetan Patil1, Vinay Umale1, Balaji Kendre1, Pankaj Akhare2

1 Department of Orthodontics, Yogita Dental College, Ratnagiri, Maharashtra, India, 2 Department of Orthodontics, Swargiya Dadasaheb Kalmegh Smruti Dental College, Nagpur, Maharashtra, India

Correspondence Address:

Dr. Smarika Pravinprakash Jain

Department of Orthodontics, Yogita Dental College, Khed, Ratnagiri, Maharashtra, India

Abstract:

To summarize the details on severe acute respiratory syndrome-coronavirus-2 (SARS-Cov-2) viral infection and the effects of this infection on care of patients with orofacial clefts and provision of guidelines for orofacial cleft surgeries during Corona virus disease 2019 (COVID-19) by using recent available literature. PubMed and Google Scholar and current reports from major health bodies such as the Centers of Disease Control and Prevention, World Health Organization, National Institutes of Health, and major national associations of cleft lip and palate were searched for information which is relevant from orthodontic care for orofacial cleft point of view. Major priority is given to recent articles and peer-reviewed articles. Narration is done due to limitations in the quality of evidence and rapidly evolving information on the nature of COVID-19. Major relevance to the dental field is human-to human transmission of SARS-CoV-2. People who are infected mostly show mild symptoms, but patients with advanced age or any underlying disease or comorbidity may show severe multiorgan complications. During the COVID-19 pandemic, it is important to maintain social distancing and minimize direct contact. Most clinics and hospitals have determined that multidisciplinary visits, feeding, and speech-language evaluations are largely nonessential and can tolerate a delay. A specific plan with good foundation should be followed for emergency orthodontic care with effective communication and triage.

Source of Support: 

None, 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_42_20

How to cite this article: Jain SP, Vibhute P, Patil C, Umale V, Kendre B, Akhare P. Severe acute respiratory syndrome-coronavirus-2 viral infection and orofacial clefts: A review on patient care during and after COVID-19 pandemic. Int J Orthod Rehabil 2021;12:64-71.

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Original Article

Year : 2021 | Volume : 12 | Issue : 2 | Page : 51-57

A Content Analysis of “Ultra morphology, Surface Roughness of Enamel, and Clinical Manifestations on Dental Health after Various Enamel Stripping, Polishing, and Poststripping Enamel Protection Methods”

Shitanshu Tiwari, Purva Joneja, Deepak Singh Choudhary

Department of Orthodontics and Dentofacial Orthopedics, Bhabha College of Dental Sciences, Bhopal, Madhya Pradesh, India

Correspondence Address:

Dr. Shitanshu Tiwari

H.No. 37, Shiva Royal Park, Sallaiya, Bhopal, Madhya Pradesh, India

Abstract:

Background:

The purpose of the study is to qualitatively evaluate the ultramorphology, surface roughness, and clinical manifestations on dental health after various stripping, polishing, and postpolishing enamel protection methods which were followed by various researchers to sum up the more pragmatic and less pragmatic results through the research methodology of content analysis.

Objectives:

To qualitatively and inductively evaluate various stripping, polishing, and postpolishing enamel protection methods on ultramorphology and enamel surface roughness along with its clinical effects on dental health after thorough content analysis to provide a sound knowledge to the clinician to justify their decisions related to interproximal reduction (IPR), to make it an extremely useful space gaining tool if used with due caution.

Materials and Methods:

A comprehensive search of articles related to this study was collected from the past 25 years and a conceptual type of content analysis of all the selected articles was done. Inferences obtained through the analysis of the documented research data were then summed up in tabular form.

Results:

The results summated to the very important fact that all stripping methods microscopically leave a roughened enamel surface but clinically have no deleterious effects on dental health if performed judiciously followed by appropriate polishing and postpolishing protection methods.

Conclusion:

It can be determined that IPR should be carried out with greatest caution when using coarser stripping devices followed by prolonged polishing, but cautious use of finer stripping devices could be a better choice along with suitable polishing and protection methods.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_7_21

How to cite this article: Tiwari S, Joneja P, Choudhary DS. A Content Analysis of “Ultra morphology, Surface Roughness of Enamel, and Clinical Manifestations on Dental Health after Various Enamel Stripping, Polishing, and Poststripping Enamel Protection Methods”. Int J Orthod Rehabil 2021;12:51-7.

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Original Article

Year : 2021 | Volume : 12 | Issue : 2 | Page : 58-63

A novel diagnostic tool for sagittal jaw relationship: The P angle

Pavankumar Ramsharan Singh, Anand S Ambekar, Suresh K Kangane

Department of Orthodontics and Dentofacial Orthopaedics, Maharashtra Institute of Dental Sciences and Research Dental College, Latur, Maharashtra, India

Correspondence Address:

Dr. Pavankumar Ramsharan Singh

7, PG Section, Department of Orthodontics, Maharashtra Institute of Dental Sciences and Research Dental College, Latur - 413 512, Maharashtra, India.

Abstract:

Aim:

To introduce a new cephalometric measurement called P-angle using three skeletal landmarks&#s8212;point S, point Gn, and point A, to evaluate the sagittal relationship between the maxilla and mandible.

Materials and Methods:

A total of 130 pretreatment lateral cephalograms were selected and segregated into skeletal Class I, II, and III groups based on W-angle and ANB angle. It included 50 Class I (25 males and 25 females), 50 Class II (25 males and 25 females), and 30 Class III (13 males and 17 females) skeletal pattern patients. The P angle was formed between the line from point A perpendicular to the S-Gn line and line A-Gn. The P-angle and W-angle were measured in each patient. Data was entered in MS Excel sheet and analyzed by using SPSS software 24.0 version IBM USA. The mean and standard deviation of P-angle and W-angle was calculated and were compared using an unpaired t-test.

Results:

The unpaired t-test results showed that there is no significant difference between P-angle and W-angle in Class I, Class II, and Class III skeletal pattern.

Conclusion:

P-angle can be used as an adjunct for W-angle during pretreatment cephalometric tracing.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_6_21

How to cite this article: Singh PR, Ambekar AS, Kangane SK. A novel diagnostic tool for sagittal jaw relationship: The P angle. Int J Orthod Rehabil 2021;12:58-63.



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