Journals SDC Journals SDC

Case Report

Year : 2019 | Volume : 10 | Issue : 2 | Page : 92-94

Treatment of anterior open bite using mini-implants

Poornima R Jnaneshwar, Suresh Anand Kumar, Krishnaraj Rajaram

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

Correspondence Address:

Dr. Poornima R Jnaneshwar

Department of Orthodontics, SRM Dental College, Ramapuram, Chennai - 600 089, Tamil Nadu, India.

Abstract:

The paper focuses on orthodontic management of anterior open bite by using mini-implants. Orthodontic mini-implants have been extensively used for anchorage, and they have widened the spectrum of tooth movement that can be achieved. A clinical case with anterior open bite treated with orthodontic fixed mechanotherapy along with mini-implants for anchorage is presented.

Source of Support: 

None 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_26_18

How to cite this article: Jnaneshwar PR, Kumar SA, Rajaram K. Treatment of anterior open bite using mini-implants. Int J Orthod Rehabil 2019;10:92-4.

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Review Article

Year : 2019 | Volume : 10 | Issue : 2 | Page : 88-91

A multidisciplinary approach in the management of impacted maxillary canine

Jeremiah Robert Moshy, Karpal Singh Sohal,

Department of Oral and Maxillofacial Surgery, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania

Correspondence Address:

Karpal Singh Sohal

Department of Oral and Maxillofacial Surgery, Muhimbili University of Health and Allied Sciences, P.O. Box 65014, Dar es Salaam, Tanzania.

Abstract:

Impaction of maxillary canines is a commonly encountered clinical problem whose treatment requires a multidisciplinary approach. Thorough clinical and radiological evaluation is very important in appropriately planning the management of impacted maxillary canine. In the present article, an overview of diagnosing and managing the impacted maxillary canines has been discussed.

Source of Support: 

None, 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_7_19

How to cite this article: Moshy JR, Sohal KS. A multidisciplinary approach in the management of impacted maxillary canine. Int J Orthod Rehabil 2019;10:88-91.

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Review Article

Year : 2019 | Volume : 10 | Issue : 2 | Page : 82-87

Extending the envelope of regenerative medicine in orthodontics by stem cells

S D Milling Tania1, Ashwin Mathew George2

1 Department of Orthodontics, Rajas Dental College, Tirunelveli, Tamil Nadu, India, 2 Department of Orthodontics, Saveetha Dental College, Chennai, Tamil Nadu, India

Correspondence Address:

Dr. S D Milling Tania,

Rajas Dental College, Kavalkinaru, Tirunelveli - 627 105, Tamil Nadu, India

Source of Support: 

None, 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_20_19

Stem cell (SC) therapy has become a buzz word in several debilitating diseases in medicine. This rapidly evolving cutting-edge technology has slowly extended its tentacles in dentistry without sparing orthodontics. There are several conditions in orthodontics which are only being partly answered by human-engineered techniques. With the hope of getting a complete solution to several such problems, research in SC therapy has gained momentum in orthodontics for the past few decades. Electronic databases were searched for the material collection; language restriction was not followed. The following keywords were used: stem cell and orthodontics. The search was not limited to any particular type of study design. This review article describes various possible areas in orthodontia where SC therapy will and can be applied in future based on the evidence from a collection of several such studies conducted in those areas.

How To Cite This Article:

Tania SD, George AM. Extending the envelope of regenerative medicine in orthodontics by stem cells. Int J Orthod Rehabil 2019;10:82-7.

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Review Article

Year : 2019 | Volume : 10 | Issue : 2 | Page : 75-81

Orthodontic apps: A stairway to the future

Sameer Makarand Phatak, Suchita Sadashiv Daokar

Department of Orthodontics and Dentofacial Orthopedics, CSMSS Dental College and Hospital, Aurangabad, Maharashtra, India

Abstract:

The increasing usage of smartphones is rapidly changing our lives both personally and professionally. In healthcare and dentistry, various apps are accessible on the smartphone to educate patients about orthodontics and help them through their treatment. Also, various apps are available for the orthodontist to manage patients and to update oneself on the current modalities of treatment. The aim of this article was to review the various apps available on the iOS Apple Store and Google Play Store for patients and orthodontists. Two smartphones were used to search for apps using keywords such as orthodontics, orthodontist, braces specialists, and braces. A total of 354 apps relevant to orthodontics were found on both the iOS and Android platforms. These apps could be classified as patient education apps, patient management apps, diagnostic apps, and updating apps.

Correspondence Address:

Dr. Suchita Sadashiv Daokar

Department of Orthodontics and Dentofacial Orthopedics, CSMSS Dental College and Hospital, Aurangabad - 431 011, Maharashtra, India.

Source of Support: 

None 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_10_19

How to cite this article: Phatak SM, Daokar SS. Orthodontic apps: A stairway to the future. Int J Orthod Rehabil 2019;10:75-81.

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Original Article

Year : 2019 | Volume : 10 | Issue : 2 | Page : 70-74

Comparative evaluation of Tweed's analyses in Class I, Class II, and Class III participants of Central India: A pilot study

Shail Kumari1, Shirish M Bapat1, Kshitij Gupta1, Bosco Thomas2

1 Department of Orthodontics and Dentofacial Orthopaedics, Rishiraj College of Dental Sciences and Research Centre, Bhopal, Madhya Pradesh, India,

2 Peoples Dental Academy, Bhopal, Madhya Pradesh, India

Correspondence Address:

Dr. Shail Kumari

Department of Orthodontics and Dentofacial Orthopaedics, Rishiraj College of Dental Sciences and Research Centre, Bhopal - 462 037, Madhya Pradesh, India.

Objective:

Comparative evaluation of Tweed's analyses in Class I, Class II, and Class III participants of Central India in two different age groups.

Materials and Methods:

Sample size comprised 240 participants belonged to Central India. Participants were divided into two main groups: Group I comprised 120 young children in the age group of 12–16 years and Group II comprised 120 young adults in the age group of 18–22 years. Tweed's analysis was performed from the collected sample.

Results:

The lower incisor inclination (incisor-mandibular plane angle [IMPA]) in Central India participants was higher (100.13°) compared to the original Tweed norm of IMPA 90°. Statistically higher value of IMPA was found in young male children compared to young female children in Class II div 1 and Class II div 2 participants and opposite trend was seen in Class III young adults. The Frankfort-mandibular plane angle was found to be significantly more in young adult females (24.93°) than males (18.07°) in Class III participants. Angle IMPA was found to be significantly higher in Class I compared to Class III participants and significantly higher in Class III compared to Class II div 2 participants.

Conclusion:

The differences of Tweed's parameters in this pilot study indicate that Caucasian norms cannot be truly adhered to Central India participants during orthodontic treatment. Lower incisors were normally more proclined in Central Indian participants and their over retraction during orthodontic treatment would cause prominent chin. Proclination of lower incisor was more in young male children compared to young female children in Class II div 1 and Class II div 2 participants and opposite trend was seen in Class III young adults. Class III female adults show tendency toward vertical growth pattern compared to males. Proclination of lower incisor was found to be more in Class I compared to Class III participants and more in Class III compared to Class II div 2 participants.

Source of Support: 

None, 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_9_19

How to cite this article: Kumari S, Bapat SM, Gupta K, Thomas B. Comparative evaluation of Tweed's analyses in Class I, Class II, and Class III participants of Central India: A pilot study. Int J Orthod Rehabil 2019;10:70-4.

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Original Article

Year : 2019 | Volume : 10 | Issue : 2 | Page : 65-69

Evaluation of different force magnitude to orthodontic microimplants on various cortical bone thickness – Three-dimensional finite element analysis

BC Patil, Akash Kencha, Spoorthy Obalapura, Vishwanath Patil, Kasturi Patil

Departments Orthodontic and Dentofacial Orthopedics and Orthodontics, H.K.E.S's S.N Institute of Dental Sciences and Research, Gulbarga, Karnataka, India

Correspondence Address:

Dr. Akash Kencha

Kencha Complex, Madival Chowk, Udgir Road, Bidar - 585 401, Karnataka, India.

Abstract:

Aims:

The aim of this study was to determine appropriate range of cortical bone thickness (CBT) to adequately support microimplants and optimum force magnitude on microimplants for minimal stress distribution.

Settings and Design:

Three-dimensional (3D) CAD models of the desired implant features and cylindrical bone piece of desired height and thickness were exported to FEA software, and variable load was applied on range of different CBT to determine the compressive radial stress and maximum failure load.

Subjects and Methods:

it is clearly said that CBT of various thickness which will represent human maxilla and mandibular bone. The force magnitudes ranging from 15 g to 150 g (in range of 15 g, 50 g, 85 g, and 150 g) were taken to simulate typical orthodontic forces loaded onto microimplant.

Statistical Analysis Used:

Statistical data were analyzed by IBM SPSS Statistics for windows Version 20.0 (IBM Corp., Armonk, NY, USA) software. For quantitative data analysis, ANOVA test was used.

Results:

For CBTs of 0.5, 1.5, 2.5, and 3.0 mm, the maximum force magnitudes that could be applied safely were 533.7, 551.7, 552.3, and 552.9, respectively. Even though there was no difference statistically, the amount of displacement for CBT 1.5–3.0 mm is comparatively less than for 0.5 mm. CBT value of 1.5–3.0 mm might be appropriate for microimplant stability.

Conclusions:

For the purpose of diminishing orthodontic microimplant failure, an optimal force that can be safely loaded onto a microimplant should not exceed a value of around 533–553 g. The CBT of 1.5–3.0 mm might be considered appropriate for the stability of microimplant.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_30_18

How to cite this article: Patil BC, Kencha A, Obalapura S, Patil V, Patil K. Evaluation of different force magnitude to orthodontic microimplants on various cortical bone thickness – Three-dimensional finite element analysis. Int J Orthod Rehabil 2019;10:65-9.

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Original Article

Year : 2019 | Volume : 10 | Issue : 2 | Page : 57-64

Assessment of early orthodontic treatment need and its relationship with sociodemographic characteristics among Tanzanian children using index for preventive and interceptive orthodontic treatment need

Joseph Paulinus Tungaraza1, Matilda Mtaya-Mlangwa2, Abella Emeria Mugonzibwa2

1 Clinician, Muhimbili National Hospital, Dar es Salaam, Tanzania,

2 Department of Orthodontics Paedodontics and Community Dentistry, School of Dentistry, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania

Correspondence Address:

Dr. Joseph Paulinus Tungaraza

P.O. Box 65000, Dar es salaam, Tanzania

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_15_19

Background:

Early orthodontic treatment (EOT) aims at identifying and intervening occlusal conditions in primary and early-mixed dentition.

Aim:

This study aimed at assessing EOT need and its relationship with sociodemographic characteristics using the index for preventive and interceptive orthodontic treatment needs (IPION) among schoolchildren in Dar es Salaam, Tanzania.

Study Setting and Design:

An analytical cross-sectional study was conducted among schoolchildren aged 6 and 9 years.

Materials and Methods:

Schoolchildren were selected by multistage cluster sampling technique. Questionnaires were used to obtain sociodemographic information; clinical examinations were done to record schoolchildren's IPION scores.

Statistical Analysis Used:

Data were analyzed using a computer software, SPSS version 20.0. Chi-square test was used for assessing statistical differences between variables; P value was set at P < 0.05.

Results:

A total of 667 schoolchildren were involved (59.5% girls; 52.5% 9-year-olds). In 6-year-olds, 77.9% had caries, and in 9-year-olds, 60% had caries. Lower-second primary molars were the most common prematurely lost teeth. Increased overjet was the most frequently recorded occlusal anomaly. Many 9-year-old boys than girls had caries (67.4% vs. 55.5%, P = 0.032). Six-year-olds with mothers who were homemakers compared to those with employed mothers experienced caries (81.7% vs. 71.0%, P = 0.034). Overall, 67.2% and 41.7% of the participants had EOT need and definite EOT need, respectively.

Conclusion:

EOT need for malocclusions was high in the involved school children, these will thus benefit from preventive and interceptive orthodontic treatment programs.

How to cite this article: Tungaraza JP, Mtaya-Mlangwa M, Mugonzibwa AE. Assessment of early orthodontic treatment need and its relationship with sociodemographic characteristics among Tanzanian children using index for preventive and interceptive orthodontic treatment need. Int J Orthod Rehabil 2019;10:57-64.

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Erratum

Year : 2019 | Volume : 10 | Issue : 3 | Page : 145

Erratum: Phase I correction of skeletal Class III malocclusion with a modified tandem appliance

Erratum: Phase I correction of skeletal Class III malocclusion with a modified tandem appliance. Int J Orthod Rehabil [serial online] 2019 [cited 2022 Mar 8];10:145. Available from: https://www.orthodrehab.org/text.asp?2019/10/3/145/263419

In the article titled “Phase I correction of skeletal Class III malocclusion with a modified tandem appliance”, published on pages 150-153, Issue 4, Volume 8 in International Journal of Orthodontic Rehabilitation[1], the term “ANB -5” is incorrectly mentioned as “ANB 5” on page 150, under Case Report 3rdparagraph 3rdline.

The correct statement should be read as “Cephalometric analysis was indicative of a retrognathic maxilla (SNA 78), mildly prognathic mandible (SNB 83) causing a Class III skeletal base (ANB -5) with a horizontal growth pattern [Table 1]”

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.263419

How to Cite This Article:

Erratum: Phase I correction of skeletal Class III malocclusion with a modified tandem appliance. Int J Orthod Rehabil 2019;10:145

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Short Communication

Year : 2019 | Volume : 10 | Issue : 3 | Page : 143-144

Modification of maxillary splint for simultaneous protraction and esthetic rehabilitation of anterior teeth

Deepak Chauhan, Sanjeev Datana, Abhijeet Kadu, SS Agarwal, Vishvaroop Nagpal, Varun Govindraj

Department of Dental Surgery and Oral Health Sciences, Division of Orthodontics and Dentofacial Orthopedics, AFMC, Pune, Maharashtra, India

Correspondence Address:

Deepak Chauhan

Department of Dental Surgery and Oral Health Sciences, Division of Orthodontics and Dentofacial Orthopedics, AFMC, Pune - 411 040, Maharashtra, India

Abstract:

Cleft lip and palate (CLP) patients struggle from multiple limitations, both functionally and esthetically, impeding their social and psychological development. These patients adapt fairly to the functional requirements, but esthetic aspect is always compromised, which play a significant role in their overall development and their acceptance in the society. Early rehabilitation of the esthetic component in the form of replacement of the missing anterior teeth has a positive impact on the quality of life of these patients, which is usually neglected in the early phase of orthodontic treatment. This paper attempts to address the esthetic aspect of CLP patient with a clinical modification of conventional treatment modality.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_22_19

How to cite this article: Chauhan D, Datana S, Kadu A, Agarwal SS, Nagpal V, Govindraj V. Modification of maxillary splint for simultaneous protraction and esthetic rehabilitation of anterior teeth. Int J Orthod Rehabil 2019;10:143-4.

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Review Article

Year : 2019 | Volume : 10 | Issue : 3 | Page : 138-142

Vibrations in orthodontics: Is it the future?

Syeda Shabana Yashmin1, Akansha Pandey2, Syed Tanweer Ahmad Sabir3

1 Consultant Orthodontist, Private Practice, Dr. Sabir's Care, Assam, India, 2 Consultant Orthodontist, Private Practice, Lucknow, Uttar Pradesh, India, 3 Department of Orthodontics, Regional Dental College, Assam, India

Correspondence Address:

Syeda Shabana Yashmin

Dr. Sabir's Care Clinic, Titabar Tinali, Jorhat - 785 630, Assam, India.

Abstract:

Ever since the advent of orthodontic therapy, time required for orthodontic treatment has always been under the scanner. Various studies have been done solely for the purpose of decreasing the treatment time. Few methods were invasive while others are not successful enough in accelerating the treatment time. One of the latest methods to accelerate orthodontic treatment is the use of high-frequency small-magnitude vibrations at specific locations. Various animal studies have already been carried out to enhance the methods used to increase orthodontic tooth movement (OTM) and in turn decrease the treatment time. Electronic databases of PubMed library were searched from 1998 to 2018. Ten clinical studies were evaluated after considering the inclusion and exclusion criteria. It was concluded that high-frequency low-magnitude vibrations can increase OTM by activation of receptor activator of nuclear factor-kappa B/receptor activator of nuclear factor-kappa B ligand pathway and stimulating the periodontal tissues.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_24_19

How to cite this article: Yashmin SS, Pandey A, Sabir ST. Vibrations in orthodontics: Is it the future? Int J Orthod Rehabil 2019;10:138-42.

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Review Article

Year : 2019 | Volume : 10 | Issue : 3 | Page : 134-137

Effects of orthodontic therapy on halitosis

Nithin Varghese Joy, Pratham Pai, H Jyothikiran, N Raghunath

Department of Orthodontics, JSS Dental College and Hospital, JSS Academy of Higher Education and Research, Mysore, Karnataka, India

Abstract:

Halitosis denotes the offensive odor of breath. The condition frequently causes embarrassment, may affect interpersonal social communication, and has also become an important market for pharmacological and cosmetic industries. A recent study reveals a prevalence rate of 21.7%–35.3% for halitosis among Indian dental students. The effect of orthodontic treatment, be it fixed or removable appliance therapy on the rate of halitosis is substantial. This article is an attempt to throw light on the various determinants of halitosis during orthodontic therapy and also presents few tips for better breath during the same.

Correspondence Address:

Nithin Varghese Joy

Department of Orthodontics, JSS Dental College and Hospital, JSS Academy of Higher Education and Research, Mysore, Karnataka, India

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_11_19

How to cite this article: Joy NV, Pai P, Jyothikiran H, Raghunath N. Effects of orthodontic therapy on halitosis. Int J Orthod Rehabil 2019;10:134-7.

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Review Article

Year : 2019 | Volume : 10 | Issue : 3 | Page : 121-133

Light-curing unit (devices)

Pooja Garbadrao Hadole, Suchita Sadashiv Daokar

Department of Orthodontics, CSMSS Dental College and Hospital, Aurangabad, Maharashtra, India

Correspondence Address:

Suchita Sadashiv Daokar

Department of Orthodontics, CSMSS Dental College and Hospital, Aurangabad - 431 002, Maharashtra, India.

Abstract:

Bonding is the most published and researched procedure in orthodontics. Since its inception in 1954 by Buonocore, bonding material and technique have undergone major innovations and upgrading. Self-cured bonding materials were truly replaced with light cure ones, which provide an added advantage of controlled curing time and ease of operation. The light cure bonding material needs a specific light cure device for its curing. These devices have also undergone major changes in the past years. Halogen light cure devices were replaced by plasma arc, and recently, market is now flooded with light emitting diode light cure devices. However, literature search failed to reveal any review on this aspect. Hence, the author felt the need to review this untrodden topic. This article deals in detail with the various light cure devices used in orthodontics.

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_1_19

How to cite this article: Hadole PG, Daokar SS. Light‐curing unit (devices). Int J Orthod Rehabil 2019;10:121-33.

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Original Article

Year : 2019 | Volume : 10 | Issue : 3 | Page : 116-120

Analysis of frontal sinus in various malocclusions

Aishwarya Sabharwal, Amol S Patil, Siddharth Shinde, Vinit Swami

Department of Orthodontics, Bharati Vidyapeeth Dental College and Hospital, Pune, Maharashtra, India

Correspondence Address:

Aishwarya Sabharwal

Department of Orthodontics, Bharati Vidyapeeth Dental College and Hospital, Pune-Satara Road, Katraj, Dhankawadi, Pune - 411 043, Maharashtra, India

Abstract:

Aims:

The study aims to investigate the normal dimensions of the frontal sinus and determine the role of the frontal sinus in various skeletal malocclusions and also to analyze the relationship between the length of the mandible and frontal sinus dimension.

Materials and Methods:

A total of 120 lateral cephalograms were selected according to the criteria and were grouped mainly into three groups: Group 1 – Class I (N = 40), Group 2 – Class II (n = 40), and Group 3 – Class III (n = 40). These were traced and analyzed by recording the linear measurements such as maximum width, maximum height, area of frontal sinus region, and the length of the mandible. To compare the difference between the skeletal classes, one-way ANOVA test was performed followed by post hoc with Sidak and Bonferroni statistical tests.

Results:

There was no such significant difference in the measurements of maximum width, height, and area of frontal sinus region of classes I, II, and III.

Conclusions:

After analyzing the linear dimensions, we found out that there is a significant difference in height, width, and area of the frontal sinus region with respect to classes I, II, and III. Therefore, we can say that the frontal sinus plays a significant role in depicting skeletal malocclusions.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_16_19

How to cite this article: Sabharwal A, Patil AS, Shinde S, Swami V. Analysis of frontal sinus in various malocclusions. Int J Orthod Rehabil 2019;10:116-20.

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Original Article

Year : 2019 | Volume : 10 | Issue : 3 | Page : 112-115

Study of patterns of sella turcica with different malocclusions

Pranali Kadam, Aishwarya Sabharwal, Amol S Patil, Anand Sabane, Veera Bhosale

Department of Orthodontics, Bharati Vidyapeeth Dental College and Hospital, Pune, Maharashtra, India

Correspondence Address:

Aishwarya Sabharwal

Department of Orthodontics, Bharati Vidyapeeth Dental College and Hospital, Satara Road, Katraj, Dhankawadi, Pune - 411 043, Maharashtra, India.

Abstract:

Background:

In the field of orthodontics and dentofacial orthopedics, for treatment of malocclusion, diagnosis of facial skeletal type is one of the important aspects. Sometimes, cephalograms are not enough to determine the facial skeletal pattern. Hence, the relationship between sella turcica and other facial skeletal patterns can guide us to determine the proper facial skeletal type and can also help in treatment planning.

Aims:

The aim of the study was to investigate the normalcy of the dimensions of sella turcica and comparison of the relationship of sella turcica with different skeletal malocclusions.

Materials and Methods:

A total of 90 pretreatment digital lateral cephalograms were selected according to the criteria and grouped into 3 groups: Group 1: Class I (n = 30), Group 2: Class II (n = 30), and Group 3: Class III (n = 30). Lateral cephalograms were traced and studied on the basis of sella turcica. The following linear measurements were recorded: length, depth, and diameter of the sella.

Statistical Analysis Used:

Data were subjected to descriptive analysis for mean and standard deviation of all variables and ranges. ANOVA and a post hoc test (Bonferroni and Sidak) were used for multiple comparisons. P <0.05 was considered as the level for statistically significant data.

Results:

The linear measurements of length and diameter showed statistically significant differences in Class I, Class II, and Class III (P = 0.005). However, depth showed no statistically significant difference in the groups.

Conclusions:

The importance of sella turcica is established and normalcy is set by statistical analysis, and the standard values are given for the dimensions of the sella turcica. This can be used for further analysis and reference standards for the Indian population. The length and diameter were statistically significant with different groups. The largest value was given in Class III.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_17_19

How to cite this article: Kadam P, Sabharwal A, Patil AS, Sabane A, Bhosale V. Study of patterns of sella turcica with different malocclusions. Int J Orthod Rehabil 2019;10:112-5.

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Original Article

Year : 2019 | Volume : 10 | Issue : 3 | Page : 105-111

A radiographic study on craniofacial morphology and dental development in the Jordanian patients with ß-thalassemia major

Juman Mohammad Al-zaben1, Dima Hamdi Bader2, Razan Jamil Salaymeh3

1 Orthodontic Department, Al-Bashir Hospital, Amman, Jordan, 2 Oral Medicine Department, Al-Bashir Hospital, Amman, Jordan, 3 Pediatric dental Department, Al-Bashir Hospital, Amman, Jordan

Correspondence Address:

Juman Mohammad Al-zaben

Department of Dental, Orthodontic Clinic, Al-Bashir Hospital, P. O. Box: Amman, Jordan.

Abstract:

Objective of the Study:

This study aimed to study the cephalometric features of Jordanian patients diagnosed with ß-thalassemia major and compare their dental development with their chronological age.

Subjects and Methods:

This was a case–control study. Lateral cephalometric radiographs of 27 thalassemia patients and controls (matched for age and ethnic origin) were analyzed and compared. Panoramic radiographs of 18 thalassemia patients were analyzed by the Demirjian system to assess their dental development and compare with their chronological age using t-test, with P < 0.05 set as the level of statistical significance.

Results:

Thalassemia patients exhibited a highly significant difference, compared to the controls, in sagittal relationship (ANB), mandibular plane inclination (MxP/MnP), anterior rotation of the maxilla (SN/Mxp), the ratio of posterior to anterior face height, and the upper incisors' distance to the maxillary base (P < 0.005). Prominent upper and lower lips (P < 0.001) and an acute nasolabial angle (P < 0.05) were evident in thalassemia patients compared to controls. Thalassemia patients had a delay in dental development with advancing age. Furthermore, there was a statistically significant correlation (P < 0.001) between the extent of this delay and chronological age, which indicates that the delay increases, as the patient gets older.

Conclusions:

Jordanian ß-thalassemia major patients have a Class II skeletal pattern, a prominent vertical growth direction of the mandible, protruded upper and lower lips, and proclined upper incisors. Furthermore, they have a delay in dental development with advancing age.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_13_19

How to cite this article: Al‐zaben JM, Bader DH, Salaymeh RJ. A radiographic study on craniofacial morphology and dental development in the Jordanian patients with ß‐thalassemia major. Int J Orthod Rehabil 2019;10:105-11.

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Original Article

Year : 2019 | Volume : 10 | Issue : 3 | Page : 99-104

Assessment of incisor positions in Yemeni population with different skeletal patterns

Talat Hasan Al-Gunaid

Department of Pediatric Dentistry and Orthodontics, College of Dentistry, Taibah University, Medina, Saudi Arabia; Department of Orthodontics, Faculty of Dentistry, Ibb University, Ibb, Yemen

Correspondence Address:

Talat Hasan Al-Gunaid

Department of Pediatric Dentistry and Orthodontics, College of Dentistry, Taibah University, Medina

Abstract:

Objectives:

This study aimed to determine the position of the incisors and its effects on the profile, identify any possible gender differences, and compare the maxillary and mandibular anterior teeth positions between participants of short, average, and long faces.

Materials and Methods:

This study comprised cephalometric radiographs of 82 participants (male: 42, female: 40) with a mean age of 21.9 ± 2.8 years. The participants were divided into three groups: short face group: Frankfort mandibular plane angle (FMA) <25°, average face group: FMA ≥25°–<30°, and long face group: FMA ≥30°. Seven linear and eight angular measurements were measured and compared between the three groups.

Results:

No gender differences were found. The short face participants tend to have more proclined lower incisors, more protruded chin, more mandibular incisor display, and more retrusive upper lip position than the average and long face groups.

Conclusions:

The short face participants tend to have more proclined lower incisor, more protruded chin, a more mandibular incisor display, and more retrusive upper lip position than the average face and long face groups.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_26_19

How to cite this article: Al‐Gunaid TH. Assessment of incisor positions in Yemeni population with different skeletal patterns. Int J Orthod Rehabil 2019;10:99-104.

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Short Communication

Year : 2019 | Volume : 10 | Issue : 4 | Page : 185-187

Correction of bilaterally rotated premolars in bilateral cleft lip and palate patients: An innovative approach

Deepak Chauhan, Sanjeev Datana, Vishvaroop Nagpal, SS Agarwal, Varun Govindraj

Department of Dental Surgery and Oral Health Sciences, Division of Orthodontics and Dentofacial Orthopedics, AFMC, Pune, Maharashtra, India

Correspondence Address:

Dr. Deepak Chauhan

Department of Dental Surgery and Oral Health Sciences, Division of Orthodontics and Dentofacial Orthopedics, AFMC,Pune - 411 040, Maharashtra, India.

Abstract:

Maxillary hypoplasia is a constant feature among patients with cleft lip and palate (CLP), more pronounced in sagittal and transverse dimensions. Transverse maxillary deficiency is first addressed using various expansion appliances. Due to the excessive scarring on the palatal tissue, there is a high chance of relapse of the expansion achieved, and the challenge is to hold the results achieved. Palatal arch holding appliance is commonly used to prevent relapse and to maintain the achieved expansion. Management of difficult cases like bilateral CLP (BCLP) demands speeding up the pace of treatment by innovations in the appliance structures or treatment procedures to shorten the treatment period. This article attempts to address the reduction in the total treatment time in BCLP patients with a clinical modification of conventional treatment modality.

Source of Support: 

None 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_29_19

How to cite this article: Chauhan D, Datana S, Nagpal V, Agarwal SS, Govindraj V. Correction of bilaterally rotated premolars in bilateral cleft lip and palate patients: An innovative approach. Int J Orthod Rehabil 2019;10:185-7.

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Case Report

Year : 2019 | Volume : 10 | Issue : 4 | Page : 180-184

Rapid maxillary expansion in a pseudo Class III malocclusion with blocked out maxillary canines

Vanashree Vilas Takane1, Kanhoba Mahabaleshwar Keluskar2, Siddharth Shirsat1, Ganesh Prasad Shetty3

1 Consultant Endodontist, Thane, Maharashtra, India, 2 Department of Orthodontics and Dentofacial Orthopaedics, KLE V.K. Institute of Dental Sciences, JNMC Campus, Nehrunagar, Belagavi, Karnataka, India, 3 Consultant Orthodontist, Manipal, Karnataka, India

Correspondence Address:

Dr. Vanashree Vilas Takane

Smilekart Dental Clinic, Brahmand Thane West 400607, Maharashtra, India.

Abstract:

A major factor determining if early correction of an anterior crossbite will be stable is the achievement of a positive overbite. A clinician should avoid extracting maxillary teeth in Class III cases to contain the forward growth of the mandible. This article presents a case report of a pseudo Class III patient with anterior crossbite and maxillary blocked out canines, based on the best available evidence. We hereby propose a combination of rapid maxillary expansion with 2 × 4 appliance to provide a predictable and effective approach to managing pseudo Class III treatment with blocked out canines (moderate crowding) that were once considered implausible. A clinician should avoid extracting maxillary teeth in Class III cases to contain the forward growth of the mandible.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_25_19

Takane VV, Keluskar KM, Shirsat S, Shetty GP. Rapid maxillary expansion in a pseudo Class III malocclusion with blocked out maxillary canines. Int J Orthod Rehabil 2019;10:180-4.

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Case Report

Year : 2019 | Volume : 10 | Issue : 4 | Page : 175-179

Klippel–Feil syndrome: A rare case and its management

Vinni Arora1, Rekha Sharma1, Mehak Bansal1, Dhiraj Garg2

1 Department of Orthodontics and Dentofacial Orthopedics, PGIDS, Rohtak, Haryana, India, 2 Department of Orthodontics, MAIDS, New Delhi, India

Correspondence Address:

Dr. Vinni Arora

Department of Orthodontics and Dentofacial Orthopedics, PGIDS, Rohtak, Haryana, India.

Abstract:

A relatively smaller number of orthodontic patients are affected by known craniofacial anomalies that affect oral and dental tissues. The greatest advantage in knowing that a patient has a particular syndrome is that it allows a much better prediction of future development that might happen in such individual and necessary precautions to be taken while management of these cases. This case report provides features of a patient with Klippel–Feil syndrome and orthosurgical management of an adult male to effectively improve patient esthetics and function.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_27_19

How to cite this article: Arora V, Sharma R, Bansal M, Garg D. Klippel–Feil syndrome: A rare case and its management. Int J Orthod Rehabil 2019;10:175-9.

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Original Article

Year : 2019 | Volume : 10 | Issue : 4 | Page : 161-167

Assessment and correlation of the position and orientation of the hyoid bone in Class I, Class II, and Class III Malocclusions

Aishwarya Prashant Gundawar, Deven Mahesh Rawlani, Amol S Patil, Anand Sabane

Department of Orthodontics, Bharati Vidyapeeth Dental College and Hospital, Pune, Maharashtra, India

Correspondence Address:

Dr. Aishwarya Prashant Gundawar

Department of Orthodontics, Bharati Vidyapeeth Dental College and Hospital, Pune-Satara Road, Katraj-Dhankawadi, Pune - 411 043, Maharashtra, India.

Abstract:

Objective:

This study aims to examine and correlate the position and orientation of the hyoid bone in Class I, Class II and Class III malocclusions.

Materials and Methods:

A total of 90 pretreatment digital lateral cephalograms were chosen in accordance with the established criteria and categorized into three groups, namely: Class I (n = 30), Class II (n = 37), and Class III (n = 23) malocclusions. The lateral cephalograms were traced and various linear and angular parameters such as MPH, H-NL, H-Go, H-Me, H-FH, H-C3, NSH, and H-NL were measured. The standard deviation and arithmetic mean values were computed for every measurement, after which independent t-test was conducted to study the variations between the skeletal classes of malocclusions.

Results:

The linear measurements of H-Me and H-C3 were found to be statistically significant. The angular measurements of SNA and ANB were also statistically significant and indicated the dissimilarities in the different classes of malocclusions. The anteroposterior position of hyoid bone was established, but the superoinferior positioning was found to be statistically insignificant.

Conclusion:

A significant difference occurs in the position and orientation of Hyoid Bone in relation to its surrounding structures in Class I, II, and III malocclusions. The hyoid bone is more anteriorly placed in Class III malocclusions than Class II which is more posteriorly placed. The superoinferior positioning of hyoid bone was found to be statistically insignificant in this study.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_18_19

How to cite this article: Gundawar AP, Rawlani DM, Patil AS, Sabane A. Assessment and correlation of the position and orientation of the hyoid bone in Class I, Class II, and Class III Malocclusions. Int J Orthod Rehabil 2019;10:161-7.

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