Journals SDC Journals SDC

Case Report

Year : 2018 | Volume : 9 | Issue : 2 | Page : 82-85

Periodontally accelerated osteogenic orthodontics
Siddhesh Dolas1, Alkesh Shende2, Rohit Kulshrestha1, Harshal Patil3

1 Consulting Orthodontist, Private Practice, Mumbai, India, 2 Consulting Periodontist, Private Practice, Mumbai, India, 3 Consulting Orthodontist, Private Practice, Jalgaon, Maharashtra, India

Correspondence Address:
Rohit Kulshrestha
Consulting Orthodontist, Private Practice, Mumbai, Maharashtra
India

Abstract:

The orthodontic treatment is perhaps in terms of duration, the longest performed dental procedure. To accelerate tooth movement, orthodontists and periodontists together have worked out a successful technique termed as Wilckodontics, commonly known as periodontally accelerated osteogenic orthodontics. It is an emerging technology in the field of dentistry. Wilckodontics has solved the dilemma of rapid tooth movement by exploiting the dynamics of bone physiology and redirecting the emphasis in tooth movement to the manner in which the supporting bone responds to orthodontic forces. In this article, a 27-year-old male, with a Class I moderately crowded malocclusion, elected to undergo this new treatment option, due to the estimated reduction in treatment time. This case report shows one case of lower anterior crowding done using this technique. The total orthodontic treatment, from bracketing to debracketing, required exactly 6 months, with 12 orthodontic adjustments.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_3_18

How to cite this article: Dolas S, Shende A, Kulshrestha R, Patil H. Periodontally accelerated osteogenic orthodontics. Int J Orthod Rehabil 2018;9:82-5.

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Case Report

Year : 2018 | Volume : 9 | Issue : 2 | Page : 78-81

Orthodontic management of missing maxillary central incisor

Chagam Reddy Manjunatha, Arun Kumar Dasari, Mohammed Moinuddin Ali Mir, Mir Hasan Ali, Kodipelly Goutham

Department of Orthodontics, SVS Institute of Dental Sciences, Mahabubnagar, Telangana, India

Correspondence Address:

Dr. Arun Kumar Dasari

Department of Orthodontics, SVS Institute of Dental Sciences, Mahabubnagar - 509 002, Telangana, India.

Abstract:

The maxillary incisors are the most frequently fractured teeth which hamper the esthetic, functional, and psychological aspects of an individual. Of the many treatment options available, orthodontic space regaining and prosthetic implant for the replacement of missing central incisor is the best multidisciplinary treatment approach. This case report describes a 19-year-old female patient who reported with crooked appearance of upper anterior teeth due to loss of space in the right central incisor tooth area. The patient was treated with prosthetic implant in the space restored by orthodontics.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_37_17

How to cite this article: Manjunatha CR, Dasari AK, Ali Mir MM, Ali MH, Goutham K. Orthodontic management of missing maxillary central incisor. Int J Orthod Rehabil 2018;9:78-81.

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Review Article

Year : 2018 | Volume : 9 | Issue : 2 | Page : 72-77

Gemstone of human personality: The smile

Sukhpal Kaur

Department of Orthodontics and Dentofacial Orthopaedics, Desh Bhagat Dental College and Hospital, Fatehgarh Sahib, Punjab, India

Correspondence Address:

Dr. Sukhpal Kaur

Chandigarh Sirhind Road, Fatehgarh Sahib - 140 406, Punjab, India

Abstract:

The science of smiling was initiated by Charles Darwin. He noticed that the causes, consequences, and manifestations of smiling are universal, whereas many other nonverbal body language behaviors such as gesture or touch differ between cultures and are therefore probably learnt. People express their emotions through smile and also it plays an important role in facial beauty. In this article, we will discuss various patterns of smile and factors influencing esthetics of smile.

Source of Support:

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_43_17

How to cite this article: Kaur S. Gemstone of human personality: The smile. Int J Orthod Rehabil 2018;9:72-7.

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original Article

Year : 2018 | Volume : 9 | Issue : 2 | Page : 64-71

An in vitro comparison of shear bond strength using different bonding techniques in amelogenesis imperfecta cases

Megha Shankar Chougule1, Rajesh Bajranglal Kuril1, Jyotirmayee Batkishor Dalai2, Sanjeet Bechanram Maurya1

1 Department of Orthodontics and Dentofacial Orthopedic, YMT Dental College and Research Institute, Mumbai, Maharashtra, India, 2 Department of Paedodontics and Preventive Dentistry, YMT Dental College and Research Institute, Mumbai, Maharashtra, India

Correspondence Address:

Dr. Rajesh Bajranglal Kuril

Department of Orthodontics and Dentofacial Orthopedic, YMT Dental Hospital, Sector 4, Kharghar, Mumbai - 410 210, Maharashtra, India

Introduction:

The objective of this study is to assess and compare shear bond strength (SBS) using different bonding techniques in amelogenesis imperfecta (AI) cases.

Materials and Methods:

Totally 30 extracted premolars from AI cases and 10 premolars from normal cases were obtained. The first group of (10) normal samples was treated with 37% orthophosphoric acid (H3PO4), second group (10) of AI cases was treated with conventional technique (37% H3PO4), third group (10) with sodium hypochlorite (5% NaOCl), and fourth group (10) with 2% sodium fluoride (2% NaF). Brackets were bonded using Transbond XT light curing adhesive and SBS was measured using the Instron universal testing machine.

Results:

Statistically highly significant difference observed between the strengths of all four groups (P < 0.01) with the mean highest for control group followed by NaF conditioning and NaOCl conditioning and least for conventional bonding procedure in AI cases. On pairwise comparison using Tukey's post hoc test, statistically highly significant difference was observed between the mean SBS for control group versus Group 2, Group 3, and Group 4, Group 2 versus Group 3, and Group 2 versus Group 4.

Conclusion:

Brackets bonded by conventional technique showed lower SBS as compared to NaOCl and NaF in AI cases. The application of 2% NaF gel for 4 min before acid etching of hypomineralized tooth surface shows significantly higher SBS as compared to conventional and NaOCl group in AI cases.

Source of Support: 

None 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_47_17

How to cite this article: Chougule MS, Kuril RB, Dalai JB, Maurya SB. An in vitro comparison of shear bond strength using different bonding techniques in amelogenesis imperfecta cases. Int J Orthod Rehabil 2018;9:64-71.

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Original Article

Year : 2018 | Volume : 9 | Issue : 2 | Page : 55-63

Effect of malocclusion severity on oral health-related quality of life and food intake ability in orthodontic patients

Aneeta Johny, BK Rajkumar, S Nagalakshmi, R Ramesh Kumar, S Vinoth, D Dayanithi

Department of Orthodontics and Dentofacial Orthopeadics, Vivekanandha Dental College for Women, Elayampalayam, Nammakkal, Tamil Nadu, India

Correspondence Address:

Dr. Aneeta Johny

Department of Orthodontics and Dentofacial Orthopeadics, Vivekanandha Dental College for Women, Elayampalayam, Nammakkal, Tamil Nadu, India.

Abstract:

Introduction:

Malocclusion is a social handicap because of its negative physical, psychological and social impact on the people. Apart from the esthetic setback, malocclusion also affects the general health of a person by hampering the quality and quantity of food intake.

Aim:

The aim of the study was to evaluate the effects of malocclusion severity on oral health-related quality of life (OHRQoL) and food intake ability (FIA) in orthodontic patients.

Methods: A total of 254 patients were assessed for the severity of malocclusion, OHRQoL, and FIA using standard oral health impact profile questionnaire and FIA questionnaire and their grades of malocclusion were assessed using the Index of Orthodontic Treatment Need- Dental Health Component Index.

Results:

Of the quality of life questionnaire, females are more affected in social disability than males (P < 0.001). Adolescents responded more positively toward their quality of OHRQoL.

Conclusion:

Severe malocclusion caused functional limitation, psychological discomfort, psychological disability, social disability, and physically challenged. The severity of malocclusion did not affect the FIA of the patient.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_45_17

How to cite this article: Johny A, Rajkumar BK, Nagalakshmi S, Kumar RR, Vinoth S, Dayanithi D. Effect of malocclusion severity on oral health-related quality of life and food intake ability in orthodontic patients. Int J Orthod Rehabil 2018;9:55-63.

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Original Article

Year : 2018 | Volume : 9 | Issue : 2 | Page : 49-54

Analysis of salivary biomarkers during orthodontic tooth movement with conventional bracket and self-ligating brackets: An in vivo study

Samson Thomas, N Raghunath

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

Correspondence Address:

Dr. Samson Thomas

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

Abstract:

Objective:

The aim of this study is to evaluate and compare salivary enzyme levels during orthodontic tooth movement with conventional brackets and self-ligating brackets.

Materials and Methods:

Twenty patients (15–25 years of age) where 10 patients treated with mechanical biological treatment prescription and 10 patients were treated with Damon prescription requiring after first premolar extraction participated in the study. The canine retraction was started with nickel-titanium (NiTi) coil spring with 0.019 × 0.025” stainless steel wire. Saliva sampling was done after initial alignment before retraction and at 1, 2, 3, 4, and 5 weeks after the application of orthodontic force. A volume of 5 ml of unstimulated whole saliva will be collected from the subject for each prescription. Aspartate aminotransferase (AST), alkaline phosphatase (ALP), and lactate dehydrogenase (LDH) enzyme samples will be analyzed with fully automated clinical chemistry analyzer model TOSHIBA 120R from Agappe Diagnostics. The salivary sample for tartrate-resistant acid phosphatase (TRAP) will be analyzed with the enzyme-linked immune sorbent assay (ELISA) technique ELISA.

Results and Discussion:

During canine retraction with NiTi coil spring the salivary enzyme levels for LDH and TRAP showed a significant difference from baseline to week 5 with Group A (conventional bracket) after the initiation of compressive orthodontic. The salivary enzyme levels for LDH, AST, TRAP, and ALP showed no significant difference from baseline to week 5 with Group B (self-ligating bracket) after the initiation of compressive orthodontic force. When compared between Group A and Group B at different time intervals for LDH, AST, TRAP, and ALP salivary enzyme levels, Group B showed a significant difference. The significant difference was seen with LDH at week 0 to week 2, AST at week 5, and TRAP at week 4, whereas ALP showed no significant difference. A significant difference with Group A was only seen with TRAP enzyme at week 1.

Conclusion: The LDH, AST, TRAP, and ALP level in Group A showed a significant increase whereas Group B showed no significant difference after the initiation of orthodontic.

Source of Support: 

None 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_46_17

How to cite this article: Thomas S, Raghunath N. Analysis of salivary biomarkers during orthodontic tooth movement with conventional bracket and self-ligating brackets: An in vivo study. Int J Orthod Rehabil 2018;9:49-54.

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Clinical Tip

Year : 2018 | Volume : 9 | Issue : 3 | Page : 130-131

Simple innovative “V” clips for bonded lingual retainer

Correspondence Address:
Charushila Vinay Chaudhari
Department of Orthodontics, CSMSS Dental College and Hospital, Aurangabad, Maharashtra
India

ABSTRACT

Retention is necessary in maximum number of orthodontic cases. Various retainers such as Hawley’s retainer, Essix retainer, and bonded lingual retainers are fabricated for this purpose. However, fixed lingual retainers are the appliance of choice in cases needing permanent retention. Various techniques have been used for holding the fixed retainer in place before bonding. These techniques had a disadvantage of needing assistance for the purpose of holding the retainer in place. In some techniques, the ligature wire used to hold the retainer could cause trauma to the soft tissue if not taken due care. In this article, we are describing a new simple technique for holding the retainer. The “V” retainer clips described are easy to fabricate and place, use natural interdental space for its retention, needing less chairside time, and eliminate the need of the assistance. Keywords: Bonded fixed retainer, long‑term retention, retention

DOI: 10.4103/ijor.ijor_14_18

Source of Support:

None,

Conflict of Interest:

None

How to cite this article: Chaudhari CV, Daokar SS, Yamyar SS. Simple Innovative “V” clips for bonded lingual retainer. Int J Orthod Rehabil 2018;9:130-1.

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Short Communication

Year : 2018 | Volume : 9 | Issue : 3 | Page : 127-129

In-office fabrication of a modified molar distalizing jig

Vishnu Ben Latif1, Anurag Mahale2, Keshavaraj Bhat3, Rohan Rai4

1 Private Practice, Kottayam, Kerala, India, 2 Private Practice, Mumbai, Maharashtra, India, 3 Department of Orthodontics and Dentofacial Orthopedics, Century Dental College, Kerala, India, 4 Department of Orthodontics and Dentofacial Orthopedics, A. J. Institute of Dental Sciences, Mangalore, Karnataka, India

Correspondence Address:
Anurag Mahale
B/8, Shraddha, Sitladevi Temple Road, Mahim, Mumbai, Maharashtra
India

Abstract:

The rise of the soft tissue paradigm has led to the rise of nonextraction therapy in orthodontics. Molar distalization is a key aspect in nonextraction therapy as well as Class II correction in certain cases. This article deals with the fabrication of a modified molar distalization jig. The salient features of this jig are that it is easy to fabricate with materials routinely available in an orthodontic office as well as very economical.

Source of Support: 

None, 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_38_17

How to cite this article: Latif VB, Mahale A, Bhat K, Rai R. In-office fabrication of a modified molar distalizing jig. Int J Orthod Rehabil 2018;9:127-9.

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Case Report

Year : 2018 | Volume : 9 | Issue : 3 | Page : 123-126

Orthodontic management of dilacerated impacted maxillary central incisor using closed eruption technique

Navneet Singh, Tulika Tripathi, Priyank Rai, Prateek Gupta

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

Abstract:

An impacted incisor with dilaceration poses a clinical dilemma because of its difficult position. This case report describes the orthodontic management of impacted dilacerated maxillary left central incisor. Based on esthetic demand and patient compliance, orthodontic traction involving closed eruption technique was performed to achieve alignment of central incisor in the arch. Prudent application of biomechanics and radiographic evaluation at regular interval assisted in achieving good esthetic and patient satisfaction.

Correspondence Address:

Tulika Tripathi

Department of Orthodontics and Dentofacial Orthopaedics, Maulana Azad Institute of Dental Sciences, MAMC Complex, Bahadur Shah Zafar Marg, New Delhi - 110 002, India.

Source of Support: 

None, 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_13_18

How to cite this article: Singh N, Tripathi T, Rai P, Gupta P. Orthodontic management of dilacerated impacted maxillary central incisor using closed eruption technique. Int J Orthod Rehabil 2018;9:123-6.

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Case Report

Year : 2018 | Volume : 9 | Issue : 3 | Page : 118-122

New bone formation in a cystic alveolar bone defect assisted with orthodontic tooth movement
Rana N Hammodi1, Ra'ad A Batarseh2
1 Department of Orthodontics, AL-Hussein Hospital, Jordanian Ministry of Health, Jordan, 2 Department of Oral and Maxillofacial Surgery, AL-Hussein Hospital, Jordanian Ministry of Health, Jordan

Correspondence Address:

Rana N Hammodi

Department of Dentistry, Al-Hussein Hospital, Salt, Jordan.

Abstract:

The objective of this case report is to demonstrate the role of orthodontics in rehabilitation of alveolar bone defects. A 9-year-old female patient presented with an unerupted maxillary left central and lateral incisors. The central incisor was severely dilacerated with a 1.5 cm x 2.0 cm cystic lesion causing displacement and failure of eruption of the adjacent lateral incisor. Surgical enucleation of the central incisor and the cystic lesion was done, and the bone defect was filled with synthetic bone paste and was covered with a resorbable membrane. Orthodontic closed reduction of the displaced lateral incisor was attempted. The involved lateral incisor actively erupted at the site of the missing central incisor by orthodontic traction, and de novo bone formation was noticed radiographically in the bone defect. Clinically, bucco-palatal alveolar bone thickness was maintained sufficiently. Alveolar bone defects can be adequately restored with new bone formation by means of active orthodontic tooth movement through a bone defect filled with synthetic bone.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_4_18

How to cite this article: Hammodi RN, Batarseh RA. New bone formation in a cystic alveolar bone defect assisted with orthodontic tooth movement. Int J Orthod Rehabil 2018;9:118-22.

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Case Report

Year : 2018 | Volume : 9 | Issue : 3 | Page : 113-117

Orthodontic–periodontics interdisciplinary nonsurgical approach to manage infrabony osseous defect

Vivek B Mandlik1, Surendra Kumar Sewda2

1 Military Dental Centre, Nashik, Maharashtra, India, 2 Graded Specialist (Orthodontics and Dentofacial Orthopedics), 310 Field Hospital, Jammu and Kashmir, India

Correspondence Address:

Dr. Vivek B Mandlik

C.6/13, Salunkhe Vihar, Pune - 411 022, Maharashtra, India

Abstract:

Clinicians often encounter infrabony osseous defects that are usually best treated by periodontal surgical techniques, including bone grafting and guided tissue regeneration, with a goal of establishing a new connective tissue attachment. On occasion, infrabony osseous defect proximal to a central incisor with extrusion and large midline diastema may present an opportunity to consider a resolution by orthodontic–periodontic interdisciplinary approach. Orthodontics has been used as an adjunct to periodontics to increase connective tissue support and alveolar bone height. In modern clinical practice, the orthodontic–periodontic interdisciplinary approach is essential for optimized treatment outcomes. The purpose of this case report is to highlight the importance of orthodontic–periodontic interdisciplinary approach in clinical practice and to improve the level of cooperation between dental practitioners. The authors decided to treat an advanced case of periodontitis, with extrusion and pathological migration of a maxillary central incisor, using orthodontic–periodontic interdisciplinary approach. After the nonsurgical conventional periodontal therapy, the orthodontic movement was started, and the incisor was repositioned using an intrusive mechanism. There was a significant clinical decrease in the probing depth values, and radiographs showed a remarkable reduction of the infrabony osseous defect.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_5_18

How to cite this article:

Mandlik VB, Sewda SK. Orthodontic–periodontics interdisciplinary nonsurgical approach to manage infrabony osseous defect. Int J Orthod Rehabil 2018;9:113-7.

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Review Article

Year : 2018 | Volume : 9 | Issue : 3 | Page : 107-112

Surgically assisted rapid palatal expansion: A way to treat transverse maxillary deficiency

Rohit Kumar Maheshwari, Harsh Harani, Savan Joshi, Amit Tiwari

Department of Orthodontics and Dentofacial Orthopedics, Sri Aurobindo College of Dentistry, Indore, Madhya Pradesh, India

Correspondence Address:
Rohit Kumar Maheshwari

Senior Lecturer, Department of Orthodontics and Dentofacial Orthopedics, Sri Aurobindo College of Dentistry, Indore Ujjain State Highway, Near Mr 10 Crossing, Indore, Madhya Pradesh, India.

Abstract:

Transverse maxillomandibular discrepancies are a major component of several malocclusions. Transverse maxillary discrepancies are routinely corrected in growing patients with appliances that separate the median palatal and associated maxillary sutures. This type of rapid palatal expansion (RPE) is not feasible in adults, however, because of the increasing resistance of the sutures. Surgically assisted RPE is an alternative method that reduces the resistance of the closed midpalatal suture to correct maxillary constriction in an adult. It allows clinicians to achieve effective maxillary expansion in a skeletally mature patient.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_10_18

How to cite this article: Maheshwari RK, Harani H, Joshi S, Tiwari A. Surgically assisted rapid palatal expansion: A way to treat transverse maxillary deficiency. Int J Orthod Rehabil 2018;9:107-12.

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Original Article

Year : 2018 | Volume : 9 | Issue : 3 | Page : 101-106

The 5-year-olds' index, the GOSLON Yardstick index, and the modified Huddart/Bodenham index among children with complete unilateral cleft lip and palate: A methodological study

Mahwash Chaudhry1, Henry Svensson2, Magnus Becker2, Anna-Paulina Wiedel3

1 Department of Clinical Sciences in Malmü, Faculty of Medicine, Lund University, Lund, Sweden, 2 Department of Clinical Sciences in Malmü, Faculty of Medicine, Lund University, Lund; Department of Plastic and Reconstructive Surgery Skåne University Hospital, Malmü, Sweden, 3 Department of Oral and Maxillofacial Surgery, Skåne University Hospital; Department of Orthodontics, Faculty of Odontology, Malmü University, Malmü, Sweden

Correspondence Address:

Anna-Paulina Wiedel

Department of Oral and Maxillofacial Surgery, Skåne University Hospital, Jan Waldenstrümsgata 18, 205 02 Malmü, Malmü, Sweden.

Abstract:

Background:

The function of many orthodontic indices is to assess occlusion in patients born with a cleft. The aim of this study was to assess the intra- and interexaminer reliability for the 5-year-olds' (5YO) index, the GOSLON Yardstick index, and the modified Huddart/Bodenham (MHB) index in dental casts of children with complete unilateral cleft lip and palate (UCLP); a further aim is to compare the indices to each other.

Methods:

Forty dental casts from 5-year-old nonsyndromic patients with complete UCLP who had undergone primary surgery at Skåne University Hospital in Malmö, Sweden, were examined by two examiners: one orthodontic specialist and one general dentist.

Results:

Intraexaminer reliability for 5YO and MHB had a substantial (κ: 0.61–0.80) to almost perfect agreement ( κ: 0.81–1.00) and GOSLON Yardstick moderate (κ: 0.41–0.60) to almost perfect agreement. Grouped teeth or single-tooth MHB had an almost perfect agreement for both examiners. Interexaminer reliability for 5YO had a moderate agreement, whereas GOSLON Yardstick and MHB had a fair agreement (κ: 0.21–0.40). Grouped teeth or single-tooth MHB had an almost perfect agreement.

Conclusions:

The 5YO index illustrates the occlusion and has a high degree of reliability for an experienced orthodontist. The GOSLON Yardstick also illustrates the occlusion, but reliability between assessments is lower. MHB index can be used with a high degree of reliability when categorized as grouped or single tooth, but the judgment of total occlusion is more uncertain.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_11_18

How to cite this article: Chaudhry M, Svensson H, Becker M, Wiedel AP. The 5-year-olds' index, the GOSLON Yardstick index, and the modified Huddart/Bodenham index among children with complete unilateral cleft lip and palate: A methodological study. Int J Orthod Rehabil 2018;9:101-6.

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Original Article

Year : 2018 | Volume : 9 | Issue : 3 | Page : 93-100

An odontometric study of arch dimensions among Qatari population sample with different malocclusions

Hayder Abdalla Hashim, Yasmeen Ghassan Dweik, Hashim Al-Hussain

Division of Orthodontic, Hamad Dental Centre, Hamad Medical Corporation, Rumailah Hospital, Doha, Qatar

Correspondence Address:

Hayder Abdalla Hashim

Division of Orthodontic, Hamad Dental Centre, Hamad Medical Corporation, Rumailah Hospital, Doha P. O. Box 3050, Qatar.

Abstract:

Background:

Arch dimensions are very important to clinicians in orthodontics, pedodontics, prosthodontics, as well as to anthropologist. The dimensions include arch widths, arch length, and intra-alveolar width which assist in establishing proper diagnosis and treatment planning.

Aims:

This study aims to determine the arch dimensions in Qatari sample with different malocclusions, compare the results obtained with other previous studies and also compare the result between the different Angle's malocclusions classes.

Materials and Methods:

The sample consisted of 90 pairs of pretreatment orthodontic study casts selected from patients attending the orthodontic clinic. The sample was classified into three groups according to Angle's Classification as follows: Class I, Class, II, and Class III malocclusion and each group consisted of 30 pairs. The age range was between 13 and 20 years old. The intercanine width, inter-premolar width, intermolar width, and intra-alveolar width measurements were made in each dental cast using an electronic digital caliper. Independent t-test was performed for comparative analysis.

Results:

Descriptive statistics were presented for the three Angle's classifications. No significant difference was noted between the maxillary variables in Class I and Class III. Statistically significant difference was noticed in maxillary variables in Class II (intermolar II and inter-premolar I and II). Furthermore, significant differences were revealed in mandibular intermolar I and II, inter-premolar II, and inter-alveolar between Class III and Class I and also between Class III and Class II malocclusions. Class III malocclusion showed wider arch dimensions than that in Class I and Class II.

Conclusions:

The result of the present study is important to the orthodontist, pedodontist, and also to the prosthodontist and anthropologist.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_12_18

How to cite this article: Hashim HA, Dweik YG, Al‐Hussain H. An odontometric study of arch dimensions among Qatari population sample with different malocclusions. Int J Orthod Rehabil 2018;9:93-100.

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Case Report

Year : 2018 | Volume : 9 | Issue : 4 | Page : 168-172

Treatment of Class II division 1 malocclusion using forsus fatigue-resistant device

S B V Ramana Reddy1, Venkata Naga Sravanthi Jonnalagadda2

1 Department of Orthodontist, Private Practitioner, Eswar Dental Clinic, Hyderabad, India, 2 Orthodontics and Dentofacial Orthopedics, Private Practitioner, Eswar Dental Clinic, Hyderabad, India

Correspondence Address:

Venkata Naga Sravanthi Jonnalagadda

Sri Sai College of Dental Surgery, Vikarabad, Telangana, India.

Abstract:

Functional orthopedic appliances are mostly used to treat Class II malocclusion originated from mandibular retrusion. Removable or fixed functional appliances are available to advance the mandible. Fixed appliances can be treated in tandem with multibarcket therapy, thus making it a single-phase treatment. The major disadvantage of fixed functional appliances is proclination of lower anterior teeth. To reduce this proclination, miniplates or miniimplants are being used; negative torque is added to the lower incisors. Despite these additions, the proclination could not be eliminated but minimized. This case report documents the successful treatment of skeletal Class II in late stages of puberty using forsus fatigue resistance appliance with soldered hooks placed distal to the lower canines.

Source of Support: 

None

 Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_19_18

How to cite this article: Reddy SB, Jonnalagadda VN. Treatment of Class II division 1 malocclusion using forsus fatigue‐resistant device. Int J Orthod Rehabil 2018;9:168-72.

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Review Article

Year : 2018 | Volume : 9 | Issue : 4 | Page : 163-167

Nutrition and orthodontics

Jeevan M Khatri, Vijaymala D Kolhe

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

Correspondence Address:

Vijaymala D Kolhe

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

Abstract:

Orthodontic patients avoid many types of food, particularly fruits, raw vegetables, and other hard and tough foods, as they cannot chew these properly because of pressure sensitivity of the teeth in the initial 3–5 days period after routine. As a result, such individuals consume significantly less proteins and other key nutrients, fiber, calcium, nonhem iron, and some vitamins. This article presents an overview of the relationship between diet and orthodontic treatment. The nutritional guidelines to obtain good oral and general health in orthodontic patients are discussed.

Source of Support: 

None 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_21_18

How to cite this article: Khatri JM, Kolhe VD. Nutrition and orthodontics. Int J Orthod Rehabil 2018;9:163-7.

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Review Article

Year : 2018 | Volume : 9 | Issue : 4 | Page : 159-162

Orthodontic consideration with patients with bleeding disorders

Vaidehi N Arekar1, Pushpak Ladhe2, Apurva Nikte3, Pawankumar Dnyandeo Tekale4

1 Department of Orthodontics, S.M.B.T. Dental College and Hospital, Sangamner, Maharashtra, India, 2 Consultant Endodontist, Private Practice, Mumbai, Maharashtra, India, 3 Consultant Orthodontist, Private Practice, Mumbai, Maharashtra, India, 4 Department of Orthodontics, Dr Rajesh Ramdasji Kambe Dental College and Hospital, Akola, Maharashtra, India

Correspondence Address:

Pawankumar Dnyandeo Tekale

Senior Lecturer, Department of Orthodontics, Dr Rajesh Ramdasji Kambe Dental College and Hospital, Akola, Maharashtra, India

Abstract:

Orthodontist must be aware of the impact of bleeding disorders on the management of orthodontic treatment. Initial recognition of a bleeding disorder, which may indicate the presence of a systemic pathologic process, may occur in dental practice. Patients should be queried about any previous unusual bleeding episode after surgery or injury, spontaneous bleeding, and easy or frequent bruising. The purpose of this paper is to review bleeding disorders and their effects on the delivery of orthodontic treatment.

Source of Support: 

None 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_8_18

How to cite this article: Arekar VN, Ladhe P, Nikte A, Tekale PD. Orthodontic consideration with patients with bleeding disorders. Int J Orthod Rehabil 2018;9:159-62.

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Review Article

Year : 2018 | Volume : 9 | Issue : 4 | Page : 155-158

An overview of evidence-based dentistry and randomized controlled trials: Importance in the current orthodontic research

Jasleen Kaur1, Harpreet Kaur2, Shikha Virdi3

1 Department of Orthodontics, Himachal Institute of Dental Sciences, Paonta Sahib, Sirmour, Himachal Pradesh, India, 2 Department of Pedodontics, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar, Punjab, India, 3 Department of Periodontics, BRS Dental College and Hospital, Panchkula, Haryana, India

Correspondence Address:

Jasleen Kaur

Department of Orthodontics, Himachal Institute of Dental Sciences, Paonta Sahib, Sirmour - 173 025, Himachal Pradesh, India

Abstract:

Evidence-based dentistry (EBD) was developed to help dental care professionals in incorporating the current, valid, and bias-free research into their clinical practice. It is equally important to review and critically appraise the evidence before its adoption into clinical decision-making. In orthodontics, as there are emerging innumerable appliances, materials, and treatment approaches, there is an urgent need to conduct new trials to determine their effectiveness. Recently, randomized controlled trials (RCTs) are considered as the most powerful and strongest research design for the comparison of various treatment interventions. This article gives a brief overview about EBD and RCTs and their importance in the field of orthodontics.

Source of Support: 

None 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_41_16

How to cite this article: Kaur J, Kaur H, Virdi S. An overview of evidence‐based dentistry and randomized controlled trials: Importance in the current orthodontic research. Int J Orthod Rehabil 2018;9:155-8.

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Original Article

Year : 2018 | Volume : 9 | Issue : 4 | Page : 145-154

Evaluation of the effect of moisture and saliva on the shear bond strength of brackets bonded with conventional bonding system and moisture insensitive primer: An in vitro study

I Girish Kumar, A Bhagyalakshmi, BM Shivalinga, N Raghunath

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

Correspondence Address:

I Girish Kumar

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

Source of Support: 

None, 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_44_17

Introduction:

Bonding of orthodontic attachments with acid etching is the most commonly used orthodontic procedure. However, there are certain limitations with acid etching procedure like/moisture contamination, etching time, the concentration of adhesive, etc., Moisture insensitive primers (MIPs) were introduced to overcome these limitations.

Objectives:

The aim of this study is to compare the shear bond strength of orthodontic brackets bonded with a MIP (Transbond MIP, 3M Unitek) against a conventional primer (Transbond XT, 3M Unitek) when contaminated with saliva – in vitro study.

Methodology:

Sixty maxillary premolars extracted for orthodontic purpose or due to periodontal involvement with sound buccal surfaces were collected, cleaned thoroughly, and stored in 0.1% (wt/vol) thymol at room temperature for 2 weeks. Following materials were used: Transbond XT Light cure adhesive (3M unitek), Transbond XT primer (3m unitek), Transbond MIP primer (3M unitek), and Metal brackets (3M unitek). A commercially available artificial saliva (AQWET, CIPLA) was used for contamination purpose. Ivoclarbluephase N LED light curing unit were used for curing purpose.

Results:

Mean bond strength was well above the clinically acceptable bond strength values indicating the use of these hydrophilic bonding materials in contaminated environments (8.5 Mpa for Transbond XT and 9.25 Mpa for Transbond MIP). On comparison of bond strengths of MIP and XT when contaminated with saliva, statistically significant values were obtained with contamination with saliva after primer application. There was a statistically significant increase in the bond strength after primer application (P = 0.233) and before and after primer application (P = 0.027*). Transbond MIP can be used to achieve adequate bond strength in saliva contaminated condition.

Conclusion:

Under dry condition, the shear bond strength of conventional primer (TRANSBOND XT) was significantly increased when compared to MIP. Under wet conditions MIP (TRANSBOND MIP) showed the highest shear bond strength and hence can be considered as a material of choice in wet conditions.

How to cite this article: Kumar IG, Bhagyalakshmi A, Shivalinga BM, Raghunath N. Evaluation of the effect of moisture and saliva on the shear bond strength of brackets bonded with conventional bonding system and moisture insensitive primer: An in vitro study. Int J Orthod Rehabil 2018;9:145-54.

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Original Article

Year : 2018 | Volume : 9 | Issue : 4 | Page : 141-144

Norms for anterior–posterior assessment of jaw relationship in Maharashtra population

Niyati B Potode, Twinkle D Bajaj, Amol A Verulkar, Swapnil B Wankhade, Ratndeep A Lohakpure, Jimmy K Sangatani

Department of Orthodontics and Dentofacial Orthopedics, V. Y. W. S. Dental College, Amravati, Maharashtra, India

Correspondence Address:
Niyati B Potode

P. G. Student, Department of Orthodontics and Dentofacial Orthopedics, V. Y. W. S. Dental College 7 Hospital, Wadali, Camp, Amravati, Maharashtra, India.

Abstract:

Background:

Regularly used parameters for anteroposterior assessment of jaw relationships are ANB angle and Wits appraisal, and recently, beta angle, Yen angle, and W angle are introduced. ANB angle depends on the cranial landmarks and is affected by various factors and often can be misleading. The Wits appraisal does not depend on cranial landmarks, but still has the problem of correctly identifying the functional occlusal plane, which can sometimes be impossible. To overcome these problems, a new measurement, beta angle, was developed at Tufts University. The present study was carried out on Maharashtra population to derive norms of beta angle.

Materials and Methods:

For selection of sample, the lateral cephalograms were selected from the available patient's records, and the sample was divided into three groups based on the ANB angle, Wits appraisal, and profile.

Conclusion:

The norms of beta angle are between 28.5° and 36.5° in skeletal Class I pattern, <28.5° in skeletal Class II pattern, and >36.5° in skeletal Class III pattern.

Source of Support: 

None 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_15_18

How to cite this article: Potode NB, Bajaj TD, Verulkar AA, Wankhade SB, Lohakpure RA, Sangatani JK. Norms for anterior–posterior assessment of jaw relationship in Maharashtra population. Int J Orthod Rehabil 2018;9:141-4.

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