Case Report
Year : 2018 | Volume : 9 | Issue : 1 | Page : 36-40
Multidisciplinary management of a bilateral cleft lip and palate patient
Sowmiya Aravindan, Uma Maheswari Ramachandran, R Devaki Vijayalakshmi
Department of Orthodontics and Dentofacial Orthopedics, Meenakshi Ammal Dental College and Hospitals, MAHER University, Kanchipuram, Tamil Nadu, India
Correspondence Address:
Dr. Sowmiya Aravindan
Department of Orthodontics and Dentofacial Orthopedics, Meenakshi Ammal Dental College and Hospitals, MAHER University, Kanchipuram, Tamil Nadu, India.
Abstract:
Cleft lip and palate (CLP) is the most commonly occurring congenital facial anomaly, in which Bilateral CLP is the least common among the different types of CLP. CLP correction requires a proper diagnosis and stage-wise treatment planning with a multidisciplinary approach which involves orthodontic and surgical correction of dental malocclusion and skeletal discrepancies, respectively. This case report emphasizes the need for multidisciplinary treatment which includes orthodontic treatment, orthognathic surgery, secondary lip revision and rhinoplasty performed in an 8-year-old patient with bilateral CLP to achieve a balanced and pleasing profile with good functional occlusion. The multidisciplinary approach performed by the orthodontists and oral surgeons brought stupendous results and showed good retention at 2-year posttreatment.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_42_17
How to cite this article: Aravindan S, Ramachandran UM, Vijayalakshmi RD. Multidisciplinary management of a bilateral cleft lip and palate patient. Int J Orthod Rehabil 2018;9:36-40.
Case Report
Year : 2018 | Volume : 9 | Issue : 1 | Page : 32-35
A custom made appliance for correction of anterior crossbite in Class III malocclusion
Navneet Singh, Tulika Tripathi, Priyank Rai, Neha Khanna
Department of Orthodontics and Dentofacial Orthopaedics, Maulana Azad Institute of Dental Sciences, New Delhi, India
Correspondence Address:
Dr. Navneet Singh
Department of Orthodontics and Dentofacial Orthopaedics, Maulana Azad Institute of Dental Sciences, New Delhi, India.
Abstract:
Anterior crossbite is the most important concern in a patient with a Class III malocclusion. The current report demonstrates the use of a custom made removable appliance in a patient unwilling for fixed orthodontic therapy.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_34_17
How to cite this article: Singh N, Tripathi T, Rai P, Khanna N. A custom made appliance for correction of anterior crossbite in Class III malocclusion. Int J Orthod Rehabil 2018;9:32-5.
Case Report
Year : 2018 | Volume : 9 | Issue : 1 | Page : 27-31
Clinical considerations for retaining the over-retained deciduous tooth: A rare case report
Ratna Parameswaran1, Terry Thomas Edathotty2, Anoop Mathew3
1 Department of Orthodontics, University of Meenakshi, Meenakshi Ammal Dental Hospital and Educational Research, Chennai, Tamil Nadu, India, 2 Department of Orthodontics, Mar Baselios College, Kothamangalam, Kerala, India, 3 Department of Orthodontics, Indira Gandhi Institute of Dental Sciences, Sri Balaji Vidyapeeth University, Puducherry, India
Correspondence Address:
Dr. Ratna Parameswaran
Department of Orthodontics, University of Meenakshi, Meenakshi Ammal Dental Hospital and Educational Research, Alapakkam Main Road, Maduravoyal, Chennai - 600 095, Tamil Nadu, India
Abstract:
We often encounter deciduous teeth which are retained in the oral cavity beyond the age of its exfoliation. In most instances, we are posed with a question as to whether to consider retaining it further or to extract and substitute. The concept and clinical considerations for retaining deciduous teeth and substituting it for its permanent successors are projected through a case illustration in this clinical case report.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_27_17
How to cite this article: Parameswaran R, Edathotty TT, Mathew A. Clinical considerations for retaining the over-retained deciduous tooth: A rare case report. Int J Orthod Rehabil 2018;9:27-31.
Original Article
Year : 2018 | Volume : 9 | Issue : 1 | Page : 23-26
Extraction Versus Non-Extraction: A Retrospective Study
Mrudul Vaidya, H Jyothikiran, N Raghunath, Pratham Pai
Department of Orthodontics, JSS Dental College and Hospital, JSS University, Mysore, Karnataka, India
Correspondence Address:
Dr. Mrudul Vaidya
Department of Orthodontics, JSS Dental College and Hospital, JSS University, Mysore, Karnataka, India
Abstract:
Introduction and Objectives:
The extraction versus nonextraction controversy is the oldest as well as the most enduring controversy and still remains a topic of debate in the field of orthodontics. The “American Board of Orthodontics” (ABO-1998) introduced an index called the objective grading system (OGS) which evaluates posttreatment dental casts and panoramic radiographs. It assesses the final occlusion in first, second, and third orders according to eight different occlusal components. The aim of the present study was to evaluate the treatment outcome of extraction and nonextraction cases in borderline cases by ABO-OGS system.
Materials and Methods: .
Forty borderline orthodontic patients with Angle's Class I malocclusion with an age group of 13–20 years were selected and equally divided into two groups: twenty patients were treated by extraction of all first premolars and twenty patients with a nonextraction treatment protocol. MBT 0.022” slot prescription was used for all forty patients. With the aid of an ABO measuring gauge and panoramic radiographs, the total OGS scores between the two groups were calculated and compared using Student's t-test.
Results:
The mean OGS scores were significantly less negative in the extraction group (−22.0 ± 2.29) as compared to the nonextraction group (−26.80 ± 5.18, P < 0.005).
Conclusion:
According to this study, in the borderline cases, the final occlusion and radiographical characteristics were more acceptable in the patients treated with extraction than the nonextraction patients.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_40_17
How to Cite this article:Vaidya M, Jyothikiran H, Raghunath N, Pai P. Extraction Versus Non-Extraction: A Retrospective Study. Int J Orthod Rehabil 2018;9:23-6.
Original Article
Year : 2018 | Volume : 9 | Issue : 1 | Page : 14-22
The effect of displaced canine on the dentoskeletal and soft tissue development of the face: A cephalometric study
Suruchi Singh, Prerna Raje Batham, Ashish Garg, Bhavna Virang, Ulrika Diana Pereira Kalia
Department of Orthodontics and Dentofacial Orthopedics, Sri Aurobindo College of Dentistry, Indore, Madhya Pradesh, India
Correspondence Address:
Dr. Suruchi Singh
Department of Orthodontics and Dentofacial Orthopedics, Sri Aurobindo College of Dentistry, Indore Ujjain State Highway, Near MR 10 Crossing, Indore, Madhya Pradesh, India.
Abstract:
Introduction:
To analyze the skeletal features of patients with maxillary canine impaction.
Materials and Methods:
Pretreatment lateral cephalograms of 30 patients in buccally displaced canine group (BDCG), 15 in palatally displaced canine group (PDCG), 30 in impacted canine group (ICG), and 50 in control reference sample (control group [CG]) were used to analyze the selected dentoskeletal characteristics. One-way analysis of variance was used to identify the differences in angles among the four groups (BDCG, PDCG, ICG, and CG). The differences in the relative distribution among the groups were tested by Pearson's Chi-square test. Independent samples t-test was used to test the significance of differences between the two groups.
Results:
In BDCG, retrognathic maxilla, tip up maxilla, retrognathic mandible, skeletal Class II, and horizontal growth pattern were the significant factors. In PDCG, skeletal Class II and hypodivergent were significant factors. In ICG, retrognathic maxilla, retrognathic mandible, hypodivergent relationships are poorly significant factors. The nasolabial angle and Steiner's S line were insignificant in all groups except the ICG where acute nasolabial angle is poorly significant.
Conclusion:
When compared to controls, canine impaction(s) revealed a trend toward retrognathic maxilla, retrognathic mandible, skeletal Class II, and hypodivergent skeletal relationship.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_32_17
How to cite this article: Singh S, Batham PR, Garg A, Virang B, Pereira Kalia UD. The effect of displaced canine on the dentoskeletal and soft tissue development of the face: A cephalometric study. Int J Orthod Rehabil 2018;9:14-22.
original Article
Year : 2018 | Volume : 9 | Issue : 1 | Page : 8-13
The association between soft palate shape and Need's ratio in various sagittal skeletal malocclusions: A digital lateral cephalometric study
Eenal Bhambri1, Varun Ahuja1, Sachin Ahuja1, Gautam Bhambri2, Amit Choudhary3, Suruchi Sukhija4
1 Department of Orthodontics, Surendera Dental College and Research Institute, Sri Ganganagar, Rajasthan, India, 2 Department of Oral Pathology, Surendera Dental College and Research Institute, Sri Ganganagar, Rajasthan, India, 3 Department of Orthodontics, Institute of Dental Sciences, Sehora, Jammu and Kashmir, India, 4 Department of Pedodontics, Surendera Dental College and Research Institute, Sri Ganganagar, Rajasthan, India
Correspondence Address:
Dr. Eenal Bhambri
Department of Orthodontics, Surendera Dental College and Research Institute, H. H. Gardens, Powerhouse Road, Sri Ganganagar - 335 001, Rajasthan, India.
Abstract:
Aim:
The present study was aimed to investigate the variation of soft palate morphology and Need's ratio in various sagittal skeletal malocclusions.
Materials and Methods:
The study was conducted on 300 individuals (aged 15–25 years) who presented to the department of orthodontics for orthodontic treatment. The participants were divided into skeletal Class I, II, and III based on ANB angle on the lateral cephalogram. The soft palate morphology was examined and individuals were grouped into six types. The Need's ratio was calculated for all the participants by division of pharyngeal depth by soft palate length. The results were then subjected to statistical analysis to find the association between morphological variants of soft palate and skeletal malocclusions.
Results:
The most common type of soft palate was leaf shaped and the least common was S shaped. Leaf-shaped soft palate was the most common in males and rat tail-shaped soft palate was common in females. Individuals with skeletal Class I malocclusion were most frequently found to have leaf-shaped soft palate, skeletal Class II malocclusion had rat tail type, and skeletal Class III had leaf shape and crooked shape in equal proportions. Need's ratio was maximum in skeletal Class III and minimum in Class II malocclusions.
Conclusions:
There was a significant correlation between the variants of soft palate and the types of skeletal malocclusion in North Indian individuals. The knowledge of morphological variants of soft palate helps the clinician in etiological study of obstructive sleep apnea syndrome, snoring, and other conditions.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_41_17
How to cite this article: Bhambri E, Ahuja V, Ahuja S, Bhambri G, Choudhary A, Sukhija S. The association between soft palate shape and Need's ratio in various sagittal skeletal malocclusions: A digital lateral cephalometric study. Int J Orthod Rehabil 2018;9:8-13.
Original Article
Year : 2018 | Volume : 9 | Issue : 1 | Page : 1-7
A comparative evaluation of osteoprotegerin and receptor activator of nuclear kappa B ligand in gingival crevicular fluid during canine retraction with elastomeric chain and nickel titanium coil spring: An in vivo study
Ejaz Salim Khan, Abhishek Ranjan, N Raghunath
Department of Orthodontics, JSS Dental College and Hospital, JSS University, Mysore, Karnataka, India
Correspondence Address:
Dr. Ejaz Salim Khan
Department of Orthodontics, JSS Dental College and Hospital, JSS University, Mysore, Karnataka, India.
Abstract:
Objective:
The objective of this study is to evaluate and compare the level of receptor activator of nuclear kappa B ligand (RANKL) and osteoprotegerin (OPG) in gingival crevicular fluid (GCF) during canine retraction with nickel-titanium (NiTi) coil spring and elastomeric chain.
Materials and Methods:
Ten patients between the ages of 13–17 years requiring canine distalization after first premolar extraction were selected. NiTi coil spring was placed on one side and elastomeric chain on the contralateral side. GCF sampling was done at baseline, 1 h, 24 h, 168 h, 1 month from the distal site of the test teeth after the application of compressive force. RANKL and OPG concentration were detected by enzyme-linked immunosorbent assay.
Results:
In the NiTi coil spring side, the RANKL levels in GCF increased and OPG levels decreased in a time-dependent manner. Increase in RANKL and decrease in OPG were significant when compared with the baseline. In the elastomeric chain side, the RANKL levels were significantly higher and the OPG levels significantly lower at 24 h, the RANKL levels showed a significant decrease and OPG levels showed a significant increase from 24 h to 1 month time intervals. The RANKL and OPG levels in GCF when compared individually to the NiTi coil spring and elastomeric chain showed a significant difference at 24 h, 168 h, and 1 month after initiation of compressive force.
Conclusion:
The result suggests that RANKL and OPG expression during orthodontic tooth movement varies at different time intervals and according to the type of force delivery system.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_48_17
How to cite this article: Khan ES, Ranjan A, Raghunath N. A comparative evaluation of osteoprotegerin and receptor activator of nuclear kappa B ligand in gingival crevicular fluid during canine retraction with elastomeric chain and nickel titanium coil spring: An in vivo study. Int J Orthod Rehabil 2018;9:1-7.
clinical pearl
Year : 2018 | Volume : 9 | Issue : 2 | Page : 90-91
Innovative use of Kesling spring separators: A clinical pearl
Vivek Kumar Thakur, S Kannan, Mohit Sharma, Prasanna Kumar, Ishan Pradhan
Department of Dental Surgery and Oral Health Sciences, AFMC, Pune, Maharashtra, India
Correspondence Address:
Dr. Vivek Kumar Thakur
Department of Dental Surgery and Oral Health Sciences, AFMC, Pune, Maharashtra, India.
Abstract:
Separation is an essential requirement to ease the placement of bands which requires an extra appointment; the article highlights a clinical pearl in the form of innovative use of Kesling separators as molar tubes to overcome the disadvantages of dislodgment and potential complications.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_1_18
How to cite this article: Thakur VK, Kannan S, Sharma M, Kumar P, Pradhan I. Innovative use of Kesling spring separators: A clinical pearl.Int J Orthod Rehabil 2018;9:90-1.
Clinical Innovation
Year : 2018 | Volume : 9 | Issue : 2 | Page : 86-89
Horizontal uprighting spring
Hoger Omeran Alshiekho
Department of Orthodontics, Faculty of Dentistry, Tishreen University, Lattakia, Syria
Correspondence Address:
Dr. Hoger Omeran Alshiekho
Department of Orthodontics and Dentofacial Orthopaedics, Tishreen University, Lattakia, Alzeraa, Syria
Abstract:
In orthodontic treatment, there is difficulty in finishing stage in teeth that need uprighting to obtain root parallelism. Horizontal uprighting spring is used to upright teeth (clockwise or counterclockwise) to avoid uptighting problems in the late finishing stage such as rebonding brackets and to overcome the lack of vertical slot in the bracket. Horizontal uprighting spring is fabricated in the 0.012-inch stainless steel wire. Moreover, the type of tooth movement and the moment/force ratio can be determined by the spring length and hooking point.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_2_18
How to cite this article: Alshiekho HO. Horizontal uprighting spring. Int J Orthod Rehabil 2018;9:86-9.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.