Journals SDC Journals SDC

Case Report

Keywords: Interdisciplinary approach, orthodontic tooth movement, periodontal therapy

Year : 2017 | Volume : 8 | Issue : 2 | Page : 78-80

Orthodontic management of a periodontally compromised patient

Madhukar Reddy Rachala, Kaladhar Reddy Aileni, Pitalla Naveen Kumar, Donthula Soujanya, Chinthakunta Reddy Prathima

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

Correspondence Address:

Donthula Soujanya

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

Abstract:

Today many adult patients with periodontal disease demonstrate malocclusions that compromise their esthetics and ability to maintain oral hygiene. With adequate combined orthodontic.periodontal treatment it is possible to correct malocclusion and re.establish a healthy and well-functioning dentition. However, while orthodontic treatment can realign periodontally affected teeth, esthetic appearance may be compromised by gingival recession due to alveolar bone dehiscences or fenestrations in combination with a thin gingival biotype. This article reports an interdisciplinary. (orthodontic and periodontic) approach for the treatment of a periodontally compromised patient with spacing in anterior dental region. Periodontal therapy, including periodontal plastic surgery to obtain root coverage as well as orthodontic treatment by means of a fixed appliance was used to achieve stable periodontal conditions and successful esthetic and functional final results.

Source of Support: 

None 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_34_16

How to cite this article: Rachala MR, Aileni KR, Kumar PN, Soujanya D, Prathima CR. Orthodontic management of a periodontally compromised patient. Int J Orthod Rehabil 2017;8:78-80.

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Case Report

Year : 2017 | Volume : 8 | Issue : 2 | Page : 74-77

Eagle syndrome: Orthodontist's perspective

K Sindhuja, Gautham Hegde, Rohan Rai, Abhinay Sorake, Naveen Suvarna

Department of Orthodontics and Dentofacial Orthopaedics, A.J. Institute of Dental Sciences, NH-17, Kuntikana, Mangalore, Karnataka, India

Correspondence Address:

K Sindhuja

Department of Orthodontics and Dentofacial Orthopaedics, A.J. Institute of Dental Sciences, NH-17, Kuntikana, Mangalore - 575 004, Karnataka, India.

Abstract:

The objective of the article is to report a case of Eagle syndrome in an orthodontic patient. A 20-year-old patient reported to the Department of Orthodontics with a chief complaint of crowding in upper and lower teeth and difficulty in mouth opening. Detailed history and radiographs led to the diagnosis of elongated styloid process also termed as “Eagle syndrome.”

Source of Support: 

None 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_35_16

How to cite this article: Sindhuja K, Hegde G, Rai R, Sorake A, Suvarna N. Eagle syndrome: Orthodontist's perspective. Int J Orthod Rehabil 2017;8:74-7.

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Review Article

Year : 2017 | Volume : 8 | Issue : 2 | Page : 67-73

Cone beam computed tomography: A newer avenue in orthodontic diagnosis and treatment planning

N Tilekar1, VD Swami2, AV Sabane2, SA Shinde3, RB Sable1
1 Department of Orthodontics and Dentofacial Orthopedics, Bharati Vidyapeeth University Dental College and Hospital, Pune, Maharashtra, India, 2 Department of Orthodontics, Bharati Vidyapeeth Deemed University Dental College and Hospital, Pune, Maharashtra, India, 3 Department of Orthodontics and Dentofacial Orthopedics, Bharati Vidyapeeth Deemed University Dental College and Hospital, Pune, Maharashtra, India

Correspondence Address:

N Tilekar

2/A-11/28, New Ajanta Avenue Society, Kothrud, Pune - 411 038, Maharashtra, India.

Abstract:

Cone beam computed tomography (CBCT)-three-dimensional (3D) imaging technique has shown tremendous progress since its introduction in dentistry and reformed the efficiency and effectiveness of orthodontic care. There has been a great revolution from its use as a predominantly diagnostic tool to an imaging method now used for predicting treatment outcomes and planning treatment. The conventional imaging techniques are basically two-dimensional (2D) representations of 3D objects and hence, they have many limitations. Malocclusion results from discrepancies in three planes of space and hence, 2D imaging cannot be used to achieve ideal imaging goals in orthodontics. It is an excellent tool for diagnosis, treatment planning, patient management and education, improved treatment outcome, and patient satisfaction. A cone beam examination is recommended in the detection of assessing shape and growth of mandible, localization of impacted canines, evaluation of root resorption repair, for the placement of temporary anchorage device, airway analysis in growing patients with maxillary constriction treated with rapid palatal expansion, etc, This article provides a comprehensive and current review of key studies on the applications of CBCT in orthodontic diagnosis and treatment planning.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_8_17

How to cite this article: Tilekar N, Swami VD, Sabane AV, Shinde SA, Sable RB. Cone beam computed tomography: A newer avenue in orthodontic diagnosis and treatment planning. Int J Orthod Rehabil 2017;8:67-73.

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Review Article

Year : 2017 | Volume : 8 | Issue : 2 | Page : 60-66

Biochemical markers as skeletal maturity indicators

T Tripathi, P Gupta, P Rai

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

Correspondence Address:

T Tripathi

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

Abstract:

Precise estimation of the stage of skeletal growth is essential for the formulation of accurate treatment planning and employing orthodontic intervention through functional orthopedic appliances for the shortest time possible yielding stable results. Along with clinical and radiological techniques, biochemical markers play an important role in the growth assessment for differential treatment application. Isolation and characterization of various systemic and local factors having a significant role in the growth process provided us the sight to tap their potential to be used as skeletal maturity indicators. Different methods for the assessment of biomarkers in use are enzyme-linked immunosorbent assay, radioimmunoassays, and immunoradiometric assays. These methods of assessment of biochemical markers are noninvasive and when interpreted correctly give useful information. This article presents an overview of various biomarkers under research for predicting skeletal growth.

Source of Support: 

None 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_37_16

How to cite this article: Tripathi T, Gupta P, Rai P. Biochemical markers as skeletal maturity indicators. Int J Orthod Rehabil 2017;8:60-6.

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Review Article

Year : 2017 | Volume : 8 | Issue : 2 | Page : 57-59

“I don't look good” unexplored parameter of orthodontic treatment

Ankita Jaiswal, Ragni Tandon, Kamlesh Singh, Abhimanyu Rohmetra

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

Abstract:

Body image plays a significant role for patients seeking orthodontic treatment. But sometimes, some patients are preoccupied with a perceived defect in his or her physical features (body image) and are excessively concerned about it. They focus on physical defects that are unnoticeable by others and are suffering from a psychological (somatoform) disorder known as body dysmorphic disorder (BDD). Therefore, aware of the condition by orthodontists is essential as these are cases either with no deformity or is a most unsatisfied group. This article focuses on the identification of BDD, its etiology, symptoms, role in orthodontics and management.

Correspondence Address:

Abhimanyu Rohmetra

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

Source of Support: 

None 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_40_16

How to cite this article: Jaiswal A, Tandon R, Singh K, Rohmetra A. “I don't look good” unexplored parameter of orthodontic treatment. Int J Orthod Rehabil 2017;8:57-9.

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Original Article

Year : 2017 | Volume : 8 | Issue : 2 | Page : 51-56

Comparison of soft tissue chin thickness in adult patients with various mandibular divergence patterns in Kodava population

ABSTRACT

Background:

Finally, facial contours are determined by the soft tissues, and these can be altered by growth and orthodontic treatment. The position and the relationships among the facial structures can be affected by variation in thickness, length, and tonicity of soft tissues thereby affecting facial esthetics. Such variations between skeletal and soft tissues can cause a disassociation between the position of the underlying bony structures and the facial appearance that may shift treatment into the range of orthognathic and cosmetic surgery.

Aims:

This study was conducted to enumerate and compare soft tissue chin (STC) thickness in adult patients with various mandibular divergence pattern in Kodava population and to find the difference in STC thickness between men and women.

Materials and Methods:

A sample including eighty patients were stratified into four groups based on the divergence pattern defined by the mandibular plane (MP) to cranial base angle (MP/sella‐nasion [SN]; average = 32° ± 5°). Low (L) = MP/SN ≤27°; medium‐low (ML) = 27°<MP/SN ≤32°; medium‐high (MH) = 32° <MP/SN <37°; and high (H), MP/SN ≥37°. The STC thickness was measured at three different levels: Pogonion (Pog)‐Pog’, gnathion (Gn)‐Gn’, menton (Me)‐Me’. For statistical analysis Student’s t‐test, ANOVA were performed.

Results:

The STC thickness at Pog‐Pog’ and Me‐Me’ was the highest in ML followed by MH, low and was least in high. At Me‐Me’, the STC thickness was the highest in ML followed by low, MH and was least in high.

Conclusions:

STC thickness was greater in men than in women in all the groups except high mandibular divergence pattern.

Keywords: Hyperdivergent, Kodava, soft tissue chin thickness

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

DOI:

10.4103/ijor.ijor_38_16

How to cite this article: Somaiah S, Khan MU, Muddaiah S, Shetty B, Reddy G, Siddegowda R. Comparison of soft tissue chin thickness in adult patients with various mandibular divergence patterns in Kodava population. Int J Orthod Rehabil 2017;8:51-6.

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Original Article

Year : 2017 | Volume : 8 | Issue : 2 | Page : 41-50

Cephalometric and computed tomography evaluation of dentoalveolar/soft-tissue change and alteration in condyle-glenoid fossa relationship using the PowerScope: A new fixed functional appliance for Class II correction –A clinical study

B Nishanth, Adusumilli Gopinath, Sameer Ahmed, Neelakantha Patil, K Srinivas, ASK Chaitanya

Department of Orthodontics and Dentofacial Orthopedics, AME's Dental College and Hospital, Raichur, Karnataka, India

Correspondence Address:

B Nishanth

Post Graduate Student, Department of Orthodontics and Dentofacial Orthopedics, AME’s Dental College and Hospital, Raichur, Karnataka, India.

Abstract:

Background and Objectives:

Among various interarch appliances for the correction of Class II malocclusion, PowerScope is one of the latest appliances used in the clinical practice of orthodontics. This clinical study was conducted to evaluate the clinical efficiency of PowerScope appliance by assessing skeletal, dentoalveolar, and soft-tissue changes and condyle-glenoid fossa relationship after using the appliance. The null hypothesis of this research is that there is a significant difference between dentoalveolar and soft-tissue changes alone.

Methodology:

Ten patients of age between 11 and 16 years, 4 males and 6 females, who reported to the Department of Orthodontics and Dentofacial Orthopedics, have been treated for Class II malocclusion (nonextraction) were selected for the study. Inclusion criteria included convex profile, retrognathic/deficient mandible, growing patient at least pubertal growth period, minimal crowding, and positive visual treatment objective. Exclusion criteria included patients with neuromuscular disease, temporomandibular joint problem, and skeletal open bite.

Statistical Analysis:

Statistical analysis is performed using Wilcoxon signed-rank test.

Results:

The study revealed the following findings. There are statistically significant changes in dentoalveolar and soft-tissue parameters after using PowerScope appliance. Statistical significant changes are seen in the anterior and posterior joint spaces relationship after using PowerScope appliance.

Interpretation and Conclusion:

Thus, PowerScope was clinically efficient in the correction of Class II malocclusion in noncompliant patients. Although there were changes in the skeletal parameters, they are not statistically significant. Hence, based on this clinical study, we can conclude that the Class II correction with PowerScope occurred almost entirely by dentoalveolar movement.

Source of Support: 

None 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_5_17

How to cite this article: Nishanth B, Gopinath A, Ahmed S, Patil N, SrinivasK, Chaitanya A. Cephalometric and computed tomography evaluation of dentoalveolar/soft-tissue change and alteration in condyle-glenoid fossa relationship using the PowerScope: A new fixed functional appliance for Class II correction –A clinical study. Int J Orthod Rehabil 2017;8:41-50.

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Clinical Innovation

Year : 2017 | Volume : 8 | Issue : 3 | Page : 125-127

A simple and effective appliance for correction of bilateral molar scissor bite: “The M-shaped palatal arch”

Romina Mahomadali Kapadia

Department of Orthodontics and Dentofacial Orthopaedics, K. M. Shah Dental College and Hospital, Sumandeep Vidyapeeth, Vadodara, Gujarat, India

Correspondence Address:

Romina Mahomadali Kapadia

Department of Orthodontics and Dentofacial Orthopaedics, K. M. Shah Dental College and Hospital, Sumandeep Vidyapeeth, At and Po Pipariya, Taluka Waghodia, Vadodara - 391 760, Gujarat, India.

Abstract:

Molar scissor-bite is a common finding in orthodontics. Many times, it is found as a sole malocclusion in a patient. Alignment of such buccally erupted molars is a challenging task. This article describes an innovative appliance, “the M-shaped palatal arch” for successful correction of bilateral molar scissor-bite.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_16_17

How to cite this article: Kapadia RM. A simple and effective appliance for correction of bilateral molar scissor bite: “The M-shaped palatal arch”. Int J Orthod Rehabil 2017;8:125-7.

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Short Communication

Year : 2017 | Volume : 8 | Issue : 3 | Page : 123-124

Complementary use of essix retainer

Suresh K Kangane, Yatishkumar S Joshi, Ganesh Omraj Dange

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

Correspondence Address:

Ganesh Omraj Dange

Department of Orthodontics, MIDSR Dental College, Vishwanathpuram, Ambajogai Road, Latur, Maharashtra, India.

Abstract:

Trauma leading to fracture of maxillary anteriors is a common finding in orthodontic patients with proclined upper anteriors. Retention is an integral part of orthodontic treatment. We hereby intend to provide a small modification in fabrication of the clear retainer which facilitates in the restoration of the fractured anterior tooth. Working models are made for maxillary and mandibular arches. Fracture tooth is buildup on the working model using acrylic to replicate the anatomy of the tooth. Thermoformed retainer is fabricated on these working models with built-up fractured. These can be used as a retainer followed by restoration. The thermoplastic retainer can be used as template for restoration of the fractured anterior tooth saving clinical time for buildup of teeth and reduces an appointment of the patient.

Source of Support: 

None 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_2_17

How to cite this article: Kangane SK, Joshi YS, Dange GO. Complementary use of essix retainer. Int J Orthod Rehabil 2017;8:123-4.

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Case Report

Year : 2017 | Volume : 8 | Issue : 3 | Page : 119-122

Nasoalveolar molding for the rehabilitation of newborns with cleft

Neha, Tulika Tripathi, Priyank Rai

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

Correspondence Address:

Neha

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

Abstract:

The success of repair in cleft lip and palate depends on the extent of disfigurement and the size of disfigurement which guides the surgical repair. With the popularization of nasoalveolar molding (NAM), the results of primary surgery in such patients have greatly improved due to the presurgical correction of the deformities leading to a better approximation of the tissues and hence reduced scarring. Thus, today, the knowledge of pre-surgical nasoalveolar molding should be a part of any orthodontist's armamentarium to enhance the results of surgical lip repair and reduce the extent of nasal deformity minimizing the need for revision surgeries. The current report describes the use of NAM in a newborn with unilateral cleft lip and palate and demonstrates the excellent results thus achieved after surgical repair.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_19_17

How to cite this article: Neha, Tripathi T, Rai P. Nasoalveolar molding for the rehabilitation of newborns with cleft. Int J Orthod Rehabil 2017;8:119-22.

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Case Report

Year : 2017 | Volume : 8 | Issue : 3 | Page : 112-118

Surgical management of Class III malocclusion: A 1 year follow-up

Suresh K Kangane1, Yatishkumar Joshi1, Khushbu D Agrawal1, Rahul Laturiya2, Sheeraz Badal2

1 Department of Orthodontics, MIDSR Dental College, Latur, Maharashtra, India, 2 Department of Oral and Maxillofacial Surgery, MIDSR Dental College, Latur, Maharashtra, India

Correspondence Address:

Khushbu D Agrawal

Department of Orthodontics, MIDSR Dental College, Vishwanathpuram, Ambejogai Road, Latur, Maharashtra, India.

Abstract:

For patients whose orthodontic problems are so severe that neither growth modification nor camouflage offers a solution, surgery to realign the jaws or reposition dentoalveolar segments is the only possible treatment option left. One indication for surgery is a malocclusion too severe for orthodontics alone. It is possible now to be at least semiquantitative about the limits of orthodontic treatment in the context of producing normal occlusion as the diagrams of the “envelope of discrepancy” indicate. In this case report, we have presented orthognathic treatment plan of an adult male patient with skeletal Class III malocclusion and anterior crossbite. Patient's malocclusion was decompensated by orthodontic treatment just before the surgery and then normal jaw relationship achieved by bilateral sagittal split ramus osteotomy. Patient's dental and facial profile was improved in a total of 18 months treatment duration. One-year follow-up showed stable results.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_3_17

How to cite this article: Kangane SK, Joshi Y, Agrawal KD, Laturiya R, Badal S. Surgical management of Class III malocclusion: A 1 year follow-up. Int J Orthod Rehabil 2017;8:112-8.

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Original Article

Year : 2017 | Volume : 8 | Issue : 3 | Page : 108-111

Assessment of skeletal and dental maturity indicators and comparison of maturity indicators in vertical and horizontal growth pattern individuals with normal growth pattern individuals

Amol Verulkar1, Pritesh Singla2, Harshal Ashok Patil3, Pawankumar Dnyandeo Tekale4

1 Department of Orthodontics, VYWS Dental College, Amravati, Maharashtra, India, 2 Department of Orthodontics and Dentofacial Orthopedics, AIDSR Dental College, Bathinda, Punjab, India, 3 Private Orthodontic Practice, Aditya Chambers, Housing Society, Jalgaon, Maharashtra, India, 4 Department of Orthodontics, Dr. Rajesh Ramdasji Kambe Dental College and Hospital, Akola, Maharashtra, India

Correspondence Address:

Harshal Ashok Patil

Private Orthodontic Practice, Aditya Chambers, Housing Society, Jalgaon - 425 001, Maharashtra, India

Abstract:

Objective:

The purpose of the present study was carried out to establish whether the vertical and horizontal growth patterns influence the rate of dental and skeletal maturation as compared to normal growth patterns.

Materials and Methods:

This study comprised sixty samples divided into three groups. Group I normal grower (control), Group II-vertical growers, and Group III-horizontal growers. Each sample was assessed for skeletal and dental age using cervical vertebrae maturation index (CVMI), skeletal maturity indicator stages and canine calcification stages, respectively. All data in the groups were analyzed by analysis of variance test. Subgroup data and comparisons were analyzed by Dunnett D-test and -test.

Results:

Results showed that dental maturation was delayed in horizontal growers as compared to vertical growers with = 0.00 and 0.044. There was nonsignificant difference in dental maturation of male and females with >0.05. The comparison of skeletal maturation by hand-wrist radiograph showed significant variation in Group III with delayed skeletal maturation of horizontal growers than control group with P < 0.05. Dunnett D-test showed main skeletal age by CVMI was significant with = 0.00 which indicates that skeletal age of Group III to be lower in all groups. Rest was nonsignificant.

Conclusion:

Individuals with horizontal growth pattern showed delayed dental maturation when compared to vertical growers.

Source of Support: 

None 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_20_17

How to cite this article: Verulkar A, Singla P, Patil HA, Tekale PD. Assessment of skeletal and dental maturity indicators and comparison of maturity indicators in vertical and horizontal growth pattern individuals with normal growth pattern individuals. Int J Orthod Rehabil 2017;8:108-11.

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Original Article

Year : 2017 | Volume : 8 | Issue : 3 | Page : 96-100

Perception of smile attractiveness toward various forms of anterior diastemas among undergraduate dental and nondental students: A questionnaire-based study

Siham Arezki Houacine, Elhadi Mohieldin Awooda

Department of Conservative Dentistry, Faculty of Dentistry, University of Medical Sciences and Technology, Khartoum, Sudan

Correspondence Address:

Elhadi Mohieldin Awooda

Department of Conservative Dentistry, Faculty of Dentistry, University of Medical Sciences and Technology, P. O. Box 12810, Khartoum, Sudan

Abstract:

Background:

Smiling is the evident component of facial attractiveness. Midline diastema is considered in some cultures as unattractive and as a malocclusion, especially in Western countries while it is considered as a sign of beauty in Africa and Middle-East.

Aim:

The aim of this study is to compare the smile attractiveness perception of dental and nondental students toward anterior diastemas and to determine whether all spaces in the esthetic zone are considered unattractive as midline diastema.

Materials and Methods:

This is a descriptive cross-sectional study conducted among 156 dental and pharmacy students from the University of Medical Sciences and Technology, Sudan, from December 2015 to January 2016. A self-administered questionnaire was distributed to the participants and it consisted of two parts: part one – related to gender, faculty, educational level, and questions about dental diastema, and part two – containing four modified pictures of a young female's smile modified by photoediting software to create different spaces between anterior teeth (midline, Simian, Frush and Fisher, and Lombardi diastema). Participants were asked to rank the pictures according to attractiveness from the most to the least attractive using visual analog scale. Comparison between variables was made by Chi-square test with P < 0.05.

Results:

Smile attractiveness from the most to the least attractive was Simian > Frush and Fisher > midline > Lombardi among both dental and pharmacy students. Gender and presence of diastema had no relation with the student's perception (P > 0.05). There was a significant statistical difference between dental and pharmacy students regarding Frush and Fisher diastema (P = 0.034). Most of the students with diastema felt shy when smiling.

Conclusions:

The location and width of diastema had an important role on the attractiveness perception of dental diastemas. Midline diastema was not a gap with the most negative perception

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_7_17

How to cite this article: Houacine SA, Awooda EM. Perception of smile attractiveness toward various forms of anterior diastemas among undergraduate dental and nondental students: A questionnaire-based study. Int J Orthod Rehabil 2017;8:96-100.

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Clinical Pearl

Year : 2017 | Volume : 8 | Issue : 4 | Page : 161-163

Tempo blocks

Khushbu Dinesh Agrawal, Suresh K Kangane, Anand Ambekar

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

Correspondence Address:

Khushbu Dinesh Agrawal

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

Abstract:

Bite opening is often required to achieve clearance for correction of certain malocclusions such as crossbites or deep overbites. The present article introduces “tempo blocks” which are easy to fabricate and use and can be used along with the fixed orthodontic appliance in place.

Source of Support: 

None 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_31_17

How to cite this article: Agrawal KD, Kangane SK, Ambekar A. Tempo blocks. Int J Orthod Rehabil 2017;8:161-3.

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Clinical Pearl

Year : 2017 | Volume : 8 | Issue : 4 | Page : 159-160

Reactivation of NiTi open coil spring using crimpable hook: A clinical pearl

Surendra Kumar Sewda, Akshay Madhukar Waingankar, Mohit Sharma, MP Prasanna Kumar, Amit Jain

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

Correspondence Address:
Surendra Kumar Sewda
Department of Dental Surgery and Oral Health Sciences, Division of Orthodontics and Dentofacial Orthopedics, AFMC, Pune - 411 040, Maharashtra, India.

Abstract:

Ni-Ti open coil springs are often used to create space for alignment of malposed teeth. Predetermining the length of open coil spring required to open up the exact amount of space is rather difficult, and occasionally, the length of the open coil spring falls short to open up the entire space required. This article highlights the chairside intraoral method of reactivation of NiTi open coil spring with the use of crimpable hook without removing the base archwire.

Source of Support: 

None 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_25_17

How to cite this article: Sewda SK, Waingankar AM, Sharma M, Prasanna Kumar MP, Jain A. Reactivation of NiTi open coil spring usingcrimpable hook: A clinical pearl. Int J Orthod Rehabil 2017;8:159-60.

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Case Report

Year : 2017 | Volume : 8 | Issue : 4 | Page : 154-158

Camouflage treatment of Angle's Class III malocclusion in a young adult

Zeeshan Iqbal Bhat

Department of Dental, Clinic of Orthodontics and Dentofacial Orthopaedics, Almoosa Specialist Hospital, Al Ahsa 31982, Saudi Arabia

Correspondence Address:
Zeeshan Iqbal Bhat
Almoosa Specialist Hospital, Dhahran Street, Al Ahsa 31982, Saudi Arabia.

Abstract:

A case report is presented of a class III malocclusion with a class III skeletal pattern with prognathic maxilla and mandible in relation to cranium and prognathic mandible in relation to maxilla. The smile was unesthetic as there was a generalised spacing and the maxillary teeth were retroclined and mandibular proclined with more exposure of mandibular teeth. Camouflage treatment was carried out by closure of all the spaces and correcting anterior crossbite.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_42_16

How to cite this article: Bhat ZI. Camouflage treatment of Angle's Class III malocclusion in a young adult. Int J Orthod Rehabil 2017;8:154-8.

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Review Article

Year : 2017 | Volume : 8 | Issue : 4 | Page : 141-146

Sterilization and orthodontics: A literature review

Jeevan M Khatri, Manjusha M Jadhav, Gaurav H Tated

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

Correspondence Address:

Manjusha M Jadhav

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

Abstract:

Sterilization is a process by which an article, surface or medium is freed of all microorganisms either in vegetative or spore state. On a daily basis, the practicing dentist and his personal are at risk of being exposed to wide patients with blood borne diseases such as HIV/AIDS, hepatitis B, C, and airborne diseases such as tuberculosis. Infection can be directly transmitted by oral fluids, blood, contaminated instruments and surfaces, or through the respiratory system. Control of infection that spreads through various instruments and armamentarium used in the field of orthodontics and dentistry in general is of utmost importance as a preventive measure for cross infection. Considering the fact that the rate at which newer strains evolve with time and older strains develop resistance, it has become a constant challenge through time and in the years to come. This article tells about various methods of sterilization by focusing on the guidelines for an effective and efficient orthodontic practice.

Source of Support: 

None 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_36_17

How to cite this article: Khatri JM, Jadhav MM, Tated GH. Sterilization and orthodontics: A literature review. Int J Orthod Rehabil 2017;8:141-6.

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Original Article

Year : 2017 | Volume : 8 | Issue : 4 | Page : 136-140

The applicability of Bolton's tooth size ratios for population-specific malocclusion

Zafar Iqbal Javed Iqbal Sayed1, Anish Dnyneshwar Doke2

1 Department of Orthodontics and Dentofacial Orthopedics, Aditya Dental College, Beed, Maharashtra, India, 2 Department of Orthodontics and Dentofacial Orthopedics, Bharti Vidyapeeth, Pune, Maharashtra, India

Correspondence Address:

Zafar Iqbal Javed Iqbal Sayed

Flat No-1, A-Wing, Ground Floor, Parekh Nagar Society, Kurar Village, Malad (East), Mumbai - 400 097, Maharashtra, India.

Abstract:

Aims:

This study aims to evaluate the Bolton ratio in Beed population in Maharashtra with different malocclusion.

Materials and Methods:

Fifty study casts were taken from the patients undergoing orthodontic treatment, and individuals were divided into three groups: Group I (Angle's Class I, n = 25), Group II (Angle's Class II, n = 25), and Group III (mean of Group I and Group II).

Statistical Analysis Used:

ANOVA and Tukey's test.

Results:

A mean total Bolton ratio of 93.05 ± 5.87 and a mean anterior Bolton ratio of 81.08 ± 5.93 were found for the sample; significantly, higher mean anterior tooth ratios were found for Group I (Angle's Class I) patients (P < 0.03).

Conclusions:

Mean anterior tooth size discrepancy for Angle Class I individuals was significantly greater compared to Bolton's mean anterior ratio.

Source of Support: 

None 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_35_17

How to cite this article: Sayed ZI, Doke AD. The applicability of Bolton's tooth size ratios for population-specific malocclusion. Int J Orthod Rehabil 2017;8:136-40.

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Journals SDC Journals SDC

Original Article

Year : 2017 | Volume : 8 | Issue : 4 | Page : 129-135

A comparative evaluation of bite opening by temporary anchorage devices and Connecticut intrusion arch: An in vivo study

Neha Gupta1, Tulika Tripathi2, Priyank Rai2, Anup Kanase2, Neha2

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

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

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.

Abstract:

Introduction:

Deep bite correction in patients with convex profile and increased maxillary incisor visibility, and normal or increased vertical dimension necessitates the intrusion of maxillary incisors. Intrusion arches or miniscrews are commonly used for this purpose. The current study compares one of the prefabricated intrusion arches, the Connecticut intrusion arch (CIA), and the temporary anchorage devices (TADs) in their effectiveness for orthodontic intrusion.

Materials and Methods:

The present prospective study was done on 24 patients in the age group of 15–25 years undergoing fixed orthodontic treatment. In Group I, TADs were placed for intrusion while, in Group II, CIA was placed. Anchorage was reinforced in Group II using transpalatal arch. A paired t-test or a Wilcoxon signed-rank test was performed for the assessment of treatment changes within the groups, and an independent t-test or a Mann–Whitney U-test evaluated change between the groups.

Results:

Both TADs and CIA can bring about significant amount of true incisor intrusion with resultant decrease in incisor visibility. However, in the TAD group, in addition to intrusion, the incisors also proclined by 0.67 mm, but in CIA group, incisors retracted by 0.33 mm. There were nonsignificant mesial drift and significant extrusive movement of the maxillary first molars in the CIA group. The rate and amount of intrusion was greater in the TAD group.

Conclusions:

Both TADs and CIA can be effectively used for incisor intrusion which was, however, faster and greater in TAD group. Both the methods bring about associated unwanted tooth movements as well.

Source of Support: 

None 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_28_17

How to cite this article: Gupta N, Tripathi T, Rai P, Kanase A, Neha. A comparative evaluation of bite opening by temporary anchorage devices and Connecticut intrusion arch: An in vivo study. Int J Orthod Rehabil 2017;8:129-35.

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Case Report

Year : 2018 | Volume : 9 | Issue : 1 | Page : 41-47

Orthodontic management of palatally impacted canine

Thirunavukkarasu Ramanathan, Tamizhmani Jayachandran, C Nirupama, Suresh Anand, Prashanth Chandrasekaran, Krishna Priya

Department of Orthodontics and Dentofacial Orthopaedics, Karpaga Vinayaga Institute of Dental Sciencies, Kancheepuram, Tamil Nadu, India

Correspondence Address:

Dr. Thirunavukkarasu Ramanathan

Department of Orthodontics and Dentofacial Orthopedics, Karpaga Vinayaga Institute of Dental Sciencies, Madhuranthagam, Kancheepuram, Tamil Nadu, India.

Abstract:

Impacted canine teeth are problems frequently encountered in dental practice. Maxillary canine teeth are the most commonly impacted teeth next to third molars. Incidence of palatal impaction is greater than labial impaction. Many etiological factors attributed for canine impaction. Timely diagnosis and interception provide a better management of impacted canine. There are various orthodontic auxiliaries used for disimpaction of canine. Ballista spring is one of the simplified orthodontic auxiliary spring developed by Harry Jacoby used for repositioning impacted teeth. It delivers light force, excellent biomechanics, simplicity of the design, patient comfort, and esthetics. This case report presents a case of orthodontic repositioning of palatally impacted canine in a 15-year-old using ballista's spring.

Source of Support: 

None 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_49_17

How to cite this article: Ramanathan T, Jayachandran T, Nirupama C, Anand S, Chandrasekaran P, Priya K. Orthodontic management of palatally impacted canine. Int J Orthod Rehabil 2018;9:41-7.

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