Short Communication

Year : 2017 | Volume : 8 | Issue : 1 | Page : 38-39

Fibre glass splint retainer with tongue-thrusting spikes

Shrikant Shrinivas Chitko1, Udita Hasmukh Mehta1, Neeraj Suresh Patil1, Veerendra V Kerudi1, Harshal Ashok Patil2

1 Department of Orthodontics, ACPM Dental College, Dhule, Maharashtra, India, 2 Private Orthodontic Practice, Jalgaon, Maharashtra, India

Correspondence Address:

Harshal Ashok Patil

Private Orthodontic Practice, Jalgaon, Maharashtra, India.

Abstract:

Tongue-thrusting is one of the most common habits seen in orthodontics. Complete elimination of the habit to prevent relapse is one of the challenges. Correction of tongue-thrusting habit is quite difficult, more so if the habit is ingrained. Here, we are introducing a retainer made of fiber glass with spikes for tongue-thrusting habit control incorporated in it.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.200220

How to cite this article: Patel P, Shanthraj R, Garg N, Vallakati A. Skeletal Class II division 1 malocclusion treated with twin-block appliance. Int J Orthod Rehabil 2017;8:31-7.

Case Report

Year : 2017 | Volume : 8 | Issue : 1 | Page : 31-37

Skeletal Class II division 1 malocclusion treated with twin-block appliance

Pratik Patel, Ravi Shanthraj, Nekta Garg, Anisha Vallakati

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

Correspondence Address:

Pratik Patel

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

Abstract:

A 10-year-old female presented with a skeletal Class II relation with 7 mm of overjet, 40% overbite, and bilateral posterior lingual crossbite. Two-phase therapy was planned to correct Class II skeletal relation, overjet, overbite, and to achieve lip competency. Phase I therapy was done with twin-block appliance to advance the retrognathic mandible. Phase II therapy was accomplished with fixed appliance for arch coordination to correct minor displacement and to finalize occlusion. Posttreatment, skeletal Class I relation was achieved. Incisors' inclination was improved, and ideal overjet and overbite with bilateral class I molar relationship was achieved. As the mandible advanced, lip competency, facial convexity, and mentolabial sulcus improved.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.200217

How to cite this article: Patel P, Shanthraj R, Garg N, Vallakati A. Skeletal Class II division 1 malocclusion treated with twin-block appliance. Int J Orthod Rehabil 2017;8:31-7.

Original Article

Year : 2017 | Volume : 8 | Issue : 1 | Page : 19-25

Evaluation of psychological stress in orthodontic PG students in India

A Chacko, T Tikku, K Srivastava

Department of Orthodontics, Babu Banarasi Das College of Dental Sciences, Lucknow, Uttar Pradesh, India

Correspondence Address:

K Srivastava

Department of Orthodontics, Babu Banarasi Das College of Dental Sciences, Lucknow, Uttar Pradesh, India.

Abstract:

Introduction:

Psychological stress is associated with many professions including dental surgery and is commonly encountered among BDS students, which later increases during post graduation (MDS). In this study we intended to identify the perceived sources and the extent of the psychological stress in the Orthodontic post-graduate students, and also evaluate the influence of different variables on overall stress and the effect of various stress relievers among the PG students.

Material and Method:

A questionnaire type of survey was conducted among 80 Orthodontic post graduate students (39 male and 41 female). A total of 22 factors were shortlisted for the questionnaire and were grouped under three broad categories as Personal, Curriculum Factors and Clinical Factors which were scored on a four point scale as 0- Not applicable, 1- Mild stress, 2–Moderate stress, 3–Severe stress.

Result:

The result showed that the majority of the PGs were definitely stressed, with females being more stressed than males, though the difference between two genders was statistically non-significant for most of the perceived sources of stress except for home sickness . In overall stress scores for different variables, the difference was statistically non-significant in all of them. Among the stress busters use of social media, alcohol and smoking were significantly associated with some of the student characteristics.

Conclusion:

The stress levels in PG curriculum definitely exist and the students should adopt proper stress busters to relieve the stress so as to work efficiently during their course.

Source of Support: 

None 

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.200218

How to cite this article: Chacko A, Tikku T, Srivastava K. Evaluation of psychological stress in orthodontic PG students in India. Int J Orthod Rehabil 2017;8:19-25.

Original Article

Year : 2017 | Volume : 8 | Issue : 1 | Page : 11-18

Gingival biotype and its relation to incisors' inclination and dentopapillary complex: An in vivo study

Nekta Garg1, A Bhagyalakshmi1, N Raghunath1, BM Shivalinga1, BS Avinash2

1 Department of Orthodontics, JSS Dental College, Mysore, Karnataka, India, 2 Department of Periodontology, JSS Dental College, Mysore, Karnataka, India

Correspondence Address:

Nekta Garg

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

Abstract:

Objectives:

To study the gingival biotype and its relation to maxillary and mandibular incisor inclination and its relation to dentopapillary complex.

Materials and Methods:

This cross-sectional study included 150 consecutive patients seeking orthodontic treatment at JSS Dental College, Mysore. Gingival biotype was assessed for maxillary and mandibular incisors using a digital vernier caliper. Maxillary and mandibular incisors' inclination and position were measured using cephalometric analysis. Parameters of dentopapillary complex were recorded from the dental casts.

Results:

The prevalence of thin gingival biotype was 42.66% for maxillary and 39.33% for mandibular incisors. A significant association was found between mandibular incisor inclination and thin gingival biotype, whereas there was no association between maxillary incisor inclination and gingival biotype. There was a significant correlation between gingival biotype and crown length, area of papilla, area of crown, and papilla length with P = 0.001 each.

Conclusion:

Mandibular incisor proclination is associated with thin gingival biotype, whereas no association is found in the maxilla. The correlation between gingival biotypes and dentopapillary complex is confirmed in this study. Evaluation of gingival biotype is of paramount importance during treatment planning for orthodontic patients.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.200219

How to cite this article: Garg N, Bhagyalakshmi A, Raghunath N, Shivalinga BM, Avinash BS. Gingival biotype and its relation to incisors’ inclination and dentopapillary complex: An in vivo study. Int J Orthod Rehabil 2017;8:11-8.

Original Article

Year : 2017 | Volume : 8 | Issue : 1 | Page : 5-10

Evaluation of reliability of index of orthodontic treatment need for assessment of orthodontic treatment need

N Singh, D Bagga, R Sharma, R Singh

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

Correspondence Address:

N Singh

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

Objective:

The aim of this study was to evaluate the reliability of index of orthodontic treatment need (IOTN) for assessment of orthodontic treatment need.

Materials and Methods:

A total of 106 subjects of aged between 18 and 25 years with no history of orthodontic treatment were selected by the convenience sampling method from the nondental student population of institutions belonging to North Indian population. The expressed demand for orthodontic treatment by the subjects was assessed using questionnaire. The self-perception of the subjects about orthodontic treatment need was done using aesthetic component (AC) of IOTN. The need for orthodontic treatment was evaluated by the investigator using AC and dental health component (DHC) of IOTN and by a panel of orthodontists using subjective assessment of the patient's study models.

Results:

Orthodontic treatment need to be determined by the investigator using DHC of IOTN moderately correlated with the demand of orthodontic treatment by the subjects as assessed using subjects response to questionnaires (ρ = 0.627) and orthodontic treatment need to be determined by the opinion of the panel of orthodontists (ρ = 0.598).

Conclusion:

DHC of IOTN was found to be reliable for evaluating orthodontic treatment need.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.200224

How to cite this article: Singh N, Bagga D, Sharma R, Singh R. Evaluation of reliability of index of orthodontic treatment need for assessment of orthodontic treatment need. Int J Orthod Rehabil 2017;8:5-10.

Case Report

Year : 2017 | Volume : 8 | Issue : 2 | Page : 81-89

A modified three-piece base arch for en masse retraction and intrusion in a Class II Division 1 subdivision case

Dhaval Ranjitbhai Lekhadia, Gautham Hegde, K Sindhuja

Department of Orthodontics, AJIDS, Mangalore, Karnataka, India

Correspondence Address:

Dhaval Ranjitbhai Lekhadia

Department of Orthodontics, AJIDS, Mangalore, Karnataka, India.

Abstract:

This case report describes the orthodontic treatment of an 18-year-old male patient who presented with the prognathic maxilla, deep bite, low mandibular plane angle, and proclined incisors. Modified three-piece base arch was used for the intrusion and retraction of maxillary incisor. En masse retraction was achieved in 6 months. Reduced time for retraction was attributed to a single stage of retraction, unlike burrstone three-piece intrusion base arch where canines are individually retracted followed by retraction of incisors. A modified utility arch was used in lower arch followed by a continuous archwire technique. The case was finished using bite settling elastics on a continuous archwire. The step between canine and premolar was corrected in the finishing phase of treatment. The final treatment outcomes were satisfactory, and true intrusion was achieved with proper selection of biomechanics.

Source of Support: 

None 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_6_17

How to cite this article: Lekhadia DR, Hegde G, Sindhuja K. A modified three-piece base arch for en masse retraction and intrusion in a Class II Division 1 subdivision case. Int J Orthod Rehabil 2017;8:81-9.

Case Report

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.

Original Article

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

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

Shitanshu Tiwari, Purva Joneja, Deepak Singh Choudhary

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

Correspondence Address:

Dr. Shitanshu Tiwari

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

Abstract:

Background:

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

Objectives:

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

Materials and Methods:

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

Results:

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

Conclusion:

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

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_7_21

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

Case Report

Year : 2021 | Volume : 12 | Issue : 4 | Page : 164-166

Reverse-M-Zadake spring – A novel design for the management of root divergence

Sujit Navnath Zadake, Yatishkumar Joshi, Suresh Kangane, Anand Ambekar
Department of Orthodontics, MIDSR Dental College, Latur, Maharashtra, India

Correspondence Address:

Dr. Sujit Navnath Zadake, Vaishnav Sadan Babanagar Kallam, Osmanabad, Maharashtra, India.

Abstract

The main reason to seek Orthodontic treatment is esthetics. Black triangles after lower incisor extraction are one of the commonly occurring malocclusion which causes esthetic compromises. Relapse is unavoidable while treating such cases. This relapse can be controlled only when there is translatory root movement in the mesial direction. Very little literature is available for the correction of black triangles. In this article, a spring is fabricated by using 0.018 A J Wilcock stainless steel special plus wire containing three helices. This Trihelical spring is a simple, effective, esthetic, and biologically compatible device with excellent root control for the treatment of root divergence.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_23_21

How to cite this article: Zadake SN, Joshi Y, Kangane S, Ambekar A. Reverse‐M‐Zadake spring – A novel design for the management of root divergence. Int J Orthod Rehabil 2021;12:164-6.

Case Report

Year : 2021 | Volume : 12 | Issue : 4 | Page : 157-163

Anterior maxillary and mandibular subapical osteotomy for correction of bimaxillary protrusion

Nilesh Mote1, Jyoti Rajbhar1, Aditya Prakash Pawar1, Anchin Goyal1, Anuj Dadhich2
1 Department of Orthodontics and Dentofacial Orthopaedics, Rural Dental College, Loni, Maharashtra, India, 2 Department of Oral and Maxillofacial Surgery, Rural Dental College, Loni, Maharashtra, India

Correspondence Address:
Dr. Anchin Goyal
Department of Orthodontics and Dentofacial Orthopaedics, Rural Dental College, Loni, Maharashtra, India.

Abstract

Bimaxillary protrusion (BP) is one of the most prevalent dentofacial deformities in the Asian population. Facial esthetics is the primary concern of these patients. Typical orthodontic treatment includes retraction of maxillary and mandibular incisors after extraction of the four first premolars, but this might not yield desired esthetic changes in the patient. Thus, orthognathic surgery such as anterior subapical osteotomies and extraction of premolars can be looked upon as an option to correct sagittal excess of the jaw bones and associated dental anomalies. This case report describes the treatment of a middle-aged woman with complaints of lip protrusion and unfavorable esthetics due to present malocclusion with the help of anterior maxillary and mandibular osteotomy procedure which provides a stable and viable treatment option for desired esthetic results.

Source of Support: None, 

Conflict of Interest: None

DOI: 10.4103/ijor.ijor_14_21

How to cite this article: Mote N, Rajbhar J, Pawar AP, Goyal A, Dadhich A. Anterior maxillary and mandibular subapical osteotomy for correction of bimaxillary protrusion. Int J Orthod Rehabil 2021;12:157-63.

Case Report

Year : 2021 | Volume : 12 | Issue : 4 | Page : 153-156

A novel spring for correction of ectopically positioned teeth

Achint Chachada1, Nehal Saraf2, Megha Jain1, Piyush Khandelwal1

1 Department of Orthodontics and Dentofacial Orthopaedics, Chhattisgarh Dental College and Research Institute, Sundra, Chhattisgarh, India 2 Private Practioner, Samadhan Health Centre, Raipur, Chhattisgarh, India

Address for correspondence:

Dr. Nehal Saraf,

Private Practioner, Samadhan Health Centre, Raipur - 492 001, Chhattisgarh, India.

E‐mail: nehalsaraf123@gmail.com

ABSTRACT

A misaligned tooth can cause serious aesthetic and functional challenges. Customized springs are indeed a practical remedy for aligning such teeth. The skill to provide an ideal system of forces to reach the desired movement, as well as the management of potential side effects, is directly linked to a successful outcome. One such approach is shown in this case report.

Keywords: Biomechanics, ectopic tooth, spring

Source of Support: None, 

Conflict of Interest: None

DOI: 10.4103/ijor.ijor_21_21

How to cite this article: Chachada A, Saraf N, Jain M, Khandelwal P. A novel spring for correction of ectopically positioned teeth. Int J Orthod Rehabil 2021;12:153-6.

Case Report

Year : 2021 | Volume : 12 | Issue : 4 | Page : 148-152

Management of impacted maxillary canines during orthodontic treatment: Report of two cases with 1-year follow-ups

Dhaval P Pandya1, Divya Maheshwari2, Shatraj Shetty2, Krupa R Shirvekar3
1 Consultant Periodontist, Dental Surgery, Karuna Hospital, Borivali West; Private Practice Focussed on Periodontics & Implantology, Mumbai, Maharashtra, India
2 Consultant Orthodontist, Private Practice, Mumbai, Maharashtra, India
3 Post Graduate Student in Aesthetic and Restorative Dentistry, Universitat Internacional de Catalunya, Espana

Correspondence Address:
Dr. Dhaval P Pandya
6th Floor, Shankar Ashish, R.C. Patel Road, Off Sodawala lane, Borivali West, Mumbai - 400 092, Maharashtra
India

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijor.ijor_2_21

The prevalence of impacted maxillary canines is 2%–3%. The position of the canine germ should be evaluated between 9 and 11 years of age group. In addition to the clinical examination, radiographic evaluation of the canine site will aid in gathering additional data such as the position of the canine, its relationship with the adjacent teeth, and any oral pathology associated with the site. It becomes imperative to have an early diagnosis of the ectopically positioned canine. Orthodontic considerations which include orthodontic traction for the malpositioned canine tooth along with surgical exposure assume significance, if the permanent canine is deviating from its normal eruption pathway trajectory within its specified timeline of erupting into the dental arch. The objective of reporting the following two cases is to analyze a successful 1-year follow-up outcome of an interdisciplinary, evidence-based approach in managing impacted canines in two female patients in their second decades of life.

How to Cite This article Pandya DP, Maheswari D, Shetty S, Shirvekar KR. Management of impacted maxillary canines during orthodontic treatment: Report of two cases with 1‐year follow‐ups. Int J Orthod Rehabil 2021;12:148-52

Case Report

Year : 2021 | Volume : 12 | Issue : 4 | Page : 140-147

Updating the orthodontic envelope of discrepancy: Canines transposition

Hasan Sabah Hasan1, Mohamed A Elkolaly2
1 Department of Orthodontic, Khanzad Teaching Center, General Directorate of Hawler-Ministry of Health, Erbil, Iraq
2 Department of Orthodontic, Royal Dental Center, Alexandria, Egypt

Correspondence Address:
Dr. Hasan Sabah Hasan
Department of Orthodontic, Khanzad Teaching Center, General Directorate of Hawler-Ministry of Health, Erbil
Iraq

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijor.ijor_24_21

This study aimed to report a case of skeletal Class I adult with anterior open and transposed upper canines with premolars and lower right canine transposed with lateral incisor, retained upper deciduous C, B, and lower right C. With congenital missing upper right lateral incisor, upper spacing arch, and lower mild crowding arch, a patient complains about her smile esthetic. The case was treated using temporary anchorage devices and three-dimensional retraction loops designed primarily for upper canine transposition with an accepted esthetic reshaping of lower canine using composite restoration. The missing lateral had been implanted with smile makeover using microesthetic post-orthodontic treatment. After 16 months of treatment, it was possible to see a significant improvement of the patient's facial profile, with overcorrection in overjet and preservation of the tissues and integrity of dental roots.

Hasan HS, Elkolaly MA. Updating the orthodontic envelope of discrepancy: Canines transposition. Int J Orthod Rehabil 2021;12:140-7.

Original Article

Year : 2021 | Volume : 12 | Issue : 4 | Page : 135-139

Coefficient of regression to predict skeletal patterns for nongrowing subjects using gonial angle on orthopantomogram

Rohan Anil Garud1, Kunal Raghavendra Shah2, Nitin Dilip Gulve1, Amit Balkrishna Nehete1, Shivpriya Dattatraya Aher1
1 Department of Orthodontics and Dentofacial Orthopaedics, MGV's KBH Dental College and Hospital, Nashik, Maharashtra, India
2 Department of Orthodontics, Rishiraj Dental College, Bhopal, Madhya Pradesh, India

Correspondence Address:
Dr. Rohan Anil Garud
Flat No. 6, Shreekala Haights, Ekta Colony, Pathardi Road, Near Saint George Orthodox Church, Nashik - 422 009, Maharashtra
India

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijor.ijor_11_21

Introduction: The gonial angle plays to be one of the significant indicators for the diagnosis of growth pattern of orthodontic patients. It is a known fact that lateral cephalograms are commonly used for the measurement of gonial angle, but panoramic radiographs (PRs) can display both the gonial angles simultaneously and as accurately as lateral cephalograms. The aim of this study is to develop an equation for the prediction of the skeletal pattern of nongrowing participants from gonial angle values on PR.

Materials and Methods: PRs and lateral cephalograms of 75 orthodontic patients were selected. The gonial angle was measured on PR and Sella Nasion-mandibular plane (SN-MP) angle was measured on lateral cephalograms. The values obtained were analyzed using paired Pearson's correlation test and regression analysis was done.

Results: The relationship between the gonial angle measurements obtained from each radiograph was represented as, “SN-MP angle (Skeletal pattern) = −44.297 + 0.6318 × Gonial angle (PR) in the linear function.”

Conclusion: Hence, PR could be used to determine the gonial angle as accurately as a lateral cephalogram and a useful tool for examining the skeletal pattern of patients.

How to cite this article: Garud RA, Shah KR, Gulve ND, Nehete AB, Aher SD. Coefficient of regression to predict skeletal patterns for nongrowing subjects using gonial angle on orthopantomogram. Int J Orthod Rehabil 2021;12:135-9.