Review Article

Year : 2016 | Volume : 7 | Issue : 3 | Page : 101-104

Midline diastema

M Ketaki Kamath, AV Arun

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

Correspondence Address:

M Ketaki Kamath

D5, Sneha Sadan, #3 Karpagam Avenue, Chennai - 600 028, Tamil Nadu, India.

Abstract:

Midline diastema is a space between the maxillary and/or mandibular central incisors. Midline diastema can be due to various causes such as genetic, environmental, and so on. Proper history taking and correct diagnosis of the etiology of the diastema is essential to ensure that the orthodontic correction is successful, and no future relapse takes place. The presence of diastema between the central incisors in the adult patient has esthetics and malocclusion concerns.

Source of Support: 

None 

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.192532

How to cite this article: Kamath MK, Arun AV. Midline diastema. Int J Orthod Rehabil 2016;7:101-4.

Original Article

Year : 2016 | Volume : 7 | Issue : 3 | Page : 97-100

A questionnaire study about oral hygiene awareness among orthodontic patients

Shristi Nadar1, SP Saravana Dinesh2

1 Department of Orthodontics, Saveetha Dental College, Chennai, Tamil Nadu, India, 2 Department of Orthodontics in Dentofacial Orthopaedics, Saveetha Dental College, Chennai, Tamil Nadu, India

Correspondence Address:

Shristi Nadar

Saveetha Dental College, Chennai, Tamil Nadu, India.

Abstract:

Aim:

The aim of this study was to assess the oral hygiene awareness among orthodontic patients.

Objective:

This research aims to find if patients undergoing orthodontic treatment are aware of the probable accumulation of dental plaque and the consequences of it, namely, bad breath, gum disease, and dental decay.

Materials and Methods:

The study was conducted on orthodontic patients from the Department of Orthodontics in Saveetha University. A self-assessed questionnaire was formulated to assess the oral hygiene awareness among orthodontic patients. The questionnaire was pretested to assess its reliability. It was distributed to 100 patients and only completely filled questionnaires were taken for analysis.

Results:

An average of 44% of the population are aware of the oral hygiene measures. The female population who underwent orthodontic treatment was more aware of the oral hygiene measures compared to men.

Conclusion:

There is a need to incorporate more oral hygiene programs in future. Extra attention should be given in educating and motivating the patients on oral hygiene practices during orthodontic treatment in a proper manner, which will be helpful to the patients in maintaining their oral hygiene.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.192531

How to cite this article: Nadar S, Saravana Dinesh SP. A questionnaire study about oral hygiene awareness among orthodontic patients. Int J Orthod Rehabil 2016;7:97-100.

Original Article

Year : 2016 | Volume : 7 | Issue : 3 | Page : 92-96

Comparison of perception of smile by orthodontists and other specialty dentists: A questionnaire study

Swetha Sridharan, Christine Samantha

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

Correspondence Address:

Christine Samantha

Department of Orthodontics, Saveetha Dental College, Chennai - 600 077, Tamil Nadu, India.

Aim:

The purpose of this study is to compare the perceptions of orthodontists and other specialty dentists, regarding smile esthetics in the form of a questionnaire.

Objectives:

To determine whether there is any difference of opinion regarding the perception of smile between orthodontists and other specialty dentists and to compare the various factors that have a high impact on the perception of smile by orthodontists and other specialty dentists.

Materials and Methods:

This study is a questionnaire survey. Totally, 104 questionnaires were distributed, of which 52 patients were completed by the orthodontists and 52 patients were completed by other specialty dentists.

Results:

This study showed that the mean scores given by orthodontists are lesser than that of the nonorthodontists. The factors that had an impact on smile by nonorthodontists include crowding of lower anterior teeth and diastema of 3-4 mm. Among orthodontists, the various factors that had an impact include diastema, midline deviation, and reverse smile arc.

Conclusions:

Different parameters have an impact on the smile perception. Diastema, smile, and reverse smile were regarded as unattractive and received the lowest score in this survey. The presence of midline shift was not considered unaesthetic by nonorthodontists.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.192530

How to cite this article: Sridharan S, Samantha C. Comparison of perception of smile by orthodontists and other specialty dentists: A questionnaire study. Int J Orthod Rehabil 2016;7:92-6.

Original Article

Year : 2016 | Volume : 7 | Issue : 3 | Page : 89-91

Factors affecting patient's desire for seeking orthodontic treatment

Danalakshmi Jayachandar, SP Saravana Dinesh

Department of Orthodontics and Dentofacial Orthopedics, Saveetha Dental College, Chennai, Tamil Nadu, India

Correspondence Address:

S P Saravana Dinesh

162, Poonamalle High Road, Velappanchavadi, Chennai - 600 095, Tamil Nadu, India

Abstract:

Aim:

The aim of this study is to determine the factors which affect a patient's desire for orthodontic treatment.

Objective:

The objective of this study is to assess the various reasons and motivating factors for patients to seek orthodontic treatment through a structured questionnaire.

Materials and Methods:

The survey was carried out in a population sample of 100 patients using a standard questionnaire before receiving orthodontic treatment. Perceived need for orthodontic treatment was assessed by asking questions to the patients.

Results:

Functional need was felt mostly by the males (36%), whereas females felt esthetics to be their major concern (72%). Fifty-three percent of the patients rated their dental appearance as bad and 47% had a teasing experience for protruded teeth. Majority of patients (76%) considered the improvement of general esthetics the most important outcome for seeking orthodontic treatment, whereas 11% sought treatment to improve dental health, 4% to enhance self-confidence, and only 1% to improve chewing and speech.

Conclusion:

People who are not satisfied with their appearance are the ones who seek orthodontic treatment. Patient's awareness of their appearance and their satisfaction are important to the orthodontist for patient satisfaction. The patient's motivation in seeking orthodontic treatment should be determined before the treatment commences to increase the chances of success of the orthodontic treatment.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.192528

How to cite this article: Jayachandar D, Saravana Dinesh SP. Factors affecting patient's desire for seeking orthodontic treatment. Int J Orthod Rehabil 2016;7:89-91.

Original Article

Year : 2016 | Volume : 7 | Issue : 3 | Page : 85-88

Patient pain response and discomfort during self ligation mechanotherapy

Priyangaa Sathasivam1, Ravindra Kumar Jain2

1 Department of Orthodontics and Dentofacial Orthopedics, Saveetha Dental College and Hospitals, Chennai, Tamil Nadu, India, 2 Department of Orthodontics, Saveetha Dental College and Hospitals, Chennai, Tamil Nadu, India

Correspondence Address:

Priyangaa Sathasivam

Saveetha Dental College and Hospitals, Chennai - 600 077, Tamil Nadu, India.

Abstract:

Aim:

The aim of this research is to assess the patient's pain response and discomfort in patients treated with self-ligating bracket system.

Objective:

Patients undergoing orthodontic treatment quite often complain about pain and discomfort during various stages of orthodontic treatment, and hence, sufficient precaution should be taken to minimize them.

Materials and Methods:

The study was conducted on a sample size of 15 patients who were reported to the Department of Orthodontics. The patients were undergoing orthodontic treatment with self-ligating brackets. The patients were requested to complete a questionnaire about duration of treatment, pain, or discomfort experienced after regular monthly activation of brackets, duration, onset and severity of pain, difficulty in brushing or chewing food, and food accumulation between the teeth.

Results:

Out of 15 patients, only six patients were aware of that they are wearing self-ligation bracket while nine other patients do not know that they are wearing self-ligation bracket. Almost 80% of the patients experienced pain and discomfort after regular monthly activation of brackets, whereas 20% of the patients did not experience any pain and discomfort after regular monthly activation of brackets. Thirteen percent experienced slight pain, 47% experienced mild pain, 7% experienced moderate pain, 7% experienced severe pain, and 7% experienced very severe pain. A great majority of patients (67%) stated that the pain started few hours after activation while 13% of patients stated that the pain started few minutes after activation. Seventy-three percent of the patients stated that the pain lasted for the whole day and 7% patients stated that the pain lasted for hours. Fifty-three percent of the patients reported difficulty in brushing and chewing food while remaining 47% did not have any difficulty in brushing and chewing food. Most of the patients about 87% reported food accumulation in between the teeth.

Conclusion:

This study highlighted the pain and discomfort experienced by the patient during self-ligation bracket system. Pain and discomfort caused in the initial stage of fixed orthodontic treatment can be moderate to severe and might last for few days. Brushing teeth might cause mild discomfort and pain can be minimized by consuming soft food. Most of the patients undergoing self-ligating bracket system experienced pain and discomfort after regular monthly activation of brackets.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.192527

How to cite this article: Sathasivam P, Jain RK. Patient pain response and discomfort during self ligation mechanotherapy. Int J Orthod Rehabil 2016;7:85-8.

Original Article

Year : 2016 | Volume : 7 | Issue : 3 | Page : 79-84

Evaluation of factors affecting dental esthetics in patients seeking orthodontic treatment

Farzin Heravi1, Farzaneh Ahrari1, Roozbeh Rashed1, Parya Heravi1, Negin Ghaffari1, Arezou Habibirad2

1 Dental Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran, 2 Department of Statistics, School of Mathematical Sciences, Ferdowsi University of Mashhad, Mashhad, Iran

Correspondence Address:

Farzaneh Ahrari

Dental Research Center, Department of Orthodontics, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.

Abstract:

Aim:

It is not well documented which dental traits predominantly motivate patients to seek orthodontic therapy. This study was designed to recognize anterior occlusal traits that impact the perception of dental esthetics in patients with different types of malocclusion seeking orthodontic treatment.

Materials and Methods:

Forty-five pairs of intraoral photographs belonging to patients with various malocclusions were selected for this study. Each pair of photographs included a frontal view and a right-side view of the patient's occlusion at maximum intercuspation. A total of 60 laypersons (30 males and 30 females) were requested to rate the overall appearance of the dentition in the photographs, using a 100 mm line that served as a visual analog scale. The study models of the patients were evaluated by a single investigator to determine the amount of overjet, overbite, crowding, and midline deviation. A multiple linear regression analysis was employed to detect the dental features that predicted the overall attractiveness of the dentition.

Results:

The multiple linear regression analysis revealed that according to the judgment of female, male, and total female and male raters, overall dental attractiveness could be predicted by two features, the crowding of upper arch (P < 0.05) and overbite (P < 0.05).

Conclusions:

Dental attractiveness could be predicted by two main variables including upper anterior crowding and overbite. Sufficient priority should be accorded to these factors in orthodontic diagnosis and treatment planning to decrease the probability of misinterpretation of patients' expectation from treatment.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.192526

How to cite this article: Heravi F, Ahrari F, Rashed R, Heravi P, Ghaffari N, Habibirad A. Evaluation of factors affecting dental esthetics in patients seeking orthodontic treatment. Int J Orthod Rehabil 2016;7:79-84.

Case Report

Year : 2016 | Volume : 7 | Issue : 4 | Page : 148-153

Treatment of Class II division 2 malocclusion with impacted lower canine

Pratik Patel1, Ravi Shanthraj1, Nekta Garg1, Anisha Vallakati1, B Ashwini2

1 Department of Orthodontics, JSS Dental College and Hospital, JSS University, Mysore, Karnataka, India, 2 Department of Endodontics, Farooqia Dental College and Hospital, Mysore, Karnataka, India

Correspondence Address:

Pratik Patel

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

Abstract:

A 15-year-old female presented unilateral Class II molar relation with 90% overbite, retroclined upper central incisors, and impacted lower right canine. Nonextraction treatment was planned to correct deep bite, retroclination of upper central incisors, and unilateral Class II molar relation. Intrusion arch was used to intrude and procline the upper central incisors. Correcting the axial inclination of retroclined incisors caused unlocking of the mandible. This, in turn, leads to simultaneous correction of class II molar relation. The vertical loop was used to disimpact canine. Posttreatment incisors inclination was corrected, bilateral Class I molar relation was achieved, and canine had erupted in its position. The smile arc was improved along with mentolabial sulcus and nasolabial angle.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.197464

How to cite this article: Patel P, Shanthraj R, Garg N, Vallakati A, Ashwini B. Treatment of Class II division 2 malocclusion with impacted lower canine. Int J Orthod Rehabil 2016;7:148-53.

Review Article

Year : 2016 | Volume : 7 | Issue : 4 | Page : 144-147

Dermatoglyphics and orthodontics

S Achalli1, M Patla2, USK Nayak2, CR Soans2

1 Department of Oral Medicine and Radiology, A. B. Shetty Memorial Institute of Dental Sciences, NITTE University, Mangalore, Karnataka, India, 2 Department of Orthodontics and Dentofacial Orthopaedics, A. B. Shetty Memorial Institute of Dental Sciences, NITTE University, Mangalore, Karnataka, India

Correspondence Address:

S Achalli

Department of Oral Medicine and Radiology, A. B. Shetty Memorial Institute of Dental Sciences, NITTE University, Mangalore - 575 018, Karnataka, India.

Abstract:

Dermatoglyphics is the study of fingerprints and skin patterns. These appear at the 12 th week of intrauterine life and are completely established by the 24 th week of intrauterine life. It is said that thereafter, these configurations remain constant throughout life. It is during the same embryonic period that finger and palm prints, the lip, alveolus, and palate develop. As a result, any factor causing changes in the lip, alveolus, and palate may also cause different patterns in the appearance of finger and palm prints. Hence, fingerprint patterns and other details of dermal ridges may offer distinct advantages and thus may be used as a screening tool, which is easily accessible, economical, and noninvasive marker to detect early malocclusion.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.197462

How to cite this article: Achalli S, Patla M, Nayak U, Soans CR. Dermatoglyphics and orthodontics. Int J Orthod Rehabil 2016;7:144-7.

Original Article

Year : 2016 | Volume : 7 | Issue : 4 | Page : 135-138

Comparison of cephalometric readings between manual tracing and digital software tracing: A pilot study

MK Kamath, AV Arun

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

Correspondence Address:

M K Kamath

D5, Sneha Sadan, #3, Karpagam Avenue, Chennai - 600 028, Tamil Nadu, India

Abstract:

Aim:

The aim of the study was to analyze and compare the cephalometric readings between manual tracings with digital software tracings using Steiner's analysis.

Materials and Methods:

The conventional lateral cephalograms of twenty participants were obtained. Six hard tissue landmarks were identified, and Steiner's analysis was carried out. The radiographs were manually traced, and the readings were recorded. Following this, the radiographs were uploaded in the FACAD digital software for digital tracing.

Results:

SNA, SNB, lower incisor to NB angle, and linear values show statistically significant differences. The remaining parameters do not show statistical difference.

Conclusion:

The results show a statistical difference between manual and digital tracing. The variation lies in the difference in identification of the hard tissue landmarks.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.197460

How to cite this article: Kamath MK, Arun AV. Comparison of cephalometric readings between manual tracing and digital software tracing: A pilot study. Int J Orthod Rehabil 2016;7:135-8.

Original Article

Year : 2016 | Volume : 7 | Issue : 4 | Page : 130-134

Craniofacial anthropometric measurements of adult Indians in Angles Class I malocclusion

SA Shinde, RB Sable, AS Patil

Department of Orthodontics and Dentofacial Orthopedics, Bharati Vidyapeeth Deemed University Dental College and Hospital, Pune, Maharashtra, India

Correspondence Address:

S A Shinde

Department of Orthodontics and Dentofacial Orthopedics, Bharati Vidyapeeth Deemed University Dental College and Hospital, Pune, Maharashtra, India.

Abstract:

Context:

The study was done on Adult Indians ranging from an age group of 18-25 years inhibiting Angles Class I malocclusion.

Aims:

The objective of the study was to establish the craniofacial anthropometric norms for the young adult (18-28 years) Indians.

Subjects and Methods:

The study group consisted of 150 healthy volunteers with equal number of male and female subjects who had no history of mixed racial parentage. Twenty-one linear measurements were studied from 28 landmarks over six craniofacial regions by two different operators.

Statistical Analysis Used:

Sample t-test was used to study the significance of the difference of each average level of all craniofacial parameters between male and female groups. Chi-square test was used to study the statistical significance of difference of the craniofacial indices between males and females.

Results:

The minimum measurements were contributed by female subjects in most of the craniofacial parameters, except for the eye fissure height (ps-pi) and nose prominence (sn-prn). There is a gender difference in all the measurements except the eye fissure width and nose prominence (independent t-test; P < 0.05). The Indians exhibit some North American White Caucasians (NAWC) features in all regions.

Conclusions:

This study establishes the craniofacial anthropometric norms of the Indians over 21 parameters. Males, in general, have a significantly higher measurement than females in most of the craniofacial parameters. The Indians do exhibit some NAWC like features.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.197459

How to cite this article: Shinde SA, Sable RB, Patil AS. Craniofacial anthropometric measurements of adult Indians in Angles Class I malocclusion. Int J Orthod Rehabil 2016;7:130-4.

Original Article

Year : 2016 | Volume : 7 | Issue : 4 | Page : 124-129

Evaluation of influence of altered lower vertical proportions in the perception of facial attractiveness

J Soni1, TR Shyagali2, N Kulkarni3, D Bhayya4

1 Department of Orthodontics and Dentofacial Orthopaedics, Ahmedabad Dental College, Ahmedabad, India, 2 Department of Orthodontics and Dentofacial Orthopaedics, Hitkarini Dental College and Hospital, Jabalpur, Madhya Pradesh, India, 3 Department of Orthodontics and Dentofacial Orthopaedics, K. M. Shah Dental College, Vadodara, Gujarat, India
4 Department of Pediatric and Preventive Dentistry, Hitkarini Dental College and Hospital, Jabalpur, Madhya Pradesh, India

Correspondence Address:

T R Shyagali

Staff Quarter, Hitkarini Dental College and Hospital Campus, Dumna Road, Jabalpur, Madhya Pradesh, India.

Abstract:

Objective:

The study aimed to evaluate the perception of facial attractiveness by the laypersons and the orthodontist using a series of silhouettes of varying lower facial vertical proportion.

Materials and Methods:

Sixty-three orthodontists and 63 laypersons judged the attractiveness of the series of seven silhouettes of the single person with the varying anterior lower facial height (LFH). The silhouettes were modified using the Corel software. The participants were asked to record their perception on a visual analog scale of 10 cm length. Independent t-test was performed to know the difference between the orthodontists and the laypersons, and the difference between female and male orthodontists and the lay persons.

Results:

Significant difference was noticed for different vertical height modifications. The master silhouette followed by the 2 mm decrease in the LFH followed by the 2 mm increase in the LFH was most preferred profiles by both the orthodontists and the laypersons. The modified silhouette with 6 mm increase or decrease was considered to be the most unattractive profile. There existed a significant difference between male and female laypersons for the lower face decreased by 4 mm and 6 mm silhouettes.

Conclusion:

The esthetic perception in relation to the vertical height by orthodontist and the laypersons in this particular population is similar, and the preferred profile is with average to the decreased LFH. It is recommended that the orthodontist keeps the LFH preference during the execution of the treatment.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.197454

How to cite this article: Soni J, Shyagali TR, Kulkarni N, Bhayya D. Evaluation of influence of altered lower vertical proportions in the perception of facial attractiveness. Int J Orthod Rehabil 2016;7:124-9.

Guest Editorial

Year : 2016 | Volume : 7 | Issue : 4 | Page : 121-123

Maxillary expansion and breathing function: Where we are now?

Department of Medical, Surgical and Health Sciences, University of Messina, Messina, Italy

Correspondence Address:

Rosamaria Fastuca

Department of Medical, Surgical and Health Sciences, University of Messina, Messina, Italy.

Fastuca R. Maxillary expansion and breathing function: Where we are now?. Int J Orthod Rehabil 2016;7:121-3

Fastuca R. Maxillary expansion and breathing function: Where we are now?. Int J Orthod Rehabil [serial online] 2016 [cited 2022 Mar 9];7:121-3. Available from: https://www.orthodrehab.org/text.asp?2016/7/4/121/197451

Since originally proposed by Angell[1]in 1860, the rapid maxillary expansion (RME) treatment has become a popular treatment to correct skeletal transverse maxillary discrepancy. However, the efficiency of such procedures was demonstrated only 100 years later[2],[3]following the advent of proper radiographical recordings.

According to the anatomical proximity between nasal cavity and hard palate, an orthopedic expansion of the former might occur as consequence of the RME treatment. This hypothesis has initially been investigated decades ago. In particular, earlier studies[4],[5]evaluated the advantages of RME treatment in improving nasal airflow in patients with nasal stenosis. It was later suggested that RME treatment triggers effects on nasal width[6],[7],[8]and volume.[9],[10],[11],[12],[13],[14]Indeed, some studies[15],[16]showed a reduction in nasal airway resistance after RME treatment. Consistently, a more recent investigation[17]reported up to 45% increase in nasal cross-sectional areas after expansion. In spite of this evidence, considering the V-shaped opening pattern of the midpalatal suture,[4],[5]the only purpose of increasing respiratory performance has been reported as not sufficient to indicate an RME treatment.[17]

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.197451

How to cite this article: Fastuca R. Maxillary expansion and breathing function: Where we are now?. Int J Orthod Rehabil 2016;7:121-3.

Guest Editorial

Year : 2016 | Volume : 7 | Issue : 4 | Page : 119-120

From the guillotine to the plastic re-evolution

Juan Pablo Gomez Arango

Department of Orthodontics, Universidad Autónoma de Manizales, Manizales, Colombia

Correspondence Address:

Juan Pablo Gomez Arango

Director of Biomechanics, Orthodontics Program, Universidad Autónoma de Manizales, Manizales, Colombia.

Abstract:

In the late 1760s, a beautiful preadolescent girl, Maria Antonia Josepha Johanna Von Habsburg-Lothringen, happily passed her afternoons playing in the gardens of the Schönbrunn Palace in Vienna, with her friend and music instructor, one Wolfgang Amadeus Mozart, only 2 months younger than her, albeit already being a musical phenomenon. One evening, she was summoned by the governess of the imperial children and was informed of an uncanny decision, conceived by loving relatives, obviously without her consent. To her astonishment, due to a political arrangement, she was to be married by proxy to another child, a 15-year-old named Louis Auguste, whom she was to eventually meet a month after the ceremony. However, there was one serious problem to be resolved to materialize the plan; despite her beauty, Marie suffered from severe dental crowding. Under such urgency, the most renowned pundit was brought all the way from France to the palace and consulted for a solution to unexpected esthetic circumstances that threatened the political stability of Europe. The dentist, Pierre Laveran, had developed expertise in the use of Pierre Fauchard's "BANDEAU," published 40 years earlier in the treatise "Le Chirurgien Dentiste," for the alignment of crowded teeth. Thanks to Dr. Laveran and Fauchard's Bandeau, Maria and Louis were married 2 years later, eventually becoming the notorious Louis XVI, King of France and Navarre, and his faithful consort, Marie-Antoinette, whom in unfortunate circumstances would play a calamitous but pivotal role in one of the most critical episodes of modern history, the French Revolution

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.197448

How to cite this article: Arango JG. From the guillotine to the plastic re-evolution. Int J Orthod Rehabil 2016;7:119-20.

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.

Review Article

Year : 2017 | Volume : 8 | Issue : 1 | Page : 26-30

Acupressure therapy in orthodontics: A review

Abhimanyu Rohmetra, Ragni Tandon, Kamlesh Singh, Ankita Jaiswal

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

Correspondence Address:

Abhimanyu Rohmetra

Room No 6, Boys Hostel, Saraswati Dental College, Lucknow, Uttar Pradesh, India.

Abstract:

Acupressure (acupuncture + pressure) is an alternative medicine technique derived from acupuncture. Here, physical pressure is applied to acupuncture points by the elbow, hand, or with various devices. There are literally thousands of acupressure points on the body. Many of the problems encountered in dental clinics can be curbed using these pressure techniques very easily and it is not an invasive process like acupuncture. The article provides a review of pressure techniques and its use (focusing on gaging, dental anxiety, and temporomandibular joint pain) in orthodontic as well as any other dental setup.

Source of Support: 

None 

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.200222

How to cite this article: Rohmetra A, Tandon R, Singh K, Jaiswal A. Acupressure therapy in orthodontics: A review. Int J Orthod Rehabil 2017;8:26-30.

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.