Short Communication

Year : 2022 | Volume : 13 | Issue : 2 | Page : 14-17

Kilroy spring modification for Canine Dis-impactions utilizing a single archwire

Anand Marya1,2 , Ari Triwardhani2

1 Department of Orthodontics, Faculty of Dentistry, University of Puthisastra, Phnom Penh-12211, Cambodia. 2 Department of Orthodontics, Faculty of Dental Medicine, Universitas Airlangga, Surabaya-60115, Indonesia

Address for Correspondence:

Dr. Anand Marya,

Head of the Department of Orthodontics, Faculty of Dentistry, University of Puthisastra, Phnom Penh, Cambodia.

E mail: amarya@puthisastra.edu.kh

Abstract

The management of impacted canines is a complex task and requires a lot of time to guide them into the arch. In recent years the use of a Kilroy spring has become very popular and usually involves the use of a heavy main archwire and an auxiliary wire to guide the canine. In this case, a modified version of the Kilroy spring was fabricated on the main archwire, thereby reducing the need for a second auxiliary wire and allowing for the easy guidance of the impacted canine into its normal position into the arch.

Keywords:

biomechanics, Adult orthodontics, Limited outcome Orthodontics, Short term orthodontics, orthodontic appliance

Source of Funding

The study was self-funded.

Conflict of Interest

The authors have no conflict of interest to declare.

How to cite this article: Marya, A., & Triwardhani, A. (2022). Kilroy spring modification for Canine Dis-impactions utilizing a single archwire: Short Communication. International Journal of Orthodontic Rehabilitation, 13(2), 14–17. https://doi.org/10.56501/intjorthodrehabil.v13i2.513

Case Report

Year : 2022 | Volume : 13 | Issue : 2 | Page : 37 - 46

Characteristic Variants in Long Faces with Increased Anterior Facial Height

Lichi. A. Solanki1, Shantha Sundari K.K2

1Post Graduate, 2 Professor, Department of Orthodontics, Saveetha Dental College.

Address for Correspondence:

Lichi. A. Solanki

Post graduate student , Department of Orthodontics Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences Saveetha University, Chennnai.

Email: lichisolanki17@gmail.com

Abstract

Facial characteristics are affected by facial proportions, growth pattern, facial heights, and smile of the patients. Long face syndrome usually presents with an increased lower anterior and total anterior facial height, a gummy smile, a hyperdivergent growth pattern and decreased facial height. However, there are many variations in the posterior facial height and the growth pattern. There can be patients having an increased anterior facial height with increased or average posterior facial height, or an average and reduced mandibular plane angle. This paper aimed at reviewing the various characteristic facial variants of an increased anterior facial height. This article reviews three such variants of an increased anterior facial height. It particularly highlights the variant with increased anterior and posterior facial height and the modification in the treatment of such cases. The most common treatment option for the normally occurring variant of hyperdivergent growth pattern with a reduced posterior facial height is surgical superior impaction of the maxilla. But, for the variant with increased posterior facial height with hyperdivergent growth pattern is not the same as following superior impaction, the mandibular autorotation will not be stable in such variants due to genetically engrammed strong muscular patterns.

Keywords: Anterior facial height; mandibular plane angle; gummy smile; hyper-divergent; Posterior facial height.

CONFLICT OF INTEREST:

There are no conflicts of interest.

GRANT SUPPORT AND FINANCIAL DISCLOSURE:

None.

How to cite: Lichi. A. Solanki, & Shantha Sundari K.K. (2022). Characteristic Variants in Long Faces with Increased Anterior Facial Height: Case Report. International Journal of Orthodontic Rehabilitation, 13(2), 37–46. https://doi.org/10.56501/intjorthodrehabil.v13i2.198

Received : 27.04.2022 Accepted:20.05.2022 Web Published: 21.06.2022

Original Research

Year : 2022 | Volume : 13 | Issue : 2 | Page : 18 - 24

THREE-DIMENSIONAL ANALYSIS OF DENTAL ARCH FORMS IN SOUTH INDIAN POPULATION

Anjali Anna Thomas1, Navaneethan R2

1,2- Department of Orthodontics and Dentofacial Orthopedics, Saveetha Dental College and Hospital, Saveetha Institute Of

Medical and Technical Sciences, Chennai – 600077.

Address for Correspondence:

Anjali Anna Thomas

Department of Orthodontics and Dento-facial Orthopedics, Saveetha Dental College and Hospital, Saveetha Institute Of Medical and Technical Sciences162, Poonamallee high road, Chennai – 600077

Email id: dranjali85400@gmail.com

ABSTRACT

Aim:

The aim of this study was to do a 3-dimensional analysis of the upper and lower dental arch forms and compare the same between male and female South Indian subjects who were not previously treated with fixed orthodontic appliances.

Materials and Methods:

The sample consisted of 3D scans of dental casts from 50 untreated patients(25 males and 25 females) in permanent dentition. An assessment of the arch form was performed using angular and linear values on scans using a software(MEDIT).The data was tabulated and statistically analyzed using SPSS software and Student’s t test(2- tailed) was used to determine statistical significance of differences in measurements between the two groups.

Results:

In male subjects the intercanine, intermolar, interpremolar diameters and arch depth were significantly greater than females and there was a statistically significant difference (p value=<0.05).

Conclusion:

Ovoid arch form is commonly seen in both South Indian males and females followed by broader arch forms in males and tapered arch forms in females. South Indian males have wider arches when compared to females.

Keywords: Arch form, Arch width, Dental arch depth, 3D scan (MEDIT), 3 shape ortho analyzer software.

FUNDING

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

CONFLICT OF INTEREST

Authors declare no conflict of interest.

How to Cite this Article: Anjali Anna Thomas, & Navaneethan R. (2022). THREE DIMENSIONAL ANALYSIS OF DENTAL ARCH FORMS IN SOUTH INDIAN POPULATION: ORIGINAL RESEARCH. International Journal of Orthodontic Rehabilitation, 13(2), 18–24. https://doi.org/10.56501/intjorthodrehabil.v13i2.120

Received : 25.04.2022 Accepted: 20.05.2022 Web Published: 14.06.2022

Original Article

Year : 2022 | Volume : 13 | Issue : 1 | Page : 28 - 35

KNOWLEDGE AND AWARENESS ON MANAGEMENT OF BIOMEDICAL WASTE AMONG ORTHODONTISTS AND GENERAL DENTAL PRACTITIONERS

Monica K1, Abilasha R1 *, Pratibha Ramani1, Gheena S1, Reshma P K1

1 Department of Oral and Maxillofacial Pathology, Saveetha Dental College and Hospitals,

Saveetha University, Chennai – 600077

Corresponding Author:

Dr Abilasha R,

Professor, Department of Oral Pathology, Saveetha Dental College and Hospitals, Chennai-600077, Tamilnadu, India.

Email: abilasha@saveetha.com

ABSTRACT:

Background:

Dental care facilities generate a high amount of Biomedical Waste (BMW) like sharps such as surgical needles, blades, wires, brackets, extracted teeth, human tissues, discarded or expired medicines and dental materials, highly contaminated with blood and saliva. Segregation and collection should be done in separate colour coded bags or containers; according to Biomedical Waste Rules, 2016 the Ministry of Environment and Forest in India. Poor management of wastes leads to high risk to public, patients and professionals and also contributes to environmental degradation.

Aim:

To assess the knowledge and awareness on management of biomedical waste management among orthodontists and practicing general dentists.

Materials and methods:

A cross sectional study was conducted through Google form (electronic based survey) among general practising dentists; survey consisted of 18 closed ended questions. The data collected were tabulated in Microsoft Excel and exported to SPSS, descriptive statistics and Chi-Square test was performed (p < 0.05 was considered statistically significant).

Results:

83.8% practising dentists follow the biomedical waste disposal policy in their hospital or clinic, among which 91% use protective barriers (e.g. gloves, masks) during handling of biomedical waste. 63.1% disposed human anatomical waste and blood contaminated waste properly where only 55.9% disposed extracted teeth and human tissue in yellow bags. Significant association was found between management of incinerated ash and qualification among orthodontists ( p=0.019) and with experience of less than 1 year had proper knowledge; (p=0.021). Disposal of plaster of Paris was properly managed among general practioners (p=0.039). Management of sharps was done properly using needle destroyers among general dentists and orthodontists (p=0.041).

Conclusion:

Safe and effective management of biomedical waste is a legal necessity but also a social responsibility of dentists, according to this present survey 7 – 9.2 % of the dentists are not effectively following the biomedical waste management.

Keywords: Biomedical wastes, BMW, Health Care Facility, segregation, colour coded bags.

SOURCE OF FUNDING

The author of this review has no funding sources to declare.

How to Cite This Article: Monica K, R, A., Ramani, P., S, G., & P K, R. (2022). KNOWLEDGE AND AWARENESS ON MANAGEMENT OF BIOMEDICAL WASTE AMONG ORTHODONTISTS AND GENERAL DENTAL PRACTITIONERS: Original research. International Journal of Orthodontic Rehabilitation, 13(1), 28–35. https://doi.org/10.56501/intjorthodrehabil.v13i1.4

Original Article

Year : 2022 | Volume : 13 | Issue : 1 | Page : 16-22

COMPARATIVE EVALUATION OF WOUND HEALING FOLLOWING GINGIVECTOMY USING DIODE LASER AND ERBIUM, CHROMIUM-DOPED YTTRIUM, SCANDIUM, GALLIUM AND GARNET (Er:Cr:YSGG) LASER–IN PATIENTS UNDERGOING FIXED ORTHODONTIC TREATMENT-A RANDOMIZED CONTROLLED TRIAL.

Inchara Naidu 1, Priya Lochana Gajendran 2, Saveetha Dental College and Hospitals,

Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai 600 077

ABSTRACT:

Aim:

The aim of the current study is to compare the healing following gingivectomy procedures using the Diode system and Er:Cr:YSGG lasers in patients undergoing fixed orthodontic treatment.

Methodology:

The study is a single center randomized controlled clinical study with a sample size of 40 patients who underwent gingivectomy using lasers. The patients were divided into two groups randomly (Group A= 20 and Group B= 20). Group A patients had undergone gingivectomy using diode laser (BIOLASE EPIC X,940 nm) and Group B patients had undergone gingivectomy using Er:Cr:YSGG laser (Waterlase,2780nm). The patients were followed at day3, day 7 and day 14. The wound healing was assessed post laser application using a healing index by Landry et al at different time intervals. Data were entered in Microsoft Excel spreadsheet and analyzed using SPSS software (IBM SPSS Statistics, Version 20.0, Armonk, NY: IBM Corp.). Independent t test was used to compare the mean healing index score between the groups. Repeated measures ANOVA and Post hoc Bonferroni test was used for comparison of mean healing index scores of Group A and B at different time periods

Result:

When comparing the healing index at day 3 between the groups, there was no significant difference between the diode laser and erbium laser group (P = 0.24). Similarly at day 7 and at day 14, there were no significant differences between the groups (P= 0.20), (P= 0.18) at day 7 and day 14 respectively. When comparing the healing index score of gingivectomy with diode laser between different time intervals, there was a statistically significant healing was seen at day 14 (P = 0.001). The healing at day 14 was significantly better than day 3 and day 7 in the erbium laser group (P =0.001).

Conclusion:

Within study limits it is concluded that Er:Cr:YSGG lasers have better healing compared to diode lasers following laser assisted gingivectomy although the results are not statistically significant. Thus, the use of laser is an effective treatment approach in the management of orthodontic associate gingival enlargement.

Keywords: Diode, Er:Cr:YSGG; Gingivectomy; Healing; Innovative technology; Laser.

CONFLICT OF INTERESTS:

All the authors declare that there was no conflict of interest in the present study.

SOURCE OF FUNDING:

The present project is funded by Saveetha Institute of Medical and Technical Sciences.

Saveetha Dental College and Hospitals. Saveetha University.

How to Cite This Article: Priya Lochana Gajendran, & Inchara Naidu. (2022). COMPARATIVE EVALUATION OF WOUND HEALING FOLLOWING GINGIVECTOMY USING DIODE LASER AND ERBIUM, CHROMIUM-DOPED YTTRIUM, SCANDIUM, GALLIUM AND GARNET (Er:Cr:YSGG) LASER–IN PATIENTS UNDERGOING FIXED ORTHODONTIC TREATMENT-A RANDOMIZED CONTROLLED TRIAL.: Original Article. International Journal of Orthodontic Rehabilitation, 13(1), 16–22. https://doi.org/10.56501/intjorthodrehabil.v13i1.11

Review Article

Year : 2022 | Volume : 13 | Issue : 1 | Page : 10 -15

FACTORS TO BE CONSIDERED IN ORTHODONTIC INTERDISCIPLINARY APPROACH – A REVIEW

Hamad Alqahtani,

Orthodontic Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.

Abstract

Orthodontic treatment can be part of a dental interdisciplinary treatment as a way to help other specialists in the team achieve efficient treatment results when dealing with complex cases. The team members must have basic and sufficient knowledge related to other disciplines if they are to have common ground for fruitful discussion of treatment options and possible solutions that will provide optimum esthetics and function, especially for adult patients. This article discusses important factors related to endodontics, periodontics, and restorative/prosthodontics and their interactions with orthodontics.

Keywords: interdisciplinary; orthodontics; endodontics, periodontics, prosthodontics

CONFLICT OF INTEREST

None

SOURCE OF FUNDING

The author of this review has no funding sources to declare.

How to Cite This Article:

Alqahtani H, Factors to be Considered in Orthodontic Interdisciplinary Approach – A Review. Int J Orthod Rehabil 2022;13:1:10-15

Hamad Alqahtani. (2022). FACTORS TO BE CONSIDERED IN ORTHODONTIC INTERDISCIPLINARY APPROACH – A REVIEW. International Journal of Orthodontic Rehabilitation, 13(1), 10–15. https://doi.org/10.56501/intjorthodrehabil.v13i1.14

Systematic Review

Year : 2022 | Volume : 13 | Issue : 1 | Page : 01-09

MANDIBULAR ARCH CHANGES FOLLOWING EXPANSION WITH SCHWARZ APPLIANCE IN GROWING PATIENTS – A SYSTEMATIC REVIEW.
Mathew Thomas Maliael1, R Navaneethan2, Ravindra Kumar Jain3
Department of Orthodontics, Saveetha Dental College and Hospital, Saveetha Institute of Technical and Medical Sciences, Chennai – 600 077.

ABSTRACT

Aim and Objectives

The aim of this review is to systematically evaluate and assess the available evidence on arch dimensional changes in the mandible following expansion using Schwarz Appliance in growing patients.

Materials and Methods

The protocol for the review was registered with the PROSPERO database. A systematic search was done on the following scientific databases PubMed, Cochrane Central, LILACS and Google Scholar to identify articles of relevance published until April 2021. Articles that satisfied the inclusion criteria were included in the review. The review was performed based on the PRISMA guidelines. MINORS tool was used to evaluate the Risk of Bias and quality of evidence of the included studies.

Results

243 trials were identified after implementing the search strategy. After eliminating duplicates 196 trials remained. After screening the titles and abstracts for the eligibility criteria, 190 trials were eliminated from further review. Full text was sought for the remaining six articles and one study was eliminated after review of the full text. Four the included studies showed low Risk of Bias in their methodologies and one study showed a low risk of Bias in its methodology. Qualitative analysis was performed on the remaining five trials. The studies significant increase in the Intermolar, intercanine, interpremolar and arch perimeter and also observed significant up righting of the permanent mandibular first molar.

Conclusion

Arch dimensional changes in the mandible of growing patients after expansion using Schwarz Appliance are dento-alveolar in nature. No skeletal Expansion is seen.

Key Words: Expansion, Schwarz Appliance, Growing Patients.

CONFLICT OF INTEREST

The authors of this review have no conflict of interest to declare.

FUNDING

The authors of this review have no funding sources to declare.

How to Cite This Article:

R Navaneethan, Ravindra Kumar Jain, & Mathew Thomas Maliael. (2022). MANDIBULAR ARCH CHANGES FOLLOWING EXPANSION WITH SCHWARZ APPLIANCE IN GROWING PATIENTS – A SYSTEMATIC REVIEW.: Original Article. International Journal of Orthodontic Rehabilitation, 13(1), 1–9. https://doi.org/10.56501/intjorthodrehabil.v13i1.15