Case Report
Keywords:
Molar distalization; clear aligners; anchorage design; dental crowding; orthodontic treatment.
Year : 2024 | Volume : 15 | Issue : 3 | Page : 46-61
Bimaxillary Molar Distalization Using Clear Aligners To Correct Severe Crowding Without Temporary Anchorage Devices
Kun Li1, Peng Sun2, Hui Li2, Deming Yu1
1-Fushan Division, 2-Department of Orthodontics, The Affiliated Yantai Stomatological Hospital, Binzhou Medical University, Yantai, China.
Address for Correspondence:
Dr. Deming Yu,
Associate Professor, Fushan Division, The Affiliated Yantai Stomatological Hospital, Binzhou Medical University, Yantai, China.
Email: 15064500100@163.com
Abstract
The use of clear aligners for molar distalization has been a hot topic in recent years. However, cases of bimaxillary molar distalization without temporary anchorage devices (TADs) are rarely reported. Dental crowding, one of the most common malocclusions in the Asian population, was often corrected by tooth extraction strategies in the past. Currently, in the application of molar distalization with clear aligners by orthodontic professionals, it becomes feasible to circumvent the necessity for tooth extraction or TADs in numerous cases that initially present as markedly crowded. A 29-year-old female sought treatment for dental crowding. Subsequent examination revealed that her upper dentition was moderately crowded, while the lower dentition exhibited severe crowding. The patient declined the extraction treatment option and requested clear aligners based on consideration of esthetics during orthodontic treatment. Drawing from the patient's chief complaint and specific requirements, an orthodontic procedure of bimaxillary molar distalization was implemented. Following the completion of clear aligner treatment, the patient achieved well-aligned teeth and a captivating smile, radiating enhanced esthetics. The satisfactory treatment outcomes confirmed the efficacy of clear aligners for molar distalization. With a well-considered anchorage plan, clear aligners can successfully achieve bimaxillary molar distalization without the necessity of TADs.
ETHICS APPROVAL AND CONSENT TO PARTICIPATE
The study was approved by the Research Ethics Committee of Yantai Stomatological Hospital and accepted by the patient. Written informed consent was obtained from the patient for publication of this case report and accompanying images.
AVAILABILITY OF DATA AND MATERIALS
The data used to support the findings of this study are available from the corresponding author upon request.
CONFLICT OF INTEREST
The authors declare no conflict of interest.
FUNDING
This study received no external funding.
AUTHOR CONTRIBUTIONS
Concept: Kun Li, Peng Sun, Deming Yu.Design: Deming Yu.
Data acquisition: Kun Li, Hui Li.Data analysis: Kun Li, Hui Li.
Literature search: Kun Li, Peng Sun, Deming Yu.
Manuscript preparation: Kun Li.Manuscript editing and review: Peng Sun, Deming Yu.
The manuscript has been read and approved by all the authors, and each author believes that the manuscript represents honest work. The requirements for authorship as stated in Authorship Criteria have been met.
ACKNOWLEDGMENTS
The authors would like to thank all professionals who participated in the management of this case.
How to Cite this Article: Li, K., Sun, P., Li, H., & Yu, D. (2024). Bimaxillary Molar Distalization Using Clear Aligners To Correct Severe Crowding Without Temporary Anchorage Devices: Case Report. International Journal of Orthodontic Rehabilitation, 15(3), 46–61. https://doi.org/10.56501/intjorthodrehabil.v15i3.1134
Original Research
Keywords:
Orthodontics, Alignment, Super-elastic NiTi, Copper NiTi.
Year : 2024 | Volume : 15 | Issue : 3 | Page : 35-45
Comparison of Clinical Efficiency between Super Elastic Nickel Titanium (SE NiTi) and Copper Nickel Titanium (Cu NiTi) Archwires during Alignment Phase of Orthodontic Treatment
Protas John Msungu1, Ferdinand Mabula Machibya2, Matilda Mtaya Mlangwa2
1-MDent Resident, 2-PhD, Senior Lecturer, Orthodontic unit, Department of Orthodontics, Pedodontics and Community Dentistry, School of Dentistry, Muhimbili University of Health, and Allied Sciences (MUHAS), Tanzania.
Address for Correspondence:
Dr. Ferdinand Mabula Machibya,
United Nations Road, Upanga Magharibi, Muhimbili University of Health and Allied Sciences, Dares Salaam, Tanzania.
Email: frmachibya@yahoo.com
Mobile:+255764982522
Abstract
Introduction: The transformation of the Metallurgy industry over the years has brought outstanding improvement in Nickel Titanium (NiTi) alloy, resulting into orthodontic NiTi archwires with improved properties, which are routinely employed during the initial phase of orthodontic treatment. Nevertheless, the clinical superiority between the second and third generation of NiTi arch-wires; the Super Elastic NiTi (SE NiTi) and Copper NiTi (Cu NiTi) archwires respectively has not been studied in the Tanzanian population. Hence, this study aimed to compare the clinical efficiency of Super Elastic NiTi (SE NiTi) and Copper NiTi (Cu NiTi) arch-wires during the alignment phase of orthodontic treatment.
Material and Methods: A total of 82 patients with an irregularity index of >2 mm on the mandibular anterior site were randomly allocated to one of the two treatment groups, group 1 (0.014-in SE NiTi) and group 2 (0.014-in Cu NiTi). Randomization was accomplished by random number generation via Microsoft Excel, participants were randomly assigned equally into respective groups. The arch-wire types were labeled and placed in sequentially numbered opaque sealed envelopes for participant allocation. Blinding to group assignment was applied to the participant and during outcome assessment. Data were analyzed by SPSS Statistics version 25 with a p-value set at <0.05.
Results: A total of 153 potential participants were evaluated for eligibility. 67 of those were excluded. Therefore 86 patients were randomly allocated to either the study control group (group 1, n=43) or intervention (group 2, n=43). The number of participants analyzed were n=42 in group 1 and n=42 in the control group. The Little's irregularity index significantly decreased over time in both groups (p<0.001), however, there was no statistically significant difference between the two arch-wires types in their efficiency on teeth alignment (p = 0.435) and arch width expansion (p>0.05).
Conclusion: There was no significant difference between SE NiTi and Cu NiTi in alignment efficiency and arch width changes. There was no statistically significant inter-canine arch width change in the Cu NiTi group.
CONFLICT OF INTERESTS
The authors declare that they have no competing interests.
FUNDING
The present study did not receive funding.
ACKNOWLEDGMENTS
The authors wish to acknowledge and thank Dr Joyce Masalu for her assistance in the research methodology and data analysis.
How to Cite this Article: Msungu, P. J., Machibya, F., & Mlangwa, M. M. (2024). Comparison of Clinical Efficiency between Super Elastic Nickel Titanium (SE NiTi) and Copper Nickel Titanium (Cu NiTi) Archwires during Alignment Phase of Orthodontic Treatment: Original Research. International Journal of Orthodontic Rehabilitation, 15(3), 35–45. https://doi.org/10.56501/intjorthodrehabil.v15i3.1059
Case Report
Keywords:
MH setup; Kessling wax setup; Indirect bonding; Custom-made brackets; Class II molar finishing.
Year : 2024 | Volume : 15 | Issue : 3 | Page : 12-34
MH Setup Technique, A Manually Customized Bracket-Setup, applied in Fully-treated Class II molar-relationship case
Hasan Sabah HasanAl-Nuaimi1, Mohamed Elkolaly2
1-Department of Pediatrics Dentistry & Orthodontics, Faculty of Dentistry, University of Malaya, 50603, Kuala Lumpur, Malaysia2Orthodontic Department, Royal Dental Center, Alexandria-Egypt.
Address for Correspondence:
Dr. Hasan Sabah Hasan Al-Nuaimi
Department of Pediatrics Dentistry & Orthodontics, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia, 50603.
Email: hsh.ortho@yahoo.com
Abstract
The case published in this paper provides a clinical explanation for the importance of MH setup. The casts were cut and teeth were set into wax rims using brackets fit on full engagement archwires. Then another set of brackets was set over the teeth after the necessary adjustments with another full engagement archwires using composite as custom-made bases. The final brackets were transferred to the patient using vacuum-formed indirect transfer trays and the treatment was commenced. The final results were ideal with a total treatment time of one year in an extraction case. The finishing phase was only one month with settling elastics without the need for any brackets modifications despite the class II full unit molar relationship.
DECLARATION OF PATIENT’S CONSENT
The authors declare that they got all the necessary consents from the patient for treatment and publishing.
FINANCIAL SUPPORT AND SPONSORSHIP
Nil.
CONFLICTS OF INTEREST
There are no conflicts of interest
ACKNOWLEDGMENTS
The authors would like to thank the patient for the contribution to this paper and for providing the consent for publishing.
FUNDING STATMENT
There has been no funding received for this study.
How to Cite this Article: Al-Nuaimi, H., & Elkolaly, M. (2024). MH Setup Technique, A Manually Customized Bracket-Setup, applied in Fully-treated Class II molar-relationship case: Case Report. International Journal of Orthodontic Rehabilitation, 15(3), 12–34. https://doi.org/10.56501/intjorthodrehabil.v15i3.1082
Original Research
Keywords:
Dentofacial deformity; Orthognathic Quality of Life Questionnaire (OQLQ); orthognathic surgery; quality of life
Year : 2024 | Volume : 15 | Issue : 3 | Page : 1-11
Changes in Oral Health-related Quality of Life before and after Orthognathic Surgery and Predictors of Outcome
Shoroog Hassan Agou1
1-Department of Orthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.
Address for Correspondence:
Dr Shoroog Hassan Agou
BDS, MScCH (HPTE), MEd(c), PhD, Associate Professor of Orthodontics, Faculty of Dentistry, King Abdulaziz University Al Ehtifalat St, Jeddah, 21589, Saudi Arabia.
Email: sagou@kau.edu.sa
PhoneNo:+(966)557505450
Abstract
Aim: There is good evidence that orthognathic surgery improves quality of life (QoL), but it is uncertain whether QoL outcomes differ for patients with different dentofacial deformities. The aim of this study was to (i) assess changes in QoL before and after orthognathic surgery; (ii) compare QoL between deformity classes; and (iii) establish predictors of QoL
Methods: This was a prospective, longitudinal, observations study of adult patients seeking orthognathic treatment. Patients were classified into class II or class III dentofacial deformities. The paired t-test was used to compare Orthognathic Quality of Life Questionnaire (OQLQ) scores before and after surgery, and multivariable linear regression was used to identify predictors of post-operative OQLQ score.
Results: Of the 50 participants, 36 (72%) were female, and the average age was 29.9 ± 4.2 years. Overall and domain OQLQ scores were significantly lower after surgery (p < 0.0001). The mean change in QoL score was significantly greater for class II patients (p = 0.003). Age and baseline OQLQ score were significantly associated with post-operative OQLQ score.
Conclusions: This study confirms that orthognathic surgery has a very positive impact on QoL. The finding that age and baseline QoL predict subsequent QoL outcomes paves the way for targeted interventions in specific patients.
SOURCES OF FUNDING
Nil.
CONFLICTS OF INTEREST
Theauthordeclaresthattherearenoconflicts of interest.
ACKNOWLEDGEMENT
The author would like to thank the interns who helped collecting data for this study; namely: AbdurahmanIdrees, Moayad Alhowaidar, Ayman Sinnawi, Abdulla Joharji, Maisa Marghalani, and Lujain Mirdad. Sincere appreciation is also extended to Prof.Fahad Al-Sulaimani for his great support during this project.
AUTHOR CONTRIBUTIONS
SHA conceived and conducted the study, analyzed the data, and wrote the paper.
How to Cite this Article: Agou, S. H. (2024). Changes in Oral Health-related Quality of Life before and after Orthognathic Surgery and Predictors of Outcome: Original Research. International Journal of Orthodontic Rehabilitation, 15(3), 1–11. https://doi.org/10.56501/intjorthodrehabil.v15i3.1038
Original Research
Keywords:
molar bands, molar tube prescription, dimensional variability, torque, play.
Year : 2024 | Volume : 15 | Issue : 2 | Page : 37-47
Comparison Of Prescription Accuracy Of Commercially Available Molar Tubes Using A Custom Made Device - An Invitro Study
Swati Singh1, Arya S Prasad1
1-Post Graduate, 2-Senior Lecturer, Department of Orthodontics, Saveetha Dental College and Hospital, Chennai, 600077, India.
Address for Correspondence:
DrArya S Prasad Senior Lecturer, Department of Orthodontics, Saveetha Dental College and Hospital, Chennai
Email:aryasprasad7@gmail.com
Phone No:+919003142666
Abstract
Objective : The aim of this in vitro study was to verify the accuracy of torque prescription in the buccal tubes of three commercially available molar bands using Play and Torque Measuring device and to quantify the amount of torsional play present in them.
Materials and Methods: A total of thirty preformed bands with 0.022 slot and McLaughlin-Bennett-Trevisi prescription were selected equally from three different brands for this cross-sectional in-vitro analytical study. The torsional play and torque of the molar bands were measured using the PTM device. The play and torque values obtained using the PTM device were used to calculate the play and torque using a formula. The play and torque values were measured for all the three groups. The mean values of play and torque obtained between three groups were measured using One-way ANOVA.
Results: All three groups had variations in the torque and play that were above the standard torque and play values. There was a statistically significant difference in the play and torque values between all the groups evaluated.
Conclusions : Orthodontists should be aware of the inherent manufacturing defects in the bands as this can prevent the achievement of ideal treatment results. This simple method can help us in determining the torque and play of the molar bands giving us better control over treatment mechanics.
CONFLICT OF INTEREST
None.
SOURCE OF FUNDING
No external source offending was as the study was self-funded.
How to Cite this Article: Singh, S., & Arya S Prasad. (2024). Comparison Of Prescription Accuracy Of Commercially Available Molar Tubes Using A Custom Made Device - An Invitro Study: Original Research. International Journal of Orthodontic Rehabilitation, 15(2), 37–47. https://doi.org/10.56501/intjorthodrehabil.v15i2.1076
Original Research
Keywords:
Diagnosis, Skeletal malocclusion groups, Cephalometry, Sagittal parameters, Correlation.
Year : 2024 | Volume : 15 | Issue : 2 | Page : 26-36
Correlation Of ANB Angle, Wit’s Appraisal, Beta Angle, Yen Angle And W-Angle In Patients With Class I Skeletal Pattern In Different Growth Patterns
Ajins C.B1, A. Jebilla Pringle2,S.D.Milling Tania3, S. Veerasankar4, Mary Sheloni Missier2, I. Bevin Shaga4
1-Post Graduate, 2-Senior Lecturer, 3-Professor and Head of Department, 4-Reader, Department of Orthodontics, Rajas Dental College and Hospital, Kavalkinaru
Address for Correspondence:
Dr Ajins C.B. Postgraduate Student, Department of Orthodontics, Rajas Dental College and Hospital, Kavalkinaru
Email:drajinscb@gmail.com
Phone No:+918940046008
Abstract
Background: Sagittal jaw discrepancies are a critical determinant in orthodontic diagnosis and treatment planning, necessitating an accurate assessment. This study aims to investigate the predictive efficacy of various sagittal parameters (ANB angle, Wits appraisal, Beta angle, Yen angle, and W angle) in diagnosing skeletal Class I malocclusion across diverse growth patterns.
Materials and Methods: A retrospective cross-sectional analysis was conducted using lateral cephalograms of 60 patients diagnosed with skeletal Class I malocclusion. Sagittal skeletal parameters (ANB angle, Beta angle, Yen angle, W angle, and Wits appraisal) were evaluated across three distinct growth patterns (vertical, horizontal, and average). Mean and standard deviation were calculated for each parameter within each growth pattern. One-way ANOVA with post-hoc Tukey's HSD test was employed for pairwise comparisons between groups. The inter-relationship between cephalometric parameters and growth patterns was assessed using Pearson's correlation coefficient, with statistical significance set at p ≤ 0.05.
Results: A total of 60 participants (30 males and 30 females) with a mean age of 18.60 ± 4.17 years were included in the study. Highly statistically significant differences were noted for Beta and Yen angle (p ≤ 0.001), whereas statistically significant differences were noted for ANB angle. The correlation test revealed a possible association between assessed parameters in the overall sample.
Conclusion: Angular and linear parameters revealed some degree of correlation in skeletal class I malocclusion patients irrespective of their growth pattern. However, the reliability of individual parameters in accurately classifying the skeletal discrepancies among different malocclusion states should be further investigated.
COMPETING INTERESTS
The authors declare that they have no competing interests in this study.
SOURCE OF FUNDING
This research received no external funding.
How to Cite this Article: Ajins C B, A. Jebilla Pringle, S.D. Milling Tania, S. Veerasankar, Mary Sheloni Missier, & I. Bevin Shaga. (2024). Correlation Of ANB Angle, Wit’s Appraisal, Beta Angle, Yen Angle And W-Angle In Patients With Class I Skeletal Pattern In Different Growth Patterns: Original Research. International Journal of Orthodontic Rehabilitation, 15(2), 26–36. https://doi.org/10.56501/intjorthodrehabil.v15i2.1064
Review Article
Keywords:
White Spot Lesions, Orthodontics, Bonding
Year : 2024 | Volume : 15 | Issue : 2 | Page : 13-25
Self Assembling Peptide P11-4 for management of white spot lesions in subjects undergoing orthodontic treatment
Nazleen Valerie Vas1, Ravindra Kumar Jain2
1-Postgraduate Student, 2-Professor, Department of Orthodontics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Chennai, Tamil Nadu, India.
Address for Correspondence:
Dr Ravindra Kumar Jain Professor, Department of Orthodontics, Saveetha Dental College and hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Chennai-600077, TamilNadu, India.
Email id:ravindrakumar@saveetha.com
Phone No:+919884729660
Abstract
White Spot Lesions (WSLs) are early signs of enamel demineralization, often occurring during orthodontic treatment due to hindered oral hygiene maintenance. Traditional treatment methods include resin infiltration or remineralization using fluoride-based agents. However, self-assembling peptides (SAPs), such as Curodont ™ Repair (P11-4), have emerged as potential alternatives for WSL management. This review comprehensively examines the chemistry, mode of action, clinical safety, and efficacy of SAP P11-4 in remineralizing enamel lesions. It synthesizes findings from studies investigating SAP P11-4's remineralizing potential using various assessment methods, including pH cycling models, laser fluorescence, digital subtraction radiography, and confocal microscopy. SAP P11-4, with its ability to mimic the enamel matrix and promote hydroxyapatite nucleation, demonstrates promising outcomes in reducing WSL size and progression. Clinical studies report significant improvements in lesion remineralization with SAP P11-4 treatment, often surpassing the efficacy of fluoride-based interventions. Moreover, SAP P11-4 shows compatibility with bonding procedures and potential for reducing dentin hypersensitivity. They offer a promising alternative or adjunct to traditional fluoride-based treatments for WSL management, providing clinicians with a valuable tool in promoting enamel health and preventing caries progression. Further research is warranted to explore long-term outcomes and optimize treatment protocols for maximum efficacy.
CONFLICT OF INTEREST
No conflict of interest among the authors of this study.
SOURCES OF FUNDING
Nil
How to cite this article: Vas, N. V., & Jain, R. K. (2024). Self Assembling Peptide P11-4 for management of white spot lesions in subjects undergoing orthodontic treatment: Review Article. International Journal of Orthodontic Rehabilitation, 15(2), 13–25. https://doi.org/10.56501/intjorthodrehabil.v15i2.1031
Original Research
Keywords:
Soft tissue, Hard tissue, cephalometric changes, Quality of life, Class II, Class III, Orthognathic surgery, Questionnaire
Year : 2024 | Volume : 15 | Issue : 2 | Page : 01-12
Quality of Life (QoL) changes after orthognathic surgery: Do they correlate with the quantum of hard and soft tissue change?
Salma H. Ghoneim1, Nouf K. Alahmadi2,Doaa H. Alsaggaf1, Fahad F. Alsulaimani3, Reem A. Alansari4,Samar M. Adel5, Shoroog H. Agou4
1-Assistant Professor, Department of Orthodontics, 2-Master’s Student, 3-Professor and Head, 4-Associate Professor, Department of Orthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia, 5-Lecturer, Faculty of Dentistry, Alexandria University, Egypt.
Address for Correspondence:
Dr.Salma H Ghoneim, Assistant Professor and Consultant of Orthodontics, Department of Orthodontics, King Abdulaziz University, Jeddah, Saudi Arabia.
Email:shghoneim@kau.edu.sa
Phone No:+966536568333
Abstract
Aim: To investigate the relationship between post orthognathic surgery changes in soft and hard tissue cephalometric variables in Class II and Class III patients and quality of life (QoL) measured using a condition-specific QoL questionnaire and to determine cephalometric predictors of the overall OQLQ after surgery.
Methods: The sample included 50 orthodontic patients, 28 Class II and 22 Class III skeletal relationships whose treatment included orthognathic surgery. Correlations between cephalometric changes and Orthognathic Quality of Life Questionnaire (OQLQ) were tested by Pearson’s correlation. Multiple linear regression was used to determine cephalometric predictors of the overall OQLQ after surgery.
Results: In Class II patients, OQLQ before surgery and changes in SNA were significant predictors for OQLQ after surgery. For Class III patients, OQLQ after surgery was significantly correlated with the change in mandibular plane angle and lower face height (r = 0.6 and r = 0.5 respectively). The decrease in facial angle was negatively correlated with OQLQ (r = -0.4). Mandibular plane angle, mandibular length, and OQLQ before surgery were significant predictors for OQLQ after surgery.
Conclusion: QoL improved for Class II and III after orthognathic surgery. Changes in certain cephalometric measurements seem to predict quality of life after orthognathic surgery.
SOURCE OF FUNDING
No funding was received for the study.
CONFLICT OF INTEREST
The authors have no conflict of interest to declare.
FHow to Cite this Article: Ghoneim, S., Alahmadi, N., Alsaggaf, D., Alsulaimani, F., Alansari, R., Adel, S., & Agou, S. (2024). Quality of Life (QoL) changes after orthognathic surgery: Do they correlate with the quantum of hard and soft tissue change? Original Research. International Journal of Orthodontic Rehabilitation, 15(2), 1–12. https://doi.org/10.56501/intjorthodrehabil.v15i2.1012
Original Research
Keywords:
Upper pharynx width, Lower pharynx width, Skeletal malocclusion groups, Cephalometry.
Year : 2024 | Volume : 15 | Issue : 1 | Page : 51-63
Airway Analysis in Different Malocclusions - A Cephalometric Study
R.Hellweg Sheraffin1, Mary Sheloni Missier2, S.D.Milling Tania3, I.Bevin Shaga4, S.Veerasankar4, A.Jebilla Pringle2
1-Post Graduate, 2-Senior Lecturer, 3-Professor and Head of Department, 4-Reader, Department of Orthodontics,Rajas Dental College and Hospital, Kavalkinaru
Address for Correspondence:
Dr. R. Hellweg Sheraffin, Post Graduate, Department of Orthodontics, Rajas Dental College And Hospital, Kavalkinaru.
Email:jinsheraffin@gmail.com
Phone No:7598114843
Abstract
Background: It was essential to evaluate respiratory function when diagnosing and planning orthodontic treatment. Based on the correlation between pharyngeal airway space and craniofacial structure, airway width was hypothesized to be an indicator of airway patency in different groups of skeletal malocclusion.
Aim: The purpose of this study was to investigate age and gender related changes in pharyngeal airway dimensions in different sagittal skeletal relationships
Materials and Method: Sixty lateral cephalograms of patients aged 10-30 years with no pharyngeal pathology or nasal obstruction were retrospectively selected and categorized into skeletal Class I (n = 20), Class II (n = 20), and Class III (n = 20) malocclusion based on ANB angle. McNamara's airway analysis was used to quantify upper- and lower-airway dimensions. The analyses of intergroup differences were performed using a one-way ANOVA, an independent t-test, and Tukey's test as a post-hoc test.
Results: Participants in the study ranged in age from 20.57 ± 5.41 years (males) and 20.03 ± 4.58 years (females) were included in the study. The upper pharyngeal airway (UPA) dimensions demonstrated a positive correlation with age. In both genders, the mean upper pharyngeal airway (UPA) size exceeded the lower pharyngeal airway (LPA) size, but neither age nor gender was associated with statistically significant differences in skeletal malocclusion.
Conclusion: It was shown that skeletal malocclusions of different types have no effect on the upper and lower pharyngeal airways and that the upper and lower pharyngeal airways are not influenced by age or gender.
SOURCE OF FUNDING
Nil
CONFLICT OF INTEREST
The authors have no conflict of interest to declare.
How to Cite this Article: R.Hellweg Sheraffin, Mary Sheloni Missier, S.D.Milling Tania, I.Bevin Shaga, S.Veerasankar, & A. Jebilla Pringle. (2024). Airway Analysis in Different Malocclusions - A Cephalometric Study : Original Research. International Journal of Orthodontic Rehabilitation, 15(1), 51–63. https://doi.org/10.56501/intjorthodrehabil.v15i1.1011
Original Research
Keywords:
COVID-19, Corona Virus Disease, Orthodontic Appointment, Orthodontic Appliances
Year : 2024 | Volume : 15 | Issue : 1 | Page : 39-50
Impact of irregular appointment interval on Orthodontic treatment amid COVID-19 Pandemic- A Cross sectional Observational Study.
Meera Madgavkar1, Harsh Ashok Mishra2, Raj Kumar Maurya3, Hitesh Ramdas Sawant4, Alok Ranjan4, Parag Gangurde5
1-Intern, 2-Associate Professor, 4-AssistantProfessor, 5-Professor & Head, Department of Orthodontics and Dentofacial Orthopaedics, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Navi Mumbai, Bharati Vidyapeeth (DU) University, Pune, 3-Associate Professor, Government Field Hospital, India.
Address for Correspondence:
Dr. Harsh Ashok Mishra, Associate Professor, Department of Orthodontics and Dentofacial Orthopaedics, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Navi Mumbai. Bharati Vidyapeeth (DU) University, Pune.
Email: dr.mishraharsh@gmail.com
Phone No: 8451840579
Abstract
Introduction: The COVID-19 pandemic situation has affected all professions including orthodontics. The present study proposed determination of impact of irregular appointments on Orthodontic treatment amid COVID-19 pandemic.
Materials and Methods: The cross-sectional observational study design enrolled 134 patients over period of 2 weeks were recorded such as treatment start date, total number of appointments scheduled and frequency of missed appointments after 24 March 2020, Stage of Orthodontic treatment on or before 24 March 2020 i.e., Alignment & levelling b) Space closure c) Finishing and Detailing d) Retention.
Results: The distribution of malocclusion based on Angle Molar criteria showed prevalence of 53.73 % Class I, 37.32 % Class II and 8.95% Class III. The malocclusions were treated predominantly by extraction in 57.46 % and non-extraction in 42.44 % patients. The total treatment duration revealed that more than 51 % patients’ treatment lasted beyond 24 months but finished before 36 months. Similarly, 35.82 % patients’ treatment duration was less than 12 months. It was found that more than 47 % were in Stage I, 28.36 % were in stage II, 18.66 % in stage III and lastly 5.97 % were in stage IV.
Conclusion: Orthodontic emergencies and un-schedule appointments had prevalence of Class I, followed by Class II and Class III with extraction treatment therapy. Majority patients treated with fixed mechanotherapy followed by Clear aligners and Retainers. More than half of the patients had increased treatment duration due to irregular follow up.
SOURCE OF FUNDING
STS 2022 reference ID: 2022-07984
CONFLICT OF INTEREST
The authors have no conflict of interest to declare.
How to Cite this Article: Madgaonkar, M. M., Mishra, D. H., Maurya, D. R. K., Sawant, D. H., Ranjan, D. A., & Gangurde, D. P. (2024). Impact of irregular appointment interval on Orthodontic treatment amid COVID-19 Pandemic- A Cross-sectional Observational Study.: Original Research. International Journal of Orthodontic Rehabilitation, 15(1), 39–50. https://doi.org/10.56501/intjorthodrehabil.v15i1.973.
Original Research
Keywords:
Headgear, Class II malocclusion, U6-PTV, maxillary third molar, cephalometric radiograph
Year : 2024 | Volume : 15 | Issue : 1 | Page : 29-38
The Relationship Between Cervical Headgear Treatment And Maxillary Third Molar Space: A Retrospective Controlled Study
Salma H Ghoneim, Aseel M Alsolami, Samer Saad Alshamrani, Afnan A Nassar, Reem A Alansari, Amal I Linjawi, Khalid H Zawawi
1-BDS. MSc, Assistant Professor, Department of Orthodontics, 2-BDS, Dental Interns, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia, 3-BDS. MPH. Ph.D., Associate Professor, Department of Preventive Dentistry, Public Health Division, Faculty of Dentistry, Umm Al-Qura University, Makkah, Saudi Arabia, 4-BDS, Ph.D., Associate Professor, 5-BDS, MSc, Ph.D., Professor, 6-BDS, DSc, Professor, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
Address for Correspondence:
Dr.Salma H Ghoneim, Assistant Professor and Consultant of Orthodontics, Department of Orthodontics, King Abdulaziz University, Jeddah, Saudi Arabia.
Email:shghoneim@kau.edu.sa
PhoneNo:+966536568333
Abstract
Introduction: The effect of headgear on the space available for the eruption of upper third molars needed further investigation. Only a few studies looked at the after-treatment effect of headgear on that space, and none have evaluated the long-term effect after the average age of third molar eruption. Therefore, this retrospective study evaluated the short and long-term effects of cervical headgear on the space and eruption of the maxillary third molars and their long-term eruption status.
Materials and Methods: Records of Class II cases treated with cervical headgear were collected at the following time points: (T1) before treatment, (T2) after treatment, and (T3) taken at least 4 years after T2. An untreated control sample was collected from the Bolton-Brush study records. They were matched for age at each time point and malocclusion. Lateral cephalograms were used to measure the distance from the distal surface of the maxillary first molar (U6) to the pterygoid vertical plane (PTV). The third molar status at T3 was categorized into five groups: impacted, extracted, erupted, congenitally missing, and formation stage. Thirty-three cases were included in the cervical headgear group and 19 in the control group.
Results: The position of U6 changed significantly between the headgear and control group at T2 but was similar at T3. In the headgear group, the U6 was significantly distalized (3.3 ±2.9 mm) between T1 and T2 (P=0.006), however, there was a significant relapse of 5.9 (±4.6) mm between T2 and T3 (P<0.001). In the control group, the distance between U6 and PTV increased significantly from T1 to T2 (4.8 ±4.4mm) with minimal change from T2 to T3 (1.5 ±4.8mm). There was no significant relationship between headgear use and third molar status (p=0.108).
Conclusion: Headgear caused a temporary decrease in the U6-PTV distance that was recovered later. This decrease was not observed in the control group. Using cervical headgear to correct Class II malocclusion does not increase the risk of upper third molar impaction.
SOURCE OF FUNDING
No funding was received for the study.
CONFLICT OF INTEREST
The authors have no conflict of interest to declare.
How to Cite this Article: Ghoneim, S., Alsolami, A., Alshamrani, S., Nassar, A., Alansari, R., Linjawi, A., & Zawawi, K. (2024). The Relationship Between Cervical Headgear Treatment And Maxillary Third Molar Space: A Retrospective Controlled Study: Original Research. International Journal of Orthodontic Rehabilitation, 15(1), 29–38.
Review Article
Keywords:
Photodynamic therapy, Gingival disease, fixed orthodontic therapy
Year : 2024 | Volume : 15 | Issue : 1 | Page : 1-15
Efficacy of Antimicrobial Photodynamic Therapy as an adjunct periodontal intervention in periodontally diseased subjects undergoing orthodontic therapy
MuruganThamaraiselvan 1,SerabHusain 2
1-Professor, Department of Periodontics & Implantology, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, 2-Assistant Professor, Department of Orthodontics and Dentofacial Orthopaedics, Meenakshi Ammal Dental College and Hospital, MAHER, Chennai, Tamilnadu, India.
Address for Correspondence:
Dr. Murugan Thamaraiselvan MDS, PhD
Professor, Department of Periodontics & Implantology, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamilnadu, India.
Email id: Thamaraiselvanperiodontics@gmail.com
Abstract
Photodynamic therapy in fixed orthodontic patients with gingival disease might be beneficial, being non-invasive and having accessibility to difficulty to reach areas like, interdental region with the presence of wires and brackets. This systematic review was designed to analyze the available evidence on the efficacy of antimicrobial photodynamic therapy as an adjunct to scaling in reduction of gingival inflammation in periodontally diseased subjects undergoing fixed orthodontic treatment. Comprehensive search was conducted in electronic databases like PubMed, Scopus and Google scholar along with hand search in relevant journals. Five studies satisfied the criteria and were included in qualitative synthesis of the systematic review. The results of the primary outcome showed adjunctive aPDT did not result in any difference in reduction of gingival inflammation (BOP) compared to scaling alone in fixed orthodontic patients. Only one study showed a significant reduction of gingival inflammation with aPDT, whereas it was better in the scaling group (one study) or no significant difference (3 study) in the other studies. However, aPDT resulted in significant reduction of most of the bacterial species count and proinflammatory cytokine levels in GCF compared to scaling alone. Within the limitations of this systematic review, there is no clear evidence that aPDT adjunctive to scaling has a better effect in reducing gingival inflammation in fixed orthodontic patients. Future studies addressing this area should focus on well planned standardized, long term RCTs that will aid clinicians in making a more evidence - based decision.
CONFLICT OF INTEREST
The authors have no conflicts of interest to declare.
FUNDING
No funding was obtained for the present study.
How to cite this article: Murugan, T., & Serab Husain. (2024). Efficacy of Antimicrobial Photodynamic Therapy as an adjunct periodontal intervention in periodontally diseased subjects undergoing orthodontic therapy : Review Article. International Journal of Orthodontic Rehabilitation, 15(1), 1–15. https://doi.org/10.56501/intjorthodrehabil.v15i1.957
Case Report
Keywords:
Orthodontics, Aligning archwires, Adult orthodontics, Limited outcome Orthodontics, Short term orthodontics
Year : 2023 | Volume : 14 | Issue : 4 | Page : 58-61
Uprighting A Horizontally Impacted Mandibular Third Molar Using Modified Bach’s Technique
Anand Marya 1, Arofi Kurniawan 2, Mieke Sylvia Margaretha 2, Annissa Chusida 2, Haryono Utomo 3
1 Department of Orthodontics, Faculty of Dentistry, University of Puthisastra, Phnom Penh, Cambodia, 2 Department of Forensic Odontology, Faculty of Dental Medicine, 3Graduate ForensicStudies, Faculty of Graduate Studies, Universitas Airlangga, Surabaya, Indonesia
Address for Correspondence:
Dr. Anand Marya
Professor and Head, Department of Orthodontics, Faculty of Dentistry, University of Puthisastra, Phnom Penh-12211, Cambodia.
Email Id: amarya@puthisastra.edu.kh
ABSTRACT
There are a number of techniques with which such horizontal impactions can be treated, with no single technique being favored over the other, as these all have pros and cons. Horizontally impacted third molars are usually indicated for extraction, and only in situations where the first or the second molar has to be extracted due to decay is when these are uprighted for replacement of the missing teeth. In contrast to vertically impacted molars, there is a higher chance of success in uprighting horizontally impacted third molars as the cause is lack of space or blockage of the eruptive pathway.
Keywords: Orthodontics, Aligning archwires, Adult orthodontics, Limited outcome Orthodontics, Short term orthodontics
CONFLICT OF INTEREST
The authors have no conflicts of interest to declare.
FUNDING
No funding was obtained for the present study.
How to Cite this Article: Marya, A., Kurniawan, A., Margaretha, M. S., Chusida, A., & Utomo, H. (2024). Uprighting A Horizontally Impacted Mandibular Third Molar Using Modified Bach’s Technique: Case Report. International Journal of Orthodontic Rehabilitation, 14(4), 58–61. https://doi.org/10.56501/intjorthodrehabil.v14i4.936
Short Communication
Key words: Dental lasers; dental professional; occupational hazards; safety essentials.
Year : 2016 | Volume : 7 | Issue : 3 | Page : 112-114
Dental lasers: A review of safety essentials
Subbaiah Pradeep1, SR Anitha2, S Ravi1, BM Shivalinga1, H Jyothikiran1
1 Department of Orthodontics and Dentofacial Orthopaedics, JSS Dental College and Hospital, Mysore, Karnataka, India, 2 Department of Pedodontics, CODS, Davangere, Karnataka, India
Correspondence Address:
Subbaiah Pradeep
Department of Orthodontics and Dentofacial Orthopaedics, JSS Dental College and Hospital, Mysore, Karnataka, India.
Abstract:
Dental professionals are predisposed to a number of occupational hazards. These include exposure to ionizing radiation and nonionizing radiation. The current paper reviews the studies relating to occupational health problems in dental practice.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/2349-5243.192535
How to cite this article: Pradeep S, Anitha SR, Ravi S, Shivalinga BM, Jyothikiran H. Dental lasers: A review of safety essentials. Int J Orthod Rehabil 2016;7:112-4.
Case Report
Key words: Multidisciplinary treatment; orthodontic treatment; root canal treatment; temporary crown.
Year : 2016 | Volume : 7 | Issue : 3 | Page : 108-111
The Subharti protocol for interdisciplinary management of non-vital teeth
Rohit Arora1, Shalya Raj1, Raj Kumar Verma2, Pradeep Raghav2, Smriti Rohilla3
1 Department of Conservative and Endodontics, Subharti Dental College, Meerut, Uttar Pradesh, India, 2 Department of Orthodontics, Subharti Dental College, Meerut, Uttar Pradesh, India, 3 Department of Orthodontics and Dentofacial Orthopaedics, Subharti Dental College, Meerut, Uttar Pradesh, India
Correspondence Address:
Raj Kumar Verma
Department of Orthodontics, Subharti Dental College, Subhartipuram, NH58, Meerut - 250 002, Uttar Pradesh, India.
Abstract:
Endodontic treatment of the teeth is now a common procedure across all age groups, either as a result of caries or as a result of trauma. Furthermore, as the number of adults undergoing orthodontic treatment increases, the number of orthodontic patients presenting with root-filled teeth is on the rise. Trauma is the most common cause of pulp necrosis and loss of vitality. Sometimes, adult patients may present to the clinic with grossly decayed teeth or severely traumatized teeth which often require endodontic treatment, followed by placement of prosthetic crown before orthodontic treatment. There is no consensus regarding timing of root canal treatment, extension of root end filling material, material selection for crown placement, and cement used for crown cementation. There is no well-defined protocol for such cases. Here, in this article, we present well-defined guidelines for endodontic prosthodontic-orthodontic patients so that we can provide better care to patients with less ambiguity about the role of different specialties.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/2349-5243.192534
How to cite this article: Arora R, Raj S, Verma RK, Raghav P, Rohilla S. The Subharti protocol for interdisciplinary management of non-vital teeth. Int J Orthod Rehabil 2016;7:108-11.
Case Report
Key words: Adult orthodontics; crossbite; periodontally compromised; traumatic occlusion.
Year : 2016 | Volume : 7 | Issue : 3 | Page : 105-107
Orthodontic rehabilitation of an adult patient with pathologic migration and crossbite
Ganesh Chinthan1, CS Ramachandra2, Sham Bhat2, Kiran Nagarahalli2, Sushruth Shetty2
1 Department of Orthodontics, Kannur Dental College, Kannur, Kerala, India, 2 Department of Orthodontics, A.E.C.S. Maaruti College Of Dental Sciences and Research Centre, Bengaluru, Karnataka, India
Correspondence Address:
Ganesh Chinthan
8-83/8, Pragathi Nagar Layout, Pakkaladka, Bajal, Mangalore - 575 027, Karnataka, India.
Abstract:
The number of adults seeking orthodontic treatment for correction of their malocclusion is increasing. More number of periodontally compromised adults is opting for orthodontic treatment. Periodontal bone loss, pathologic migration, gingival recession, traumatic occlusion, and mobility may be seen in such patients. Interdisciplinary treatment approach is required to effectively manage such cases. Orthodontic treatment can correct traumatic occlusions, correct crowding for better oral hygiene maintenance, and prevent further bone loss, to improve esthetics, function, and stability. The purpose of this article is to highlight the role of orthodontics in correcting traumatic occlusions, aligning teeth in case of pathologic migration, and improving the periodontal status of a periodontally compromised adult.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/2349-5243.192533
How to cite this article:Chinthan G, Ramachandra CS, Bhat S, Nagarahalli K, Shetty S. Orthodontic rehabilitation of an adult patient with pathologic migration and crossbite. Int J Orthod Rehabil 2016;7:105-7.
Review Article
Key words: Etiology; midline diastema; stability.
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
Key words: Awareness; brushing; hygiene; mouthwash.
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
Key words: Aesthetic smile; comparison of smiles; smile perception.
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
Key words: Motivating factors; orthodontic treatment; reasons.
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.