Original Article
Year : 2018 | Volume : 9 | Issue : 2 | Page : 55-63
Effect of malocclusion severity on oral health-related quality of life and food intake ability in orthodontic patients
Aneeta Johny, BK Rajkumar, S Nagalakshmi, R Ramesh Kumar, S Vinoth, D Dayanithi
Department of Orthodontics and Dentofacial Orthopeadics, Vivekanandha Dental College for Women, Elayampalayam, Nammakkal, Tamil Nadu, India
Correspondence Address:
Dr. Aneeta Johny
Department of Orthodontics and Dentofacial Orthopeadics, Vivekanandha Dental College for Women, Elayampalayam, Nammakkal, Tamil Nadu, India.
Abstract:
Introduction:
Malocclusion is a social handicap because of its negative physical, psychological and social impact on the people. Apart from the esthetic setback, malocclusion also affects the general health of a person by hampering the quality and quantity of food intake.
Aim:
The aim of the study was to evaluate the effects of malocclusion severity on oral health-related quality of life (OHRQoL) and food intake ability (FIA) in orthodontic patients.
Methods: A total of 254 patients were assessed for the severity of malocclusion, OHRQoL, and FIA using standard oral health impact profile questionnaire and FIA questionnaire and their grades of malocclusion were assessed using the Index of Orthodontic Treatment Need- Dental Health Component Index.
Results:
Of the quality of life questionnaire, females are more affected in social disability than males (P < 0.001). Adolescents responded more positively toward their quality of OHRQoL.
Conclusion:
Severe malocclusion caused functional limitation, psychological discomfort, psychological disability, social disability, and physically challenged. The severity of malocclusion did not affect the FIA of the patient.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_45_17
How to cite this article: Johny A, Rajkumar BK, Nagalakshmi S, Kumar RR, Vinoth S, Dayanithi D. Effect of malocclusion severity on oral health-related quality of life and food intake ability in orthodontic patients. Int J Orthod Rehabil 2018;9:55-63.
Original Article
Year : 2018 | Volume : 9 | Issue : 2 | Page : 49-54
Analysis of salivary biomarkers during orthodontic tooth movement with conventional bracket and self-ligating brackets: An in vivo study
Samson Thomas, N Raghunath
Department of Orthodontics, JSS Dental College and Hospital, Jagadguru Sri Shivarathreeshwara University, Mysore, Karnataka, India
Correspondence Address:
Dr. Samson Thomas
Department of Orthodontics, JSS Dental College and Hospital, Jagadguru Sri Shivarathreeshwara University, Mysore, Karnataka, India.
Abstract:
Objective:
The aim of this study is to evaluate and compare salivary enzyme levels during orthodontic tooth movement with conventional brackets and self-ligating brackets.
Materials and Methods:
Twenty patients (15–25 years of age) where 10 patients treated with mechanical biological treatment prescription and 10 patients were treated with Damon prescription requiring after first premolar extraction participated in the study. The canine retraction was started with nickel-titanium (NiTi) coil spring with 0.019 × 0.025” stainless steel wire. Saliva sampling was done after initial alignment before retraction and at 1, 2, 3, 4, and 5 weeks after the application of orthodontic force. A volume of 5 ml of unstimulated whole saliva will be collected from the subject for each prescription. Aspartate aminotransferase (AST), alkaline phosphatase (ALP), and lactate dehydrogenase (LDH) enzyme samples will be analyzed with fully automated clinical chemistry analyzer model TOSHIBA 120R from Agappe Diagnostics. The salivary sample for tartrate-resistant acid phosphatase (TRAP) will be analyzed with the enzyme-linked immune sorbent assay (ELISA) technique ELISA.
Results and Discussion:
During canine retraction with NiTi coil spring the salivary enzyme levels for LDH and TRAP showed a significant difference from baseline to week 5 with Group A (conventional bracket) after the initiation of compressive orthodontic. The salivary enzyme levels for LDH, AST, TRAP, and ALP showed no significant difference from baseline to week 5 with Group B (self-ligating bracket) after the initiation of compressive orthodontic force. When compared between Group A and Group B at different time intervals for LDH, AST, TRAP, and ALP salivary enzyme levels, Group B showed a significant difference. The significant difference was seen with LDH at week 0 to week 2, AST at week 5, and TRAP at week 4, whereas ALP showed no significant difference. A significant difference with Group A was only seen with TRAP enzyme at week 1.
Conclusion: The LDH, AST, TRAP, and ALP level in Group A showed a significant increase whereas Group B showed no significant difference after the initiation of orthodontic.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_46_17
How to cite this article: Thomas S, Raghunath N. Analysis of salivary biomarkers during orthodontic tooth movement with conventional bracket and self-ligating brackets: An in vivo study. Int J Orthod Rehabil 2018;9:49-54.
Clinical Tip
Year : 2018 | Volume : 9 | Issue : 3 | Page : 130-131
Simple innovative “V” clips for bonded lingual retainer
Correspondence Address:
Charushila Vinay Chaudhari
Department of Orthodontics, CSMSS Dental College and Hospital, Aurangabad, Maharashtra
India
ABSTRACT
Retention is necessary in maximum number of orthodontic cases. Various retainers such as Hawley’s retainer, Essix retainer, and bonded lingual retainers are fabricated for this purpose. However, fixed lingual retainers are the appliance of choice in cases needing permanent retention. Various techniques have been used for holding the fixed retainer in place before bonding. These techniques had a disadvantage of needing assistance for the purpose of holding the retainer in place. In some techniques, the ligature wire used to hold the retainer could cause trauma to the soft tissue if not taken due care. In this article, we are describing a new simple technique for holding the retainer. The “V” retainer clips described are easy to fabricate and place, use natural interdental space for its retention, needing less chairside time, and eliminate the need of the assistance. Keywords: Bonded fixed retainer, long‑term retention, retention
DOI: 10.4103/ijor.ijor_14_18
Source of Support:
None,
Conflict of Interest:
None
How to cite this article: Chaudhari CV, Daokar SS, Yamyar SS. Simple Innovative “V” clips for bonded lingual retainer. Int J Orthod Rehabil 2018;9:130-1.
Short Communication
Year : 2018 | Volume : 9 | Issue : 3 | Page : 127-129
In-office fabrication of a modified molar distalizing jig
Vishnu Ben Latif1, Anurag Mahale2, Keshavaraj Bhat3, Rohan Rai4
1 Private Practice, Kottayam, Kerala, India, 2 Private Practice, Mumbai, Maharashtra, India, 3 Department of Orthodontics and Dentofacial Orthopedics, Century Dental College, Kerala, India, 4 Department of Orthodontics and Dentofacial Orthopedics, A. J. Institute of Dental Sciences, Mangalore, Karnataka, India
Correspondence Address:
Anurag Mahale
B/8, Shraddha, Sitladevi Temple Road, Mahim, Mumbai, Maharashtra
India
Abstract:
The rise of the soft tissue paradigm has led to the rise of nonextraction therapy in orthodontics. Molar distalization is a key aspect in nonextraction therapy as well as Class II correction in certain cases. This article deals with the fabrication of a modified molar distalization jig. The salient features of this jig are that it is easy to fabricate with materials routinely available in an orthodontic office as well as very economical.
Source of Support:
None,
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_38_17
How to cite this article: Latif VB, Mahale A, Bhat K, Rai R. In-office fabrication of a modified molar distalizing jig. Int J Orthod Rehabil 2018;9:127-9.
Case Report
Year : 2018 | Volume : 9 | Issue : 3 | Page : 123-126
Orthodontic management of dilacerated impacted maxillary central incisor using closed eruption technique
Navneet Singh, Tulika Tripathi, Priyank Rai, Prateek Gupta
Department of Orthodontics and Dentofacial Orthopaedics, Maulana Azad Institute of Dental Sciences, New Delhi, India
Abstract:
An impacted incisor with dilaceration poses a clinical dilemma because of its difficult position. This case report describes the orthodontic management of impacted dilacerated maxillary left central incisor. Based on esthetic demand and patient compliance, orthodontic traction involving closed eruption technique was performed to achieve alignment of central incisor in the arch. Prudent application of biomechanics and radiographic evaluation at regular interval assisted in achieving good esthetic and patient satisfaction.
Correspondence Address:
Tulika Tripathi
Department of Orthodontics and Dentofacial Orthopaedics, Maulana Azad Institute of Dental Sciences, MAMC Complex, Bahadur Shah Zafar Marg, New Delhi - 110 002, India.
Source of Support:
None,
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_13_18
How to cite this article: Singh N, Tripathi T, Rai P, Gupta P. Orthodontic management of dilacerated impacted maxillary central incisor using closed eruption technique. Int J Orthod Rehabil 2018;9:123-6.
Case Report
Year : 2018 | Volume : 9 | Issue : 3 | Page : 118-122
New bone formation in a cystic alveolar bone defect assisted with orthodontic tooth movement
Rana N Hammodi1, Ra'ad A Batarseh2
1 Department of Orthodontics, AL-Hussein Hospital, Jordanian Ministry of Health, Jordan, 2 Department of Oral and Maxillofacial Surgery, AL-Hussein Hospital, Jordanian Ministry of Health, Jordan
Correspondence Address:
Rana N Hammodi
Department of Dentistry, Al-Hussein Hospital, Salt, Jordan.
Abstract:
The objective of this case report is to demonstrate the role of orthodontics in rehabilitation of alveolar bone defects. A 9-year-old female patient presented with an unerupted maxillary left central and lateral incisors. The central incisor was severely dilacerated with a 1.5 cm x 2.0 cm cystic lesion causing displacement and failure of eruption of the adjacent lateral incisor. Surgical enucleation of the central incisor and the cystic lesion was done, and the bone defect was filled with synthetic bone paste and was covered with a resorbable membrane. Orthodontic closed reduction of the displaced lateral incisor was attempted. The involved lateral incisor actively erupted at the site of the missing central incisor by orthodontic traction, and de novo bone formation was noticed radiographically in the bone defect. Clinically, bucco-palatal alveolar bone thickness was maintained sufficiently. Alveolar bone defects can be adequately restored with new bone formation by means of active orthodontic tooth movement through a bone defect filled with synthetic bone.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_4_18
How to cite this article: Hammodi RN, Batarseh RA. New bone formation in a cystic alveolar bone defect assisted with orthodontic tooth movement. Int J Orthod Rehabil 2018;9:118-22.
Case Report
Year : 2018 | Volume : 9 | Issue : 3 | Page : 113-117
Orthodontic–periodontics interdisciplinary nonsurgical approach to manage infrabony osseous defect
Vivek B Mandlik1, Surendra Kumar Sewda2
1 Military Dental Centre, Nashik, Maharashtra, India, 2 Graded Specialist (Orthodontics and Dentofacial Orthopedics), 310 Field Hospital, Jammu and Kashmir, India
Correspondence Address:
Dr. Vivek B Mandlik
C.6/13, Salunkhe Vihar, Pune - 411 022, Maharashtra, India
Abstract:
Clinicians often encounter infrabony osseous defects that are usually best treated by periodontal surgical techniques, including bone grafting and guided tissue regeneration, with a goal of establishing a new connective tissue attachment. On occasion, infrabony osseous defect proximal to a central incisor with extrusion and large midline diastema may present an opportunity to consider a resolution by orthodontic–periodontic interdisciplinary approach. Orthodontics has been used as an adjunct to periodontics to increase connective tissue support and alveolar bone height. In modern clinical practice, the orthodontic–periodontic interdisciplinary approach is essential for optimized treatment outcomes. The purpose of this case report is to highlight the importance of orthodontic–periodontic interdisciplinary approach in clinical practice and to improve the level of cooperation between dental practitioners. The authors decided to treat an advanced case of periodontitis, with extrusion and pathological migration of a maxillary central incisor, using orthodontic–periodontic interdisciplinary approach. After the nonsurgical conventional periodontal therapy, the orthodontic movement was started, and the incisor was repositioned using an intrusive mechanism. There was a significant clinical decrease in the probing depth values, and radiographs showed a remarkable reduction of the infrabony osseous defect.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_5_18
How to cite this article:
Mandlik VB, Sewda SK. Orthodontic–periodontics interdisciplinary nonsurgical approach to manage infrabony osseous defect. Int J Orthod Rehabil 2018;9:113-7.
Review Article
Year : 2018 | Volume : 9 | Issue : 3 | Page : 107-112
Surgically assisted rapid palatal expansion: A way to treat transverse maxillary deficiency
Rohit Kumar Maheshwari, Harsh Harani, Savan Joshi, Amit Tiwari
Department of Orthodontics and Dentofacial Orthopedics, Sri Aurobindo College of Dentistry, Indore, Madhya Pradesh, India
Correspondence Address:
Rohit Kumar Maheshwari
Senior Lecturer, Department of Orthodontics and Dentofacial Orthopedics, Sri Aurobindo College of Dentistry, Indore Ujjain State Highway, Near Mr 10 Crossing, Indore, Madhya Pradesh, India.
Abstract:
Transverse maxillomandibular discrepancies are a major component of several malocclusions. Transverse maxillary discrepancies are routinely corrected in growing patients with appliances that separate the median palatal and associated maxillary sutures. This type of rapid palatal expansion (RPE) is not feasible in adults, however, because of the increasing resistance of the sutures. Surgically assisted RPE is an alternative method that reduces the resistance of the closed midpalatal suture to correct maxillary constriction in an adult. It allows clinicians to achieve effective maxillary expansion in a skeletally mature patient.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_10_18
How to cite this article: Maheshwari RK, Harani H, Joshi S, Tiwari A. Surgically assisted rapid palatal expansion: A way to treat transverse maxillary deficiency. Int J Orthod Rehabil 2018;9:107-12.
Original Article
Year : 2018 | Volume : 9 | Issue : 3 | Page : 101-106
The 5-year-olds' index, the GOSLON Yardstick index, and the modified Huddart/Bodenham index among children with complete unilateral cleft lip and palate: A methodological study
Mahwash Chaudhry1, Henry Svensson2, Magnus Becker2, Anna-Paulina Wiedel3
1 Department of Clinical Sciences in Malmü, Faculty of Medicine, Lund University, Lund, Sweden, 2 Department of Clinical Sciences in Malmü, Faculty of Medicine, Lund University, Lund; Department of Plastic and Reconstructive Surgery Skåne University Hospital, Malmü, Sweden, 3 Department of Oral and Maxillofacial Surgery, Skåne University Hospital; Department of Orthodontics, Faculty of Odontology, Malmü University, Malmü, Sweden
Correspondence Address:
Anna-Paulina Wiedel
Department of Oral and Maxillofacial Surgery, Skåne University Hospital, Jan Waldenstrümsgata 18, 205 02 Malmü, Malmü, Sweden.
Abstract:
Background:
The function of many orthodontic indices is to assess occlusion in patients born with a cleft. The aim of this study was to assess the intra- and interexaminer reliability for the 5-year-olds' (5YO) index, the GOSLON Yardstick index, and the modified Huddart/Bodenham (MHB) index in dental casts of children with complete unilateral cleft lip and palate (UCLP); a further aim is to compare the indices to each other.
Methods:
Forty dental casts from 5-year-old nonsyndromic patients with complete UCLP who had undergone primary surgery at Skåne University Hospital in Malmö, Sweden, were examined by two examiners: one orthodontic specialist and one general dentist.
Results:
Intraexaminer reliability for 5YO and MHB had a substantial (κ: 0.61–0.80) to almost perfect agreement ( κ: 0.81–1.00) and GOSLON Yardstick moderate (κ: 0.41–0.60) to almost perfect agreement. Grouped teeth or single-tooth MHB had an almost perfect agreement for both examiners. Interexaminer reliability for 5YO had a moderate agreement, whereas GOSLON Yardstick and MHB had a fair agreement (κ: 0.21–0.40). Grouped teeth or single-tooth MHB had an almost perfect agreement.
Conclusions:
The 5YO index illustrates the occlusion and has a high degree of reliability for an experienced orthodontist. The GOSLON Yardstick also illustrates the occlusion, but reliability between assessments is lower. MHB index can be used with a high degree of reliability when categorized as grouped or single tooth, but the judgment of total occlusion is more uncertain.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_11_18
How to cite this article: Chaudhry M, Svensson H, Becker M, Wiedel AP. The 5-year-olds' index, the GOSLON Yardstick index, and the modified Huddart/Bodenham index among children with complete unilateral cleft lip and palate: A methodological study. Int J Orthod Rehabil 2018;9:101-6.
Original Article
Year : 2018 | Volume : 9 | Issue : 3 | Page : 93-100
An odontometric study of arch dimensions among Qatari population sample with different malocclusions
Hayder Abdalla Hashim, Yasmeen Ghassan Dweik, Hashim Al-Hussain
Division of Orthodontic, Hamad Dental Centre, Hamad Medical Corporation, Rumailah Hospital, Doha, Qatar
Correspondence Address:
Hayder Abdalla Hashim
Division of Orthodontic, Hamad Dental Centre, Hamad Medical Corporation, Rumailah Hospital, Doha P. O. Box 3050, Qatar.
Abstract:
Background:
Arch dimensions are very important to clinicians in orthodontics, pedodontics, prosthodontics, as well as to anthropologist. The dimensions include arch widths, arch length, and intra-alveolar width which assist in establishing proper diagnosis and treatment planning.
Aims:
This study aims to determine the arch dimensions in Qatari sample with different malocclusions, compare the results obtained with other previous studies and also compare the result between the different Angle's malocclusions classes.
Materials and Methods:
The sample consisted of 90 pairs of pretreatment orthodontic study casts selected from patients attending the orthodontic clinic. The sample was classified into three groups according to Angle's Classification as follows: Class I, Class, II, and Class III malocclusion and each group consisted of 30 pairs. The age range was between 13 and 20 years old. The intercanine width, inter-premolar width, intermolar width, and intra-alveolar width measurements were made in each dental cast using an electronic digital caliper. Independent t-test was performed for comparative analysis.
Results:
Descriptive statistics were presented for the three Angle's classifications. No significant difference was noted between the maxillary variables in Class I and Class III. Statistically significant difference was noticed in maxillary variables in Class II (intermolar II and inter-premolar I and II). Furthermore, significant differences were revealed in mandibular intermolar I and II, inter-premolar II, and inter-alveolar between Class III and Class I and also between Class III and Class II malocclusions. Class III malocclusion showed wider arch dimensions than that in Class I and Class II.
Conclusions:
The result of the present study is important to the orthodontist, pedodontist, and also to the prosthodontist and anthropologist.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_12_18
How to cite this article: Hashim HA, Dweik YG, Al‐Hussain H. An odontometric study of arch dimensions among Qatari population sample with different malocclusions. Int J Orthod Rehabil 2018;9:93-100.
Case Report
Year : 2018 | Volume : 9 | Issue : 4 | Page : 168-172
Treatment of Class II division 1 malocclusion using forsus fatigue-resistant device
S B V Ramana Reddy1, Venkata Naga Sravanthi Jonnalagadda2
1 Department of Orthodontist, Private Practitioner, Eswar Dental Clinic, Hyderabad, India, 2 Orthodontics and Dentofacial Orthopedics, Private Practitioner, Eswar Dental Clinic, Hyderabad, India
Correspondence Address:
Venkata Naga Sravanthi Jonnalagadda
Sri Sai College of Dental Surgery, Vikarabad, Telangana, India.
Abstract:
Functional orthopedic appliances are mostly used to treat Class II malocclusion originated from mandibular retrusion. Removable or fixed functional appliances are available to advance the mandible. Fixed appliances can be treated in tandem with multibarcket therapy, thus making it a single-phase treatment. The major disadvantage of fixed functional appliances is proclination of lower anterior teeth. To reduce this proclination, miniplates or miniimplants are being used; negative torque is added to the lower incisors. Despite these additions, the proclination could not be eliminated but minimized. This case report documents the successful treatment of skeletal Class II in late stages of puberty using forsus fatigue resistance appliance with soldered hooks placed distal to the lower canines.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_19_18
How to cite this article: Reddy SB, Jonnalagadda VN. Treatment of Class II division 1 malocclusion using forsus fatigue‐resistant device. Int J Orthod Rehabil 2018;9:168-72.
Review Article
Year : 2018 | Volume : 9 | Issue : 4 | Page : 163-167
Nutrition and orthodontics
Jeevan M Khatri, Vijaymala D Kolhe
Department of Orthodontics and Dentofacial Orthopedics, CSMSS Dental College and Hospital, Aurangabad, Maharashtra, India
Correspondence Address:
Vijaymala D Kolhe
Department of Orthodontics and Dentofacial Orthopedics, CSMSS Dental College and Hospital, Kanchanwadi, Aurangabad - 431 002, Maharashtra, India.
Abstract:
Orthodontic patients avoid many types of food, particularly fruits, raw vegetables, and other hard and tough foods, as they cannot chew these properly because of pressure sensitivity of the teeth in the initial 3–5 days period after routine. As a result, such individuals consume significantly less proteins and other key nutrients, fiber, calcium, nonhem iron, and some vitamins. This article presents an overview of the relationship between diet and orthodontic treatment. The nutritional guidelines to obtain good oral and general health in orthodontic patients are discussed.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_21_18
How to cite this article: Khatri JM, Kolhe VD. Nutrition and orthodontics. Int J Orthod Rehabil 2018;9:163-7.
Review Article
Year : 2018 | Volume : 9 | Issue : 4 | Page : 159-162
Orthodontic consideration with patients with bleeding disorders
Vaidehi N Arekar1, Pushpak Ladhe2, Apurva Nikte3, Pawankumar Dnyandeo Tekale4
1 Department of Orthodontics, S.M.B.T. Dental College and Hospital, Sangamner, Maharashtra, India, 2 Consultant Endodontist, Private Practice, Mumbai, Maharashtra, India, 3 Consultant Orthodontist, Private Practice, Mumbai, Maharashtra, India, 4 Department of Orthodontics, Dr Rajesh Ramdasji Kambe Dental College and Hospital, Akola, Maharashtra, India
Correspondence Address:
Pawankumar Dnyandeo Tekale
Senior Lecturer, Department of Orthodontics, Dr Rajesh Ramdasji Kambe Dental College and Hospital, Akola, Maharashtra, India
Abstract:
Orthodontist must be aware of the impact of bleeding disorders on the management of orthodontic treatment. Initial recognition of a bleeding disorder, which may indicate the presence of a systemic pathologic process, may occur in dental practice. Patients should be queried about any previous unusual bleeding episode after surgery or injury, spontaneous bleeding, and easy or frequent bruising. The purpose of this paper is to review bleeding disorders and their effects on the delivery of orthodontic treatment.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_8_18
How to cite this article: Arekar VN, Ladhe P, Nikte A, Tekale PD. Orthodontic consideration with patients with bleeding disorders. Int J Orthod Rehabil 2018;9:159-62.
Review Article
Year : 2018 | Volume : 9 | Issue : 4 | Page : 155-158
An overview of evidence-based dentistry and randomized controlled trials: Importance in the current orthodontic research
Jasleen Kaur1, Harpreet Kaur2, Shikha Virdi3
1 Department of Orthodontics, Himachal Institute of Dental Sciences, Paonta Sahib, Sirmour, Himachal Pradesh, India, 2 Department of Pedodontics, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar, Punjab, India, 3 Department of Periodontics, BRS Dental College and Hospital, Panchkula, Haryana, India
Correspondence Address:
Jasleen Kaur
Department of Orthodontics, Himachal Institute of Dental Sciences, Paonta Sahib, Sirmour - 173 025, Himachal Pradesh, India
Abstract:
Evidence-based dentistry (EBD) was developed to help dental care professionals in incorporating the current, valid, and bias-free research into their clinical practice. It is equally important to review and critically appraise the evidence before its adoption into clinical decision-making. In orthodontics, as there are emerging innumerable appliances, materials, and treatment approaches, there is an urgent need to conduct new trials to determine their effectiveness. Recently, randomized controlled trials (RCTs) are considered as the most powerful and strongest research design for the comparison of various treatment interventions. This article gives a brief overview about EBD and RCTs and their importance in the field of orthodontics.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_41_16
How to cite this article: Kaur J, Kaur H, Virdi S. An overview of evidence‐based dentistry and randomized controlled trials: Importance in the current orthodontic research. Int J Orthod Rehabil 2018;9:155-8.
Original Article
Year : 2018 | Volume : 9 | Issue : 4 | Page : 145-154
Evaluation of the effect of moisture and saliva on the shear bond strength of brackets bonded with conventional bonding system and moisture insensitive primer: An in vitro study
I Girish Kumar, A Bhagyalakshmi, BM Shivalinga, N Raghunath
Department of Orthodontics, JSS Dental College and Hospital, JSS University, Mysore, Karnataka, India
Correspondence Address:
I Girish Kumar
Department of Orthodontics, JSS Dental College and Hospital, JSS University, Mysore, Karnataka, India.
Source of Support:
None,
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_44_17
Introduction:
Bonding of orthodontic attachments with acid etching is the most commonly used orthodontic procedure. However, there are certain limitations with acid etching procedure like/moisture contamination, etching time, the concentration of adhesive, etc., Moisture insensitive primers (MIPs) were introduced to overcome these limitations.
Objectives:
The aim of this study is to compare the shear bond strength of orthodontic brackets bonded with a MIP (Transbond MIP, 3M Unitek) against a conventional primer (Transbond XT, 3M Unitek) when contaminated with saliva – in vitro study.
Methodology:
Sixty maxillary premolars extracted for orthodontic purpose or due to periodontal involvement with sound buccal surfaces were collected, cleaned thoroughly, and stored in 0.1% (wt/vol) thymol at room temperature for 2 weeks. Following materials were used: Transbond XT Light cure adhesive (3M unitek), Transbond XT primer (3m unitek), Transbond MIP primer (3M unitek), and Metal brackets (3M unitek). A commercially available artificial saliva (AQWET, CIPLA) was used for contamination purpose. Ivoclarbluephase N LED light curing unit were used for curing purpose.
Results:
Mean bond strength was well above the clinically acceptable bond strength values indicating the use of these hydrophilic bonding materials in contaminated environments (8.5 Mpa for Transbond XT and 9.25 Mpa for Transbond MIP). On comparison of bond strengths of MIP and XT when contaminated with saliva, statistically significant values were obtained with contamination with saliva after primer application. There was a statistically significant increase in the bond strength after primer application (P = 0.233) and before and after primer application (P = 0.027*). Transbond MIP can be used to achieve adequate bond strength in saliva contaminated condition.
Conclusion:
Under dry condition, the shear bond strength of conventional primer (TRANSBOND XT) was significantly increased when compared to MIP. Under wet conditions MIP (TRANSBOND MIP) showed the highest shear bond strength and hence can be considered as a material of choice in wet conditions.
How to cite this article: Kumar IG, Bhagyalakshmi A, Shivalinga BM, Raghunath N. Evaluation of the effect of moisture and saliva on the shear bond strength of brackets bonded with conventional bonding system and moisture insensitive primer: An in vitro study. Int J Orthod Rehabil 2018;9:145-54.
Original Article
Year : 2018 | Volume : 9 | Issue : 4 | Page : 141-144
Norms for anterior–posterior assessment of jaw relationship in Maharashtra population
Niyati B Potode, Twinkle D Bajaj, Amol A Verulkar, Swapnil B Wankhade, Ratndeep A Lohakpure, Jimmy K Sangatani
Department of Orthodontics and Dentofacial Orthopedics, V. Y. W. S. Dental College, Amravati, Maharashtra, India
Correspondence Address:
Niyati B Potode
P. G. Student, Department of Orthodontics and Dentofacial Orthopedics, V. Y. W. S. Dental College 7 Hospital, Wadali, Camp, Amravati, Maharashtra, India.
Abstract:
Background:
Regularly used parameters for anteroposterior assessment of jaw relationships are ANB angle and Wits appraisal, and recently, beta angle, Yen angle, and W angle are introduced. ANB angle depends on the cranial landmarks and is affected by various factors and often can be misleading. The Wits appraisal does not depend on cranial landmarks, but still has the problem of correctly identifying the functional occlusal plane, which can sometimes be impossible. To overcome these problems, a new measurement, beta angle, was developed at Tufts University. The present study was carried out on Maharashtra population to derive norms of beta angle.
Materials and Methods:
For selection of sample, the lateral cephalograms were selected from the available patient's records, and the sample was divided into three groups based on the ANB angle, Wits appraisal, and profile.
Conclusion:
The norms of beta angle are between 28.5° and 36.5° in skeletal Class I pattern, <28.5° in skeletal Class II pattern, and >36.5° in skeletal Class III pattern.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_15_18
How to cite this article: Potode NB, Bajaj TD, Verulkar AA, Wankhade SB, Lohakpure RA, Sangatani JK. Norms for anterior–posterior assessment of jaw relationship in Maharashtra population. Int J Orthod Rehabil 2018;9:141-4.
Original Article
Year : 2018 | Volume : 9 | Issue : 4 | Page : 134-140
Analysis of facial pattern among 12–16-year-old students in Lagos, Nigeria
Olawande A Ajisafe1, Babatunde O Ogunbanjo2, Kikelomo O Adegbite1, Afolabi Oyapero3
1 Department of Child Dental Health, Lagos State University Teaching Hospital, Lagos, Nigeria, 2 Department of Child Dental Health, Faculty of Dentistry, Lagos State University College of Medicine, Lagos, Nigeria, 3 Department of Preventive Dentistry, Faculty of Dentistry, Lagos State University College of Medicine, Lagos, Nigeria
Correspondence Address:
Afolabi Oyapero
Department of Preventive Dentistry, Lagos State University College of Medicine, Ikeja, Lagos
Nigeria
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_22_18
Background:
Facial patterns or biotypes have been known to influence the treatment plan of orthodontic patients and analyze the facial patterns described by Ricketts. Determining the facial type is extremely important for orthodontic diagnosis and planning since the muscular and skeletal configuration of each facial type responds differently to the orthodontic treatment.
Materials and Methods:
A sample of 100 individuals was recruited by multistage sampling from three schools in Ikeja local government, Lagos State. Those aged between 12 and 16 years who met the inclusion criteria were enrolled in the study after obtaining informed consent and assent from the parents and participants. Lateral cephalometric radiographs were taken for all participants, and the final sample after analysis of the radiographs was 84. The error of the cephalometric method was assessed using the intraclass correlation coefficient. Facial axis angle (Ptm-Gn/Ba-N) was used to classify the facial pattern into brachyfacial (<87°), mesofacial (87°–93°), and dolichofacial (>93°)
Results:
Out of the 84 participants, 60 (71.4%) had mesofacial facial pattern which consisted of 27 (32.1%) males and 33 (39.3%) females. 10 (11.9%) had brachyfacial pattern out of which 9 (10.7%) were male and 1 (1.2%) was a female. This difference between the males and females in the brachyfacial pattern was statistically significant with a P value of 0.014 (P ≤ 0.05). 14 (16.67%) participants had dolichofacial pattern with 5 (6.0%) males and 9 (10.7%) females.
Conclusion:
The mesofacial pattern had the highest frequency among the facial pattern types studied in this Nigerian population and was found to be more predominant among females. The brachyfacial pattern was seen more frequently in males while the dolichofacial pattern was more prevalent among females. The facial pattern assessment should guide the orthodontist in the use of appropriate mechanics to achieve an overall balanced occlusion and facial profile following orthodontic treatment.
How to cite this article: Ajisafe OA, Ogunbanjo BO, Adegbite KO, Oyapero A. Analysis of facial pattern among 12–16‐year‐old students in Lagos, Nigeria. Int J Orthod Rehabil 2018;9:134-40.
Editorial
Year : 2018 | Volume : 9 | Issue : 4 | Page : 133
Complications of mini-implant anchorage
A Sumathi Felicita
Department of Orthodontics and Dentofacial Orthopedics, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India
Correspondence Address:
A Sumathi Felicita
Department of Orthodontics and Dentofacial Orthopedics, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, 162, Poonamallee High Road, Chennai - 600 077, Tamil Nadu, India.
Abstract:
N/A
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_37_18
How to cite this article: Felicita AS. Complications of mini‐implant anchorage. Int J Orthod Rehabil 2018;9:133.
Case Report
Year : 2019 | Volume : 10 | Issue : 1 | Page : 53-56
Periodontally accelerated osteogenic orthodontics: A boon in a severe periodontally compromised Class II division 1 malocclusion patient
Vagdevi Hosur Kantharaju1, Ravindra Shivamurthy2, Pavithra Untagodu Shamanna3
1 Department of Orthodontics and Dentofacial Orthopaedics, M R Ambedkar Dental College and Hospital, Bengaluru, Karnataka, India, 2 Department of Periodontics, JSS Dental College and Hospital, Mysore, Karnataka, India, 3 Private Practitioner, Orthodontics and Dentofacial Orthopaedics, Bangalore, Karnataka, India
Correspondence Address:
Vagdevi Hosur Kantharaju
Department of Orthodontics and Dentofacial Orthopaedics, M R Ambedkar Dental College and Hospital, Bengaluru, Karnataka, India.
Abstract:
Periodontally accelerated osteogenic orthodontics (PAOO) is a combination of a selective decortication facilitated orthodontic technique and alveolar augmentation. With this technique, one is no longer at the mercy of the preexisting alveolar volume, and teeth can be moved two to three times further than required for traditional orthodontic therapy. It is used to treat moderate-to-severe malocclusions in both adolescents and adults. PAOO technique increases alveolar volume which can provide a more intact periodontium, inturn decreases need for extractions, increases a degree of facial reshaping. This technique also increases the bony support for both the teeth and the overlying soft tissues. Here is a case report which highlights the above-mentioned uses with PAOO technique in a severe periodontally compromised Class II division1 malocclusion patient treated with nonextraction line of orthodontic treatment.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_28_18
How to cite this article: Kantharaju VH, Shivamurthy R, Shamanna PU. Periodontally accelerated osteogenic orthodontics: A boon in a severe periodontally compromised Class II division 1 malocclusion patient. Int J Orthod Rehabil 2019;10:53-6.
Case Report
Year : 2019 | Volume : 10 | Issue : 1 | Page : 49-52
Composite buttons for relapsed spaces, single-tooth crossbite, and midline diastema
Padmashanthi Sitsabesan, MK Karthikeyan, A Praveen Kumar, S Jasher, Ramachandra Prabhakar, Saravanan Nithyanandhan
Department of Orthodontics, Thai Moogambigai Dental College and Hospital, Chennai, Tamil Nadu, India
Correspondence Address:
Padmashanthi Sitsabesan
A Block, G3 Saichaman Apartments, 35th Street, TVS Avenue, Anna Nagar West Extension, Chennai - 600 101, Tamil Nadu, India.
Abstract:
Maintaining the achieved occlusion following the orthodontic treatment is the most difficult task of the entire treatment process. Relapses are common in noncompliant patients and in some cases despite the patient following the protocol. There are various factors for the relapse after the orthodontic treatment. The relapsed malocclusions can be corrected by simple procedures such as composite buttons. They are economical and esthetic considering the relapsed space. A 27-year-old female patient presented to our orthodontic department with the chief complaint of mild anterior spacing with midline diastema and anterior crossbite in relation to 21, after treatment with fixed appliance therapy. The patient was treated with composite buttons, and satisfactory results were obtained. Composite buttons are an alternate treatment line for mild relapsed cases in patients who are not willing to undergo the fixed appliance therapy again.
Source of Support:
None,
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_25_18
How to cite this article: Sitsabesan P, Karthikeyan MK, Kumar AP, Jasher S, Prabhakar R, Nithyanandhan S. Composite buttons for relapsed spaces, single-tooth crossbite, and midline diastema. Int J Orthod Rehabil 2019;10:49-52.