Original Article
Year : 2017 | Volume : 8 | Issue : 2 | Page : 41-50
Cephalometric and computed tomography evaluation of dentoalveolar/soft-tissue change and alteration in condyle-glenoid fossa relationship using the PowerScope: A new fixed functional appliance for Class II correction –A clinical study
B Nishanth, Adusumilli Gopinath, Sameer Ahmed, Neelakantha Patil, K Srinivas, ASK Chaitanya
Department of Orthodontics and Dentofacial Orthopedics, AME's Dental College and Hospital, Raichur, Karnataka, India
Correspondence Address:
B Nishanth
Post Graduate Student, Department of Orthodontics and Dentofacial Orthopedics, AME’s Dental College and Hospital, Raichur, Karnataka, India.
Abstract:
Background and Objectives:
Among various interarch appliances for the correction of Class II malocclusion, PowerScope is one of the latest appliances used in the clinical practice of orthodontics. This clinical study was conducted to evaluate the clinical efficiency of PowerScope appliance by assessing skeletal, dentoalveolar, and soft-tissue changes and condyle-glenoid fossa relationship after using the appliance. The null hypothesis of this research is that there is a significant difference between dentoalveolar and soft-tissue changes alone.
Methodology:
Ten patients of age between 11 and 16 years, 4 males and 6 females, who reported to the Department of Orthodontics and Dentofacial Orthopedics, have been treated for Class II malocclusion (nonextraction) were selected for the study. Inclusion criteria included convex profile, retrognathic/deficient mandible, growing patient at least pubertal growth period, minimal crowding, and positive visual treatment objective. Exclusion criteria included patients with neuromuscular disease, temporomandibular joint problem, and skeletal open bite.
Statistical Analysis:
Statistical analysis is performed using Wilcoxon signed-rank test.
Results:
The study revealed the following findings. There are statistically significant changes in dentoalveolar and soft-tissue parameters after using PowerScope appliance. Statistical significant changes are seen in the anterior and posterior joint spaces relationship after using PowerScope appliance.
Interpretation and Conclusion:
Thus, PowerScope was clinically efficient in the correction of Class II malocclusion in noncompliant patients. Although there were changes in the skeletal parameters, they are not statistically significant. Hence, based on this clinical study, we can conclude that the Class II correction with PowerScope occurred almost entirely by dentoalveolar movement.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_5_17
How to cite this article: Nishanth B, Gopinath A, Ahmed S, Patil N, SrinivasK, Chaitanya A. Cephalometric and computed tomography evaluation of dentoalveolar/soft-tissue change and alteration in condyle-glenoid fossa relationship using the PowerScope: A new fixed functional appliance for Class II correction –A clinical study. Int J Orthod Rehabil 2017;8:41-50.
Clinical Innovation
Year : 2017 | Volume : 8 | Issue : 3 | Page : 125-127
A simple and effective appliance for correction of bilateral molar scissor bite: “The M-shaped palatal arch”
Romina Mahomadali Kapadia
Department of Orthodontics and Dentofacial Orthopaedics, K. M. Shah Dental College and Hospital, Sumandeep Vidyapeeth, Vadodara, Gujarat, India
Correspondence Address:
Romina Mahomadali Kapadia
Department of Orthodontics and Dentofacial Orthopaedics, K. M. Shah Dental College and Hospital, Sumandeep Vidyapeeth, At and Po Pipariya, Taluka Waghodia, Vadodara - 391 760, Gujarat, India.
Abstract:
Molar scissor-bite is a common finding in orthodontics. Many times, it is found as a sole malocclusion in a patient. Alignment of such buccally erupted molars is a challenging task. This article describes an innovative appliance, “the M-shaped palatal arch” for successful correction of bilateral molar scissor-bite.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_16_17
How to cite this article: Kapadia RM. A simple and effective appliance for correction of bilateral molar scissor bite: “The M-shaped palatal arch”. Int J Orthod Rehabil 2017;8:125-7.
Short Communication
Year : 2017 | Volume : 8 | Issue : 3 | Page : 123-124
Complementary use of essix retainer
Suresh K Kangane, Yatishkumar S Joshi, Ganesh Omraj Dange
Department of Orthodontics, MIDSR Dental College, Latur, Maharashtra, India
Correspondence Address:
Ganesh Omraj Dange
Department of Orthodontics, MIDSR Dental College, Vishwanathpuram, Ambajogai Road, Latur, Maharashtra, India.
Abstract:
Trauma leading to fracture of maxillary anteriors is a common finding in orthodontic patients with proclined upper anteriors. Retention is an integral part of orthodontic treatment. We hereby intend to provide a small modification in fabrication of the clear retainer which facilitates in the restoration of the fractured anterior tooth. Working models are made for maxillary and mandibular arches. Fracture tooth is buildup on the working model using acrylic to replicate the anatomy of the tooth. Thermoformed retainer is fabricated on these working models with built-up fractured. These can be used as a retainer followed by restoration. The thermoplastic retainer can be used as template for restoration of the fractured anterior tooth saving clinical time for buildup of teeth and reduces an appointment of the patient.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_2_17
How to cite this article: Kangane SK, Joshi YS, Dange GO. Complementary use of essix retainer. Int J Orthod Rehabil 2017;8:123-4.
Case Report
Year : 2017 | Volume : 8 | Issue : 3 | Page : 119-122
Nasoalveolar molding for the rehabilitation of newborns with cleft
Neha, Tulika Tripathi, Priyank Rai
Department of Orthodontics and Dentofacial Orthopedics, Maulana Azad Institute of Dental Sciences, New Delhi, India
Correspondence Address:
Neha
Department of Orthodontics and Dentofacial Orthopedics, Maulana Azad Institute of Dental Sciences, New Delhi - 110 002, India.
Abstract:
The success of repair in cleft lip and palate depends on the extent of disfigurement and the size of disfigurement which guides the surgical repair. With the popularization of nasoalveolar molding (NAM), the results of primary surgery in such patients have greatly improved due to the presurgical correction of the deformities leading to a better approximation of the tissues and hence reduced scarring. Thus, today, the knowledge of pre-surgical nasoalveolar molding should be a part of any orthodontist's armamentarium to enhance the results of surgical lip repair and reduce the extent of nasal deformity minimizing the need for revision surgeries. The current report describes the use of NAM in a newborn with unilateral cleft lip and palate and demonstrates the excellent results thus achieved after surgical repair.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_19_17
How to cite this article: Neha, Tripathi T, Rai P. Nasoalveolar molding for the rehabilitation of newborns with cleft. Int J Orthod Rehabil 2017;8:119-22.
Case Report
Year : 2017 | Volume : 8 | Issue : 3 | Page : 112-118
Surgical management of Class III malocclusion: A 1 year follow-up
Suresh K Kangane1, Yatishkumar Joshi1, Khushbu D Agrawal1, Rahul Laturiya2, Sheeraz Badal2
1 Department of Orthodontics, MIDSR Dental College, Latur, Maharashtra, India, 2 Department of Oral and Maxillofacial Surgery, MIDSR Dental College, Latur, Maharashtra, India
Correspondence Address:
Khushbu D Agrawal
Department of Orthodontics, MIDSR Dental College, Vishwanathpuram, Ambejogai Road, Latur, Maharashtra, India.
Abstract:
For patients whose orthodontic problems are so severe that neither growth modification nor camouflage offers a solution, surgery to realign the jaws or reposition dentoalveolar segments is the only possible treatment option left. One indication for surgery is a malocclusion too severe for orthodontics alone. It is possible now to be at least semiquantitative about the limits of orthodontic treatment in the context of producing normal occlusion as the diagrams of the “envelope of discrepancy” indicate. In this case report, we have presented orthognathic treatment plan of an adult male patient with skeletal Class III malocclusion and anterior crossbite. Patient's malocclusion was decompensated by orthodontic treatment just before the surgery and then normal jaw relationship achieved by bilateral sagittal split ramus osteotomy. Patient's dental and facial profile was improved in a total of 18 months treatment duration. One-year follow-up showed stable results.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_3_17
How to cite this article: Kangane SK, Joshi Y, Agrawal KD, Laturiya R, Badal S. Surgical management of Class III malocclusion: A 1 year follow-up. Int J Orthod Rehabil 2017;8:112-8.
Original Article
Year : 2017 | Volume : 8 | Issue : 3 | Page : 108-111
Assessment of skeletal and dental maturity indicators and comparison of maturity indicators in vertical and horizontal growth pattern individuals with normal growth pattern individuals
Amol Verulkar1, Pritesh Singla2, Harshal Ashok Patil3, Pawankumar Dnyandeo Tekale4
1 Department of Orthodontics, VYWS Dental College, Amravati, Maharashtra, India, 2 Department of Orthodontics and Dentofacial Orthopedics, AIDSR Dental College, Bathinda, Punjab, India, 3 Private Orthodontic Practice, Aditya Chambers, Housing Society, Jalgaon, Maharashtra, India, 4 Department of Orthodontics, Dr. Rajesh Ramdasji Kambe Dental College and Hospital, Akola, Maharashtra, India
Correspondence Address:
Harshal Ashok Patil
Private Orthodontic Practice, Aditya Chambers, Housing Society, Jalgaon - 425 001, Maharashtra, India
Abstract:
Objective:
The purpose of the present study was carried out to establish whether the vertical and horizontal growth patterns influence the rate of dental and skeletal maturation as compared to normal growth patterns.
Materials and Methods:
This study comprised sixty samples divided into three groups. Group I normal grower (control), Group II-vertical growers, and Group III-horizontal growers. Each sample was assessed for skeletal and dental age using cervical vertebrae maturation index (CVMI), skeletal maturity indicator stages and canine calcification stages, respectively. All data in the groups were analyzed by analysis of variance test. Subgroup data and comparisons were analyzed by Dunnett D-test and -test.
Results:
Results showed that dental maturation was delayed in horizontal growers as compared to vertical growers with = 0.00 and 0.044. There was nonsignificant difference in dental maturation of male and females with >0.05. The comparison of skeletal maturation by hand-wrist radiograph showed significant variation in Group III with delayed skeletal maturation of horizontal growers than control group with P < 0.05. Dunnett D-test showed main skeletal age by CVMI was significant with = 0.00 which indicates that skeletal age of Group III to be lower in all groups. Rest was nonsignificant.
Conclusion:
Individuals with horizontal growth pattern showed delayed dental maturation when compared to vertical growers.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_20_17
How to cite this article: Verulkar A, Singla P, Patil HA, Tekale PD. Assessment of skeletal and dental maturity indicators and comparison of maturity indicators in vertical and horizontal growth pattern individuals with normal growth pattern individuals. Int J Orthod Rehabil 2017;8:108-11.
Original Article
Year : 2017 | Volume : 8 | Issue : 3 | Page : 96-100
Perception of smile attractiveness toward various forms of anterior diastemas among undergraduate dental and nondental students: A questionnaire-based study
Siham Arezki Houacine, Elhadi Mohieldin Awooda
Department of Conservative Dentistry, Faculty of Dentistry, University of Medical Sciences and Technology, Khartoum, Sudan
Correspondence Address:
Elhadi Mohieldin Awooda
Department of Conservative Dentistry, Faculty of Dentistry, University of Medical Sciences and Technology, P. O. Box 12810, Khartoum, Sudan
Abstract:
Background:
Smiling is the evident component of facial attractiveness. Midline diastema is considered in some cultures as unattractive and as a malocclusion, especially in Western countries while it is considered as a sign of beauty in Africa and Middle-East.
Aim:
The aim of this study is to compare the smile attractiveness perception of dental and nondental students toward anterior diastemas and to determine whether all spaces in the esthetic zone are considered unattractive as midline diastema.
Materials and Methods:
This is a descriptive cross-sectional study conducted among 156 dental and pharmacy students from the University of Medical Sciences and Technology, Sudan, from December 2015 to January 2016. A self-administered questionnaire was distributed to the participants and it consisted of two parts: part one – related to gender, faculty, educational level, and questions about dental diastema, and part two – containing four modified pictures of a young female's smile modified by photoediting software to create different spaces between anterior teeth (midline, Simian, Frush and Fisher, and Lombardi diastema). Participants were asked to rank the pictures according to attractiveness from the most to the least attractive using visual analog scale. Comparison between variables was made by Chi-square test with P < 0.05.
Results:
Smile attractiveness from the most to the least attractive was Simian > Frush and Fisher > midline > Lombardi among both dental and pharmacy students. Gender and presence of diastema had no relation with the student's perception (P > 0.05). There was a significant statistical difference between dental and pharmacy students regarding Frush and Fisher diastema (P = 0.034). Most of the students with diastema felt shy when smiling.
Conclusions:
The location and width of diastema had an important role on the attractiveness perception of dental diastemas. Midline diastema was not a gap with the most negative perception
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_7_17
How to cite this article: Houacine SA, Awooda EM. Perception of smile attractiveness toward various forms of anterior diastemas among undergraduate dental and nondental students: A questionnaire-based study. Int J Orthod Rehabil 2017;8:96-100.
Clinical Pearl
Year : 2017 | Volume : 8 | Issue : 4 | Page : 161-163
Tempo blocks
Khushbu Dinesh Agrawal, Suresh K Kangane, Anand Ambekar
Department of Orthodontics, MIDSR Dental College, Latur, Maharashtra, India
Correspondence Address:
Khushbu Dinesh Agrawal
Department of Orthodontics, MIDSR Dental College, Latur, Maharashtra, India
Abstract:
Bite opening is often required to achieve clearance for correction of certain malocclusions such as crossbites or deep overbites. The present article introduces “tempo blocks” which are easy to fabricate and use and can be used along with the fixed orthodontic appliance in place.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_31_17
How to cite this article: Agrawal KD, Kangane SK, Ambekar A. Tempo blocks. Int J Orthod Rehabil 2017;8:161-3.
Clinical Pearl
Year : 2017 | Volume : 8 | Issue : 4 | Page : 159-160
Reactivation of NiTi open coil spring using crimpable hook: A clinical pearl
Surendra Kumar Sewda, Akshay Madhukar Waingankar, Mohit Sharma, MP Prasanna Kumar, Amit Jain
Department of Dental Surgery and Oral Health Sciences, Division of Orthodontics and Dentofacial Orthopedics, AFMC, Pune, Maharashtra, India
Correspondence Address:
Surendra Kumar Sewda
Department of Dental Surgery and Oral Health Sciences, Division of Orthodontics and Dentofacial Orthopedics, AFMC, Pune - 411 040, Maharashtra, India.
Abstract:
Ni-Ti open coil springs are often used to create space for alignment of malposed teeth. Predetermining the length of open coil spring required to open up the exact amount of space is rather difficult, and occasionally, the length of the open coil spring falls short to open up the entire space required. This article highlights the chairside intraoral method of reactivation of NiTi open coil spring with the use of crimpable hook without removing the base archwire.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_25_17
How to cite this article: Sewda SK, Waingankar AM, Sharma M, Prasanna Kumar MP, Jain A. Reactivation of NiTi open coil spring usingcrimpable hook: A clinical pearl. Int J Orthod Rehabil 2017;8:159-60.
Case Report
Year : 2017 | Volume : 8 | Issue : 4 | Page : 154-158
Camouflage treatment of Angle's Class III malocclusion in a young adult
Zeeshan Iqbal Bhat
Department of Dental, Clinic of Orthodontics and Dentofacial Orthopaedics, Almoosa Specialist Hospital, Al Ahsa 31982, Saudi Arabia
Correspondence Address:
Zeeshan Iqbal Bhat
Almoosa Specialist Hospital, Dhahran Street, Al Ahsa 31982, Saudi Arabia.
Abstract:
A case report is presented of a class III malocclusion with a class III skeletal pattern with prognathic maxilla and mandible in relation to cranium and prognathic mandible in relation to maxilla. The smile was unesthetic as there was a generalised spacing and the maxillary teeth were retroclined and mandibular proclined with more exposure of mandibular teeth. Camouflage treatment was carried out by closure of all the spaces and correcting anterior crossbite.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_42_16
How to cite this article: Bhat ZI. Camouflage treatment of Angle's Class III malocclusion in a young adult. Int J Orthod Rehabil 2017;8:154-8.
Review Article
Year : 2017 | Volume : 8 | Issue : 4 | Page : 141-146
Sterilization and orthodontics: A literature review
Jeevan M Khatri, Manjusha M Jadhav, Gaurav H Tated
Department of Orthodontics and Dentofacial Orthopedics, CSMSS Dental College and Hospital, Aurangabad, Maharashtra, India
Correspondence Address:
Manjusha M Jadhav
Department of Orthodontics and Dentofacial Orthopedics, CSMSS Dental College and Hospital, Aurangabad - 431 002, Maharashtra, India.
Abstract:
Sterilization is a process by which an article, surface or medium is freed of all microorganisms either in vegetative or spore state. On a daily basis, the practicing dentist and his personal are at risk of being exposed to wide patients with blood borne diseases such as HIV/AIDS, hepatitis B, C, and airborne diseases such as tuberculosis. Infection can be directly transmitted by oral fluids, blood, contaminated instruments and surfaces, or through the respiratory system. Control of infection that spreads through various instruments and armamentarium used in the field of orthodontics and dentistry in general is of utmost importance as a preventive measure for cross infection. Considering the fact that the rate at which newer strains evolve with time and older strains develop resistance, it has become a constant challenge through time and in the years to come. This article tells about various methods of sterilization by focusing on the guidelines for an effective and efficient orthodontic practice.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_36_17
How to cite this article: Khatri JM, Jadhav MM, Tated GH. Sterilization and orthodontics: A literature review. Int J Orthod Rehabil 2017;8:141-6.
Original Article
Year : 2017 | Volume : 8 | Issue : 4 | Page : 136-140
The applicability of Bolton's tooth size ratios for population-specific malocclusion
Zafar Iqbal Javed Iqbal Sayed1, Anish Dnyneshwar Doke2
1 Department of Orthodontics and Dentofacial Orthopedics, Aditya Dental College, Beed, Maharashtra, India, 2 Department of Orthodontics and Dentofacial Orthopedics, Bharti Vidyapeeth, Pune, Maharashtra, India
Correspondence Address:
Zafar Iqbal Javed Iqbal Sayed
Flat No-1, A-Wing, Ground Floor, Parekh Nagar Society, Kurar Village, Malad (East), Mumbai - 400 097, Maharashtra, India.
Abstract:
Aims:
This study aims to evaluate the Bolton ratio in Beed population in Maharashtra with different malocclusion.
Materials and Methods:
Fifty study casts were taken from the patients undergoing orthodontic treatment, and individuals were divided into three groups: Group I (Angle's Class I, n = 25), Group II (Angle's Class II, n = 25), and Group III (mean of Group I and Group II).
Statistical Analysis Used:
ANOVA and Tukey's test.
Results:
A mean total Bolton ratio of 93.05 ± 5.87 and a mean anterior Bolton ratio of 81.08 ± 5.93 were found for the sample; significantly, higher mean anterior tooth ratios were found for Group I (Angle's Class I) patients (P < 0.03).
Conclusions:
Mean anterior tooth size discrepancy for Angle Class I individuals was significantly greater compared to Bolton's mean anterior ratio.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_35_17
How to cite this article: Sayed ZI, Doke AD. The applicability of Bolton's tooth size ratios for population-specific malocclusion. Int J Orthod Rehabil 2017;8:136-40.
Original Article
Year : 2017 | Volume : 8 | Issue : 4 | Page : 129-135
A comparative evaluation of bite opening by temporary anchorage devices and Connecticut intrusion arch: An in vivo study
Neha Gupta1, Tulika Tripathi2, Priyank Rai2, Anup Kanase2, Neha2
1 Postgraduate, Department of Orthodontics and Dentofacial Orthopedics, Maulana Azad Institute of Dental Sciences, New Delhi, India
2 Department of Orthodontics and Dentofacial Orthopedics, Maulana Azad Institute of Dental Sciences, New Delhi, India
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.
Abstract:
Introduction:
Deep bite correction in patients with convex profile and increased maxillary incisor visibility, and normal or increased vertical dimension necessitates the intrusion of maxillary incisors. Intrusion arches or miniscrews are commonly used for this purpose. The current study compares one of the prefabricated intrusion arches, the Connecticut intrusion arch (CIA), and the temporary anchorage devices (TADs) in their effectiveness for orthodontic intrusion.
Materials and Methods:
The present prospective study was done on 24 patients in the age group of 15–25 years undergoing fixed orthodontic treatment. In Group I, TADs were placed for intrusion while, in Group II, CIA was placed. Anchorage was reinforced in Group II using transpalatal arch. A paired t-test or a Wilcoxon signed-rank test was performed for the assessment of treatment changes within the groups, and an independent t-test or a Mann–Whitney U-test evaluated change between the groups.
Results:
Both TADs and CIA can bring about significant amount of true incisor intrusion with resultant decrease in incisor visibility. However, in the TAD group, in addition to intrusion, the incisors also proclined by 0.67 mm, but in CIA group, incisors retracted by 0.33 mm. There were nonsignificant mesial drift and significant extrusive movement of the maxillary first molars in the CIA group. The rate and amount of intrusion was greater in the TAD group.
Conclusions:
Both TADs and CIA can be effectively used for incisor intrusion which was, however, faster and greater in TAD group. Both the methods bring about associated unwanted tooth movements as well.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_28_17
How to cite this article: Gupta N, Tripathi T, Rai P, Kanase A, Neha. A comparative evaluation of bite opening by temporary anchorage devices and Connecticut intrusion arch: An in vivo study. Int J Orthod Rehabil 2017;8:129-35.
Case Report
Year : 2018 | Volume : 9 | Issue : 1 | Page : 41-47
Orthodontic management of palatally impacted canine
Thirunavukkarasu Ramanathan, Tamizhmani Jayachandran, C Nirupama, Suresh Anand, Prashanth Chandrasekaran, Krishna Priya
Department of Orthodontics and Dentofacial Orthopaedics, Karpaga Vinayaga Institute of Dental Sciencies, Kancheepuram, Tamil Nadu, India
Correspondence Address:
Dr. Thirunavukkarasu Ramanathan
Department of Orthodontics and Dentofacial Orthopedics, Karpaga Vinayaga Institute of Dental Sciencies, Madhuranthagam, Kancheepuram, Tamil Nadu, India.
Abstract:
Impacted canine teeth are problems frequently encountered in dental practice. Maxillary canine teeth are the most commonly impacted teeth next to third molars. Incidence of palatal impaction is greater than labial impaction. Many etiological factors attributed for canine impaction. Timely diagnosis and interception provide a better management of impacted canine. There are various orthodontic auxiliaries used for disimpaction of canine. Ballista spring is one of the simplified orthodontic auxiliary spring developed by Harry Jacoby used for repositioning impacted teeth. It delivers light force, excellent biomechanics, simplicity of the design, patient comfort, and esthetics. This case report presents a case of orthodontic repositioning of palatally impacted canine in a 15-year-old using ballista's spring.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_49_17
How to cite this article: Ramanathan T, Jayachandran T, Nirupama C, Anand S, Chandrasekaran P, Priya K. Orthodontic management of palatally impacted canine. Int J Orthod Rehabil 2018;9:41-7.
Case Report
Year : 2018 | Volume : 9 | Issue : 1 | Page : 36-40
Multidisciplinary management of a bilateral cleft lip and palate patient
Sowmiya Aravindan, Uma Maheswari Ramachandran, R Devaki Vijayalakshmi
Department of Orthodontics and Dentofacial Orthopedics, Meenakshi Ammal Dental College and Hospitals, MAHER University, Kanchipuram, Tamil Nadu, India
Correspondence Address:
Dr. Sowmiya Aravindan
Department of Orthodontics and Dentofacial Orthopedics, Meenakshi Ammal Dental College and Hospitals, MAHER University, Kanchipuram, Tamil Nadu, India.
Abstract:
Cleft lip and palate (CLP) is the most commonly occurring congenital facial anomaly, in which Bilateral CLP is the least common among the different types of CLP. CLP correction requires a proper diagnosis and stage-wise treatment planning with a multidisciplinary approach which involves orthodontic and surgical correction of dental malocclusion and skeletal discrepancies, respectively. This case report emphasizes the need for multidisciplinary treatment which includes orthodontic treatment, orthognathic surgery, secondary lip revision and rhinoplasty performed in an 8-year-old patient with bilateral CLP to achieve a balanced and pleasing profile with good functional occlusion. The multidisciplinary approach performed by the orthodontists and oral surgeons brought stupendous results and showed good retention at 2-year posttreatment.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_42_17
How to cite this article: Aravindan S, Ramachandran UM, Vijayalakshmi RD. Multidisciplinary management of a bilateral cleft lip and palate patient. Int J Orthod Rehabil 2018;9:36-40.
Case Report
Year : 2018 | Volume : 9 | Issue : 1 | Page : 32-35
A custom made appliance for correction of anterior crossbite in Class III malocclusion
Navneet Singh, Tulika Tripathi, Priyank Rai, Neha Khanna
Department of Orthodontics and Dentofacial Orthopaedics, Maulana Azad Institute of Dental Sciences, New Delhi, India
Correspondence Address:
Dr. Navneet Singh
Department of Orthodontics and Dentofacial Orthopaedics, Maulana Azad Institute of Dental Sciences, New Delhi, India.
Abstract:
Anterior crossbite is the most important concern in a patient with a Class III malocclusion. The current report demonstrates the use of a custom made removable appliance in a patient unwilling for fixed orthodontic therapy.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_34_17
How to cite this article: Singh N, Tripathi T, Rai P, Khanna N. A custom made appliance for correction of anterior crossbite in Class III malocclusion. Int J Orthod Rehabil 2018;9:32-5.
Case Report
Year : 2018 | Volume : 9 | Issue : 1 | Page : 27-31
Clinical considerations for retaining the over-retained deciduous tooth: A rare case report
Ratna Parameswaran1, Terry Thomas Edathotty2, Anoop Mathew3
1 Department of Orthodontics, University of Meenakshi, Meenakshi Ammal Dental Hospital and Educational Research, Chennai, Tamil Nadu, India, 2 Department of Orthodontics, Mar Baselios College, Kothamangalam, Kerala, India, 3 Department of Orthodontics, Indira Gandhi Institute of Dental Sciences, Sri Balaji Vidyapeeth University, Puducherry, India
Correspondence Address:
Dr. Ratna Parameswaran
Department of Orthodontics, University of Meenakshi, Meenakshi Ammal Dental Hospital and Educational Research, Alapakkam Main Road, Maduravoyal, Chennai - 600 095, Tamil Nadu, India
Abstract:
We often encounter deciduous teeth which are retained in the oral cavity beyond the age of its exfoliation. In most instances, we are posed with a question as to whether to consider retaining it further or to extract and substitute. The concept and clinical considerations for retaining deciduous teeth and substituting it for its permanent successors are projected through a case illustration in this clinical case report.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_27_17
How to cite this article: Parameswaran R, Edathotty TT, Mathew A. Clinical considerations for retaining the over-retained deciduous tooth: A rare case report. Int J Orthod Rehabil 2018;9:27-31.
Original Article
Year : 2018 | Volume : 9 | Issue : 1 | Page : 23-26
Extraction Versus Non-Extraction: A Retrospective Study
Mrudul Vaidya, H Jyothikiran, N Raghunath, Pratham Pai
Department of Orthodontics, JSS Dental College and Hospital, JSS University, Mysore, Karnataka, India
Correspondence Address:
Dr. Mrudul Vaidya
Department of Orthodontics, JSS Dental College and Hospital, JSS University, Mysore, Karnataka, India
Abstract:
Introduction and Objectives:
The extraction versus nonextraction controversy is the oldest as well as the most enduring controversy and still remains a topic of debate in the field of orthodontics. The “American Board of Orthodontics” (ABO-1998) introduced an index called the objective grading system (OGS) which evaluates posttreatment dental casts and panoramic radiographs. It assesses the final occlusion in first, second, and third orders according to eight different occlusal components. The aim of the present study was to evaluate the treatment outcome of extraction and nonextraction cases in borderline cases by ABO-OGS system.
Materials and Methods: .
Forty borderline orthodontic patients with Angle's Class I malocclusion with an age group of 13–20 years were selected and equally divided into two groups: twenty patients were treated by extraction of all first premolars and twenty patients with a nonextraction treatment protocol. MBT 0.022” slot prescription was used for all forty patients. With the aid of an ABO measuring gauge and panoramic radiographs, the total OGS scores between the two groups were calculated and compared using Student's t-test.
Results:
The mean OGS scores were significantly less negative in the extraction group (−22.0 ± 2.29) as compared to the nonextraction group (−26.80 ± 5.18, P < 0.005).
Conclusion:
According to this study, in the borderline cases, the final occlusion and radiographical characteristics were more acceptable in the patients treated with extraction than the nonextraction patients.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_40_17
How to Cite this article:Vaidya M, Jyothikiran H, Raghunath N, Pai P. Extraction Versus Non-Extraction: A Retrospective Study. Int J Orthod Rehabil 2018;9:23-6.
Original Article
Year : 2018 | Volume : 9 | Issue : 1 | Page : 14-22
The effect of displaced canine on the dentoskeletal and soft tissue development of the face: A cephalometric study
Suruchi Singh, Prerna Raje Batham, Ashish Garg, Bhavna Virang, Ulrika Diana Pereira Kalia
Department of Orthodontics and Dentofacial Orthopedics, Sri Aurobindo College of Dentistry, Indore, Madhya Pradesh, India
Correspondence Address:
Dr. Suruchi Singh
Department of Orthodontics and Dentofacial Orthopedics, Sri Aurobindo College of Dentistry, Indore Ujjain State Highway, Near MR 10 Crossing, Indore, Madhya Pradesh, India.
Abstract:
Introduction:
To analyze the skeletal features of patients with maxillary canine impaction.
Materials and Methods:
Pretreatment lateral cephalograms of 30 patients in buccally displaced canine group (BDCG), 15 in palatally displaced canine group (PDCG), 30 in impacted canine group (ICG), and 50 in control reference sample (control group [CG]) were used to analyze the selected dentoskeletal characteristics. One-way analysis of variance was used to identify the differences in angles among the four groups (BDCG, PDCG, ICG, and CG). The differences in the relative distribution among the groups were tested by Pearson's Chi-square test. Independent samples t-test was used to test the significance of differences between the two groups.
Results:
In BDCG, retrognathic maxilla, tip up maxilla, retrognathic mandible, skeletal Class II, and horizontal growth pattern were the significant factors. In PDCG, skeletal Class II and hypodivergent were significant factors. In ICG, retrognathic maxilla, retrognathic mandible, hypodivergent relationships are poorly significant factors. The nasolabial angle and Steiner's S line were insignificant in all groups except the ICG where acute nasolabial angle is poorly significant.
Conclusion:
When compared to controls, canine impaction(s) revealed a trend toward retrognathic maxilla, retrognathic mandible, skeletal Class II, and hypodivergent skeletal relationship.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_32_17
How to cite this article: Singh S, Batham PR, Garg A, Virang B, Pereira Kalia UD. The effect of displaced canine on the dentoskeletal and soft tissue development of the face: A cephalometric study. Int J Orthod Rehabil 2018;9:14-22.
original Article
Year : 2018 | Volume : 9 | Issue : 1 | Page : 8-13
The association between soft palate shape and Need's ratio in various sagittal skeletal malocclusions: A digital lateral cephalometric study
Eenal Bhambri1, Varun Ahuja1, Sachin Ahuja1, Gautam Bhambri2, Amit Choudhary3, Suruchi Sukhija4
1 Department of Orthodontics, Surendera Dental College and Research Institute, Sri Ganganagar, Rajasthan, India, 2 Department of Oral Pathology, Surendera Dental College and Research Institute, Sri Ganganagar, Rajasthan, India, 3 Department of Orthodontics, Institute of Dental Sciences, Sehora, Jammu and Kashmir, India, 4 Department of Pedodontics, Surendera Dental College and Research Institute, Sri Ganganagar, Rajasthan, India
Correspondence Address:
Dr. Eenal Bhambri
Department of Orthodontics, Surendera Dental College and Research Institute, H. H. Gardens, Powerhouse Road, Sri Ganganagar - 335 001, Rajasthan, India.
Abstract:
Aim:
The present study was aimed to investigate the variation of soft palate morphology and Need's ratio in various sagittal skeletal malocclusions.
Materials and Methods:
The study was conducted on 300 individuals (aged 15–25 years) who presented to the department of orthodontics for orthodontic treatment. The participants were divided into skeletal Class I, II, and III based on ANB angle on the lateral cephalogram. The soft palate morphology was examined and individuals were grouped into six types. The Need's ratio was calculated for all the participants by division of pharyngeal depth by soft palate length. The results were then subjected to statistical analysis to find the association between morphological variants of soft palate and skeletal malocclusions.
Results:
The most common type of soft palate was leaf shaped and the least common was S shaped. Leaf-shaped soft palate was the most common in males and rat tail-shaped soft palate was common in females. Individuals with skeletal Class I malocclusion were most frequently found to have leaf-shaped soft palate, skeletal Class II malocclusion had rat tail type, and skeletal Class III had leaf shape and crooked shape in equal proportions. Need's ratio was maximum in skeletal Class III and minimum in Class II malocclusions.
Conclusions:
There was a significant correlation between the variants of soft palate and the types of skeletal malocclusion in North Indian individuals. The knowledge of morphological variants of soft palate helps the clinician in etiological study of obstructive sleep apnea syndrome, snoring, and other conditions.
Source of Support:
None
Conflict of Interest:
None
DOI: 10.4103/ijor.ijor_41_17
How to cite this article: Bhambri E, Ahuja V, Ahuja S, Bhambri G, Choudhary A, Sukhija S. The association between soft palate shape and Need's ratio in various sagittal skeletal malocclusions: A digital lateral cephalometric study. Int J Orthod Rehabil 2018;9:8-13.