Review Article

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

FACTORS TO BE CONSIDERED IN ORTHODONTIC INTERDISCIPLINARY APPROACH – A REVIEW

Hamad Alqahtani,

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

Abstract

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

Keywords: interdisciplinary; orthodontics; endodontics, periodontics, prosthodontics

CONFLICT OF INTEREST

None

SOURCE OF FUNDING

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

How to Cite This Article:

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

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

Case Report

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

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.

Original Article

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

Factors affecting patient's desire for seeking orthodontic treatment

Danalakshmi Jayachandar, SP Saravana Dinesh

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

Correspondence Address:

S P Saravana Dinesh

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

Abstract:

Aim:

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

Objective:

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

Materials and Methods:

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

Results:

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

Conclusion:

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

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.192528

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

Original Article

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

Evaluation of factors affecting dental esthetics in patients seeking orthodontic treatment

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

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

Correspondence Address:

Farzaneh Ahrari

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

Abstract:

Aim:

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

Materials and Methods:

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

Results:

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

Conclusions:

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

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/2349-5243.192526

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

Case Report

Year : 2021 | Volume : 12 | Issue : 4 | Page : 164-166

Reverse-M-Zadake spring – A novel design for the management of root divergence

Sujit Navnath Zadake, Yatishkumar Joshi, Suresh Kangane, Anand Ambekar
Department of Orthodontics, MIDSR Dental College, Latur, Maharashtra, India

Correspondence Address:

Dr. Sujit Navnath Zadake, Vaishnav Sadan Babanagar Kallam, Osmanabad, Maharashtra, India.

Abstract

The main reason to seek Orthodontic treatment is esthetics. Black triangles after lower incisor extraction are one of the commonly occurring malocclusion which causes esthetic compromises. Relapse is unavoidable while treating such cases. This relapse can be controlled only when there is translatory root movement in the mesial direction. Very little literature is available for the correction of black triangles. In this article, a spring is fabricated by using 0.018 A J Wilcock stainless steel special plus wire containing three helices. This Trihelical spring is a simple, effective, esthetic, and biologically compatible device with excellent root control for the treatment of root divergence.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_23_21

How to cite this article: Zadake SN, Joshi Y, Kangane S, Ambekar A. Reverse‐M‐Zadake spring – A novel design for the management of root divergence. Int J Orthod Rehabil 2021;12:164-6.

Case Report

Year : 2021 | Volume : 12 | Issue : 4 | Page : 157-163

Anterior maxillary and mandibular subapical osteotomy for correction of bimaxillary protrusion

Nilesh Mote1, Jyoti Rajbhar1, Aditya Prakash Pawar1, Anchin Goyal1, Anuj Dadhich2
1 Department of Orthodontics and Dentofacial Orthopaedics, Rural Dental College, Loni, Maharashtra, India, 2 Department of Oral and Maxillofacial Surgery, Rural Dental College, Loni, Maharashtra, India

Correspondence Address:
Dr. Anchin Goyal
Department of Orthodontics and Dentofacial Orthopaedics, Rural Dental College, Loni, Maharashtra, India.

Abstract

Bimaxillary protrusion (BP) is one of the most prevalent dentofacial deformities in the Asian population. Facial esthetics is the primary concern of these patients. Typical orthodontic treatment includes retraction of maxillary and mandibular incisors after extraction of the four first premolars, but this might not yield desired esthetic changes in the patient. Thus, orthognathic surgery such as anterior subapical osteotomies and extraction of premolars can be looked upon as an option to correct sagittal excess of the jaw bones and associated dental anomalies. This case report describes the treatment of a middle-aged woman with complaints of lip protrusion and unfavorable esthetics due to present malocclusion with the help of anterior maxillary and mandibular osteotomy procedure which provides a stable and viable treatment option for desired esthetic results.

Source of Support: None, 

Conflict of Interest: None

DOI: 10.4103/ijor.ijor_14_21

How to cite this article: Mote N, Rajbhar J, Pawar AP, Goyal A, Dadhich A. Anterior maxillary and mandibular subapical osteotomy for correction of bimaxillary protrusion. Int J Orthod Rehabil 2021;12:157-63.

Case Report

Year : 2021 | Volume : 12 | Issue : 4 | Page : 153-156

A novel spring for correction of ectopically positioned teeth

Achint Chachada1, Nehal Saraf2, Megha Jain1, Piyush Khandelwal1

1 Department of Orthodontics and Dentofacial Orthopaedics, Chhattisgarh Dental College and Research Institute, Sundra, Chhattisgarh, India 2 Private Practioner, Samadhan Health Centre, Raipur, Chhattisgarh, India

Address for correspondence:

Dr. Nehal Saraf,

Private Practioner, Samadhan Health Centre, Raipur - 492 001, Chhattisgarh, India.

E‐mail: nehalsaraf123@gmail.com

ABSTRACT

A misaligned tooth can cause serious aesthetic and functional challenges. Customized springs are indeed a practical remedy for aligning such teeth. The skill to provide an ideal system of forces to reach the desired movement, as well as the management of potential side effects, is directly linked to a successful outcome. One such approach is shown in this case report.

Keywords: Biomechanics, ectopic tooth, spring

Source of Support: None, 

Conflict of Interest: None

DOI: 10.4103/ijor.ijor_21_21

How to cite this article: Chachada A, Saraf N, Jain M, Khandelwal P. A novel spring for correction of ectopically positioned teeth. Int J Orthod Rehabil 2021;12:153-6.

Case Report

Year : 2021 | Volume : 12 | Issue : 4 | Page : 148-152

Management of impacted maxillary canines during orthodontic treatment: Report of two cases with 1-year follow-ups

Dhaval P Pandya1, Divya Maheshwari2, Shatraj Shetty2, Krupa R Shirvekar3
1 Consultant Periodontist, Dental Surgery, Karuna Hospital, Borivali West; Private Practice Focussed on Periodontics & Implantology, Mumbai, Maharashtra, India
2 Consultant Orthodontist, Private Practice, Mumbai, Maharashtra, India
3 Post Graduate Student in Aesthetic and Restorative Dentistry, Universitat Internacional de Catalunya, Espana

Correspondence Address:
Dr. Dhaval P Pandya
6th Floor, Shankar Ashish, R.C. Patel Road, Off Sodawala lane, Borivali West, Mumbai - 400 092, Maharashtra
India

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijor.ijor_2_21

The prevalence of impacted maxillary canines is 2%–3%. The position of the canine germ should be evaluated between 9 and 11 years of age group. In addition to the clinical examination, radiographic evaluation of the canine site will aid in gathering additional data such as the position of the canine, its relationship with the adjacent teeth, and any oral pathology associated with the site. It becomes imperative to have an early diagnosis of the ectopically positioned canine. Orthodontic considerations which include orthodontic traction for the malpositioned canine tooth along with surgical exposure assume significance, if the permanent canine is deviating from its normal eruption pathway trajectory within its specified timeline of erupting into the dental arch. The objective of reporting the following two cases is to analyze a successful 1-year follow-up outcome of an interdisciplinary, evidence-based approach in managing impacted canines in two female patients in their second decades of life.

How to Cite This article Pandya DP, Maheswari D, Shetty S, Shirvekar KR. Management of impacted maxillary canines during orthodontic treatment: Report of two cases with 1‐year follow‐ups. Int J Orthod Rehabil 2021;12:148-52