Journals SDC Journals SDC

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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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Original Article

Year : 2018 | Volume : 9 | Issue : 1 | Page : 1-7

A comparative evaluation of osteoprotegerin and receptor activator of nuclear kappa B ligand in gingival crevicular fluid during canine retraction with elastomeric chain and nickel titanium coil spring: An in vivo study

Ejaz Salim Khan, Abhishek Ranjan, N Raghunath

Department of Orthodontics, JSS Dental College and Hospital, JSS University, Mysore, Karnataka, India

Correspondence Address:

Dr. Ejaz Salim Khan

Department of Orthodontics, JSS Dental College and Hospital, JSS University, Mysore, Karnataka, India.

Abstract:

Objective:

The objective of this study is to evaluate and compare the level of receptor activator of nuclear kappa B ligand (RANKL) and osteoprotegerin (OPG) in gingival crevicular fluid (GCF) during canine retraction with nickel-titanium (NiTi) coil spring and elastomeric chain.

Materials and Methods:

Ten patients between the ages of 13–17 years requiring canine distalization after first premolar extraction were selected. NiTi coil spring was placed on one side and elastomeric chain on the contralateral side. GCF sampling was done at baseline, 1 h, 24 h, 168 h, 1 month from the distal site of the test teeth after the application of compressive force. RANKL and OPG concentration were detected by enzyme-linked immunosorbent assay.

Results:

In the NiTi coil spring side, the RANKL levels in GCF increased and OPG levels decreased in a time-dependent manner. Increase in RANKL and decrease in OPG were significant when compared with the baseline. In the elastomeric chain side, the RANKL levels were significantly higher and the OPG levels significantly lower at 24 h, the RANKL levels showed a significant decrease and OPG levels showed a significant increase from 24 h to 1 month time intervals. The RANKL and OPG levels in GCF when compared individually to the NiTi coil spring and elastomeric chain showed a significant difference at 24 h, 168 h, and 1 month after initiation of compressive force.

Conclusion:

The result suggests that RANKL and OPG expression during orthodontic tooth movement varies at different time intervals and according to the type of force delivery system.

Source of Support: 

None

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_48_17

How to cite this article: Khan ES, Ranjan A, Raghunath N. A comparative evaluation of osteoprotegerin and receptor activator of nuclear kappa B ligand in gingival crevicular fluid during canine retraction with elastomeric chain and nickel titanium coil spring: An in vivo study. Int J Orthod Rehabil 2018;9:1-7.

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clinical pearl

Year : 2018 | Volume : 9 | Issue : 2 | Page : 90-91

Innovative use of Kesling spring separators: A clinical pearl

Vivek Kumar Thakur, S Kannan, Mohit Sharma, Prasanna Kumar, Ishan Pradhan

Department of Dental Surgery and Oral Health Sciences, AFMC, Pune, Maharashtra, India

Correspondence Address:

Dr. Vivek Kumar Thakur

Department of Dental Surgery and Oral Health Sciences, AFMC, Pune, Maharashtra, India.

Abstract:

Separation is an essential requirement to ease the placement of bands which requires an extra appointment; the article highlights a clinical pearl in the form of innovative use of Kesling separators as molar tubes to overcome the disadvantages of dislodgment and potential complications.

Source of Support: 

None 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_1_18

How to cite this article: Thakur VK, Kannan S, Sharma M, Kumar P, Pradhan I. Innovative use of Kesling spring separators: A clinical pearl.Int J Orthod Rehabil 2018;9:90-1.

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Clinical Innovation

Year : 2018 | Volume : 9 | Issue : 2 | Page : 86-89

Horizontal uprighting spring

Hoger Omeran Alshiekho

Department of Orthodontics, Faculty of Dentistry, Tishreen University, Lattakia, Syria

Correspondence Address:

Dr. Hoger Omeran Alshiekho

Department of Orthodontics and Dentofacial Orthopaedics, Tishreen University, Lattakia, Alzeraa, Syria

Abstract:

In orthodontic treatment, there is difficulty in finishing stage in teeth that need uprighting to obtain root parallelism. Horizontal uprighting spring is used to upright teeth (clockwise or counterclockwise) to avoid uptighting problems in the late finishing stage such as rebonding brackets and to overcome the lack of vertical slot in the bracket. Horizontal uprighting spring is fabricated in the 0.012-inch stainless steel wire. Moreover, the type of tooth movement and the moment/force ratio can be determined by the spring length and hooking point.

Source of Support: 

None 

Conflict of Interest: 

None

DOI: 10.4103/ijor.ijor_2_18

How to cite this article: Alshiekho HO. Horizontal uprighting spring. Int J Orthod Rehabil 2018;9:86-9.

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