Orthodontics
Nirali Mehulbhai Shah; Khyati Viral Patel; Ajay Kubavat; Manish Desai; Harshit Arvindbhai Patel; Nikunj Harikrushn Prajapati
Abstract
Aim: The aim of the in vitro study was to examine the enamel surface after the application of four different methods for adhesive removal following the bracket debonding procedure, as well as to compare their effects on enamel surface.Methods: Premolars (n=60) were randomly assigned to four groups. After ...
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Aim: The aim of the in vitro study was to examine the enamel surface after the application of four different methods for adhesive removal following the bracket debonding procedure, as well as to compare their effects on enamel surface.Methods: Premolars (n=60) were randomly assigned to four groups. After initial debonding and recording the shear bond strength (SBS), adhesive remnant index (ARI) scores were assessed. The removal method for each of the four groups was the use of 1) a round bur, 2) rubber wheel bur, 3)12 fluted tungsten carbide bur, and 4) scaler. After that, teeth in all four groups were kept in artificial saliva for one month. After rebonding with a new bracket, again the SBS and ARI scores were measured. Two representative samples from each group were examined under a scanning electron microscope. ……. P-value <0.05 was considered as significant. ANOVA test was used to assess the SBS association within the group. Paired T test was used to assess the SBS between the group. fisher’s exact test was performed to compare ARI index before and after.Results: There was significant decrease in secondary SBS value in group 1 but significant increase in secondary SBS value in group 3, and a slight decrease in SBS value in group 4. In SEM images, there were composite remnants in all the four groups with fewer remnants in group 2. Enamel surface damage was observed in the SEM image of group 3. ARI scores showed no significant difference.Conclusion: Adhesive remnant removal efficiency of the round bur and scaler are less. Rubber wheel bur is a good choice of instrument for removal of adhesive remnants from tooth surface as it does not affect the bond strength. Tungsten carbide bur shows good results, as secondary bonding SBS value increased. Significant difference between ARI scores did not exist, indicating a higher number of mixed type failure in all groups.
Orthodontics
Mahamad Irfanulla Khan; Praveen Kumar Neela; Ajit Kumar Jaiswal; Nayeem unnisa; Abhik Purkayastha; Amita Coutinho; Nadeem Ahmed
Abstract
Background: Fixed functional appliances used in the treatment of Class II malocclusion have the advantage of requiring minimal patient compliance, and they can be used simultaneously with fixed orthodontic appliances. The purpose of this retrospective study was to evaluate the treatment effects of the ...
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Background: Fixed functional appliances used in the treatment of Class II malocclusion have the advantage of requiring minimal patient compliance, and they can be used simultaneously with fixed orthodontic appliances. The purpose of this retrospective study was to evaluate the treatment effects of the Forsus Fatigue Resistant Device (FFRD) in growing patients with Class II malocclusion. Methods: A total of 50 pre-treatment (T1) and post-treatment (T2) Lateral Cephalometric Radiographs (LCRs) of 25 patients treated with Forsus fatigue resistant device (mean age = 12 ± 0.54years) for the correction of skeletal class II malocclusion were compared with the 25 untreated class II control patients (mean age 12 ± 0.38 years) who did not undergo any treatment during this period. The skeletal, dental, and soft tissue changes were evaluated using cephalometric measurements, and the treatment changes were analyzed by paired t-test. Results: The LCRs findings showed that the FFRD produced more dentoalveolar changes with less skeletal changes. The dentoalveolar changes in the FFRD group include significant reduction of overjet & overbite (p<0.001), retroclination of maxillary incisors (p<0.001), proclination and intrusion of the mandibular incisors (p<0.001) and mesialization of mandibular first molars (p<0.001). A significant improvement in the skeletal, dentoalveolar and soft tissue structures of the face was achieved in the FFRD group compared with the control group.Conclusion: The FFRD is effective in the treatment of Class II malocclusion. The Class II correction was achieved by a combination of skeletal and dentoalveolar effects, and wherein dentoalveolar changes were more predominant compared to the skeletal changes.
Orthodontics
Tarulatha R Shyagali; Shanya Kapoor; Abhishek Gupta
Abstract
Background: Addressing the challenges posed by the Congenitally Missing Maxillary Lateral Incisors (CMMLI) is not limited to single treatment modality.Objective: This systematic review is intended to evaluate the evidence for the best treatment option available for the CMMLI.Methods: Electronic data ...
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Background: Addressing the challenges posed by the Congenitally Missing Maxillary Lateral Incisors (CMMLI) is not limited to single treatment modality.Objective: This systematic review is intended to evaluate the evidence for the best treatment option available for the CMMLI.Methods: Electronic data base search was done across PubMed, Google scholar, Embase, Publons, Web of Sciences, etc. Selection of articles was limited to English language publications pertaining to CMMLI treatment modalities either by closing the space orthodontically and substituting canine or by prosthetic replacement. Two authors reviewed the articles for the eligibility criteria to overcome the selection bias. The risk for assessment of bias across and within the studies was done through Cochrane ROBINS-I assessment tool.Results: Out of 130 studies which were searched for review questions, only 3 studies met the selection criteria. There was no difference in the periodontal status evaluation or in the patient’s perception of aesthetics between the two treatment modalities. Neither of the two treatment modalities cause any TMJ abnormalities.Conclusion: Both closing the space orthodontically by substituting canine and prosthetic replacement by the use of implant for the missing maxillary lateral incisor seem to be viable treatment plans.
Orthodontics
Mahdjoube Goldani Moghadam; Hanieh kazemi; Abouzar Shakeri
Abstract
Background: Oral health literacy (OHL) is one of the most important determinants of oral health. A missed appointment has many potential implications for oral health and treatment outcomes. Given the importance of the topic in community oral health programming, the purpose of this study was to examine ...
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Background: Oral health literacy (OHL) is one of the most important determinants of oral health. A missed appointment has many potential implications for oral health and treatment outcomes. Given the importance of the topic in community oral health programming, the purpose of this study was to examine the association between oral health literacy, missed appointments, and DMFT in adults attending the orthodontic clinic of Birjand.Methods: This cross-sectional study was conducted on 172 adults who were randomly referred to Birjand orthodontic clinic. Health literacy was assessed using the questionnaire OHL-AQ. In addition, missed appointments were reviewed over a one-year period. DMF index was also calculated using the patient's first panoramic radiograph. The data were analyzed using SPSS software version 18. A significant level (p = 0.05) was considered.Results: This study was conducted on 172 patients referred to the orthodontic clinic, with a mean age of 24,64.9 years, a minimum age of 18 and a maximum age of 42 years. The oral health literacy of the participants was 12.23.2 There was no significant association between oral health literacy and gender, missed appointments, and DMFT index (P > 0.05), but education was an effective factor for the level of oral health literacy (P < 0.002).Conclusion: The study found adequate OHL, which could be due to a high level of education. However, health policy makers should devise programs to promote oral health in the community. Oral health literacy was not influenced by gender, absenteeism and DMFT, but education was a factor that influenced the level of oral health literacy.
Orthodontics
Ladan Eslamian; Zahra Madani; Nastaran Fahiminejad
Abstract
Aim: There is a controversy about the relationship between familial history, orthodontic treatment and the onset or intensification of Temporomandibular disorders (TMD). According to high prevalence of TMD and the importance of its diagnosis as well as the lack of enough information in determining the ...
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Aim: There is a controversy about the relationship between familial history, orthodontic treatment and the onset or intensification of Temporomandibular disorders (TMD). According to high prevalence of TMD and the importance of its diagnosis as well as the lack of enough information in determining the role of the familial traits in the inheritance of TMD symptoms, the aim of this study was to determine the relationship between familial history and TMD by considering the orthodontic treatment. Material and Method: The present case-control study was performed on 170 patients, aged over 14 years, referring to Shahid Beheshti Dental School and a private clinic. Patients with a history of head and neck trauma, history of orthognathic surgery, and systemic diseases were excluded.Results: The prevalence of TMD was 47.1% and the most detected sign was clicking. The prevalence of TMD in patients with orthodontic treatment was 56.6%, in patients with familial history was 60% and in patients with both orthodontic treatment and familial history was 63.6%. TMD had higher prevalence in the age over 26, in women, increased over bite and in patients who had parafunctional habits. Conclusion: The present study demonstrated that the prevalence of TMD in patients with familial history was higher than those with no family history. Thus, orthodontic treatment should be considered an important environmental factor and family history as a risk factor for TMD in our treatments.
Orthodontics
Foroozan Farahbod; Sepideh Dadgar; Farhad Sobouti; Ali Malekzadeh Shafaroudi; Sajad Yousefi; Ali Nowruzy
Abstract
Background: Superimposition of left and right structures is an issue in lateral cephalometric radiographs in dentistry, making it challenging to measure structures, including the gonial angle. Panoramic radiography contains fewer superimposing structures; therefore, it could measure the gonial angle. ...
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Background: Superimposition of left and right structures is an issue in lateral cephalometric radiographs in dentistry, making it challenging to measure structures, including the gonial angle. Panoramic radiography contains fewer superimposing structures; therefore, it could measure the gonial angle. This study aimed to compare the gonial angle in panoramic and lateral cephalometric radiographs in different skeletal patterns.Methods: In this cross-sectional study, 240 panoramic and lateral cephalometric radiographs were collected from the archives of Sari Dental School. The gonial angle of each radiograph was traced and measured with a conveyor. Data analysis was performed using ANOVA and paired t-test, and P-value <0.05 were considered significant.Results: The paired t-test of the gonial angle did not show a statistically significant difference between different skeletal groups when measured using panoramic and lateral cephalometric radiographs. According to the results, the p-value of the difference between the right and left gonial angles in skeletal class III patients (p=0.019) was obtained larger than the test level (p=0.05). Therefore, it can be concluded that there is a statistically significant difference between the size of the left and right gonial angles in panoramic radiographs of skeletal class III patients. Conclusion: Panoramic radiography can be an accurate alternative to lateral cephalometric radiographs for measuring the gonial angle in different skeletal patterns due to the lower radiation it exposes to the patient.
Orthodontics
Behnaz Karimzadeh; Tannaz Abdollahzadeh; Ali Eidi; Mojgan Kachoei
Abstract
Objective: The aim of this study was to determine Bolton ratios in the Iranian orthodontically treated population of different malocclusions and compare these values among malocclusion groups and with Bolton reference values.Methods: Bolton ratios of 210 subjects were investigated in three groups of ...
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Objective: The aim of this study was to determine Bolton ratios in the Iranian orthodontically treated population of different malocclusions and compare these values among malocclusion groups and with Bolton reference values.Methods: Bolton ratios of 210 subjects were investigated in three groups of Class I, II, and III skeletal patterns. The measurement of mesiodistal width of teeth was made on post-treatment dental models using a digital caliper. One-way analysis of variance and one-sample t-test were used to compare obtained anterior values and overall ratios among studied groups and with reference values, respectively. P-value<0.05 was considered as significant.Results: The mean values of anterior ratio in total subjects were 76.77, and in the Class I skeletal pattern group was 76.51, which were significantly different from the reference value (p-value < 0.05). However, the differences in the mean anterior ratios of Class II and III groups and the mean overall ratios of three studied groups with reference values were not statistically significant. Furthermore, there was no significant difference between the anterior and overall Bolton ratios of the three studied groups (p-value>0.05).Conclusion: Since the obtained Bolton ratios in Class II and III groups were not significantly different from reference values, these values are also applicable for mild skeletal malocclusions. However, the difference in mean anterior ratios of the total 210 subjects and Class I group with Bolton reference values could be caused by racial differences or several factors related to orthodontic treatment, which can be investigated in subsequent studies.
Orthodontics
Mahdjoube Goldani Moghadam; hanieh kazemi; Mahdi Mohammadi
Abstract
Background: There is a continuous debate on the issue of comparison between extraction and non-extraction treatment results in terms of subsequent soft tissue changes for Class II division 1 patients. So far, however, far too little attention has been paid to photographic evaluation of treatment results.Aims: ...
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Background: There is a continuous debate on the issue of comparison between extraction and non-extraction treatment results in terms of subsequent soft tissue changes for Class II division 1 patients. So far, however, far too little attention has been paid to photographic evaluation of treatment results.Aims: The aim of this was to assess the impact of extraction and non-extraction treatment of Class II division 1malocclusion on soft tissue profile by means of pre- and post- treatment photographs.Materials and methods: The pre- and post- treatment profile photographs of 41 borderline Class II division 1malocclusion patients (ANB ≤5 degrees, and overjet ≤ 5 mm) were evaluated. The photographs were digitized into the computer and 19 angular measurements were evaluated. Paired t-tests and Independent-sample t-tests were performed to compare the pre- and post- treatment values between the extraction and non- extraction groups. The level of significance was set to be P < .05.Results: Significant differences between pre- and post- treatment values in extraction group existed for Z angle and N‑Sn‑Pog. In non- extraction group significant differences observed in N‑Pn‑Pog, G‑Sn‑Pog, N‑Sn‑Pog and N‑Sn‑B.When comparing the extraction and non-extraction groups before and after treatment the results showed that the only significant difference was in PFH/AFH proportion.Conclusions: The results of this study for both extraction and non- extraction group were straightening and improvement of soft tissue profile without significant impact on lips or nasolabial angle.
Orthodontics
Farhad Sobouti; Reza Aliza deh-Navaei; Mehran Armin; Anahita Lotfizadeh; Mehdi Aryana; Sepideh Dadgar
Volume 15, Issue 2 , September 2020, , Pages 1-4
Abstract
Introduction: Orthodontics is defined as a branch of dentistry that deals with the correction of malocclusion. In this regard, determining the most appropriate time for orthodontic treatment is of utmost importance. General dental practitioners (GDPs) are normally the first link of the treatment chain ...
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Introduction: Orthodontics is defined as a branch of dentistry that deals with the correction of malocclusion. In this regard, determining the most appropriate time for orthodontic treatment is of utmost importance. General dental practitioners (GDPs) are normally the first link of the treatment chain of patients needing orthodontic treatments. The present study aimed to determine the GDPs’ knowledge of appropriate timing of orthodontic treatments in Sari, Iran. Material and methods: This descriptive, analytical and cross-sectional study was performed on GDPs working in Sari in 2019. The statistical population included 380 GDPs, 186 of whom were selected. Data were collected using a 24-item questionnaire is applied to evaluate the GDPs’ knowledge level of the appropriate timing of orthodontic treatments. Data analysis was performed in SPSS version 19.Results: In total, 142 out of 186 GDPs participated in the study with a mean age of 36.12±10.15 years. 86 subjects (59.9%) had less than 10 years of work experience. Total mean (±SD) knowledge level of the GDPs was estimated at a moderate level (14.13±3.79). Percentage of the knowledge levels of poor, moderate and good was 12, 70, and 18, respectively. There was significant relationship between knowledge level and gender (P=0.013). Meanwhile, no association was observed between the work experience of the participants and their level of knowledge (P=0.393).
Conclusions: According to the results of the present study, the total mean score of GDPs’ knowledge of appropriate timing of orthodontic treatments in Sari was moderate, and only 12% of the participants had poor knowledge level in this regard. It is notable that male subjects had a significantly higher knowledge level, and another analysis demonstrated the lack of effectiveness of work experience on the knowledge level of individuals.
