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.
Tarulatha Revanappa Shyagali; Rachita Singh; Anil Tiwari; Abhishek Gupta
Abstract
Background: An attractive smile is often attributed to incisor alignment and proclined or retroclined incisors could contribute to a less aesthetic smile.Objectives: This study was aimed to evaluate the maxillary central incisor crown inclination, crown angulation and tooth size variation in aesthetic ...
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Background: An attractive smile is often attributed to incisor alignment and proclined or retroclined incisors could contribute to a less aesthetic smile.Objectives: This study was aimed to evaluate the maxillary central incisor crown inclination, crown angulation and tooth size variation in aesthetic and unattractive smiles.Methods: The study was conducted among 100 females (equally divided into aesthetic and unaesthetic smile groups), aged between 15 - 25 years, with Angle’s Class I normal occlusion and balanced profiles. Variations in maxillary central incisor crown inclination and angulation were measured on lateral cephalograms, photographs and the study models of the subjects. Variations in tooth morphology were also evaluated by measuring crown height and width in both groups. Mann-Whitney U test was performed to evaluate the difference between the aesthetic and unaesthetic smiles. P < 0.05 was considered as significant. Results: This study showed that incisor angulation was significantly higher in the unaesthetic group compared to the aesthetic group (P < 0.001). However, there was no statistically significant difference for the incisor inclination relative to the Palatal Plane between the aesthetic and unaesthetic smile groups (P = 0.086). In addition, there were significant differences between the aesthetic and the non-aesthetic groups regarding the central incisor height (P < 0.05).
Conclusions: The findings of this study indicate that the possible variations in aesthetics are related to the ethnic elements that are associated with differences in crown angulations, as well as tooth size.
Tarulatha Revanappa Shyagali; Jigar Doshi
Abstract
Introduction: Crowding is one of the popular complaints for undergoing treatment so far. The individual who has crowded teeth not only suffers from the unaesthetic appearance, but also with the functional deficiencies in form improper cleaning and gum related problems. Orthodontics is a boon for such ...
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Introduction: Crowding is one of the popular complaints for undergoing treatment so far. The individual who has crowded teeth not only suffers from the unaesthetic appearance, but also with the functional deficiencies in form improper cleaning and gum related problems. Orthodontics is a boon for such people and with the advent of technological break through the correction of crowding is possible within no time with less pain and more comfort.
Case Presentation: A 13-year-old male patient presented himself with the chief compliant of irregularly placed in the upper and lower front teeth. On examination, he had a convex profile with retrognathic mandible, posterior divergence. The intra oral examination revealed angle’s class I malocclusion with 4mm overjet and 5 mm of over bite. The upper anteriors were moderately crowded and the lower anteriors were severely crowded with an in-standing left lateral incisor. Lower dental midline was shifted to the left by 3mm.
Discussion: The article shows the effective non extraction management of crowding case using self-ligating bracket system which otherwise with conventional bracket system would have been difficult to treat with the non-extraction treatment modality
