Orthodontics
Jigarsinh D. Solanki; Ajay K. Kubavat; Khyati V. Patel; Susmita Choudhary; Sanjeev Jakati; Alpesh Vaghela
Abstract
Aim: The purpose of this questionnaire study was to determine what criteria lead potential orthodontic patients to choose a direct-to-consumer aligner company, orthodontist, or general dentist in north Gujarat, India.Methods: A total of 100 potential orthodontic patients from the general population in ...
Read More
Aim: The purpose of this questionnaire study was to determine what criteria lead potential orthodontic patients to choose a direct-to-consumer aligner company, orthodontist, or general dentist in north Gujarat, India.Methods: A total of 100 potential orthodontic patients from the general population in north Gujarat participated in the study. Google Forms was used to send the questionnaire, and the data was recorded. Participants’ views on the type of provider they would prefer for their orthodontic treatment were tabulated. Data was entered in the software SPSS (v. 20.0) and statistical analysis was performed (p<0.05).Results: A total of 58 females and 42 males from the general population (100 potential orthodontic patients) in north Gujarat responded to the questionnaire. The participants (45%) held the opinion that a direct-to-consumer aligner company could offer better cost of treatment, 62% of participants preferred an orthodontist for better quality of treatment, 56% of participants preferred a direct-to-consumer aligner company because they felt that it would be more convenient, and 49% of participants preferred an orthodontist because they felt they would offer better follow-up after orthodontic treatment.Conclusion: Participants tended to prefer orthodontists because they felt they would receive better quality of treatment and follow-up, and more treatment options such as aesthetic treatment. However, they preferred direct-to-consumer aligner companies because of their convenience, lower cost, shorter treatment duration, and better customer service. For their child's orthodontic care, parents typically choose an orthodontist.
Orthodontics
Atefe Saffar shahroudi; Farahnaz Fazeli; Behrad Tanbakuchi
Abstract
Aim: This study aimed to assess the frequency of using clear aligners by orthodontists and their perspective in this respect.Methods: This descriptive-analytical study evaluated 86 orthodontists practicing in Iran in 2021. An online questionnaire was designed by an expert panel to collect information ...
Read More
Aim: This study aimed to assess the frequency of using clear aligners by orthodontists and their perspective in this respect.Methods: This descriptive-analytical study evaluated 86 orthodontists practicing in Iran in 2021. An online questionnaire was designed by an expert panel to collect information regarding the frequency of use of clear aligners (CA) by orthodontists, their satisfaction rate with this treatment approach, their perception of CA's advantages and disadvantages and the challenges they encountered while using CA. The results were analyzed by descriptive analysis methods and regression analysis.Results: Eighty-six orthodontists filled out the questionnaire. Less than one-third of participants reported using CA, and the majority of them reported using it for less than 10% of their patients. Of those not using CA, 75% were interested in using them. The mean satisfaction score with CA was 9.26 out of 20. The main reason for not using CA was difficult access to reputable companies and suboptimal quality of work of the available laboratories. The majority of orthodontists stated that CA could not be used for cases with impacted teeth, orthognathic surgery patients, and syndromic, cleft lip and palate patients. The main shortcoming of CA was perceived to be in the space closure phase, and their cost was 50-100% higher than regular orthodontic treatment. Older orthodontists were less interested in using CA while faculty members were more interested.Conclusion: The frequency of use of clear aligners by Iranian orthodontists is low and their satisfaction rate with this approach is <50%.
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 ...
Read More
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.
Giordana Ariane Ribeiro Schwerz Antunes de Melo; Karine Martelli; Karina Maria Salvatore de Freitas; Fabrício Pinelli Valarelli; Rodrigo Hermont Cançado
Abstract
Background: The purpose of the present study was to evaluate the influence of asthma on the degree of apical root resorption in patients treated orthodontically.
Methods: Sample comprised 683 patients treated orthodontically; 240 with asthma and 443 who did not present any kind of respiratory allergy ...
Read More
Background: The purpose of the present study was to evaluate the influence of asthma on the degree of apical root resorption in patients treated orthodontically.
Methods: Sample comprised 683 patients treated orthodontically; 240 with asthma and 443 who did not present any kind of respiratory allergy or asthma. The Levander and Malmgren score was used for the evaluation of the degree of root resorption. This evaluation was performed in the initial and final periapical radiographs of the maxillary and mandibular incisors of all patients in the sample. Then, the sample was divided as follows: Group 1: 614 patients presenting mild or no root resorption with scores 0, 1 and 2, with mean initial age of 14.37 years, final age of 16.44 years and treatment time of 2.07 years; group 2: 69 patients who had moderate to severe root resorption with scores 3 and 4, with mean initial age of 15.09 years, final age of 17.81 years and treatment time of 2.72 years. Results: The results revealed that asthma was not a statistically significant factor for severe root resorption. The group with severe root resorption showed higher initial and final age, and longer treatment time than the group with mild root resorption. In addition, performing extractions is a risk factor for the occurrence of severe root resorption.
Conclusions: Asthma is not a risk factor for the occurrence of severe root resorption after orthodontic treatment.
Vahid Moshkelgosha; Mahsa Kazemi; Hamidreza Pakshir; Rasool Safari
Abstract
Background: Malocclusion, one the most important oral health problem among children and young adults, leads to social stigma and psychological disorders. Early orthodontic treatment for children appears to be one of the efficient methods to prevent these consequences.
Materials and Methods: This cross-sectional ...
Read More
Background: Malocclusion, one the most important oral health problem among children and young adults, leads to social stigma and psychological disorders. Early orthodontic treatment for children appears to be one of the efficient methods to prevent these consequences.
Materials and Methods: This cross-sectional study, which was conducted in Shiraz, city of Iran, comprised 1600 primary school children aged 7 and 8 years old from 16 schools in the 4 districts of Shiraz. Self-administered questionnaires, giving scores to parental knowledge and attitude towards early orthodontic treatment, were designed and distributed to the children to deliver them to their parents. The maximum possible mean score for both knowledge and attitude questions were. Results: Out of 1600, 1026 (64%) questionnaires were returned. The analysis revealed the mean score of parental knowledge and attitude as 0.78 and 0.38 respectively. The mean score of participants from high social class was significantly higher in the knowledge and attitude sections (P value < 0.001). Highly educated parents presented an appreciably greater level of attitude score (mean score: 0.43, P value < 0.001). A remarkable correlation of parental former orthodontic treatment with a routine and problem-based visit of a dentist was observed [odds ratio (OR): 3.1, 95% confidence interval (CI): 2.1 to 4.4] and (OR: 3.1, 95% CI: 2.2 to 4.4) in order.
Conclusions: This study showed significant effect of higher social class on the parents’ knowledge and attitude and also beneficial impact of higher educational level on parents’ attitude. The parents, who were former orthodontic patient, were more concerned about their children’s dentofacial health.
Mahtab Nouri; Zahra Abdolazimi; Mohammad Reza Badiee
Abstract
Cleft lip and palate is among the most common congenital anomalies of the head and neck region. Treatment of cleft lip and palate is challenging and requires the cooperation of various medical teams. A 15 year-old patient with a cleft lip and palate presented to the Department of Orthodontics at ShahidBeheshti ...
Read More
Cleft lip and palate is among the most common congenital anomalies of the head and neck region. Treatment of cleft lip and palate is challenging and requires the cooperation of various medical teams. A 15 year-old patient with a cleft lip and palate presented to the Department of Orthodontics at ShahidBeheshti University, School of Dentistry complaining of unattractive appearance. The patient had unilateral cleft lip and palate and congenitally missing maxillary left lateral incisor and mentioned a history of surgical repair of the cleft in childhood. He had a concave profile, -5mm overjet, -5mm Wits appraisal and abnormal eruption path of teeth especially for the maxillary left central incisor. The patientunderwent orthodontic treatment without orthognathic surgery. Post-treatment records showed excellent results in terms of occlusion and facial balance and harmony.
Parviz Padisar; Roya Naseh; Mohammad Jalilvand
Abstract
Aim: Assessment of patient's motivations requesting orthodontic treatment can help clinicians in meeting the needs and expectations of patients and attain a successful treatment result.Objective: The present study was carried out in 2008 to provide data regarding motives of patients coming to specialized ...
Read More
Aim: Assessment of patient's motivations requesting orthodontic treatment can help clinicians in meeting the needs and expectations of patients and attain a successful treatment result.Objective: The present study was carried out in 2008 to provide data regarding motives of patients coming to specialized orthodontic clinics of Qazvin for treatment.Materials and Methods: In this descriptive study, 300 patients aged 12 years old and more (27.3% males, 72.7% females, the mean age: 19.61 years) were studied. Age, gender, parents’ level of education, and father’s occupation, motives for improving teeth and face components; and the location of pain and discomfort were evaluated. The correlation between motives and different socioeconomic factors were assessed using Spearman and Pearson correlation coefficients.
Results: Alignment of the anterior teeth was the most frequent motive regarding the teeth (89.3%). However, for face components ,it was improving teeth and gingival view during smiling (18.7%). Significant correlations were noted between patients' gender and motivation to align anterior teeth (p<0.009), movement of the lip (p<0.01), change of the nose length (p<0.002) and position (p<0.03) while females had higher motivation for these changes. As mothers’ level of education increased, the motivation to change the height of anterior teeth (p<0.03), improving the teeth and gingival appearance during smiling (p<0.001), decreasing the lip or chin tension in the closure of the lips (p<0.05) and decreasing the prominence or width of the mandible toward the mouth (p<0.01) decreased significantly. Conclusion: Alignment of anterior teeth and improving the teeth or gingival appearance during smiling were found to be major motives for requesting orthodontic treatments.
Sarvin Sarmadi; Masomeh Esmaily; Farhad Sobouti
Abstract
Patients with midline or generalized diastema can be managed successfully by multidisciplinary approach. Our patient was managed by orthodontic, prosthodontic and restorative procedures. After orthodontic treatment, maxillayr labial frenectomy was done for this patient to reduce the possibility of relapse. ...
Read More
Patients with midline or generalized diastema can be managed successfully by multidisciplinary approach. Our patient was managed by orthodontic, prosthodontic and restorative procedures. After orthodontic treatment, maxillayr labial frenectomy was done for this patient to reduce the possibility of relapse. Restorative treatments were also performed to close the remaining spaces. After all, a fixed prosthodontic bridge was constructed to close the remaining posterior space.
Amir Mohammadi; Saeid Foroughi Moghaddam
Abstract
Aim: Infectious complication which is reduced by chlorhexidine application may contribute to immediate orthodontic miniscrew failure. This study was determined to assess the influence of this agent on miniscrew immediate failure rate.
Materials and Methods: The study sample consisted of 62 miniscrews ...
Read More
Aim: Infectious complication which is reduced by chlorhexidine application may contribute to immediate orthodontic miniscrew failure. This study was determined to assess the influence of this agent on miniscrew immediate failure rate.
Materials and Methods: The study sample consisted of 62 miniscrews inserted in 31 patients that their treatment plan consisted of placing one miniscrew on each side of their maxillary arch between first molar and second molar (2 screws for each patient). Fifteen patients were given a chlorhexidine regimen. Results: In the first six weeks after miniscrew insertion and before their loading 13.33 % of miniscrews in chlorhexidine group failed but the failure rate in non-chlorhexidine group was 6.25 %. According to Fisher's exact test the difference in failure rate was not statistically significant. Also there was no significant relation of failure rate to any category of the measured insertion torques or placement side (left or right) of miniscrews. Conclusion: Using chlorhexidine does not affect the miniscrew immediate failure rate. Also, insertion torque value and placement side (left or right side of the jaw) in the maxilla do not seem to have influence in miniscrew failure rate.
Mehdi Hassanpour; Amirhossein Mirhashemi; Atefe Saffarshahroudi; Allahyar Geramy
Abstract
Cone beam CT (CBCT) has become an increasingly important source of three dimensional (3D) volumetric data in clinical orthodontics since its introduction into dentistry in 1998. The purpose of this manuscript is to highlight the current understanding of, and evidence for, the clinical use of CBCT in ...
Read More
Cone beam CT (CBCT) has become an increasingly important source of three dimensional (3D) volumetric data in clinical orthodontics since its introduction into dentistry in 1998. The purpose of this manuscript is to highlight the current understanding of, and evidence for, the clinical use of CBCT in orthodontics, and to review the findings to answer clinically relevant questions. It has therefore been recommended that CBCT be used in selected cases in which conventional radiography cannot supply satisfactory diagnostic information; which include cleft palate patients, assessment of unerupted tooth position, supernumerary teeth, identification of root resorption and planning orthognathic surgery. The need to use in other types of cases should be made on a case-by-case basis following an assessment of benefits vs risks of scanning in these situations.
Fadil Abdulla Kareem; Trefa Muhammad Ali Mahmood
Abstract
Aim: the main goal of this study was to investigate the relationship between Kurdish orthodontic patients’ severity of malocclusion and their social and psychological impact. Materials and Methods: The sample consisted of 100 patients, 45 males and 55 females, aged 13–22 years. A translated ...
Read More
Aim: the main goal of this study was to investigate the relationship between Kurdish orthodontic patients’ severity of malocclusion and their social and psychological impact. Materials and Methods: The sample consisted of 100 patients, 45 males and 55 females, aged 13–22 years. A translated pre-tested questionnaire [Psychosocial Impact of Dental Aesthetics Questionnaire PIDAQ] was used to assess the subjects’ social and psychological impact by their occlusal irregularities; the actual severity of malocclusion was determined using the Dental Aesthetic Index (DAI) on 100 stone study models. Statistical analysis was carried out using chi-square test for assessing the associations, Spearman and Pearson correlation coefficients used for assessing correlations. Analysis of variance and multiple regression tests were also carried out to complete the statistical analysis.
Results: of the multiple regression analysis showed that not only DAI score were significantly associated with higher score of PIADQ but other factor like Gender was a significant variable in predicting the psychosocial impact of dental esthetics, while age was not significantly associated with PIADQ scores. Conclusion: there was significant weak positive correlation between DAI score and PIADQ scale of the study sample at p<0.005.
Gholamreza Shirani; Amir Jalal Abbasi; Simin Zahra Mohebbi; AmirHossein Mirhashemi
Abstract
Objective: This study aimed to evaluate the association between orthodontic treatment and success of alveolar cleft bone grafting performed in oral and maxillofacial surgery department of Shariati hospital at least one year after operation.Materials and Methods: The patient’s records and their ...
Read More
Objective: This study aimed to evaluate the association between orthodontic treatment and success of alveolar cleft bone grafting performed in oral and maxillofacial surgery department of Shariati hospital at least one year after operation.Materials and Methods: The patient’s records and their post-operative radiographs were studied to assess their age, gender, cleft type (unilateral or bilateral), grafting time (secondary, tertiary), orthodontic treatment (No, Yes) and height of bony bridge. The success was defined as a proportion of at least ¾ for the remaining bone in new radiograph to post-operative bone bridge height. Results: Mean age of the patients was 18 years with a range of 10 to 29 years. From the total patients, 52% (n=28) were male and 48% (n=26) were female, 54% had unilateral and 46% had bilateral alveolar cleft. Among the patients, 20 cases (37%) had secondary and 34 had tertiary bone grafting. In general, 59% (n=32) of the patients, had successful alveolar bone grafting. Out of the total 54 patients, 28 cases (52%) were under supervision and treatment of orthodontist. Logistic regression model showed that presence of orthodontic treatment was associated with higher graft success. Conclusion: Treatment of Cleft lip and palate needs comprehensive surgical and orthodontic management and all the patients must be under supervision and treatment of orthodontists to take benefit of the surgical treatment.