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Esthetic nickel titanium wires– Do they deliver the same force? 美观的镍钛线——它们能产生同样的力吗?
Pub Date : 2022-12-15 DOI: 10.18231/j.ijodr.2022.045
Ajit J Kalia, Juhi Joshi, Mohammed Mandsaurwala, Sayali Bobade, Azmat Azha Khan
To test the difference in loading and unloading forces delivered by six coated nickel-titanium wires and their non-coated equivalents. Commercially available six coated nickel-titanium wires and their non-coated equivalents of sizes 0.016-inch diameter round and 0.016 X 0.022-inch rectangular cross-section were procured. The wires were evaluated using a three-point bending test based on the method in ISO Standard 15841. No statistically significant differences in force values were found between coated and non-coated wires, listed by deflection in three-point bending, for these specific groups.Statistical analysis was done using SPSS version 11.5 (Chicago, III). Analysis of variance was performed with Sheffe post hoc for the mean comparison among the measurements of each loading and unloading deflection for coated and non-coated wires. Student’s t-tests was performed for the mean comparisons between non coated and coated groups for each deflection. There is no significant difference in load response between coated and non-coated nickel-titanium wires of the same size when subjected to the same deflection using a standard three-point bend test method.
测试六根涂覆镍钛线和未涂覆镍钛线所产生的载荷和卸载力的差异。市售的六根涂覆镍钛线及其未涂覆的等价物直径为0.016英寸的圆形和0.016 X 0.022英寸的矩形截面。使用基于ISO标准15841方法的三点弯曲试验对钢丝进行评估。在这些特定组中,根据三点弯曲挠度列出的涂覆和非涂覆导线之间的力值没有统计学上的显着差异。使用SPSS 11.5 (Chicago, III)进行统计分析。使用Sheffe post hoc进行方差分析,对涂覆和非涂覆导线每次加载和卸载挠度的测量值进行平均值比较。对每次偏转的非涂覆组和涂覆组之间的平均比较进行学生t检验。采用标准三点弯曲试验方法,相同尺寸的涂覆镍钛线与未涂覆镍钛线在受到相同挠度时的负载响应无显著差异。
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引用次数: 0
Correction of Class-II malocclusion in young adults using fixed functional appliances (Forsus) - A case series 使用固定功能矫治器(Forsus)矫正青少年ii类错牙合-一个病例系列
Pub Date : 2022-12-15 DOI: 10.18231/j.ijodr.2022.049
A. Kamboj, S. Chopra, Atul Bali, Amit Jain, Deepak Chauhan
All over the world Class II malocclusions affects twenty percent of the population and Class II division 1 malocclusion is thought to be the most recognized problem practiced in orthodontics. A wide range of functional appliances including the removal and fixed are available for the correction of Class II skeletal pattern. The fixed functional appliances eliminate the need for patient compliance and place the treatment outcome under the control of the orthodontist. Patients with Class II mandibular retrusion and those whose growth is about to finish are typically treated with fixed functional appliances, which require little maintenance. William Vogt, was the first to introduce the Forsus appliance. Fixed functional appliances in general and the Forsus (FRD) in particular considerably speed up the correction of Class II Division 1 malocclusions and shorten treatment time as they are used in conjunction with a fully bonded fixed orthodontic appliance. Forsus primarily achieves Class II correction through dentoalveolar effects, but if utilized by patients who are at or near pubertal growth, it can result in skeletal changes as well.In this article, the management of two young adult patients with Class II Division 1 malocclusion and mandibular retrognathism is discussed. Both patients received a two-phase therapy in which first phase involved alignment of the arches with fixed orthodontic pre-adjusted appliance and second phase involved using the Forsus fixed functional appliance for at least six months.
在世界范围内,II类错牙合影响了20%的人口,II类1类错牙合被认为是正畸学中最常见的问题。广泛的功能器具,包括移除和固定可用于II类骨骼模式的纠正。固定功能矫治器消除了患者依从性的需要,并将治疗结果置于正畸医生的控制之下。II类下颌后缩患者和生长即将结束的患者通常使用固定功能矫治器治疗,需要的维护很少。威廉·沃格特是第一个引进福苏斯设备的人。一般的固定功能矫治器,特别是Forsus (FRD),由于与完全粘合的固定正畸矫治器配合使用,大大加快了II类1类错咬合的矫正速度,缩短了治疗时间。Forsus主要通过牙槽效应达到II级矫正,但如果用于处于或接近青春期生长的患者,也可能导致骨骼变化。在本文中,我们讨论了两名年轻成人II类1分错颌合并下颌后缩的治疗方法。两名患者均接受了两阶段的治疗,第一阶段使用固定正畸预调节矫治器对弓进行矫正,第二阶段使用Forsus固定功能矫治器至少6个月。
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引用次数: 0
Evaluation of torque expression with varied bracket positions and varying crown-root angles of maxillary central incisor – A 3 dimensional finite element study 上颌中切牙不同托槽位置和冠根角下扭矩表达式的三维有限元分析
Pub Date : 2022-12-15 DOI: 10.18231/j.ijodr.2022.043
Sushmita Batni, V. Shetty, Taher Manasawala, Devashree Mujumdar
To evaluate the torque expression of right permanent maxillary central incisor with varying bracket positions and to compare the torque expression of the same tooth with different crown-root angulations. Finite Element Models of Maxillary Central Incisor were used for simulation of torque expression with various crown-root angles. Three FEM models of a Maxillary Central Incisor with different crown-root angles (170˚,175˚,180˚, and 165°) were constructed with varying bracket heights and subjected to a 30° labial root torque and the resultant torque expressions were evaluated. The model with the maximum variation in crown-root angle (165˚) showed the maximum torque expression at 6mm and minimum at 3mm bracket height while the model with a minimum variation in crown-root angle (180°) showed the minimum torque expression both and 3mm and 6mm bracket height. With increase in the crown-root angles of a tooth, the torque expression away from the incisal edge increases.
评价右恒颌中切牙在不同托槽位置下的扭矩表达,并比较同一牙不同冠根角度下的扭矩表达。采用上颌中切牙有限元模型,对不同牙冠-牙根角下的转矩表达式进行了仿真。建立不同牙冠-根角(170˚、175˚、180˚和165°)的上颌中切牙的3个有限元模型,分别施加30°唇根扭矩,并计算结果。冠根角变化最大的模型(165˚)在支架高度为6mm时扭矩表达式最大,在支架高度为3mm时扭矩表达式最小;冠根角变化最小的模型(180°)在支架高度为3mm和6mm时扭矩表达式最小。随着牙冠-牙根角的增大,远离牙切缘的转矩表达式增大。
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引用次数: 0
Comparative evaluation of surface microhardness of enamel adjacent to orthodontic brackets when treated with CPP-ACP paste and Er, Cr: YSGG laser irradiation: An in vitro study CPP-ACP膏体与Er, Cr: YSGG激光照射正畸托槽邻近牙釉质表面显微硬度的比较研究
Pub Date : 2022-12-15 DOI: 10.18231/j.ijodr.2022.044
Komal Kailash Mantri, Uroosa Aymen, Anilkumar N Biradar
Fixed orthodontic treatment has a lot of benefits for the patients, but it is not without any potential risks. The most common side effect of orthodontic treatment with fixed appliances is in the form of incipient caries lesions around brackets and which is mainly due to limitation on self-cleansing mechanism. To evaluate the effect of Er, Cr: YSGG laser irradiation and CPP-ACP paste used alone or in combination on the surface microhardness of enamel adjacent to orthodontic brackets.Initially starting with bonding brackets to each tooth and making acrylic resin blocks. Then LASER irradiation with appropriate settings was performed.200 non-carious extracted human maxillary first premolars were bonded by metal brackets and were tested for microhardness on Vickers machine. They were randomly divided into 5 groups followed by treated with different caries prevention methods, then subjected to PH cycling model. All teeth were tested for surface microhardness in a 3mmx3mm area surrounding the orthodontic bracket. The mean VHN value of all the groups were found to be highly statistically significant. The highest mean VHN value was found in the group 5 followed by group 2, group 3 and group 4 and least mean VHN in group 1.Combination of ER, CR:YSGG laser irradiation and CPP-ACP paste shows a highly effective preventive measure for white spot lesion. LASER irradiation with specific guidelines as followed m in this study is a more effective preventive measure as compared to CPP-ACP Paste application followed at regular intervals.
固定正畸治疗对患者有很多好处,但也不是没有任何潜在的风险。固定矫治器正畸治疗最常见的副作用是在托槽周围形成早期龋损,这主要是由于自洁机制的限制。评价Er、Cr: YSGG激光照射和CPP-ACP糊剂单独或联合使用对正畸托槽邻近牙釉质表面显微硬度的影响。首先,我要把托架粘到每颗牙齿上,然后制作丙烯酸树脂块。然后进行适当设置的激光照射。用金属托槽粘接200颗无龋人上颌第一前磨牙,在维氏硬度仪上进行显微硬度测定。随机分为5组,分别给予不同的龋防治方法,进行PH循环模型研究。在正畸托架周围3mmx3mm区域测试所有牙齿的表面显微硬度。各组平均VHN值均有高度统计学意义。5组平均VHN值最高,2、3、4组次之,1组平均VHN值最低。ER、CR:YSGG激光照射联合pcp - acp膏剂对白斑病变的预防效果较好。与定期应用pcp - acp膏剂相比,本研究中遵循特定指南的激光照射是更有效的预防措施。
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引用次数: 0
Orthodontic miniscrew supported correction of partially impacted mandibular 2nd molar- A case report 下颌第二磨牙部分阻生的微型支架矫治1例
Pub Date : 2022-12-15 DOI: 10.18231/j.ijodr.2022.047
Sushmita Batni Rao, V. Shetty, Taher Manasawala, Devashree Mujumdar
A wide range of clinical procedures have been introduced and practiced to correct mesially inclined mandibular molars which is a common situation among young adults, occurring usually due to inadequate space in the arch for its eruption. There are two major treatment options available for the correction of impacted / partially impacted molars and this depends on several factors. The objective was to treat a 15-year-old male patient having a lower right partially impacted 2nd molar using skeletal anchorage system. The lower right 3 molar was surgically excised, and the partially impacted 2 molar was uprighted using an orthodontic miniscrew which was placed between lower right 1 and 2 premolars on the mesial side. The use of skeletal anchorage system has an excellent advantage over conventional methods since there is prevention of unwanted movement of anchor teeth leading to successful correction without any delay in the treatment duration.
广泛的临床程序已被介绍和实践,以纠正下颌磨牙中斜,这是一种常见的情况,在年轻人中,通常发生在弓的空间不足,为其爆发。矫正阻生/部分阻生磨牙有两种主要的治疗选择,这取决于几个因素。目的是治疗15岁的男性患者有右下部分阻生第二磨牙骨锚定系统。手术切除右下3磨牙,使用正畸微型支架将部分阻生的2磨牙扶正,微型支架放置在右下1和2前磨牙中间。与传统方法相比,使用骨骼锚定系统具有优异的优势,因为它可以防止锚定牙的不必要移动,从而在不延迟治疗时间的情况下成功矫正。
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引用次数: 0
Orthodontics & obstructive sleep apnea 正畸和阻塞性睡眠呼吸暂停
Pub Date : 2022-12-15 DOI: 10.18231/j.ijodr.2022.037
A. Kamboj
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引用次数: 0
Effect of premolar extraction on mandibular rotation 前磨牙拔除对下颌旋转的影响
Pub Date : 2022-12-15 DOI: 10.18231/j.ijodr.2022.046
Deepak Chandra, Rohit Khanna, S. Verma, R. Maurya, K. Srivastava, T. Tikku
Various types of appliances have been tried by the Orthodontists for the fixed orthodontic treatment. Irrespective of the appliance used the main goal of retraction of anterior teeth in extraction cases is to keep the vertical dimension stable so as not to allow downward and backward rotation of mandible. The aim of this study was to compare changes in mandibular rotation following fixed orthodontic treatment on subjects who have undergone extraction of all first premolars. Pre and post treatment lateral cephalogram of 25 subjects were taken (13 females and 12 males), aged 18-25 years and the tracings were done using Nemoceph software. Parameters assessed were facial height (anterior and posterior), mandibular plane angle (FMA & SN-GoGn), and Jaraback ratio. Student t-test was used to make statistical comparison. Mean difference of SN-GoGn(0.15 ±0.07), FMA(0.23 ±0.52), Anterior facial height(0.18±0.01) and posterior height(0.45±0.01) and Jaraback ratio(0.47±0.32) did not show statistically significant difference between pre and post treatment. Mandibular plane did not alter during treatment. When adequate mechanics is followed during treatment desirable treatment outcome with insignificant alteration of mandibular plane can be achieved.
正畸医生已经尝试了各种类型的矫治器用于固定正畸治疗。无论使用何种矫治器,拔牙时前牙后缩的主要目的是保持垂直尺寸稳定,以免下颌骨向下和向后旋转。本研究的目的是比较固定正畸治疗后下颌旋转的变化,受试者已接受拔除所有第一前磨牙。采用Nemoceph软件对25名年龄在18-25岁的受试者(女性13名,男性12名)进行治疗前后侧位脑电图追踪。评估的参数包括面部高度(前后)、下颌平面角(FMA & SN-GoGn)和Jaraback比值。采用学生t检验进行统计学比较。治疗前后SN-GoGn(0.15±0.07)、FMA(0.23±0.52)、前脸高(0.18±0.01)、后脸高(0.45±0.01)、Jaraback比值(0.47±0.32)的平均差异无统计学意义。治疗期间下颌平面未发生改变。如果在治疗过程中遵循适当的力学方法,可以获得理想的治疗效果,且下颌平面的改变不大。
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引用次数: 0
Orthodontic model analysis in the permanent dentition: A review of past, and current methods 恒牙列正畸模型分析:回顾过去和现在的方法
Pub Date : 2022-12-15 DOI: 10.18231/j.ijodr.2022.038
Karthik Sennimalai, Madhanraj Selvaraj
The study models are regarded as the gold standard tool in orthodontics since they aid in the diagnosis, treatment planning and monitoring of the changes that may occur throughout treatment. Besides these, plaster models are also used to monitor growth and clinical audits. A study model accurately replicates the teeth, surrounding soft tissues and occlusion. Traditionally, the orthodontic study models have been used to measure the overjet and overbite, tooth size, arch length, arch width, the curve of Wilson and Spee, space analysis and diagnostic setup. However, plaster models are still preferred by orthodontists since impression-making is convenient, and most patients tolerate them well. With recent advancements in digital technology, intraoral scanners have eliminated the need for conventional impression procedures and plaster models. The digital orthodontic models have overcome the majority of disadvantages associated with plaster models. With the advent of automated analysis using digital models, the entire process of orthodontic treatment planning based on study models has become more convenient and user-friendly. This article aims to comprehend the various model analyses used for diagnosis and treatment planning in the permanent dentition stage and deliver insight into current digital methods.
该研究模型被认为是正畸学的金标准工具,因为它们有助于诊断,治疗计划和监测整个治疗过程中可能发生的变化。除此之外,石膏模型也用于监测生长和临床审计。研究模型准确地复制了牙齿、周围软组织和咬合。传统的正畸研究模型主要用于测量牙体的复喷和复咬、牙尺寸、牙弓长度、牙弓宽度、Wilson和Spee曲线、空间分析和诊断设置。然而,石膏模型仍然是正畸医生的首选,因为印模制作方便,大多数患者耐受良好。随着数字技术的进步,口腔内扫描仪已经消除了传统的印模程序和石膏模型的需要。数字正畸模型克服了与石膏模型相关的大多数缺点。随着使用数字模型的自动化分析的出现,基于研究模型的正畸治疗计划的整个过程变得更加方便和人性化。本文旨在了解用于恒牙阶段诊断和治疗计划的各种模型分析,并提供对当前数字方法的见解。
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引用次数: 0
Role of growth hormone in orthodontics 生长激素在正畸中的作用
Pub Date : 2022-12-15 DOI: 10.18231/j.ijodr.2022.039
Gulnaz Husain, A. Nagar
Human growth hormone (Somatotropin) is produced by acidophilic growth hormone cells in the anterior pituitary gland, stimulated by hypothalamus. Its production is regulated by several complex feedback mechanisms in response to stress, exercise, diet, sleep and growth hormone itself. Growth hormone plays a major role in linear body growth and craniofacial growth. In Orthodontics, it induces orthodontic tooth movement by activating specific cytokines to regulate osteoclast & osteoblast activity. It mediates STAT signalling in liver & pancreas to produce JAK-IGF-1. IGF-1 has stimulatory effects on osteoblasts and chondrocytes for endochondral ossification to promote bone growth. Growth hormone mediates mitogenic stimulus to odontoblast lineage cells by epidermal growth factor (EGF) to differentiate into odontoblasts. It also stimulates production of alkaline phosphatase and osteocalcin in osteoblasts to improve osteoblast proliferation and differentiation. It also induces osteoclastic activity indirectly by production of IGF-1 and IL- 6 thereby activating RANK-RANKL/OPG phenomenon. It also promotes myofibrillar diameter expansion so it increases muscle mass with strength. Growth Hormone Replacement therapy reduces facial convexity and its main effect appears to be on condylar growth. Since deficiencies of growth hormone can adversely affect orthodontic treatment, effects of growth hormone treatment on craniofacial structures should be considered in order to maximize the effectiveness of orthodontic treatment with appliances and it is more important to understand.
人生长激素(Somatotropin)是由垂体前叶中的嗜酸生长激素细胞在下丘脑的刺激下产生的。它的产生受到应激、运动、饮食、睡眠和生长激素本身的几种复杂反馈机制的调节。生长激素在人体线性生长和颅面生长中起重要作用。在正畸学中,它通过激活特定的细胞因子来调节破骨细胞和成骨细胞的活性,从而诱导正畸牙齿运动。它介导肝和胰腺STAT信号产生JAK-IGF-1。IGF-1对成骨细胞和软骨细胞有刺激作用,促进软骨内成骨,促进骨生长。生长激素通过表皮生长因子介导成牙细胞系细胞的有丝分裂刺激,使成牙细胞分化为成牙细胞。它还刺激成骨细胞碱性磷酸酶和骨钙素的产生,以促进成骨细胞的增殖和分化。它还通过产生IGF-1和IL- 6间接诱导破骨细胞活性,从而激活RANK-RANKL/OPG现象。它还能促进肌原纤维直径的扩张,从而增加肌肉质量和力量。生长激素替代疗法减少面部凸出,其主要作用似乎是在髁突生长。由于生长激素缺乏会对正畸治疗产生不利影响,因此为了使矫治器正畸治疗的效果最大化,应考虑生长激素治疗对颅面结构的影响,了解生长激素对正畸治疗的影响更为重要。
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引用次数: 0
Effect of chlorhexidine mouth rinse in force decay of closed, short and long elastomeric chain - An in vitro study 氯己定漱口水对闭合、短、长弹性链力衰减的影响——体外研究
Pub Date : 2022-12-15 DOI: 10.18231/j.ijodr.2022.041
Rohan Jacob Sam, Vaibhav Mishra, A. Yadav, Deepanshi Yadav, Divya Joshi, Kshetrimayum Martina
: Elastomeric chain is one of the most commonly used orthodontic material, Evaluating the force transmission ability of elastomeric chains is essential so that orthodontists can estimate the actual force transferred to the dentition. The aim of this study was to assess effect of chlorhexidine mouth rinse on force decay of continuous, short and long elastomeric chain in chlorhexidine mouth wash. : The sample consisted three commercially available Orthodontic elastomeric chain (American Orthodontics, clear) such as continuous, short and long. These elastomeric chains were analysed with one experimental group and one control group. In control group all the three types of chain were dipped in distilled water for 30 second every day while in experimental group these elastomeric chains were dipped in mouth wash (Clohex Mouth Wash ADS) for 30 second every day. The result was tested by digital dynamometer and was statistically evaluated using ANOVA test. : Continuous elastomeric chain showed least force decay in both experimental and control group throughout the study. In the inter group comparison there was significant difference of force decay between elastomeric chains with the control group and experimental group in the 3 week in both continuous and short elastomeric chain, experimental group showed more force decay.: Mouthwash does not accelerate force degradation of elastomeric chains which could clinically affect their effectiveness. However, the results could be variable in the presence of other biological factors in the oral environment and their interactions between oral microorganisms with the host.
:弹性链是最常用的正畸材料之一,评估弹性链的传力能力对于正畸医师估计传递到牙列的实际力至关重要。本研究的目的是评估氯己定漱口水对氯己定漱口水中连续、短、长弹性链力衰减的影响。样品由三种市售正畸弹性链(American Orthodontics, clear)组成,如连续、短和长。用一个实验组和一个对照组对这些弹性链进行分析。对照组将三种橡胶链每天浸泡在蒸馏水中30秒,试验组将三种橡胶链每天浸泡在漱口水(Clohex mouthwash ADS)中30秒。结果采用数字测功机进行检验,并采用方差分析进行统计评价。连续弹性链在整个研究过程中,实验组和对照组的力衰减最小。在组间比较中,连续和短弹性链在3周内的力衰减与对照组和实验组有显著差异,实验组的力衰减更大。漱口水不会加速弹性链的力降解,从而影响其临床疗效。然而,由于口腔环境中存在其他生物因素以及口腔微生物与宿主之间的相互作用,结果可能是可变的。
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引用次数: 0
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IP Indian Journal of Orthodontics and Dentofacial Research
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