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IP Indian Journal of Orthodontics and Dentofacial Research最新文献

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Modified ‘S’ shape ring for reactivation of open coil spring: A clinical pearl 改良的“S”形环用于打开线圈弹簧的再激活:临床明珠
Pub Date : 2022-05-15 DOI: 10.18231/j.ijodr.2022.019
Akshay S. Mahajan, Amol A. Verulkar, Ratnadip A. Lohakpure, Twinkle D Bajaj, Shweta A. Dhope, Sara R. Bhurani
Ni-Ti open coil springs are often used for opening spaces for crowded or for distalization of the molar teeth. Predetermining the length of open coil spring required to open up the exact amount of space is rather difficult, and sometimes, the length of the open coil spring falls short to open up the entire space required. Open coil spring usually requires reactivation to gain enough space in the arch or between two adjacent teeth. This paper highlights the chairside method of reactivation of NiTi open coil spring with the use of modified ‘S’ shape ring without removing the base archwire.
镍钛开放式螺旋弹簧通常用于拥挤的空间开放或远端磨牙。预先确定开放线圈弹簧所需的长度以打开空间的确切数量是相当困难的,有时,开放线圈弹簧的长度不足以打开所需的整个空间。开放的螺旋弹簧通常需要重新激活,以获得足够的空间在弓或两个相邻的牙齿之间。本文重点介绍了在不拆除基拱丝的情况下,利用改进的“S”形环对镍钛开式线圈弹簧进行椅边再激活的方法。
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引用次数: 0
Orthosurgical management of deckbiss malocclusion (Class-II Div 2) in adult patients: A case series 成人患者deckiss错牙合(Class-II Div 2)的骨科治疗:一个病例系列
Pub Date : 2022-05-15 DOI: 10.18231/j.ijodr.2022.023
A. Kamboj, S. Chopra, A. Thapa, G. Kochar, Pritam Mohanty, N. Sinha
Class II malocclusion cases are of interest to orthodontists since they constitute a significant chunk of cases they treat. Still, they're one of the most grueling malocclusions to diagnose and treat.There lies a significant difference in the frequency of Class II malocclusion among various populations. The frequency of Class II malocclusion in India varies from 1.9% in Rajasthan to 8.37% in South India. Class II division 2 (Deckbiss) malocclusion is characterized by mandibular incisors positioned posterior to the cingulum of retroclined maxillary incisors. It usually presents with reduced overjet and increased overbite.The treatment approach of Class II division 2 malocclusion is different for different age groups. In growing cases, growth modulation with myofunctional appliances is recommended but in adult cases, orthodontic camouflage or orthognathic surgery is the recommended treatment modality. When orthodontic treatment alone is ineffective or when facial aesthetics is grossly undermined, orthognathic surgery is the choice of treatmentIn the present case series, two adult cases of severe Class II division 2 (Deckbiss) malocclusion were treated orthosurgically with BSSO. This case series demonstrates that treatment of Class II division 2 (Deckbiss) malocclusion in adult patients is a challenging task and a combined orthodontic-surgical approach can be used to obtain optimum aesthetics & functional efficiency.
二类错颌病例是正畸医生感兴趣的,因为它们构成了他们治疗的大量病例。尽管如此,它们仍然是诊断和治疗最困难的错颌之一。在不同人群中,ⅱ类错颌的发生频率存在显著差异。印度II类错颌畸形的发生率从拉贾斯坦邦的1.9%到南印度的8.37%不等。第II类第2类(deckiss)错颌畸形的特征是下颚门牙位于后倾上颌门牙的带带后方。通常表现为上喷流减少和上咬伤增加。ⅱ类2分错的治疗方法在不同年龄组有所不同。在生长病例中,推荐使用肌肉功能矫治器调节生长,但在成人病例中,推荐使用正畸伪装或正颌手术治疗。当单纯的正畸治疗无效或面部美观严重受损时,正畸手术是治疗的选择。在本病例系列中,有2例成人严重II类2分(deckiss)错颌采用BSSO矫形手术治疗。本病例系列表明,成人患者的II类2分(deckiss)错牙合治疗是一项具有挑战性的任务,正畸-外科联合方法可以获得最佳的美学和功能效率。
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引用次数: 0
T loop mechanics for effective space closure in bimaxillary dentoalveolar protrusion - A case report T环机制有效封闭双颌牙槽突间隙- 1例报告
Pub Date : 2022-05-15 DOI: 10.18231/j.ijodr.2022.022
CA Prachodh, Muhammed Shaloob K M, Muhammed Naxaz VP, Muhammed Raheesh, Fathima Arzu T P
This case report intends to highlight the space closure with continuous T-loop mechanics for bimaxillary protrusion. Loops can be fabricated in a sectional or full arch wire, and closing loops are usually used in loop mechanics for extraction space closure. The major advantage of loop mechanics is the lack of friction between the bracket and arch wire during space closure. A 21-year old adult male patient with bimaxillary protrusion and spacing reported to the clinic. The patient was treated successfully by maximum retraction of maxillary and mandibular anterior teeth after extraction of all first premolars. Space closure was achieved using a moment differential between posterior and anterior segments created by a T-loop. A stable result with normal over jet and overbite was achieved with retraction of maxillary and mandibular anterior teeth and no loss of anchorage.
本病例报告旨在强调用连续t环力学闭合空间治疗双颌前突。环可以制作成分段或全拱丝,闭合环通常用于环力学中提取空间的闭合。循环力学的主要优点是在空间闭合过程中支架和拱丝之间没有摩擦。一个21岁的成年男性患者的双颌突出和间距报告到诊所。患者在拔除所有第一前磨牙后,采用上颌前牙和下颌前牙的最大内收治疗成功。空间闭合是通过t形环形成的前后节之间的力矩差来实现的。上颌和下颌前牙内收,无支抗损失,结果稳定,正常的超喷和复咬合。
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引用次数: 0
Awareness about minimally invasive dentistry among dental under graduates & Interns: A cross-sectional study 牙科本科生和实习生对微创牙科认知的横断面研究
Pub Date : 2022-05-15 DOI: 10.18231/j.ijodr.2022.017
N. Kashyap, Shreya Rani, S. Patel, A. Dey, Nishi Singh
Minimally Invasive Dentistry (MID) is a modern concept that attempt to keep teeth functional for life. It is the management of caries with biological approach rather than traditional surgical approach. It is to leave the traditional GV Black concept of ‘Extension for Prevention’ behind. Now, the present-day principle is ‘Constriction with Conservation’. This has been noticed that the concept of MID is still very unclear to the practicing dentists & even to the undergraduates. To understand the knowledge and awareness of undergraduates about MID a survey is important. The aim of this study is –Firstly, to assess the knowledge about MID technique among the undergraduate students and interns from my dental institution. Secondly, to also investigate whether the knowledge acquired by the students reflects in the form of a positive attitude towards practice of MID principles. A cross-sectional survey involving 50 dental students and interns of my dental institution. The questioner is close ended. The questions are to assess the respondent levels of agreement regarding diagnostic, preventive and minimally invasive restorative techniques. In this study it was found that interns had greater knowledge of MID than final years as they had greater clinical exposure. There is a need to introduce evidence-based dentistry in the dental curriculum as well as establish guidelines for caries detection, diagnosis, treatment discussion & treatment performance.
微创牙科(MID)是一个现代概念,试图保持牙齿的功能为生活。采用生物方法而不是传统的外科方法治疗龋病。这是为了将传统的GV Black概念“延伸预防”抛在脑后。现在的原则是“约束与保护”。这已经被注意到,MID的概念仍然是非常不清楚的执业牙医,甚至是本科生。为了了解大学生对MID的认识和意识,调查是很重要的。本研究的目的是-首先,评估我所在牙科机构的本科生和实习生对MID技术的了解情况。其次,还要调查学生获得的知识是否以积极的态度反映在MID原则的实践中。一项横断面调查,涉及我所在牙科机构的50名牙科学生和实习生。提问者是封闭式的。这些问题是为了评估受访者对诊断、预防和微创修复技术的同意程度。在这项研究中,我们发现实习生对MID的了解比最后几年要多,因为他们有更多的临床接触。有必要在牙科课程中引入循证牙科,并建立龋齿检测,诊断,治疗讨论和治疗效果的指导方针。
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引用次数: 0
Orthodontic mini-implant success–Analysis and review 正畸微型种植体成功分析与回顾
Pub Date : 2022-05-15 DOI: 10.18231/j.ijodr.2022.015
Rajashree Bhattacharjee, Rehan Khan, N. Baruah, B. Roy
Successful orthodontic treatment demands the need for adequate anchorage reinforcement. The growing need for minimum compliance and maximum curative effects has made the mini-implants more acceptable as an excellent substitute to traditional orthodontic anchorage. Mini-implants as skeletal anchorage sources can be used to carry out intrusion, extrusion, anterior retraction, molar protraction and distalization, and correction of midline and occlusal canting etc. Endosseous dental implants have begun to be more reliable sources of anchorage. However, because of complicated surgical procedure, long healing time, and limited implant sites—their use as routine clinical anchorage has remained subtle till date. Also, patient acceptability, rate and severity of adverse effects of miniscrews, and variables that influenced success remain unanswered. In the present article, we systematically reviewed some of the available and unswerving literature to quantify success and complications encountered with the use of mini-implants for orthodontic anchorage, to evaluate factors associated with success or failure.
成功的正畸治疗需要适当的支抗加固。对最小顺应性和最大疗效的需求日益增长,使得微型种植体作为传统正畸支抗的优秀替代品更容易被接受。微型种植体作为骨支抗源,可用于牙体的侵入、挤压、前牙后收、磨牙前伸远、中线和咬合倾斜矫正等。牙内种植体已开始成为更可靠的固支来源。然而,由于手术过程复杂,愈合时间长,种植体位置有限,它们作为常规临床支具的应用至今仍很有限。此外,患者的接受程度、不良反应的发生率和严重程度以及影响成功的变量仍未得到解答。在这篇文章中,我们系统地回顾了一些现有的文献,以量化使用微型种植体进行正畸支抗的成功和并发症,评估成功或失败的相关因素。
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引用次数: 0
Comparative assessment of customized (insignia) and non-customized bracket systems (Damon Q) for clinical effectiveness and efficiency-A clinical study 定制支架系统(徽章)与非定制支架系统(Damon Q)临床疗效和效率的比较评估——一项临床研究
Pub Date : 2022-05-15 DOI: 10.18231/j.ijodr.2022.018
S. Khan, S. Somaiah, G. B., S. Muddaiah
The study's goal was to compare and contrast the effectiveness and efficiency of customized and non-customized orthodontic brackets. 10 patients (Group A) were treated with a Customized section System (Insignia USA) and 10 patients (Group B) were treated with a Non-customized Bracket system (Damon).Gathering this data, the clinical effectiveness and efficiency was measured by estimating Initial Peer Assessment Rating (PAR) and Final PAR scores, assessing the complete therapy time, number of scheduled appointments, number of examination visits, number of loose brackets and pain rating during the treatment which was recorded with a numerical rating scale. The Insignia group outperformed the Damon group in terms of clinical efficiency, but there was no difference in PAR score reduction so overall clinical effectiveness of the Insignia and Damon groups was identical. Orthodontists would be able to give high-quality treatment in less time with fewer appointments and less chair time if they use the optimum bracket system.
本研究的目的是比较和对比定制和非定制正畸托槽的有效性和效率。10例患者(A组)采用定制支架系统(Insignia USA), 10例患者(B组)采用非定制支架系统(Damon)。收集这些数据,通过估算初始同伴评估评分(Initial Peer Assessment Rating, PAR)和最终同伴评估评分(Final PAR),评估完成治疗时间、预约次数、检查次数、松动托槽次数和治疗过程中的疼痛评分(用数值评定量表记录)来衡量临床疗效和效率。Insignia组在临床疗效方面优于Damon组,但在PAR评分降低方面没有差异,因此Insignia组和Damon组的总体临床疗效相同。如果使用最佳的托架系统,正畸医生将能够在更少的预约和更少的椅子时间内提供高质量的治疗。
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引用次数: 0
Self-ligating brackets from the past to the last- A complete over-view part I 自连接括号从过去到最后-一个完整的概述第一部分
Pub Date : 2022-03-15 DOI: 10.18231/j.ijodr.2022.003
Vaibhav R Ambashikar, Suresh K. Kangane, Yatishkumar S. Joshi, S. R. Warpe, Shruti B Chandak, Mahesh S Choure
The introduction of the self-ligating brackets proved to be a revolutionary change in the history of brackets. The benefits of orthodontic appliances and techniques revolve around efficiency, allowing the patient to expect more efficient and timely treatment. The popularity and USP of self-ligating brackets have been for the ability of SL bracket systems to reduce chair time and overall treatment time. Until the early 1970s, the concept of self-ligating brackets fell more or less into oblivion. There has been a continuous endeavor to perfect self-ligating brackets, and several brackets were introduced Since 1970. Within the past decade, substantial developments, new designs, and numerous proposed advantages of SL brackets have caused them to gain significant popularity among practicing orthodontists. At present, the orthodontic market is flooded with the promotion of different SL brackets. This review aims to provide a complete overview of the evolution of self-ligating brackets from the first to the latest available.
自锁式支架的引入被证明是支架历史上的革命性变化。正畸器具和技术的好处围绕着效率,使患者期望更有效和及时的治疗。自结扎支架的普及和USP是由于SL支架系统能够减少椅子时间和整体治疗时间。直到20世纪70年代初,自固定支架的概念或多或少被遗忘了。自1970年以来,人们不断努力完善自结扎支架,并推出了几种支架。在过去的十年里,大量的发展,新的设计,以及许多SL托槽的优点已经使它们在执业正畸医生中获得了显著的普及。目前,正畸市场充斥着各种SL托槽的推广。这篇综述的目的是提供一个完整的概述自结扎支架的演变从第一个到最新的可用。
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引用次数: 1
Modified tandem appliance for early correction of class III malocclusion – A case report 改良串联矫治器早期矫治III类错牙合1例
Pub Date : 2022-03-15 DOI: 10.18231/j.ijodr.2022.011
S. Sudhakar, Sneha Shalu, Amritha Prasad, Mithun K Naik
Class III malocclusion is associated with a sagittal malrelationship of the maxilla and the mandible, characterized by a deficient maxilla, retrognathic mandible, or a combination of both. The early treatment of Class III malocclusions provides facial balance, modifies the maxillofacial growth and development, and prevents future surgical treatment by increasing the stability. Many treatment approaches can be found in the literature regarding orthopedic and orthodontic treatment of Class III malocclusion, including intra‑ and extra‑oral appliances. The major problem with extraoral anchorage has been of patient compliance due to its physical appearance. The case report presents an intraoral modified tandem appliance for maxillary protraction that has been used clinically to achieve successful results without relying much on patient co‑operation.
III类错牙合与上颌和下颌骨矢状面关系异常有关,其特征为上颌缺损、下颌后突或两者兼而有之。III类错咬合的早期治疗可提供面部平衡,改变颌面生长发育,并通过增加稳定性来防止未来的手术治疗。关于III类错牙合的矫形和正畸治疗的文献中可以找到许多治疗方法,包括口内和口外矫治器。口腔外锚固的主要问题是由于其物理外观,患者的依从性。本病例报告介绍了一种改良的口内串联上颌牵引矫治器,该矫治器已在临床上使用,在不依赖患者合作的情况下取得了成功的结果。
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引用次数: 0
Microbial corrosion of orthodontic wires 正畸金属丝的微生物腐蚀
Pub Date : 2022-03-15 DOI: 10.18231/j.ijodr.2022.004
Vipul K Sharma, G. Yadav, T. Chaturvedi, SN Upadhyay, Rashmi M. Tilak
To evaluate microbial corrosion by weight loss, microbial corrosion and elemental analysis of NiTi and stainless wires after period of 2 months in streptococcus mutans containing media. Percentage change in weight after 2 months is 1.7% and 0.8% in NiTi & SS respectively. Elemental analysis of NiTi wire in streptococcus containing media showed decrease in Ni by 2.9% by weight and Ti decreased 3.07% by weight due to leaching of Ni and Ti from the surface of wires. In stainless steel wire, there was decrease in Fe by 8.82% and Cr 1.39% by weight. Significant microbial corrosion was observed in NiTi wires as compared with SS wires may be attributed to the surface roughness of NiTi wires. However, the role of biofilm is dual and remained controversial due to being protective and corrosive.
用失重法、微生物腐蚀法和元素分析法评价镍钛丝和不锈钢丝在含变形链球菌培养基中2个月后的微生物腐蚀情况。2个月后,NiTi和SS的体重变化百分比分别为1.7%和0.8%。对含链球菌培养基中镍钛丝的元素分析表明,由于金属丝表面Ni和Ti的浸出,Ni和Ti的重量分别下降了2.9%和3.07%。在不锈钢丝中,铁的重量下降了8.82%,铬的重量下降了1.39%。与SS钢丝相比,NiTi钢丝的微生物腐蚀明显,这可能是由于NiTi钢丝的表面粗糙度所致。然而,生物膜的作用是双重的,由于具有保护性和腐蚀性,一直存在争议。
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引用次数: 0
A comparative cervical verteberal maturity index evaluation of skeletal age in cleft and non-Cleft patients 腭裂与非腭裂患者颈椎成熟度指数评价骨骼年龄的比较
Pub Date : 2022-03-15 DOI: 10.18231/j.ijodr.2022.007
Anup Kanse, Abrar Hussain, T. Tripathi, P. Rai
Children with a cleft lip and/or palate (CLP) inherit multiple complications related to inadequate nutrition, feeding problems and speech impairment. Cleft patient treatment aims to address skeletal and dental disharmony through multidisciplinary care, where skeletal discrepancies in children with CLP may require orthopedic and/or surgical correction. It is important to determine the period of accelerated growth of the relevant skeletal structure to achieve the most favourable response with the least potential morbidity. A retrospective study was conducted for a period of eighteen months in which 102 lateral cephalograms of subjects within the age range of nine to eighteen years were examined to evaluate differences in the cervical vertebrae skeletal maturation. Patients with non- syndromic unilateral/bilateral cleft lip and palate and those without cleft and other systemic disorders were analysed. Fifty-one participants each with and without cleft-palate and lip were recruited in our study. At the age group of 9-13 years, comparison of CVMI status between cleft and non-cleft subjects revealed a statistically significant difference. In the age group of 14 – 18 years, equal distribution was observed in the deceleration stage and maturation stage of cleft and non-cleft groups. More disparity was found in CVMI transition stageThe conducted study indicates statistically significant differences between the skeletal age and chronological age in cleft and non-cleft subjects from the age group of 9-18 years.
唇裂和/或腭裂(CLP)儿童继承了与营养不足、喂养问题和语言障碍有关的多种并发症。唇腭裂患者的治疗旨在通过多学科护理解决骨骼和牙齿不和谐问题,CLP患儿的骨骼差异可能需要骨科和/或手术矫正。重要的是确定相关骨骼结构加速生长的时期,以实现最有利的反应和最小的潜在发病率。我们进行了一项为期18个月的回顾性研究,对102名年龄在9至18岁之间的受试者进行了侧位脑电图检查,以评估颈椎骨骼成熟的差异。分析了非综合征性单侧/双侧唇腭裂和无唇裂及其他全身性疾病的患者。我们的研究招募了51名有或没有腭裂和唇裂的参与者。在9 ~ 13岁年龄组,唇裂与非唇裂受试者CVMI状态比较,差异有统计学意义。在14 ~ 18岁年龄组中,唇裂组和非唇裂组的减速期和成熟期分布均匀。在CVMI过渡阶段差异更大。本研究发现,9-18岁的唇腭裂和非唇腭裂受试者的骨骼年龄和实足年龄差异有统计学意义。
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引用次数: 1
期刊
IP Indian Journal of Orthodontics and Dentofacial Research
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