Pub Date : 2023-06-05DOI: 10.56501/intjorthodrehabil.v14i2.611
Balasubramanian Ramakrishnan, Sanjana Thiagarajan, Koduri Manoghna, U. Gopalakrishnan, Vidhya Selvaraj
BACKGROUND Early diagnosis of malocclusion and intercepting the malocclusion at an earlier stage is inevitable in orthodontics. The morphological characteristics of palatal rugae are set up at an early age and are stable in their position and pattern throughout the life of an individual, hence they are used as a reference landmark for superimposition and evaluate the extent of tooth movement in orthodontics. This review aims to analyze the orthodontic literature regarding the association of palatal rugae pattern with different malocclusion. MATERIALS AND METHODS To analyse the literature regarding the association of palatal rugae pattern with different malocclusion by using the keywords palatal rugae or plica palatine transversae or rugoscopy and malocclusion or sagittal malocclusion or class I or class II or class III or skeletal pattern and stability and orthodontics or orthodontia. The pubmed, Google scholar, Embase databases were searched till June 2022. RESULTS Wavy and Curved type of rugae was more common rugae pattern in all group of malocclusions. Many studies found there is no statistically significant difference in palatal rugae among malocclusion. However, few studies showing that largest number of rugae is present in class II malocclusion than class I and class III. CONCLUSION This review provides evidence of a distinct pattern of Palatal rugae in Class I and Class III malocclusion and largest number in Class II but to ascertain its statistical significance, further research is needed with a larger sample size.
{"title":"Assessment of Palatal Rugae Characteristics in Different Malocclusions- A Scoping Review","authors":"Balasubramanian Ramakrishnan, Sanjana Thiagarajan, Koduri Manoghna, U. Gopalakrishnan, Vidhya Selvaraj","doi":"10.56501/intjorthodrehabil.v14i2.611","DOIUrl":"https://doi.org/10.56501/intjorthodrehabil.v14i2.611","url":null,"abstract":"BACKGROUND\u0000Early diagnosis of malocclusion and intercepting the malocclusion at an earlier stage is inevitable in orthodontics. The morphological characteristics of palatal rugae are set up at an early age and are stable in their position and pattern throughout the life of an individual, hence they are used as a reference landmark for superimposition and evaluate the extent of tooth movement in orthodontics. This review aims to analyze the orthodontic literature regarding the association of palatal rugae pattern with different malocclusion.\u0000MATERIALS AND METHODS\u0000To analyse the literature regarding the association of palatal rugae pattern with different malocclusion by using the keywords palatal rugae or plica palatine transversae or rugoscopy and malocclusion or sagittal malocclusion or class I or class II or class III or skeletal pattern and stability and orthodontics or orthodontia. The pubmed, Google scholar, Embase databases were searched till June 2022.\u0000RESULTS\u0000Wavy and Curved type of rugae was more common rugae pattern in all group of malocclusions. Many studies found there is no statistically significant difference in palatal rugae among malocclusion. However, few studies showing that largest number of rugae is present in class II malocclusion than class I and class III.\u0000CONCLUSION\u0000This review provides evidence of a distinct pattern of Palatal rugae in Class I and Class III malocclusion and largest number in Class II but to ascertain its statistical significance, further research is needed with a larger sample size.\u0000 ","PeriodicalId":29888,"journal":{"name":"International Journal of Orthodontic Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48891510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-12DOI: 10.56501/intjorthodrehabil.v14i2.565
P. Venkatasubramanian, Ratna Parameswaran, Devaki Vijayalakshmi
AIM: To quantitatively evaluate and compare the body posture and its correlation with cervical posture and plantar pressure in subjects with skeletal class II malocclusion, before and after camouflage orthodontic treatment. MATERIALS AND METHODS: 18 subjects were considered for the study and subjected to lateral cephalograms and body posture analysis before and after camouflage orthodontic treatment. Cranio-cervical angles were compared before and after treatment using paired T test. A force platform was designed to accommodate the feet with pressure sensors placed at hallux, first metatarsal and medial calcaneus regions to record the loading pressure. The plantar pressure distribution values were correlated with the cranio-cervical angles. RESULTS: There is statistically significant difference (p value <0.05) in the ANB angle, GoGn/OPT angle between pre and post camouflage orthodontic therapy indicating over extension of the head over the spinal column. Post treatment Pearson correlation coefficient indicates that the cervical curvature (OPT/CVT angle) has a negative correlation with the plantar pressure at medial calcaneus region. However, high statistical significance was found in the plantar pressure distribution before and after orthodontic treatment at all three regions. CONCLUSION: Cervical curvature increased after camouflage orthodontic therapy, indicating over extension of the cervical spine. Plantar pressure reduced in the hallux, first metatarsal and medial calcaneus regions. The recorded value at the hallux region elicited considerable reduction indicating a shift in the plantar pressure from the most anterior region to the central region.
{"title":"Quantitative Analysis for Effect of Orthodontic Treatment on Body Posture and Its Correlation With Cervical Posture in Skeletal Class II Malocclusion – A Clinical Study","authors":"P. Venkatasubramanian, Ratna Parameswaran, Devaki Vijayalakshmi","doi":"10.56501/intjorthodrehabil.v14i2.565","DOIUrl":"https://doi.org/10.56501/intjorthodrehabil.v14i2.565","url":null,"abstract":"AIM: To quantitatively evaluate and compare the body posture and its correlation with cervical posture and plantar pressure in subjects with skeletal class II malocclusion, before and after camouflage orthodontic treatment.\u0000MATERIALS AND METHODS: 18 subjects were considered for the study and subjected to lateral cephalograms and body posture analysis before and after camouflage orthodontic treatment. Cranio-cervical angles were compared before and after treatment using paired T test. A force platform was designed to accommodate the feet with pressure sensors placed at hallux, first metatarsal and medial calcaneus regions to record the loading pressure. The plantar pressure distribution values were correlated with the cranio-cervical angles.\u0000RESULTS: There is statistically significant difference (p value <0.05) in the ANB angle, GoGn/OPT angle between pre and post camouflage orthodontic therapy indicating over extension of the head over the spinal column. Post treatment Pearson correlation coefficient indicates that the cervical curvature (OPT/CVT angle) has a negative correlation with the plantar pressure at medial calcaneus region. However, high statistical significance was found in the plantar pressure distribution before and after orthodontic treatment at all three regions.\u0000CONCLUSION: Cervical curvature increased after camouflage orthodontic therapy, indicating over extension of the cervical spine. Plantar pressure reduced in the hallux, first metatarsal and medial calcaneus regions. The recorded value at the hallux region elicited considerable reduction indicating a shift in the plantar pressure from the most anterior region to the central region.","PeriodicalId":29888,"journal":{"name":"International Journal of Orthodontic Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48536320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-19DOI: 10.56501/intjorthodrehabil.v14i1.675
Mary Violet Jeyapriya, S.D.Milling Tania, Sonali Rathore, Sheloni Missier, Bevin Shaga, Mary Violet, Jeyapriya Post Graduate
Introduction: Orthodontist must take precautionary measures to protect patients from cross-infection by contaminated materials received from the manufacturers. To minimize the incidence of cross-infection prior to bonding an invitro study was done to assess the antibacterial activity of chlorhexidine, povidone iodine and glutaraldehyde. Aim: To compare the antibacterial activity of 2% chlorhexidine, 5% povidone iodine and 2% glutaraldehyde on orthodontic materials prior to bonding. Materials and methods: A total of 36 samples were included in this study. The main group consists of 3 disinfectants and one control group (n =4). Group -1(Chlorhexidine gluconate), Group - 2 (Povidone Iodine), Group - 3 (Glutaraldehyde) and Group - 4 (Control group –untreated). Each group consists of 3 subgroups of the tested samples namely group A (brackets), group B (archwires) and group C - molar bands (n=9). which were contaminated by 3 bacterial species streptococcus, staphylococcus, lactobacillus and the number of colonies were counted before disinfection. The contaminated samples were subjected to disinfection with 2% chlorhexidine for 5 minutes 2% glutaraldehyde and 5% Povidone Iodine for 10 minutes. 20µl of sample of the disinfected samples were incubated and the number of colonies were counted after disinfection. Results: There were no colonies formed when 5% Povidone iodine was used to disinfect archwires and molarbands in few tested samples. 2% glutaraldehyde and 2% chlorhexidine were not effective against lactobacillus species. Povidone iodine was effective when compared to glutaraldehyde and chlorhexidine gluconate and effective against all the three species namely Streptococcus, Staphylococcus and Lactobacilli species. The obtained p-value is < 0.001 which is statistically significant when all groups were compared overall. Conclusion: Disinfection with 5% povidone iodine was most effective when compared with 2% chlorhexidine and 2% glutaraldehyde.
{"title":"Comparative Evaluation of Antibacterial Activity of Chlorhexidine, Povidone Iodine and Glutaraldehyde for Disinfection of Orthodontic Appliances - An In-Vitro Study","authors":"Mary Violet Jeyapriya, S.D.Milling Tania, Sonali Rathore, Sheloni Missier, Bevin Shaga, Mary Violet, Jeyapriya Post Graduate","doi":"10.56501/intjorthodrehabil.v14i1.675","DOIUrl":"https://doi.org/10.56501/intjorthodrehabil.v14i1.675","url":null,"abstract":"Introduction: Orthodontist must take precautionary measures to protect patients from cross-infection by contaminated materials received from the manufacturers. To minimize the incidence of cross-infection prior to bonding an invitro study was done to assess the antibacterial activity of chlorhexidine, povidone iodine and glutaraldehyde.\u0000Aim: To compare the antibacterial activity of 2% chlorhexidine, 5% povidone iodine and 2% glutaraldehyde on orthodontic materials prior to bonding.\u0000Materials and methods: A total of 36 samples were included in this study. The main group consists of 3 disinfectants and one control group (n =4). Group -1(Chlorhexidine gluconate), Group - 2 (Povidone Iodine), Group - 3 (Glutaraldehyde) and Group - 4 (Control group –untreated). Each group consists of 3 subgroups of the tested samples namely group A (brackets), group B (archwires) and group C - molar bands (n=9). which were contaminated by 3 bacterial species streptococcus, staphylococcus, lactobacillus and the number of colonies were counted before disinfection. The contaminated samples were subjected to disinfection with 2% chlorhexidine for 5 minutes 2% glutaraldehyde and 5% Povidone Iodine for 10 minutes. 20µl of sample of the disinfected samples were incubated and the number of colonies were counted after disinfection.\u0000Results: There were no colonies formed when 5% Povidone iodine was used to disinfect archwires and molarbands in few tested samples. 2% glutaraldehyde and 2% chlorhexidine were not effective against lactobacillus species. Povidone iodine was effective when compared to glutaraldehyde and chlorhexidine gluconate and effective against all the three species namely Streptococcus, Staphylococcus and Lactobacilli species. The obtained p-value is < 0.001 which is statistically significant when all groups were compared overall.\u0000Conclusion: Disinfection with 5% povidone iodine was most effective when compared with 2% chlorhexidine and 2% glutaraldehyde.","PeriodicalId":29888,"journal":{"name":"International Journal of Orthodontic Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47438689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Genetic etiology of Skeletal Malocclusion has been explored extensively over recent years with the advent of advances in molecular technologies. Studies have been reported that the masticatory muscles regulate skeletal development and few recent works of literature report that the muscle growth regulators influence the facial proportions in sagittal and vertical dimensions in Skeletal Class II malocclusion. This review is a humble attempt to highlight the role of one such muscle gene known as ACTN3 and its association with Skeletal Class II malocclusion.
{"title":"ACTN3 gene variations in various Ethnic populations and its association with Malocclusion – A Literature Review","authors":"Ashwin Mathew George, Nagachandran.K.S, Sumathi Felicita.A, Vijayashree Priyadarshini.J, Anitha.P","doi":"10.56501/intjorthodrehabil.v14i1.718","DOIUrl":"https://doi.org/10.56501/intjorthodrehabil.v14i1.718","url":null,"abstract":"Genetic etiology of Skeletal Malocclusion has been explored extensively over recent years with the advent of advances in molecular technologies. Studies have been reported that the masticatory muscles regulate skeletal development and few recent works of literature report that the muscle growth regulators influence the facial proportions in sagittal and vertical dimensions in Skeletal Class II malocclusion. This review is a humble attempt to highlight the role of one such muscle gene known as ACTN3 and its association with Skeletal Class II malocclusion.","PeriodicalId":29888,"journal":{"name":"International Journal of Orthodontic Rehabilitation","volume":"1 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41749373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-22DOI: 10.56501/intjorthodrehabil.v14i1.764
S. Reddy, Mahendra Tivanani, MaliReddy Mounika, K. S. V. K. Kalyan, C. V. Padmapriya, V. Sai Keerthi
Aim: This case report represents the clinical management of a Skeletal Class II adult patient with gummy smile treated by Orthognathic surgery. Background: Vertical maxillary excess (VME) is the most common skeletal deformity in Skeletal Class II which is treated by Anterior Maxillary Osteotomy (AMO) and Gummy Smile is the characteristic feature of VME in which the anterior part of maxilla is superiorly repositioned. Case Description: A 19-year-old patient reported our clinic with the complaint of forwardly placed upper front teeth. On extra oral examination, she had convex profile with posterior divergence and interlabial gap of 10mm and everted upper lip. The patient had a gummy smile of 8mm. Intra orally, she had Class II canine relationship on both sides with missing irt 16, 36, 46. Cephalometric values showed Class II skeletal base with protrusive upper and lower incisors and acute nasolabial angle. Initially orthodontic treatment was done and extraction of upper first premolars was planned during surgery. AMO was done with superior impaction of 4mm and posteriorly by 6mm. After 4 weeks of post surgery, the settling of occlusion using intermaxillary elastics was done. At the end of the treatment, the patient had Class I canine relationship on both sides with Skeletal Class I and overjet and overbite was 2mm. The patient gummy smile was reduced to 4mm which was accepted by the patient. Fixed retention was given in both the arches. The total treatment time was around 30 months. Conclusion: The proper diagnosis and appropriate treatment planning is the main key to achieve stable results in Orthodontics. An interdisciplinary approach with the orthodontist and surgeon will lead to achieve stable, functional and esthetic results.
{"title":"Ortho-Surgical Management of An Adult Patient with Gummy Smile","authors":"S. Reddy, Mahendra Tivanani, MaliReddy Mounika, K. S. V. K. Kalyan, C. V. Padmapriya, V. Sai Keerthi","doi":"10.56501/intjorthodrehabil.v14i1.764","DOIUrl":"https://doi.org/10.56501/intjorthodrehabil.v14i1.764","url":null,"abstract":"Aim: This case report represents the clinical management of a Skeletal Class II adult patient with gummy smile treated by Orthognathic surgery. \u0000Background: Vertical maxillary excess (VME) is the most common skeletal deformity in Skeletal Class II which is treated by Anterior Maxillary Osteotomy (AMO) and Gummy Smile is the characteristic feature of VME in which the anterior part of maxilla is superiorly repositioned. \u0000Case Description: A 19-year-old patient reported our clinic with the complaint of forwardly placed upper front teeth. On extra oral examination, she had convex profile with posterior divergence and interlabial gap of 10mm and everted upper lip. The patient had a gummy smile of 8mm. Intra orally, she had Class II canine relationship on both sides with missing irt 16, 36, 46. Cephalometric values showed Class II skeletal base with protrusive upper and lower incisors and acute nasolabial angle. Initially orthodontic treatment was done and extraction of upper first premolars was planned during surgery. AMO was done with superior impaction of 4mm and posteriorly by 6mm. After 4 weeks of post surgery, the settling of occlusion using intermaxillary elastics was done. At the end of the treatment, the patient had Class I canine relationship on both sides with Skeletal Class I and overjet and overbite was 2mm. The patient gummy smile was reduced to 4mm which was accepted by the patient. Fixed retention was given in both the arches. The total treatment time was around 30 months. \u0000Conclusion: The proper diagnosis and appropriate treatment planning is the main key to achieve stable results in Orthodontics. An interdisciplinary approach with the orthodontist and surgeon will lead to achieve stable, functional and esthetic results.","PeriodicalId":29888,"journal":{"name":"International Journal of Orthodontic Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47017689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-15DOI: 10.56501/intjorthodrehabil.v14i1.696
Azmina Idaayath, Poornima Jnaneshwar, R. Krishnaraj, K.Ravi
Background: White spot lesions are one of the main drawbacks of fixed orthodontic mechanotherapy. Probiotic bacteria have been included in mouthwashes and lozenges to check the activity of S.mutans on surface enamel. Aim: Aim of the present study was to evaluate and compare shear bond strength and adhesive remnant index scores of orthodontic brackets bonded with probiotic impregnated (Lactobacillus rhamnous) orthodontic adhesive and conventional light cure orthodontic adhesive. Materials and methods: In this in-vitro study, two groups were tested in one group brackets were bonded to extracted maxillary premolars using probiotic impregnated composite and in the other with conventional light cure composite resin. Shear bond strength was assessed using universal testing machine. Adhesive remnant index scores were assessed on the same samples. Results: Shear bond strength of the new composite resin was significantly decreased when compared to conventional light cure composite (p=0.001). There was no significant difference in ARI scores (p=0.51) between the groups. Conclusions: The shear bond strength of the novel probiotic impregnated composite was significantly reduced. Though there was no significant variation in ARI scores when compared to control, avenues to improve the shear bond strength should be assessed.
{"title":"Evaluation and comparison of shear bond strength and adhesive remnant index score in brackets bonded with probiotics impregnated orthodontic adhesive and commercially available orthodontic adhesive - An in vitro study","authors":"Azmina Idaayath, Poornima Jnaneshwar, R. Krishnaraj, K.Ravi","doi":"10.56501/intjorthodrehabil.v14i1.696","DOIUrl":"https://doi.org/10.56501/intjorthodrehabil.v14i1.696","url":null,"abstract":"\u0000Background: White spot lesions are one of the main drawbacks of fixed orthodontic mechanotherapy. Probiotic bacteria have been included in mouthwashes and lozenges to check the activity of S.mutans on surface enamel. \u0000Aim: Aim of the present study was to evaluate and compare shear bond strength and adhesive remnant index scores of orthodontic brackets bonded with probiotic impregnated (Lactobacillus rhamnous) orthodontic adhesive and conventional light cure orthodontic adhesive. \u0000Materials and methods: In this in-vitro study, two groups were tested in one group brackets were bonded to extracted maxillary premolars using probiotic impregnated composite and in the other with conventional light cure composite resin. Shear bond strength was assessed using universal testing machine. Adhesive remnant index scores were assessed on the same samples.\u0000Results: Shear bond strength of the new composite resin was significantly decreased when compared to conventional light cure composite (p=0.001). There was no significant difference in ARI scores (p=0.51) between the groups. \u0000Conclusions: The shear bond strength of the novel probiotic impregnated composite was significantly reduced. Though there was no significant variation in ARI scores when compared to control, avenues to improve the shear bond strength should be assessed.\u0000","PeriodicalId":29888,"journal":{"name":"International Journal of Orthodontic Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46678911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-31DOI: 10.56501/intjorthodrehabil.v13i4.688
M. Korayem
Aim: To evaluate and compare the effectiveness of two different manual toothbrushes on gingival health among patients undergoing orthodontic treatment. Methodology: In the present randomized cross-over controlled trial, 60 subjects were recruited, to receive either crisscross or multilevel bristle design. Modified Gingival Index (MGI), Modified Silness and Loe Plaque Index, and Gingival Bleeding Index (GBI) and were assessed for 120 days. Statistical analysis was done using SPSS version 21 (SPSS; Chicago, IL, USA). Owing to the ordinal nature of the indices, non-parametric tests of significance were used. Results: The efficacy of the two-bristle design brush showed an overall reduction in the mean score. Overall significant differences were seen in the efficacy of the two different bristle designs. Both the study groups showed a reduction in the mean MGI, PL, and GBI with a P value less than 0.001 which was statistically significant. Conclusion: In the present study, the criss-cross bristle design was found to be significantly more effective as compared to the multilevel toothbrush design for reducing MGI, PL, and GBI scores.
目的:评价和比较两种不同的手动牙刷对正畸患者牙龈健康的影响。方法:本研究随机交叉对照试验，共招募60名受试者，采用交叉或多层刚毛设计。改良的牙龈指数(MGI)、改良的丝度和斑块指数、牙龈出血指数(GBI)，持续120 d。统计学分析采用SPSS version 21 (SPSS;芝加哥，伊利诺伊州，美国)。由于指标的顺序性质，采用非参数显著性检验。结果:双刷毛设计刷的疗效显示平均评分总体降低。两种不同刷毛设计的整体效果有显著差异。两个研究组均显示平均MGI、PL和GBI的降低，P值小于0.001，具有统计学意义。结论:在本研究中，与多层牙刷设计相比，交叉刷毛设计在降低MGI, PL和GBI评分方面显着更有效。
{"title":"Effectiveness of Tooth Brushes on Gingival Health in Patients undergoing Orthodontic Treatment","authors":"M. Korayem","doi":"10.56501/intjorthodrehabil.v13i4.688","DOIUrl":"https://doi.org/10.56501/intjorthodrehabil.v13i4.688","url":null,"abstract":"\u0000\u0000\u0000Aim:\u0000To evaluate and compare the effectiveness of two different manual toothbrushes on gingival health among patients undergoing orthodontic treatment.\u0000Methodology: \u0000In the present randomized cross-over controlled trial, 60 subjects were recruited, to receive either crisscross or multilevel bristle design. Modified Gingival Index (MGI), Modified Silness and Loe Plaque Index, and Gingival Bleeding Index (GBI) and were assessed for 120 days. Statistical analysis was done using SPSS version 21 (SPSS; Chicago, IL, USA). Owing to the ordinal nature of the indices, non-parametric tests of significance were used.\u0000Results: \u0000The efficacy of the two-bristle design brush showed an overall reduction in the mean score. Overall significant differences were seen in the efficacy of the two different bristle designs. Both the study groups showed a reduction in the mean MGI, PL, and GBI with a P value less than 0.001 which was statistically significant.\u0000Conclusion:\u0000In the present study, the criss-cross bristle design was found to be significantly more effective as compared to the multilevel toothbrush design for reducing MGI, PL, and GBI scores.\u0000\u0000\u0000\u0000 \u0000 \u0000 ","PeriodicalId":29888,"journal":{"name":"International Journal of Orthodontic Rehabilitation","volume":"1 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70818526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-13DOI: 10.56501/intjorthodrehabil.v14i1.644
Ratna Parameswaran, Christy John Parappallil, Sanjay Sundararajan, Ahana S Rajan, A. Parameswaran
“Surgery First Approach” (SFA) is a growing trend that provides an immediate facial change. The SFA protocol utilizes the dentoalveolar compensations as an advantage to effect immediate facial changes, which in conjunction with the Regional Acceleratory Phenomenon enhances the tooth movement thereby reducing the total treatment duration. The post-surgical orthodontic phase is often complicated by rapid accelerated tooth movement producing a non-predictable nature of tooth movements. With the combined application of temporary anchorage devices these movements are made predictable in three dimensions. This case report illustrates the treatment of a skeletal Class II patient with a combination of the SFA protocol and TAD aided orthodontic treatment. A 19-year-old female presented with proclined upper anteriors and retrusive lower jaw. Clinical examination revealed a severe lip incompetency, mandibular deficiency, Class II skeletal malocclusion, severe bimaxillary incisor proclination, severely crowded mandibular arch on a low mandibular plane angle. The SFA protocol involving BSSO advancement and genioplasty was performed, followed by an orthodontic phase involving TADs. The total treatment time was 14 months, following which excellent facial change and stable occlusion was achieved. A three year follow up is also presented.
{"title":"“Surgery First Approach” for Skeletal Class II Correction Combined With Temporary Anchorage Device.","authors":"Ratna Parameswaran, Christy John Parappallil, Sanjay Sundararajan, Ahana S Rajan, A. Parameswaran","doi":"10.56501/intjorthodrehabil.v14i1.644","DOIUrl":"https://doi.org/10.56501/intjorthodrehabil.v14i1.644","url":null,"abstract":"“Surgery First Approach” (SFA) is a growing trend that provides an immediate facial change. The SFA protocol utilizes the dentoalveolar compensations as an advantage to effect immediate facial changes, which in conjunction with the Regional Acceleratory Phenomenon enhances the tooth movement thereby reducing the total treatment duration. The post-surgical orthodontic phase is often complicated by rapid accelerated tooth movement producing a non-predictable nature of tooth movements. With the combined application of temporary anchorage devices these movements are made predictable in three dimensions. This case report illustrates the treatment of a skeletal Class II patient with a combination of the SFA protocol and TAD aided orthodontic treatment. A 19-year-old female presented with proclined upper anteriors and retrusive lower jaw. Clinical examination revealed a severe lip incompetency, mandibular deficiency, Class II skeletal malocclusion, severe bimaxillary incisor proclination, severely crowded mandibular arch on a low mandibular plane angle. The SFA protocol involving BSSO advancement and genioplasty was performed, followed by an orthodontic phase involving TADs. The total treatment time was 14 months, following which excellent facial change and stable occlusion was achieved. A three year follow up is also presented.","PeriodicalId":29888,"journal":{"name":"International Journal of Orthodontic Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44965650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-04DOI: 10.56501/intjorthodrehabil.v13i4.650
P. Leevan, S.D.Milling Tania, Sonali Rathore, Dr.Sheloni Missier, Dr. Bevin Shaga
Introduction Cephalometry used as an adjuvant tool in orthodontic diagnosis has undergone significant changes from manual tracing to computer assisted digital tracing cephalometric analysis system. The smart phone apps running in android or other operating systems were introduced recently for doing cephalometric analysis. Hence this study was done comparing the accuracy and reliability of automated tracing (Webceph Android app) with gold standard manual tracing and semi-automatic tracing (NemoCeph). Materials and Methods The study was performed on 39 Pre-treatment lateral cephalograms. 10 angular and 11 linear skeletal, dental and soft tissue parameters were assessed by tracing the cephalograms manually, digitally using Nemoceph software and Webceph app. The mean and standard deviation were calculated, the overall intergroup comparisons were done using ANOVA test and individual intergroup comparisons were done by post-hoc analysis using Sidak Test. The overall interclass correlation coefficient (ICC) was calculated between the three groups. Results Angular measurements such as Occlusal plane to SN (P< 0.05) and Nasolabial angle (P< 0.05) showed significant difference between the different tracing methods and the linear parameters such as N perpendicular to Point A (P< 0.05) and Wits Appraisal (P< 0.05) showed significant difference between the different tracing methods. The overall reliability statistics showed good agreement (P<0.05) among all three groups. Conclusion Automated tracing (WebCeph) had more landmark identification errors when compared with manual or semi- automatic tracing (Nemoceph). Both WebCeph and Nemoceph were superior in their reliability when compared to manual tracing, with Nemoceph demonstrating greater efficacy compared to WebCeph.
{"title":"Comparison of Accuracy and reliability of Automated tracing Android app with Conventional and Semiautomated Computer aided tracing software for cephalometric Analysis – A cross-sectional study","authors":"P. Leevan, S.D.Milling Tania, Sonali Rathore, Dr.Sheloni Missier, Dr. Bevin Shaga","doi":"10.56501/intjorthodrehabil.v13i4.650","DOIUrl":"https://doi.org/10.56501/intjorthodrehabil.v13i4.650","url":null,"abstract":"\u0000\u0000\u0000Introduction\u0000Cephalometry used as an adjuvant tool in orthodontic diagnosis has undergone significant changes from manual tracing to computer assisted digital tracing cephalometric analysis system. The smart phone apps running in android or other operating systems were introduced recently for doing cephalometric analysis. Hence this study was done comparing the accuracy and reliability of automated tracing (Webceph Android app) with gold standard manual tracing and semi-automatic tracing (NemoCeph).\u0000Materials and Methods\u0000The study was performed on 39 Pre-treatment lateral cephalograms. 10 angular and 11 linear skeletal, dental and soft tissue parameters were assessed by tracing the cephalograms manually, digitally using Nemoceph software and Webceph app. The mean and standard deviation were calculated, the overall intergroup comparisons were done using ANOVA test and individual intergroup comparisons were done by post-hoc analysis using Sidak Test. The overall interclass correlation coefficient (ICC) was calculated between the three groups.\u0000Results\u0000Angular measurements such as Occlusal plane to SN (P< 0.05) and Nasolabial angle (P< 0.05) showed significant difference between the different tracing methods and the linear parameters such as N perpendicular to Point A (P< 0.05) and Wits Appraisal (P< 0.05) showed significant difference between the different tracing methods. The overall reliability statistics showed good agreement (P<0.05) among all three groups.\u0000Conclusion\u0000Automated tracing (WebCeph) had more landmark identification errors when compared with manual or semi- automatic tracing (Nemoceph). Both WebCeph and Nemoceph were superior in their reliability when compared to manual tracing, with Nemoceph demonstrating greater efficacy compared to WebCeph.\u0000\u0000\u0000","PeriodicalId":29888,"journal":{"name":"International Journal of Orthodontic Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48145381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-26DOI: 10.56501/intjorthodrehabil.v13i4.614
Manoj R Sekar, Ratna Parameswaran, Dr.B. Rajkumar, Dr. Srinivasan Boovaraghavan, Devaki Vijayalakshmi
Smile esthetics is a prime concern in contemporary orthodontic therapy. This case report is about a growing female patient with the inability to close the lips, vertical maxillary excess and hyperdivergent class II skeletal pattern. To enhance skeletal therapy benefits , differential intrusion of segments in the upper arch was required. Bilateral Bollard type miniplates were inserted on the infrazygomatic crest . The technique employed helped this patient avoid orthognathic surgery by allowing a complete upper arch intrusion, treating lip incompetence and causing counterclockwise movement of the mandible.
{"title":"ENHANCING SMILE ESTHETICS IN A PATIENT WITH VERTICAL MAXILLARY EXCESS BY TOTAL MAXILLARY ARCH INTRUSION USING TEMPORARY SKELETAL ANCHORAGE SYSTEM","authors":"Manoj R Sekar, Ratna Parameswaran, Dr.B. Rajkumar, Dr. Srinivasan Boovaraghavan, Devaki Vijayalakshmi","doi":"10.56501/intjorthodrehabil.v13i4.614","DOIUrl":"https://doi.org/10.56501/intjorthodrehabil.v13i4.614","url":null,"abstract":"Smile esthetics is a prime concern in contemporary orthodontic therapy. This case report is about a growing female patient with the inability to close the lips, vertical maxillary excess and hyperdivergent class II skeletal pattern. To enhance skeletal therapy benefits , differential intrusion of segments in the upper arch was required. Bilateral Bollard type miniplates were inserted on the infrazygomatic crest . The technique employed helped this patient avoid orthognathic surgery by allowing a complete upper arch intrusion, treating lip incompetence and causing counterclockwise movement of the mandible.","PeriodicalId":29888,"journal":{"name":"International Journal of Orthodontic Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48623095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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