Pub Date : 2023-09-25DOI: 10.1177/03015742231199309
Tanvi Latta
Streptococcus mutans and Lactobacillus count is found to be higher in orthodontic patients and is one of the leading causes of white spot lesion formation. Probiotics are emerging as alternative methods of plaque control. To determine the effects of different types of probiotics on S. mutans and Lactobacillus levels in saliva of orthodontic patients. A total of 140 subjects were divided into Control group (Group I) with 20 subjects and study group taking probiotics (Group II) with 120 subjects. Saliva samples were taken at baseline ( T0), after three weeks ( T1), and after six weeks ( T2). The samples were diluted and incubated on specific agar media plates. The colonies observed were expressed in colony forming units per milliliter (CFU/ml) of saliva. Group II was further subdivided into six subgroups based on probiotic intake with 20 subjects in each subgroup. Statistically significant difference was found in salivary microbial counts in all the probiotic groups ( p < 0.05). The highest reduction in count of S. mutans (653.00 ± 102.23 CFU/ml to 84.1 ± 30.48 CFU/ml) and Lactobacilli (87.35 ± 15.64 CFU/ml to 14.60 ± 8.28 CFU/ml) was seen in the lozenges group. Probiotics decrease the number of salivary S. mutans and Lactobacilli and lozenges could be considered for orthodontic fixed appliance patients.
{"title":"Effects of Different Types of Probiotics on Microbial Colonization in Saliva of Orthodontic Patients—In Vivo Study","authors":"Tanvi Latta","doi":"10.1177/03015742231199309","DOIUrl":"https://doi.org/10.1177/03015742231199309","url":null,"abstract":"Streptococcus mutans and Lactobacillus count is found to be higher in orthodontic patients and is one of the leading causes of white spot lesion formation. Probiotics are emerging as alternative methods of plaque control. To determine the effects of different types of probiotics on S. mutans and Lactobacillus levels in saliva of orthodontic patients. A total of 140 subjects were divided into Control group (Group I) with 20 subjects and study group taking probiotics (Group II) with 120 subjects. Saliva samples were taken at baseline ( T0), after three weeks ( T1), and after six weeks ( T2). The samples were diluted and incubated on specific agar media plates. The colonies observed were expressed in colony forming units per milliliter (CFU/ml) of saliva. Group II was further subdivided into six subgroups based on probiotic intake with 20 subjects in each subgroup. Statistically significant difference was found in salivary microbial counts in all the probiotic groups ( p < 0.05). The highest reduction in count of S. mutans (653.00 ± 102.23 CFU/ml to 84.1 ± 30.48 CFU/ml) and Lactobacilli (87.35 ± 15.64 CFU/ml to 14.60 ± 8.28 CFU/ml) was seen in the lozenges group. Probiotics decrease the number of salivary S. mutans and Lactobacilli and lozenges could be considered for orthodontic fixed appliance patients.","PeriodicalId":31847,"journal":{"name":"Journal of Indian Orthodontic Society","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135864900","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}
Objective Functional appliances are used in orthodontics to bring about correction of mandibular retrognathism by forward positioning and eventually remodeling the condyle- glenoid fossa to retain this new position. Research has shown that these appliances have a significant effect on pharyngeal airway of patients. The aim of this study was to evaluate changes in volume and minimum constriction area in the pharyngeal airway using CBCT imaging after correction of mandibular retrognathism with an Advansync2 Class II corrector. Methods This single-center study consisted of 20 Class II patients (mean age 14.8 years) who required correction of mandibular retrognathism. The patients were treated with the Advansync2 Class II corrector for an average of 26 weeks. CBCT records were taken at T0 (beginning of treatment) and T1 (end of functional phase). The airway was segmented into lower nasopharynx, velopharynx and oropharynx and analyzed for changes in partial volume, total volume, and minimum area using a CBCT software [NewTom 3G TM (Newtom- Cefla S.C., Verona, Italy)]. Results The partial and total volumes were significantly larger at T1 than at T0 ( p = .003, .001). In addition, minimum area also improved in each part of the airway ( p = .005, .022, .001). Conclusion The Advansync2 fixed functional appliance can be used in Class II patients requiring improvement in their airway dimensions. However, additional long-term studies are recommended to confirm these findings.
{"title":"Short-term Volumetric and Minimal Area Changes in the Pharyngeal Airway After Use of a Fixed Functional Appliance: A Three-dimensional CBCT Investigation","authors":"Agrima Thakur, Meghna Mukhopadhyay, Shubhnita Verma, Prasad Chitra","doi":"10.1177/03015742231189054","DOIUrl":"https://doi.org/10.1177/03015742231189054","url":null,"abstract":"Objective Functional appliances are used in orthodontics to bring about correction of mandibular retrognathism by forward positioning and eventually remodeling the condyle- glenoid fossa to retain this new position. Research has shown that these appliances have a significant effect on pharyngeal airway of patients. The aim of this study was to evaluate changes in volume and minimum constriction area in the pharyngeal airway using CBCT imaging after correction of mandibular retrognathism with an Advansync2 Class II corrector. Methods This single-center study consisted of 20 Class II patients (mean age 14.8 years) who required correction of mandibular retrognathism. The patients were treated with the Advansync2 Class II corrector for an average of 26 weeks. CBCT records were taken at T0 (beginning of treatment) and T1 (end of functional phase). The airway was segmented into lower nasopharynx, velopharynx and oropharynx and analyzed for changes in partial volume, total volume, and minimum area using a CBCT software [NewTom 3G TM (Newtom- Cefla S.C., Verona, Italy)]. Results The partial and total volumes were significantly larger at T1 than at T0 ( p = .003, .001). In addition, minimum area also improved in each part of the airway ( p = .005, .022, .001). Conclusion The Advansync2 fixed functional appliance can be used in Class II patients requiring improvement in their airway dimensions. However, additional long-term studies are recommended to confirm these findings.","PeriodicalId":31847,"journal":{"name":"Journal of Indian Orthodontic Society","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135308148","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 : 2023-09-13DOI: 10.1177/03015742231188212
Swatika Sankrit, Ankur Gupta, Dhruv Krishana Tiwari, Anil K. Chandana, Preeti Bhattacharya, Ravi Bhandari, Shivani Singh
Aim The aim of this study was to assess the accuracy of Dolphin VTO prediction in patients requiring extraction treatment by comparing the VTO-predicted values and post-treatment values. Method Digital pre and post-treatment lateral cephalograms of 52 patients having Class I bimaxillary protrusion were taken and transferred in Dolphin Imaging software for analysis and VTO prediction. A composite analysis was made containing 17 dental and soft tissue parameters (Holdaway, Mc Namara, Rakosi, Steiners, and Tweed analysis). Results A comparison between post-treatment and VTO-predicted values showed that software was able to predict soft tissue changes accurately in regions such as nose, inferior sulcus depth, and chin region ( p > .05). In dental changes, software was able to predict the inclination of upper incisors to Sn and palatal plane correctly ( p > .05). Parameters for other areas such as upper and lower lip, position of upper and lower incisor show significant difference in their VTO and post-treatment values ( p < .05) showing inaccuracy of the software. Conclusion The VTO prediction of dental and soft tissue changes was significantly different from the post-treatment values for parameters such as superior sulcus depth, lower lip to h line, subnasal to h line, upper lip thickness, lip strain, nasolabial angle, interincisal angle, Ui-NA, Li-NB, and IMPA. For nasal prominence, inferior sulcus depth, chin thickness, UI-SN, and UI-PP, there was no significant difference seen. Since, for most of the parameters, a significant difference was found between the post-treatment and the predicted values, so it was inferred that the software-based VTO prediction could not be fully relied for any treatment planning.
{"title":"Reliability of Software Prediction of Post Orthodontic Treatment Changes","authors":"Swatika Sankrit, Ankur Gupta, Dhruv Krishana Tiwari, Anil K. Chandana, Preeti Bhattacharya, Ravi Bhandari, Shivani Singh","doi":"10.1177/03015742231188212","DOIUrl":"https://doi.org/10.1177/03015742231188212","url":null,"abstract":"Aim The aim of this study was to assess the accuracy of Dolphin VTO prediction in patients requiring extraction treatment by comparing the VTO-predicted values and post-treatment values. Method Digital pre and post-treatment lateral cephalograms of 52 patients having Class I bimaxillary protrusion were taken and transferred in Dolphin Imaging software for analysis and VTO prediction. A composite analysis was made containing 17 dental and soft tissue parameters (Holdaway, Mc Namara, Rakosi, Steiners, and Tweed analysis). Results A comparison between post-treatment and VTO-predicted values showed that software was able to predict soft tissue changes accurately in regions such as nose, inferior sulcus depth, and chin region ( p > .05). In dental changes, software was able to predict the inclination of upper incisors to Sn and palatal plane correctly ( p > .05). Parameters for other areas such as upper and lower lip, position of upper and lower incisor show significant difference in their VTO and post-treatment values ( p < .05) showing inaccuracy of the software. Conclusion The VTO prediction of dental and soft tissue changes was significantly different from the post-treatment values for parameters such as superior sulcus depth, lower lip to h line, subnasal to h line, upper lip thickness, lip strain, nasolabial angle, interincisal angle, Ui-NA, Li-NB, and IMPA. For nasal prominence, inferior sulcus depth, chin thickness, UI-SN, and UI-PP, there was no significant difference seen. Since, for most of the parameters, a significant difference was found between the post-treatment and the predicted values, so it was inferred that the software-based VTO prediction could not be fully relied for any treatment planning.","PeriodicalId":31847,"journal":{"name":"Journal of Indian Orthodontic Society","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135740590","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 : 2023-09-07DOI: 10.1177/03015742231192791
Sanjeev Verma, Chaman Lal, R. Verma, S. Singh, Vinay Kumar
The adult patients requiring orthodontic treatment usually need adjunctive dental care for complete rehabilitation. There are so many orthodontic appliances that are used as retainer after comprehensive treatment to retain the orthodontic tooth movement achieved. The purpose of this clinical pearl is to showcase a modified acrylic retainer to prevent the supra-eruption of terminal molar whose antagonist tooth was to be replaced using dental implant after the completion of orthodontic treatment.
{"title":"A Modified Retainer to Prevent Supra-Eruption of Maxillary Molars","authors":"Sanjeev Verma, Chaman Lal, R. Verma, S. Singh, Vinay Kumar","doi":"10.1177/03015742231192791","DOIUrl":"https://doi.org/10.1177/03015742231192791","url":null,"abstract":"The adult patients requiring orthodontic treatment usually need adjunctive dental care for complete rehabilitation. There are so many orthodontic appliances that are used as retainer after comprehensive treatment to retain the orthodontic tooth movement achieved. The purpose of this clinical pearl is to showcase a modified acrylic retainer to prevent the supra-eruption of terminal molar whose antagonist tooth was to be replaced using dental implant after the completion of orthodontic treatment.","PeriodicalId":31847,"journal":{"name":"Journal of Indian Orthodontic Society","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44766147","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 : 2023-09-06DOI: 10.1177/03015742231189066
Mukesh Kumar, Manish Goyal, Haripriya Nongthombam, K. Shaha, Surbhi Kaushik
Class II malocclusion is one of the most commonly seen malocclusions in the orthodontic practice, with a variety of treatment modalities found in the literature. Maxillary molar distalization is a one of treatment options of dental Class II patients with excessive overjet, anterior crowding, or both. However, a commonly seen side effect in the conventional distalization devices is anchor loss. Here, in this case report, we have shown the successful treatment of a Class II malocclusion patient with a new concept of modified placement of the hybrid hyrax appliance, which was used effectively for en-masse, bodily distalization of maxillary teeth, with no anchorage loss. Also, the same appliance could be used for retention after the active distalization period till the treatment completion.
{"title":"En-masse Distalization of Maxillary Arch with Modified Hybrid Hyrax Appliance: A Case Report","authors":"Mukesh Kumar, Manish Goyal, Haripriya Nongthombam, K. Shaha, Surbhi Kaushik","doi":"10.1177/03015742231189066","DOIUrl":"https://doi.org/10.1177/03015742231189066","url":null,"abstract":"Class II malocclusion is one of the most commonly seen malocclusions in the orthodontic practice, with a variety of treatment modalities found in the literature. Maxillary molar distalization is a one of treatment options of dental Class II patients with excessive overjet, anterior crowding, or both. However, a commonly seen side effect in the conventional distalization devices is anchor loss. Here, in this case report, we have shown the successful treatment of a Class II malocclusion patient with a new concept of modified placement of the hybrid hyrax appliance, which was used effectively for en-masse, bodily distalization of maxillary teeth, with no anchorage loss. Also, the same appliance could be used for retention after the active distalization period till the treatment completion.","PeriodicalId":31847,"journal":{"name":"Journal of Indian Orthodontic Society","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41427345","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 : 2023-08-24DOI: 10.1177/03015742231188207
Anita Bishnoi, N. Kamat
The aim of the study was to develop new cephalometric angles TWM (T-Tuberculum sella, W-wing point, M-maxillary point) and TWG (T-Tuberculum sella, W-wing point, G point-center of mandibular symphysis) and to assess and evaluate the newly developed angles in determining the maxillary and mandibular sagittal position, respectively. Ninety pretreatment lateral cephalograms from the records of Department of Orthodontics and Dentofacial Orthopaedics were traced and divided equally into three groups as class I, class II, and class III based on cephalometric values of ANB angle and WITS appraisal. Further for each radiograph, angles such as SNA, TWM, SNB, and TWG were measured and recorded. The TWM angle (Maxilla) was formed using the points T-Tuberculum sella, W-wing point, M-maxillary point, and the TWG angle (mandible) was formed using the points T-Tuberculum sella, W-wing point, G point-center of mandibular symphysis. The mean values of TWM and TWG angles for the class I group were 120.1°± 3.6° and 101.4 ± 3.7°, respectively. The one-way analysis of variance (ANOVA) was used followed by Tukey post hoc testing to determine whether there was a statistically significant difference between the mean values of the three groups. A p value ≤ .05 was considered to be statistically significant. Pearson correlation test revealed a strong correlation between SNA and TWM angles and similarly between SNB and TWG angles. The two new angles, TWM for maxilla and TWG for mandible established, can be used as an alternative for assessing the sagittal position of the jaw bases and will give a clearer picture, as stable and reproducible landmarks are used.
{"title":"New Method to Assess Sagittal Jaw Position: TWM and TWG Angles: A Cephalometric Study","authors":"Anita Bishnoi, N. Kamat","doi":"10.1177/03015742231188207","DOIUrl":"https://doi.org/10.1177/03015742231188207","url":null,"abstract":"The aim of the study was to develop new cephalometric angles TWM (T-Tuberculum sella, W-wing point, M-maxillary point) and TWG (T-Tuberculum sella, W-wing point, G point-center of mandibular symphysis) and to assess and evaluate the newly developed angles in determining the maxillary and mandibular sagittal position, respectively. Ninety pretreatment lateral cephalograms from the records of Department of Orthodontics and Dentofacial Orthopaedics were traced and divided equally into three groups as class I, class II, and class III based on cephalometric values of ANB angle and WITS appraisal. Further for each radiograph, angles such as SNA, TWM, SNB, and TWG were measured and recorded. The TWM angle (Maxilla) was formed using the points T-Tuberculum sella, W-wing point, M-maxillary point, and the TWG angle (mandible) was formed using the points T-Tuberculum sella, W-wing point, G point-center of mandibular symphysis. The mean values of TWM and TWG angles for the class I group were 120.1°± 3.6° and 101.4 ± 3.7°, respectively. The one-way analysis of variance (ANOVA) was used followed by Tukey post hoc testing to determine whether there was a statistically significant difference between the mean values of the three groups. A p value ≤ .05 was considered to be statistically significant. Pearson correlation test revealed a strong correlation between SNA and TWM angles and similarly between SNB and TWG angles. The two new angles, TWM for maxilla and TWG for mandible established, can be used as an alternative for assessing the sagittal position of the jaw bases and will give a clearer picture, as stable and reproducible landmarks are used.","PeriodicalId":31847,"journal":{"name":"Journal of Indian Orthodontic Society","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45668499","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 : 2023-08-13DOI: 10.1177/03015742231187698
Anshika Gandhi, P. Rai, T. Tripathi, and Anup Kanase
To evaluate and assess changes in temporomandibular joint (TMJ), dental, skeletal and soft tissue changes following bimaxillary anchored fixed functional appliance (FFA) treatment of skeletal Class II malocclusion using Magnetic Resonance Imaging. The prospective single-arm clinical trial included 15 patients (8 males, 7 females; mean age 15.71 + 1.81years) with Class II Division 1 malocclusion treated with bimaxillary anchored Forsus FRD. Four miniplates were placed bilaterally in maxilla and mandible. Then Forsus FRD L pin module was attached to miniplates without levelling of the arches. Pre-treatment (T1) and post-functional (T2) lateral cephalograms and MRI of TMJ were recorded. A total of 7 parameters were used to assess TMJ in all the 3 planes using MRI. Student’s t-test was carried out to compare pre- and post-treatment-induced changes. The mandible significantly moved forward (SNB, 3.71 + 0.91°; SND, 3.21 + 1.25°; Pg-OLp, 2.61 + 0.66mm, p<0.001) and there was distalizing effect on maxilla (SNA, –0.79 + 0.89°; A-OLp, –0.57 + 0.47mm, <0.001). Mean overjet correction of 4.43mm was achieved, of which 71.8% were skeletal changes. 65% of skeletal changes contributed to molar relationship correction. The forward positioning of mandible seems to be because of condylar and glenoid fossa remodelling, with condyle moving in anterior position within glenoid fossa (3.28 + 2.29) and articular disc moved posteriorly relative to condylar head (2.27 + 1.62°). Significant skeletal changes and TMJ remodelling were observed with bimaxillary anchored FFA in correcting skeletal Class II malocclusion.
{"title":"Evaluation of Effects of Bimaxillary Anchored Fixed Functional Appliance on Temporomandibular Joint and Maxillomandibular Complex in Late Adolescents: An MRI Study","authors":"Anshika Gandhi, P. Rai, T. Tripathi, and Anup Kanase","doi":"10.1177/03015742231187698","DOIUrl":"https://doi.org/10.1177/03015742231187698","url":null,"abstract":"To evaluate and assess changes in temporomandibular joint (TMJ), dental, skeletal and soft tissue changes following bimaxillary anchored fixed functional appliance (FFA) treatment of skeletal Class II malocclusion using Magnetic Resonance Imaging. The prospective single-arm clinical trial included 15 patients (8 males, 7 females; mean age 15.71 + 1.81years) with Class II Division 1 malocclusion treated with bimaxillary anchored Forsus FRD. Four miniplates were placed bilaterally in maxilla and mandible. Then Forsus FRD L pin module was attached to miniplates without levelling of the arches. Pre-treatment (T1) and post-functional (T2) lateral cephalograms and MRI of TMJ were recorded. A total of 7 parameters were used to assess TMJ in all the 3 planes using MRI. Student’s t-test was carried out to compare pre- and post-treatment-induced changes. The mandible significantly moved forward (SNB, 3.71 + 0.91°; SND, 3.21 + 1.25°; Pg-OLp, 2.61 + 0.66mm, p<0.001) and there was distalizing effect on maxilla (SNA, –0.79 + 0.89°; A-OLp, –0.57 + 0.47mm, <0.001). Mean overjet correction of 4.43mm was achieved, of which 71.8% were skeletal changes. 65% of skeletal changes contributed to molar relationship correction. The forward positioning of mandible seems to be because of condylar and glenoid fossa remodelling, with condyle moving in anterior position within glenoid fossa (3.28 + 2.29) and articular disc moved posteriorly relative to condylar head (2.27 + 1.62°). Significant skeletal changes and TMJ remodelling were observed with bimaxillary anchored FFA in correcting skeletal Class II malocclusion.","PeriodicalId":31847,"journal":{"name":"Journal of Indian Orthodontic Society","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46854094","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 : 2023-08-11DOI: 10.1177/03015742231184372
R. Alwakeel, D. Barakah
Evaluating the need and assessing the severity of the problem help in concluding the actual need for orthodontic treatment. Many indices had been developed over the years for this purpose, and one of the most used indices is IOTN. This study was carried out for assessment of the grade of treatment difficulty utilizing the IOTN index for patients seeking orthodontic treatment at King Abdulaziz Dental Center, in Riyadh, Saudi Arabia. Random casts and digital photos of residents’ patients were collected, and statistical analysis afterward was performed for concluding the research results. Fifty random samples were collected from seven residents who are attending King Abdulaziz Dental Center. Casts and photos were utilized for the IOTN components. The IOTN score and the incidence of each variable were calculated statistically by SPSS and Python’s libraries (Pandas, NumPy, and Matplotlib). AC and DHC categories were compared to assess the correlation by using the Chi-Square and Spearman’s correlation tests. Among 50 participants, 24% do not need or have a slight need for the treatment, 42% expresses a moderate need for the treatment, and 34% actually need the treatment in regard to esthetic component. As for the dental component, 10% do not need or have a slight need for the treatment, 26% express a moderate need for the treatment, and 64% need the treatment. Spearman’s correlation test proved a correlation ( r = 0.861) between the two components. AC and DHC comparison showed significant differences ( p < .001). IOTN index is a valid index for screening the patients’ need for orthodontic treatment. The application of IOTN index concluded that moderate to severe need for orthodontic treatment is required for patients attending King Abdulaziz Dental Center. Adapting such a simple way through applying this index by utilizing the casts, X-rays, and digital photographs can save time and effort. However, more trials are needed to evaluation of this technique’s accuracy.
{"title":"Applicability of IOTN Index for QualityAssessment of Orthodontic TreatmentDifficulty","authors":"R. Alwakeel, D. Barakah","doi":"10.1177/03015742231184372","DOIUrl":"https://doi.org/10.1177/03015742231184372","url":null,"abstract":"Evaluating the need and assessing the severity of the problem help in concluding the actual need for orthodontic treatment. Many indices had been developed over the years for this purpose, and one of the most used indices is IOTN. This study was carried out for assessment of the grade of treatment difficulty utilizing the IOTN index for patients seeking orthodontic treatment at King Abdulaziz Dental Center, in Riyadh, Saudi Arabia. Random casts and digital photos of residents’ patients were collected, and statistical analysis afterward was performed for concluding the research results. Fifty random samples were collected from seven residents who are attending King Abdulaziz Dental Center. Casts and photos were utilized for the IOTN components. The IOTN score and the incidence of each variable were calculated statistically by SPSS and Python’s libraries (Pandas, NumPy, and Matplotlib). AC and DHC categories were compared to assess the correlation by using the Chi-Square and Spearman’s correlation tests. Among 50 participants, 24% do not need or have a slight need for the treatment, 42% expresses a moderate need for the treatment, and 34% actually need the treatment in regard to esthetic component. As for the dental component, 10% do not need or have a slight need for the treatment, 26% express a moderate need for the treatment, and 64% need the treatment. Spearman’s correlation test proved a correlation ( r = 0.861) between the two components. AC and DHC comparison showed significant differences ( p < .001). IOTN index is a valid index for screening the patients’ need for orthodontic treatment. The application of IOTN index concluded that moderate to severe need for orthodontic treatment is required for patients attending King Abdulaziz Dental Center. Adapting such a simple way through applying this index by utilizing the casts, X-rays, and digital photographs can save time and effort. However, more trials are needed to evaluation of this technique’s accuracy.","PeriodicalId":31847,"journal":{"name":"Journal of Indian Orthodontic Society","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46760481","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 : 2023-07-30DOI: 10.1177/03015742231183861
Abhiram Cherukuri, S. Reddy, B. Karunakara, M. N. Praveen
Facemask has been widely used in the successful correction of Class III malocclusion. A vast majority of the literature noted forward and a counter-clockwise rotation of the maxilla with facemask therapy. Although the counter-clockwise rotation is beneficial in the treatment of hypodivergent Class III patients, it is not advisable in high-angle Class III patients with anterior open bite. In order to minimize this undesirable side effect, the direction of protraction force at an angle of 30° downward from the plane of occlusion has been recommended. By directing the protraction force from a point 5 mm above the palatal plane and 15 mm above the occlusal plane minimized the counter-clockwise rotation of the maxilla. These attempts showed that the counter-clockwise rotation of the maxilla during protraction was unavoidable but can be reduced significantly. Hence, the angulation of the extraoral elastics applied to the facemask for maxillary protraction is extremely important to reduce the counter-clockwise rotation of the maxilla. This clinical pearl demonstrates an accurate and easy method to measure the angulation of the elastics applied to the facemask to reduce the above-mentioned side effect.
{"title":"Protramax: A Novel Device for Directing Class III Orthopedic Force","authors":"Abhiram Cherukuri, S. Reddy, B. Karunakara, M. N. Praveen","doi":"10.1177/03015742231183861","DOIUrl":"https://doi.org/10.1177/03015742231183861","url":null,"abstract":"Facemask has been widely used in the successful correction of Class III malocclusion. A vast majority of the literature noted forward and a counter-clockwise rotation of the maxilla with facemask therapy. Although the counter-clockwise rotation is beneficial in the treatment of hypodivergent Class III patients, it is not advisable in high-angle Class III patients with anterior open bite. In order to minimize this undesirable side effect, the direction of protraction force at an angle of 30° downward from the plane of occlusion has been recommended. By directing the protraction force from a point 5 mm above the palatal plane and 15 mm above the occlusal plane minimized the counter-clockwise rotation of the maxilla. These attempts showed that the counter-clockwise rotation of the maxilla during protraction was unavoidable but can be reduced significantly. Hence, the angulation of the extraoral elastics applied to the facemask for maxillary protraction is extremely important to reduce the counter-clockwise rotation of the maxilla. This clinical pearl demonstrates an accurate and easy method to measure the angulation of the elastics applied to the facemask to reduce the above-mentioned side effect.","PeriodicalId":31847,"journal":{"name":"Journal of Indian Orthodontic Society","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45451448","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 : 2023-07-24DOI: 10.1177/03015742231181503
Esha Nagpal, Nandita Mansinghani, K. Bajaj
Microimplants have changed the face of orthodontic clinical practice. One of the most important factors in a practice is reduced chairside time for the patient as well as the clinician. This article presents a short clinical tip for accurate placement of microimplant.
{"title":"Insta-Jig: A Quick-fix Chairside Mini-implant Placement Guide","authors":"Esha Nagpal, Nandita Mansinghani, K. Bajaj","doi":"10.1177/03015742231181503","DOIUrl":"https://doi.org/10.1177/03015742231181503","url":null,"abstract":"Microimplants have changed the face of orthodontic clinical practice. One of the most important factors in a practice is reduced chairside time for the patient as well as the clinician. This article presents a short clinical tip for accurate placement of microimplant.","PeriodicalId":31847,"journal":{"name":"Journal of Indian Orthodontic Society","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43914824","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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