I. Kumar, N. Raghunath, H. Jyothikiran, S. Ravi, S. Pradeep
{"title":"Influence of chronic congenital systemic disorder effects in orthodontic treatment","authors":"I. Kumar, N. Raghunath, H. Jyothikiran, S. Ravi, S. Pradeep","doi":"10.4103/ijor.ijor_22_20","DOIUrl":"https://doi.org/10.4103/ijor.ijor_22_20","url":null,"abstract":"The orthodontic treatment of patients with medical disorders is becoming an increasing aspect of modern-day practice. Orthodontic treatment is no longer reserved for only healthy patients. With better management of serious medical problems, increased quality of life expectations, and greater ambulation, medically compromised individuals are now regular visitors to orthodontic practices. While orthodontic treatment has been historically considered to be completely noninvasive, specific orthodontic procedures may place some patients at risk for serious sequelae. Among the most common of these conditions are those associated with cardiovascular disease, bleeding disorder, respiratory disorder, neurological disorder, renal disease, musculoskeletal system, endocrine disorder, liver disease, allergies, and drug side effects. Aggressive risk assessment is the key factor in the identification and prevention of medically associated problems. Assessment and management of patients at risk for endocarditis, bleeding, and asthmatic attacks are discussed. The orthodontic treatment of patients with medical disorders is becoming an increasing aspect of modern-day practice. The influences of various systemic diseases on orthodontic treatment have been discussed and various recommendations to overcome the potential problems have been highlighted in this article.","PeriodicalId":29888,"journal":{"name":"International Journal of Orthodontic Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48298713","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}
{"title":"Comparison of bonding characteristics of a newly introduced light cure adhesive system with conventional adhesive system","authors":"Anju Philip, S. Pillai, G. Kumar","doi":"10.4103/ijor.ijor_11_20","DOIUrl":"https://doi.org/10.4103/ijor.ijor_11_20","url":null,"abstract":"Background and Objectives: The purpose of this study was to investigate the effectiveness of newly introduced light cure adhesive system (eXact, TP Orthodontics) with respect to conventionally used adhesive system (Transbond XT, 3M Unitek) by comparing their shear bond strengths and Adhesive Remnant Index after subjecting to thermocycling. Methods: Thirty human maxillary first premolars were divided into two groups. Group I (Experimental Group) was bonded with adhesive system eXact and Group II (Control Group) with Transbond XT. After thermocycling, shear bond strengths and adhesive remnants index were compared using SPSS Software. Independent-t test was used to compare the shear bond strength values and Chi-Square Test to compare ARI scores. Results: The mean shear bond strength of the Group I and Group II were 9.60±1.41 MPa and 11.65± 2.07 MPa respectively. There was statistically significant difference between the two Groups (P < 0.05). The mean and (±SD) of ARI Scores of Group I and Group II were 2.80 ± 0.414 and 1.93 ± 0.594, respectively, which was statistically significant. The mean ARI score difference of the two adhesives were also statistically significant (P < 0.05). Conclusion: The SBS of conventional light cure composite resin (Transbond XT, 3M Unitek) is comparatively higher than the new light-cure composite resin (eXact, TP Orthodontics); but eXact have SBS higher than the clinically acceptable values. ARI score value is higher for eXact as compared to Transbond XT.","PeriodicalId":29888,"journal":{"name":"International Journal of Orthodontic Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49299433","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}
J. Khatri, Swapnil Sawant, N. Naidu, Snehal Vispute, Krutika Patankar
{"title":"An update on orthodontic brackets – A review","authors":"J. Khatri, Swapnil Sawant, N. Naidu, Snehal Vispute, Krutika Patankar","doi":"10.4103/ijor.ijor_13_20","DOIUrl":"https://doi.org/10.4103/ijor.ijor_13_20","url":null,"abstract":"Orthodontics is been at great service to mankind. Orthodontics is a field that has been around since the early 18th century. Modern day orthodontists have generations of predecessors to learn their techniques. Technology used in orthodontic treatment continues to progress at an incredible pace. New discoveries and inventions have allowed orthodontists to bring better experiences to their patients with less of the hassle. If we want to continue providing fast, efficient, and effective treatment to our patients, we need to make sure that we stay up-to-date with changes in the field. Orthodontic brackets have evolved from Angle's era to the MBT brackets followed by lingual brackets. These brackets have made the life of the orthodontists much easier. As technology advances many more new materials and designs will be coming forward. The purpose of this article is to review the recent advancements in orthodontic brackets and how the science behind them helps the orthodontist in the day-to-day practice.","PeriodicalId":29888,"journal":{"name":"International Journal of Orthodontic Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42791816","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}
P. Tekale, S. Parhad, Girish Rathi, K. Fafat, R. Nathani, A. Mhaske, D. Patil, H. Patil
{"title":"Patients' perception on mini-screws used for orthodontic treatment in Class II Malocclusion","authors":"P. Tekale, S. Parhad, Girish Rathi, K. Fafat, R. Nathani, A. Mhaske, D. Patil, H. Patil","doi":"10.4103/ijor.ijor_18_20","DOIUrl":"https://doi.org/10.4103/ijor.ijor_18_20","url":null,"abstract":"Introduction: The aim of the present study was to clinically evaluate the perception of pain of mini-screws in the maxillary arch for anchorage control for retraction of maxillary anterior segment in conjunction with orthodontic treatment. Materials and Methods: The sample consisted of fifty adult patients with a mean age of 24.5 years, with Class II malocclusion, and the patients were divided into two groups. In Group A, 0.022” McLaughlin, Bennett, and Trevisi Bracket System (MBT) was used in 25 patients as fixed orthodontic treatment and 0.016” nickel-titanium (Ni-Ti) wire was placed for initial alignment, whereas in Group B, a total of fifty mini-screws were placed in 25 patients, one mini-screw on each side in the maxilla between the 2nd premolar and the 1st molar. The patients answered a questionnaire to assess their opinions on treatment. Results: The data of description of pain experienced in 24 h, 2nd day, and 7th day in Group A and Group B are enumerated. In Group A, the pain experienced in 24 h, 2nd day, and 7th day was 49.72 (36.22), 37.17 (35.32), and 17.34 (14.45) and in Group B, it was 24.72 (15.65), 13.32 (14.34), and 12.45 (11.60), respectively. The questionnaire set was completed for functional aspect evaluation. The descriptive data of visual analog scale were presented. During this study, patient had difficulty in eating, food sticking around implant, and interference during tooth brushing was moderate, but there was no any anaesthetic appearance and disturbance in chewing ability was noted. Statistical Analysis: The nonparametric Kruskal–Wallis and Mann–Whitney tests were performed to evaluate the differences between the groups for pain. The Chi-square test was used to determine differences between the procedures. Differences at P < 0.01 were considered statistically significant. Statistical software, namely, SAS 9.0 (SAS Institute Inc., Cary, NC, USA), the Statistical Package for the Social Sciences (SPSS), version 15.0 (SPSS Inc., Chicago, IL, USA), and Systat 11.0 (Systat Software Inc., Chicago, IL, USA), were used for the analysis of data. Conclusion: The present study stated that the pain experience after mini-screw insertion is significantly low. The peak of the pain and discomfort level was recorded 4 h to 24 h following the insertion. Thus, mini-screws were found to be an acceptable option in providing orthodontic treatment","PeriodicalId":29888,"journal":{"name":"International Journal of Orthodontic Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41800589","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}
{"title":"Length of the styloid process associated with different skeletal patterns in Turkish Adolescents","authors":"T. Erhamza, A. Bulut","doi":"10.4103/ijor.ijor_4_20","DOIUrl":"https://doi.org/10.4103/ijor.ijor_4_20","url":null,"abstract":"Aim: The purpose of this study was to investigate the length of the styloid process (SP) in different skeletal patterns and stages of skeletal maturation. Materials and Methods: Radiographs involving SP (n = 158; 77 female and 81 male, age with a mean value of 12.84 ± 1.94 years) were evaluated retrospectively. Class I group included 52 subjects (0 ≤ ANB ≤4), Class II group included 57 subjects (ANB>4), and Class III group included 49 subjects (ANB <0). The length of the SP was measured in Photoshop CS5 software (Adobe Systems Inc., San Jose, CA, USA). Skeletal maturation stages were determined by the evaluation of hand-wrist radiographs and lateral cephalometric radiographs. The data were analyzed using Student's t-test and one-way ANOVA. Results: Statistically significant difference in the length of the SP was found between Class I and Class II group (P ≤≤≤05). The mean length of the SP was 30.68 ± 9.69 mm in Class I group and 34.63 ± 5.87 mm in Class II group. No statistically significant difference was found in between skeletal maturation stages of the groups neither in the bilateral length of the SP between genders. Conclusion: The risk of Eagle syndrome in skeletal Class II malocclusion might be higher. In addition, when a patient is referred with pain in the temporomandibular area with skeletal Class II anomaly, SP elongation should be considered besides the joint problems.","PeriodicalId":29888,"journal":{"name":"International Journal of Orthodontic Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47960301","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}
Aftab Azam, Zeyaullah Khan, Ragni Tandon, P. Chandra, A. Chauhan
{"title":"Evaluation and co-relation of lower anterior facial height and soft-tissue characteristics in between genders in North Indian population: A cephalometric study","authors":"Aftab Azam, Zeyaullah Khan, Ragni Tandon, P. Chandra, A. Chauhan","doi":"10.4103/ijor.ijor_2_20","DOIUrl":"https://doi.org/10.4103/ijor.ijor_2_20","url":null,"abstract":"Objective: The purpose of this study was to establish lateral cephalometric soft-tissue norms for the adolescent North Indian population. Materials and Methods: Three hundred and thirty-three Indian adults of age group 18–30 years were selected. The standardized lateral cephalometric radiograph was taken for each subject. Fourteen linear measurements were recorded on each lateral cephalometric radiograph. Statistical analysis was done using the Statistical Package for the Social Sciences (SPSS 26). Group differences were analyzed with independent t-test. Results: The results of the study showed significant gender dimorphism, with men having thicker soft tissue structures, larger vertical dimensions, than women. Conclusion: Significant gender dimorphism was evident within the local population suggesting the necessity for a separate set of norms for males and females. Distinct ethnic differences were found between Caucasians and the North Indian population that were statistically significant, highlighting the importance of defining separate set of norms for ethnic groups.","PeriodicalId":29888,"journal":{"name":"International Journal of Orthodontic Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47812079","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}
{"title":"Comparison of reproducibility of cephalometric measurements derived from handheld (smartphone) device application versus manual cephalometric tracing","authors":"S. Kohli, V. Kohli","doi":"10.4103/ijor.ijor_8_20","DOIUrl":"https://doi.org/10.4103/ijor.ijor_8_20","url":null,"abstract":"Objective: The objective of this study is to assess the reproducibility of cephalometric measurements derived from an application designed for handheld (smartphone) devices and manual cephalometry. Materials and Methods: Thirty pretreatment lateral cephalograms obtained from the same digital cephalostat were analyzed. Tracings were done using CephNinja for iPhone (Cyncronus) and manually by the hand on acetate sheets. Cephalometric landmarks and angular and linear measurements were recorded. All tracings were performed by the same investigator. Statistical Analysis: To evaluate reproducibility, for each cephalometric measurement, the agreement between the value derived from CephNinja, and that measured manually was assessed with the intraclass correlation coefficient (ICC). Agreement was rated as low for an ICC <0.75 and an ICC >0.75 was considered indicative of good agreement. Furthermore, differences in measurements between those derived from CephNinja application and manual tracing were statistically evaluated (P < 0.05). Results: All the measurements had ICC >0.75, indicating high agreement among both the tracing methods. Differences in measurements between CephNinja and hand tracing were not statistically significant for any of the cephalometric parameters. Conclusion(s): Handheld (smartphone)-assisted cephalometric analysis shows good agreement with manual tracing and can be employed for clinical decision-making.","PeriodicalId":29888,"journal":{"name":"International Journal of Orthodontic Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44693920","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}
Sonal, S. Mahajan, Ragni Tandon, Aftab Azam, P. Chandra, A. Chauhan
{"title":"Assessment of facial asymmetry in individuals having skeletal Class II malocclusion in Uttar Pradesh population: A cephalometric study","authors":"Sonal, S. Mahajan, Ragni Tandon, Aftab Azam, P. Chandra, A. Chauhan","doi":"10.4103/ijor.ijor_1_20","DOIUrl":"https://doi.org/10.4103/ijor.ijor_1_20","url":null,"abstract":"Objective: The objective was to assess facial asymmetry in individuals having skeletal Class II malocclusion in Uttar Pradesh population. Materials and Methods: A total of sixty individuals (thirty males and thirty females) between 18 and 27 years of age were selected. The pretreatment lateral cephalograms of the samples selected (n = 60) for the study were divided into two groups, Group I and Group II, after which posteroanterior cephalograms were taken for the measurement of asymmetry. All the cephalometric parameters were defined as quantitative variables. The mean and standard deviation (SD) for each measurement was calculated. The results were presented in frequencies, percentages for qualitative data, and mean ± SD for quantitative data. Paired t-test was used to test the significance (P = 0.05 or less) in the difference between the right and left sides of the face. Chi-squared test was used to check the significance of difference in proportions. All the analyses were carried out on MS-Excel and SPSS 16.0 version (Chicago, Inc., Illinois, USA). Results: In Group II, the parameters for mandibular morphology and volumetric comparison and the mean of all parameters taken were statistically insignificant, but the mean for condylion-antegonial notch was greater for the right side, and the difference between the left and right sides was statistically significant (P = 0.019). When comparing the cephalometric parameters between the left and right sides in Group I and Group II, none of the mean values were proved to be statistically significant, but the right side parameters revealed to be greater than the left side of the measured parameters. Conclusion: All participants showed mild skeletal asymmetry on posteroanterior cephalograms, which was not statistically significant. In Group II, the relative mean of condylar asymmetry was statistically significant, which proves the presence of some amount of condylar asymmetry in this group. The other cephalometric parameters measured in our study showed that the value of the same was greater for the right side than the left side.","PeriodicalId":29888,"journal":{"name":"International Journal of Orthodontic Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44967461","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}
{"title":"Bilateral maxillary canine impaction with comparable migration track: Prevalence, sociodemographics and radiographic observations","authors":"B. Alyami, R. Braimah","doi":"10.4103/ijor.ijor_24_20","DOIUrl":"https://doi.org/10.4103/ijor.ijor_24_20","url":null,"abstract":"Introduction: Canines are perceived as cornerstones of the dental arch and plays an essential role in maintaining the facial coordination. When impacted, these functions are lost. We present the prevalence and radiographic presentation of distinctive bilateral maxillary canine. Materials and Methods: This was a retrospective study of patients presenting for routine dental treatment between 2018 and 2020 at a dental center, Najran. A total of 2016 panoramic radiographs were screened and all patients with bilateral impacted canines were further screened radiologically using cone beam computed tomography. Data such demographics and presence of bilateral maxillary impacted canines were identified. Data analyzed using IBM SPSS Statistics for IOS Version 25 (Armonk, NY, USA: IBM Corp). Results: A total of 2016 panoramic radiographs were examined out of which 149 cases were the total impacted canines. Of these, 42 cases were bilateral impacted maxillary canines in comparable migration tract with a prevalence rate of 28.2%. There were 18 males and 24 females with an M: F of 1:1.3. Age ranged from 15 to 75 years with mean age ± standard deviation (27.9 ± 10.6) years. We observed the bilateral impacted canine positions were in relation to the central and lateral incisors in the anterio-posterior plane and the cervical and root portions of the roots of the central and lateral incisors in the inferior-superior plane. We attempted to group them into 3 main types (Types 1-3) with 3 subtypes (Subtypes a-c) each. Limitations: This a hospital based study and findings may not be generalized. Population based study is which is required to find out the prevalent rate in the community. Conclusion: These observed positions can be used to predict the favorability or otherwise of orthodontic traction of the impacted bilateral canines.","PeriodicalId":29888,"journal":{"name":"International Journal of Orthodontic Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44105733","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}
{"title":"K-Sir arch for simultaneous intrusion and retraction of the maxillary anterior teeth-A case report","authors":"Sankalp Agnani, K. Bajaj","doi":"10.4103/ijor.ijor_5_20","DOIUrl":"https://doi.org/10.4103/ijor.ijor_5_20","url":null,"abstract":"This case report shows the management of Angle's Class II division 1 Malocclusion with tooth size-arch length discrepancy of − 10 mm in maxillary arch and mandibular arches, proclined upper and lower anteriors, and crowding in relation to lower anteriors. Clinical evaluation revealed Class II dental and skeletal pattern, low mandibular plane angle, incompetent lips, increased overjet and overbite. Simultaneous intrusion and retraction of upper anterior teeth using Kalra Simultaneous Intrusion and Retraction arch was decided due unaesthetic excessive maxillary incisor showing at rest and to provide maximum space for the retraction of anterior teeth. Posttreatment changes were good and stable.","PeriodicalId":29888,"journal":{"name":"International Journal of Orthodontic Rehabilitation","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46009577","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}