Clinicians should make patients aware of the effect of consuming beverages and spices on the colour stability of their selected ligature modules. Clinicians should favour modules made with injection moulding. Darker colour modules may be preferred to clear modules to avoid excessive colour degradation through dietary media such as beverages and food spices. Patients consuming large amounts of spices or coffee should avoid clear modules made by extrusion processing because of their tendency to discolour.
Objective: To evaluate applicant credentials that are associated with receiving interviews to postgraduate orthodontic programs. Materials and Methods: Twenty-two variables incorporating academic, work, and personal characteristics of 68 applicants were analyzed using a mailed questionnaire survey and data from application files. Applicants were grouped into categories based on the number of interviews reported. Results: Statistically significant associations were identified between interview category and: age, number of programs applied to, grade in orthodontic course, grade point average, scores from part 1 of the national dental board exam, academic honors, research, recommendation letter from orthodontic faculty, general practice residency, work experience, and community service. Conclusions: Programs are interested in rounded, well-balanced individuals who excel at more than one thing. Cumulative grade point average and orthodontic work experience were the most significant. (Angle Orthod 2010;80:373-377.)
Objectives:
To evaluate skeletal and dentoalveolar changes produced by the Mandibular Anterior Repostioning Appliance (MARA) in the treatment of Class II malocclusion in adolescent patients.
Materials and Methods:
Lateral cephalograms of 24 patients, mean age 12.40 years, with a Class II malocclusion consecutively treated with MARA were compared with a historical control group. Changes were evaluated using the Pancherz superimposition and grid analysis pre- and posttreatment. Independent sample t-test, Mann-Whitney U-test, and Pearson correlation coefficient analysis were performed.
Results:
Significant differences were seen between the treatment and control groups during the 12 month period. Improvement in Class II relationship in the MARA group resulted from skeletal and dentoalveolar changes. There was a 7-mm molar correction and a 4.7-mm overjet reduction. There was also an increase in the mandibular base of 3.3 mm with the lower molar and incisor coming forward 2.6 mm and 2.2 mm, respectively. No significant headgear effect was shown on the maxilla. The maxillary incisor position remained unchanged, whereas the molar distalized 1.8 mm. The anterior lower facial height had an overall increase of 2.2 mm.
Conclusions:
The MARA was successful in achieving a Class I molar relationship and reducing the overjet in Class II malocclusions. This was the result of both skeletal and dentoalveolar changes.
Objective: Fixed orthodontic appliances may influence the oral environment through accumulation of plaque, decreased plaque pH, and increased gingival inflammation. These changes in the oral cavity can potentially lead to periodontal disease, demineralization, and other infectious diseases. Materials and Methods: To investigate the changes in biofilm throughout the initial 2 weeks, we placed a stainless steel bracket on the upper second premolar and collected plaque samples on the bracket and on the tooth surface at different time points (0, 24, 48 h and 1 and 2 weeks) and plated on tryptic soy agar blood agar plate, and kept at 37°C in an anaerobic chamber for 5 days to determine the CFUs of bacteria. At the end of 2 weeks, we removed the bracket and elastomeric module, and we isolated genomic DNA from the bacterial biofilm for identification of bacteria by 16S rRNA PCR analysis. We also analyzed the morphology of biofilm on the bracket by scanning electron microscope. Results: Our results show that the bacterial biofilm was significantly increased on the bracket in all the subjects, whereas on the tooth surface, the CFUs were not significantly increased. PCR assay showed that biofilm on orthodontic brackets from all subjects showed colonization by Streptococcus gordonii, Porphyromonas gingivalis and Streptococcus mutans were observed on some of the subjects after 48 h, whereas Aggregatibacter actinomycetemcomitans biofilm was observed in all the time points except 24 h. Conclusion: This study demonstrated that both periodontal and cariogenic bacterial biofilms were formed on the bracket as early as 24 h.
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