Objectives:
The objectives of the study were to assess, measure, and correlate the maxillary and mandibular effective base length, arch length to the amount of dental crowding in different vertical growth pattern patients.
Materials and Methods:
Sample comprising 100 pre-treatment lateral cephalograms and study models (age group – 16–25 years) was randomly selected. The sample was divided into two groups, that is, clockwise (50) and anticlockwise (50) rotation based on the measurement of the gonial angle. The gonial angle and maxillary and mandibular effective lengths were measured on pre-treatment lateral cephalograms. Dental crowding and arch length were measured on the pre-treatment dental casts. Intergroup comparisons of effective base length, arch length, and crowding were performed with unpaired t-tests. Correlations between effective base length, arch length, and dental crowding were examined by means of Pearson’s correlation coefficient (P < 0.05).
Results:
Subjects with clockwise rotation significantly had more mandibular dental crowding and significantly decreased mandibular arch length compared to the anticlockwise group. An inverse correlation was found between maxillary and mandibular effective base length, arch length, and dental crowding while a positive correlation was found between maxillary and mandibular base length and arch length in both the groups.
Conclusion:
Clockwise rotation of the mandible along with skeletal and dental factors such as decreased effective base lengths and arch length, respectively, constitutes an important factor leading to dental crowding.
Goldenhar syndrome is a rare congenital craniofacial deformity, associated with anomalies of the head and spinal cord. The syndrome may affect the eyes, ears, face, and mouth and can also differ greatly in the degree of seriousness. The precise etiology of this syndrome is still not identified. Adult patients with dentoskeletal deformities usually need orthodontic and surgical corrections, requiring an integrated approach, patient cooperation, and systemized treatment planning. A poor facial appearance is often the patient's chief complaint, but it may be accompanied by functional problems, temporomandibular joints disorders, or psychosocial handicaps. The present case report highlights the orthodontic and surgical management of a patient with Goldenhar syndrome.
Objectives:
The study aimed to compare the efficacy of Titanium-Molybdenum (Ti-Mo) and Titanium-Niobium (Ti-Nb) alloy wires as retraction springs, by comparing: The amount and rate of canine retraction, the degree of canine rotation, the change in axial inclination of canines, and the associated anchorage loss.
Material and Methods:
All 17 participants (age: 18–25 years) to be treated with the first premolar extraction approach by canine retraction were assigned Ti-Mo and Ti-Nb alloy T-loop springs to either of the upper quadrants randomly. Digital intraoral 3-D scans and panoramic radiographs orthopantomagram (OPG) were taken before (T0) and after (T1) the study period (4 months). 3-D superimposition was performed and using the digital models and OPG, changes in canine position, angulation, and anchorage loss were compared between the two groups.
Results:
There was no significant difference between the two treatment groups for all the parameters pertaining to maxillary canine retraction, that is, canine retraction (P = 0.72), change in axial inclination of canines (P = 0.71), rotation of canines (P = 0.74), and anchorage loss (P = 0.13) as well as extraction space closure (P = 0.74).
Conclusion:
Ti-Nb and Ti-Mo alloy wires show a similar potency for use in retraction mechanics for orthodontic space closure.
Aim
This retrospective study was conducted to determine skeletal, dentoalveolar changes in children treated with Twin Block or activator for the treatment of Class II Division 1 malocclusion with different jaw rotations.
Materials and Methods
Standardized lateral cephalograms of 32 patients (18 boys, 14 girls) between the ages of 11 and 14 years were chosen and divided into two groups, high angle (FMA >27) and low angle (FMA <20). Cephalograms were taken at T1 (pre-treatment) and T2 (after one year of myofunctional therapy).These were manually traced and analysed.
Results
The results showed statistically significant increase in SNB angle, VRP-Pog due to forward movement of the mandible. The overjet reduced significantly due to retroclination of upper incisors and proclination of lower incisors in both groups.
Conclusion
It was concluded that both high angle and low angle groups responded equally well to myofunctional therapy showing significant skeletal and dentoalveolar changes.
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