Introduction: The tongue exerts its force during swallowing, while it rests behind the crib. Magnitude of forces tongue exerts through tongue crib at various sutures, its implication in various grades of maxillary hypoplasia in Class III malocclusion is not provided in literature. The rationale of this study is to investigate stress distributions in the sutures of craniofacial region produced by forces applied by tongue through tongue crib in comparison with facemask therapy in Class III malocclusion with maxillary hypoplasia in maxillary protraction. Objectives: The rationale of this study was to compare forces generated by tongue through tongue crib and facemask therapy in Class III malocclusion with maxillary hypoplasia in child of pubertal age group. Methodology: Finite element model of skull would be generated and simulation of tongue crib and facemask therapy would be done and stresses would be studied at various sutures. Quantitative analysis is done by elucidating values of finite element analysis. Expected Results: The forces produced by tongue on circummaxillary sutures in skeletal Class III malocclusion with maxillary hypoplasia using tongue crib with that of facemask therapy would be substantial. Conclusion: Stress distribution produced by protraction forces exerted by tongue through tongue crib in comparison with facemask therapy in Class III malocclusion with maxillary hypoplasia would be studied through finite element analysis to promote growth in maxilla.

BackgroundThe clinical features of unilateral cleft patients have great similarity to class III patients, viz., ANB <2° and Wits appraisal <-3 mm. In this study, we determined the frequency of various shapes of the sella in cleft and class III patients. We also measured the dimensions of the sella turcica in the aforementioned groups. Studying the morphology and dimensions of the sella in different groups can help us to understand the role of the cranial base in the development of malocclusion. Material and methodsThe study is composed of 46 patients, divided into two groups with an age range of 14 to 21 years. The linear dimensions of the sella were measured, and the shape of the sella was determined. Comparison was done between the two groups using Student's t-test. ResultWhen the two groups were compared, length was found to be similar in both groups, but depth and diameter were greater in the class III group. An abnormal shape of the sella was found predominantly in both class III and cleft cases. The normal morphology accounted for only 13.04% of all the cleft patients, whereas 39.13% of the class III cases exhibited a normal shape of the sella. Sella turcica bridging was seen in 30.43% of cleft patients as opposed to 21.73% of class III patients exhibiting the bridging. ConclusionWith the finding that 74% of the subjects exhibited abnormal morphology of the sella, confirming that it can be one of the factors for malocclusion must be given more consideration.

Aesthetic treatments have gained massive popularity in the recent past. Patients with midline diastema and spacing are among the most common complaints reported to an orthodontic clinic. The major complaint with such cases is the poor aesthetics that accompany them. Although many restorative treatment options are available to treat these cases, their long-term success is still questionable. The primary aetiology is abnormal frenal attachment, as seen in the case. Getting rid of the etiologic factor is vital to attain a stable treatment. In the present case, a frenectomy was performed to correct the abnormal frenal attachment. Even after correcting the aetiology, correct retention protocol is equally essential. The present article presents the treatment of a case with midline diastema and an edge-to-edge bite, and a high frenal attachment.

Introduction: Preventive and interceptive orthodontics, emphasizes on reduction of later need for complex orthodontic treatment. This thus increases the comprehensiveness of healthcare and help in strengthening the primary care. In literature, there is no comparison between the preventive and interceptive treatment needs in patients belonging to growing age (6-9 years) and those belonging to non-growing age (9.1-12 years). There is a need to compare these finding according to the age group. The present study aims to utilize the IPION to quantify the proportion of central Indian children who would gain from the preventive and interceptive orthodontics. Materials and Methods: The study will be conducted in the Department of Orthodontics, SPDC, Wardha in collaboration with Department of Public Health Dentistry, SPDC, Wardha. Total 383 patient in age group of 6 to 12 years, will be selected. All the features of the IPION-6 and IPION-9 will be recorded, and the variables will be multiplied by weighting factors according to the instructions of the original study by Coetzee. All the features of IPION-12 will be recorded, and the variables will be multiplied by weighting factors. Expected Results: There will be a decrease in the need of orthodontic treatment in patients who have completed the age of 9 years.

A month-old male infant along with parents had reported to Sharad Pawar Dental College. The infant's parents had complained of lip and palate deformity in the child. On examination, it was found that the patient had unilateral cleft lip and palate on the left side. Objective: The aim was closure of the defect to prepare the child for surgery with better esthetic results. Case presentation: A month-old infant had reported with parents who had been traumatized mentally as the child had lip and palate deformity since birth.They wanted to get it corrected. The child had been advised to undergo PNAM therapy before surgery. Conclusion: As a result of PNAM therapy defect was closed to a greater extent from 15 mm to 5mm in lip and palate, to avoid greater tension while surgery.