Aims and Objective:The aim of this study was to assess crown angulations, crown inclinations, and tooth size discrepancy in a sample population from Davangere, South India.Materials and Methods:One hundred adults (50 male and 50 female) of age 18–30 years, with Angle's class I ideal occlusion and balanced profiles, were selected for the study. Study models were prepared and crown angulations and crown inclinations were measured using a customized protractor device. Bolton's analysis was used to measure the tooth size discrepancies.Results:Maxillary and mandibular teeth had less crown angulations. Maxillary and mandibular incisors and maxillary molars showed increased crown inclinations, whereas mandibular molars and premolars had less crown inclinations than the original Andrews sample. The mean maxillary and mandibular tooth size ratios, overall and anterior, were similar to Bolton's ratios.Conclusions:The finding of this study indicates that there are possible racial and ethnic factors contributing to variations in crown angulations and crown inclinations.

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Objective: The present study was conducted to evaluate the effectiveness of treatment outcome using American Board of Orthodontics (ABO) scoring and total treatment time between labial and lingual appliance and also to assess patients’ perception of the lingual appliance system. Materials and Methods: Twenty patients requiring first premolar extraction were selected; 10 patients were treated with a lingual and 10 with a labial appliance. The treatment duration and ABO scores were recorded from the posttreatment dental casts and orthopantomogram (OPG). A questionnaire was used to evaluate the perception of patients on lingual treatment using a visual analogue scale (VAS). Results: The total ABO scores of the 2 groups were not statistically significant. The lingual- and labial-appliance treatments were completed in 19.30 ± 7.50 and 22.40 ± 6.35 months, respectively. The VAS showed that lingual-appliance patients experienced a moderate amount of pain and discomfort to the tongue and soft tissues. Patients did not have considerable difficulty with speech and in maintaining oral hygiene. Conclusion: Lingual appliance cases finished with a comparable quality of orthodontic treatment precision well within the normal treatment time frame. These patients had moderate difficulties with speech, tongue irritation, and pain. They did not have difficulty in maintaining their oral hygiene and were satisfied with their smile and treatment outcome.

Aim:The aim of the study was to evaluate the clinical effectiveness of MBT™ preadjusted edgewise appliance (PEA) in terms of achieving the optimal expression of its built-in characteristics of tip, torque, and in-out. Materials and methods:Pretreatment and posttreatment study models of 20 subjects who received full fixed appliance treatment involving four first premolar extractions using the MBT™ appliance were measured for tip, torque, and in-out using the method described by Andrews. Treatment changes were analyzed statistically, and the posttreatment measurements were compared with the MBT™ specifications as well as Andrews' values for the above-mentioned parameters.Results: Except for the maxillary canines and second premolars, the built-in tip of MBT™ appliance was nearly fully expressed, though there was some lack of correlation with Andrews' values. Despite the fact that the full amount of torque built into the MBT™ appliance was not expressed, torque measurements for all teeth except the maxillary second premolars and the first molars showed either no statistically significant difference or were significantly higher than Andrews' values for these teeth. In-out readings were lower than both MBT™ and Andrews' values, but the relative order of crown prominences was similar. Conclusion and clinical significance:The MBT™ appliance is thus effective in ensuring a successful treatment result, though individual adjustments may be necessary for optimal tooth positioning at the end of the treatment, as with any preadjusted appliance.

Anterior crossbite is the term used to describe an abnormal labiolingual relationship between one or more maxillary and mandibular incisor teeth. Different techniques have been used to correct anterior crossbite. This paper describes the use of Modified Essix appliance for the management of anterior crossbite in children in early mixed dentition.The case presented here demonstrates an anterior dental crossbite which was corrected using a modified Essix appliance on the mandibular arch. Correction was achieved within 8 to 10 weeks with improved and healthy periodontium. The procedure is a simple, effective, and patient compliant method for treating anterior dental crossbite.