Mandibular arch distalisation is a non extraction camouflage treatment modality for class III malocclusion, and the introduction of skeletal anchorage devices has enabled its use with minimal patient compliance and reciprocal side effects. The aim of this case report was to show the efficacy of the retromolar fossa as a suitable skeletal anchorage site for mandibular dentition distalisation. Inter-radicular miniscrews are the most commonly used forms of skeletal anchorage; however, they are often problematic in the mandible because of their high failure rate in the posterior region. In order to avoid these issues, some clinicians place miniscrews extraradicularly in the buccal shelf area or in the retromolar area. This approach is demonstrated through a case report of an 18- years-old male patient with a chief complaint of extra teeth and spacing in the upper front teeth. The diagnosis formulated was a Class III skeletal pattern, anterior divergence, Angle’s Class III malocclusion with an edge-to-edge bite and presence of mesiodens in the premaxillary region. The treatment approach was to use skeletal anchorage to distalize the mandibular arch with ramal plates after extraction of the mandibular third molars, since the patient refused the surgical treatment. At the 1 year follow-up appointment, there was no noticeable relapse or signs or symptoms of adverse effects like gingival recession, mobility and bone loss.

Introduction: In adult patients seeking orthodontic treatment, some common reasons include unesthetic appearance and functional impairment such as difficulty in speaking or breathing. Thus, malocclusion and orthodontic care have become a Quality of Life (QoL) issue. Aim: To investigate the oral health-related quality of life in adults before and after orthodontic treatment. Materials and Methods: This quasi-experimental study was conducted in Faculty of Dental Sciences, M.S. Ramaiah University of Applied Sciences, Bangalore, India over a 2 year period from December 2014 to October 2016. Finally, 34 patients were included in the study. Longitudinal data which included OHRQoL(Oral Health-Related Quality of Life) and study casts for assessing the outcome by the Peer Assessment Rating (PAR) index was collected from two periods: (i) pretreatment data (T1), and (ii) post-treatment data (T2) collected 1 month after fixed orthodontic appliance debonding. Pretreatment and post-treatment Oral Health Impact Profile (OHIP-14) and PAR scores were compared using Paired t-test. Correlations between occlusal indices (PAR) and OHRQoL (OHIP-14) were determined by Spearman’s rank correlation coefficient. Results: Total of 42 patients were included in the study, out of which 34 patients responded to the questionnaire in which 11 were males and 23 females in the age range 18-30 years. From pre to postorthodontic treatment mean OHIP-14 summary score had significantly improved (score reduced) from 30.3 to 16.0. Similarly, mean PAR scores had reduced from 17.62 to 3.44. Significant correlation (p-value<0.05) existed between improvement in OHRQoL scores and improvement in occlusion after orthodontic treatment. Conclusion: The present study concluded that there was an improvement in oral health following fixed orthodontic treatments which were associated with changes in OHRQoL, PAR scores and changes in occlusion.

Objective:The main aim of this study is to understand the knowledge regarding Covid -19 protocols, concerns and apprehensions among orthodontic patients undergoing treatment and those intending on getting orthodontic treatment. Methodology: An online anonymous questionnaire consisting of 26 questions was distributed to first 500 potential responders regarding their knowledge and perception of Covid-19 awareness and protocols. It was mandatory to answer all questions and the survey was anonymized and did not contain any identifying information. Results: Chi Square Goodness of Fit test was used to compare the distribution in the responses for the study questionnaire addressing the knowledge and awareness towards COVID-19 and it was statistically significant (p=0.001). Independent Chi Square test was used to compare the gender based differences in the responses for the questionnaire but no statistically significant difference was found. Conclusion:The patient perception and awareness regarding COVID-19 and its prevention protocols was same regardless of the gender. The awareness among study subjects was high and willingness to undergo orthodontic treatment gave mixed results.