Three cases of abnormal incidental findings on lateral cephalogram are presented. These patients reported for orthodontic consultation in their adolescence. While studying the patients' cephalograms, abnormal radiographic findings were discovered in their cervical vertebrae. Because the patients were asymptomatic, early diagnosis based on these radiographic findings made the patients aware of the situations. Lifestyle changes were instituted with specialist consultation in two patients to prevent or delay the onset of symptoms of an underlying pathology. Patients were educated about the likely future course of these findings. Specialist follow-up was advised to all the patients.
The ever-increasing speed of life puts forth a need to improve the outcome of the rehabilitative and other interventions we perform on our patients. This improvement in efficacy is primarily focused on reducing treatment time while enhancing the durability of the rehabilitation without compromising on patient safety. Strategic Corticobasal Implants (SCI) offer both versatility and durability to cater to all kinds of clinical scenarios which cannot be managed by conventional implants and or require extensive adjunctive procedures. Materials and Methods: A total of 265 BECES implants were placed from Mar 2017 to Feb 2018. It is a single piece, polished surface, bendable implant manufactured by Ihde Dental, Germany. A variety of cases were managed ranging from full mouth rehabilitations, segments, and single tooth loss. The results were assessed after a period of one year. Results: A total of 06 implants failed. Remaining 259 implants reported no complication over the past one year. Conclusion:The SCI are very versatile in the management of edentulous cases with an incredibly low failure and complication rate.
Blinking covers the eye with a thin layer of tear fluid, thereby promoting a moist environment necessary for the cells of the exterior part of the eye. The tears also flush out foreign bodies and wash them away. This is crucial to maintain lubrication and proper health of the eye. In lagophthalmus, there is inability to close the eyelid and loss of blinking mechanism, thereby resulting in corneal dryness, ulceration, abrasion and infection. It may occur due to facial nerve damage secondary to trauma, iatrogenic due to surgery, tumour or Bell’s palsy. Initial symptomatic management is directed towards ocular surface lubrication. Viscous artificial tears are used or thin polyethylene film may be applied over the eyes to reduce evaporative drying. Temporary or permanent tarsorrhaphy may be required in some cases. Changing the position of either the top or bottom eyelid can help relieve the symptoms of lagopthalmus. A prosthetic procedure involves implanting gold weights into the upper eyelid, which allows the eyes to close by gravity. A case report of management of Lagophthalmus is presented here.
Background: Anchorage control is a major concern in the design of orthodontic treatment planning. Even the best known methods to reinforce the anchorage result in taxing of the anchor unit. Control of anchorage is primarily important in “critical anchorage” situations where no anchor loss is acceptable. Temporary anchorage devices (TADs) offer to solve one of our greatest dilemmas of “anchorage control” and have been compared in this study with conventional intraoral anchorage in situ. Materials and Methods: The study involved a total of 60 subjects; 26 males and 34 females with a mean age of 16.7 years having Angle's Class I malocclusion with severe crowding who were divided randomly into two groups; Group A - TADs and Group B - Nance palatal button (NPB) for anchorage preparation. Amount of anchor loss was determined at maxillary first molar using the pre- and post-treatment lateral cephalograms. Results: The mean range of difference between pre- and post-values of the maxillary molar position in Group A was 0.02–0.09 mm (P = 0.005) and in Group B was 1.18–1.26 mm (P = 0.0001). Hence, the anchorage loss during the initial phase of leveling and alignment was approximately 1.22 mm with the use of NPB and minimal when TADs were placed and engaged before leveling and alignment. Conclusion: Minimal mesial movement of the maxillary first molars was observed when TADs were placed and engaged before leveling and alignment, thus proving their efficacy in maximum anchorage situations.
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