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.

Aim: To determine the actual position of point A by performing incisor inclination correction in class II division 2 and class III. Also, to determine the relation between the degree of incisor inclination correction and anteroposterior movement of point A by studying pre-and postalignment lateral cephalograms. Materials and methods:The pre-and postalignment lateral cephalograms of 33 class II division 2 and 33 class III patients treated orthodontically were traced manually and analyzed. The linear anteroposterior measurements of point A and center of rotation in relation to the vertical reference plane and angular measurements of upper incisor to maxillary plane were calculated. Results:In class II division 2 category, the mean change in inclination from pre-to postalignment was 15.27°, mean change in position of center of rotation was −1.29 mm, and mean change in position of point A from pre-to postalignment was −2.67 mm. In class III category, the mean change in inclination from pre-to postalignment was −5.85°, mean change in position of center of rotation from pre-to postalignment was 1.94 mm, and mean change in position of point A from pre-to postalignment was 1.77 mm. Conclusion:The results of the study confirmed that for every 10° proclination of the upper incisor in class II division 2, point A moves 0.3 mm palatally and for every 10° retroclination of the upper incisor in class III, point A moves 0.73 mm labially. Clinical significance:In the clinical scenario of severely retroclined/proclined incisors, point A cannot depict the actual anterior limit of maxilla. Hence, when we use SNA to determine the anteroposterior position of maxilla and ANB to determine maxillomandibular difference, invariably we get altered values. Therefore, it is necessary to find an equation between the degree of incisor inclination correction and anteroposterior movement of point A.

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.