m e d i c a l j o u r n a l a r m e d f o r c e s i n d i a 7 2 ( 2 0 1 6 ) s 1 7 -s 2Background: To test the hypothesis that the retraction of anterior teeth has no effect on the dimensions of pharyngeal airway and to evaluate the retraction of anterior teeth on each parameter of pharyngeal airway. Methods: Twenty-two adult patients of Class I bimaxillary protrusion requiring first premolar extractions with maximum anchorage requirements were selected. The pharyngeal airway and dentofacial parameters of the patients were compared using pre-and posttreatment lateral cephalograms with the help of Student's paired t-test (P < 0.05). The relationship between airway size and dentofacial parameters was also evaluated using Pearson correlation coefficient. Results: The upper and lower lips were retracted by 2.25 and 5.4 mm after retraction of the incisors. The tips of upper and lower incisors were retracted by 7.75 and 7.15 mm, respectively. There was a statistically significant decrease in SPP-SPPW (P < 0.05), U-MPW (P < 0.001), TB-TPPW (P < 0.001), and change in HRGN (P < 0.01). A significant correlation was observed between the amount of retraction of lower incisor and decrease in the pharyngeal airway posterior to soft palate (r = 0.102), tongue (r = 0.322), and change in HRGN (r = 0.265). Conclusions: The size of the pharyngeal (velopharyngeal and glossopharyngeal) airway reduced and hyoid bone position changed after retraction of the incisors in extraction space in bimaxillary protrusive adult patients. #
<p><strong>Background:</strong> To analyse the rate of maxillary canine retraction and anchorage loss in Smart Clip Self Ligating (SCSL) and Conventional (CV) brackets. <strong>Materials and Methods:</strong> Forty four subjects were selected for the study requiring sectional maxillary canine retraction in first premolar extraction space during orthodontic treatment. The self ligating bracket (Smart Clip, 3M Unitek) on maxillary canine was compared to CV bracket (APC Victory series) on the contralateral side in a random split-mouth study design. Sectional canine retraction was done with a NiTi coil spring (150 gms force, 9 mm) on 0.016 × 0.022" slot stainless steel wire. <strong>Results:</strong> The mean rate of distal movement of maxillary canine for the conventional (CV) bracket per 28 days was 1.048 mm and 1.027 mm for smart clip self ligating bracket (SCSL). Anchorage loss in molar was 0.586 mm and 0.652 mm for CV and SCSL bracket respectively. <strong>Conclusion:</strong> The rate of canine retraction for conventional bracket was faster than self ligating bracket, but not statistically significant (p>0.05). Comparatively, no major difference was found in terms of molar anchor loss between both bracket types. Therefore, this study indicates that conventional brackets are equally efficient as compared to self ligating brackets for segmental canine retraction mechanics.</p>
<p>Self drilling implants are the temporary anchorage devices (TADs) that have proved over the time to be effective in contemporary practice for distalization of molars while conserving anterior anchorage. This case report describes the use of self drilling miniscrew implant (1.5×8mm Classic Orthodontics) in a patient with Class II subdivision right malocclusion. Right Maxillary first molar was distalised after extraction of second molar to dissipate crowding and and align canine in the dental arch of ipsilateral side with fixed orthodontic mechanotherapy. Class I canine and molar relation was achieved while maintaining inclination of maxillary anterior teeth.</p>
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