Objective
The aim of this study is to test the hypothesis that there is no difference in hyoid bone position among individuals with different growth patterns before and after treatment.
Materials and Methods
Pre- and post-treatment lateral cephalogram of forty Class I adults in the age group of 20–27 years were grouped. All the cases were treated with the first premolar extraction in all quadrants. Based on the growth pattern of the face, individuals were divided into: (1) Group 1 (n = 20): Normodivergent, i.e., FH/MP angle smaller than 30.5° (20 patients). (2) Group 2 (n = 20): Hyperdivergent, i.e., FH/MP angle larger than 30.5° (20 patients). Lateral cephalograms were traced and analyzed manually for evaluation of hyoid bone position. Patients in both groups were treated with preadjusted appliances. Pre- and post-treatment lateral cephalograms were traced, and variables were compared using paired t-test, and the relationship between dentofacial variables, growth pattern, and the hyoid bone position was analyzed using Karl Pearson’s correlation coefficient method. The changes of hyoid position after treatment were compared using t-test.
Results
The data were analyzed by Kolmogorov–Smirnov and paired t-test. Karl Pearson’s correlation coefficient test was performed to determine whether there was an association between the changes of hyoid and growth pattern. Following retraction of incisors, statistically significant correlation was observed in the pre- and post-treatment values of dentofacial structures and hyoid bone, but no significant correlation was found in position of the hyoid bone in the normodivergent and hyperdivergent groups. In both the groups, hyoid bone moved in an inferior and posterior direction after orthodontic treatment.
Conclusion
No change was seen in position of the hyoid bone in normodivergent and hyperdivergent groups.
This study was conducted to clinically evaluate the effect of low-level laser therapy (LLLT) as a method of reducing pain reported by patients after placement of their first orthodontic archwires. A sample of 10 patients with an age group of 12 to 26 years with moderate-to-severe anterior crowding was selected. Each patient was assigned to an experimental group (left quadrant with laser therapy) and a control group (right quadrant with no laser therapy). Low-level laser therapy was given immediately after the placement of initial archwire. All patients were instructed to fill up a survey form at home over the next 7 days. The results revealed that the average onset of pain in the experimental group (16.10 hours) was significantly reduced when compared with the control group (3.10 hours). The most painful day was similar for both the groups. The pain ceased much sooner in the experimental group than in the control group. The intensity of pain was lesser in the experimental group when compared with the control group. Low-level laser therapy was an effective and noninvasive method for controlling pain in orthodontic patients after receiving their first archwires. The duration and intensity of pain reduced with the application of LLLT Pain reduction during orthodontic procedures. Low-level laser therapy, Nickel-titanium wires, Orthodontic pain.
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