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A bstract Introduction Lateral cephalograms are taken as a diagnostic aid for the evaluation of the anteroposterior relationships. The assessment of anteroposterior soft tissue relationships is by using skeletal points and cranial reference planes. The anteroposterior relationships are, however, clinically affected by soft tissue structures. In this pilot study, we aim to assess the anteroposterior relationships based on soft tissue landmarks. Materials and methods Lateral cephalograms were collected from 100 patients and evaluated on Facad software. The subject consisted of a mean age of 20 ± 7 years. Fifty-four cephalograms selected were used to perform the analysis. A new angle FSA was measured based on soft tissue landmarks. A new plane used for this analysis is the SA plane. Using this angle, we classified the cephalograms as class I, II, and III. Results There is a statistically significant value to differentiate the profile of patients using the FSA angle. Thus, this new angle is created to determine the anteroposterior soft tissue relationship using soft tissue landmarks on a cephalometric analysis and from our data, the value was 81 ± 7.57° for class 1 patients that is consistent with the previous studies which evaluate sagittal skeletal relationships. Conclusion There are various difficulties and errors in the previous analysis that is used to determine the anteroposterior jaw relations. Skeletal landmarks have been used previously and most of these points are not stable points. Thus, this new analysis that will be using soft tissue landmarks can be used to differentiate in the various profiles of patients with different malocclusions. How to cite this article Sreenivasagan S, Sivakumar A. FSA Angle: A Soft Tissue Approach for Assessing Sagittal Skeletal Discrepancy. Int J Clin Pediatr Dent 2021;14(S-1):S54–S56.

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Background. Orthodontists use mini-implants temporarily as an effective mode of skeletal anchorage devices. The placement of mini-implants can cause pain and discomfort to the patients. Patients often develop swelling, and the pain could interfere with their daily activities. Practitioners tend to prescribe antibiotics and pain medication for management. Objectives. The main objectives of this study are to evaluate the pain perception and discomfort due to mini-implant placement experienced by the patient and evaluate the interventions for pain management commonly practiced among orthodontists. Materials and Methods. The study was designed as a questionnaire-based cross-sectional study. A total of 271 patients were assessed, for whom 625 mini-implants (ranging from 1.2 to 2 mm diameter and length 8-14 mm) were placed. Pain scores were assessed using the VAS and the “Faces” pain rating scale to collect data about discomfort in daily activity and function. Data was collected from 244 patients. A total of 155 orthodontists were questioned regarding the prescription of medications and the interventions for managing pain and adverse effects. Results. Average pain score among female subjects was 16.71 and among men was 13.5. The highest pain scores were recorded for palatal mini-implants with an average score of 36.29 and the least for interradicular mini-implants with an average score of 9.02. Among the subjects, 47.9% of them took analgesics, and the most commonly prescribed analgesics were paracetamol (39%). Swelling at the site is where the mini-implants were placed, and ulceration due to implants were commonly dealt with the excision of the surrounding soft tissue, composite placement, and palliative care with oral analgesic gels. Conclusion. Female subjects had more mini-implants placed, and female subjects had also given more pain scores than their male counterparts. Palatal mini-implants caused the highest pain, followed by mini-implants placed at the infrazygomatic crest and the buccal shelf region. Palatal mini-implants caused maximum discomfort during speech and eating, followed by the mini-implant in the buccal shelf and the infrazygomatic crest region that also caused difficulty in yawning and laughing. Infiltration anesthesia was commonly given for the placement of interradicular implants and extra-alveolar mini-implants. Paracetamol was the most prescribed by the orthodontists, and more than half the doctors did not regularly prescribe antibiotics.