Class I bimaxillary protrusion is characterized by proclined incisors, a convex facial profile, procumbent lips, and increased lip strain. Treatment includes the extraction of premolars and the mesial movement of the proclined anterior teeth in the extraction spaces to correct the inclination. This case report describes the treatment of an 18-year-old male patient who presented with class I bimaxillary protrusion and procumbent lips.
View Article and Find Full Text PDFThe class II bimaxillary protrusion malocclusion with class II or end on molar relation is generally associated with procumbency of lips. This case report presents a case of a 17-year-old nongrowing male patient with a traumatized left central incisor due to a fall with a chief complaint of forwardly placed and gap in upper front teeth. The traumatized left central incisor with Ellis class IV fracture was with a loss of crown structure and a poor prognosis of remaining tooth structure.
View Article and Find Full Text PDFAim: This study aims to evaluate the efficacy of coated nanoparticles within orthodontic appliances as a novel strategy to enhance their antibacterial properties.
Material And Methods: A systematic search for relevant articles published between 2013 and March 2024 was conducted across electronic databases including PubMed, Scopus, Web of Science, and EBSCOhost. Studies meeting pre-defined eligibility criteria were included and assessed for methodological quality.
To develop an artificial intelligence (AI)-based algorithm for the assessment and comparison of skeletal maturation in patients with and without cleft lip and/or palate and to detect the presence of cervical vertebral anomalies (CVAs). Retrospective cohort study. A university orthodontic clinic and comprehensive cleft care centers.
View Article and Find Full Text PDFClass III malocclusion presents many challenges due to its varying elements of imbalance in skeletal, dental, and soft tissues. This necessitates a comprehensive treatment plan, including growth modification during the pre-pubertal growth phase, and long-term retention to reduce the chances of orthognathic surgery later. The components of Class III malocclusion include maxillary retrognathism, mandibular prognathism, or, in some cases, a combination of both.
View Article and Find Full Text PDFObjective: To evaluate and compare antimicrobial efficacy of Chlorhexidine and Chlorine dioxide mouthwashes on . biofilm created on metal and ceramic self-ligating brackets.
Materials And Methods: A total of 162 metal and ceramic self-ligating brackets (3M™ SmartClip™ & Clarity SL™) were randomly divided into 3 groups and 2 subgroups.
Advances in orthodontic treatment, particularly with the use of temporary anchorage devices (TADs), have significantly improved outcomes for adult patients with skeletal Class II malocclusion. Traditionally reliant on orthognathic surgery, these malocclusions can now benefit from non-surgical options like maxillary molar distalization. Bone screws offer superior anchorage compared to conventional methods, enabling precise tooth movement without undesirable side effects.
View Article and Find Full Text PDFThis review aims to evaluate the current ethical dilemmas faced by healthcare practitioners, especially in dentistry, and analyze how conventionalism with ethical norms influences these challenges. By exploring the balance between evolving healthcare practices and established ethical principles, the review aims to provide insights into the ongoing ethical discussions and dilemmas within the field. A systematic search for relevant articles published between 2000 and July 2024 was conducted across various databases, including Web of Science, PubMed, Scopus, and EBSCO host.
View Article and Find Full Text PDFTransmigration of mandibular canine teeth is a rare dental anomaly characterized by the tooth's aberrant migration through the alveolar bone. This deviation from the expected eruption pathway can lead to tooth impaction, root resorption, periodontal problems, and aesthetic concerns. The exact cause of transmigration is not fully understood, but it is believed to be influenced by a combination of genetic, developmental, and environmental factors.
View Article and Find Full Text PDFOdontogenic cysts are fluid-filled sacs arising from tooth-developing tissues within the jawbone, often causing swelling, pain, or displacement of teeth. A dentigerous cyst, specifically encapsulating the unerupted tooth's crown, can interfere with dental development by displacing teeth, causing resorption of adjacent teeth, and complicating dental or surgical interventions. This case report represents a long-term follow-up of a 35-year-old male with a large mandibular dentigerous cyst extending to the lower right border of the mandible, associated with a horizontally impacted third molar in the lower right mandibular region.
View Article and Find Full Text PDFBackground: Disorders affecting cardiac conduction are associated with substantial morbidity. Understanding the epidemiology and risk factors for conduction disorders may enable earlier diagnosis and preventive efforts.
Objectives: The purpose of this study was to quantify contemporary frequency and risk factors for electrocardiogram (ECG)-defined cardiac conduction disorders in a large multi-institutional primary care sample.
Trials
July 2024
Background: Cleft lip and palate (CLP) are among the most common congenital anomaly that affects up to 33,000 newborns in India every year. Nasoalveolar moulding (NAM) is a non-surgical treatment performed between 0 and 6 months of age to reduce the cleft and improve nasal aesthetics prior to lip surgery. The NAM treatment has been a controversial treatment option with 51% of the cleft teams in Europe, 37% of teams in the USA and 25 of cleft teams in India adopting this methodology.
View Article and Find Full Text PDFObjective: To evaluate the effect of continuous arch and piggyback mechanics in a straight wire appliance (SWA) for the alignment of buccal and variably vertically positioned maxillary canines.
Methods: A three-dimensional finite element model with near-normal occlusion and buccal and vertically displaced maxillary canines was used. Two groups were created to simulate two commonly used SWAs techniques, continuous archwire (Group 1) and piggyback models (Group 2).
Background: The present cross-sectional study was undertaken to evaluate the periodontal and microbiological parameters in patients with surgically repaired unilateral cleft lip and palate (UCLP) undergoing orthodontic correction in comparison to patients without any cleft or orthodontic treatment.
Methods: A total of 120 patients, out of initial 148 patients, between the age group 6 and 18 years were enrolled and divided into four groups with 30 patients each: non-cleft patients without orthodontic treatment in Group 1, non-cleft patients undergoing fixed orthodontic treatment in Group 2, patients with UCLP without any orthodontic treatment in Group 3, and patients with UCLP undergoing fixed orthodontic treatment in Group 4. Periodontal parameters including plaque index (PI), gingival index (GI), gingival bleeding index (GBI), community periodontal index of treatment needs (CPITN) index, pocket probing depth (PD), and tooth mobility were measured in all the groups.
Fibrotic diseases affect multiple organs and are associated with morbidity and mortality. To examine organ-specific and shared biologic mechanisms that underlie fibrosis in different organs, we developed machine learning models to quantify T1 time, a marker of interstitial fibrosis, in the liver, pancreas, heart and kidney among 43,881 UK Biobank participants who underwent magnetic resonance imaging. In phenome-wide association analyses, we demonstrate the association of increased organ-specific T1 time, reflecting increased interstitial fibrosis, with prevalent diseases across multiple organ systems.
View Article and Find Full Text PDFObjective: Evaluate facial changes after Presurgical Naso-Alveolar Molding (PNAM) in unilateral cleft lip and palate (UCLP) patients treated with Modified Grayson Technique and AlignerNAM (with DynaCleft nasal elevator) using a 3D facial scan.
Design: Randomised clinical trial.
Setting: Institutional study.
Objective: To evaluate the effectiveness of a diode laser (810 nm) for circumferential supracrestal fiberotomy compared with conventional surgical circumferential supracrestal fiberotomy in preventing rotational relapse in orthodontically treated cases.
Methods: Seventy-six patients (age range from 18-25 years) with mandibular crowding ranging between 5-8 mm and rotation >10˚ (from the individualized arch form) treated non-extraction with a straight wire appliance (McLaughlin, Bennet, Trevisi; 0.022 inch) prescription were selected for the study.
Background: Deep learning interpretation of echocardiographic images may facilitate automated assessment of cardiac structure and function.
Objectives: We developed a deep learning model to interpret echocardiograms and examined the association of deep learning-derived echocardiographic measures with incident outcomes.
Methods: We trained and validated a 3-dimensional convolutional neural network model for echocardiographic view classification and quantification of left atrial dimension, left ventricular wall thickness, chamber diameter, and ejection fraction.
Aims: To leverage deep learning on the resting 12-lead electrocardiogram (ECG) to estimate peak oxygen consumption (V˙O2peak) without cardiopulmonary exercise testing (CPET).
Methods And Results: V ˙ O 2 peak estimation models were developed in 1891 individuals undergoing CPET at Massachusetts General Hospital (age 45 ± 19 years, 38% female) and validated in a separate test set (MGH Test, n = 448) and external sample (BWH Test, n = 1076). Three penalized linear models were compared: (i) age, sex, and body mass index ('Basic'), (ii) Basic plus standard ECG measurements ('Basic + ECG Parameters'), and (iii) basic plus 320 deep learning-derived ECG variables instead of ECG measurements ('Deep ECG-V˙O2').