Introduction Temporomandibular disorder (TMD) involves discomfort and impaired function in the masticatory muscles and temporomandibular joint (TMJ), with a multifaceted etiology that includes biomechanical, neuromuscular, psychological, and biological factors. This research aims to assess and correlate the hyoid bone position, airway dimensions, and psychological status in class II Hz (horizontal) and Vt (vertical) malocclusion cases with TMD in contrast to non-TMD class I cases. Methodology This research was carried out at the Orthodontics Department, Sharad Pawar Dental College and Hospital, Sawangi, with consent obtained from the ethical committee.
View Article and Find Full Text PDFBackground Upper airway obstruction (UAO) is a significant clinical concern due to its potential to lead to serious health issues, including obstructive sleep apnea (OSA) and cardiovascular diseases. Traditional diagnostic methods, such as spirometry, are often invasive and complex. This study aims to validate a portable ventilatory airway screening (PVAS) device as a non-invasive, cost-effective alternative for measuring upper airway breathing pressure and respiratory flow.
View Article and Find Full Text PDFDeep learning has emerged as a revolutionary technical advancement in modern orthodontics, offering novel methods for diagnosis, treatment planning, and outcome prediction. Over the past 25 years, the field of dentistry has widely adopted information technology (IT), resulting in several benefits, including decreased expenses, increased efficiency, decreased need for human expertise, and reduced errors. The transition from preset rules to learning from real-world examples, particularly machine learning (ML) and artificial intelligence (AI), has greatly benefited the organization, analysis, and storage of medical data.
View Article and Find Full Text PDFTwin Block, a functional orthodontic appliance, has a major impact on the dentoalveolar structures with limited skeletal effects. In specific clinical scenarios, particularly in growing patients such as class II division 1 where the mandible is retropositioned, these appliances can effectively address the malocclusions. Patient compliance plays a crucial role in the success of these appliances, which also streamline subsequent phases of fixed appliance treatment.
View Article and Find Full Text PDFBinder syndrome (maxillonasal dysplasia) is an uncommon congenital craniofacial condition. It is marked by distinctive facial characteristics including a flat, vertically oriented nose, maxillary underdevelopment, malocclusion, and nasal bone irregularities. This case study introduces an inventive strategy for addressing congenitally absent anterior teeth in a patient diagnosed with Binder syndrome.
View Article and Find Full Text PDFA nine-year-old boy with a cleft lip and palate had midface retrusion as a result of maxillary complex growth inhibition. He sought treatment for total crossbite with a Class III skeletal pattern. The maxillary expansion widened the maxilla to improve the sagittal and transverse skeletal relationship.
View Article and Find Full Text PDFCanine impaction, a recognized dental condition, particularly in the maxillary region, poses both functional and esthetic challenges. This case report explores the management of impacted maxillary canines coexisting with missing upper third molars in the same patient, showcasing the complexity of dental anomalies. Its multifaceted etiology includes complex eruption pathways and potential genetic factors.
View Article and Find Full Text PDFIntroduction Two different mechanisms are used to close the space after extractions, i.e., friction/sliding mechanics and frictionless/loop mechanics.
View Article and Find Full Text PDFA 10-year-old girl had reported to Sharad Pawar Dental College. Her parents had chief complaints of lip and palate deformity. On examination, it was found that the patient had unilateral cleft lip and palate on the right side.
View Article and Find Full Text PDFIntroduction Temporomandibular disorder (TMD) is a broad term used to describe several interlinked disorders affecting the temporomandibular joint (TMJ), muscles of the craniofacial region, and associated structures, all of which have common symptoms such as pain and reduced jaw opening. Along with these, extra-craniofacial symptoms may also be present, which need to be assessed for early diagnosis of TMD. Considering the extra-craniofacial symptoms of TMD, this observational study aimed to evaluate the severity of pain in the neck musculature of patients with TMD and correlate it with the severity of the disorder.
View Article and Find Full Text PDFBackground The clinical features of unilateral cleft patients have great similarity to class III patients, viz., ANB <2° and Wits appraisal <-3 mm. In this study, we determined the frequency of various shapes of the sella in cleft and class III patients.
View Article and Find Full Text PDFIntroduction: This systematic review was designed to define and measure the changes in the position of mandibular molars and incisors in the vertical direction while using a lingual arch appliance as a space maintainer.
Materials And Methods: The source of data collection used was PubMed, Medline, Cochrane Central, and Cochrane Database of Systematic Reviews for articles published until March 2021.
Inclusion Criteria: Studies on human subjects in the English language using either prospective or retrospective methods considering the effect of the lingual arch used as a space maintainer in the mandibular arch.
Objective: To evaluate and compare articular disk position, condylar position, and joint spaces in Class II vertical, Class II horizontal, and Class I cases. The purpose was to assess the potential for development of temporomandibular disorders (TMDs) in the three groups.
Materials And Methods: A sample of 75 cases, 25 cases in each group of Class I, Class II vertical, and Class II horizontal, were selected based on inclusion and exclusion criteria.
Periodontally accelerated osteogenic orthodontic procedure has become useful adjunct to reduce orthodontic treatment time as compared with conventional orthodontics. This case demonstrates the use of Piezosurgery to facilitate rapid tooth movement with relatively shorter treatment time. A 23-year-old male with Angles Class I malocclusion having spaced anterior teeth and protrusion requested orthodontic treatment with reduced time period.
View Article and Find Full Text PDFAm J Orthod Dentofacial Orthop
September 2017
Introduction: Patients with cleft lip and palate (CLP) suffer from several esthetic and functional challenges. Comprehensive treatment of these patients involves orthognathic surgery that may lead to velopharyngeal insufficiency or reduction in lower airway. Several cases of airway insufficiency, velopharyngeal incompetence, snoring, hypopnea, and obstructive sleep apnea have been reported in subjects with CLP.
View Article and Find Full Text PDFUnlabelled: Backgroun/Objectives: Craniofacial disharmony has been long debated as an important predisposing factor in the development and progression ofsleep-disordered breathing and OSA. The present study was aimed to determine and compare whether a direct correlation occurs between the airway volume, mandibular dimension, and tongue volume in different craniofacial growth patterns. The objectives were the 3D MR[ assessment and comparison ofairway volume, mandibular dimensions, and tongue volume in Class I normodivergent, Class II hyperdivergent, and OSA group.
View Article and Find Full Text PDFAccelerated orthodontic treatment is the need of the hour in current scenario as the conventional orthodontics is time taking. Corticotomy assisted orthodontics have been used for years to reduce the treatment duration by reducing the resistance provided by alveolar bone housing. This case report describes the orthodontic treatment combined with the modification in conventional wilkodontic technique in a patient to accelerate tooth movement and shorten the treatment time with an anterior open bite and flared and spaced upper and lower incisors.
View Article and Find Full Text PDFRehabilitation of cleft lip and palate (CLP) patients is a challenge for all the concerned members of the cleft team, and various treatment modalities have been attempted to obtain aesthetic results. Presurgical infant orthopaedics (PSIO) was introduced to reshape alveolar and nasal segments prior to surgical repair of cleft lip. However, literature reports lot of controversy regarding the use of PSIO in patients with CLP.
View Article and Find Full Text PDFThe upper airway has long been an area of interest in orthodontics. A normal airway is an important factor in the physiologic growth of craniofacial structures. The imaging of the upper airway is an indispensable tool in the field of orthodontics.
View Article and Find Full Text PDFObjective: To evaluate the upper airway dimensions in adolescents treated for bimaxillary proclination with first premolar extraction.
Materials And Methods: A retrospective cephalometric evaluation was carried out on the available pre and post orthodontic treatment records of 150 patients (12-18 years of age) who had bimaxillary proclination and were treated with fixed orthodontic therapy. Cephalometric landmarks for sagittal airway measurements and hyoid bone were identified; linear and angular measurements were obtained.
Objective: The purpose of this investigation was to quantitatively evaluate mini-screw deflection and stress distribution associated with two different cortical bone thicknesses (CBTs) under loading with two applied forces at four different angles.
Material And Methods: Four finite element models (ANSYS 11) of bone with mini-screws (Dentos) inserted at 90° angulation to the cortical surface were made as follows: model A: CBT 1·5 mm, load 200 g; model B: CBT 2 mm, load 200 g; model C: CBT 1·5 mm, load 300 g; model D: CBT 2 mm, load 300 g. In each model, the loading force was applied at angulations of 70, 90, 110 and 130° to the long axis of the mini-screw.
Int J Clin Pediatr Dent
May 2012
Unlabelled: Crowding and irregularity remain a consistent problem for children. Management of space problems continues to play an important role in a dental practice. It also represents an area of major interaction between the primary provider and the specialists.
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