Early Intervention Within Orthodontics: The Sociological Aspects, Trenton Hammond

Honors Theses

Orthodontic treatment is one of the final phases of dental treatment. Its use is to provide aesthetics in some cases, yet the quality-of-life aspect that it can provide is greatly underestimated. Orthodontic care can provide proper function of teeth, improve facial structure, avoid tooth decay/loss, and improve gum health (AAO, 2024). Within this research the overarching goal is to understand the sociological aspects of families looking to start orthodontic care, what the reasons behind starting or not starting are, and providing information to the public about orthodontics that may be misunderstood or might push people away from searching for orthodontic …

The Reliability Of Soft Tissue Profile Analysis Comparing Photoshop And Cephalometric Measurements In Maxillary Protrusion Patients, Sara Usama Imam, Heba Dehis, Nagwa Elmangoury, Amr El-Beialy

Future Dental Journal

Abstract

Introduction: Cephalometric x-ray is considered as a crucial step in orthodontic diagnosis and treatment planning. However, patients nowadays, especially those pursuing cosmetic goals, are concerned about radiation dosages as a result of increased understanding. Therefore, the aim of this study is to provide a simple reliable, affordable and reproducible way to evaluate the soft tissue measures for creating an orthodontic treatment plan.

Methods: Comparing standardized profile photographs and lateral cephalograms were obtained from twenty-eight patients with maxillary protrusion of the age group between 14 – 24 years before and after retraction. Evaluation and comparison were done for cephalometric x-ray …

Evaluation Of Pain Perception Associated With Maxillary First Molars Distalization In The Presence Of Maxillary Third Molars Versus Extracted Third Molars Using Infra-Zygomatic Mini-Screws: A Randomized Clinical Trial, Nadeen H. Hafez, Yehya A. Mostafa, Amr E. El-Dakroury, Mostafa M. El-Dawlatly

Future Dental Journal

Aim: The purpose of this randomized clinical trial was to compare the pain associated with distalizing maxillary first molars with the presence versus extraction of unerupted third molars using infra-zygomaic mini -screws in a group of adolescent female patients.

Study design: This randomized clinical trial (parallel group design) was approved by the Research Ethics Committee of the Faculty of Dentistry, Future University in Egypt

Materials and methods: 30 patients requiring bilateral maxillary molar distalization using infra-zygomatic mini-implant were randomly allocated to third molar extraction (TME) or third Molar presence (TMP) groups

All patients were asked to assess their pain levels …

Comparing Program Compatibility For Dental Operators Between Different In-Office Clear Aligners Software, Karim Ibrahim Hammam, Essam Nassef, Mostafa Al Dawltaly

Future Dental Journal

Aim: The aim of the present study was to compare program compatibility for dental operators between different in office clear aligners software: (3D Maestro,3shape, BlueSky bio, Plainmeca). Materials and methods: 4 in office clear aligners software: (3D Maestro,3shape, BlueSky bio, Plainmeca) were used. Ten orthodontists were recruited for the evaluation process, A total of 48 casts were used including upper and lower arches for each case. Each orthodontist made a check mark on each option in the pre-made scoring template.A check mark with YES was given a One point, and a check mark with NO was given Zero point. Results: …

Assessment Of External Apical Root Resorption Following En-Masse And Two Steps Retraction In Maxillary Protrusion Cases: A Randomized Controlled Clinical Trial, Aya Ahmed El Ashwal, Heba Mohamed Dehis, Faten Eid

Future Dental Journal

Aim: The aim of this study was to investigate the degree of external apical root resorption (EARR) following En-masse retraction (EM) and compared it to two steps retraction technique (TS) using friction mechanics.

Materials and Methods: Thirty adult female with maxillary protrusion were randomly allocated by a computer sequence generator with 1:1 allocation ratio. EM group (mean age = 17.7 ± 1.89 years) and TS group (mean age = 17.7 ± 1.77 years). Mini-screws were inserted followed by first premolars extraction then randomization was accomplished. Patients received treatment with either EM procedure or TS to close the extraction spaces after …

Proceedings Of The 2023 Iaom Convention, International Association Of Orofacial Myology

International Journal of Orofacial Myology and Myofunctional Therapy

The International Association of Orofacial Myology (IAOM) held its 2023 Convention in Chandler, Arizona from October 13 - 15. The Proceedings of the Convention contain abstracts and summaries of podium and poster presentations.

Maxillary And Mandibular Incisor And Molar Dentoalveolar Heights In Untreated Subjects Presenting Class I And Class Ii Malocclusion, Samantha Zavada Cardinal

Master's Theses (2009 -)

Objective : Class II malocclusion has been extensively studied, however there are many unanswered questions. This study analyzed the difference in incisor and molar dentoalveolar heights of untreated subjects presenting with Class I and Class II malocclusion. Dentialveolar heights are an aspect of the craniofacial complex that changes with growth and development and are manipulated by orthodontists. These changes hold important clinical implications for the development, maintenance and treatment of malocclusions. Methods : A sample of 96 untreated Class I and Class II subjects, with a total of 611 cephalograms was drawn from the archives of the University of Michigan …

Evaluation Of Accuracy Of Intraoral Scanners Versus Extra Oral Scanners In Different Dental Arch Measurements, Mohamed Walid Saleh, 20143278@Fue.Edu.Eg , Future University In Egypt, Fouad Sharaby Fsharaby@Dentistry.Cu.Edu.Eg , Associate Professor Of Orthodontic Department Of Orthodontics Faculty Of Dentistry Cairo University, Essam Nassef Essam.Nasssef@Fue.Edu.Eg , Professor Of Orthodontic Department Of Orthodontics Faculty Of Oral And Dental Medicine Future University In Egypt

Future Dental Journal

Background: Orthodontics has been influenced by new technologies in many areas. There is a shift toward digitization of patient’s information and data. Aim: The aim of this study was to compare the accuracy of intraoral scanner and extra oral scanners using different dental arch measurements. Materials and Methods: The sample size consisted of 44 dental stone models for patients who finished orthodontic treatment. For each subject two digital models were made, one digital model obtained from extra oral scanner and one digital model obtained from Intra oral scanner. An external examiner measured intermolar width, intercanine width, mesiodistal width of the …

Changes In Lip Length And Strain After En-Masse Retraction With Maximum Anchorage In Female Patients With Bimaxillary Protrusion, Leena Shibl, Amr El-Beialy, Yehya Mostafa, Heba Dehis

Future Dental Journal

Aim: The aim of the study is to evaluate the effect of en-masse retraction with maximum anchorage on the lip length, lip strain, and interlabial gap in adult female patients with bimaxillary protrusion. Materials and Methods: Thirteen patients underwent initial records including photographs, study casts, and cephalometric x-rays. En-masse retraction was performed using friction mechanics, with the use of temporary anchorage devices and power chains after the extraction of first premolars. The soft tissue was analyzed using lateral cephalometric radiographs before and after retraction. Results: The results showed that en-masse retraction had a significant effect on reducing lip strain, increasing …

Questionnaire Survey On Pain & Mini-Implant Failure In Class Ii Female Patients After Extraction Of Maxillary Second Molars Using Infra Zygomatic Mini Implants, Hosam Abdullah Zaza, Nagwa El Mangoury, Amr El Dakrory, Mostafa El Dawlatly

Future Dental Journal

Background: Skeletal anchorage devices have been developed for case requiring absolute anchorage during orthodontic treatment. One of these anchorage devices is the Infra-zygomatic mini-implant type. However, the pain associated with this type of appliance have not been sufficiently evaluated from the patient’s point of view. Aim: The aim of this study was to survey patients for one week after insertion of the infra-zygomatic mini-implants and 1 week following every reactivation in order to evaluate their pain and discomfort as well as the percentage of mini-screw failure. Materials and methods: 10 patients requiring infra-zygomatic mini-implants were selected. All participants completed questionnaires …

Analysis Of Smile Characteristics Of Adult Female Subjects With Skeletal Class Ii Division 2 Malocclusion, Ahmed Ibrahim Nabawi, Fouad A. El Sharaby

Future Dental Journal

Aim: The objective of this study was to evaluate the smile characteristics of adult females with Angle Class II division 2 malocclusion compared to Angle Class I malocclusion. Materials and Methods: Two frontal photographs were taken for 30 orthodontically untreated female adult subjects with age range (18-30) years, at rest and posed smile from a fixed (1.5m) distance between the camera and the subjects. The 30 subjects were divided into 2 groups, 15 for Class II div 2 subjects and 15 for Class I subjects. The camera was focused only on the mouth, showing from the nose to the chin. …

Accuracy Of "Reading" Untraced Lateral Cephalometric Radiographs Among Practicing Orthodontists, Shannon Rea

All ETDs from UAB

Objective: To determine if orthodontic clinicians are able to ascertain diagnostic information from untraced lateral cephalometric radiographs. Materials and Methods: A survey consisting of 5 cases was presented to practicing orthodontists. Each case presented a lateral cephalometric radiograph and included ten questions requiring the respondent to make clinical judgments and approximations of the following variables: skeletal classification, maxilla and mandibular skeletal relationship, SNA, SNB, ANB, vertical skeletal classification, FMA, molar relationship, maxillary incisor proclination, and mandibular incisor proclination. 46 responses were collected and analyzed. Results: Case 3, the normodivergent, Skeletal Class I patient had the highest percentage of correct answers …

Synthetic Elastomeric Chain– A Literature Review, Wan-Tin Lin, Hsin-Chung Cheng, Yung-Kang Shen, Yi-Jyun Chen, Chien-Feng Chen

Taiwanese Journal of Orthodontics

Elastomeric chains were introduced to the orthodontic profession in the 1960s’, and are now an integral part of every day practices. They are used to generate light continuous forces for correcting rotations, consolidating spaces, and retraction canines. They are inexpensive, easily applied, relatively hygienic and require little or no patient cooperation. Elastomeric chain, however, are nor without their disadvantages. When exposed to an oral environment, they absorb water and saliva, permanent stain, and suffer breakdown of internal binds leading to permanent deformation. They also experience rapid loss of force due to stress relaxation, resulting in a gradual loss of effectiveness. …

Intraoral Iatrogenic Injuries In Orthodontics: Etiology, Prevention, And Management, Te-Yi Teng, Yu-Kun Chih

Taiwanese Journal of Orthodontics

The iatrogenic injuries, which often lead to medical tangles, have been widely discussed in recent years.The areas of intraoral iatrogenic injuries in orthodontics include both hard tissues and soft tissues: tooth, alveolar bone, gingiva, oral mucosa, nerve and so on. Almost every procedure during orthodontic therapy could result in unpredictable injuries. To avoid negative effects, the clinicians should understand all causes of various iatrogenic injuries, and take measures during orthodontic treatment. This article discusses the etiologies, prevention and management of intraoral injuries, and it may help for clinicians.

The Historical Progress Of The Orthodontics, Part Ii, Te-Ju Wu, Wen-Ching Tsai

Taiwanese Journal of Orthodontics

In the end of 19th century, based on hard working of predecessors, orthodontics has more glory development; many orthodontic theory and appliances were displayed. Among them, Edward Angle,「The father of modern orthodontics」,played the most important role. Owing to his passion and devotion of orthodontics, the profile of orthodontics was getting more and more clear. There are so many conflicts and controversy during the development of orthodontics. However, it is the agitation that bring the orthodontics whole new appearance, also with the improvement of clinical efficiency, the orthodontics is getting more close to the need of patient and the ideal treatment …

The Historical Progress Of The Orthodontics, Part I, Te-Ju Wu, Wen-Ching Tsai

Taiwanese Journal of Orthodontics

The orthodontic treatment has become the popular choice while the public seeking for optimal occlusal function and esthetics. The discomfort accompanied with the treatment progress is gradually faded out by the post-treatment surprise. Taking a broad view, as the secret veil is lift off, the modern orthodontic treatment is chasing a whole new vision vigorously. However, as seeing the past, we should realize what we get now is not easily come by. Beginning from a division of oral medical science, the orthodontics is now regarded as a professional specialty. With the diversity, splash and the persistency for outstanding, the every …

Mechanism Of Mechanical Vibration In Enhancing Orthodontic Retention- Analysis Of Global Gene Expression, Shuwei Wang

Master's Theses (2009 -)

Introduction: Low-magnitude, high-frequency (LMHF) mechanical vibration has been proposed as a possible adjunctive retention method after orthodontic treatment. In this study, we explored the mechanism of using LMHF vibration to improve bone formation during retention phase. We aimed to provide insight of global gene expression and cellular activities of PDL cells under tension, as well as identify novel biomarkers for induced osteogenesis by using LMHF mechanical vibration as adjunct tool in retention phase. Materials and Methods: Human PDL cells (hPDLCs) were seeded in 6-well FLEXCELL culture plates. The wells were assigned to four experimental groups as control, stretching (ST), vibration …

Evaluation Of Damon Psl And Conventional Mbt Brackets In Leveling And Alignment Efficiency, Jacob Beckstrand

Master's Theses (2009 -)

Objective: Ormco has proposed that the low-friction design of their self-ligation brackets allows for more efficient alignment of crowded teeth with less incisor proclination and faster treatment times compared to conventional MBT bracket systems. The purpose of this study is to examine the hypothesis that there is no difference between Damon PSL and conventional MBT brackets in factors related to leveling and alignment in-vitro. Methods:Damon Q2 .022” slot brackets and 3M Unitek .022” slot MBT brackets were bonded to 2 sets of typodont teeth. Typodont teeth were placed into 8 upper and lower Class I crowding wax forms (Kilgore, USA) …

Evaluation Of Anchorage Loss Following Anterior Segment Retraction Using Friction Versus Frictionless Mechanics: A Randomized Clinical Trial, Dorra Izzat Bakhit, Heba Mohamed Dehis, Yehia A. Moustafa, Fouad A. El Sharaby

Future Dental Journal

Objective: Evaluation of anchorage loss following anterior segment retraction (ASR) using friction versus frictionless mechanics when mini-screws are directly and indirectly loaded using Cone beam computed tomography (CBCT). Material and methods: Thirty females with bimaxillary protrusion were randomly allocated into two groups, friction and frictionless. In friction group, a hook was crimped on 0.017- by 0.025-inch stainless steel wire distal to the lateral incisor and elastomeric chain rendering 160 g/side extending between the hook and mini-screw implant to complete the ASR. In the frictionless group, canines were ligated to the mini-screws for indirect anchorage then ASR was done using closing …

Canine Retraction Rate And Angulation With 0.017”X0.025” Versus 0.016”X0.022” Stainless Steel Arch Wire With A Power Arm, Amr R. El-Beialy, Fouad A. El Sharaby, Hend S. Elsayed

Future Dental Journal

Background: The dimensions of the arch wire affect its stiffness and the play between the wire and bracket. Canine retraction over stiffer arch wires limits the degree of canine tipping. However, the greater the wire dimensions, the greater the resistance to sliding. Frictional resistance is known to delay tooth movement. Aim: The aim of this controlled clinical trial was to compare canine retraction rate and angulation with 0.017”X0.025” versus 0.016”X0.022” stainless steel arch wire with a power arm. Materials and Methods: Twenty-four Class II malocclusion patients (age 13.8± 2.6 years) participated in this study. The teeth were leveled and aligned. …

10-Minute Ebd: Preferred Analgesia For Orthodontic Tooth Movement: Acetaminophen Or Nsaids?, Ryan N. Mcgovern

The Journal of the Michigan Dental Association

This 10-Minute EBD column explores the choice between acetaminophen and NSAIDs for managing pain during orthodontic tooth movement. The author presents a scenario involving a patient's discomfort after archwire adjustment and delves into the impact of tooth movement on the periodontium. The PICO question focuses on the effectiveness of NSAIDs and acetaminophen in controlling discomfort without impeding tooth movement. The literature search reveals varying recommendations on analgesics, with some studies favoring acetaminophen. The evidence suggests that acetaminophen and short-term celecoxib are suitable choices for orthodontic analgesia. However, caution is advised in extrapolating findings from animal studies to human conditions.

J Mich Dent Assoc April 2022

The Journal of the Michigan Dental Association

Monthly, The Journal of the Michigan Dental Association brings news, information, and feature articles to our state's oral health community and the MDA's 6,200+ members. No publication reaches more Michigan dentists!

In this April 2022 issue, the reader will find the following original content:

• A cover feature “Protect Your Patients and Yourself: The Complete and Honest Medical History”
• A feature article “The Foundation for Dental Care: The Patient Interview and Dental/Medical Health History”
• A 10-Minute EBD “The Preferred Analgesia for Orthodontic Tooth Movement: Acetaminophen or NSAIDs?”
• News you need: an Editorial, a "Reminder about Antitrust Law", and regular department articles, …

Resin Infiltration Versus Acid Micro-Abrasion In The Treatment Of White Spot Lesions In Fixed Orthodontic Patients, Hend S. Elsayed, Ahmed Mahran, Wagih Kadry, Fady Fahim

Future Dental Journal

Background: White spot lesions (WSls) are frequently occurring side effects of fixed orthodontic treatment. The lesions may progress to cavities. Their treatment is costly and time-consuming. Icon infiltrant and Opalustre are painless micro-invasive procedures that improve the color of the WSLs. Aim: The aim of this randomized clinical trial was to compare resin infiltration and acid micro-abrasion. Materials and Methods: Twelve patients, with ninety post-orthodontic white spot lesions, were randomly divided into two groups. Icon resin infiltrant was applied in one group and Opalustre acid micro-abrasion in the other. The caries score was measured with ICDAS-II. The patients recorded their …

Artificial Intelligence In Dentistry, Orthodontics And Orthognathic Surgery: A Literature Review, Tania Arshad Siddiqui, Rashna Hoshang Sukhia, Dinaz Ghandhi

Section of Dental-Oral Maxillofacial Surgery

Artificial intelligence is the ability of machines to work like humans. The concept initially began with the advent of mathematical models which gave calculated outputs based on inputs fed into the system. This was later modified with the introduction of various algorithms which can either give output based on overall data analysis or by selection of information within previous data. It is steadily becoming a favoured mode of treatment due to its efficiency and ability to manage complex conditions in all specialities. In dentistry, artificial intelligence has also popularised over the past few decades. They have been found useful for …

Adaptations In Orthodontics For Current And Future Covid-19 Best Practices, Jordan Lamb

Theses and Dissertations

Purpose: To determine what adaptations orthodontists made in their practices during the COVID-19 pandemic in response to safety recommendations and to determine which of these adaptations orthodontists plan to continue to implement after resolution of the COVID-19 pandemic.

Methods: An original 34-question survey was sent by mail to a randomized and geographically proportionate selection of actively practicing orthodontic specialists (N = 1000). Questions asked orthodontists about the changes they made during the pandemic in four overarching categories (infection control, social distancing, appliance use, and tele-orthodontics) and whether they anticipated keeping those changes post-pandemic. The data were compared between categorical responses …

Medicaid In The Orthodontic Community: Provider Trends And Perceptions, Miranda L. Fabrega

Graduate Theses, Dissertations, and Problem Reports

Background and Objectives: Medicaid is a federal and state insurance program aimed at helping economically disadvantaged individuals and families with gaining access to health care. Lack of provider participation in the Medicaid program leaves many Medicaid-eligible individuals with the inability to obtain certain medical services, such as orthodontic care. The objective of this study was to use an electronic survey to better understand the beliefs and behaviors of orthodontists in regard to participation in the Medicaid program, and to determine if differences exist between Medicaid providers and non-Medicaid providers. Experimental Design and Methods: Survey: Requests to participate in an electronic …

Cbct Use In Orthodontic Residency Programs In Usa, Su Min Han

Graduate Theses, Dissertations, and Problem Reports

Background and Objectives: Cone beam computed tomography (CBCT) scans in dentistry have been up and coming forms of x-ray technology that allows cross-sectional images to form a comprehensive 3-dimensional representation of the mouth. While the typical use for CBCT imaging is reported to be for implant dentistry, there are many contexts in which it is indicated in orthodontics. There are various schools of thought regarding when CBCT is indicated for specific diagnosis of problems or general use in the collection of initial, progress and post-treatment orthodontic records. There are programs that follow the Radiology guidelines for taking CBCT scans10 and …

Passive Self-Ligating Brackets Vs. Conventional Brackets: Is There A Difference In The Transverse Dimension? A Systematic Review And Meta-Analysis, Justin Scott Tenbrook

Graduate Theses, Dissertations, and Problem Reports

Background and Objectives:

Self-ligating brackets have risen in popularity in clinical orthodontics, but many claims made by their manufacturers have been made without substantial evidence. Any differences among the bracket types are very small when consulting new peer reviewed literature testing their differences. Nevertheless, self-ligating brackets are still purported to be able to increase the dental transverse dimension more effectively than conventional brackets. In 2018, Yang et al. performed a systematic review on the transversal changes, space closure, and efficiency of conventional and self-ligating appliances. Since then, there were several clinical trials published in the literature comparing the mandibular arch …

Alignment Of Cervical Vertebrae And Reliability Of Cephalometric Measurements, Ece Agirgol

Theses & Dissertations

Cervical vertebrae are in close relationship with dentofacial structures due to their anatomical position. In previous studies, the inclination of cervical vertebrae was measured by mostly Nasion-Sella line as the reference plane to evaluate the relationship with dentofacial structures.

The aim of this study is to observe the correlation between cervical vertebrae inclination and lateral cephalometric measurements. 124 lateral cephalograms taken in Natural Head Position of subjects over 18 years of age were traced with Dolphin Imaging Software 11.95 Premium. Cervical vertebrae inclination was measured by using the lines passing from landmarks on second, third and forth cervical vertebrae. Correlation …

Assessment Of Association Between Pain And Root Resorption During Canine Retraction: An Exploratory Study, Hend S. Elsayed

Future Dental Journal

Background: Pain and root resorption are common adverse events reported in the orthodontic literature. Both are side effects of the sterile inflammatory tissue reaction related to the application of orthodontic force. Aim: The aim of this exploratory study was to assess the association between pain and root resorption during canine retraction. Materials and Methods: Twenty-four patients indicated for first premolar extraction and canine retraction were recruited. All patients were treated with 0.022” X 0.028” Roth prescription brackets. After leveling and alignment, canines were retracted over 0.017” X 0.025” stainless steel arch wires. Canines were retracted with elastomeric chains applying 150g …