Medicine and Health Sciences Commons^™

The Prevalence And Patterns Of Permanent Teeth Agenesis In Bilateral Cleft Lip And Palate Children Of Southern Taiwan, Te-Ju Wu, Shiu-Shiung Lin, Jui-Pin Lai, Wen-Ching Tsai, Ren-Jye Chen, Yu-Jen Chang

Taiwanese Journal of Orthodontics

Objective: To retrospectively investigate the prevalence and patterns of tooth agenesis in permanent dentition of bilateral cleft lip and palate (BCLP) children in Southern Taiwan. Patients: 156 Taiwan children (99 males and 57 females) with BCLP aged from 4 to18 years were selected from the craniofacial records between July, 1983 and June, 2008 in the Department of Orthodontics, Kaohsiung Chang Gung Memorial Hospital. Materials and methods: Dental records including the panoramic radiographs, periapical films of anterior teeth, upper occlusal films and dental models of the selected patients were examined. Results: The prevalence of tooth agenesis of permanent dentition is 78.8%. …

Forced Eruption Of Multiple Impacted Teeth With Dentigerous Cyst – A Case Report, Tzu-Ying Wu, Chia-Chen Li, Cheng-Hisen Wu, Shih-Yun Wu, Shou-Hsin Kuang

Taiwanese Journal of Orthodontics

This case report presented a11 y/o Chinese female with Class I skeletal pattern and normal mandibular plane angle.Multiple teeth were impacteddue to a dentigerous cyst over anterior region in the maxilla. After the enucleation of the cyst, the crown portion of 11 was exposed but with improper position and angulation. Our treatment plan was described as below: (1) Forced eruption of tooth 11-13 and align with the upper dentition, (2) Follow up the permanent teeth eruption in mandible. Total treatment duration was 31 months, the dentition was finished at Angle Class I canine and molar relationships, normal overjet and overbite …

Literature Review : How To Accelerate Orthodontic Tooth Movement ?, Shun-Hsin Chen, Pei-Wen Liao, Hui-Jen Tsai, Ming-Hsien Lan, Pei-Chuan Hung, Wen-Pei Wong, Chung-Chen Jane Yao, Hsuan-Yi Hsiao

Taiwanese Journal of Orthodontics

How to accelerate orthodontic tooth movement has been an interesting issue to orthodontists and researchers. Ways being proposed to accelerate orthodontic tooth movement (OTM) include medication, mechanical stimulation, low level laser, corticotomy, periodontal accelerated osteogenic orthodontics, and surgery-first orthognathic surgery. Those invasive surgical procedures are used successfully on orthodontic patients for acceleration of OTM. Other non-invasive procedures, though with promising results obtained from animal experiments, await further clinical confirmations. This article reviewed recent clinical and animal studies, and the mechanism of medication, mechanical stimulation and surgical approaches for their effectiveness on OTM.

Optimizing Facial Esthetics In Ogs Patients, Meng-Huan Tsai, Shao-Chun Lu, Joung-Lin Liaw, Ming-Zen Su, Ya-Ting Wang, Hsin-Fu Frank Chang, Chung-Chen Jane Yao, Stella Ya-Hui Yang

Taiwanese Journal of Orthodontics

At present, even if the orthognathic surgical procedure had been improved and the acceptance of surgery increased, the patients and dentists could not be satisfied with simply the recovery of masticatory function. Facial esthetics has become a marked issue. However, everything has its own limitation. There is no single treatment could fulfill all the facial esthetics requirements, not even the orthognathic surgery. If the orthognathic surgery could be combined with other cosmetic surgical procedure, the patients would be more likely to receive relatively compre-hensive treatment. First, this article reviewed the fundamental definition of facial esthetic in psychology. In addition, we …

The Application Of Computer-Aided Three-Dimensional Simulation And Prediction In Orthognathic Surgery (Caspos) For Treating Dento-Skeletal Patients, Yu-Jen Chang, Shiu-Shiun Lin, Te-Ju Wu, Wen-Ching Tsai, Wei-Yung Hsu, Jui-Pin Lai

Taiwanese Journal of Orthodontics

AIM: Computer-aided craniofacial reconstructions have been developed to allow surgeons to accurately simulate and predict the surgical outcome on complicated 3-D craniofacial structures. We have developed a new computerized method of 3-D simulation and prediction in orthognathic surgery (CASPOS) that not only enables clinicians to plan and simulate the surgical procedures, but also provides a bony "guiding splint" to allow surgeons to precisely position the bony segments into the planned location. This study is aimed for assessing the accuracy of simulation and prediction of our CASPOS protocol. MATERIALS AND METHOD: Fifteen adult patients with severe dento-skeletal discrepancies treated with orthodontics …

Longitudinal Study On Neurosenory Disturbance Caused By Bilateral Sagittal Split Osteotomy In Mandibular Prognathism- Questionnaire Survey, Yea-Ling Yang

Taiwanese Journal of Orthodontics

The bilateral sagittal split osteotomy (BSSO) is one of the most common surgical procedures to correct mandibular skeletal problems. The incidence of inferior alveolar nerve injury in this procedure is 9% ~85%. The clinical symptoms are numbness over the patients’ lower lip and chin. In our study, we aimed to use the questionnaire to evaluate the patients’ neurosensory disturbance (NSD) after BSSO one week (T1)、six months (T2) and one year (T3). Through the result of this study, NSD occurred mostly in the bilateral chin (84.0%, 63.1%, 60.0%) and lower lip (70.0%, 67.7%, 49.1%) and affected the feeling in touching (60.0%, …

Characteristics Of Dentofacial Morphology In Bimaxillary Protrusion Patients, Chiung-Yu Chen, Hong-Po Chang, Yi-Hsin Yang, Yu-Chuan Tseng, Chin-Yun Pan, Szu-Ting Chou

Taiwanese Journal of Orthodontics

Objective: Dentofacial abnormalities, such as bimaxillary protrusion, can be distressing both socially and psychologically. The aim of this study is to identify the cephalometric features of bimaxillary protrusion and highlight the measurements that characterize bimaxillary protrusion when compared to a normal occlusion group. Materials and methods: Lateral cephalograms of 60 pretreated bimaxillary protrusion young adults were compared with 60 untreated young adults with normal occlusion. Male and female were equal in each group. Thirty-two landmarks were identified for 61 skeletal, dental and soft tissue parameters. The differences between the two groups were analyzed by means of Student’s t-test and two-way …

Non-Surgical Correction Of Skeletal Class Iii Malocclusion With Severe Crowded Dentition By Dental Arch Expansion– A Case Report, Yun-Ting Chen, Wen-Ken Tai, Chih-Chen Chou, Hoi-Shing Luk, Heng-Ming Chang, Chia-Tze Kao

Taiwanese Journal of Orthodontics

Using clip type self-ligation bracket combined with nickel-titanium arch wires can easily relief dental crowding and achieve arch expanding for adult patients with severe dentition crowding. This 25-year-old female was diagnosed as skeletal Class III with maxillary deficiency and severe dental crowding, anterior and posterior crossbite. We used clip type self-ligation bracket with non-tooth extraction, non-surgery, and non mini-implant insertion treatment. Successfully improved facial profile and achieve the harmonious proportion of vertical facial 's appearance.

Correction Of Severe Class Ii Division 1 Malocclusion With Miniscrew Anchorage– A Case Report, Yuh-Jia Hsieh, Ellen Wen-Ching Ko, Yu-Fang Liao, Chiung-Shing Huang

Taiwanese Journal of Orthodontics

A case report describes the camouflage treatment of an adult patient with skeletal Class II jaw base relationship and moderate crowding. A 28-year-old woman presented with chief complaints of protrusive lips and upper front teeth. The clinical examination showed a convex facial profile, retrognathic mandible, excessively proclined upper and lower incisors, large overbite and overjet and a Class II division 1 malocclusion. To correct the facial profile, lip protrusion, large overjet, space deficiency and approximately full Class II relationship, distal movement of the maxillary first molars using miniscrew anchorage along with extraction of the maxillary and mandibular first premolars was …

The Stability Of Combined Orthodontic And Orthognathic Surgery Treatment– A Review Article, Ting-Wei Chu, I-Ling Hong, Fon-Lan Chan, Yun-Yun Wu, Yi-Jane Chen, Chung-Chen Jane Yao,, Kuan-Yen Peng

Taiwanese Journal of Orthodontics

How to achieve stability after combined orthodontic and orthognathic surgery? Many factors can affect the post-treatment stability of either intermaxillary relationship, dental occlusion or facial profile, which include pre-operative preparations, types and range of surgical procedure, amount of bone movement, types of fixation, condylar position during fixation and the ability of soft tissue adaptation. This article reviewed and summarized factors affecting the postoperative stability according to the treatment stages.

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. …

Literature Review: Distraction Osteogenesis In Jaw Bone And Dentoalveolar Bone, Chee-Ping Liew, Min-Chih Hung, Hung-Cheng Chiu, Chung-Chen Jane Yao, Yi-Jane Chen, Eddie Hsiang-Hua Lai, Jenny Zwei-Chieng Chang, Chih-Liang Julian Ho

Taiwanese Journal of Orthodontics

Distraction osteogenesis (DO) is a surgical procedure that uses a distractor through an osteotomy site, by applying mechanical stretching forces to produce new organization. These organizations contain skeleton, muscles, nerves, blood vessels and so on. This article reviewed the comparisons of DO with conventional guided bone regeneration (GBR) and conventional orthognathic surgery (OGS), as well as the introduction of some of the recent case reports, clinical studies and post-surgery stability in relation to the dentoalveolus, maxilla and mandible regions. The success of DO is mainly related to the surgical treatment plan and the techniques. Same as the OGS, pre-surgical DO …

Application Of Miniscrew Anchorage To Assist Scissors-Bite Correction, Ting-Ting Wu, Ellen Wen-Ching Ko

Taiwanese Journal of Orthodontics

Posterior complete buccal crossbite, also called scissors-bite or Brodie Bite, is usually difficult to be corrected. In most cases with the occlusion of complete buccal crossbite, the mandibular teeth are lingually tilted, and the maxillary teeth erupt past their antagonists. When using the conventional orthodontic treatment to correct the scissors-bite, extrusion of the molars and subsequent occlusal plane canting frequently occur. Applying miniscrew as direct skeletal anchorage can facilitate the scissors-bite correction without totally depending on patients’ compliance. Two young female adults, with unilateral complete posterior buccal crossbite and Angle Class I malocclusion, were treated with fixed appliance, miniscrews, and …

Treatment Of Skeletal Class Iii Malocclusion With Mandibular Miniplate Skeletal Anchorage – Case Report, Yi-Shiou Chen, Jian-Shun Chen, Fong-Lan Chan, Yi-Jane Chen

Taiwanese Journal of Orthodontics

The etiologies of skeletal Class III malocclusion include excessive growth of the mandible, insufficient growth of the maxilla, or the combination of both. The ideal treatment for severe mandibular prognathism is a combination of orthodontic treatment with orthognathic surgery to setback the mandible. However, nonsurgical approach using mini-implant anchorage could distalize the mandibular dentition and improve the occlusion if the skeletal discrepancy is mild to moderate. In this report, we present the treatment of a 20-year-old male patient with Class III malocclusion and anterior crossbite. Mini-plates were implanted on anterior border of mandibular ramus and used as temporary anchorage devices …

Using Orthognathic Surgery And Prostheses To Improve Esthetics And Occlusion Of Skeletal Class Iii Patient, Hsiao-Ting Huang, Ya-Yi Chen, Po-Hsun Chen, Yu-Ray Chen, Yu-Hwa Pan, Ting-Ting Wu

Taiwanese Journal of Orthodontics

Patient with class III malocclusion and anterior crossbite combined with mandibular prognathism with deviation can be corrected through orthognathic surgery combined with conventional orthodontics. A proper diagnosis and careful treatment planning are the keys to success. This case report described a 30-yearold female, who complained of poor esthetics because of the square face and dark teeth. After a routine orthodontic examination, the diagnosis was skeletal class III malocclusion with mandibular prognathism and a deviated chin shifted to the right. The treatment plan was 2 jaw orthognathic surgery combined with genioplasty and gonioplasty to improve the deficient upper incisal show, protrusive …

Bond Strengths Of Fluoride-Releasing Orthodontic Resins Using Plasma Arc And Halogen Lights, Hui-Ping Chen, Hsiu-Ming Hsu, Jia-Kuang Liu, Tzer-Min Lee

Taiwanese Journal of Orthodontics

The aim of this study is to evaluate the shear bond strengths of metal brackets using two different fluoridereleasing adhesives (Light bond and Enlight) activated by two photoactivation systems [a conventional halogen light-curing system (HLC), and a plasma arc light curing system (PALC)]. Methods: Forty extracted premolars were divided into four groups of ten. Stainless steel brackets were bonded to the teeth using either a halogen light with a 20-second curing time or a plasma arc light with a 4-second curing time. After being immersed in a 37°C distilled water bath for 24 hours, the brackets were debonded. The bond …

The Treatment Of Skeletal Class Ii Malocclusion By Using Activator In The Circumpubertal Growth Period, Jeih-Fu Chen, Hong-Po Chang

Taiwanese Journal of Orthodontics

The treatment timing is the most important factor in the correction of skeletal Class II malocclusion. The treatment effect in contribution of mandibular growth in the circumpubertal growth period is better than that in the pre-pubertal growth period in use of no matter what kind of orthodontic appliance. This report is a case of skeletal Class II malocclusion with mandibular deficiency. By using functional appliance (Activator) and fixed orthodontic appliance in the circumpubertal growth period, the malocclusion and retruded mandibular profile had been successfully improved.

Literature Review: Periodontal Accelerated Osteogenic Orthodontics, Jian-Nong Mao, Hao-Hueng Chang, Chih-Liang Ho, Jenny Zwei-Chieng Chang, Eddie Hsiang-Hua Lai, Yi-Jane Chen, Chung-Chen Jane Yao

Taiwanese Journal of Orthodontics

Periodontal accelerated osteogenic orthodontics (PAOO) is a clinical procedure that combines selective alveolar corticotomy, particulate bone grafting, and the application of orthodontic forces. This procedure is theoretically based on the bone healing pattern known as the regional acceleratory phenomenon (RAP). Recently, partial evidences supported that PAOO had some advantages: 1. Shorter treatment time; 2. An increment in alveolar bone width; 3. Decreased amount of apical root resorption; 4. Increased post-treatment stability. This article reviewed the recent case reports, clinical studies, and animal studies, and tried to introduce the development, idea, and the method of PAOO for the application of rapid …

Exploring The Self-Care Practices And Needs Of Entry-Level Nursing Students: A Pilot Project, Nancy Armstrong, Kristin M. Reid, Dana Todd

Faculty & Staff Research and Creative Activity

Self-care is often lacking in nursing students worldwide. The objectives for this study were to discover the current self-care practices of one group of entry level undergraduate nursing students, the students’ understanding of self-care, and the students’ preferences for self-care interventions aimed at improving self-care. Quantitative and quantitative measures were used to measure the students’ current self-care practices, needs, and recommendations for interventions to be used in future semesters to improve nursing student self-care. The students were found to generally be deficient in areas related to nutrition, obtaining healthcare information or guidance, pacing themselves to avoid exhaustion, and performing relaxation …

2022-08-18_Michiganoverview_Misc, Michigan Department Of Health & Human Services

Michigan COVID-19 MIS-C Data

The MIS-C Data page was obtained from Michigan's COVID-19 data page: https://www.michigan.gov/coronavirus/stats/mis-c-reporting.

This report is created by the Michigan Department of Health & Human Services from data self-reported by health care providers and local health departments. Data is updated on the first and third Thursdays of the month.

Multisystem Inflammatory Syndrome in Children (MIS-C) is a condition in children and adolescents under 21 years of age where multiple organ systems become inflamed or dysfunctional which occurs in association with illness. Children with MIS-C may have a fever and various symptoms, including abdominal (gut) pain, vomiting, diarrhea, neck pain, rash, …

Monkeypox Guidelines 8-18-22, The Coronavirus Planning Team

University Briefings & Virtual Events

We want to share some information with you regarding the monkeypox virus and the process should there be cases on campus. As always, we will be following CDC guidelines and the advice of state and local health officials.

Integrating De Novo And Inherited Variants In 42,607 Autism Cases Identifies Mutations In New Moderate-Risk Genes, Xueya Zhou, Tychele N. Turner, Et Al

2020-Current year OA Pubs

No abstract provided.

Implementing And Evaluating A Mentorship Program For New Graduate Nurses In A Medical-Surgical Unit: A Quality Improvement Pilot, Nicholas Dull, Jennifer Jakobe, Carol Reichel, Sonja Meiers

Nursing DNP Projects

The purpose of this quality improvement project was to pilot and test the acceptability of implementing an eight-week voluntary evidence-based mentorship program for new graduate nurses within a medical-surgical unit. This project was guided by the Iowa Model of Evidence-Based Practice and an adaptation of the Academy of Medical Surgical Nurses Mentoring Program. Nurse leaders may want to consider creative ways to incentivize mentees and involve them in tailoring mentoring programs during the final phases of the orientation program.

Nutritional Cooking Program With Girls Inc., Taunton, Ma, Chantel Almanzar

Honors Program Theses and Projects

As a member of the Institutional Review Board-approved research team comprised of Dr. Maura Rosenthal, Dr. Angela Bailey, and Christina Elderbee, I led a six-week community-based health program that included cooking lessons for girls aged 10 to 13. I taught girls how to prepare healthful foods that they may cook with their family and friends at home. The larger project, Building Equity Through Collaboration with Girl's Inc., aims to study the outcomes of girls’ participation in after school and summer camp programs in 2021 and 2022. One part of this research, which intends to learn more about girls' current and …

Digitized Thought Records: A Practitioner-Focused Review Of Cognitive Restructuring Apps, Drew Erhardt, John Bunyi, Zoë Dodge-Rice, Martha Neary, Stephen M. Schueller

All Faculty Open Access Publications

Mental health (MH) apps can be used as adjunctive tools in traditional face-To-face therapy to help implement components of evidence-based treatments. However, practitioners interested in using MH apps face a variety of challenges, including knowing which apps would be appropriate to use. Although some resources are available to help practitioners identify apps, granular analyses of how faithfully specific clinical skills are represented in apps are lacking. This study aimed to conduct a review and analysis of MH apps containing a core component of cognitive behaviour therapy (CBT)-cognitive restructuring (CR). A keyword search for apps providing CR functionality on the Apple …

Effects Of Caffeine, Methylliberine, And Theacrine On Vigilance, Marksmanship, And Hemodynamic Responses In Tactical Personnel: A Double-Blind, Randomized, Placebo-Controlled Trial, Harry P. Cintineo, Marissa L. Bello, Alexa J. Chandler, Thomas D. Cardaci, Bridget A. Mcfadden, Shawn M. Arent

Faculty Publications

Background

Tactical athletes require fast reaction times (RT) along with high levels of vigilance and marksmanship performance. Caffeine has been shown to improve these measures but also results in increased blood pressure and jitteriness. Research on other purine alkaloids, such as methylliberine and theacrine, has suggested they do not increase blood pressure or jitteriness to the same extent, but their impact on tactical performance is unknown.

Methods

A between-subjects, randomized, placebo-controlled design was used to test the effects of placebo (PLA), 300 mg caffeine (CAF), and a combination of 150 mg caffeine, 100 mg methylliberine, and 50 mg theacrine (CMT) …

Challenges Of Transitioning Back To School From Hospitalization: The Role Of Child Life Specialists In Schools, Kelsey Bannen

Honors Program Theses and Projects

When students return to school after hospitalization, many aspects of their development are impacted. During the transition back to school after hospitalization students often face social, emotional, and academic challenges. Child life specialists typically work in hospital settings to support the social-emotional well-being of pediatric patients. Child life specialists are highly equipped to support students returning to school after hospitalization and would be a valuable asset to all school systems. Research for this study was conducted through literature reviews, an interview with a child life specialist who is currently working within a school, and surveys of school nurses and child …

More Than Just Oral Prep: Exploring Interest In Rectal Douche, Dissolvable Implant, Removable Implant And Injection Hiv Prevention Approaches Among Racially Diverse Men Who Have Sex With Men In The Northeast Corridor., Omar Martinez, Ethan Levine, Miguel Munoz-Laboy, Alex Carballo-Diéguez, José Arturo Bauermeister, Alexi Chacon, Jeffrey Jacobson, Robert Bettiker, Madeline Sutton, Abby E. Rudolph, Elwin Wu, Scott D. Rhodes, Amanda E. Tanner, Lilli Mann, Omar Valentin, Ariel Ilarraza, Mariana Pardes, Robin Davison, Maria Isabel Fernandez

HPD Articles

OBJECTIVES: HIV scholars and practitioners have worked to expand strategies for prevention among marginalised populations who are disproportionately impacted by the epidemic, such as racial minority men who have sex with men (MSM). Given this urgency, the objective of this study was to assess interest in biomedical prevention strategies.

METHODS: This exploratory and cross-sectional study investigated interest in four biomedical prevention tools-rectal douche, dissolvable implant, removable implant and injection-among a racially diverse sample of MSM from the Northeast Corridor region between Philadelphia and Trenton. Data were collected as part of screening for

RESULTS: A total of 381 individuals participated in …

Leveraging Clinical Digitized Data To Understand Temporal Characteristics And Outcomes Of Acute Myocardial Infarctions At A Tertiary Care Medical Centre In Pakistan From 1988-2018 - Methods And Results, Zainab Samad, Ali Aahil Noorali, Awais Farhad, Safia Awan, Nada Qaiser Qureshi, Mushyada Ali, Laiba Masood, Ghurfan Adnan, Zulfiqar Ahmed Bhutta, Javed Tai

Section of Cardiology

Background and objective: Few data exist on trends in acute myocardial infarction (AMI) patterns spanning recent epidemiological shifts in low middle-income countries (LMICs). To understand temporal disease patterns of AMI characteristics and outcomes between 1988-2018, we used digitized legacy clinical data at a large tertiary care centre in Pakistan.
Methods: We reviewed digital health information capture systems maintained across the Aga Khan University Hospital and obtained structured elements to create a master dataset. We included index admissions of patients >18 years that were discharged between January 1, 1988, and December 31, 2018, with a primary discharge diagnosis of AMI (using …

Batok: The Exploration Of Indigenous Filipino Tattooing As A Resistive Collective Occupation, Chelsea Ramirez, Karen Mccarthy, Ana Cabalquinto, Carmela Dizon, Mai Santiago

Occupational Therapy | Faculty Scholarship

Batok (also known as Fatek/Burik/Tatak/Batek/Patik) is an Indigenous Filipino tattooing practice where the practitioner marks the skin by hand-tapping the ink using bone/wood implements. Previous research on tattooing from an occupational science perspective has considered European tattooing and its engagement and implication on the individual. This qualitative research explores how batok is experienced by the person and their identified community. Three Filipino participants with batok, and four family or community members were interviewed. Thematic analysis highlighted three themes recognized as Kapwa, Revealing One’s Batok, and Decolonization and Reclamation as a Cultural Practice. These themes are situated in the lens of …