Digital Fabrication Of Attachment For Implant-Anchored Auricular Prosthesis (Case Report)., Hussein El Charkawi Proffesor

Future Dental Journal

Aim: This novel technique, has adopted digital technology to fabricate a customized precision attachment for a patient who has lost his attachment which anchor his implant retained auricular prosthesis. A scanner was used to acquire the ball abutment’ geometry of craniofacial implant in the mastoid area. CAD/CAM technology and special software was used to fabricate a customized small PEEK precision attachment that was no longer available in the market. This attachment was picked-up by an auricular prosthesis. The retention qualities of the auricular prosthesis with this attachment was satisfactory for both the patient and the dentist. This novel approach will …

Prevalence Of Molar Incisor Hypomineralization In A Group Of Egyptian Children, Ayah Essam Almenawi B.D.S, Norhan Abd El-Wahab El-Dokky Professor Of Pediatric Dentistry & Dental Public Health, Soad Abdelmoniem Abdelmoniem Professor Of Pediatric And Dental Public Health

Future Dental Journal

Background: Molar incisor Hypomineralization (MIH) has become a more widespread problem around the world, while its prevalence in Egypt is underestimated with no data on its correlation to Hypomineralization of Second Primary Molars (HSPM). Aim: Estimate the prevalence of MIH and HSPM in Egypt, investigate the possibility of HSPM being a predictive factor for MIH, and the probable etiological factors for MIH. Material and Methods: Three hundred and seventeen healthy children aged seven to ten years old were dentally examined for Molar Incisor Hypomineralization and Hypomineralization of Second Primary Molars and all potentially correlated etiological factors. Both MIH and HSPM …

Evaluation Of Accuracy Of Intraoral Scanners Versus Extra Oral Scanners In Different Dental Arch Measurements, Mohamed Walid Saleh, [email protected] , Future University In Egypt, Fouad Sharaby [email protected] , Associate Professor Of Orthodontic Department Of Orthodontics Faculty Of Dentistry Cairo University, Essam Nassef [email protected] , 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 …

Expression Of Vimentin, Α-Sma And Tgf-Β In Different Grades Of Oral Squamous Cell Carcinoma, Hala El-Kammar, Waleed F. Esmael, Nermeen S. Afifi

Future Dental Journal

Abstract

Background: Oral Squamous cell carcinoma (OSCC) is typically discovered at an early stage; nevertheless, regional lymph node metastases are prevalent; therefore, surgical excision of the primary tumor is commonly coupled with neck dissection and radiotherapy. Cancer cells become invasive by acquiring a mesenchymal phenotype, a process known as the epithelial-to-mesenchymal transition. Vimentin, α-SMA and TGF-β expressions are believed to take part in EMT and tumor progression. Aim: this work aimed to evaluate the expression of Vimentin, α-SMA and TGF-β on OSCC progression and hence propose potential role as potential prognostic markers or therapeutic targets. Materials and methods: twenty-four specimens …

Assessment Of Crestal Bone Loss And Implant Stability Of Implant Drilling Protocol At Low Speed Without Irrigation Versus Conventional Drilling Protocol, Omar Elmeligy O. Elmeligy, Ahmed Farid Shehab, Sameh Mekhemer, Ahmed Abozekry

Future Dental Journal

Abstract

Aim: This study assesses crestal bone loss surrounding dental implants, primary and secondary stability in sites prepared by conventional versus low speed drilling protocol. Material and Methods: Ten patients received 20 implants to restore an edentulous area in the lower posterior mandibular area. Patients were blindly divided into a control and study group. In the control group, sequential drilling was performed at 1,200 rpm and torque of 30 Ncm with irrigation till reaching the planned length and diameter. In the Study group, sequential drilling was performed at 150 rpm and torque of 50 Ncm without irrigation till reaching …

Computer Guided Versus Conventional Maxillary Sinus Augmentation Using Allogenic Bone Blocks With Simultaneous Implant Placement In Severely Pneumatized Sinuses, Hisham G. Zulhemma Department Of Oral And Maxillofacial Surgery, Future University In Egypt, Egypt. [email protected], Waleed Ragab El-Beialy Professor Of Oral And Maxillofacial Surgery -Cairo University, Egypt. [email protected], Ahmed Abd Elsamad Associate Professor Of Oral And Maxillofacial Radiology– Cairo University, Egypt. [email protected], Ahmed Abozekry Lecturer Of Oral And Maxillofacial Surgery –Future University In Egypt, Egypt. [email protected]

Future Dental Journal

Background: Maxillary sinus lifting is a complex procedure with reported complications in the literature where the presence of sinus septa further complicates the procedure, they including membrane perforation, bleeding. Aim: The aim of this study is to decrease the incidence of membrane perforation which is the most common reported complication, and to determine whether the use of surgical guides could decrease the incidence of membrane perforation. Materials and methods: A total of 12 cases where blindly divided into 2 groups; Group (A) computer guided maxillary sinus lifting and Group (B) conventional sinus lifting, both groups received allogenic bone blocks for …

Efficacy Of Preemptive Dexamethasone And Diclofenac On Pain Control During Maxillary Alveolar Ridge Horizontal Augmentation Using Cortical Shell Augmentation Technique: A Randomized Clinical Trial, Dina Ayman Fayek D.Ayman, Mohamed Mounir M.Mounir, Lobna Abdrlaziz Aly, Ahmed Abozekry

Future Dental Journal

Background: Despite the popularity and success of autogenous cortical shell augmentation, it is a painful procedure, limiting its acceptance by patients specifically if general anesthesia is not a viable option. Aim: This study assessed the analgesic efficacy of co-administration of intramuscular diclofenac sodium and dexamethasone preoperatively. Material and Methods: Patients selected according to the inclusion criteria were randomly divided into 2 equal groups. A similar surgical augmentation technique was performed in both groups using autogenous cortical shell technique. The study group received an intramuscular injection of dexamethasone and diclofenac sodium before surgery, and pain level was measured using VAS (visual …

Therapeutic Effect Of Curcumin, Ginger And Tamarind On Oral And Paraoral Tissues: (Histological Overview), Mona El Deeb, Amany A. Rabea

Future Dental Journal

Background: Biocompatible substances from plant origin have been more in focus in contemporary dentistry. Aim: This review, aimed to highpoint the influence of curcumin, ginger and tamarind on different oral and paraoral tissues from histological point of view. Material and methods: A narrative review was carried out based on publications in PubMed, google and Scopus database. The documents published up to 2021 were included. The research was based on inclusion criteria of 89 studies.Results: Curcumin inhibits alveolar bone resorption, reduces inflammatory cell infiltration, aids in epithelial regeneration and improves salivary glands architecture. Ginger was found to be beneficial in …

Effect Of Chlorhexidine On Nanoleakage And Bond Durability Of Two Adhesives To Dentin: An In Vitro Study, Rowayda Anwar Eltarawy, Essam Naguib, Ahmed Z. Elhoshy, Sara H. Younis

Future Dental Journal

Abstract

Aim: This study aimed to investigate the effect of chlorhexidine (CHX) on nanoleakage (NL) and dentin bond durability of two adhesives after water storage.

Materials and Methods: Thirty-six extracted molars were divided into three groups and their buccal surfaces were reduced to expose flat dentin surfaces. In group 1 Single Bond Universal Adhesive (SBU) was used, in group 2 Peak universal Bond (PUB) was applied while in group 3 Chlorhexidine Gluconate Disinfecting Solution followed by Single Bond Universal Adhesive (CHX+SBU) was used. Application of resin composite restorations was performed in all three groups. For each bonding procedure, …

Effect Of External Bleaching On Color Change Of Single Shade Resin Composite Versus Nano-Filled Resin Composite In Class V (In Vitro Study), Akram Gamal Diab, Essam Naguib, Ahmed Zoheir Elhoshy, Ahmed Mohamed Fouad

Future Dental Journal

This study investigated the effect of bleaching on color change of the single shade universal composite (Omnichroma) versus nano-filled resin composite (Z350 XT).

Methods: Twenty premolars of shade A3 were used for the study. Standardized class V cavities were prepared on the cervical third of the buccal surface of all teeth. After that, teeth were randomly divided into two groups of 10 teeth each according to the type of resin composite used. After composite application, all teeth were stored individually in distilled water for 24 hours. Evaluation of the restoration color was done using VITA Easyshade. The teeth were bleached …

Evaluation Of Color Difference And Translucency Of Modified Peek Restorations Veneered With Different Veneering Materials Before And After Thermal Cycling, Mohamed Hamdy Abdulmaguied, Tarek Salah Morsi, Mennatallah M. Wahba, Hesham Katamish

Future Dental Journal

Objective: The aim of this study was to investigate the effect of different PEEK veneering materials, as well as thermocycling on the color difference (ΔE) and the translucency parameter (TP) of modified PEEK veneered restorations.

Materials and Methods: Thirty disc shaped specimens of veneered BioHPP (1.5 mm X 12 mm) were randomly divided into three groups (n=10) based on the type of the veneering material. Group (A): Discs veneered with CAD milled Lithium Disilicate, group (B): Discs veneered with pre-cured milled composite, and group (C): Discs veneered with conventional light cured composite. CIELab values were calculated for all specimens over …

Correlating Parenting Style With Their Children’S Behavior, Dental Anxiety And Dental Caries During The First Dental Visit, Esraa Abdelfattah Khattab, Norhan Abd El-Wahab El-Dokky Professor Of Pediatric Dentistry & Dental Public Health, Randa Youssef Abd Al Gawad Professor Of Pediatric Dentistry & Dental Public Health

Future Dental Journal

Aim: Correlating parenting style with their children’s behavior, dental anxiety and dental caries during the first dental visit.

Methodology: A cross sectional study was conducted. Self-administered structured questionnaire ( PSDQ) contains 32 statements regarding different parent reactions to child behavior, and participants rated responses to each item using a five-point likert scale from “never” to “always” (coded 1 to 5).The target population consisted of 105 children with their parents in Faculty of Dentistry, Future University aged 3-6 years old. The highest mean score placed the parent in the proper parenting category. The child behavior was assessed using the Frankl scale …

Simultaneous 3d Reconstruction And Implant Placement Using Allogenic Laminar Bone Membranes In Atrophic Mandible. A Comparative Clinical Study, Sara T. Elshayat, Mohamed Diaa Zein El-Abdein, Waleed Ragab El Beialy, Waleed F. Esmael

Future Dental Journal

Objective: to compare the outcome of allogenic bone sheets clinically and radiographically in posterior mandibular vertical augmentation in Luhr class III cases with simultaneous implant placement using autogenous versus xenografts.

Patients and methods: this study was based on a total of 12 implants placed in 4 patients, 2 of which were males and 2 females. Patients were divided into 2 groups, both treated with implants placed with exposed threads 3 mm crestally and covered buccolingually with the laminar bone membrane; group 1 received autogenous bone obtained from the same surgical site using 4.5 diameter ACM bur mixed with PRP and …

Clinical And Radiographic Assessment Of Xenogenic Bone Graft With Or Without Hyaluronic Acid For Post Extraction Socket Preservation (Randomized Clinical Trial), Khaled Mohie Aldeen Abdelzaher, Lobna Abdel Aziz Aly Prof, Mostafa Ezz Prof., Mahmoud Mohsen Elsayed Hassan Elarini Dr.

Future Dental Journal

hyaluronic acid shows osteogenic potentials which considered important property during bone regeneration. So, we aim to assess the efficiency of hyaluronic acid with xenograft mixture in post extraction alveolar sockets to decelerate resorption of dental alveolar ridge.

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. …

Effect Of Low-Level Diode Laser Bio-Stimulation On Implant Stability Before, During And After Immediate Implants In Mandibular Molars. (A Randomized Clinical Study), Ahmed Elsayed Fahim A.Faim, Ahmed Farid Shehab, Waleed Ragab El-Beialy, Ahmed Abozekry

Future Dental Journal

Introduction: Tooth loss can affect the person’s life dramatically. Tooth loss is accompanied by bone loss in all dimensions, so preservation of the bone is mandatory for placement of dental implant.

Immediate implant can preserve alveolar bone. Due to difference in shape between the implants and extracted roots a gap appears between the immediately placed implant and the extraction socket resulting in jumping distance, Bone grafts are commonly used to fill this gap, recent studies suggest that jumping gaps shouldn’t always be grafted.

Low level bio stimulation has stimulatory effect on bone cells so it can be used in immediate …

Evaluation Of Apoptotic Effect Of Betanin Nanoparticles Against Squamous Cell Carcinoma Cell Line Compared To Doxorubicin, Noha Hassanine [email protected], Future University In Egypt, Amany M. Taha Lecturer, Al Azhar University, Egypt, Eman A. Abohager Professor, Al Azhar University

Future Dental Journal

Objective : to evaluate the anticancer effect of nano sized betanine particles (betanine NP) on squamous cell carcinoma cell line compared to doxorubicin (DOX) by measuring apoptosis through caspase 3. Methods: Three groups of the human tongue squamous cell carcinoma cell line (SCC 25) were created, and two of them were treated with DOX and betanine NP. The third group served as a negative control and was not given any treatment. To evaluate the concentration of caspase 3 using the ElISA technology, different quantities of betanin NP and DOX were administered to SCC25 at 48- and 72-hour intervals.Results: …

The Effect Of Different Irrigant Activation Methods On Postoperative Pain After Endodontic Retreatment, Reem B. Habib, Wael H. Kamel, Nehal N. Roshdy, Marwa M. Aboushadi

Future Dental Journal

Objective: This study was designed to evaluate the effect of different irrigant activation methods on post operative pain after endodontic retreatment. Materials and Methods : Seventy eight patients need non surgical retreatment in mandibular first molar were involved in the study. The retreatment was performed in two visits ,at first visit cases were randomly divided into three groups according to methods of irrigant activation after root canal retreatment with protaper next rotary Ni-TI system. Group A (n=26) Root canals were irrigated using 2.6% sodium hypochlorite (NaOCl) with manual dynamic agitation using master cone Group B (n=26) Root canals were irrigated …

Evaluation Of Postoperative Pain Following Sonic And Ultrasonic Root Canal Irrigation Activation Protocols In Patients With Non-Vital Teeth Associated With Apical Periodontitis (Randomized Clinical Trial), Esraa Ashraf Ibrahim, Wael Ahmed Hessein, Nehal Nabil Roshdy, Adel Abdelwahed

Future Dental Journal

Objectives Evaluate the degree of postoperative pain in patients with necrotic teeth with symptomatic apical periodontitis in mandibular first molar teeth at 6, 12, 24, 48 and 72 hrs time interval after using different irrigation activation techniques in single-visit endodontic treatment.

Methods Seventy-eight patients diagnosed with necrotic mandibular first molar with symptomatic apical periodontitis were randomly allocated into 1 of 3 separate groups (n=26); Navitip group (control), EndoUltra group, or Eddy group. After a single visit root canal treatment and a specific method of agitation, depending on each group, the patients were given a questionnaire on which the patient would …

Evaluation Of Colour Reproduction Of Cad/Cam Lithuim-Disilicate Veneers Of Different Thicknesses And Translucency, Sahar H. Fikry, Tarek Salah Morsi, Mennatallah M. Wahba, Amr El-Etreby

Future Dental Journal

Background: With the increasing patients’ demand for a perfect smile, the call for highly aesthetic and yet minimally invasive veneers has surmounted. Objective: The aim of this study was to evaluate the colour of CAD/CAM lithium disilicate veneers fabricated in different thicknesses and different translucencies of the lithium disilicate blocks. Materials and Methods: Forty discs of lithium disilicate glass-ceramic (IPS e.max CAD) of shade A1 of both high and low translucency (HT, LT) were tested for their colour reproduction. HT and low LT blocks were cut in the form of plates of dimensions (12 x 14 mm) and of different …

Effect Of Abutments Design On Wear Of Locator Attachments In Implant Retained Mandibular Overdenture., Mahmoud Saleh Fayed, Medhat Sameh Abdelaziz, Hossam I. Nassar

Future Dental Journal

Purpose: The aim of this study is to compare the effect of abutments design on wear behavior of Locator attachments in implant-retained mandibular overdenture. Materials and Methods: Two epoxy models representing an edentulous mandible were used, two implants were placed in each model. Twenty-four locator attachments were used (twelve in each study group). Cycles of Insertion and removal were performed using a universal testing machine resembling 3 years of clinical use, then each abutment was scanned by scanning electron microscope (SEM) before and after insertion and removal cycles. Data were compared qualitatively using a specialized computer software Results: There was …

Effect Of Various Sintering Protocols On The Translucency Of Highly Translucent Cubic Zirconia, Kerolos Salah Mehany, Ashraf Hussein Sherif, Shereen Ahmed Nossair, Mona Hossam El-Din Mandour

Future Dental Journal

Aim of the study: This study was carried out to evaluate the effect of various sintering protocols on the translucency of highly translucent cubic zirconia. Materials and methods: A total of forty discs of two types of zirconia ceramics were used in this study. The specimens were divided into two main groups according to the type of zirconia; Group 1 (n=20): Cubic zirconia (DD Cube X2 98color) and Group 2 (n=20): Tetragonal zirconia (BioZX2color). Each group was subdivided into two subgroups, where 10 discs were per subgroup according to the sintering protocol. Cubic and tetragonal zirconia blanks of dimensions (98 …

Management Of Post Covid 19 Mucormycosis With Osteomyelitis In The Maxilla, New Combined Consequences Of The Pandemic. (Case Report)., Hussein El Charkawi Proffesor, Omar A. El Sharkawy

Future Dental Journal

ABSTRACT:

Aim: This case report aims to demonstrate among health providers the importance of timely surgical and prosthetic management procedures of patients who suffered from the newly combined clinical entity of post COVID 19 mucormycosis and osteomyelitis of the palate. Materials and methods: Elaborate advanced diagnosis of the patients including CBCT, MRI, CT, Pathology examination, 3Ds printing reconstruction of the whole skull and digital design of reconstructive mesh that support the prosthesis were carried out. The patients undergone modified infrastructure maxillectomy and immediate prosthetic obturation of the palatal defect that was replaced later by a delayed obturator. Results: Surgical eradication …

Comparison Between Two Different Attachment Caps Used In Locator Attachments Of Implant Supported Overdentures (In-Vitro Study), Hossam Eldein Faisal Haridy, Hebatalla Mahmoud El Afandy, Mohammed Farouk Abdalla, Ahmed Mohammed Osama

Future Dental Journal

Purpose: To compare different retentive cap material used in LOCATOR attachments, namely the nylon retentive cap versus PEEK retentive caps, and measure the loss of retention over a period of two years, through 2880 cycles of insertion and removal. Materials and methods: Two implants 3.8mm x 10.5mm were inserted into a clear epoxy resin cast, through a surgical guide, with the implants being 23mm apart. Two LOCATOR attachments with 5 mm gingival height were screwed to the implants, custom made nylon caps were fabricated as an exact replica of the PEEK retentive caps, then two dentures were constructed …

Effect Of Two Different Forms Of Smoking On Periodontium : A Retrospective Study, Mohammed Wagdy Bissar

Future Dental Journal

Aim of the study: Is to compare the effects of smoking T-cigs and vaping E-cigs on clinical periodontal parameters in patients.Materials and Methods: It consisted of a clinical examination of a total of 60 individuals aged between 29 and 39 years. They responded to a questionnaire about their smoking history, and they were divided into 2 groups as E-cig vapers and T-cig smokers. Full-mouth plaque index (PI),bleeding on probing (BOP),clinical attachment loss (AL),and probing depth (PD) were measured at six sites per tooth on all maxillary and mandibular teeth except third molars. Results: T-cigarette had significantly higher probing depth, …

Assessment Of Knowledge, Attitude And Practice Of Molar-Incisor Hypomineralisation Among A Group Of Egyptian Dentists (Observational Cross-Sectional Study), Mohamed Salah Shalaby, Osama Ibrahim El-Shahawy Professor Dr, Eman Alaa, Manal Ahmed Mofied El-Shiekh

Future Dental Journal

Abstract:

Introduction: Molar Incisor Hypomineralisation (MIH) is one of qualitative DED. MIH is increasing dramatically in the new generations, which is considered to be challenging for the majority of dentists. MIH was found to be prevalent in 14.2% of the world's population, with the high incidence 18% in South America and the least (10.9%) in Africa. This study was carried out to assess the knowledge, attitude, and practice of graduated Egyptian dentists' group regarding MIH condition and compare the outcome information among different dental specialists.

Material and methods: A google based questionnaire based on previously validated published papers distributed electronically …

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. …