Orthodontics and Orthodontology Commons^™

Evaluation Of Optimal Force For Intrusion Of A Periodontally Compromised Maxillary Anterior Dentition Treated With Fixed Orthodontics – A Finite Element Analysis, Tanzim Ahmed, Amrita Puri, Aatira Nair, Anshul Singla, Mathew Koshy Vaidyan, Shruti Sharma, Chhavi Singh

International Arab Journal of Dentistry

Introduction: Adult orthodontic treatment is increasingly sought due to aesthetic and functional concerns, often involving periodontally compromised patients with altered biomechanics. Reduced bone support shifts the center of resistance and necessitates lower, carefully controlled forces, while finite element modeling has become a key tool to analyze tissue response under such conditions.

Objectives: The study aimed to determine the optimal intrusive force for periodontally compromised maxillary anterior teeth using Finite Element Analysis (FEA).

Methods: A 3D finite element model of the maxillary anterior dentition was created and divided into healthy and compromised halves, the latter with one-third alveolar bone loss. A …

The Efficacy Of Mini-Screw Rapid Palatal Expansion (Marpe) In Late Adolescents And Young Adults: A Systematic Review, Afaf El Merouani Drissi, Hajar Ben Mohimd, Hicham Benyahia, Fatima Zaoui

International Arab Journal of Dentistry

Introduction: Mini-screw assisted rapid maxillary expansion (MARPE) emerged as a less invasive alternative treatment for transverse maxillary expansion, and designed to overcome the limitations of conventional rapid maxillary expansion for patients from post-pubertal growth spurt period onwards, often presenting with an interdigitated suture. The aim of this systematic review is to evaluate the efficacy of this treatment on skeletal, dento-alveolar and periodontal levels based on CBCT studies, by comparing it to the conventional rapid maxillary expansion (RPE).

Methods: a literature search of five databases (PubMed, Scopus, Web of Science, ScienceDirect and the Cochrane library) was conducted from 2010 until July …

The Effectiveness Of Anterior Torque Control By Clear Aligners In Extraction And Non-Extraction Cases : Systematic Review, Houda Ousli, Kawtar Chadli, Fatima Zaoui, Hicham Benyahia

International Arab Journal of Dentistry

Introduction: Clear aligner treatment has gained popularity in recent years. Accurate torque expression of the upper incisors is crucial for orthodontic treatment outcomes but remains challenging in invisible orthodontic treatment.

Objectives: This systematic review aims to evaluate the existing literature and critically assess the clinical effectiveness of aligners in controlling anterior torque or bucco-lingual root inclination, in both extraction and non-extraction cases.

Methods: A systematic search of Scopus, PubMed, Web of Science, Ebsco, and the Cochrane Library was conducted for peer-reviewed articles published between 2014 and March 2025. A total of 257 records were identified (Scopus: 32; Web of Science: …

The Influence Of Presurgical Mandibular Incisor Inclination On The Stability Of Surgical Class Iii Patients: A Systematic Review, Houda Ousli, Youssef Oualalou, Fatima Zaoui, Asmae Bahoum

International Arab Journal of Dentistry

Objective: This study aims to assess the impact of presurgical mandibular incisor inclination on the stability of surgical class III patients.

Methods: An electronic search was conducted on PubMed, Scopus, Web of Science, EBSCO, and the Cochrane Library from 2014 to February 2025, initially identifying 351 publications relevant to our review.

Results: Four retrospective studies were included in this review, with the risk of bias ranging from low to serious. A preoperative retroinclined incisal axis leads to an increased post-surgical overjet and inadequate interincisal contact, indicating that retroclined mandibular incisors may affect skeletal stability. However, Overcorrection of mandibular incisor inclination …

Comparative Evaluation Of Orthodontic Measurements Using Two Intraoral Scanners Versus Conventional Plaster Models: An In Vivo Study, Pranoy Nair, Achint Juneja, Monis Raza, Prashant Shahi, Ridhi Kothari, Deepthi Raj

International Arab Journal of Dentistry

Introduction: This study evaluated and compared the accuracy and reliability of two intraoral scanners, iTero Element 1 and Panda P2, with conventional plaster models for essential orthodontic measurements.

Methods: Thirty subjects were evaluated using three methods: plaster casts, iTero Element 1, and Panda P2. Inter-canine distance, inter-molar distance, overjet, overbite, and Bolton’s ratios were measured. Data was analysed using one-way ANOVA and Tukey’s post-hoc test after confirming normality (Shapiro–Wilk). Intra-operator reliability was assessed using Dahlberg’s formula and ICC.

Results: No statistically significant differences were observed among the three methods (p > 0.05). Both scanners demonstrated high repeatability and minimal measurement error, …

Three-Dimensional Evaluation Of Torque Expression In Maxillary Incisors: Influence Of Crown Shape And Collum Angle, Isha Singh, Achint Juneja, Divya Shetty, Monis Raza, Payal Sharma, Udit Chaudhary

International Arab Journal of Dentistry

Objectives: To evaluate the influence of crown morphology and collum angle of maxillary incisors on torque expression at common bracket-bonding landmarks using cone-beam computed tomography (CBCT).

Methods: Twenty CBCT scans of individuals aged 18–27 years were analyzed. For each central and lateral incisor, the height of maximum labial contour (HMC), height of the labial anatomic (LA) point, collum angle (CA), and alpha angle at both HMC (αc) and LA (αLA) were measured. Stone casts confirmed LA points. Independent and paired t-tests assessed inter- and intra-tooth differences (α = 0.05).

Results: The HMC was located 2.6 ± 0.3 mm (centrals) and …

Evaluation Of The Remineralizing Agents After Orthodontic Bracket Debonding: A Sem-Edx Investigation, Bassant Ashraf Badr, Medhat Elzainy, Noha Ibrahim, Hend El Messiry

International Arab Journal of Dentistry

Objectives: To compare the remineralizing efficacy of (Fluoride (Fl) Varnish, Nanohydroxyapatite (n-HAp) serum and NovaMin-containing toothpaste) on premolars subjected to orthodontic debonding and a pH-cycling model.

Methods: 60 human premolars were divided into six groups (n=10). Group IA, sound enamel, IB, orthodontically treated premolars, IC, orthodontically treated premolars subjected to demineralization cycles. Three experimental groups included orthodontically treated premolars subjected to demineralization cycles and treated with Fl varnish (IIA), n-HAp serum (IIB), and NovaMin toothpaste (IIC). Surface topography and mineral content were evaluated using SEM-EDX analysis, and data were statistically analyzed using ANOVA test and Tukey’s post-hoc test. …

Assessment Of External Root Resorption During The First Stage Of The Orthodontic Treatment: A Prospective Cone-Beam Tomography Study, Eliana Pineda Vélez

International Arab Journal of Dentistry

Introduction: predisposition to root resorption as a result of a dental movement may be a consequence of clinical, biological, and biomechanical factors that should lead the clinician to objectively assess each patient to reduce associated risk factors.

Objectives: to establish an association between clinical and tomographic findings related to external root resorption (ERR) using cone beam tomography (CBCT) on maxillary incisors during the first stage of the orthodontic treatment. Methods: an observational, follow-up, cohort study that analyzed the association between clinical and radiographic variables on maxillary incisors using CBCT before placing fixed orthodontic appliances and finishing the first …

Three-Dimensional Analysis Of Dental Arch Form In Relation To The Vertical Facial Pattern In Class I Patients: A Cross-Sectional Study, Ahmad Ghassan Droubi, Islam Gad, Aly Osman

International Arab Journal of Dentistry

Introduction: Understanding the relationship between dental arch form and vertical facial pattern is crucial in orthodontic diagnosis and treatment planning. Variations in vertical facial morphology can influence dental arch form, which in turn impacts the effectiveness and stability of orthodontic interventions.

Objectives: The study explores the associations between dental arch form with the different vertical facial patterns, including hyperdivergent, normodivergent, and hypodivergent patterns in skeletal Class I patients.

Methods: A cross-sectional observational design was employed to examine a sample of 48 patients with skeletal Class I seeking orthodontic treatment; of which 24 males and 24 females. Each …

The Effect Of Premolar Extractions On The Change Of Angulation And Eruption Space Of The Mandibular Third Molars After Orthodontic Treatment, Asmae Benkaddour, Khaoula M’Rabt, Loubna Bahije, Fatima Zaoui, Asmae Bahoum

International Arab Journal of Dentistry

Objectives: Our study was designed to analyze the effect of lower premolar extraction on the evolution space of the lower third molars, as well as their position and angulation during orthodontic treatment.

Methods: This is a cross-sectional, retrospective, descriptive and analytical study comparing two groups of patients: the first group includes 20 patients treated without premolar extraction, and the second group, 27 patients treated with premolar extraction. Linear and angular measurements were performed on panoramic radiographs and lateral cephalograms of orthodontic pre- and post-treatment.

Results: The eruption space and the horizontal position of the lower third molars, …

Knowledge, Attitude And Clinical Management Of Orthodontically-Induced External Root Resorption Among Lebanese Orthodontists, Diana Chehab Fakih, Ahmad Tarabaih, Aly Osman

International Arab Journal of Dentistry

Objective: The aim of this study was to assess the knowledge, attitude, and clinical management orthodontically induced external root resorption (OIERR) among Lebanese orthodontists of varying years of experience.

Methods: An online validated survey of 22 questions regarding OIERR was done among a randomly selected registered sample of 145 male and female Lebanese orthodontists.

Results: Significant differences were found among orthodontists with different years of experience for: the factors leading to further investigation, the stage at which additional screening measures were taken, the periodic follow up assessment method, and the clinical management in case of generalized root …

Nasoalveolar Molding: A Rise In Early Management Of Newborn Patient With Cleft Lip And Palate, Reeya Agrawal, Pallavi Daigavane, Amit Reche

International Arab Journal of Dentistry

Orofacial clefts are one of the most frequent congenital oral and maxillofacial abnormalities. When these babies are roughly three months old, lip rebuilding, also known as cheiloplasty, is a critical concern. In several cleft facilities, To improve the treatment success, presurgical Nasoalveolar Molding (NAM) has been included in the therapy protocol. In patients with cleft lip and palate, this technique is routinely used to bring the alveolar segments into normal alignment and improve nasal symmetry. In this article, the benefits of using this method as part of a treatment plan for infants with cleft lip and palate will be described. …

Clinical Assessment Of The Abutment Teeth Of Children Undergoing Space Maintainer Therapy: A Randomised Controlled Trial, Ayesha Fathima, Ganesh Jeevanandan, Prabhadevi Maganur, Suman Panda, Ather Syed Ahmed, Satish Vishwanathaiah

International Arab Journal of Dentistry

Introduction: The band and loop space maintainer are one of the most commonly used fixed space maintainers in children. However, prolonged use of appliances in the oral cavity may lead to changes in gingival health and an increased risk of caries.

Objectives: This study aims to evaluate the clinical parameters of the abutment teeth, specifically the banded teeth and the tooth to which the loop is extended.

Methods: This prospective clinical study included 35 children between the age group of 5 to 9 years. The children were examined at baseline and 6-month follow-up. The abutment teeth were …

Effect Of Low-Level Laser On Miniscrew Displacement During Canine Retraction: A Randomized Controlled Clinical Trial, Aly Osman, Nadia El Harouni, Mohamed Shokry

International Arab Journal of Dentistry

Background: Anchorage is an important consideration for successful orthodontic treatment. Skeletal anchorage by miniscrews provided better anchorage control then the ordinary extra-oral and intra-oral appliances. However, the stability of the miniscrews is still questionable since they might move under orthodontic loading.

Objectives: The aim of this study was to evaluate the effect of Low Level Laser on the miniscrew displacement when subjected to orthodontic force during canine retraction using CBCT.

Methods: Twelve patients who required bilateral extraction of upper first premolar and absolute anchorage were recruited from the outpatient clinics of the Department of Orthodontics, Faculty of …

Assessment Of Mandibular Cortical Bone Thickness For Miniscrew Placement In Relation To The Vertical Facial Patterns Using Cbct: A Cross-Sectional Study, Rima Daoui, Aly Osman

International Arab Journal of Dentistry

Introduction: The need of more anchorage in the orthodontic daily practice has introduced the use of temporary anchorage devices (TADs). Cortical bone thickness has been one of the major factors on the success rate of the stability of TADs. Different vertical dimension patterns can be found among orthodontic patients with potentially variable cortical bone thickness.

Aim of the study: to assess the cortical bone thickness in the posterior region of the mandible in relation to different vertical facial patterns using Cone-beam computed tomography (CBCT) and to evaluate the progressive change in the thickness of cortical bone from 4,6 …

Is Cutaneous Profile Perception An Indicator Of Skeletal Class Iii Malformation Treatment Plan? A Cross-Sectional Study, Ibrahim Hatoum, Rania Nassar

International Arab Journal of Dentistry

Background: The treatment choice in adults with skeletal class III malocclusion represents a challenging task for orthodontists, especially in borderline cases. With the growth spurt being surpassed, the clinician is left between two treatment options: orthodontic camouflage or orthognathic surgery. Around the years, many studies tried to uncover a guide model which enables practitioners to distinguish between skeletal class III that can be appropriately treated by orthodontics alone and those needing surgical intervention.

Aim: The aim of this study is to demonstrate the importance of cutaneous profile perception as a subjective decisive parameter in the treatment of borderline …

Designing Of Customized Devices In Orthodontics By Digital Imaging And Cad/Fem Modeling, Kaustubh Mantri, Priyanka Paul Madhu, Gunjan Taori, Nishant Rathi

International Arab Journal of Dentistry

In current decade, patient’s demand of minimal orthodontic treatment have encouraged the introduction of appliance that will be lighter, improved profile and better esthetics with regard to conventional orthodontic treatment. Considering aesthetic treatment options, removable clear aligner treatment got popular among patients since it allows clinician to deliver comprehensive orthodontic treatment while maintaining comfort of patient. The aligners should exert an adequate force in order to shift the tooth to a desirable position. But, in recent times, the relation of applied force and aligner property (eg. thickness) is inadequately witnessed. This article focuses on a patient-focused framework has been formulated …

Factors Influencing The Decision To Initiate Orthodontic Treatment And The Choice Of Appliance Type In A Lebanese Sample During The Covid-19 Pandemic And The Economic Crisis. A Cross-Sectional Study., Liliane Alameh, Elie Khoury, Elie Amm

International Arab Journal of Dentistry

Background: The spread of Coronavirus Disease 2019 (COVID-19) has led to a major public health issue. This study aimed to assess the factors that influence the Lebanese people in undergoing an orthodontic treatment after the outbreak of COVID-19, as well as the factors that influence their choice of orthodontic appliance type. Methods: 489 Lebanese participants (199 men and 290 women) were invited to fill a questionnaire developed on Google Forms. Eligible participants were simply Lebanese people including those who immigrated during the crisis. Dentists, dental students and foreigners were excluded from the study. The link for the questionnaire was sent …