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. …

A Six-Month Comparison Of Orthodontic Pain Associated With Fixed Edgewise Appliances And Clear Aligners, Victor Chan

Theses and Dissertations

Title: A Six-Month Comparison of Orthodontic Pain Associated with Clear Aligners and Fixed Edgewise Appliances

Objective: To document and compare pain perception, intensity, and analgesic use over a sixmonth period between patients treated with fixed appliances (FA) and clear aligners (CA).

Methods: A prospective, parallel, two-arm, multi-center, longitudinal cohort study was conducted with 87 adults treated with CA (n=59) or FA (n=28). Subjects were selected according to inclusion and exclusion criteria. A seven-item, digital survey was sent at three timepoints (preappointment, 2-days post-appointment, and 7-days post-appointment) at each adjustment over a six-month period. The variables measured included pain experience, pain …

Motivations Of Adult Patients Seeking Orthodontic Retreatment, Scott V. Philips

Theses and Dissertations

Objective: The aims of this study were (1) to compare the reasons adult patients seek orthodontic first-time treatment to the reasons adult patients seek orthodontic retreatment, and (2) to compare the concerns, motivations, and satisfaction levels of adult patients seeking orthodontic retreatment across the different previous treatment provider types of orthodontist, general dentist, and Direct-to-Consumer company.

Methods: At their initial orthodontic visit, adult patients (N=108) were invited to participate in the digital survey (REDCap) study. Subjects were recruited from the graduate orthodontics clinic at Virginia Commonwealth University and seven private orthodontic practices across the United States. Visual Analogue Scales were …

Aerosols In Orthodontics: Characterization Of Particle Size And Travel Distance, Donte Jochum-Nesbitt

Theses & Dissertations

Introduction: Aerosol production is a key contributor to occupational risk and disease transmission in the dental clinic. These aerosols can host harmful pathogens, such as SARS-CoV-2. Considering the 2020 pandemic, researchers endeavored to bolster the existing body of literature related to disease transmission via aerosols and droplets to provide better recommendations for infection control. This investigation aims to support that mission by characterizing the risk to orthodontic professionals and patients based on aerosolized particle size and travel distance. Methods: The experimental protocol used in this study was validated through a smaller scale pilot study in 2021. High- and Low-risk orthodontic …

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. …

Comparison Of Two Different Treatment Methods On White Spot Lesions After Orthodontic Treatment, Li-Ling Kao, Hsiu-Ming Hsu, Chuan-Yang Chang, Jia-Kuang Liu

Taiwanese Journal of Orthodontics

The aims of the study were to compare the degree of demineralization and the size alteration of white spot lesions after orthodontic treatment using fluoride dentifrice or tooth mousse therapy. Twelve upper incisors with demineralized white spot lesions of eight participants were identified after fixed appliances were removed. These participants were randomly and double blindly assigned to use one of the two dentifrices (TM and FD). Degree of demineralization was examined using DIAGNodent pen and digital photographs were taken at bracket removal, 4 weeks and 8 weeks later. Image J, one image processing software, was used to measure the size …

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 …

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 …

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

Graduate Theses, Dissertations, and Problem Reports (ETD)

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 (ETD)

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 …

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

Graduate Theses, Dissertations, and Problem Reports (ETD)

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 …

Characterization Of Aerosols Produced By Common Orthodontic Procedures, Anna R. Schoettger

Theses & Dissertations

Introduction: Aerosols can harbor active viruses, including SARS-CoV-2, making it vital that clinical protocols implemented in the orthodontic office be based on which procedures produce aerosols. Research shows that various procedures in the field of orthodontics generate aerosols, however, there is a lack of consensus as to which procedures should be deemed aerosol-generating procedures (AGPs). The current study aimed to better understand aerosol production of various orthodontic procedures. Methods: Orthodontic procedures were performed in a closed-room dental operatory on acrylic teeth mounted onto a dental manikin. Procedures performed included: debonding, bonding, and repositioning of one bracket. Variations introduced included: high-speed …

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 …

Efficacy Of Psychological Interventions In The Reduction Of Orthodontic Pain At Its Peak Of Intensity In Patients Undergoing Fixed Orthodontic Treatment: A Systematic Review And Meta-Analysis, Mahmoud Mando Dr., Sameh Talaat Dr.

Future Dental Journal

Objectives: To investigate the efficacy of psychological interventions in the reduction of orthodontic pain at its peak of intensity.

Data sources: A search strategy was implemented using both manual hand search and electronic databases, including Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, ScienceDirect, Scopus and EBSCO.

Resources selection Randomized controlled trials involve 1) patients undergoing fixed orthodontic treatment 2) minimum age of 10 years old, 3) receiving a psychological intervention to control resulted pain and discomfort, 4) medically fit and 5) no previous orthodontic treatment, were included in the systematic review. All articles were checked against the inclusion and …

Effects Of Remote Digital Monitoring On Oral Hygiene Of Orthodontic Patients: A Prospective Study, Linda Sangalli, Fabio Savoldi, Domenico Dalessandri, Stefano Bonetti, Min Gu, Alberto Signoroni, Corrado Paganelli

Oral Health Science Graduate Research

BACKGROUND: Remote digital monitoring during orthodontic treatment can help patients in improving their oral hygiene performance and reducing the number of appointments due to emergency reasons, especially in time of COVID-19 pandemic where non-urgent appointments might be discouraged.

METHODS: Thirty patients scheduled to start an orthodontic treatment were divided into two groups of fifteen. Compared to controls, study group patients were provided with scan box and cheek retractor (Dental Monitoring®) and were instructed to take monthly intra-oral scans. Plaque Index (PI), Gingival Index (GI), and White Spot Lesions (WSL) were recorded for both groups at baseline (t₀), every …

Patient Perspectives On Teledentistry And Face-To-Face Doctor Interaction During Orthodontic Treatment, Jackson K. Griffeth D.M.D.

Theses and Dissertations

Purpose: Orthodontic patients were surveyed to determine the perceived value of doctor-to-patient face-to-face interaction, the desire for convenience and attitudes toward specific uses of teledentistry.

Methods: Participating private practice orthodontists emailed the survey to active patients. 75 self-pay patients from VCU Orthodontic clinic were also invited to complete the survey. Patients 18 years or older were asked to complete the survey regarding their own treatment. Parents of patients under age 18 were asked to complete a separate survey regarding their child’s treatment. Questions asked patients about the importance of face-to-face interaction with their orthodontist and their preferences for the inclusion …

Evaluation Of Dental And Skeletal Changes With Sequential Distalization Of Maxillary Molars Using Clear Aligners: A Preliminary Study, Minh Phi Nguyen

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: Class II malocclusions can be treated with appliances such as the pendulum appliance or distal jets to distalize maxillary molars to achieve a Class I molar relationships. It is not clear in the literature whether these clear aligners can distalize maxillary molars, dental tipping, or translation. The objective was to evaluate the dental and skeletal changes in three planes spaces using CBCT scans and compare the treatment changes with a control group of subjects. Methods: Eight Class II division 1 malocclusions patients treated with maxillary molar distalization using clear aligners. Twelve molars were evaluated for tooth movement in three …

A Comparison Of Three-Dimensional Printing Technologies On The Precision, Trueness, And Accuracy Of Printed Retainers, Owais A. Naeem

Theses and Dissertations

Purpose: The aim of this study was to evaluate the differences in the precision, trueness, and accuracy of 3D printed orthodontic clear retainers produced using printer systems with various printing technologies.

Methods: Retainers (n=15) were printed using four different 3D printers: a stereolithography (SLA) printer, two different digital light processing (DLP and cDLP) printers, and a polyjet photopolymer (PPP) printer. The 3D printed retainers were transformed into a digital file through a cone-beam computed tomography scan that was compared to the original image using a 3D superimposition analysis software. At previously chosen landmarks (R6, L6, R3, L3, R1, L1) retainers …

The Effect Of Print Angulation On The Accuracy And Precision Of 3d-Printed Orthodontic Retainers, Allison Williams

Theses and Dissertations

Purpose: The aims of this study were: 1) to compare the accuracy and precision of 3-

dimensional (3D) printed retainers at various angulations, 2) to evaluate the effect of angulation

on printing time and the amount of resin consumed.

Methods: Using a stereolithography (SLA) 3D printer, a total of 60 clear retainers were printed at five angulations (n=12, each): 15, 30, 45, 60, and 90 degrees. Six retainers were printed each cycle at a random order for all print angulations as print 1 and print 2. Digital images of the original and printed retainers were superimposed. Discrepancies on eight landmarks …

The Effectiveness Of Resin-Modified Glass Ionomer Varnish In Preventing White Spot Lesions During Fixed Appliance Orthodontic Therapy: An In Vitro Study, Bradley Herman

Theses & Dissertations

The purpose of this investigation was to evaluate the efficacy of a glass ionomer varnish in preventing demineralization of enamel adjacent to and some distance away from an orthodontic bracket. Forty extracted human molars were divided into four different treatment groups (varnish in distilled water, varnish in acetic acid, enamel in acetic acid, and enamel in distilled water). Two 3 x 3 mm graphite windows were drawn on the tooth, one adjacent to the bracket and one 3 mm away from the first window, indicating the scanning area. Varnish was applied to the teeth in the varnish groups and all …