Other Dentistry Commons^™

Photos And Silhouettes In Evaluating The Need For Bsso Surgery In Adult Females, Jessicah L. Moretz

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: The objective of this study was to determine the anterior/posterior position of the mandible at which an orthodontist and oral surgeon would advise bilateral sagittal split osteotomy advancement or set back when evaluating adult female photos and silhouettes. Material & Methods: Fifty-one adult female profile photos and lateral cephalograms were collected. Subjects were selected who met three criteria: 1) ANB of 0-2, 2) balanced profile image, and 3) age greater than 18. The image and cephalometric tracing were morphed together to allow software simulation of mandibular prognathia and retrognathia in 2 mm increments. Orthodontists and oral surgeons evaluated morphed …

Comparison Of Digital And Cbct Synthesized Lateral Cephalograms, Da Lee

Loma Linda University Electronic Theses, Dissertations & Projects

Purpose: The purpose of this study was to compare the precision of lateral cephalometric Ricketts analysis measurements from NewTom 5G CBCT (NewTom) synthesized lateral cephalograms with Sirona Orthophos XG Plus (Sirona) digital lateral cephalograms. Materials & Methods: A Sirona digital lateral cephalogram and a NewTom synthesized lateral cephalogram of a phantom in the orthogonal and perspective projections were created. Metal washers in each plane of the phantom were measured in the vertical and horizontal dimensions and compared across the different imaging modalities. In Group 1, forty patients were randomly selected from the Loma Linda University Graduate Orthodontic Clinic who had …

Comparison Between Ceph Analysis On Lateral Cephs, Cbct Scans, And Mri Scans, Jeffrey W. Lam

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: Most current methods of obtaining images for orthodontic diagnosis and treatment planning involve the use of ionizing radiation. Given that patients often need records taken several times during treatment, an alternative should be found that does not involve ionizing radiation. Magnetic resonance imaging (MRI) exists as a possible alternative. Purpose: The purpose of this study is to compare cephalometric measurements obtained from lateral cephs, cone beam computed tomography (CBCT) scans, and MR scans. Methods: Lateral cephs, CBCTs, and MRIs were taken on 22 patients. 3 separate readers traced the images and the data was analyzed using Bland-Altman plots. Results: …

Effect Of Attending Doctor Changes On Orthodontic Treatment Times And Results, Emily Caskey Peppers

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: The objective of this study was to determine if there was any significant difference in treatment time or results due to varying levels of attending doctor coverage in the Loma Linda University (LLU) graduate orthodontics clinic. Methods and Materials: The main study group of 191 subjects was split into high, medium and low coverage groups by primary attending doctor coverage and then by original attending doctor coverage. Treatment times, treatment results, and other variables were evaluated for each of the groups. Treatment results were evaluated using UK Peer Assessment Rating (PAR) scores. A second study group (289 subjects) included …

Periodontal Health Of Anterior Teeth With Two Types Of Fixed Retainers, Andrew I. Corbett

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: Fixed retainers for anterior teeth have become a popular method for maintaining the position and function of teeth after orthodontic treatment. Various retainer designs, wire sizes and types have been used over the years. One problem with fixed retainers is that they complicate oral hygiene and therefore might negatively affect the periodontal tissues if left in place for long periods of time. Purpose: The purpose of this study is to compare the periodontal health of maxillary and mandibular anterior teeth retained with two different types of fixed retainers. Methods: Male and female subjects who had been in continuous orthodontic …

Accuracy Of Ortho Insight 3d Digital Scanner In Mesial-Distal Tooth Measurements, Andrew A. Ferris

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: Digital scanners and software may be used to measure mesial-distal (MD) tooth width for orthodontic diagnosis and treatment planning. Although there have been many studies performed on different digital scanners, accuracy of mesial-distal tooth measurements using the Ortho Insight 3D scanner and its software (Motionview Software LLC) has not been reported. Purpose: The objective of this study was to determine if the MD tooth measurements from the digital models scanned by Ortho Insight 3D are accurate compared to the measurements taken directly from the teeth and models with a digital caliper. Material and Methods: Individual MD tooth measurements were …

Effectiveness Of Resin Infiltration And Mi Paste Cpp-Acp In Masking White Spot Lesions, Melissa Wu Bailey

Loma Linda University Electronic Theses, Dissertations & Projects

The development of decalcification around orthodontic brackets and bands, commonly called white spot lesions (WSLs), is often observed in patients with poor oral hygiene during treatment (Behnan et al., 2010, Rodgers et al., 2010). In many instances, these WSLs continue to be visible after the removal of fixed appliances and after natural remineralization. The purpose of this in vitro study was to compare the effectiveness of two treatment modalities, resin infiltration (RI) and Casein Phosphopeptide Amorphous Calcium Phosphate (CPP-ACP), at improving the light reflectivity and thus the appearance of WSLs using spectrophotometric analysis. Sixty extracted human third molars were partially …

Influence Of Outdoor Air Quality On Maxillofacial Growth And Development, Ryan Rudd

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: Mild to moderate deviations from normal facial types can significantly change orthodontic treatment modalities. Studies linking ambient air pollution with respiratory problems, as well as craniofacial morphology with respiratory problems are well established.1-19 In this study we aimed to determine if there was a correlation between ambient air pollution and maxillofacial growth and development. We also wanted to determine if further research should be done in this area, and if so how can the study be improved. Materials and Methods: We selected Santa Maria, CA and Upland, CA as sample areas due to their significant differences in air quality. …

Evaluation Of Apical, Coronal And Occlusal Form Diffrences With Conventional Orthodontic Treatment, Tamar Sardarian

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: Cone-beam computed tomography (CBCT) can be used to accurately identify dental landmarks in order to detect changes in dental arch forms. Purpose: The objective of this study was to determine how apical, coronal and occlusal arch forms change following orthodontic treatment with fixed appliances and to establish a base for future studies. Material and Methods: Maxillary and mandibular apical, coronal and occlusal landmarks of 27 subjects were selected on their respective CBCT images at two time points: pre-orthodontic treatment (T1) and post-orthodontic treatment (T2). Comparisons were made between the two time points to evaluate how each arch form changed …

Mechanical Evaluation Of Mandibular Defects Restored With Rhbmp-2: A Finite Element Model, Jelson Yalung

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: The utilization of recombinant human Bone Morphogenetic Protein-2 (rh- BMP2) to form new bone has been shown to be a promising alternative to autogenous bone grafts. Understanding the biomechanical properties of rhBMP-2 restored mandibular defects would provide useful knowledge in the future success of orthopedic and dental treatment in patients who have had restoration of mandibular defects with rhBMP-2. The aim of the study was to evaluate and compare the biomechanical characteristics of rhBMP-2 regenerated bone in mandibular defects using 2 different concentrations of rhBMP-2 with a given carrier in non-human primates Material and Methods: Critical-sized defects (approximately 2.5 …

Dental And Buccal Bone Stability After Rapid Maxillary Expansion And Fixed Orthodontic Treatment, Allison Milliner

Loma Linda University Electronic Theses, Dissertations & Projects

The objective of this study was to quantitatively evaluate, via CBCT, the dental and osseous effects of patients who had completed comprehensive orthodontic treatment with rapid maxillary expansion (RME) in conjunction with Ricketts prescription brackets. Thirty consecutive patients (16 males, 14 females; mean age = 13.9  1.9 years) who required RME as part of their orthodontic treatment and had pre-RME (T1), post-RME (T2) and final orthodontic (T3) CBCT images were included in the study. Thirteen patients had 2-banded, while 17 had 4-banded appliances. Measurements of interdental distance (ID), interdental angle (IA), buccal bone thickness (BBT) and buccal marginal bone …

Accuracy Of Unsegmented Cbct In Mesial-Distal Tooth Measurements, Todd Wesslen

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: Cone-beam computed tomography (CBCT) scans may be used to measure mesial-distal (MD) tooth width for orthodontic diagnosis and treatment planning. Purpose: The objective of this study was to determine if MD tooth measurements from unsegemented CBCT scans in the axial, sagittal, and coronal planes or from a panoramic reconstruction correlate and agree with respective measurements made on study models. Material and Methods: Using stone models of 30 subjects, reference MD tooth measurements were made using digital calipers. From CBCT scans, five different methods of measuring MD width were used and compared to the reference: (1) points chosen from orthogonal …

Cone-Beam Computed Tomography And Orthodontics: Awareness Assessment, Warren D. Libby

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: The purpose of this study was to evaluate a specific orthodontic community's knowledge and understanding of Cone-Beam Computed Tomography (CBCT) technology as well as awareness of the implications of CBCT use, including risk assessment, radiation dose estimation, diagnostic utility, and issues of informed consent. It is incumbent on the profession to understand how practitioners view this technology as it gains popularity and ease of use. Materials and Methods: A 21-question survey with 13 additional demographic questions was distributed to several different populations affiliated with Loma Linda University School of Dentistry: 1) undergraduate dental students, 2) students in specialty programs …

Sleeping Tongue Posture And Its Relationship To Craniofacial Morphology, Brent J. Tingey

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: There exists good consensus in the literature supporting the notion that resting tongue posture is an important factor in dental arch development and maintenance as well as airway control. What has yet to be quantitatively measured is the duration of time that a subconscious, resting tongue posture is maintained and whether such posture differs among various craniofacial morphologies. Quantifiable measurements might allow for prediction of tongue-posture-related problems specific to certain facial types. Purpose: The objective of this study was to record sleeping tongue posture over time in 27 subjects and to compare findings with craniofacial morphology determined by cephalometric …

Profile Attractiveness In Borderline Class Iii Surgical/Orthodontic Cases, Melina Adamian

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: This study evaluated differences between laypersons and orthodontists in rating facial attractiveness in borderline class III surgical/orthodontic cases. The purpose was to determine whether orthognathic surgery or camouflage is a better alternative for observable esthetic improvement in borderline Class III surgical/orthodontic patients. This study will aid the orthodontist in recommending treatment options to enhance profile attractiveness of borderline Class III surgical/orthodontic patients. Materials and Methods: Thirty profile images of treated borderline class III surgical/orthodontic cases were selected. Fifteen of the profile images were of cases that had been treated by orthodontics alone, and fifteen images were of cases that …

The Association Between Body Mass Index And Dental Caries In Hispanic Elementary School Children, Mary Creske

Loma Linda University Electronic Theses, Dissertations & Projects

Background: Dental caries is the most common chronic disease of children ages 6 to 11. According to the U.S. Department of Health and Human Services, 41% of the children in this age group experience decay in their primary teeth. Since 1980 the number of overweight children ages 6 to 11 has doubled. Childhood obesity is currently the most prevalent nutritional condition of children in the U.S.

Purpose: The purpose of this observational study was to determine if there is an association between childhood dental caries and childhood obesity. The study also explored the effects of diet and other covariates.

Method: …

Effects Of Orthodontic Treatment On Social Perceptions, Sherry A. Caraveo

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: The purpose of this study was to record first impressions elicited by photographs of orthodontic patients before and after treatment to test the hypothesis that after treatment patients will elicit a more positive first impression.

Methods and Materials: Before (Tl) and After (T2) photographs of six orthodontic patients equally divided by gender and standardized for background facial attractiveness were selected. Three different malocclusions were represented: 1) Class 1 crowded, 2) Class 11 div 1, and 3) Class 111. 108 college students rated each photographed patient on three attributes: physical attractiveness, intelligence and social desirability. Participants recorded their responses on …

Immediate Tooth Replacement With Subepithelial Connective Tissue Graft Using Platform Switching Implants, Seunghwan Chung

Loma Linda University Electronic Theses, Dissertations & Projects

This case series evaluated the facial gingival stability following immediate tooth replacement in conjunction with subepithelial connective tissue graft in the esthetic zone. Implant success rate and peri-implant tissue response were also reported.

Ten patients (6 males, 4 females), with a mean age of 52.1 (range = 22.7 to 67.1) years, underwent immediate implant placement and provisionalization with SCTG and were evaluated clinically and radiographically at pre-surgery (T0), immediately after immediate tooth replacement and SCTG (T1), 3-months (T2), 6-months (T3), and 12-months (T4) after surgery. Data was analyzed using the Wilcoxon Signed-Ranks Test and Friedman Test at the significance level …

Using Cone Beam Computed Tomography To Identify A Prediction Model For Obstructive Sleep Apnea, Jodi Parker

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: Obstructive Sleep Apnea (OSA) patients have increased risk of morbidity and mortality. Early diagnosis may reduce morbidity and mortality. Prediction of OSA from imaging may help to identify OSA patients earlier in life. CBCT can be used for OSA diagnostic imaging due to its three-dimensional (3D) visualization of the upper airway and craniofacial complex. Magnification associated with conventional 2D radiography is eliminated with CBCT, and radiation to the patient is significantly less than previous modalities used to measure craniofacial & airway measurements associated with OSA. During a CBCT scan, the patient's image is taken supine, rather than the upright …

Effect Of A Two Piece Scalloped Implant Design On Interproximal Bone Apposition/Retention - A Pilot Study In Rabbits, Aladdin Jamal Al-Ardah

Loma Linda University Electronic Theses, Dissertations & Projects

The aim of the study was to evaluate the effect of an experimental two piece scalloped implant design with a scalloped elliptical coronal part and an HA surface treatment on the bone to implant contact percentage in comparison to a commercially available HA treated implant. The possibility of bone apposition / retention along the exposed coronal scalloped part and the effect of the presence of a junction on the bone to implant contact percentage and bone apposition / retention were analyzed. 10 rabbits were included in the study with each rabbit receiving one control implant in one tibia and one …

Characterization Of Rhbmp-2 Induced Heterotopic Bone Subjected To Distraction Osteogenesis, Anne J. Yoon

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to characterize and analyze the heterotopic bone regenerate which formed following implantation of recombinant human bone morphogenetic protein-2 (rhBMP-2) and to determine by epi-illumination, x-ray photometry and histology, if there is increased and sustained osteogenic potential present with distraction osteogenesis of this heterotopic bone. While many previous studies have documented the osteogenic potential of BMP-2, no study to date has shown the results of application of force on this ectopic bone. Our study included three control rats (non-expansion) and six experimental rats (expansion). Of the control rats, #76 (a pilot study rat) had already …

Cephalometric Analysis Using Magnetic Resonance Imaging, Wade A. Williams

Loma Linda University Electronic Theses, Dissertations & Projects

Purpose: The purpose of this study was to determine if T1-weighted 3D magnetic resonance images performed at 3.0 Tesla could be used to conduct routine orthodontic cephalometric analysis.

Methods: Three cranial imaging methods were compared using sixteen non-growing subjects (10 male and 6 female) who were not claustrophobic, did not have any metallic restorations on the distal of first molars, had no medical implants and the female subjects were not pregnant. Sagittal cranial images were produced by three methods: (1) a digital lateral cephalometric (LC) radiograph (Orthophos XG Plus, Sirona^TM, Bensheim, Germany), (2) a 12-inch FOV cone beam …

Precision Of Temporary Anchorage Device Placement With 2d Vs. 3d Diagnostic Tools And Surgical Guides, Howard Lee

Loma Linda University Electronic Theses, Dissertations & Projects

Current methods of temporary anchorage device (TAD) planning and placement are performed by radiographic analysis in a two-dimensional plane that lends itself to inaccuracy secondary to variations in the angle from which the radiograph is taken, as well as the magnification of the radiographic image, resulting in an increased likelihood of placement errors. The purpose of this study was to compare a three-dimensional (3D) TAD planning and placement technique to a traditional two-dimensional (2D) technique. In the 2D group, periapical radiographs and pre-fabricated wire guides were used for planning and placement of TADs on five plastic models. For the 3D …

Influence Of Mandibular Fixed Retainers On Diagnostic Quality Of Cranial Mri, Norman E. Carter

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to evaluate the diagnostic quality of MR images taken on subjects with different types of orthodontic lingual retainers in place. The study provides guidelines and recommendations for use of lingual retainer materials in those patients who are or may potentially undergo routine magnetic resonance imaging. Ten subjects had impressions taken and models made for retainer tray fabrication. Removable trays with each lingual retainer material incorporated in them were fabricated from the models. Subjects underwent scans with each of the five test trays in place. T1 sagittal (T1), T2 axial (T2), gradient echo (GRE), and …

The Effects Of The Quadhelix Appliance On The Dentition And Adjacent Buccal Bone, Shannon Hilgers

Loma Linda University Electronic Theses, Dissertations & Projects

Maxillary palatal expansion has long been used in orthodontics as a means of correcting constricted and collapsed dental arches. The quadhelix appliance, developed by Drs. Robert Ricketts and Ruel Bench, expands buccal segments and causes distobuccal rotation in upper first molars. The objective of this study was to assess the direct effects that the quadhelix appliance on the surrounding dentition and buccal bone in the maxillary premolar and molar areas in a finite, measurable manner. This assessment was made using the NewTom 3G. The pre-quadhelix and post-quadhelix NewTom 3G images of twenty patients treated in the Graduate Orthodontic Clinic at …

The Skeletal Effects To The Maxilla After Rapid Maxillary Expansion Using Cbct, Brett J. Garrett

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to use cone beam computed tomography (CBCT) to quantitatively evaluate and compare skeletal expansion and alveolar tipping of the maxilla at the maxillary canine (Cl), first premolar (PI), second premolar (P2) and first molar (Ml) after rapid maxillary expansion (RME). Transverse effects to the maxillary suture, nasal width and maxillary sinus were also assessed. Included in the study were thirty consecutive patients (17 males and 13 females; mean age = 13.8 + 1.7 years) requiring RME using Hyrax appliances as part of their comprehensive orthodontic treatment. The pre-RME and post-RME measurements of palatal and …

Resorbable Barrier Effect In Sinus Graft Using Anorganic Bone, Kyung-Soo Choi

Loma Linda University Electronic Theses, Dissertations & Projects

The effect of a resorbable membrane on new bone formation in human maxillary sinus augmentation using anorganic bovine material is unclear at the present time. As a pilot study, six patients who required bilateral maxillary sinus augmentations for endoessous dental implant treatment were grafted with anorganic bovine bone material. All six patients had a resorbable collagen membrane placed over the graft material on only one side for the sinus augmentation. At the time of implant placement, a minimum of 8 months following sinus graft healing, a biopsy was made of each side to permit histomorphometric analysis.

Similar amounts of new …

Variability In Selecting Lateral Cephalometric Landmarks In Two Cbct Image Modes, Dana Nguyen

Loma Linda University Electronic Theses, Dissertations & Projects

Purpose: The purpose of this study was to determine the variability of lateral cephalometric landmark selection in two cone beam computed tomography (CBCT) lateral cephalometric simulations: 1) a mean projection image (MPI) and 2) a serial sagittal slice image (SSSI).

Methods: A MPI is a two-dimensional (2D) image obtained from the NewTom 3G^TM CBCT that resembles the conventional lateral cephalogram. A SSSI is a 2D image also obtained from CBCT data, but is created by superimposing a series of selected thin sagittal slices containing the required cephalometric landmarks. This study compared the Ricketts and Steiner analysis of the MPI …

Adolescent Craniofacial Morphology Associated With Degenerative Joint Disease, Byron Diehl

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this retrospective research was to evaluate the association of degenerative joint disease (DJD) on the skeletal and dental patterns of affected adolescent individuals. The T1 lateral cephalometric radiographs of 48 subjects were reviewed, consisting of 18 subjects with DJD and 25 subjects without DJD. The age of subjects ranged between 10 - 17 years with a mean age of 13 years. Linear and angular cephalometric measurements were taken to evaluate the skeletal, denture base and dental characteristics of the two groups. Overall, there were 24 variables chosen to represent the cranial base, maxillary jaw position, mandibular jaw …

Implant Success In Distracted Bone Versus Autogenous Bone-Grafted Sites, Jeffrey Allan Elo

Loma Linda University Electronic Theses, Dissertations & Projects

Endosseous implants are the treatment of choice for restoring function and reconstructing edentulous areas of the maxilla and mandible. Alveolar defects can be reconstructed by either distraction osteogenesis or autogenous bone grafting. After alveolar reconstruction, endosseous implants are used to support and retain the prosthesis for restoration of form and function. We retrospectively analyzed the success rates of endosseous implant placement in distracted versus autogenous bone graft reconstruction sites in our patient population at Loma Linda University Medical Center, Department of Oral and Maxillofacial Surgery. 82 consecutive patients requiring alveolar augmentation prior to implant placement were evaluated. All patients were …