Orthodontics and Orthodontology Commons^™

Mandibular Expansion Appliances And Their Activation Protocols, Tivanani Venkata Durga Mahendra, Vyshnavi Mulakala, Manda Anoosha

Taiwanese Journal of Orthodontics

A tooth size-arch length discrepancy (TSALD) occurs when there is an imbalance between the size of the teeth and the space available in the dental arches to accommodate them. Relief of crowding through expanding the arch is the most employed non-extraction method in orthodontics. Because of the absence of a midline suture and the resistance of the mandibular body, resolving crowding in the lower arch is more complex than in the upper arch. However, numerous researchers have devised innovative techniques and methods to successfully bring about the desired and stable changes through mandibular expansion. The advantage of this procedure was …

Factors Affecting Mandibular Growth And Displacement And Their Effect On Treatment Outcome, Ib Leth Nielsen

Taiwanese Journal of Orthodontics

Orthodontists often have difficulty distinguishing between growth and displacement when it comes to the mandible and often the two are merged into one and referred to as just mandibular growth. It is clinically important to distinguish between the two as it can greatly affect the choice of treatment protocol and mechanics. In this review we shall attempt to clarify the issue with clinical examples in the hope of bringing more understanding to the problem. Controlling the factors that are involved in determining the outcome of orthodontic treatment in a growing patient can often be a difficult task and is affected …

A New Cephalometric Innovation For Assessing Vertical Skeletal Discrepancy: The Msg Angle, Mahamad Irfanulla Khan, Praveen Kumar Neela

Taiwanese Journal of Orthodontics

Purpose: The aim of the study was to introduce a new cephalometric parameter, the MSG angle; and to assess the effectiveness of the MSG angle to diagnose the vertical skeletal discrepancy of the face.

Methods: One hundred and fifty pretreatment Lateral Cephalometric Radiographs (LCRs) of patients between 14 to 35years (Mean ± SD: 19.6 ± 4.93) were included. Based on the FMA, Sn-Go-Gn, and R - angle, all the LCRs were subdivided into three groups: low angle (28 female and 22 male); average angle (29 female and 21 male); and high angle (27 female and 23 male), with 50 …

Proceedings Of The 2022 Icap Conference, International Consortium Of Ankylofrenula Professionals

International Journal of Orofacial Myology and Myofunctional Therapy

The International Consortium of Ankylofrenula Professional (ICAP) held its 2022 Conference in Vancouver, Canada from September 1 to 4, 2022, titled ‘Untangling Ankylofrenula: Collaborative Approaches to Best Practice Management’. The Conference Proceedings includes abstracts and summaries of plenary, concurrent, lightning and virtual presentations.

Electromyographic Activity Of Masticatory Muscles In Asymptomatic Young Adults, Aneta Wieczorek, Malgorzata Pihut, Jolanta E. Loster

Journal of Dentistry Indonesia

Introduction: The masseter and the anterior part of the temporalis are the muscles mainly responsible for the clenching function. Clenching patterns and the activity of these muscles are not expected to differ between male and females, nor between different occlusal classes. Objective: The aim of this study was to determine whether the activity index of the masseter and temporalis muscles is related to occlusal class and gender. Methods: This study involved 145 eighteen-year-old Caucasian volunteers who underwent surface electromyography. The sEMG was analyzed at the moment of 100% occlusal contact. Occlusal classes were determined used plaster casts. …

The Effect Of Disc Displacement On Temporomandibular Joint Morphology In Patients With Disc Displacement, Melike Yurttaş, Esin Bozdemir, Şehnaz Evrimler

Journal of Dentistry Indonesia

Objective: To examine the morphological properties of temporomandibular joint structures by magnetic resonance imaging (MRI) on patients with and without disc displacement (DD). Methods: Thirty-eight patients with disc displacement and 13 patients without disc displacement were included. Age, gender, and clinical findings such as pain, joint sounds of patients were recorded. The patients were classified as anterior disc displacement with reduction (ADDWR) group, anterior disc displacement without reduction (ADDWoR) group, and control group on MRI. Disc morphology was categorized as biconcave, hemiconvex, biconvex, biplanar, or folded. Condyle morphology was characterized as convex, angled, flat, or rounded. Articular eminence …

Effects Of Lime (Citrus Aurantifolia Swingle) Peel Extract Addition To Periodontal Dressing On The Number Of Blood Vessels In The Gingival Wound Healing Process, Malianawati Fauzia, Savira Pratista Oktaviana

Journal of Dentistry Indonesia

Background: Periodontal dressings that are currently available can only protect wounds from mechanical trauma, but have no ability to accelerate wound healing. Lime (Citrus aurantifolia Swingle) peel extract added to periodontal dressing contains flavonoids which can stimulate the formation of new blood vessels, thus accelerating the healing process. Objective: To determine the effects of adding lime (Citrus aurantifolia Swingle) peel extract to periodontal dressing on the number of blood vessels in the gingival wound healing process. Methods: 32 rabbits with 2 mm wound made on the gingiva were divided into 8 groups. For the control groups of …

Early Eruption Of All Permanent Teeth, Including The Upper Canines, In A Nine-Year-Old Child Who Was Born Prematurely; Case Report, Bassam Ali Al-Turaihi, Israa Hussein Ali

Maaen Journal for Medical Sciences

The world health organization (WHO) define the premature birth as a birth occur before 37 weeks of gestation or if the birth weight is below 2500 g. Our case subjected for both criteria of the preterm definition. ((1)) ((2)) The case was born before 31st week with 1300 g birth weight with stormy beginning of life in the first three months in the hospital according to the history taken from general practitioner (GP) for that reason their parents tack care about his general health and specifically oral health and development. Throughout his life he developed healthy with no medical problem. …

Camouflage Orthodontic Correction In An Adult Patient With Skeletal Class Iii Malocclusion – A Case Report, Yun-Fang Chen, Yuh-Jia Hsieh, Yu-Fang Liao

Taiwanese Journal of Orthodontics

The case report described the camouflage treatment of an adult patient with skeletal Class III, anterior cross bite, open bite tendency and dental crowding. A 19-year-old male patient presented with chief complaint of anterior crooked teeth. The clinical examination showed a straight to concave profile, midface retrusion, mandibular protrusion, slightly high mandibular plane angle, upper and lower lip protrusion, lip incompetence, Class III molar and canine relationships. Because the patient refused to receive orthognathic surgery, the camouflage orthodontic treatment was planned along with extraction of bilateral upper second premolars and lower first premolars and modest backward-rotation of the mandible to …

Intraosseous Movement Of Multiple Impacted Teeth Occurred In Unilateral Maxilla During Orthodontic Treatment – A Case Report, Chun-Hsiu Yang, Chun-Liang Kuo

Taiwanese Journal of Orthodontics

The orthodontic treatment of unilateral multiple impacted teeth is challenging. It is often accompanied with a wide range of surgical exposure for impacted teeth. We reported a 14-year-old male patient who had a retained primary canine, first and second molars in left maxilla, complicated with proximal caries and gingival abscess over the primary first molar. The panoramic radiography revealed with a horizontally impacted canine, first premolar and vertically impacted second premolar in left maxilla. After relive the underlined pathogenesis of the tooth impaction by removing the primary teeth and abscess, the second premolar erupted subsequently. During traction of the inferiorly …

Orthopedic-Orthodontic Intervention For A Skeletal Class Iii Malocclusion With An Inverted Maxillary Central Incisor Impaction – A Case Report, Hsin-Ho Chen, Sheng-Chin Lin, Shin-Huei Wang, Yuan-Yi Tung, Hsuan-Yi Hsiao, Yi-Jane Chen

Taiwanese Journal of Orthodontics

The etiologies of Class III malocclusions may result from mandibular prognathism, maxilla deficiency, or both. For growing children with Class III malocclusions characterized with deficient maxilla, the treatment of choice would be protraction of the maxilla. Successful orthopedic treatment through growth modification has increased the possibility to correct developing Class III malocclusion with non-surgical method. In addition, maxillary expansion is frequently required in treatment of Class III malocclusions by increase the transverse width of the maxilla, and possibly enhance the protraction effect of the facemask through disrupting the maxillary suture system. Herein we report a case of 8-year-old boy presenting …

Corticotomy Assisted Lower Molar Protraction Treatment For A Periodontally Compromised Patient – A Case Report, Cheng-Hsun Shih, Ming-Chu Huang, Yuen-Yung Tsang

Taiwanese Journal of Orthodontics

This is a case of a 51 years old female with skeletal Class I malocclusion, suffered from root fracture of #46 & moderate generalized periodontitis. She asked for molar protraction of #47 #48 to close the extraction space of #46 without any prosthesis or dramatic change of profile. Treatment planning was removal of #46 & protraction of #47 #48 with mini screw. It became difficult to close the residual space of #46 after 17 months of treatment due to narrow edentulous ridge. Therefore corticotomy plus bone grafting was performed. After treatment, her occlusion was stable and profile was satisfied. Selective …

Long-Term Evaluation And Treatment For A Patient With Costochondral Graft Reconstruction In Hemifacial Microsomia – A Case Report, Shih-Wen Fan, Wen-Ching Ko, Kuo-Ting Chen

Taiwanese Journal of Orthodontics

A 17-year-old girl who was diagnosed as Pruzansky Grade III hemifacial microsomia (HFM) at right side, came with chief complaint of face asymmetry and occlusal deviation. The patient was regularly followed up in the Chang Gung Craniofacial Center. She had her affected right side ramus and condyle reconstructed with costochondral graft (CCG) around 6 years of age. The extraoral examinations indicated severe facial asymmetry with longer right face and prominent left face; the lower jaw was severely deviated to the left side due to overgrowth of the CCG at right mandible; besides, the right reconstructed condyle was ankylosed. The presurgical …

Methods Of Gaining Dental Space – A Literature Review, Wei-Ting Chang, Hsuan-Yi Hsiao, Chi-Ying Huang, Yi-Jane Chen

Taiwanese Journal of Orthodontics

When treating patients with teeth mal-alignment and crowding, orthodontists have many strategies to gain the space. This article reviews the conventional methods which focus on molar distalization and arch expansion, rather than tooth extraction and temporary anchorage devices. The outcome of treatment with pendulum, distal jet, rapid maxillary expansion, and lip bumper were evaluated from various aspects. The aims of the literature review are to help orthodontists formulate an optimized treatment plan and predict treatment outcome and limitation in acquiring space by molar distalization and arch expansion.

Orthodontic Treatment To Improve Periodontal Defect In A Patient With Lower First Molar Extraction– A Case Report, Yu-Ling Cheng, Yuen-Yung Tsang, Chia-Yi Pan, Ming-Juean Su

Taiwanese Journal of Orthodontics

A 23 year-old male came with chief complaint of lower anterior crowding and protrusive lower lip. Dental examination revealed missing teeth 14, 24 and 34 and horizontally impacted 38 and 48. Poor prognosis of tooth 36 was found after evaluation. Anterior cross bite and open bite at his left side occlusion were also seen. In this case, removal of teeth 36 and 38 were selected instead of 44 extraction. Thus the timing and proper sequence of tooth extraction become critical. The biomechanics of tooth movement was designed to ensure that all teeth are in functional occlusion and the lower left …

Relationship Between Orthodontic Treatment And Root Resorption – A Literature Review, Yu-Tnig Wu, Wen-Ken Tai, Hoi-Shing Luk, Chih-Chen Chou, Heng-Ming Mark Chang, Chia-Tze Kao

Taiwanese Journal of Orthodontics

Shorting of tooth or external root resorption that happen during or after completion of orthodontic treatment are troublesome. The root resorption could affect treatment outcome, unstable orthodontic tooth movement and even cause medical dispute. The etiologies of external root resorption could be systemic problems or local factors. The mechanism of external root resorption is still unclear and under investigation. This article reviewed the factors and possible causes on the orthodontic root resorption and discussed the possible role of light emitted diode (LED) biophotostimualtion effects to inhibit the root resorption. The information was provided for orthodontists in daily practice.

The Proper Timing And Strategies To Initiate Orthodontic Treatment For Patients With Class Iii Malocclusion– A Literature Review, I-Hsuan Su, Ar-Ting Wang, Feng-Lan Chan, Jenny Zwei-Chieng Chang

Taiwanese Journal of Orthodontics

Treatment for Class III malocclusion has been a controversial issue due to the unpredictable growth pattern. According to the literatures, various early interventions have been proposed to modify the skeletal relationship in order to reduce the need for the future complex orthognathic surgery. The influences of the age and the growth potential of patients at the time of treatment were also commonly discussed. Systematic review of the literatures showed that the amount of orthopedic effect was related to the age of patients; however, for those that start treatment before puberty, the stage of the mixed dentition at time of treatment …

Non-Extraction Treatment For Class Ii Malocclusion With Dentition Crowding – A Case Report, Hung-Hsiang Liao, Shao-Chun Lu, Ya-Ting Wang, Joung-Lin Liaw, Fong-Lan Chan, Chung-Chen Jane Yao

Taiwanese Journal of Orthodontics

To coordinate the dental midlines with facial midline is one of the orthodontic treatment goals. This case report presented a case with Class II dentition crowding and asymmetry by non-extraction therapy with the aids of TADs. Transpalatal arch with extension arm was used to correct buccal version of upper second molar which contributed the mandibular deviation. Molar distalization and arch widening were achieved by using TADs. Midline and Class II elastics resulted more correction of dental midlines to facial midlines. At the end of treatment, Class I canine and molar relationships and centered midlines were obtained. Better facial symmetry was …

Correction Of Angle Class Ii Malocclusion And Buccal Crossbite Assisted By Tads – A Case Report, Huei-Ying Mu, Yuen-Yung Tsang, Yu-Ling Cheng, Chia-Yi Pan, Ming-Jeaun Su, Yi-Min Liu

Taiwanese Journal of Orthodontics

Complete buccal crossbite is rare and difficult to be treated either orthodontically or surgically. This article presents an adult patient with bilateral Class II molar relationship and complete buccal crossbite at the right premolars region. She was treated with four bicuspids extraction along with upper buccal and palatal TADs as well as cross elastics in order to achieve well-aligned dentition. The buccal crossbite was corrected and and good profile was achieved.

Correction Of Class Ii Malocclusion And Lower Premolar Impaction Of An Adult Patient With Tads – A Case Report, Chien-Cheng Chen, Shih-Syun Syu, Yi-Horng Chen

Taiwanese Journal of Orthodontics

Dentoalveolar ankyloses of primary tooth sometimes cause impaction of its successor tooth. In this condition, extraction of the ankylosed primary tooth and orthodontic forced eruption of the impacted permanent tooth may be a choice of treatment. In this case report, we present a 23-year-old female with Angle Class II malocclusion, whose mandibular left 2nd premolar impacted due to ankyloses of its primary tooth. She also had dental arch crowding and gummy smile problems. The patient received full-mouth orthodontic non-extraction treatment combine using TADs. As a result, her problems of malocclusion and gummy smile improved.