Orthodontics and Orthodontology Commons^™

Development And Comparative Evaluation Of A Novel Aloe Vera–Vinegar Gel As A Sustainable Histological Slide Coating Agent, Jayagopi Deepasakthi, Palati Sinduja

Journal of Dentistry Indonesia

Objective: Reliable tissue adhesion to glass slides is critical for accurate histological evaluation. Egg albumen, a commonly used coating agent, often results in background staining and inconsistent performance. Aloe vera, known for its biocompatibility and adhesive properties, presents a sustainable alternative. This study aimed to develop a novel aloe vera–vinegar gel formulation and compare its slide-coating performance with that of traditional egg albumen. Methods: Fresh Aloe vera gel was extracted and combined with nonfruit vinegar, filtered, and refrigerated. Thirty paraffin-embedded tissue sections were divided into two groups: one coated with aloe vera–vinegar gel and the other coated …

Neutral Zone Vs. Conventional Denture Fabrication: A Randomized Crossover Study On Denture Performance, Karthik Kannaiyan, Arunima Chauhan, Vijayendranath Nayak, Riyshmaa Devendaran, Dashmita Peterson, Pavittra Kanesan, Vityaa Lakshmi

Journal of Dentistry Indonesia

Objectives: It is challenging to achieve satisfactory outcomes in a complete denture for patients with resorbed residual ridges. Utilization of neutral zone techniques to guide posterior denture tooth arrangement and denture base contouring has been considered for many decades. However, the evidence is still not enough to revise protocols. This study aimed to compare patient satisfaction and stability of neutral zone denture with conventional denture. Methods: A crossover clinical trial was conducted among patients with resorbed mandibular ridges. Each participant received two sets of dentures: one fabricated using the neutral zone technique and one using the conventional method, in a …

Comparison Of Pharyngeal Airway And Dentoskeletal Effects Of 2 And 4 Premolar Extraction Treatment In Adult Orthodontic Patients, Esra Genc, Ahmet Karaman

Journal of Dentistry Indonesia

Objective: This study aimed to compare pharyngeal airway and dentoskeletal effects of 2 and 4 premolar extraction treatments in adult patients separately for each gender. Methods: The study was conducted with 60 adults (26 males; 34 females) aged 18-35 years. Individuals were divided into 3 groups as non-extraction, 2-premolar extraction, and 4-premolar extraction. Pre-treatment (T0) and post-treatment (T1) dentoskeletal and pharyngeal airway measurements were performed on cephalometric radiographs. Results: A significant increase in nasopharyngeal airway (PNS-ad2) and anterior hyoid bone movement (CV3ai-H) was observed in the 4-extraction group; whereas in the 2-extraction group, inferior oropharyngeal airway (IAS) narrowing and hyoid …

A Case Of Class Iii Malocclusion With Obstructive Sleep Apnea Treated By Orthodontic Treatment Combined Two-Jaw Orthognathic Surgery, Chao-Yu Lu, Yu-Feng Chen, Yu-Chuan Tseng

Taiwanese Journal of Orthodontics

This case report presents a successful treatment outcome of a 24-year-old male patient who was diagnosed with moderate type of obstructive sleep apnea (OSA) (AHI, 22.8). Cephalometric analysis demonstrates skeletal Class III jaw relation with mandibular prognathism, hyperdivergent facial pattern, Angle’s Class III malocclusion, and anterior cross-bite. Treatment intervention included orthodontic treatment combined with two-jaw orthognathic surgery and genioglossus advancement (GGA). In total treatment period of 14 months, the patient was satisfied with not only the improvement of facial profile and occlusion, but also his sleep quality.

Orthodontic Management Of Angle Class I Malocclusion With Unilateral Mandibular First Molar Loss And Generalized Gingival Recession, Ming-Che Wu, Hsin-Yi Lo, Ming-Ju Lee

Taiwanese Journal of Orthodontics

This case report presents the treatment of Angle Class I malocclusion in a 28-year-old female patient with a missing right mandibular first molar and generalized gingival recession. The treatment plan involved whole-arch distalization in the upper dentition, relief of crowding under the condition of pre-existing gingival recession, space closure of the right mandibular first molar area, with substitution of teeth 47 and 48 for better final occlusion. Anchorage strategies included sequential distalization of upper buccal segment with the aid of temporary anchorage devices before anterior alignment. The closure of the right mandibular first molar space was achieved with uprighting and …

Moving A Maxillary Incisor Across The Midline For Substitution Of Contralateral Missing Incisor In A Multiple Anterior Teeth Missing Patient, Ling-Yu Huang, Chun-Liang Kuo, Chun-Hsiu Yang, Ting-Wei Liu

Taiwanese Journal of Orthodontics

Loss of permanent maxillary incisor causes a significant esthetic problem, and there are various treatment options for rehabilitation. Moving the contralateral tooth across the facial midline for substitution of missing tooth is a possible treatment alternative for closing the maxillary anterior space.

This report presents an unusual treatment for a bimaxillary protrusion patient who typically requires premolar extraction to improve the convex profile. However, due to multiple missing anterior teeth, the left maxillary central incisor was moved across the facial midline to substitute the absent contralateral tooth, resulting in an improved profile after treatment.

The case was an 18-year-old female …

Establishment Of Cephalometric Norms Using Tetragon Analysis In Nepali Adults With Normal Skeletal Relationship, Rashmi Bhattarai, Rabindra Man Shrestha, Jyoti Dhakal

Taiwanese Journal of Orthodontics

Introduction: Cephalometric analysis is a cornerstone in orthodontic diagnosis and treatment planning, enabling precise evaluation of craniofacial structures. Among the various methods, Tetragon analysis offers a unique visual approach to evaluate the maxillo-mandibular relationship. This is based on two geometric constructs, the tetragon representing the maxillo-dento-mandibular complex and the trigon, a complimentary triangle situated above it. Considering the significant genetic and environmental variations in craniofacial development, cephalometric norms established for one population may not be applicable to others.

Objective: This study aimed to establish normative cephalometric values for Tetragon analysis among Nepali adults with normal skeletal relationships.

Materials and Methods: …

Comparative Evaluation Of Trueness And Precision Of Intraoral Scanners For Maxillary Casts In Cleft Lip And Palate: A 3d Study, Rattiya Chuacharoen, Prajak Jariyapongpaiboon, Kaviya Kanokpongsak

Taiwanese Journal of Orthodontics

Objectives: The purpose of this study was to compare the trueness and precision of 5 different intraoral scanning devices in maxillary cleft lip and palate (CLP) models. Material and Methods: One complete unilateral and one complete bilateral CLP model were each scanned by TRIOS E4, a laboratory scanner, and recorded in a standard tessellation language (STL) file as a reference scan. These models were then scanned using five different intraoral machines: TRIOS 4; Straumann Virtuo Vivo; Medit i500; Aoralscan 3; and Panda P2. Each CLP model was scanned 10 times, and the files were saved as test scans. …

Rapid Facial Enhancement Through Surgery-First Approach Correction For Class Iii Bimaxillary Protrusion And Asymmetry, Ting-Ying Wu, Liang-Chia Huang, Yu-Jen Chang

Taiwanese Journal of Orthodontics

The Surgery-First Approach (SFA) prioritizes surgical intervention before orthodontic treatment, offering a transformative strategy for managing dentofacial discrepancies. This innovative approach provides numerous advantages, including immediate enhancements in facial aesthetics, occlusion, and phonetic function while significantly reducing overall treatment duration. SFA is especially beneficial for patients exhibiting specific characteristics, such as well-aligned teeth and minimal occlusal discrepancies. In this case study, a patient presented with persistent facial asymmetry and lip protrusion despite previous orthodontic treatment. After a thorough evaluation, the patient was deemed suitable for SFA, leading to surgical intervention. Postoperative assessments demonstrated marked improvements in facial symmetry, although minor …

Modified Mma Technique For A Patient With Bimaxillary Protrusion And Osa, Chia-Shin Gan, Chia-Tze Kao, Chih-Chen Chou, Ching-Yi Tsai, Yi-Chieh Chen, Han-Hsin Ko, Wen-Ken Tai

Taiwanese Journal of Orthodontics

Bimaxillary protrusion is a common facial profile among Asians, typically managed through non-surgical orthodontic approaches. However, when an unfavorable facial profile is combined with obstructive sleep apnea (OSA), surgical intervention may become the primary treatment choice. This case report presents a modified maxillomandibular advancement (MMA) technique in a 31-year-old male patient who presented with lip protrusion and snoring. Polysomnography revealed severe OSA with an apnea-hypopnea index (AHI) of 39.7. Clinical examination showed increased lower facial height, skeletal Class II jaw relationship, and Angle Class I malocclusion with complete overbite. Through a combination of modified MMA technique and genioplasty, we successfully …

Correction Of Class Ii Malocclusion With Deep Bite And Functional Asymmetry Using Straight-Pull Headgear, Deo Develas, Chia-Tze Kao, Chun-Te Ho, Nia Ayu Ismaniati Noerhadi

Taiwanese Journal of Orthodontics

Treatment of Class II skeletal malocclusion in growing patient has the advantage of utilizing growth modification to correct skeletal and dental disharmony by altering the growth direction. Headgear is one of the orthopedic appliances which can modify the growth of maxilla while letting the mandible grow normally to correct Class II malocclusion. When used properly, Headgear can be a very useful method to correct disharmony in anteroposterior, vertical, and transversal plane as well as asymmetrical problem. This case report demonstrates the use of straight-pull headgear and orthodontic fixed appliance for treatment of Class II division 1 malocclusion with deep bite …

Evaluation Of The Accuracy And Reliability Of 3d Cameras For Craniofacial Anthropometry Compared To Conventional Methods: A Systematic Review, Akanksha Chandiwala, Kanhoba Keluskar

Taiwanese Journal of Orthodontics

Objectives: To assess the reliability and accuracy of three-dimensional (3D) camera for Craniofacial Anthropometry in comparison with direct measuring methods. Materials and methods: A comprehensive search of the specialized databases Pubmed/ MEDLINE, Science Direct, Google Scholar, OpenGrey, and other institutional repositories was performed for including the studies which assess the reliability and accuracy of various 3D Cameras for Craniofacial Anthropometry in comparison with direct Anthropometric measurements. Quality assessment was carried out with JBI critical appraisal checklist for analytical cross sectional studies. Results: Seven studies evaluating the accuracy and reliability of 3D cameras were included in this study. Studies comparing 3D …

Investigation Of Factors Influencing Craniofacial And Dental Morphological Changes In Skeletal Class Iii Orthognathic Surgery With Machine Learning Approach: Literature Review, Muhammad Izzah Abdillah, Johnson Hsin-Chung Cheng, Daniel De-Shing Chen, Sam Li-Sheng Chen, Baharuddin M Ranggang, Ardiansyah S Pawinru

Taiwanese Journal of Orthodontics

Objective Orthognathic surgery is a transformative solution for skeletal Class III malocclusion. This review explores factors affecting skeletal, dental, and soft tissue changes in these patients and examines the integration of machine learning (ML) in treatment management to uncover patterns within large datasets. Materials and Methods Studies were selected from Google Scholar, PubMed, and ScienceDirect using keywords such as "(affecting factor OR predisposition) AND (skeletal class III OR skeletal class 3) AND (orthognathic surgery OR surgical orthodontics)," "Morphology changes in skeletal class III orthognathic surgery," "Machine learning in dentistry," and "Machine learning in orthodontics." Most reviewed articles were published in …

Timing Of Orthodontic Treatment (Part Ii), Ib Leth Nielsen

Taiwanese Journal of Orthodontics

The best time for orthodontic treatment of a particular malocclusion is an often-debated topic. There is great disagreement in the literature with respect to the ideal treatment time for certain malocclusions that we shall discuss in this review. Much has been said about the timing and in recent years several studies have addressed this challenging problem. In this review we shall look at several common types of malocclusions and suggest the most appropriate time for their correction based on several important factors that we aim to discuss in the following. It is our experience that in some cases treatment is …

Evaluation Of Dentistry Students' Perceptions And Attitudes Towards Artificial Intelligence In Kazakhstan, Yasin Yasa, Kubeisin Altynbekov, Nazgul Onaibekova

Journal of Dentistry Indonesia

Objective: Artificial intelligence’s (AI) potential to analyze medical data and improve patient outcomes is driving its rapid integration into healthcare systems. This study addresses the knowledge gap regarding Kazakhstani dental students’ attitudes toward AI in dentistry. Methods: A survey with 213 participants assessed dental students’ views on AI in dentistry at two Kazakhstani universities. A self-administered questionnaire (22 items) via Google Forms was used to gather data on demographics, baseline knowledge (information sources, understanding of AI principles, and familiarity with dental AI applications), and attitudes/perceptions. Frequency analyses and chi-square tests (p < 0.05) explored the responses. Results: The survey included 213 dental students (mean …

Synthesis And Partial Characterization Of Chitosan Phosphorylation From Marine Cuttlefish Sepia Aculeata (Orbingy, 1848) And Its Antimicrobial Potentials Against Oral Pathogens, Yathin Reddy Putta, Annathai Pitchai, Pasiyappazham Ramasamy

Journal of Dentistry Indonesia

Objectives: This study investigated the synthesis and partial characterization of phosphorylated chitosan extracted from the cuttlebone of Sepia aculeata (Orbingy, 1848) and evaluated its antimicrobial potential against oral pathogens. Methods: The synthesis of phosphorylated chitosan from Sepia aculeata cuttlebone involved several steps: cleaning, deproteinization, demineralization to extract chitin, deacetylation to produce chitosan, and phosphorylation to introduce phosphate groups. Phosphorylation enhances the properties of chitosan, making it a promising candidate for oral health applications. Phosphorylated chitosan was purified and characterized using Fourier Transform Infrared Spectroscopy (FTIR), X-ray diffraction (XRD), and Scanning Electron Microscopy (SEM) to confirm structural changes. This process enhances …

Changes In Craniofacial Morphology Of Class Iii Malocclusion Treated Using Facemask Or Active Skeletonized Sutural Distractor Appliance, Wael Ahmed Bayomy Mohamed, Rozita Hassan, Norma Ab Rahman, Shaifulizan Ab Rahman, Norkhafizah Saddki

Journal of Dentistry Indonesia

Objective: This research compared the effectiveness of the Active Skeletonized Sutural Distractor (ASSD) and the face mask (FM) in treating adolescent Class III malocclusion and assessed the stability of the mini screw utilized in the ASSD appliance. Methods: A total of 68 adolescents with Class III malocclusion were divided into either one of two treatment groups (ASSD or FM) for a maximum period of six months of therapy. Lateral cephalometric radiographs and impressions were taken for comparative purposes. The 3M® intra-oral elastic (USA) was attached to the mini-implant, and the mini-screw mobility was evaluated monthly using a force gauge …

Microstructural And Elemental Characterization Of Hydrated Carbonated Hydroxyapatite As Pulp Capping Agent: An In Vitro Study, S.Swathi Priyadharshini, Chinnasamy Ragavendran, J. Ramana Ramya, Anand Sherwood

Journal of Dentistry Indonesia

Understanding the microstructural and elemental composition of pulp capping materials is crucial for predicting their biocompatibility and effectiveness in promoting pulp healing. Objectives: This study aimed to characterize the microstructural and elemental properties of carbonated hydroxyapatite as a dental pulp-capping material. Methods: Carbonated hydroxyapatite was synthesized using the precipitation method. MTA and Apacal ART were obtained from commercial sources. The materials were prepared into disk-shaped specimens, hydrated in deionized water at 37°C for 14 days, and analyzed using scanning electron microscopy (SEM) and energy-dispersive X-ray spectroscopy (EDX). Results: SEM images revealed that MTA exhibited smooth, plate-like crystalline structures surrounded by …

Compound Odontoma In A Child With Orthodontic Management Of An Impacted Maxillary Central Incisor: A Case Report, Sonika Achalli, Murali Patla, Jagadish Chandra, Ishika Sinha, Joseph Sebastian

Journal of Dentistry Indonesia

Odontomes are the most common type of odontogenic tumors. Odontomes are of two major types i.e, complex and compound odontoma. They are usually asymptomatic and, hence, are seen as accidental findings on a radiograph. They may be associated with an unerupted or delayed eruption of a permanent tooth. Usually, odontomes are diagnosed at an early age. This case report provides a case of compound odontoma causing impaction of the right maxillary central incisor with its clinical, radiographic, and histopathologic features and its management. Case report: Here, a 13-year-old patient reported with unerupted maxillary central incisor on the right side. Clinical …

Does Periodontal Treatment During Pregnancy Reduce The Incidence Of Preterm Birth Rates?: A Meta-Analysis Of Randomized Controlled Trials, Ashraf Elzer, Raga A. Elzahaf, Hameda Asrafel, Khalid Sassi, Mohamed Jedeh

Journal of Dentistry Indonesia

Objective: To find out if scaling and root planing for periodontal disease during pregnancy lowers the incidence of preterm births. Methods: This is a meta-analysis study design; searches were conducted in the PubMed database and on Google Scholar between January 2000 and December 2023. Only randomized controlled trials (RCTs) were considered. The studies will be examined to determine the relationship between non-surgical periodontal treatment and preterm birth rates among pregnant women. Results: Only 14 trials were included out of 194 articles identified. The overall result indicated a statistically significant reduction in preterm birth rate when we use the random …