scholarly journals The efficiency of mandibular mini-implants in reducing adverse effects of class II elastics in adolescent female patients: a single blinded, randomized controlled trial

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Mostafa M. El-Dawlatly ◽  
Mohamed A. Mabrouk ◽  
Amr ElDakroury ◽  
Yehya A. Mostafa
Keyword(s):  
Adverse Effects ◽  
Intervention Group ◽  
Class Ii ◽  
Conventional Group ◽  
Female Patients ◽  
Mini Implants ◽  
Unit Class ◽  
Significant Difference ◽  
Class Ii Elastics ◽  
Lower Incisors

Abstract Background Excessive proclination of lower incisors and other undesirable consequences usually result from the use of class II elastics during orthodontic treatment. The purpose of this study was to attempt to limit the adverse effects of class II elastics by the use of mini implants placed in the mandibular arch in adolescent class II female patients. Methods The sample comprised 28 patients, (a mean age of 15.66 ± 2 years for intervention group and 15.1 ± 2.2 years for conventional group) with one-fourth or one-half unit class II canine relationship. The sample was divided into two equal groups. Randomization was carried out by a computer sequence generator with a 1:1 allocation ratio. In the intervention group, the mini implants were inserted between the lower second premolar and first molar, while the conventional group underwent regular class II elastics therapy. The active elastics treatment time was 8 months for both groups. Results were assessed by measurements from pre- and post-elastics lateral cephalometric radiographs. Results The change in L1 inclination (0.97 ± 0.92°) and L1 AP position (0.31 ± 0.63 mm) did not show a statistically significant difference between the two groups, but a statistically significant difference was found in the U1 retroclination (5.23 ± 1.92°) and U1 distal movement (4.05 ± 1.4 mm) [P ˂ 0.001] and [P ˂ 0.05] respectively in favor of the intervention group. Conclusion Mini-implants in conjunction with class II elastics had no skeletal effect, mainly dentoalveolar and it did not prevent the proclination of lower incisors. There was more distal movement in the upper incisors in the skeletal anchorage group which helped in enhancing the camouflaging of class II malocclusion. Trial registration Trial registered “FUE.REC (10)/10-2018” at the FUE registration council for clinical trials/IOP Orthodontic Program October 2018.

Evaluation of Cephalometric Standards for Zanjanian Population According to Downs' Analysis

2021 ◽  
Vol 15 (2) ◽  
Author(s):  
Katayoon Khaleghi ◽  
Azin Nourian ◽  
Pooya Ghorbankhan ◽  
Arash Farzan
Keyword(s):  
Statistical Analysis ◽  
Class Ii ◽  
Plane Angle ◽  
Gender Comparison ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Mandibular Plane ◽  
Significant Difference ◽  
Males And Females ◽  
Lower Incisors

Background: Following the morphological features of different races and ethnic groups, knowledge of standard dentofacial patterns of each ethnic group is essential. Therefore, this study aimed to explain cephalometric standards for the Zanjanian population according to Downs' analysis and compare them to Caucasian individuals. Methods: Seventy lateral cephalometries of Zanjanian adults (17 - 29 years old) who had been referred to a private orthodontic office in Zanjan, Iran with class I molar and canine relationship and normal overjet and overbite as well as minimum crowding/spacing/rotations were scanned and traced with the Novatech scanner and Dolphin software version 10. Next, statistical analyses were performed in order to compare the Zanjanian population to Caucasians. Results: We found a significant difference between males and females in terms of interincisal angle, incisor-occlusal angle, incisor-mandibular plane angle, upper incisor proclination, facial angle, and angle of convexity. Discussion: The analysis of six statistically significant parameters indicates that the upper and lower incisors in women of Zanjan were proclined and protruded compared with those of Caucasian subjects. Due to the statistical analysis on facial angle and angle of convexity, women also show more maxillary prognathism and skeletal class II pattern. Generally, a comparison of Zanjanian population cephalometrics based on Downs' analysis showed an increase in maxillary prognathism, maxillary and mandibular incisal protrusion and posterior rotation of the mandible. Conclusions: In conclusion, the Zanjanian population tends to have more dental and skeletal class II patterns than the Caucasians. In addition, gender comparison indicates lower and upper-incisors protrusion in women of Zanjan.

scholarly journals Mini-implants vs fixed functional appliances for treatment of young adult Class II female patients

2012 ◽  
Vol 82 (2) ◽  
pp. 294-303 ◽  
Author(s):  
Madhur Upadhyay ◽  
Sumit Yadav ◽  
K. Nagaraj ◽  
Flavio Uribe ◽  
Ravindra Nanda
Keyword(s):  
Young Adult ◽  
Class Ii ◽  
Female Patients ◽  
Mini Implants ◽  
Functional Appliances

scholarly journals The Effectiveness of Humor Training on Happiness and Life Satisfaction of Female Patients With Epilepsy

2021 ◽  
Vol 7 (4) ◽  
pp. 255-262
Author(s):  
Nazanin Bagherzadeh Shirvan ◽  
◽  
Anahita Khodabakhshi-Koolaee ◽  
Keyword(s):  
Life Satisfaction ◽  
Intervention Group ◽  
Analysis Of Covariance ◽  
Satisfaction With Life Scale ◽  
Control Group ◽  
Female Patients ◽  
Significant Difference ◽  
Post Test ◽  
Patients With Epilepsy ◽  
And Control

Background: Women with epilepsy face many physical and psychological problems due to their illness. Epilepsy affects women’s motherhood, parenting role, and quality of life. Thus, in addition to medical interventions, their recovery programs should also cover psychological therapies. Accordingly, this study aimed to examine the effectiveness of humor training on happiness and life satisfaction of female patients with epilepsy. Methods: This study was conducted using a quasi-experimental method with a pretest-posttest design and control group. The research population included all female patients who were members of the Iranian Epilepsy Association, Tehran, in 2020. The subjects were selected using convenience sampling. To this end, 30 women who met the inclusion criteria were randomly assigned into the intervention and control groups. The intervention group attended eight 2-hour humor training sessions and the control group did not receive any training. The Oxford Happiness Questionnaire and the Satisfaction with Life Scale (SWLS) were completed by the subjects before and after the intervention. The collected data were analyzed by one-way Analysis of Covariance (ANCOVA) using SPSS software (version 24). Results: According to the findings, the patients who received humor training reported significantly higher levels of happiness and life satisfaction compared to the control group. There was a significant difference between the pre-test and post-test mean scores of happiness (pre-test: 38.20±3.59; post-test: 45.27±4.18) (F=26.37; P=0.001) and also, there was a significant difference between the mean scores of pre-test and post-test of life satisfaction (pre-test: 13.01±6.16; post-test: 18.67±5.70) (F=30.07; P=0.001) in the intervention group. This difference was not significant in the control group (p>0.05). Conclusion: Humor training increased happiness and life satisfaction among women with epilepsy. This low-cost and easy-to-implement training is recommended to be used by psychologists and psychiatric nurses as a non-pharmacologic alternative along with other treatment options.

scholarly journals Facial profile esthetics change of class II malocclusion patients treated with the Herbst appliance as perceived by orthodontists and laypersons

2017 ◽  
Vol 145 (9-10) ◽  
pp. 446-451
Author(s):  
Jovana Milutinovic ◽  
Nenad Nedeljkovic ◽  
Nenad Korolija ◽  
Biljana Milicic
Keyword(s):  
Age Groups ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Herbst Appliance ◽  
Facial Profile ◽  
Skeletal Class ◽  
Female Patients ◽  
Skeletal Class Ii ◽  
Significant Difference ◽  
The Difference

Introduction/Objective. The recognition of differences in individual assessment of facial attractiveness could be valuable assistance in planning the orthodontic treatment. The aim of this study was to compare facial profile attractiveness changes of patients treated with the Herbst appliance perceived by orthodontists and laypersons. Methods. The patient sample comprised 33 young Caucasian still-growing patients, aged 14?18 years, with skeletal class II malocclusion treated with the Herbst and multibracket appliances. Facial profile photographs before and after the treatment were shown to 54 orthodontists and 50 laypersons. In the esthetics oriented poll, the evaluators rated the change in facial appearance. Results. The attractiveness scores differed between the two rater groups (p < 0.001), with orthodontists being more generous, whereas there was no significant difference between female and male evaluators in both groups (p > 0.05). However, scores differed significantly in grading female and male patients (p < 0.001), so that female patients got higher scores; younger evaluators graded more critically between different age groups of the evaluators (p < 0.001), as well as between the patients with different initial severity of malocclusion (p < 0.001). Conclusion. The difference in attractiveness scores differed between two groups, with laypersons being more critical than orthodontists. Higher scores were given to female patients by both groups, as well as by the evaluators in the older age group.

scholarly journals Lip Morphological Changes and Differences before and after Orthodontic Treatment

2013 ◽  
Vol 1 (1) ◽  
pp. 5-12
Author(s):  
MR Islam ◽  
T Kitahara ◽  
L Naher ◽  
A Nakasima ◽  
I Takahashi
Keyword(s):  
Adult Female ◽  
Orthodontic Treatment ◽  
Morphological Changes ◽  
Class Ii ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Skeletal Class ◽  
Female Patients ◽  
Significant Difference ◽  
Before And After

Objectives: The objective of this study is to test the hypothesis that there is a difference in the morphology of the lips of Class II div 1 and Class III malocclusion, before and after orthodontic treatment. Methods: The sample subjects included 20 adult female patients with Angle Class II div 1 malocclusion and 30 adult female patients with dento-skeletal Class III malocclusion. Frontal photographs were taken both before and after orthodontic and/or orthognathic treatment. Thirty-five landmarks were placed on each tracing made from the photograph. Thereafter, landmarks were digitized into an x and y coordinates system with the subnasal point as the origin. The Class II pretreatment and posttreatment groups of rest and smile conditions were compared with the Class III group respectively, using t-tests. Results: In the Class II pretreatment group, upper and lower lips positioned downward than that in the Class III group. When smiling, there was no statistically significant difference between the two groups before treatment, whereas after orthodontic treatment both Class II and Class III groups showed the significant difference at rest and on smiling conditions. On smiling condition Class III group showed more upwards and lateral movement of the mouth corners than Class II group. Conclusion: Orthodontic treatment induced larger amount in movement of lips at smiling in both Class II and III patients, which may reflect the emotional changes in the patients after treatment. DOI: http://dx.doi.org/10.3329/bjodfo.v1i1.15971 Ban J Orthod & Dentofac Orthop, October 2010; Vol-1, No.1, 5-12

scholarly journals Effect of an Educational-Psychological Intervention on Anxiety, Bodily Embarrassment, Judgment Concern, and Comfort in Female Patients who referred to a Male General Surgeon for Colorectal Examination

2019 ◽  
Vol 5 (1) ◽  
Keyword(s):  
Psychological Intervention ◽  
Intervention Group ◽  
General Surgeon ◽  
Chi Square ◽  
Female Patients ◽  
Significant Difference ◽  
Before And After ◽  
Mean Differences ◽  
And Control ◽  
Educational Psychological

Introduction: Psychological issues are big barriers for female patients referring for colorectal examination. Some interventions might reduce these issues. This study aimed to determine the effect of an educational-pyschyological intervention on anxiety, bodily embarrassment, judgment concern, and comfort in female patients who referred to a male general surgeon for colorectal examination. Methods: This clinical trial with a pre/posttest design was conducted in Imam Hassan Mojtaba Clinic, Darab, Iran. Total of 110 female patients who referred to a male general surgeon for colorectal examination were included in this study. The participants were randomly assigned to an intervention (n=55) and control (n=55) groups. The psychological training program was conducted for 60 minutes (30 minutes for examinations and 30 minutes for the psychological counseling). Beck Anxiety Inventory and Medical Embarrassment Questionnaires were used. The data were analyzed using chi-square, independent and paired t-test. Results: After the intervention, a significant difference was observed between the intervention and control groups in terms of bodily embarrassment and comfort. In addition, a significant difference was found in the intervention group regarding the mean differences of anexity, bodily embarrassment, judgment concern, and comfort scores before and after the intervention (p<0.001). Conclusion: The findings showed that the educational-psychological intervention reduced anxiety, bodily embarrassment, and judgment concern, and it improved comfort in female patients who referred to the male general surgeon for colorectal examination. Hence, this intervention might be used in primary, secondary and tertiary health centers to educate patients when referring to a male surgeon.

scholarly journals Camouflage of Severe Skeletal Class II Gummy Smile Patient Treated Nonsurgically with Mini Implants

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Irfan Qamruddin ◽  
Fazal Shahid ◽  
Mohammad Khursheed Alam ◽  
Wafa Zehra Jamal
Keyword(s):  
Case Report ◽  
Class Ii ◽  
Skeletal Class ◽  
Mini Implants ◽  
Skeletal Class Ii ◽  
Soft Tissue Profile ◽  
Smile Esthetics ◽  
Gummy Smile ◽  
Lower Incisors ◽  
Composite Restoration

Skeletal class II has always been a challenge in orthodontics and often needs assistance of surgical orthodontics in nongrowing patients when it presents with severe discrepancy. Difficulty increases more when vertical dysplasia is also associated with sagittal discrepancy. The advent of mini implants in orthodontics has broadened the spectrum of camouflage treatment. This case report presents a 16-year-old nongrowing girl with severe class II because of retrognathic mandible, and anterior dentoalveolar protrusion sagittally and vertically resulted in severe overjet of 13 mm and excessive display of incisors and gums. Both maxillary central incisors were trimmed by general practitioner few years back to reduce visibility. Treatment involved use of micro implant for retraction and intrusion of anterior maxillary dentoalveolar segment while lower incisors were proclined to obtain normal overjet, and overbite and pleasing soft tissue profile. Smile esthetics was further improved with composite restoration of incisal edges of both central incisors.

scholarly journals Effects of Class II elastics during growth on the functional occlusal plane according to skeletal pattern and extraction vs nonextraction

2021 ◽  
Author(s):  
Moshe Davidovitch ◽  
Evangelos Konstantarakis ◽  
Vottas Athanasios ◽  
Tatiana Sella-Tunis
Keyword(s):  
Adverse Effects ◽  
Growth Pattern ◽  
Growth Period ◽  
Class Ii ◽  
Growth Patterns ◽  
Occlusal Plane ◽  
Treatment Groups ◽  
Mandibular Plane ◽  
Skeletal Pattern ◽  
Class Ii Elastics

ABSTRACT Objectives To investigate the effect of Class II intermaxillary elastics on the functional occlusal plane (FOP) of growing patients. Materials and Methods A total of 50 participants aged 11 to 16 years were selected from a university clinic archive &gt;1-year after treatment and after undergoing 6 months of Class II elastic wear, taking pretreatment (T0) and posttreatment (T1) lateral cephalometric radiographs, and consenting to participate at recall (T2). Participants were divided into 3 groups according to skeletal pattern or into 2 groups according to treatment with extraction (E) or nonextraction (NE). Angular changes of FOP relative to the Sella-Nasion (SN), mandibular plane (MP), and Frankfort horizontal (FH) were compared within and between groups. Results A statistically significant reduction of FOP-SN/FH, but not of FOP-MP, was found from T0–T1–T2 when all patients were grouped together. FOP-SN/MP/FH was significantly the largest in the patients with a hyperdivergent skeletal pattern, but lowest in the patients with a hypodivergent skeletal pattern at T0, T1, and T2 (P &lt; .032). FOP-MP at T0–T2 was statistically larger in group E than in group NE (P &lt; .02). No differences were found for FOP changes (change before treatment minus after treatment and change after treatment minus 1 year after treatment) between different skeletal patterns (P &gt; .433) and treatment groups (P &gt; .193). Conclusions Use of Class II elastics during the growth period was not found to show adverse effects on FOP rotation. Neither skeletal pattern nor treatment modality differed in the response to Class II elastics with regard to FOP changes. Individual patient growth pattern must be taken into consideration when treatment planning the use of Class II elastics. Orthodontists should take into account individual skeletal and growth patterns while using Class II elastics.

Breastfeeding Training through Role-Play and Effects on Mother-infant Attachment Behaviours: A Randomised Controlled Trial

2020 ◽  
Vol 22 (1) ◽  
Author(s):  
Farokh Saljughi ◽  
Mitra Savabi-Esfahani ◽  
Shahnaz Kohan ◽  
Soheila Ehsanpour
Keyword(s):  
Pregnant Women ◽  
Maternal Employment ◽  
Controlled Trial ◽  
Role Play ◽  
Intervention Group ◽  
Control Group ◽  
Maternal Behaviour ◽  
Infant Attachment ◽  
Significant Difference ◽  
History Of

Mother-infant attachment is an intimate, lasting and satisfying relationship that leads to better cognitive, emotional and social growth of the infant. The aim of this study was to determine the effects of breastfeeding training by role-play on mother-infant attachment behaviours. This research was a randomised clinical trial (parallel design). Inclusion criteria were: no history of mental disorders; ability to read and write the Persian language to complete the questionnaire; no history of drug and tobacco intake in primigravida women. The sample comprised 100 pregnant women (in 2 groups), selected through simple random sampling at healthcare centres. The researcher reviewed prenatal care registries of selected healthcare centres and extracted the names of pregnant women in their early third trimester. The data were imported into randomisation software. The control group received routine breastfeeding training, while the intervention group received routine training together with training through role-play. The data collection tool was the Maternal Behaviour Inventory Questionnaire. Consequently 75 samples were analysed in SPSS16. Independent t-tests and chi-square tests were used to examine the difference between the two groups. Results showed that the mean score of mother-infant attachment one week after delivery was significantly higher in the intervention group in comparison to that in the control group (p<0.001). No significant difference was observed between the two groups in maternal age, age of marriage, neonatal gender, maternal employment and education, number of parity, and number of abortions (P>0.05). Since breastfeeding training through role-play could affect mother-infant attachment, it is suggested that this type of training should be provided for pregnant women to promote mother-infant attachment and exclusive breastfeeding.

TERAPI MUSIK DAN TINGKAT KECEMASAN PASIEN PREOPERASI

2016 ◽  
Vol 5 (1) ◽  
pp. 1-6
Author(s):  
Wenny Savitri ◽  
Nani Fidayanti ◽  
Paulus Subiyanto
Keyword(s):  
Music Therapy ◽  
Intervention Group ◽  
Complementary Therapy ◽  
T Test ◽  
Anxiety Level ◽  
Preoperative Anxiety ◽  
Control Group ◽  
Music Intervention ◽  
Significant Difference ◽  
Anxiety Levels

Background: Surgery is one of medical interventions which can cause fear, anxiety, and stressed because of its effects toward the integrity of body and soul. Nurses have significant roles in any preoperative care which is helping patients to decrease preoperative anxiety by using complementary therapy. The use of music therapy as one of the complementary therapies is not common in Indonesia. Therefore, scientific studies to prove the role of this therapy to decrease the level of anxiety of pre-operative patients is needed. Objective: To investigate the effects of music therapy in reducing anxiety levels of preoperative patients. Methods: A quasy experimental study with pre-test and post-test design with control group was applied to 50 respondents from medical ward in Panembahan Senopati Hospital of Yogyakarta who met the inclusion criteria.Dara were then analyzed by using t-test statistical analysis. Results: The control group showed the increased value of anxiety level of0.8 without music intervention (t= - 1503, df = 24, p<.05), whereas the intervention group showed the decreased value of anxiety level of -5.52 (t=5.081, df=24, p<.05). Meanwhile the independent t-test results for both groups showed a significant difference between group (t= 3,373, df=48, p<.05). Conclusion: Music therapy has significant effect in reducing preoperative anxiety levels of patients. Keywords: anxiety, preoperative, music therapy

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