scholarly journals SPACE CLOSURE IN BIALVEOLAR DENTAL PROTRUSION CASES - A COMPARATIVE COMBINATION METHOD

Author(s):  
Chaitanya N ◽  
Arshad Am ◽  
Praveen Krk ◽  
Prashant C ◽  
Sandeep Bailwad ◽  
...  

Objective: To measure and compare the amount, rate and anchor loss after the en masse retraction of all anteriors with titanium mini-implant anchorage and conventional molar anchorage.Methods: This comparative clinical study sample comprised 12 patients (10 females, 2 males; mean age between 16 and 22 years). The implants were placed in the maxillary and mandibular arches. Preretraction and post retraction lateral cephalograms were taken for measuring the amount, rate and anchor loss after the retraction.Results: Mean en masse retraction amounts, the rate of movement per month, and horizontal and vertical anchor loss at the maxillary implant site were 4.79 mm, 0.58 mm, 0 mm, and 0 mm, respectively. In the mandible, on implant sides were 4.66 mm, 0.56 mm, 0 mm, and 0 mm. Mean en masse retraction amounts, the rate of movement per month, and horizontal and vertical anchor loss at the maxillary conventional molar anchor side were 4.08 mm, 0.49 mm, 2.91 mm, and 1.66 mm. In the mandible, on conventional anchor sides were 3.54 mm, 0.48 mm, 3.12 mm, and 1.95 mm.Conclusion: En masse retraction had a faster rate of space closure with mini-implants as anchor units than the conventional molar anchorage preparation. 

2021 ◽  
Vol 45 (6) ◽  
pp. 433-440
Author(s):  
Sunock Yun ◽  
Jae Hyun Park ◽  
Na-Young Chang ◽  
Hye Young Seo ◽  
Jae-Hyun Sung ◽  
...  

Objective: The aim of this study was to compare the craniomaxillofacial changes when using high-pull J-hook headgear (HPJH) and mini-implants (MIs) as maxillary anchorage in adolescents. Study Design: 40 female adolescents with dentoalvolar protrusion were divided into 2 groups; the HPJH group (n=20) and the MI group (n=20). Lateral cephalograms taken before treatment (T0) and after anterior tooth retraction (T1) were superimposed on the stable structures and then craniomaxillofacial changes were evaluated. Results: The cranial base angle, SNB, and facial angle decreased in the HPJH group but increased in the MI group. ANB decreased more in the MI group than in the HPJH group. Mandibular plane angle increased in the HPJH group but decreased in the MI group. Facial height index increased in the MI group while it showed no change in the HPJH group. Mandibular true rotation occurred clockwise in the HPJH group and counterclockwise in the MI group. Maxillary central incisors were intruded and retracted more in the MI group than in the HPJH group. Maxillary first molars were extruded in the HPJH group and were intruded in the MI group. Maxillary first molars were protracted more in the HPJH group than in the MI group. Mandibular central incisors were retracted more in the HPJH group than the MI group. Mandibular first molars were extruded more in the MI group than in the HPJH group. Conclusion: More favorable craniomaxillofacial changes occurred in the MI group than in the HPJH group.


2015 ◽  
Vol 41 (1) ◽  
pp. 77-84 ◽  
Author(s):  
Shaji Wahabuddin ◽  
Rohan Mascarenhas ◽  
Mahamad Iqbal ◽  
Akhter Husain

Micro-implant is a device that is temporarily fixed to bone for the purpose of enhancing orthodontic anchorage either by supporting the teeth of the reactive unit or by obviating the need for the reactive unit altogether, and which is subsequently removed after use. The purpose of this study was to evaluate the clinical efficiency of micro-implants in reinforcing anchorage during the initial retraction of anterior teeth, check the rate of initial retraction for 8 weeks, and assess the stability of micro-implants during this period. Eighteen micro-implants were placed (10 in the maxilla and 8 in the mandible) and immediately loaded with 200–250 g of force using 9-mm closed coil Nitinol springs. The amount of space closure was measured every 2 weeks until the eighth week. Cephalometric measurements were made at the end of the study to evaluate anchor loss, if any. Micro-implant stability was also assessed. The rate of initial retraction in the maxilla at the end of 8 weeks was 1.65 mm/quadrant and 1.51 mm/quadrant in the mandible. The amount of retraction on the left side of the arches was 1.66 mm/quadrant and 1.49 mm/quadrant on the right side. The average initial retraction for both arches per month was 0.78 mm. An anchor loss of 0.1 mm (0.06%) was observed in the maxilla while no mandibular anchor loss was recorded. The rate of initial retraction observed in the maxilla was more than that achieved in the mandible. Initial retraction was also more on the left side of the arches. There was no anchor loss in the mandible. The micro-implant-reinforced anchorage was helpful in minimizing anchor loss and accepted heavy traction forces but did not bring about a faster rate of retraction.


2021 ◽  
Author(s):  
Aniruddh Yashwant V ◽  
Pratebha Balu ◽  
R Saravana Kumar ◽  
Pavithranand Ammayappan ◽  
Vikneshan Murugaboopathy

ABSTRACT Objectives To compare the rate of extraction space closure between periodontally accelerated osteogenic orthodontics (PAOO) using platelet-rich fibrin (PRF) (Group 1) and PAOO using demineralized bone xenograft (DMBM) (Group 2) and to compare the level of wound healing between the PRF group vs the DMBM group after PAOO. Materials and Methods A two-arm prospective single blind pilot study with a split-mouth design was used in which 14 patients requiring premolar extraction were divided into two groups: PRF and DMBM. En-masse space closure was carried out with using mini implants after the PAOO procedure. The amount of space closure was measured at five time points with 2-week intervals within 2 months. The gingival healing levels were assessed using early wound healing scores on the first postoperative day. Results The rate of extraction space closure was faster in the experimental quadrant at all time points (T1-T4) in the PRF group and at time points (T3, T4) in the DMBM group. Comparison between experimental quadrants showed a significant increase in the rate of space closure in the PRF group T1 to T3 (P < .05). The PRF group showed higher total early healing scores than the DMBM group. Conclusions PRF, when used in the PAOO procedure, produces a faster rate of space closure with better early wound healing than DMBM.


1960 ◽  
Vol 21 (4) ◽  
pp. 642-654 ◽  
Author(s):  
Juan Marconi ◽  
Guido Solari ◽  
Sergio Gaete ◽  
Luisa Piazza

Author(s):  
Rajendra Joshi ◽  
N. B. Mashetti ◽  
Rakesh Kumar Gujar

Dushta Vrana is a common and frequently encountered problem faced in surgical practice. The presence of Dushta Vrana worsens the condition of the patient with different complications and may become fatal. Local factors on wound like slough, infection and foreign body, affect the normal process of healing. A healthy wound in a normal body heals earlier with a minimum scar as compared to a contaminated wound. Therefore in this study all the efforts are made to make a Dushta Vrana into a Shuddha Vrana. Once the Vrana becomes Shuddha, Ropana of the Vrana will start. The objective of the study was to evaluate the clinical efficacy of Jatyadi Taila and Jatyadi Ghrita in Dushta Vrana. Clinically diagnosed 60 Patients of Dushta Vrana were randomly divided into two groups, each consisting of 30 Patients. Group A were treated with the Jatyadi Taila and Group B was treated by Jatyadi Ghrita. The results observed was based on the relief obtained on the subjective and objective parameters taken for consideration for this study viz, size of ulcer, discharge, smell, pain, burning sensation, itching and granulation were found significant (P Lass Than 0.05). On the basis of assessment criteria and overall result of treatment, the patients of Jatyadi Taila group showed better results when compared to Jatyadi Ghrita group. Even though statistically there is no much significant difference between the two groups, but by seeing the effect on individual parameters (subjective and objective) and over all response, Jatyadi Taila seems to be effective when compared to Jatyadi Ghrita. It is having more Ropana qualities when compared to Shodhana.


2021 ◽  
Author(s):  
Sam Sadeghi ◽  
Alireza Kamrani ◽  
Urszula Kuc ◽  
Nayak Polissar ◽  
Subodh Selukar ◽  
...  

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