scholarly journals Congenitally Missing Mandibular Incisors and Mandibular Symphysis Morphology

2007 ◽  
Vol 77 (6) ◽  
pp. 1079-1084 ◽  
Author(s):  
Toshiya Endo ◽  
Rieko Ozoe ◽  
Koji Kojima ◽  
Shohachi Shimooka

Abstract Objective: To explore the association between congenital absence of permanent mandibular incisors and craniofacial and mandibular symphysis morphology in Japanese orthodontic patients. Materials and Methods: A total of 27 girls with one or two congenitally absent mandibular incisors (group M) were selected and divided into group 1M (16 girls with the absence of one incisor) and group 2M (11 girls with the absence of two incisors). In addition, 20 other Japanese girls without hypodontia and with little or no mandibular incisor crowding were enrolled as a control (group C). Using the lateral cephalogram of each subject, 17 angular, 8 linear, and 3 area measurements were made for evaluation of craniofacial and mandibular symphysis morphology. The cephalometric data thus obtained were statistically analyzed and compared between the groups. Results: A significantly greater retroclination of the retained mandibular incisors was found in group 1M than in group C. Groups 1M and M showed a significantly greater retroclination of mandibular alveolar bone than group C. Groups 2M and M exhibited a significantly smaller mandibular symphysis area than group C. Conclusion: The retroclination of the mandibular incisors and alveolar bone and the reduced mandibular alveolar bone area should be taken into consideration in planning orthodontic treatment on patients with congenitally missing permanent mandibular incisors.

2019 ◽  
Vol 90 (2) ◽  
pp. 173-180 ◽  
Author(s):  
Fan Zhang ◽  
Suk-Cheol Lee ◽  
Jun-Beom Lee ◽  
Kyung-Min Lee

ABSTRACT Objective: To evaluate changes in shape and alterations in thickness and vertical marginal bone levels of the alveolar bone around the maxillary and mandibular incisors before and after orthodontic treatment with premolar extraction using geometric morphometric analysis. Materials and Methods: Thirty-six patients with Class I bialveolar protrusion who underwent orthodontic treatment with premolar extraction were included. Cone-beam computed tomographic scans were obtained from the patients before and after treatment. Five fixed landmarks and 70 semilandmarks were used to represent the morphology of the alveolar bone around the maxillary and mandibular incisors. The coordinates of the landmarks of the alveolar bones were generated by Procrustes fit. The labial and lingual alveolar bone thicknesses around the maxillary and mandibular incisors and vertical marginal bone level were assessed quantitatively. Results: There was a significant difference in shape change of the alveolar bone before and after treatment. The deformation grid of the thin plate spline showed that the thickness and vertical marginal bone decreased on the lingual side after treatment. Shape changes were greater for the lingual alveolar bone on the mandibular incisor than for the maxillary incisors. Conclusions: Orthodontic treatment with premolar extraction might cause loss of alveolar bone around the maxillary and mandibular incisors. Careful consideration is needed to avoid iatrogenic degeneration of periodontal support around the incisors, particularly in the lingual area.


2019 ◽  
Vol 52 (1) ◽  
pp. 13
Author(s):  
Amiyatun Naini ◽  
I Ketut Sudiana ◽  
Mohammad Rubianto ◽  
Utari Kresnoadi ◽  
Faurier Dzar Eljabbar Latief

Background: Damage to bone tissue resulting from tooth extraction will cause alveolar bone resorption. Therefore, a material for preserving alveolar sockets capable of maintaining bone is required. Hydroxyapatite Gypsum Puger (HAGP) is a bio-ceramic material that can be used as an alternative material for alveolar socket preservation. The porous and rough surface of HAGP renders it a good medium for osteoblast cells to penetrate and attach themselves to. In general, bone mass is regulated through a remodeling process consisting of two phases, namely; bone formation by osteoblasts and bone resorption by osteoclasts. Purpose: This research aims to identify the effects of HAGP scaffold application on the number of osteoblasts and osteoclasts, as well as on the width of trabecular bone area in the alveolar sockets of rats. Methods: This research used Posttest Only Control Group Design. There were three research groups, namely: a group with 2.5% HAGP scaffold, a group with 5% HAGP scaffold and a group with 10% HAGP scaffold. The number of samples in each group was six. HAGP scaffold at concentrations of 2.5%, 5% and 10% was then mixed with PEG (Polyethylene Glycol). The Wistar rats were anesthetized intra-muscularly with 100 mg/ml of ketamine and 20 mg/ml of xylazine base at a ratio of 1:1 with a dose of 0.08-0.2 ml/kgBB. Extraction of the left mandibular incisor was performed before 0.1 ml preservation of HAGP scaffold + PEG material was introduced into the extraction sockets and suturing was performed. 7 days after preparation of the rat bone tissue, an Hematoxilin Eosin staining process was conducted in order that observation under a microscope could be performed. Results: There were significant differences in both the number of osteoclasts and osteoblasts between the 2.5% HAGP group, the 5% HAGP group and the 10% HAGP group (p = 0.000). Similarly, significant differences in the width of the trabecular bone area existed between the 5% HAGP group and the 10% HAGP group, as well as between the 2.5% HAGP group and the 10% HAGP group (p=0.000). In contrast, there was no significant difference in the width of the trabecular bone area between the 2.5% HAGP group and the 5% HAGP group. Conclusion: The application of HAGP scaffold can reduce osteoclasts, increase osteoblasts and extend the trabecular area in the alveolar bone sockets of rats.


2014 ◽  
Vol 85 (3) ◽  
pp. 427-433 ◽  
Author(s):  
Yoon Jeong Choi ◽  
Chooryung J. Chung ◽  
Kyung-Ho Kim

ABSTRACT Objective:  To test the hypothesis that periodontal changes are similar between proclined and minimal-changed mandibular incisor position groups during presurgical orthodontic treatment for Class III orthognathic surgery. Materials and Methods:  The following measurements were performed before and after presurgical orthodontic treatment of 75 patients (proclination group, 39 subjects; minimal-change group, 36 subjects): clinical crown length, sulcus and bone probing depths, and width of attached gingiva from clinical examination; infradentale-to-MP (perpendicular distance of infradentale to mandibular plane) from examination of lateral cephalograms; and the distance between the cementoenamel junction and alveolar crest from examination of periapical radiographs. Data were compared between the two groups, and a regression analysis was performed to investigate factors affecting the periodontal changes. Results:  In both groups, clinical crown length and bone probing depth increased during presurgical orthodontics (P < .05). Infradentale-to-MP and the width of attached gingiva decreased more in the proclination group than in the minimal-change group (P < .05). Proclination and protrusion of the mandibular incisors, and treatment duration affected the periodontal changes. Conclusions:  The null hypothesis was rejected. Proclination of the mandibular incisors for decompensation in Class III surgery patients seems to result in labial alveolar bone recession and a decrease in width of attached gingiva. However, the amount of the periodontal recession appeared to be clinically insignificant.


2015 ◽  
Vol 85 (6) ◽  
pp. 997-1002 ◽  
Author(s):  
Sayeh Ehsani ◽  
Brian Nebbe ◽  
David Normando ◽  
Manuel O Lagravere ◽  
Carlos Flores-Mir

ABSTRACT Objective:  To compare the short-term skeletal and dental effects of two-phase orthodontic treatment including either a Twin-block or an XBow appliance. Materials and Methods:  This was a retrospective clinical trial of 50 consecutive Class II cases treated in a private practice with either a Twin-block (25) or XBow (25) appliance followed by full fixed orthodontic treatment. To factor out growth, an untreated Class II control group (25) was considered. Results:  A MANOVA of treatment/observation changes followed by univariate pairwise comparisons showed that the maxilla moved forward less in the treatment groups than in the control group. As for mandibular changes, the corpus length increase was larger in the Twin-block group by 3.9 mm. Dentally, mesial movement of mandibular molars was greater in both treatment groups. Although no distalization of maxillary molars was found in either treatment group, restriction of mesial movement of these teeth was seen in both treatment groups. Both treatment groups demonstrated increased mandibular incisor proclination with larger increases for the XBow group by 3.3°. The Wits value was decreased by 1.6 mm more in the Twin-block group. No sex-related differences were observed. Conclusions:  Class II correction using an XBow or Twin-block followed by fixed appliances occurs through a relatively similar combination of dental and skeletal effects. An increase in mandibular incisor inclination for the XBow group and an increased corpus length for the Twin-block group were notable exceptions. No overall treatment length differences were seen.


2015 ◽  
Vol 26 (1) ◽  
pp. 9-12
Author(s):  
Naznin Sultana ◽  
Gazi Shamim Hassan ◽  
Digamber Jha ◽  
Towhida Nashrin ◽  
Lutfun Nahar ◽  
...  

Crossbite is one of the most prevalent malocclusion, posterior crossbite occurs in 8% to 22% of orthodontic cases and anterior crossbite has been seen in Class III cases, which accounts for 3.4% of orthodontic cases. The etiology of posterior crossbite can include any combination of dental, skeletal, and neuro muscular functional components, but the most frequent cause is reduction in width of the maxillary dental arch. Patients/cases seeking comprehensive orthodontic treatment in between 5 to 35 years were diagnosed for crossbite with diagnostic model and care record file. Out of 300 cases 163(54.3%) had crossbite, 90(30%) had anterior crossbite and 109(36.3%) had posterior cross bite. Among posterior crossbite 60(20%) had unilateral and 49(16.3%) had bilateral crossbite. Posterior crossbite was more prevalent than anterior crossbite. Cases with Class I molar relation showed more crossbite. Crossbite was more prevalent in cases with congenitally missing teeth.Bangladesh J Medicine Jan 2015; 26 (1) : 9-12


2015 ◽  
Vol 16 (11) ◽  
pp. 873-875 ◽  
Author(s):  
Luai Mahaini

ABSTRACT The aim of this study investigates mesiodistal crown size of the maxillary and mandibular incisors of patients with palatally impacted canines (PDC). Pretreatment dental casts of orthodontic patients with PDC of one or both maxillary canines (N: 33) were collected. This PDC sample was matched according to age and sex with pretreatment dental casts from unaffected orthodontic patients. For the PDC and matched control samples, maximum mesiodistal crown diameters were recorded for the four incisors on the right side only. The results showed that, on average, the mesiodistal crown diameters for the maxillary and mandibular incisors measured smaller in the PDC sample than in the control sample. These findings of statistically significant tooth-size reductions associated with PDC occurrence indicate a generalized pattern of reduced tooth size as a characteristic associated with the PDC anomaly. Further, the presence of generalized tooth-size reduction in cases with palatally displaced canines help explain why most orthodontic treatment plans for PDC patients are of the nonextraction type. How to cite this article Mahaini L. The Relationship between Palatal Displacement of Upper Canines and Incisors Widths in a Syrian Sample of Patients with Uncrowded Arches. J Contemp Dent Pract 2015;16(11):873-875


Author(s):  
Maria Mitus-Kenig ◽  
Marcin Derwich ◽  
Ewa Czochrowska ◽  
Elzbieta Pawlowska

Background: The aim of the study was to compare the quality of life (QoL) of cancer survivors with a control group of healthy subjects before, during, and after the orthodontic treatment. Methods: Consecutive cancer survivors (40 people) who were looking for orthodontic treatment between 2008 and 2015 were enrolled into the study. Healthy orthodontic patients matched for age (±4 years), sex, and malocclusion served as controls. The 14-item version of the Oral Health Impact Profile was used to assess the effect of orthodontic treatment on QoL before, during, and after the orthodontic treatment. Results: There were no significant differences between both groups regarding the cast model, cephalometric analysis, and photographic documentation analysis. There was a significant worsening of QoL after the onset of the orthodontic treatment with a significant improvement after the treatment. Male cancer survivor patients reported significantly lower QoL during the treatment time, which was not observed in the male control group. Conclusions: The outcome of orthodontic treatment in cancer survivors did not differ from the healthy orthodontic patients. The orthodontic treatment had an impact on the oral health quality of life both in the cancer and the control groups with a significantly higher impact in male cancer survivor patients.


2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Khalid H. Zawawi

Mandibular incisor extraction for orthodontic treatment is considered an unusual treatment option because of the limited number of patients that meet the criteria for such treatment. Accurate diagnosis and treatment planning is essential to achieve the desired results. Adult orthodontic patients are increasingly motivated by esthetic considerations and reject the idea of conventional fixed appliances. In recent years, Invisalign appliances have gained tremendous attention for orthodontic treatment of adult patients to meet their esthetic demands. In this case report, a case of Class I malocclusion was treated with mandibular incisor extraction using the Invisalign appliance system. Successful tooth alignment of both arches was achieved. The use of Invisalign appliance is an effective treatment option in adult patients with Class I malocclusion that requires incisor extraction due to moderate to severe mandibular anterior crowding.


2020 ◽  
Vol 3 (3) ◽  
pp. 17
Author(s):  
Feifei Wang ◽  
Xueting Liu ◽  
Manli Ruan

Orthodontics is the correction and treatment of malocclusion deformity caused by a variety of reasons. Malocclusion malformation has a direct impact on people’s facial features, while likely to cause some diseases involving the mouth in the long-term life. For adolescents, malocclusion has a great physical and mental impact. This article first have a simple overview of malocclusion deformity and orthodontic treatment, analysis of youth physical and mental development characteristics and adolescent personality traits. Through the way of completely random sampling, eighty teenage orthodontic patients can be divided into two groups, respectively as the control group and psychological intervention group. Though survey assessment after several stages treatment, explore impact on the psychological intervention in patients with juvenile orthodontic treatment satisfaction degree.


2021 ◽  
Vol 1 (Volume 1 No 1) ◽  
pp. 38-48
Author(s):  
Hillda Herawati ◽  
Fahrauk Paramayudh ◽  
Rudi Satria Darwis ◽  
Sarah Syarifah

The optimal achievement of orthodontic treatment is determined by a bone remodelling process involving osteoblast, osteoclasts, and the estrogen hormone. Estrogen deficiency can increase osteoclast age and decrease osteoblast, resulting in an imbalance between osteoclasts and osteoblasts. One natural alternative that can replace the role of the hormone estrogen is phytoestrogens. Sauropus androgynus (L.) Merr (katuk) is a phytoestrogen that contains isoflavones with many similarities with estrogens. This research aims to determine the effectiveness of the various doses of ethanol extract of katuk leaves orally on the number of osteoblasts and osteoclasts. This research was conducted using experimental laboratory methods using 24 female Guinea pigs divided into a control group and three groups with various doses of 39.15 mg/BW, 78.3 mg/BW, and 156.5 mg/BW. The observations made in this test were the number of osteoblasts and osteoclasts on the alveolar guinea pig on day 14 and analysed using the one way ANOVA test (p <0.05). All guinea pigs have applied a rubber separator to the left incisor and given a dose according to the group, and after 14th days, histological preparations were made. The results showed that the highest number of osteoblasts was at a dose of 78.3 mg/BW, and the lowest number of osteoclasts was at a dose of 39.15 mg/BW with values of 15.03 ± 2.27 and 1.73 ± 0.56, respectively. Statistically, the number of osteoblasts between the treatment and control groups significantly differed (p = 0.04), while the number of osteoclasts between the treatment and control groups had no significant difference (p = 0.228). This study concludes that katuk leaves extract has effectiveness in increasing the number of osteoblasts in orthodontic treatment, while the decrease in osteoclasts is not statistically proven.


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