scholarly journals Treatment time, outcome, and anchorage loss comparisons of self-ligating and conventional brackets

2012 ◽  
Vol 83 (2) ◽  
pp. 280-285 ◽  
Author(s):  
Ferdinand M. Machibya ◽  
Xingfu Bao ◽  
Lihua Zhao ◽  
Min Hu
Keyword(s):  
Treatment Time ◽  
Peer Assessment ◽  
Steel Wire ◽  
Skeletal Changes ◽  
Lateral Cephalograms ◽  
Significant Difference ◽  
Conventional Brackets ◽  
Orthodontic Patients ◽  
Anchorage Loss ◽  
Mandibular Incisors

ABSTRACT Objective: To compare the treatment time, outcome, and anchorage loss among orthodontic patients treated by self-ligating brackets (SLBs) and conventional brackets (CBs). Materials and Methods: A retrospective cohort study compared 34 patients (SLB group) treated by SmartClip brackets (3M Unitek, Monrovia, Calif) to 35 patients (CB group) treated by conventional preadjusted Victory series brackets (3M Unitek) and ligated by stainless steel wire ligatures. Pretreatment (T1) and posttreatment (T2) lateral cephalograms were traced and analyzed using Pancherz sagittal-occlusion analysis to obtain skeletal and dental changes in the maxilla and the mandible. The dental cast models were assessed by the Peer Assessment Rating (PAR) Index for the treatment outcomes. Results: The mean treatment time for SLBs (19.19 months) did not show a statistically significant difference from 21.25 months of CBs; the treatment time and pretreatment PAR scores were strongly correlated. There was no difference in anchorage loss between the SLB and CB groups. There were significant dental and skeletal changes among adolescent orthodontic patients regardless of the bracket used. The lingual inclination of the mandibular incisors in the CB group was 3.62° more than in the SLB group (P < .01). Conclusions: The treatment time and anchorage loss are not influenced by the type of bracket used. There are significant dental and skeletal changes among adolescent orthodontic patients regardless of the bracket used. There is significantly greater lingual inclination of mandibular incisors in the CB group than in the SLB group.

scholarly journals Comparison of Maxillary Molar Distalization with an Implant-Supported Distal Jet and a Traditional Tooth-Supported Distal Jet Appliance

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Mauro Cozzani ◽  
Marco Pasini ◽  
Francesco Zallio ◽  
Robert Ritucci ◽  
Sabrina Mutinelli ◽  
...  
Keyword(s):  
Treatment Time ◽  
Molar Distalization ◽  
Skeletal Changes ◽  
Wilcoxon Rank Sum Test ◽  
Lateral Cephalograms ◽  
Maxillary Molar ◽  
The Mean ◽  
Anchorage Loss ◽  
Distal Jet ◽  
Values Distribution

Aim. To investigate and compare the efficiency of two appliances for molar distalization: the bone-anchored distal screw (DS) and the traditional tooth-supported distal jet (DJ) for molar distalization and anchorage loss.Methods.Tests (18 subjects) were treated with a DS and controls (18 subjects) were treated with a DJ. Lateral cephalograms were obtained before and at the end of molar distalization and were analysed. Shapiro Wilk test, unpairedt-test, and Wilcoxon rank-sum test were applied according to values distribution. Theαlevel was fixed at 0.05.Results. Maxillary first molars were successfully distalized into a Class I relationship in all patients. The mean molar distalization and treatment time were similar in both groups. The DS group exhibited a spontaneous distalization (2.1±0.9 mm) of the first premolar with control of anchorage loss, distal tipping, extrusion, and skeletal changes.Conclusions. The DS is an adequate compliance-free distalizing appliance that can be used safely for the correction of Class II malocclusions. In comparison to the traditional DJ, the DS enables not only a good rate of molar distalization, but also a spontaneous distalization of the first premolars.

scholarly journals Anterior open bite: cephalometric evaluation of the dental pattern

2006 ◽  
Vol 17 (1) ◽  
pp. 68-70 ◽  
Author(s):  
Adriana Sasso Stuani ◽  
Andréa Sasso Stuani ◽  
Maria Bernadete Sasso Stuani ◽  
Maria da Conceição Pereira Saraiva ◽  
Mírian Aiko Nakane Matsumoto
Keyword(s):  
Open Bite ◽  
Occlusal Plane ◽  
Anterior Open Bite ◽  
Panoramic Radiographs ◽  
Lateral Cephalograms ◽  
Significant Difference ◽  
Dental Origin ◽  
Dental Pattern ◽  
Mandibular Incisors

The purpose of this study was to compare the dental pattern of patients with anterior open bite malocclusion to that of individuals with normal overbite by utilization of lateral cephalograms, panoramic radiographs and study casts. The findings showed that there was no significant difference in the inclination of the occlusal plane (SN.PlO) and position of the maxillary and mandibular incisors (1-NA, 1-NB) between both groups of individuals; but the angles of inclination of the maxillary and mandibular incisors (1.1, 1.NA and 1.NB) differed statistically between patients with anterior open bite of the individuals that presented normal overbite, which suggests that the anterior open bite may be of dental origin.

scholarly journals GINGIVAL THICKNESS ASSESSMENT AT MANDIBULAR INCISORS OF ORTHODONTIC PATIENTS WITH ULTRASOUND AND CONE-BEAM CT.  A CROSS-SECTIONAL STUDY

2019 ◽  
Author(s):  
Dimitrios Kloukos ◽  
Lydia Kakali ◽  
George Koukos ◽  
Anton Sculean ◽  
Andreas Stavropoulos ◽  
...  
Keyword(s):  
Cone Beam ◽  
Point Estimate ◽  
Central Incisor ◽  
Cross Sectional ◽  
Gingival Thickness ◽  
Significant Difference ◽  
Orthodontic Patients ◽  
Clinically Significant ◽  
The Right ◽  
Mandibular Incisors

Abstract Background Quantitative and qualitative analysis of several periodontal parameters plays an important role in several dental procedures. Aim of the current study was to assess gingival thickness (GT) at mandibular incisors of orthodontic patients with two methods and determine how these methods are compared to each other when assessing periodontal anatomy through soft tissue thickness.Methods The sample consisted of 40 consecutive adult orthodontic patients. GT was measured at both central mandibular incisors, mid-facially on the buccal aspect, 2mm apically to the free gingival margin with two methods: a) clinically with an Ultrasound device (USD) and b) radiographically with Cone Beam Computed Tomography (CBCT).Results CBCT measurements were consistently higher than USD measurements, with the difference ranging from 0.13 mm to 0.21 mm. No difference was noted between the repeated CBCT measurements at the right central incisor (Bias= 0.05 mm; 95% CI= -0.01, 0.11, p=0.104). Although the respective results for the left incisor indicated, statistically, that the measurements were not exactly replicated, the magnitude of the point estimate was small and not clinically significant (Bias= 0.06 mm; 95% CI= 0.01, 0.11, p=0.014). Small differences between CBCT measurements made by the 2 examiners at the left central incisor (bias= 0.06 mm, 95% CI= 0.01, 0.11, p=0.014) were detected. However, this difference was minor, and again, not clinically significant. The respective analysis on the right incisor showed no significant difference (bias= 0.05 mm, 95% CI= -0.01, 0.11, p=0.246).Conclusions Present data indicate that CBCT measurements were highly reproducible and yielded greater values compared to USD measurements.

Gingival thickness assessment at mandibular incisors of orthodontic patients with ultrasound and cone-beam ct.

2019 ◽  
Author(s):  
Dimitrios Kloukos ◽  
Lydia Kakali ◽  
George Koukos ◽  
Anton Sculean ◽  
Andreas Stavropoulos ◽  
...  
Keyword(s):  
Cone Beam Ct ◽  
Cone Beam ◽  
Point Estimate ◽  
Central Incisor ◽  
Gingival Thickness ◽  
Significant Difference ◽  
Orthodontic Patients ◽  
Clinically Significant ◽  
The Right ◽  
Mandibular Incisors

Abstract Background Quantitative and qualitative analysis of several periodontal parameters plays an important role in several dental procedures. Aim of the current study was to assess gingival thickness (GT) at mandibular incisors of orthodontic patients with two methods and determine how these methods are compared to each other when assessing periodontal anatomy through soft tissue thickness.Methods The sample consisted of 40 consecutive adult orthodontic patients. GT was measured at both central mandibular incisors, mid-facially on the buccal aspect, 2mm apically to the free gingival margin with two methods: a) clinically with an Ultrasound device (USD) and b) radiographically with Cone Beam Computed Tomography (CBCT).Results CBCT measurements were consistently higher than USD measurements, with the difference ranging from 0.13 mm to 0.21 mm. No difference was noted between the repeated CBCT measurements at the right central incisor (Bias= 0.05 mm; 95% CI= -0.01, 0.11, p=0.104). Although the respective results for the left incisor indicated, statistically, that the measurements were not exactly replicated, the magnitude of the point estimate was small and not clinically significant (Bias= 0.06 mm; 95% CI= 0.01, 0.11, p=0.014). Small differences between CBCT measurements made by the 2 examiners at the left central incisor (bias= 0.06 mm, 95% CI= 0.01, 0.11, p=0.014) were detected. However, this difference was minor, and again, not clinically significant. The respective analysis on the right incisor showed no significant difference (bias= 0.05 mm, 95% CI= -0.01, 0.11, p=0.246).Conclusions Present data indicate that CBCT measurements were highly reproducible and yielded greater values compared to USD measurements.

Comparison of Treatment Effects with Modified C-Palatal Plates vs Greenfield Molar Distalizer Appliances in Adolescents

2020 ◽  
Vol 44 (3) ◽  
pp. 202-208
Author(s):  
Mohammed Alfaifi ◽  
Jae Hyun Park ◽  
Kiyoshi Tai ◽  
Ja Hyeong Ku ◽  
Nikhilesh R Vaid ◽  
...  
Keyword(s):  
Treatment Effects ◽  
Group Differences ◽  
Class Ii Malocclusion ◽  
Molar Distalization ◽  
Skeletal Changes ◽  
Lateral Cephalograms ◽  
Significant Difference ◽  
Maxillary Molar ◽  
The Mean ◽  
Maxillary Incisors

Objectives: The aim of study was to evaluate skeletodental and soft tissue treatment effects and the amount of maxillary molar distalization with modified C-palatal plates vs. Greenfield molar distalizer appliances in adolescents. Study design: The samples consisted of pre- and posttreatment lateral cephalograms collected from 39 patients with Class II malocclusion. The MCPP group was comprised of 21 patients (mean age: 11.7 ± 1.3 years) treated with MCPP appliances while the GMD group included 18 patients (mean age: 11.2 ± 0.9 years) treated with GMD. Fixed orthodontic treatment started with the distalization process in both groups. From each cephalograpm, twenty-nine variables were measured for analysis and then the two groups were compared. Descriptive statistics, a paired t-test, and multivariate analysis of variance were performed to compare the treatment effects within and between the groups. Results: There was significant treatmentrelated change in the sagittal position of the maxilla and the mandible within each group. However, there were no statistically significant inter-group differences. The mean maxillary first molar distalization was 3.96 mm in the MCPP group vs. 2.85 mm in the GMD group. Both groups showed minimal distal tipping, but the maxillary incisors were significantly extruded by 3.04 ± 0.89 mm (P < .001) in GMD group. There was no significant difference in treatment duration between the groups. Conclusions: The maxillary first molars of both the MCPP and GMD groups were effectively distalized and there were significant skeletal changes in the maxilla. However, the maxillary incisors were significantly extruded in the GMD group.

scholarly journals Long-term evaluation of the molar movements following Pendulum and fixed appliances

2012 ◽  
Vol 83 (3) ◽  
pp. 447-454 ◽  
Author(s):  
Alberto Caprioglio ◽  
Mattia Fontana ◽  
Elena Longoni ◽  
Mauro Cozzani
Keyword(s):  
Class Ii ◽  
Individual Growth ◽  
Fixed Appliance ◽  
Skeletal Changes ◽  
Growth Increase ◽  
Lateral Cephalograms ◽  
Significant Difference ◽  
Term Evaluation ◽  
Long Term Observation

ABSTRACT Objective: To describe the molar movements and skeletal changes associated with Pendulum-fixed appliance treatment and the long-term postretention period. Subjects and Methods: The treatment sample consisted of 76 Class II patients, 35 males and 41 females. Lateral cephalograms were obtained at the start of treatment (T1); the end of distalization (T2); the end of orthodontic fixed appliance therapy (T3); and long-term observation (7 years 2 months later; T4). Mean age was 12 years 11 months at T1, 13 years 8 months at T2, 15 years 4 months at T3, and 22 years 5 months at T4. The average amount of Class II molar relationship was 3.1 mm, with a mean overjet of 5.9 mm at the beginning of treatment. A paired t-test was used to identify significant between-group differences between T2–T4 and T3–T4. Results: Distal molar movement was obtained during the distalization phase (T2), and more than half of the distalizing effect was maintained at the end of maxillary growth (T4). Most of the relapse occurred during fixed appliance therapy (T3), whereas no significant change was detected in the postretention period (T4). The molar relationship did not show any significant difference between T2 and T4. The vertical facial dimension increased during the distalization phase (T2) and fixed appliance therapy (T3) but returned to the initial values during the postretention period (T4). Conclusions: The Pendulum appliance induces significant dentoalveolar effects, which can be partially maintained during the long-term period. The Class I molar relationship does not change during completion of individual growth. Increase in vertical facial dimension represents a temporary effect.

scholarly journals Hypodontia Patterns and Variations in Craniofacial Morphology in Japanese Orthodontic Patients

2006 ◽  
Vol 76 (6) ◽  
pp. 996-1003 ◽  
Author(s):  
Toshiya Endo ◽  
Rieko Ozoe ◽  
Sugako Yoshino ◽  
Shohachi Shimooka
Keyword(s):  
Craniofacial Morphology ◽  
Occlusal Plane ◽  
Control Group ◽  
Missing Teeth ◽  
Linear Measurements ◽  
Posterior Group ◽  
Lateral Cephalograms ◽  
Significant Difference ◽  
Orthodontic Patients ◽  
Anterior Posterior

Abstract Objective: The purpose of this study was to explore the association of hypodontia patterns and variations in craniofacial morphology in Japanese orthodontic patients. Materials and Methods: A total of 50 girls with hypodontia (the total group) were selected and categorized into anterior, posterior, and anterior-posterior groups according to the location of the congenitally missing teeth. By using the lateral cephalograms of each subject, 28 angular and 37 linear measurements were made. The cephalometric data were statistically analyzed and compared among the groups and with the Japanese cephalometric standards from 36 age-matched female subjects without hypodontia or malocclusion (the control group). Results: Every hypodontia group showed shorter anterior and overall cranial base lengths, shorter maxillary length, greater retroclination and elongation of mandibular incisors, and a larger interincisal angle than the control group. The total and anterior-posterior groups especially exhibited a significantly more prognathic mandible, larger retroclination of maxillary incisors, and a more counterclockwise-rotated occlusal plane. Furthermore, these skeletal and dental deviations were more remarkable in the anterior-posterior group than in either the anterior or the posterior group. Anterior hypodontia exerted as much influence on craniofacial morphology as posterior hypodontia. Conclusions: When orthodontic treatment is performed on patients with hypodontia, not only the number but also the distribution of missing teeth should be taken into consideration, though there was no significant difference in craniofacial morphology between anterior hypodontia and posterior hypodontia.

scholarly journals Mini-implant and Nance button for initial retraction of maxillary canines: a prospective study in cast models

2012 ◽  
Vol 17 (4) ◽  
pp. 134-139 ◽  
Author(s):  
Flávia de Moraes Arantes ◽  
Juliana Kina ◽  
Matheus José Bueno Gonçalves ◽  
Júlio de Araújo Gurgel ◽  
Omar Gabriel da Silva Filho ◽  
...  
Keyword(s):  
Model Comparison ◽  
Treatment Time ◽  
T Test ◽  
Significance Level ◽  
Canine Retraction ◽  
Mini Implants ◽  
Significant Difference ◽  
Group B ◽  
Anchorage Loss ◽  
Paired T Test

OBJECTIVE: Bone anchorage is a key factor for the successful management of some malocclusions for it allows the application of continuous forces, decreases treatment time and is independent from patient compliance. METHODS: The goal of this work was to establish a dental model comparison in order to measure the anchorage loss after the initial retraction of upper canines between the two groups. Group A used mini-implants and Group B used Nance button. All patients had two models cast (M1 and M2). The first models were taken on baseline (M1) and the other models were taken after canine retraction (M2). RESULTS: All measurements were pooled and submitted to statistical analysis. In order to verify the inter-examiner systematic error a paired t-test was performed. Dahlberg's formula was used to estimate the casual error. For comparison purposes between Before and After stages, a paired t-test was done. For the comparison between mini-implant and Nance button groups, a Student t-test was applied. All tests adopted a 5% (p<0.05) significance level. CONCLUSION: No statistically significant difference was observed between the two groups when measurements and comparisons to assess molar anchorage loss after canine initial retraction were performed. Two different anchorage systems were applied on dental models (mini-implants and Nance's button) for each group.

scholarly journals Class II subdivision treatment with the Forsus Fatigue Resistant Device vs intermaxillary elastics

2016 ◽  
Vol 87 (3) ◽  
pp. 371-376 ◽  
Author(s):  
Isil Aras ◽  
Aylin Pasaoglu
Keyword(s):  
Treatment Phase ◽  
Class Ii ◽  
Occlusal Plane ◽  
Comprehensive Treatment ◽  
Fixed Appliance ◽  
Lateral Cephalograms ◽  
Significant Difference ◽  
Fixed Appliances ◽  
The Difference ◽  
Mandibular Incisors

ABSTRACT Objective: To compare the effectiveness of comprehensive fixed appliance treatments implemented in combination with Forsus or intermaxillary elastics in Class II subdivision subjects. Materials and Methods: Twenty-eight Class II subdivision patients were allocated to two groups using matched randomization: Forsus group (mean age, 14.19 ± 1.02 years) and elastics group (mean age, 13.75 ± 1.16 years). Patients received fixed appliance therapy in combination with either Forsus or intermaxillary elastics. The study was conducted on lateral cephalograms and digital models acquired before orthodontic treatment and 10–12 weeks after the fixed appliances were removed. Results: The treatment phase comprising the use of Forsus (4.53 ± 0.91 months) was significantly shorter compared with elastics application (6.85 ± 1.08 months). This was also true for comparing duration of overall comprehensive treatment in both groups. Extrusion and palatal tipping of maxillary incisors and clockwise rotation of the occlusal plane were greater in the elastics group (P &lt; .05). The mandibular incisors were proclined in both groups (P &lt; .001), but no significant difference was observed between groups (P &gt; .05). The mandibular incisors showed intrusion in the Forsus group and extrusion in the elastics group; the difference between groups was significant (P &lt; .05). Overbite was decreased in both groups (P &lt; .001) in similar amounts. Improvement in overjet, mandibular midline deviation, and correction of molar relationship on the Class II side were greater in the Forsus group (P &lt; .05). Conclusion: Forsus is more effective for correcting Class II subdivision malocclusion in a shorter treatment period with minimal patient compliance required.

scholarly journals Angular Relationship between Frankfort Horizontal Plane and Sella-Nasion Plane in Nepalese Orthodontic Patients: A Cephalometric Study

2017 ◽  
Vol 7 (1) ◽  
pp. 14-17
Author(s):  
Jamal Giri ◽  
Prabhat Ranjan Pokharel ◽  
Rajesh Gyawali
Keyword(s):  
Horizontal Plane ◽  
Class I ◽  
Anova Analysis ◽  
Skeletal Class ◽  
Lateral Cephalograms ◽  
Significant Difference ◽  
Orthodontic Patients ◽  
The Difference ◽  
Cephalometric Study ◽  
Frankfort Horizontal Plane

Introduction: The angle between Frankfort horizontal (FH) plane and Sella-Nasion (SN) plane is considered to be 7°. Various studies have shown that the FH-SN angulations could vary; which can affect cephalometric diagnosis.Objective: To determine average FH-SN angle for a group of Nepalese orthodontic patients. The secondary objectives were to assess whether the FH-SN angle exhibits sexual dimorphism and to evaluate the FH-SN angle in different skeletal relationships.Materials & Method: Lateral cephalograms of 238 orthodontic patients were hand traced and the angle between the FH and SN plane was measured and recorded. The cephalograms were also classified as skeletal Class I, II or III cases using Wits appraisal.Result: The average FH-SN angle was 6.71° ± 3.13°. FH-SN angle was greater in female samples compared to males. However, the difference was not statistically significant. Similarly, the ANOVA analysis revealed no significant difference between FH-SN angles in different skeletal relationships.Conclusion: The average FH-SN angle for a group of Nepalese orthodontic patients was 6.71° ± 3.13°. There was no statistically significant difference in FH-SN angle between skeletal Class I, II and III relationships

Sign in / Sign up

Export Citation Format

Share Document