scholarly journals Early Treatment with a Maxillary Lip Bumper-Bite Plateau Combination

2008 ◽  
Vol 78 (5) ◽  
pp. 838-846 ◽  
Author(s):  
Marcel Korn ◽  
Birte Melsen

Abstract Objective: To evaluate the intra-arch displacements of the molars and the change in molar relationship following the use of a maxillary lip bumper combined with a bite plate. Materials and Methods: The material comprised study casts taken before and after the treatment of 40 consecutive patients with mixed dentition. The sagittal and transversal displacements were evaluated by a three-dimensional digitizer using the palatal rugae as an indirect fixed reference. The displacements were expressed as translation mesiodistally and buccolingually and rotation around the long axis and tipping mesiodistally. The change in molar relationship was measured to the nearest millimeter at the level of the occlusal plane. Results: The tooth movements were predominantly of distal rotation (mean, 9.7°; range, 6.5° to 26°) and distal tipping (mean, 5°; range, 5.8° to 18°). The distal displacement was a modest mean (mean, 0.3 mm; SD, 1.6 mm) and more pronounced to the buccal (mean 1.6 mm; SD, 1.5 mm). The molar relationship improved in all but four sites, and a full Class I was obtained in 65 of 80 sites. Conclusions: The early treatment with the lip bumper and bite plate can be recommended from a cost-benefit point of view.

2017 ◽  
Vol 19 (2) ◽  
Author(s):  
Jesús Hernández ◽  
Margarita Padilla

Nowadays, it is widely accepted the importance of treating early occlusal abnormalities of clinical significance for the development of the stomatognathic system. An early treatment would restore the harmony and the functionality of the craniofacial complex, it simplifies the corrective procedures, reduces the need for permanent tooth extractions and brings psychological benefits to patients, to name a few. The presence of malocclusions should intervene early to restore proper neural excitation in the craniofacial complex and provide the conditions necessary for each patient to receive their growth potential. The anterior cross bite (MCA) should be treated early to prevent harmful effects on growth and, the development of the maxilla and mandible, to avoid traumatic occlusal forces and restore proper muscle contraction patterns in the patient. This article shows some of the early treatment options for the MCA in primary and mixed dentition after an accurate diagnosis.   Key words: Anterior cross bite, early treatment, class III malocclusion, occlusal plane. Periodontitis, microbiology, transmission, Aggregatibacter actinomycetemcomitans.  


2012 ◽  
Vol 83 (4) ◽  
pp. 691-697 ◽  
Author(s):  
Paolo M. Cattaneo ◽  
Raaid A. Salih ◽  
Birte Melsen

ABSTRACT Objective: To investigate the torque capabilities of passive and active self-ligating (SL) brackets on mandibular incisors and canines using three-dimensional (3D) imaging analysis. Materials and Methods: Two types of SL bracket systems were analyzed: a passive and an active. Both brackets had a 0.022 × 0.028-inch slot size. Treatment protocol and wire sequences were followed as recommended by the manufacturers. Twenty-six patients were included in the passive group and 20 were included in the active group; all received pretreatment and posttreatment cone-beam computed tomography (CBCT) scanning. Based on the CBCT scans, a customized 3D analysis was developed to assess labiolingual inclination of the roots of mandibular canines and incisors with respect to the occlusal plane before and after treatment. Results: Following treatment, a statistically significant labiolingual proclination of the teeth was seen in both groups. Moreover, in both SL systems the roots exhibited a large variation in labiolingual inclination between adjacent teeth even after treatment. Conclusions: A significant proclination was seen for the mandibular front teeth; the claimed third-order torque control of SL systems could not be demonstrated. Therefore, a considerable play between the wire and the brackets could be hypothesized, even more in relation to the passive than the active SL brackets.


Processes ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 399
Author(s):  
Jihui Liu ◽  
Shuang Qiu ◽  
Zhijun He ◽  
Yaowei Yu

In this paper, Huolinhe lignite was selected as the lignite experimental sample, using microwave modification and ultrasonic modification separately as improvement methods. The three-dimensional molecular models of HLH before and after modification were established base on the parameters obtained by 13C NMR, X-ray photoelectron spectroscopy (XPS), Raman spectroscopy (Raman), and Fourier transform infrared (FTIR). After the microwave treatment, the methylene carbon in the HLH coal sample structure mostly exists in the form of long straight chains, and after microwave and ultrasonic treatment, the -OH content of oxygen atoms in the coal sample increases, and form the CO- and the COO-. The proportion is decreasing. The models were adjusted and tested by the covalent bond concentration method and carbon chemical shift spectra calculation using Chemdraw software. A new method is proposed to study the structure and physicochemical properties of lignite modification from the molecular point of view through this study.


Methodology ◽  
2019 ◽  
Vol 15 (3) ◽  
pp. 97-105
Author(s):  
Rodrigo Ferrer ◽  
Antonio Pardo

Abstract. In a recent paper, Ferrer and Pardo (2014) tested several distribution-based methods designed to assess when test scores obtained before and after an intervention reflect a statistically reliable change. However, we still do not know how these methods perform from the point of view of false negatives. For this purpose, we have simulated change scenarios (different effect sizes in a pre-post-test design) with distributions of different shapes and with different sample sizes. For each simulated scenario, we generated 1,000 samples. In each sample, we recorded the false-negative rate of the five distribution-based methods with the best performance from the point of view of the false positives. Our results have revealed unacceptable rates of false negatives even with effects of very large size, starting from 31.8% in an optimistic scenario (effect size of 2.0 and a normal distribution) to 99.9% in the worst scenario (effect size of 0.2 and a highly skewed distribution). Therefore, our results suggest that the widely used distribution-based methods must be applied with caution in a clinical context, because they need huge effect sizes to detect a true change. However, we made some considerations regarding the effect size and the cut-off points commonly used which allow us to be more precise in our estimates.


1976 ◽  
Vol 15 (01) ◽  
pp. 36-42 ◽  
Author(s):  
J. Schlörer

From a statistical data bank containing only anonymous records, the records sometimes may be identified and then retrieved, as personal records, by on line dialogue. The risk mainly applies to statistical data sets representing populations, or samples with a high ratio n/N. On the other hand, access controls are unsatisfactory as a general means of protection for statistical data banks, which should be open to large user communities. A threat monitoring scheme is proposed, which will largely block the techniques for retrieval of complete records. If combined with additional measures (e.g., slight modifications of output), it may be expected to render, from a cost-benefit point of view, intrusion attempts by dialogue valueless, if not absolutely impossible. The bona fide user has to pay by some loss of information, but considerable flexibility in evaluation is retained. The proposal of controlled classification included in the scheme may also be useful for off line dialogue systems.


1967 ◽  
Vol 7 (3) ◽  
pp. 416-420
Author(s):  
Arthur MacEwan

These books are numbers 4 and 5, respectively, in the series "Studies in the Economic Development of India". The two books are interesting complements to one another, both being concerned with the analysis of projects within national plan formulation. However, they treat different sorts of problems and do so on very different levels. Marglin's Public Investment Criteria is a short treatise on the problems of cost-benefit analysis in an Indian type economy, i.e., a mixed economy in which the government accepts a large planning responsibility. The book, which is wholely theoretical, explains the many criteria needed for evaluation of projects. The work is aimed at beginning students and government officials with some training in economics. It is a clear and interesting "introduction to the special branch of economics that concerns itself with systematic analysis of investment alternatives from the point of view of a government".


2018 ◽  
Vol 69 (8) ◽  
pp. 2232-2235
Author(s):  
Marius Moga ◽  
Mark Edward Pogarasteanu ◽  
Antoine Edu

The role of arthroscopy in incipient and mild arthrosis, even combined with proximal tibial ostetomy, is well known and well documented. On the other hand, its role in the treatment of advanced arthrosis of the large joints, especially the knee, is a subject of controversy. The proponents of the use of arthroscopy in advanced arthrosis claim that meniscectomy, synovectomy, ostophytectomy, chondral lesion stabilization, arthroscopic release, plica and loose body removal greatly improve the quality of life for most patients, especially if followed by the use of viscoelastic injection, by diminishing pain and improving joint range of motion. The opponents claim that, even though the advantages are clear in the cases that refuse arthroplasty, in all the other cases the surgical indication should be total knee arthroplasty, as the clinical relief is temporary, but with all the risks of a surgical intervention. We have conducted an overview of the recent literature, in order to find objective evidence to sustain either point of view. We focused on articles published that included an objective measurement of before and after clinical status through clinical scores and objective measurements. We also focused on the follow-up period and on the evolution of the pathology after arthroscopy.


Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 726
Author(s):  
Fulvia Ceccarelli ◽  
Venusia Covelli ◽  
Giulio Olivieri ◽  
Francesco Natalucci ◽  
Fabrizio Conti

Background: The COVID-19 pandemic contributes to the burden of living with different diseases, including Systemic Lupus Erythematosus (SLE). We described, from a narrative point of view, the experiences and perspectives of Italian SLE adults during the COVID-19 emergency, by distinguishing the illness experience before and after the lockdown. Methods: Fifteen patients were invited to participate. Illness narratives were collected between 22 and 29 March 2020 using a written modality to capture patients’ perspectives before and after the COVID-19 lockdown. We performed a two-fold analysis of collected data by distinguishing three narrative types and a qualitative analysis of content to identify the relevant themes and sub-themes reported. Results: Eight narratives included in the final analysis (mean length 436.9 words) have been written by eight females (mean age 43.3 ± 9.9 years, mean disease duration 13.1 ± 7.4 years). Six patients provided a quest narrative, one a chaos and the remaining one a restitution narrative. By text content analysis, we identified specific themes, temporally distinct before and after the lockdown. Before COVID-19, all the patients referred to a good control of disease, however the unexpected arrival of the COVID-19 emergency broke a balance, and patients perceived the loss of health status control, with anxiety and stress. Conclusions: We provided unique insight into the experiences of people with SLE at the time of COVID-19, underlining the perspective of patients in relation to the pandemic.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Javier Caviedes-Bucheli ◽  
Nestor Rios-Osorio ◽  
Diana Usme ◽  
Cristian Jimenez ◽  
Adriana Pinzon ◽  
...  

Abstract Background The purpose of this study was to evaluate the changes in canal volume after root canal preparation in vivo with 3 different single-file techniques (Reciproc-Blue®, WaveOne-Gold® and XP-EndoShaper®), with a new method using CBCT and 3D reconstruction. Methods In this prospective study, thirty human lower premolars from healthy patients were used, in which extraction was indicated for orthodontic reasons. All the teeth used were caries- and restoration-free with complete root development, without signs of periodontal disease or traumatic occlusion, and with only one straight canal (up to 25º curvature). Teeth were randomly divided into three different groups: Reciproc-Blue, WaveOne-Gold and XP-EndoShaper. CBCT scans before root canal preparation were used to create a 3D reconstruction with RHINOCEROS 5.0 software to assess the initial canal volume, and then compared with 3D reconstructions after canal preparation to measure the increase in canal volume. Student’s t test for paired data were used to determine statistically significant differences between the before and after canal volumes. Anova test was used to determine statistically significant differences in the percentage of canal volume increase between the groups and Tukey's post-hoc test were used to paired comparison. Results Reciproc-Blue showed the higher increase in canal volume, followed by WaveOne-Gold and XP-EndoShaper (p = 0.003). XP-EndoShaper did not show a statistically significant increase in canal volume after root canal preparation (p = 0.06). Conclusion With this model, Reciproc-Blue showed higher increase in root canal volume, followed by WaveOne-Gold, while XP-EndoShaper did not significantly increase root canal volume during preparation.


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