scholarly journals The clinical diversity of segmental orthodontics in pre-prosthetic cases

2020 ◽  
Vol 10 ◽  
pp. 191-194
Author(s):  
Roxana Rugina ◽  
Dan Lazar

The prosthodontic rehabilitation of edentulous spaces is a very common demand of patients. However, in the majority of cases, this is not as simple as it sounds. Because in time, the consequences of tooth extraction affect the neighboring teeth, leading to tooth migrations, tooth rotations, tilting, and the sagittal and vertical reduction of the edentulous spaces that have to be restored. Using segmental orthodontics on a limited number of teeth associated with skeletal anchorage, we can significantly improve the clinical situation, correcting these consequences of tooth migration following extraction, allowing the prosthodontist to have a better starting point in the process of rehabilitation. The treatment time is shorter than compared to a comprehensive orthodontic treatment, and thus, the patient acceptance may be increased. Once the spaces are correctly calibrated, and the tooth migrations have been corrected, the prosthodontist can restore the missing teeth as minimally invasive as possible.

2021 ◽  
pp. 146531252110654
Author(s):  
Nusaybah Elsherif ◽  
Jose Rodriguez ◽  
Farooq Ahmed

Background: Hypodontia is one of the most common anomalies in dentistry. Hypodontia has a negative impact on oral health-related quality of life with patients best seen in a multidisciplinary clinic to improve treatment outcomes. Aim: To investigate the prevalence of hypodontia and its association with other dental anomalies, as well as malocclusion, and to investigate the treatment planned for patients attending the clinic and whether the type of missing teeth affected the proposed treatment. Materials and Methods: Analysis of consecutive patients attending the hypodontia clinic at a dental hospital between February and November 2020. A total of 100 patients who met the inclusion criteria were identified. Data collected included the following: age/sex; number and type of missing teeth; pre-treatment occlusion; presence of other dental anomalies; and planned treatment. Results: A total of 100 patients (55% female; age range = 7–41 years; mean age = 18 years) were included. Of the cohort, 47% had a class I skeletal relationship and participants were significantly less likely to have a class III skeletal or incisor relationship; 45% had another dental anomaly with the most common being microdontia. Space opening was the preferred treatment option for those managed by orthodontic treatment with resin-bonded bridges most likely to be used for restoration of spaces, 86%. Conclusion: Lower second premolars were the most commonly missing teeth. Participants were significantly less likely to have a class III incisor or skeletal relationship than class I or II. Space opening was the favoured approach for orthodontic treatment, particularly for maxillary lateral incisors.


2021 ◽  
pp. 44-45
Author(s):  
Saraa Angel .L ◽  
Abhijeet Jaiswal

Increasing awareness towards self-appearance and aesthetics has led to increase in overall patients willing to undergo orthodontic treatment. Various surgical and non surgical methods have been tried to reduce the overall orthodontic treatment time. Painless, non invasive procedures are preferred over the traumatic methods. Platelet Rich Plasma (PRP) injection has recently gained popularity due to its safe , relatively painless and economical alternative in accelerating the tooth movement. This article briefs on the researches done in animal and human population so far using PRPand their cumulative effects on tooth movement.


2018 ◽  
Vol 23 (4) ◽  
pp. 79-87
Author(s):  
Renato Barcellos Rédua ◽  
Paulo César Barbosa Rédua

ABSTRACT Hypodontia is the most prevalent craniofacial malformation in mankind. It may present a wide variety of manifestations and, depending on the number and location of missing teeth, it may affect the esthetics, mastication, speech and occlusal balance. This paper discusses the therapeutic approaches to solve this condition, describing a case report with hypodontia of one mandibular lateral incisor, which treatment option included space closure at the region of hypodontia associated with composite resin restorations in the mandibular central incisors. The three-year follow-up after treatment revealed occlusal stability, adequate intercuspation in Class I relationship and excellent micro and macroesthetics.


2013 ◽  
Vol 18 (1) ◽  
pp. 110-120 ◽  
Author(s):  
Gracemia Vasconcelos Picanço ◽  
Karina Maria Salvatore de Freitas ◽  
Rodrigo Hermont Cançado ◽  
Fabricio Pinelli Valarelli ◽  
Paulo Roberto Barroso Picanço ◽  
...  

OBJECTIVE: The aim of this study was to evaluate predisposing factors among patients who developed moderate or severe external root resorption (Malmgren's grades 3 and 4), on the maxillary incisors, during fixed orthodontic treatment in the permanent dentition. METHODS: Ninety-nine patients who underwent orthodontic treatment with fixed edgewise appliances were selected. Patients were divided into two groups: G1 - 50 patients with no root resorption or presenting only apical irregularities (Malmgren's grades 0 and 1) at the end of the treatment, with mean initial age of 16.79 years and mean treatment time of 3.21 years; G2 - 49 patients presenting moderate or severe root resorption (Malmgren's grades 3 and 4) at the end of treatment on the maxillary incisors, with mean initial age of 19.92 years and mean treatment time of 3.98 years. Periapical radiographs and lateral cephalograms were evaluated. Factors that could influence the occurrence of severe root resorption were also recorded. Statistical analysis included chi-square tests, Fisher's exact test and independent t tests. RESULTS: The results demonstrated significant difference between the groups for the variables: Extractions, initial degree of root resorption, root length and crown/root ratio at the beginning, and cortical thickness of the alveolar bone. CONCLUSION: It can be concluded that: Presence of root resorption before the beginning of treatment, extractions, reduced root length, decreased crown/root ratio and thin alveolar bone represent risk factors for severe root resorption in maxillary incisors during orthodontic treatment.


2015 ◽  
Vol 86 (1) ◽  
pp. 115-120 ◽  
Author(s):  
Marco Taddei ◽  
Giovanni D'Alessandro ◽  
Franco Amunni ◽  
Gabriela Piana

ABSTRACT Objective:  To analyze any differences in the orthodontic treatment between children belonging to a particular subgroup of subjects with special health care needs (SHCN), children with craniofacial anomalies (CFA), and children not diagnosed with SHCN (NO SHCN). Materials and Methods:  The study sample consisted of 50 children with SHCN and a confirmed diagnosis of CFA (SHCN/CFA); the control group consisted of 50 NO SHCN children fully matched for age, gender, and type of appliance used. The differences between the two groups were analyzed retrospectively: pre-, posttreatment scores, and score reduction of the Peer Assessment Rating Index (PAR), dental health component (DHC), and aesthetic component (AC) of Orthodontic Treatment Need Index (IOTN), number of appointments, number of simple or complex chair-time appointments, overall treatment time, and age at treatment start and end. Results:  There were no statistically significant differences between the SHCN/CFA and NO SHCN groups for number of appointments, overall treatment time, age at treatment start, and age at treatment end (P  =  .682, .458, .535, and .675, respectively). There were statistically significant differences between groups in PAR, DHC, AC pre- and posttreatment, and number of simple and complex chair-time appointments (P  =  .030 and .000; .020 and .023; .000 and .000; .043; and .037; respectively). The reduction of PAR, DHC, and AC scores was not significantly different between groups (P  =  .060, .765, and .825, respectively). Conclusion:  The treatment of children with SHCN, in general, and with CFA, in particular, on the one hand involves a higher rate of using complex chair time appointments and an inferior treatment outcome, by the other side implies an overall treatment time and a reduction of PAR, DHC or AC scores similar to the treatment of children not diagnosed with SHCN.


2018 ◽  
Vol 16 (4) ◽  
pp. 652-664 ◽  
Author(s):  
Carole Charavet ◽  
Geoffrey Lecloux ◽  
Annick Bruwier ◽  
Bart Vandenberghe ◽  
Michel Le Gall ◽  
...  

2018 ◽  
Vol 9 (6) ◽  
pp. 377
Author(s):  
Deepak Sharma ◽  
Naresh Kumar ◽  
Pravesh Jhingta ◽  
KeharSingh Negi ◽  
VinayKumar Bhardwaj ◽  
...  

2021 ◽  
Author(s):  
Mhanna A. Aljabab ◽  
Muteb Algharbi ◽  
Jan Huggare ◽  
Farhan Bazargani

ABSTRACT Objectives To explore whether there were any differences in orthodontic treatment need, treatment complexity, treatment time, or the number of visits between a group of children receiving early intervention (extraction of upper and lower deciduous canines) and an age- and condition-matched control group without intervention. Materials and Methods Patient records and study casts in the late mixed or early permanent dentitions of 46 subjects (20 from the extraction group and 26 from the control group) of an earlier prospective longitudinal study were retrieved. Orthodontic treatment need and complexity were assessed by the index of complexity, outcome, and need (ICON). Statistical calculations were performed by t-test for parametric outcome variables (treatment time, number of visits, and orthodontic treatment need) and Fisher exact test for the categorical variable (tooth extractions). Results There were no statistically significant differences between the groups in ICON scores of orthodontic treatment need (extraction group, mean score 59.8; control group, mean score 52.8), number of visits (mean of about 15 visits for both groups), or treatment time (extraction group, mean 21.5 months; control group, mean 20.3 months). The extraction of permanent teeth was more prevalent in the deciduous canine extraction group (59%) as compared with the control group (28%); however, this was not statistically significant (P = .07) but showed a tendency toward worsening the crowding and the future need of orthodontic extractions. Conclusions Early removal of deciduous primary canines will reduce neither the need for later orthodontic treatment nor its complexity, nor will it shorten the treatment time.


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