scholarly journals Comparative Characteristic of Using Removable and Non-Removable Prostheses Appliances for Replacement of Dentition Defects in Children during the Mixed Occlusion Period

2021 ◽  
Vol 6 (1) ◽  
pp. 228-236
Author(s):  
S. I. Doroshenko ◽  
◽  
A. Yu. Zrazhevska ◽  
S. M. Savonik
Keyword(s):  
Oral Hygiene ◽  
Frontal Area ◽  
Dental Arch ◽  
Orthodontic Appliances ◽  
Group I ◽  
Removable Prosthesis ◽  
Removable Appliances ◽  
Removable Orthodontic Appliances ◽  
Artificial Teeth ◽  
Lateral Area

The purpose of the study was to increase the effectiveness of orthopedic and orthodontic treatment of children with dentition defects during the period of mixed occlusion to prevent secondary dento-maxillaire deformities. Material and methods. 47 patients aged from 6 to 11 years with dentition defects in the frontal and lateral areas were examined and treated to conduct comparative evaluation of the effectiveness of using removable and non-removable prostheses appliances in patients with dentition defects during the period of mixed occlusion. All the patients were divided into two clinical groups by the design type of a prosthesis appliance, the choice of which depended on the results of a complete clinical research taking into account the location and the length of dentition defects. For group I patients (n=29), we used removable orthodontic prostheses appliances (standard mechanically-operated appliances with artificial teeth), in areas with missing teeth, to regulate the size of upper and lower dentition and replace dentition defects. For group II patients (n=18), we used non-removable orthodontic prostheses appliances (bands with a spacer and a non-removable prosthesis appliance of our own design). At the beginning of treatment and after 3 and 6 months, the assessment of oral hygiene was conducted using Yu. A. Fedorov and V. V. Volodkina indices. Follow-up examinations of patients in both groups were conducted once a month. However, every 3 and 6 months, patients of group I (with removable prosthesis appliances) received repetitive jaw impressions and made control diagnostic models, which measured the size of a dentition defect area to monitor the treatment. The data on control measurements was compared with data obtained at the beginning of the treatment. The criteria for completion of orthodontic treatment were considered to be the regulation of the size of upper and lower dentition and the position of individual teeth, as well as the preservation of the place in the dental arch until the physiological change of prematurely lost teeth. Results and discussion. The main causes of dentition defects occurrence in patients of both groups were the following: premature removal of temporary and permanent teeth due to complications of caries – 39 patients (83.0%), the loss of teeth due to a trauma – 5 patients (10.5%). Dentition defect was caused by adentia – in 2 people (4.3%), by retention – in 1 person (2.1%). We determined that 30 people (63.8%) had defects of the upper jaw, which was the most prevailing dentition defects. Dentition defects in the lateral areas were recorded in 32 people (68.1%). The largest number of dentition defects was of short size – 29 (61.7%). To restore the integrity of the dentition, we made 29 removable prostheses appliances with artificial teeth for group I patients, 9 (31.0%) of them served to replace dentition defects of the frontal area and 20 (69.0%) replaces dentition defects of the lateral area. In order to replace the dentition defect and preserve the place in the dental arch, we made 18 non-removable prostheses appliances for group II patients, 6 (33.3%) of them were of our own design to replace the dentition defect in the frontal area, and 12 (66.7%) replaced teeth gap bands with a spacer for the lateral one. Based on the analysis of these indicators in people with dentition defects who used removable and non-removable appliances, we can conclude, that there is a clear connection between the impact of orthodontic appliances on oral hygiene, depending on its type. The negative dynamics of changes in the hygiene index according to Fedorov-Volodkina in patients with non-removable prostheses appliances can be explained by the deterioration of oral hygiene conditions due to the design features of the appliances and the inability to remove the appliance yourself. Therefore, the use of non-removable appliances requires additional hygienic measures. Removable appliances had almost no effect on the state of oral hygiene, but worked less predictably by reducing the time of their active action in the oral cavity. If children refused to wear removable prostheses and prosthesis appliances, there quickly developed secondary dento-maxillaire deformities, which over time became more stable, and pathological changes were more significant. In group I patients, 6 months after the start of treatment with removable prostheses appliances, the shortening of dentition defects was detected in the frontal area by 1.3±1.1 mm and in the lateral area by 1.2±0.9 mm. Negative changes in the length of the dentition defect in patients of group I before treatment and after 6 months are specifically connected with irresponsible attitude to treatment. Not all patients in this group fully wore removable prostheses appliances, and some of them did not wear at all. Conclusion. Our research showed that removable orthodontic appliances for replacement of dentition defects and prevention of secondary dento-maxillaire deformities could be used in patients of different ages, their special effectiveness was observed in pediatric-age patients, however, only in those who responsibly followed the recommendations of an orthodontist. The use of non-removable orthodontic appliances for replacement of dentition defects and prevention of secondary dento-maxillaire deformities is a more rational choice of dental prosthesis. The prosthesis appliance for the upper jaw developed by us doesn’t inhibit the growth of the jaw, meets all the esthetic and functional requirements applied to these appliances. During treatment with non-removable appliances patients cannot control the time when the appliance “works”, which leads to a more predictable result of treatment

scholarly journals AIDS AND METHODS FOR PERSONAL ORAL HYGIENE IN PATIENTS WITH NON-REMOVABLE ORTHODONTIC APPLIANCES

2021 ◽  
Vol 11 (4) ◽  
pp. 119-122
Author(s):  
Alla Daurova ◽  
Natalia Lapina ◽  
Lyudmila Skorikova ◽  
Nikolay Boglay ◽  
Olga Lobach ◽  
...  
Keyword(s):  
Oral Hygiene ◽  
Orthodontic Appliances ◽  
Patient Relationship ◽  
Comprehensive Knowledge ◽  
Hygiene Measures ◽  
Dental Rehabilitation ◽  
High Level ◽  
Removable Appliances ◽  
Removable Orthodontic Appliances

The demand for aesthetic dental rehabilitation, and respectively, for a higher quality of life, is growing each year. This entails a growth in the number of orthodontic corrections employing non-removable appliances. A high risk of developing periodontal issues while undergoing treatment reveals that orthodontist need to have all-round comprehensive knowledge of the tactics, the principles and the methods of hygiene measures. A high level of the doctor’s awareness along with their ability to motivate the patient, would allow them to arrive at successful doctor-patient relationship not only when dealing with orthodontic diseases, yet also in terms of maintaining the periodontium health due to a thorough approach to the issues of preventive oral hygiene during orthodontic treatment

scholarly journals THE STATE OF CHILDREN MASTICATORY MUSCLES WITH DENTITION DEFECTS IN THE FRONTAL AREA AND NARROWING OF DENTAL ARCHES IN THE TRANSVERSE PLANE

10.23856/4336 ◽  
2021 ◽  
Vol 43 (6) ◽  
pp. 279-286
Author(s):  
Svitlana Savonik
Keyword(s):  
Orthodontic Treatment ◽  
Masticatory Muscles ◽  
The State ◽  
Frontal Area ◽  
Orthodontic Appliance ◽  
Dynamic Changes ◽  
Group I ◽  
Group Ii ◽  
Removable Appliances ◽  
Better Than

Orthopedic and orthodontic treatment of 49 patients aged 6 to 17 years with dentition defects in the frontal area was examined and performed to conduct and determine the state of the masticatory muscles in children with dentition defects. Patients were divided into two groups depending on the period of formation of the dento-maxillaire system and each of the groups was divided into two subgroups depending on the method of treatment and the mechanism of fixation of the orthodontic appliance in the oral cavity. When comparing the indicators between groups I A and I B, we can state that there were more qualitative and dynamic changes in electromyographic indicators in children of group I B than group I A. When comparing the data received after orthopedic and orthodontic treatment of children in group II, we can state that quantitative and qualitative indicators of electromyography for group II B were better than those of children in group II A. In children who were treated with removable appliances, these indicators improved, but remained at a worse level than in those treated with non-removable appliances.

scholarly journals The effect of removable orthodontic appliances on oral microbiota: systematic review

2019 ◽  
Author(s):  
Alessandra Lucchese ◽  
Marianna Pellegrino ◽  
Eugenio Montini ◽  
Alessandra Liguori ◽  
Maurizio Manuelli
Keyword(s):  
Systematic Review ◽  
Orthodontic Appliances ◽  
Oral Microbiota ◽  
Periodontal Tissues ◽  
Ovid Medline ◽  
Registration Number ◽  
Pre Treatment ◽  
Meta Analyses ◽  
Removable Appliances ◽  
Removable Orthodontic Appliances

Abstract Background Removable orthodontic appliances due to plaque accumulation and oral microbe colonization, might be associated with intraoral adverse effects on enamel or periodontal tissues. The present systematic review was carried out to evaluate both qualitatively and quantitatively the microbiological changes occurring during orthodontic therapy with removable orthodontic appliances. Methods PubMed, Cochrane, EMBASE, Web of Science, Scopus, Ovid Medline, Dentistry & Oral Sciences Source and Vita-Salute San Raffaele University databases were searched. The research included every article published up to December 2018. The Preferred Reporting Items for Reporting Systematic reviews and Meta Analyses (PRISMA) protocol and the ‘Swedish Council on Technology Assessment in Health Care Criteria for Grading Assessed Studies’ (SBU) method were adopted to conduct this systematic review. Results The current study has moderate/high evidence, according with SBU method. It demonstrates that removable appliances do influence the oral microbiota, with significant alterations just 15 days after the beginning of therapy, independently from the type of appliance. Furthermore, the levels of oral pathogens decrease significantly or even returned to pre-treatment levels several months later the therapy end. Conclusions This review suggests that orthodontic treatment with removable appliances might not induce permanent changes to oral microflora. Protocol: PROSPERO database registration number CRD42019121762.

scholarly journals Penilaian tingkat keberhasilan perawatan ortodontik dengan piranti lepasan berdasarkan indeks PAR Assessment of success rate of orthodontic treatment using removable appliance based on PAR index

2011 ◽  
Vol 10 (3) ◽  
pp. 144
Author(s):  
Muh. Irwansyah ◽  
Eka Erwansyah
Keyword(s):  
Success Rate ◽  
Orthodontic Treatment ◽  
Treatment Success ◽  
Orthodontic Appliances ◽  
Inclusion Criteria ◽  
Par Index ◽  
Dental Models ◽  
Removable Appliance ◽  
Removable Appliances ◽  
Removable Orthodontic Appliances

The success of orthodontic treatment, particularly with removable orthodontic appliances not only relies on theexpertise of the clinician, but also highly depends on the patient's own. It is necessary to know the extent of thesuccess rate of an orthodontic treatment. Assessment of malocclusion severity and treatment outcome has become avery popular object of research conducted by the PAR index. This study aims to determine the success rate oforthodontic treatment with removable appliances based on PAR Index. The research was carried out on March-May2011 with samples of patients dental models who had completed orthodontic treatment in the year 2008-2011 at theDepartment of Ortodonsia RSGMP UNHAS. Sixty six pairs of dental models fulfilled the inclusion criteria and therules of PAR Index. Percentage change in PAR score obtained by 35% in the assessment with no weighted and 36%was assessment by weighted. This results showed the level of orthodontic treatment success include into thecategory of "no change", but with a trend into the category of "a change "with a significant value ρ = 0.000 (ρ <0.05). It was concluded that there was occlusion improvements in orthodontic treatment with removable appliance,although very low and therefore need evaluation and improvement of governance maintenance carried out.

scholarly journals TREATMENT OF PATIENTS WITH OCCLUSAL CANTING USING ORTHODONTIC MINISCREW SYSTEM FOR MAXILLARY MOLAR INTRUSION

2016 ◽  
Vol 1 (2) ◽  
pp. 20-23
Author(s):  
SA A Popov ◽  
AO O Frolov
Keyword(s):  
Dental Arch ◽  
Orthodontic Appliances ◽  
Optimal Method ◽  
Periodontal Tissues ◽  
Temporary Anchorage Devices ◽  
Maxillary Molar ◽  
Orthodontic Patients ◽  
Abutment Teeth ◽  
Removable Orthodontic Appliances ◽  
Surrounding Bone

Dentoalveolar vertical deformation has to be treated by intrusion with surrounding bone and tissues safety. More than 50% of orthodontic patients have lack of one or more teeth with dentoalveolar deformation. Removable orthodontic appliances are not able to intrude teeth with necessary long-lasting force, but mostly move abutment teeth inversely and extrude them. Optimal method used for upper teeth intrusion has to consist of non-invasive temporary anchorage devices and force that moves teeth fast but carefully, with periodontal tissues and surrounding bone safety. Aim - to justify the use of orthodontic miniscrews as temporary anchorage devices for occlusal canting with dentoalveolar component treatment. Materials and methods. Intrusion technique has been developed. It moves the teeth with elastic chain to two miniscrews. The volume of the surrounding bone and periodontal tissues after intrusion is the same as before the movement; the dental arch has not changed after the teeth movement; this method of intrusion is less traumatic and is done in shorter time. Conclusion. Developed intrusion method justifies the use of miniscrews and improves upper teeth intrusion making it faster, less traumatic and safer for surrounding tissues and teeth.

scholarly journals Determination of Most Frequent Emergencies in Patients with Fixed and Removable Orthodontic Appliances at Tertiary Care Dental Hospital

2022 ◽  
Vol 9 (1) ◽  
pp. 69-74
Author(s):  
Syed Salman Shah ◽  
Kawish Syed ◽  
Zafar Ul islam ◽  
Shahab Adil
Keyword(s):  
Tertiary Care ◽  
Orthodontic Appliances ◽  
Chi Square ◽  
Related Factors ◽  
Cross Sectional ◽  
Fixed Appliance ◽  
Dental Hospital ◽  
Fixed Appliances ◽  
Removable Appliances ◽  
Removable Orthodontic Appliances

OBJECTIVES: To determine the frequency of emergencies in patients with fixed and removable orthodontic appliances at tertiary care dental hospital. METHODOLOGY: A questionnaire was designed for this descriptive cross-sectional study to be filled by the clinician (L3/L4 FCPS resident) at the end of addressing every orthodontic emergency. Sampling was done under consecutive non-probability protocols. Descriptive statistics were applied to determine the frequency of different orthodontic emergencies, and Pearson’s chi-square test was applied to determine association of emergencies with gender and etiology of emergency (patient related vs operator related). Data was analyzed on SPSS version 20. RESULTS: A total of 175 patients reported with orthodontic emergencies. The sample comprised 38.3% males and 61.7% females. Most frequent orthodontic emergency reported was deboned brackets in fixed appliances, while the most common emergency in removable appliances was traumatic PNAM. A statistically significant association (Pearson’s Chi Square=4.74, Cramer’s V=0.165, p=0.029) was seen for removable and fixed appliance emergencies with males and females. CONCLUSION: Most frequent fixed appliance orthodontic emergencies were deboned brackets while for removable appliance emergencies were trauma due to PNAM. Emergencies with removable appliances were mostly due to the operator related factors, while in fixed appliances patient related factors were dominating.

scholarly journals A differentiated approach to orthodontic treatment of children with dento-maxillaire anomalies complicated by dentition defects

2021 ◽  
Vol 105 (1) ◽  
pp. 88-94
Author(s):  
S. Doroshenko ◽  
◽  
S. Savonik ◽  
Keyword(s):  
Orthodontic Treatment ◽  
Middle Age ◽  
Frontal Area ◽  
Comprehensive Treatment ◽  
Orthodontic Appliances ◽  
Functional Efficiency ◽  
Upper Jaw ◽  
The Aesthetic ◽  
Intermediate Part ◽  
Removable Orthodontic Appliances

Summary. Modern protocols on providing orthodontic care of children with anomalies and secondary dento-maxillaire deformities include the use of functional- guiding and mechanically-operated orthodontic equipment based on specific clinical indications. At the same time, the issues of orthodontic treatment of dento-maxillaire anomalies complicated by dentition defects still remain controversial, as the vast majority of functionally-guiding and mechanically-operated orthodontic equipment does not provide simultaneous replacement of dentition defect, whereas methods of pediatric prosthetics are often limited by the use of claspless removable laminar prostheses. Their functional efficiency is low due to insufficient fixation and the need for periodic replacement due to the growth of jaws in accordance with the age and physiological development of a child’s body. The use of traditional fixed bridge prostheses during the period of jaws growth is unacceptable, whereas the manufacture of split bridge prostheses with an intermediate part in the form of sliding elements, movably interconnected, as well as cantilever bridges, is limited by dentition due to the removal of only one tooth. Orthodontic appliances that meet these requirements, should be used to replace dentition defects, combined with dento-maxillaire anomalies in each period of formation of the dento-maxillaire system, which determines the relevance of our research. Goal. To increase the effectiveness of comprehensive treatment of children with dento-maxillaire anomalies, complicated by dentition defects of the frontal area with the use of a prosthetic appliance of our own design. Materials and methods. To achieve this goal, we examined 115 children aged from 5 to 17 years with dentition defects of the frontal area, who applied to the Department of Orthopedic Dentistry and Orthodontics, Kyiv Medical University. Of these, orthodontic treatment was performed in 64 patients with the use of removable and non-removable orthodontic appliances, including a prosthesis appliance of our own design: «Prosthesis appliance for upper jaw expansion » Ukrainian patent for a utility model № 145538 dated 28.12.2020, which is fixed using orthodontic bands and temporary fixation cement on the second temporary molars. The appliance has a plastic base with a screw, with which, if necessary, it is possible to influence the growth of the jaw. It also has artificial teeth in the frontal area, which are connected to the base, and do not inhibit the growth of the frontal segment of the upper jaw. Results. According to the results of the research it is determined that for each period of formation of the dento-maxillaire system with dento-maxillaire anomalies complicated by dentition defects it is reasonable to apply a personalized approach when conducting psycho-emotional preparation for treatment, oral cavity sanation, placing on myogymnastic exercises and appropriate orthodontic treatment combined with pediatric prosthetics. Traditional removable and non-removable orthodontic appliances as well as appliances of our own design were used to treat this group of people. According to the results of the treatment, the use of a fixed orthodontic appliance of our own design in children of young and middle age, which restores the function of biting food, allows to replace the dentition defect and meet the aesthetic requirements of patients, as well as to conduct continuous orthodontic treatment due to impossibility to remove the appliance. Indications for the use of this prosthesis appliance is the absence of 1 to 4 front teeth with the possibility of correcting the transversal size of the jaws. Our proposed prosthesis appliance meets the requirements and is easy for patients to use. Conclusions. Indications for the use of the prosthesis appliance of our own design is the absence of 1 to 4 front teeth with the possibility of correcting of the transversal size of the jaws. The use of a non-removable prosthesis appliance of our own design in children of young and middle age, which restores the function of biting food, allows to replace the dentition defect, meet the aesthetic requirements of patients, and to conduct continuous orthodontic treatment. Key words: dento-maxillaire anomalies, dentition defect, orthodontic treatment, orthodontic appliances, prosthesis appliance.

Influence of orthodontic treatment with removable devices in children on the properties of oral fluid

2020 ◽  
Vol 20 (1) ◽  
pp. 59-62
Author(s):  
Y. A. Churakova ◽  
A. A. Antonova
Keyword(s):  
Oral Cavity ◽  
Orthodontic Treatment ◽  
Oral Fluid ◽  
Control Group ◽  
Orthodontic Appliances ◽  
Fluid Composition ◽  
Type Iii ◽  
Group I ◽  
Custom Made ◽  
Removable Appliances

Relevance. The present article provides data regarding changes in the oral cavity during orthodontic tratment with custom-made removable appliances. Purpose. To study the condition of the oral cavity in children aged 7-12 with dentoalveolar abnormalities during treatment with removable orthodontic appliances.Materials and methods. 110 patients aged 7-12 were examined in Nakhodka, Russia. Group I – control (34 subjects) with no dentoalveolar pathology. Group II – children with dentoalveolar pathology (74 subjects), undergoing orthodontic treatment. Besides clinical examination the following laboratory tests were taken, namely: saliva viscosity, saliva PH, saliva buffer capacity, microcrystallography of saliva. Type III prevailed in 60% of cases. Results. Caries intensity during orthodontic treatment was detected to increase up to 8.32 ± 0.28 in comparison with control group 6.57 ± 0.22 (p < 0.05). Hygiene rate decreased in experimental group to 2.8 ± 0.08, in comparison with controls – 1.40 ± 0.02 (p < 0.05). Salivary PH decreased during orthodontic treatment. Microcrystallization type III of saliva prevailed in 60% of cases.Conclusions. The study revealed strong relationship between orthodonotic treatment with removable appliances and physicochemical properties of mixed saliva r = 0.95 (p < 0.05). Appropriate approach and timely preventive measures can help correct oral condition in orthodontic treatment. Despite changes in oral fluid composition, esthetic and functional result of treatment with orthodontic customized removable appliances was high. 

scholarly journals Alterations in plaque accumulation and gingival inflammation promoted by treatment with self-ligating and conventional orthodontic brackets

2015 ◽  
Vol 20 (2) ◽  
pp. 35-41 ◽  
Author(s):  
Mauricio de Almeida Cardoso ◽  
Patrícia Pinto Saraiva ◽  
Liliana Ávila Maltagliati ◽  
Fernando Kleinübing Rhoden ◽  
Carla Cristina Alvarenga Costa ◽  
...  
Keyword(s):  
Oral Hygiene ◽  
Orthodontic Treatment ◽  
Dental Arch ◽  
Orthodontic Appliances ◽  
Clinical Attachment Level ◽  
Significance Level ◽  
Conventional Brackets ◽  
Oral Hygiene Instructions ◽  
Attachment Level ◽  
Lower Arch

OBJECTIVE: The aim of the present study was to evaluate, comparatively, the periodontal response during orthodontic treatment performed with self-ligating and conventional brackets. METHODS: Sixteen Caucasian individuals of both sexes, aged between 12 and 16 years old and in permanent dentition were selected. Eight individuals were treated with conventional brackets installed on the lower dental arch and self-ligating brackets on the upper arch. Another eight individuals received self-ligating brackets in the lower arch and conventional brackets in the upper arch. The subjects received material and instructions for oral hygiene. Visible plaque index (VPI), gingival bleeding index (GBI) and clinical attachment level (CAL) were evaluated just after installation of orthodontic appliances, and 30, 60 and 180 days later. Mann-Whitney test was used to compare differences between groups (self-ligating and conventional), two-way ANOVA followed by Tukey's test was used to assess CAL at each site of each tooth. Significance level was set at 5%. RESULTS: No significant changes were found with regard to the assessed parameters (VPI, GBI and CAL) in either one of the systems. CONCLUSION: No significant changes were found with regard to the periodontal response to orthodontic treatment for the variables assessed and between subjects receiving passive self-ligating and conventional brackets. All individuals had received oral hygiene instructions and had their periodontal conditions monitored.

The Effect of Orthodontic Appliances on the Distribution of Candida and Plaque in Adolescents

1982 ◽  
Vol 9 (3) ◽  
pp. 158-163 ◽  
Author(s):  
M. Addy ◽  
W.C. Shaw ◽  
P. Hansford ◽  
M. Hopkins
Keyword(s):  
Culture Technique ◽  
Orthodontic Appliances ◽  
Fixed Appliance ◽  
Selective Media ◽  
Local Factors ◽  
Oral Carriage ◽  
Removable Appliance ◽  
Removable Appliances ◽  
Removable Orthodontic Appliances ◽  
Oral Hygiene Instruction

The site prevalence and intra-oral density of Candidal organisms may be increased by local factors including prostheses. However, whether significant changes in Candidal carriage occurs with denture wearing is not clearly established. This study employed the imprint culture technique to assess the effects of fixed and removable orthodontic appliances on oral carriage, site prevalence and intra-oral density of Candida in adolescents. Moreover, alterations in plaque distribution were measured. Groups of 12–16 year olds without or wearing fixed and removable appliances were studied. Imprint cultures were taken from six intra-oral sites and colony counts recorded after 48 hours incubation on selective media. Plaque scores were recorded from non-appliance and removable appliance wearers. The prevalence of Candidal carriage in the groups was not significantly different being 46 per cent of non-appliance, 51 per cent of fixed appliance and 52 per cent of removable appliance wearers. However, the prevalence of Candidal recovery at some sites and Candidal densities at all sites were significantly increased in both fixed and removable appliance wearers. Thus orthodontic appliances may predispose to Candidal proliferation in oral carriers. However, the results do not permit the conclusion that appliances may change non-carriers of Candida to carriers. Plaque distribution was significantly altered in removable appliance wearers when compared with non-appliance wearers as a result of increases in palatal plaque scores. These findings again emphasize the particular need for oral hygiene instruction in patients wearing appliances or partial prostheses.

Sign in / Sign up

Export Citation Format

Share Document