scholarly journals Perception and Practice of Nepalese Adult and Adolescent Patients towards Orthodontic Treatment

2015 ◽  
Vol 5 (1) ◽  
pp. 7-11
Author(s):  
Rabindra Man Shrestha ◽  
Sujita Shrestha
Keyword(s):  
Orthodontic Treatment ◽  
Good Practice ◽  
Adult Patients ◽  
Duration Of Treatment ◽  
Significant Difference ◽  
Adolescent Patients ◽  
Orthodontic Patients ◽  
The Difference ◽  
Patient’S Perception ◽  
Structured Questionnaire

Introduction: Patient’s perception and practice on ongoing treatment is very important to evaluate the practice management.Objective: To assess the perception and practice of Nepalese orthodontic patients towards orthodontic treatment and to find the difference between adolescent and adult.Materials & Method: A structured questionnaire with 3-point Likert scale was used among 536 orthodontic patients at eight orthodontic centers. The data were rescored based on their views and depicted on good, moderate and poor levels. The difference in perception and practice between adolescent and adult patients was analyzed using Mann-Whitney U test.Result: More than 80% patients feel that, orthodontist’s dealing and skill is good, while more than two-third feel that orthodontic treatment is expensive. More than half adolescent and two-third adult patients restrict certain food due to braces; about one third adolescent and one-fourth adult patients are careless on appliance breakage. More number of adult patients consume analgesics compared to adolescents. There was significant difference in perception about ‘duration of treatment’ and ‘chance of relapse’, and practice on ‘food restriction’ and ‘carelessness of appliance’ between adolescent and adult patients.Conclusion: Nepalese orthodontic patients possess good perception about orthodontist’s dealing and skill, and good practice on regular brushing habits. Adolescent patients lack positive perception about duration of treatment and majority of patients feel that orthodontic treatment is expensive. Adult patients have better perception and practice about the orthodontic treatment than adolescent in all parameters studied except for ‘cost of treatment’ and ‘use of analgesics’. 

scholarly journals Comparative Study of Duration of Orthodontic Treatment among Nepalese Adolescent and Adult Patients

2011 ◽  
Vol 1 (1) ◽  
pp. 28-30 ◽  
Author(s):  
Prakash Bhattarai ◽  
Rabindra M Shrestha
Keyword(s):  
Comparative Study ◽  
Orthodontic Treatment ◽  
Average Duration ◽  
Adult Patients ◽  
Duration Of Treatment ◽  
Two Phase ◽  
Significant Difference ◽  
Impacted Canine ◽  
Orthodontic Patients ◽  
Transferred Patients

The purpose of this study is to compare the duration of orthodontic treatment among Nepalese adolescent and adult orthodontic patients. A total of 134 adolescent patients and 46 adult patients who have completed the orthodontic treatment from The Orthodontic Center (TOC) were randomly selected. All patients were treated with straight wire brackets. Transferred patients, impacted canine, two-phase treated patients and previous orthodontic treated patients were excluded. The result of the study found that the average duration of treatment for adolescent was 30.38 months while that for the adult was 28.83 months. The independent sample t test revealed that there is no clinical significant difference in adolescent and adult patients in duration of orthodontic treatment

scholarly journals Orthodontic treatment in National Dental Centre of Singapore: Trends toward higher proportion of adult patients

2019 ◽  
Vol 9 ◽  
pp. 89-93 ◽  
Author(s):  
Elaine Li Yen Tan ◽  
Yi Lin Song ◽  
Zhengyi Zhang ◽  
Kevin Jia Jun Yong ◽  
Yang Zhang ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Linear Trend ◽  
Adult Patients ◽  
Significant Linear Trend ◽  
Significant Difference ◽  
Increasing Trend ◽  
Chi Squared ◽  
Orthodontic Patients ◽  
Fixed Appliances ◽  
Age Range

Background Adult patients used to be daunted with the prospect of having fixed appliances to correct malocclusions. However, this has gradually changed and recent literature reported an increasing trend in adults receiving orthodontic treatment. To date, there has been no information regarding the trend of adult orthodontic patients in Singapore. Objective The objective of this study was to determine the changes in the proportion of adult patients seeking orthodontic treatment at the National Dental Centre Singapore (NDCS) from 2011 to 2017. Materials and Methods The study sample consists of all patients who commenced active orthodontic treatment from 2011 to 2017 at the NDCS. The data collected were analyzed for the number, gender, and proportion of adult orthodontic patients treated annually from 2011 to 2017. Linear-by-linear association test was used to test for any significant linear trend in proportion of adult orthodontic patients over the 7 years. Pearson’s Chi-squared test was used to test for any significant gender differences. Results There was a significant increasing linear trend (p = 0.001) in the proportion of adult orthodontic patients from 2011 to 2017. No significant difference (p = 0.770) between the proportions of male and female adults undergoing orthodontic treatment was found. The ages of adults undergoing orthodontic treatment ranged from 21 to 73 years old and majority (48.61%) of them was in the 21–25 years old age range. Conclusion There is a rising trend in adults seeking orthodontic treatment at the NDCS from 2011 to 2017. No statistically significant gender difference was observed in this rising trend.

scholarly journals Level of Knowledge, Understanding, and Impact of the COVID-19 Pandemic on Continuing Fixed Orthodontic Treatment in Adults: A Questionnaire Study

2021 ◽  
Vol 55 (2) ◽  
pp. 184-189
Author(s):  
RSVM Raghu Ram ◽  
I Ranganayakulu ◽  
K Anand Viswanadh ◽  
TSS Manikanta Kumar ◽  
C Viswa Chaitanya ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Adult Patients ◽  
Missed Appointments ◽  
Clinical Area ◽  
Cross Sectional ◽  
Orthodontic Patients ◽  
Level Of Knowledge ◽  
Orthodontic Treatment In Adults ◽  
Status Disclosure ◽  
Descriptive Survey

Objectives: To evaluate the level of knowledge, understanding, and impact of the coronavirus disease 2019 (COVID-19) pandemic on adult patients regarding their ongoing fixed orthodontic treatment. Subjects and Methods: A cross-sectional and descriptive survey was conducted on 108 adult patients undergoing fixed orthodontic treatment at GSL Dental College (GSLDC), India. All the candidates were aged 18 years and above, who were in lockdown due to the COVID-19 pandemic and devoid of treatment. Results: Among the patients 43.5% were male and 56.5% were female; 22.3% were not at all aware that the COVID-19 virus spreads quickly in a dental setup; 64.8% were definitely willing for their status disclosure and to undergo pretreatment screening; 71.3% were definitely willing to adhere to strict appointment timings for adequate sanitization of the clinical area; 60.2% thought that missed appointments during the COVID-19 pandemic would prolong their overall orthodontic treatment and affect their treatment outcome; and 51.9% were financially affected due to the pandemic. Conclusions: Not all adult orthodontic patients were in knowledge of COVID-19 cross infection. The majority were in a state of understanding and willing to follow infection-eradicating protocols. Patients’ view on overall orthodontic treatment was altered due to the psychological and financial impact of COVID-19.

scholarly journals Effect of fixed orthodontic appliances on nonmicrobial salivary parameters

2018 ◽  
Vol 88 (6) ◽  
pp. 806-811 ◽  
Author(s):  
Ioannis P. Zogakis ◽  
Erez Koren ◽  
Shlomit Gorelik ◽  
Isaac Ginsburg ◽  
Miriam Shalish
Keyword(s):  
Orthodontic Treatment ◽  
Statistical Significance ◽  
Orthodontic Appliances ◽  
Inclusion Criteria ◽  
Reactive Protein ◽  
Fixed Orthodontic Appliances ◽  
Salivary Ph ◽  
Orthodontic Patients ◽  
The Difference ◽  
Ph Decrease

ABSTRACT Objectives: To examine possible changes in the levels of salivary antioxidants, C-reactive protein (CRP), cortisol, pH, proteins, and blood in patients treated with fixed orthodontic appliances. Materials and Methods: Salivary samples from 21 orthodontic patients who met specific inclusion criteria were collected before the beginning of orthodontic treatment (T0; baseline), 1 hour after bonding (T1), and 4–6 weeks after bonding (T2). Oxidant-scavenging ability (OSA) was quantified using a luminol-dependent chemiluminescence assay. Cortisol and CRP levels were measured using immunoassay kits. pH levels and presence of proteins and blood in the samples were quantified using strip-based tests. Results: A significant decrease in salivary pH was observed after bonding (P = .013). An increase in oxidant-scavenging abilities during orthodontic treatment was detected, but the change was not statistically significant. Cortisol and CRP levels slightly increased after bonding, but the difference was small without statistical significance. Changes in the presence of proteins and blood were also insignificant. Conclusions: Exposure to fixed orthodontic appliances did not show a significant effect on salivary parameters related to inflammation or stress, with the exception of a significant but transient pH decrease after bonding.

scholarly journals Store Brand Purchase in the Italian Market

2018 ◽  
Vol 13 (7) ◽  
pp. 126
Author(s):  
Guido Cristini ◽  
Cristina Zerbini
Keyword(s):  
Brand Management ◽  
Store Brand ◽  
Product Evaluations ◽  
Telephone Interviews ◽  
Italian Market ◽  
Significant Difference ◽  
Managerial Implications ◽  
The Difference ◽  
Structured Questionnaire

The paper analyzes the degree of importance of Store Brand purchase determinants for the consumer. In particular, the research focuses on two specific shopper segments (hypermarket shopper and supermarket shopper) in order to evaluate the existence of any significant differences between their product evaluations. Telephone interviews, based on a structured questionnaire, were conducted with a sample of consumers responsible for family purchases and buyers of Store Brand products. For the majority of the purchasing determinants investigated, the results show a significant difference in opinion between those buying Store Brand products in hypermarkets and those in supermarkets. The difference found between shopper profiles has significant managerial implications that could be useful for determining Store Brand management policies. This paper also contributes to the academic debate on the role of Store Brand in the retail market.

scholarly journals Orthodontic Treatment of a Mandibular Incisor Extraction Case with Invisalign

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Khalid H. Zawawi
Keyword(s):  
Treatment Option ◽  
Orthodontic Treatment ◽  
Adult Patients ◽  
Class I ◽  
Effective Treatment Option ◽  
Mandibular Incisor ◽  
Anterior Crowding ◽  
Number Of Patients ◽  
Orthodontic Patients ◽  
Fixed Appliances

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.

scholarly journals Effects of rapid maxillary expansion on nasal mucociliary clearance

2015 ◽  
Vol 86 (2) ◽  
pp. 250-254
Author(s):  
Hasan Babacan ◽  
Cenk Doruk ◽  
Ismail Onder Uysal ◽  
Salim Yuce
Keyword(s):  
Orthodontic Treatment ◽  
Mucociliary Clearance ◽  
Systemic Disease ◽  
Rapid Maxillary Expansion ◽  
Control Group ◽  
Maxillary Expansion ◽  
Positive Effects ◽  
Significant Difference ◽  
Orthodontic Patients ◽  
Nasal Mucociliary Clearance

ABSTRACT Objective:  To evaluate the changes in nasal mucociliary clearance in orthodontic patients after rapid maxillary expansion (RME) therapy. Materials and Methods:  Forty-two children (25 boys and 17 girls) participated in this study. The RME group consisted of 21 patients (mean age, 13.8 years), who had undergone RME at the initiation of orthodontic treatment. The control group consisted of 21 subjects (mean age, 13.6 years), who were attending the department of orthodontics for active orthodontic treatment. The nasal mucociliary clearance was assessed by the saccharin test. Saccharin transit times (STTs) were measured for each treated subject before expansion (T1), after RME (T2), and after a 3-month retention period (T3). Records were obtained at the same time intervals for each group. Results:  The STT decreased significantly in the RME group after expansion and retention (P < .05). A statistically significant difference was found when the STTs of the control and RME groups were compared after expansion and retention (P < .05). Conclusions:  The STTs of young orthodontic patients with maxillary narrowness and without any history of nasal or systemic disease were within normal limits. However, RME increased the mucociliary clearance in patients who had maxillary narrowness, having positive effects on nasal physiology and increasing nasal cavity volume.

scholarly journals Anticipated Pain and Pain Experience Among Orthodontic Patients: Is there any Difference?

2013 ◽  
Vol 10 (2) ◽  
pp. 71-73 ◽  
Author(s):  
Dashrath Kafle ◽  
A Rajbhandari
Keyword(s):  
Analogue Scale ◽  
Orthodontic Treatment ◽  
Statistical Significance ◽  
Painful Procedure ◽  
Pain Experience ◽  
Male And Female ◽  
Orthodontic Therapy ◽  
Significant Difference ◽  
Perceived Pain ◽  
Orthodontic Patients

Background Orthodontic treatment is taken as a painful procedure by most of the patients. The pain can be experienced during different procedures like separator placement, banding, bonding, extraction as well as arch wire activation and debonding. There are very few studies done on the anticipated pain and pain experienced among mentioned orthodontic procedures. Objectives To compare the anticipated pain and pain experience among the patients going for comprehensive orthodontic treatment. Methods Total 45 patients going for comprehensive orthodontic therapy are enrolled into the study. They are given a 100mm Visual Analogue Scale (VAS) for pain. The anticipated pain as well as perceived pain after different orthodontic procedures are recorded on the VAS by patients and returned back to orthodontic office. The data are analyzed by SPSS 16.00 software by paired and independent t-test for the statistical significance. Results The result showed that there is significant difference between the anticipated pain before orthodontic treatment and the pain experienced following orthodontic treatment. It also showed that perception of pain between two sexes is significantly different. The comparison of anticipated pain among male and female does not show any significant difference, however the pain felt after separator placement as well as after orthodontic bonding is significantly different in two sexes. Conclusion The level of anticipated pain before orthodontic treatment is higher than the real pain experienced after orthodontic procedures. So it is better to counsel and explain the patients about the orthodontic treatment and procedures. Kathmandu University Medical Journal | Vol.10 | No. 2 | Issue 38 | Apr – June 2012 | Page 71-73 DOI: http://dx.doi.org/10.3126/kumj.v10i2.7348

Assessment of the difference in posterior circulation involvement between pediatric and adult patients with moyamoya disease

2013 ◽  
Vol 119 (4) ◽  
pp. 961-965 ◽  
Author(s):  
Tomohito Hishikawa ◽  
Koji Tokunaga ◽  
Kenji Sugiu ◽  
Isao Date
Keyword(s):  
Moyamoya Disease ◽  
Pediatric Patients ◽  
Clinical Manifestations ◽  
Staging System ◽  
Posterior Circulation ◽  
Adult Patients ◽  
Mri Findings ◽  
Significant Difference ◽  
Advanced Stages ◽  
The Difference

Object There is no description of the change in the posterior cerebral artery (PCA) in the diagnostic criteria of moyamoya disease (MMD). However, PCAs are often involved in the clinical setting, and an understanding of the significance of PCA lesions is therefore of great importance when evaluating the disease progression and predicting prognosis. The aim of this study was to assess the difference in posterior circulation involvement in pediatric and adult patients with MMD. Methods The records of 120 consecutive patients with MMD were reviewed. The clinical manifestations at diagnosis were evaluated on the basis of symptoms and CT and MRI findings. The degree of steno-occlusive internal carotid artery (ICA) lesions and the existence of steno-occlusive PCA lesions were evaluated by observing a total of 240 ICAs and PCAs on angiography. Angiographic correlation between anterior and posterior circulation was assessed in pediatric and adult patients with MMD. Results Seventeen (26%) of 66 pediatric patients and 18 (33%) of 54 adult patients exhibited steno-occlusive PCA lesions. There was no significant difference in the prevalence of PCA lesions between pediatric and adult patients with MMD (p = 0.36). The prevalence of infarction in pediatric and adult patients with PCA involvement was significantly higher than that in pediatric and adult patients without PCA involvement (p = 0.0003 and p = 0.003, respectively). There was no significant difference in the distribution of infarction areas between pediatric and adult patients with PCA involvement (p = 0.62). On the basis of the staging system used, steno-occlusive lesions in ICAs ipsilateral to PCAs with lesions were in significantly advanced stages compared with lesions in ICAs ipsilateral to PCAs without lesions in both pediatric and adult cases (p < 0.0001 and p = 0.0008, respectively). Pediatric patients had less advanced steno-occlusive lesions in ICAs ipsilateral to PCAs with lesions compared with adults (p < 0.05). Conclusions The clinical significance of posterior circulation involvement in MMD was similar between pediatric and adult patients. The only significant difference was that less advanced ICA lesions could complicate posterior circulation involvement in pediatric patients.

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

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