scholarly journals ASSESSMENT OF MEAN DISTANCE BETWEEN CENTRAL INCISOR AND INCISIVE PAPILLA WITH RESPECT TO STANDARDIZED ARCH FORM IN DENTATE SUBJECTS

2021 ◽  
Vol 12 (1) ◽  
pp. 9-16
Author(s):  
Ussamah Waheed Jatala ◽  
Anam Fayyaz Bashir ◽  
Nazia Yazdanie

BACKGROUND & OBJECTIVE: Edentulous patients require accurate positioning of artificial maxillary anterior teeth in complete dentures to recover the esthetic and phonetic characteristics. This positioning is guided by measuring distance between central incisor (CI) and incisive papilla (IP) in dentate subjects which varies according to the ovoid, square and tapered maxillary arch forms. Objectives: 1- To determine the frequency of three different arch forms in dentate patients; 2- To assess the mean distance between central incisor and incisive papilla in each of the three maxillary arch forms. METHODOLOGY: 130 cases were selected by non-probability consecutive sampling, which included both genders and age range of 20-40 years. Impressions of maxillary arches were recorded and their casts photocopied. Arch form template was used to standardize the assessment of arch forms by best-fit method on the photocopies. The distance between mesio-incisal edge of CI and posterior border of IP was measured with digital verniercalipers (SparkFun,Colorado). RESULTS: Out of 130 subjects, 54 males and 76 females were present. The ovoid arch form was the most frequent form recorded at 67% (n=87) while the tapered arch was the least at 14% (n=18). The overall mean distance between central incisor (CI) and incisive papilla (IP) was 11.34mm (7.58mm - 16.45mm). The mean distance was the highest for ovoid arch form (11.58mm) and lowest for square (10.49) with a statistically significant difference (p=0.016) between the two arch forms. CONCLUSION: The ovoid arch was the most frequent arch form found in dentate subjects. The mean distance recorded was highest for ovoid arch followed by tapering arch and least for square arches.

2019 ◽  
Vol 2 (1) ◽  
pp. 11-16
Author(s):  
Srijana Mishra ◽  
S RB Mathema

Introduction: Selection of appropriately sized maxillary denture teeth in various types of arch form is often a challenging aspect during complete denture rehabilitation. The correlation of facial anatomical landmarks may serve as a reliable predictor for the selection of teeth. Materials and methods: The maxillary arch impression of 113 dentate subjects were made, casts poured and divided into square, ovoid and tapering arch form. The position of tip of maxillary canines in relation to commissure of mouth and midpupillary line were determined by using vacuum formed template and pupillometer respectively. Results: The result showed the significant difference in mean distance from commissural to canine tip (p<0.001) and IPD (p<0.017) among square, ovoid and tapering arch form. Conclusion: The commissure of lip may serve as a reliable guideline for selection of anterior teeth according to arch form and IPD/ICW can similarly be used to determine anterior teeth width.


2012 ◽  
Vol 24 (1) ◽  
Author(s):  
Nur Ateyya Natasha Mohd Zali ◽  
Rasmi Rikmasari ◽  
Hasna Dziab

In edentulous treatment, relocation of anterior teeth in the preexisting natural position is the utmost importance. It is necessary to refer to the significant anatomical landmarks, one of them is incisive papilla. To make it more efficient both functionally and biologically, the teeth were arranged in particular geometric manner known as a dental arch. The author has chosen to conducted the research among the Malay race represented by the Malay undergraduate students. The purpose of this study was to evaluate the correlation between the distance of maxillary central incisors and incisive papilla (CI-IP) in different arch form and gender. Maxillary impressions of 34 dentate individuals were taken, and the measurements were performed using a digital caliper. The results showed the CI-IP distance was ranging between 7.65 to 9.90 mm, with the average of 8.77 mm. There was no significant difference of the CI-IP distance between male and female regardless of their arch forms (p>0.05). Individuals with ovoid and tapered arch form, however, showed a significant difference of the CI-IP distance between male and female (p<0.05). Meanwhile, Individuals with square arch form showed no significant difference of the CI-IP distance between male and female (p>0.05). It can be concluded that gender factor was irrelevant towards the CI-IP distance regardless of the individual arch form. However, there was a correlation between the CI-IP distance in different arch forms in both male and female sample.


2021 ◽  
Vol 9 (2) ◽  
pp. 63-66
Author(s):  
Brij Kumar ◽  
Nilotpol Kashyap ◽  
Khushnud Alam ◽  
Pabitra Mandal ◽  
Swargajyoti Das ◽  
...  

: In prosthodontics, esthetics a combination of the art and science. Patients requiring complete dentures usually expect comfort first, followed by harmonious appearance, and lastly efficiency. Therefore, the correct selection of the artificial teeth is essential for achieving a pleasant esthetic outcome. A number of soft tissue landmarks have been purported as useful for anterior tooth selection; but these are easily affected by several factors such as aging and the weight and build of the person. In the present study hard tissue landmarks like pterygomaxillary notches and maxillary arch width was presented as alternative anatomical landmark for anterior teeth selection. The aim of the study was to evaluate the hamular width and inter maxillary arch width which could be the guide for the selection ofartificial teeth for complete maxillary denture in the North-East Indian population.The study was conducted on 100 dentate individuals from the North Eastern Indian population, between the age group of 18- 30 years. All measurements were done with digital calliper on cast obtained after impression with irreversible hydrocolloid impression material.Pearson correlation analysis showed, statistically significant correlation between maxillary archwidth and central incisor width. The result was significant at p&#60;0.05 but not high enough to be practically used. Correlation between hamular width and central incisor width was found to be insignificant. The value of R was 0.05435. The result was significant at p &#60; 0.05. The maxillary arch width was in direct proportion to the maxillary central incisor width which meant that the increase of maxillary arch width,there was a corresponding increase of maxillary central incisor width. Significant correlation was found between maxillary arch width and central incisor width with p value=0132. The result was significant at p&#60;0.05 but not high enough to be practically used. But In this study statistically insignificant correlation was found between hamular width and central incisor width.


2017 ◽  
Vol 13 (3) ◽  
pp. 244-249 ◽  
Author(s):  
D. Rokaya ◽  
J. Kitisubkanchana ◽  
A. Wonglamsam ◽  
P. Santiwong ◽  
T. Srithavaj ◽  
...  

Background Lots of studies on maxillary anterior teeth proportions have been studied in different populations in various countries, but no studies have been conducted in Nepal on the esthetic maxillary anterior teeth proportions.Objective The study was done to investigate the maxillary anterior teeth proportions in a Nepalese population. Teeth proportions in the total population were compared with golden proportion (GP) and golden standard (GS).Method A total of 150 Nepalese subjects were divided in three facial types; broad, average and narrow group. Maxillary anterior teeth were measured from dental casts using digital calipers. The perceived width ratios of lateral to central incisor (LI/CI) and canine to lateral incisor (CN/LI), ratios of mean central incisor length to 2 central incisor widths (CIL/2CIW), and actual width to length ratios (WLRs) (%) were calculated in each facial type and compared. Mean LI/CI, CN/LI and CIL/2CIW in total population were calculated and compared with GP (0.618), and mean WLRs in the total population were compared with GS (80%). All teeth proportions were compared among three facial types. One-sample t-test and one-way ANOVA were performed to analyze the data (α = 0.05).Result The LI/CI, CN/LI, CIL/2CIW and WLRs in three facial types showed no significant difference. The LI/CI, CN/LI and CIL/2CIW in the total population were 66%, 70% and 55% respectively, and were significantly different from GP. The WLRs for CI, LI and CN in the total population were 90%, 86% and 89% respectively and significantly differed from GS. These values were considered to constitute the Nepalese Esthetic Dental (NED) proportion.Conclusion No significant difference of maxillary anterior teeth proportions were observed among three facial types. Teeth proportions in the total population significantly differed from GP and GS. We propose the NED proportion as a guideline for dental treatment in the maxillary anterior region in Nepalese populations.


Materials ◽  
2019 ◽  
Vol 13 (1) ◽  
pp. 52
Author(s):  
Nicholas A. Beckmann ◽  
Rudi G. Bitsch ◽  
Theresa Bormann ◽  
Steffen Braun ◽  
Sebastian Jaeger

Acetabular cup deformation may affect liner/cup congruency, clearance and/or osseointegration. It is unclear, whether deformation of the acetabular components occurs during load and to what extent. To evaluate this, revision multi-hole cups were implanted into six cadaver hemipelvises in two scenarios: without acetabular defect (ND); with a large acetabular defect (LD) that was treated with an augment. In the LD scenario, the cup and augment were attached to the bone and each other with screws. Subsequently, the implanted hemipelvises were loaded under a physiologic partial-weight-bearing modality. The deformation of the acetabular components was determined using a best-fit algorithm. The statistical evaluation involved repeated-measures ANOVA. The mean elastic distension of the ND cup was 292.9 µm (SD 12.2 µm); in the LD scenario, 43.7 µm (SD 11.2 µm); the mean maximal augment distension was 79.6 µm (SD 21.6 µm). A significant difference between the maximal distension of the cups in both scenarios was noted (F(1, 10) = 11.404; p = 0.007). No significant difference was noted between the compression of the ND and LD cups, nor between LD cups and LD augments. The LD cup displayed significantly lower elastic distension than the ND cup, most likely due to increased stiffness from the affixed augment and screw fixation.


2021 ◽  
Author(s):  
Rabia Adanur-Atmaca ◽  
Serpil Çokakoğlu ◽  
Fırat Öztürk

ABSTRACT Objectives To evaluate the effects of different lingual retainers on periodontal health and stability of mandibular anterior teeth at the 1-year follow-up. Materials and Methods One hundred thirty-two patients were randomly allocated to four groups using different lingual retainers: group 1, 0.016 × 0.022-in dead-soft wire; group 2, 0.0215-in 5-strand stainless steel wire; group 3, 0.014 × 0.014-in computer-aided design/computer-aided manufacturing nitinol retainer (Memotain); group 4, connected bonding pads. Plaque, gingival, and calculus indexes were used to evaluate periodontal health, and Little's irregularity index, intercanine width, and arch length measurements were performed to evaluate stability. All measurements were performed at each time point (debonding and 3, 6, 9, and 12 months). Results The mean value of the gingival index obtained in group 3 was lower than the mean value for all other groups. The mean value of the calculus index was the lowest in group 3, and there was a significant difference between group 3 and groups 1 and 2. No differences were found among the groups in terms of plaque index, intercanine width, and arch length. The least irregularity was obtained in groups 2 and 3. There were no significant differences between these groups and groups 1 and 4. Conclusions Gingival inflammation and calculus accumulation were the lowest in group 3 (Memotain). The irregularity for Memotain and stainless steel retainers was less than or the other groups. However, no clinically significant worsening of periodontal health or relapse were seen in any groups after 1 year.


Author(s):  
Hayder A. Hashim ◽  
Najat Al-Sayed ◽  
Ayah AL-Qaisi

Introduction: Cephalometric analysis aims to determine skeletal and dental relationships. The ANB angle, initially suggested by Rediel and applied by Steiner. is the most used angle in establishing the anteroposterior relationship of the mandible to the maxilla. However, limitations to the accuracy of the ANB angle for this purpose have been reported. To avoid these potential sources of inaccuracy a diagnostic tool was introduced by Jenkins and later modified by Jacobson and became known as the “Wits appraisal”. Aims: The aim of this study was to establish the Wits appraisal value in a sample of Qatari males, a group which had not previously been studied in this context, and to compare the findings with those from racially and ethnically differing groups as reported in the literature. Materials and Methods: The sample consisted of 28 lateral cephalometric radiographs of Qatari males with an age range of 15 to 32 years, presenting with a well-balanced facial appearance and an acceptable profile. Results: The mean value of the Wits appraisal for Qatari males in the present study was 0.50 ± 2.96. This differed at a statistically significant level from the mean value in the Jacobson study with no gender significant difference noted. On the other hand, significant differences were found when compared with previous reports on different races. Conclusion: The Wits appraisal value for the Qatari male population studied was 0.5±2.96, a result which is significantly higher than that reported in Jacobson’s study. This study revealed that the Wits appraisal is not ethnicity or gender-specific, and therefore cannot be used to differentiate between different ethnic groups. However, it can find application as an alternative to the ANB angle in the treatment of borderline cases. The application of cone beam computed tomography (CBCT) will enhance the diagnosis and treatment of cases by yielding three-dimensional views.


2021 ◽  
Vol 11 (4) ◽  
pp. 827-834
Author(s):  
Mazen A. Almasri

The aim of the study was to analyze the satisfaction of patients treated with a protocol of six-implant-supported fixed prosthesis (6IFP) throughout 5 years of service. This retrospective study collected the data of all patients who had full-arch rehabilitations using 6IFP and followed them for 5 years. After applying the research inclusion/exclusion strategy, 37 cases were finally included in the study. All the patients had no previous complete dentures because they were partially edentulous, not interested in pursuing complete denture rehabilitation, had immediate dental extractions, implantation used the 2-stage protocol, and there was minor peri-implant socket grafting. Cases with severe bone loss that required extensive grafting were excluded. A total number of 222 implants were placed in the maxillary or mandibular arches in a total of 37 patients. The data presented the satisfaction outcomes concerning mastication, phonetics, and comfort during the first 5 years of the recall plan. The former was achieved based on the clinical record reviews, follow-up visits, and recall phone calls at the preoperative stage as well as annually thereafter. The mean satisfaction rate was 94.5%, with a mean record of 8.21 ± 1.7 out of 10, there was no gender predilection significance, and no age range variation significance was validated. Regarding the smoking status, the t-test score exhibited no significant effect on phonetics and mastication (p = 0.12, p = 0.16, respectively), whereas comfort was found to be significantly affected (p = 0.03). The comfort level was found to be slightly less at the immediate postoperative period among smokers when compared to non-smokers. In conclusion, partially edentulous patients who received the rehabilitation plan of arch dental extractions, six immediate implantations, and delayed prosthetic loading were found to be highly satisfied.


2017 ◽  
Vol 18 (7) ◽  
pp. 541-548
Author(s):  
Mohammed E Sayed ◽  
Amit Porwal ◽  
Nida A Al-Faraj ◽  
Amal M Bajonaid ◽  
Hassan A Sumayli

ABSTRACT Introduction Several techniques and methods have been proposed to estimate the anterior teeth dimensions in edentulous patients. However, this procedure remains challenging especially when preextraction records are not available. Therefore, the purpose of this study is to evaluate some of the existing extraoral and intraoral methods for estimation of anterior tooth dimensions and to propose a novel method for estimation of central incisor width (CIW) and length (CIL) for Saudi population. Materials and methods Extraoral and intraoral measurements were recorded for a total of 236 subjects. Descriptive statistical analysis and Pearson's correlation tests were performed. Association was evaluated between combined anterior teeth width (CATW) and interalar width (IAW), intercommisural width (ICoW) and interhamular notch distance (IHND) plus 10 mm. Evaluation of the linear relationship between central incisor length (CIL) with facial height (FH) and CIW with bizygomatic width (BZW) was also performed. Results Significant correlation was found between the CATW and ICoW and IAW (p-values <0.0001); however, no correlation was found relative to IHND plus 10 mm (p-value = 0.456). Further, no correlation was found between the FH and right CIL and BZW and right CIW (p-values = 0.255 and 0.822). The means of CIL, CIW, incisive papillae-fovea palatinae (IP-FP), and IHND were used to estimate the central incisor dimensions: CIL = FP-IP distance/4.45, CIW = IHND/4.49. Conclusion It was concluded that the ICoW and IAW measurements are the only predictable methods to estimate the initial reference value for CATW. A proposed intraoral approach was hypothesized for estimation of CIW and CIL for the given population. Clinical significance Based on the results of the study, ICoW and IAW measurements can be useful in estimating the initial reference value for CATW, while the proposed novel approach using specific palatal dimensions can be used for estimating the width and length of central incisors. These methods are crucial to obtain esthetic treatment results within the parameters of the given population. How to cite this article Sayed ME, Porwal A, Al-Faraj NA, Bajonaid AM, Sumayli HA. Evaluation of the Current Techniques and Introduction of a Novel Approach for Estimating Maxillary Anterior Teeth Dimensions. J Contemp Dent Pract 2017;18(7):541-548.


2021 ◽  
Vol 71 (Suppl-1) ◽  
pp. S164-69
Author(s):  
Naseer Ahmed ◽  
Maria Shakoor Abbasi ◽  
Danish Azeem Khan ◽  
Shiza Khalid ◽  
Warda Jawed ◽  
...  

Objective: To evaluate the relationship between inner canthal distance and maxillary anterior teeth width withrespect to age, gender and ethnicity. Study Design: Cross sectional study. Place and Duration of Study: Altamash Institute of Dental Medicine, Karachi, from Aug 2019 to Jan 2020. Methodology: One hundred participants from both genders with full permanent dentition, no interdental space or pathology and facial symmetry were included in this study. The measurements were carried out with digital Vernier caliper. SPSS-25 was used for statistical analysis. Results: The mean ± SD of inner canthal distance and width of maxillary anterior teeth were 2.99cm ± 0.46and 3.82cm ± 0.35 respectively. A significant difference was found between gender (p=0.037) and inner canthaldistance. The maxillary anterior teeth width and inner canthal distance varies amongst different ethnicities(p=0.01). The inner canthal distance does not vary with advancing age (p=0.87) whereas width of maxillaryanterior teeth varies (p=0.04). A weak correlation value of 0.47 was found between inner canthal distance andmaxillary anterior teeth width. Conclusion: This research suggests that there is a weak relationship between inner canthal distance and maxillary anterior teeth width. Therefore, a multiplication ratio of 1.27 is advised to get combined mesiodistal width of maxillary anterior teeth. Additionally, the value of both differs in various local ethnicities. Inner canthal distance does not vary with age though has significant gender disparities while maxillary anterior teeth width remains constant.


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