scholarly journals Root resorption following periodontally accelerated osteogenic orthodontics

2016 ◽  
Vol 6 ◽  
pp. 78-84 ◽  
Author(s):  
Ferguson Donald J. ◽  
Irelia Machado ◽  
M. Thomas Wilcko ◽  
William M. Wilcko
Keyword(s):  
Root Resorption ◽  
Treatment Time ◽  
Time Frame ◽  
Adverse Side Effect ◽  
Delivery Time ◽  
Orthodontic Therapy ◽  
Literature Evidence ◽  
Regional Acceleratory Phenomenon ◽  
And Gender ◽  
The Right

Background Literature evidence suggests that root resorption, an adverse side effect of orthodontic therapy, may be decreased under conditions of alveolar osteopenia, a condition characterized by diminished bone density and created secondary to alveolar corticotomy (Cort) surgery. Purpose To compare root resorption of the maxillary central incisors following nonextraction orthodontic therapy with and without Cort surgery. Materials and Methods The sample comprised two groups, with and without Cort and was matched by age and gender: Cort-facilitated nonextraction orthodontics with 27 subjects, 53 central incisors of mean age 24.8 ± 10.2 years, and conventional (Conv) nonextraction orthodontics with 27 subjects, 54 incisors with mean age of 19.6 ± 8.8 years. All periapical radiographs were taken with the paralleling technique; total tooth lengths of the right and left central incisors were measured by projecting and enlarging the periapical radiographs exactly 8 times. Results t-tests revealed a significant decrease in treatment time in the Cort group (6.3 ± 8.0 vs. 17.4 ± 20.2 months,P = 0.000). Pretreatment root lengths were not significantly different (P = 0.11), but Conv had significantly shorter roots at posttreatment when compared with Cort (P = 0.03). Significant root resorption (P < 0.01) occurred in both Cort (0.3 mm) and Conv (0.7 mm), but the increment of change was significantly greater in Conv (P < 0.03). The variable SNA increased significantly in the Cort (P = 0.001) group and decreased significantly in the Conv group (P < 0.001). Conclusions Based on the conditions of this study, it may be concluded that Cort-facilitated nonextraction orthodontic therapy results in less root resorption and enhanced alveolar support within a significantly reduced clinical service delivery time frame. Rapid orthodontic treatment and reduced apical root resorption are probably due to the transient osteopenia induced by the Cort surgery and inspired by regional acceleratory phenomenon.

scholarly journals Periodontally accelerated osteogenic orthodontics

2016 ◽  
Vol 6 ◽  
pp. 265-270 ◽  
Author(s):  
Shailesh Mohanlal Bhandari
Keyword(s):  
Orthodontic Treatment ◽  
Alveolar Bone ◽  
Root Resorption ◽  
Treatment Time ◽  
Periodontal Pocket ◽  
Cortical Plate ◽  
Short Treatment ◽  
Regional Acceleratory Phenomenon ◽  
Flap Closure ◽  
Augmentation Procedure

This case report demonstrates an orthodontic method that offers short treatment time and the ability to simultaneously reshape and increase the buccolingual thickness of the supporting alveolar bone. A 23-year-old female with Angle’s Class I moderately to severely crowded malocclusion with periodontal pocket with 31 and reduced thickness of the buccal cortical plate of lower anteriors, requested shortened orthodontic treatment time. This surgery technique included buccal full-thickness flaps, selective partial decortication of the cortical plates, concomitant bone grafting/augmentation, and primary flap closure. Following the surgery, orthodontic adjustments were made approximately every 2 weeks. From bracketing to debracketing, the case was completed in approximately 7 months and 3 weeks. Posttreatment evaluation of patient revealed good results. Preexisting thin labial bony cortical plate with lower anteriors was covered. This finding suggests credence to the incorporation of the bone augmentation procedure into the corticotomy surgery because this made it possible to complete the orthodontic treatment with a more intact periodontium. The rapid expansive tooth movements with no significant apical root resorption may be attributed to the osteoclastic or catabolic phase of the regional acceleratory phenomenon.

scholarly journals Accelerated orthodontic tooth movement: surgical techniques and the regional acceleratory phenomenon

2022 ◽  
Vol 44 (1) ◽  
Author(s):  
Elif Keser ◽  
Farhad B. Naini
Keyword(s):  
Dental Caries ◽  
Orthodontic Treatment ◽  
Tooth Movement ◽  
Root Resorption ◽  
Treatment Time ◽  
Surgical Techniques ◽  
Orthodontic Tooth Movement ◽  
Gingival Inflammation ◽  
The Past ◽  
Regional Acceleratory Phenomenon

Abstract Background Techniques to accelerate tooth movement have been a topic of interest in orthodontics over the past decade. As orthodontic treatment time is linked to potential detrimental effects, such as increased decalcification, dental caries, root resorption, and gingival inflammation, the possibility of reducing treatment time in orthodontics may provide multiple benefits to the patient. Another reason for the surge in interest in accelerated tooth movement has been the increased interest in adult orthodontics. Review This review summarizes the different methods for surgical acceleration of orthodontic tooth movement. It also describes the advantages and limitations of these techniques, including guidance for future investigations. Conclusions Optimization of the described techniques is still required, but some of the techniques appear to offer the potential for accelerating orthodontic tooth movement and improving outcomes in well-selected cases.

scholarly journals Comparing the rate of retraction in canines in males and females

2019 ◽  
Vol 10 (2) ◽  
pp. 1332-1339
Author(s):  
Shreya Kishore ◽  
Saravana Dinesh SP ◽  
Srirengalakshmi ◽  
Arvind Sivakumar
Keyword(s):  
Treatment Duration ◽  
Statistical Difference ◽  
Treatment Time ◽  
Canine Retraction ◽  
Randomized Controlled ◽  
Basal Bone ◽  
Males And Females ◽  
The Difference ◽  
And Gender ◽  
The Right

There are multiple factors that affect the treatment duration and the rate of canine retraction between males and females. A difference in the levels of calcitonin and the maintenance of the appliance by both genders varies the treatment duration. Hence this study was conducted to analyse the difference in the rate of canine retraction between males and females using two different bracket systems, synergy and self-ligating. The study was designed as a prospective randomized controlled split-mouth clinical trial, which included 16 subjects, 8 males and 8 females, of ages 12-30 years, divided into 2 groups, the left and the right quadrants receiving Self Ligating and Synergy brackets based on simple randomization, along with a 19*25" SS wire and closed coil springs for individual canine retraction. The patients were reviewed every 21 days for four appointments and records were taken for each review. Digital Vernier calliper was used to measure the amount of canine retraction, and statistical analysis was conducted. The values were calculated and tabulated, and independent ‘t' test was used to analyse the statistical difference. There was no significant statistical difference between the two genders. There are various factors that affect the rate of canine retraction and gender of the patient undergoing orthodontic treatment is one of them. With increased amounts of calcitonin in males, making the alveolar and basal bone denser when compared to women, would likely increase the treatment time in males, when compared to females. Hence this study was conducted to compare the difference and showed that there is no statistical difference between males and females in the rate of canine retraction.

Biomechanical characteristics of allogeneic cortical bone pins designed for fracture fixation

2008 ◽  
Vol 21 (02) ◽  
pp. 140-146
Author(s):  
M. R. Edwards ◽  
S. P. James ◽  
W. S. Dernell ◽  
R. J. Scott ◽  
A. M. Bachand ◽  
...  
Keyword(s):  
Stainless Steel ◽  
Cortical Bone ◽  
Fracture Fixation ◽  
Impact Testing ◽  
Left Tibia ◽  
Four Point Bending ◽  
And Gender ◽  
The Right ◽  
Biomechanical Comparison ◽  
Better Than

SummaryThe biomechanical characteristics of 1.2 mm diameter allogeneic cortical bone pins harvested from the canine tibia were evaluated and compared to 1.1 mm diameter stainless steel pins and 1.3 mm diameter polydioxanone (PDS) pins using impact testing and four-point bending. The biomechanical performance of allogeneic cortical bone pins using impact testing was uniform with no significant differences between sites, side, and gender. In four-point bending, cortical bone pins harvested from the left tibia (204.8 ± 77.4 N/mm) were significantly stiffer than the right tibia (123.7 ± 54.4 N/mm, P=0.0001). The site of bone pin harvest also had a significant effect on stiffness, but this was dependent on interactions with gender and side. Site C in male dogs had the highest mean stiffness in the left tibia (224.4 ± 40.4 N/mm), but lowest stiffness in the right tibia (84.9 ± 24.2 N/mm). Site A in female dogs had the highest mean stiffness in the left tibia (344.9 ± 117.4 N/mm), but lowest stiffness in the right tibia (60.8 ± 3.7 N/mm). The raw and adjusted bending properties of 1.2 mm cortical bone pins were significantly better than 1.3 mm PDS pins, but significantly worse than 1.1 mm stainless steel pins (P<0.0001). In conclusion, cortical bone pins may be suitable as an implant for fracture fixation based on initial biomechanical comparison to stainless steel and PDS pins used in clinical practice.

Construct Validity

2017 ◽  
Author(s):  
Richard McCleary ◽  
David McDowall ◽  
Bradley J. Bartos
Keyword(s):  
Time Series ◽  
Construct Validity ◽  
Hypothesis Test ◽  
Secondary Data ◽  
Time Frame ◽  
Primary Data ◽  
Optimal Time ◽  
Intervention Model ◽  
Right Hand ◽  
The Right

Chapter 8 focuses on threats to construct validity arising from the left-hand side time series and the right-hand side intervention model. Construct validity is limited to questions of whether an observed effect can be generalized to alternative cause and effect measures. The “talking out” self-injurious behavior time series, shown in Chapter 5, are examples of primary data. Researchers often have no choice but to use secondary data that were collected by third parties for purposes unrelated to any hypothesis test. Even in those less-than-ideal instances, however, an optimal time series can be constructed by limiting the time frame and otherwise paying attention to regime changes. Threats to construct validity that arise from the right-hand side intervention model, such as fuzzy or unclear onset and responses, are controlled by paying close attention to the underlying theory. Even a minimal theory should specify the onset and duration of an impact.

scholarly journals Pulmonary hydatidosis genotypes isolates from human clinical surgery based on sequencing of mitochondrial genes in Fars, Iran

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Parviz Mardani ◽  
Ali Talebi Ezabadi ◽  
Bahareh Sedaghat ◽  
Seyed Mahmoud Sadjjadi
Keyword(s):  
Hydatid Cyst ◽  
Statistical Correlation ◽  
Left Lobe ◽  
Cox1 Gene ◽  
Fars Province ◽  
Study Population ◽  
Right Lobe ◽  
And Gender ◽  
The Right ◽  
Pulmonary Hydatid Cyst

Abstract Background Cystic echinococcosis (CE)/hydatidosis is an important neglected parasitic zoonotic disease caused by the metacestode of Echinococcus granulosus s.l. The present study was designed to identify the pulmonary CE species/genotypes in isolated human underwent to surgery in our center in Southern Iran. Methods The study population of this study were all patients in Fars province who were admitted to Namazi Hospitals for pulmonary hydatid cyst surgery. Thoracic surgery was performed in the thoracic ward and the cyst/s was removed by open surgery via posterolateral or lateral thoracotomy. DNA was extracted from the germinal layer or the protoscoleces. PCR technique was performed using the cytochrome C oxidase subunit1 (cox1) gene, and the products were sequenced. Results A total of 32 pulmonary hydatid cyst samples were collected from 9 (28%) female and 23 (72%) male aged from 4 to 74 years old. A total of 18(56%) cyst/s were in the left lobe and 14 (44%) cysts in the right lobe. Sequence analysis of the cysts showed that 24 samples (75%) were E. granulosus s.s (G1-G3) genotype and 8 (25%) were E. canadensis (G6/G7) genotype. Conclusion E.granulosus s.s genotype was the most prevalent genotype followed by E. canadensis (G6/G7) genotype. There was no significant statistical correlation between cysts’ size, location, genotype strain, and patients’ age and gender.

scholarly journals An Unusual Presentation of Pyelonephritis: Is It COVID-19 Related?

2021 ◽  
Author(s):  
L. J. van ‘t Hof ◽  
L. Pellikaan ◽  
D. Soonawala ◽  
H. Roshani
Keyword(s):  
Late Onset ◽  
Blood Clot ◽  
Time Frame ◽  
Venous Occlusion ◽  
Late Complications ◽  
Organ Injury ◽  
Vein Thrombosis ◽  
Lower Back ◽  
The Right ◽  
Renal Infection

AbstractIn severe cases of COVID-19, late complications such as coagulopathy and organ injury are increasingly described. In milder cases of the disease, the exact time frame and causal path of late-onset complications have not yet been determined. Although direct and indirect renal injury by SARS-CoV-2 has been confirmed, hemorrhagic renal infection or coagulative problems in the urinary tract have not yet been described. This case report describes a 35-year-old female without relevant medical history who, five days after having recovered from infection with SARS-CoV-2, had an unusual course of acute pyelonephritis of the right kidney and persistent fever under targeted antibiotic treatment. A hemorrhagic ureteral obstruction and severe swollen renal parenchyma preceded the onset of fever and was related to the developing pyelonephritis. Sudden thrombotic venous occlusion in the right eye appeared during admission. Symmetrical paresthesia in the limbs in combination with severe lower back pain and gastro-intestinal complaints also occurred and remained unexplained despite thorough investigation. We present the unusual combination of culture-confirmed bacterial hemorrhagic pyelonephritis with a blood clot in the proximal right ureter, complicated by retinal vein thrombosis, in a patient who had recovered from SARS-CoV-2-infection five days before presentation. The case is suspect of a COVID-19-related etiology.

scholarly journals Effects of medications and laser on induced tooth movement and associated root resorption: four key points

2013 ◽  
Vol 18 (2) ◽  
pp. 4-7 ◽  
Author(s):  
Alberto Consolaro
Keyword(s):  
Laser Therapy ◽  
Tooth Movement ◽  
Root Resorption ◽  
Treatment Time ◽  
Microscopic Analysis ◽  
Experimental Models ◽  
Control Groups ◽  
Accurate Evaluation ◽  
Key Points ◽  
Test Treatment

The following four fundamental points on the use of experimental models will be described to ensure an accurate evaluation of the effects of medication and laser therapy on induced tooth movement and associated root resorption: (1) If the objective is to check the effect on root resorption, the forces experimentally applied must produce a lesion on the cementoblast layer in all specimens; (2) If the objective is to optimize induced tooth movement and reduce treatment time without side effects, the forces experimentally applied should not produce a lesion in the cementoblast layer in any specimen; (3) The laser therapy operator, the person administering medication and the person that places appliances should not know which animals will effectively receive the test treatment, and the control groups should receive placebo treatments; (4) CT and microscopic analysis of the specimens should be random, and the group to which the specimen belongs should not be identified to ensure that the person reading images and the pathologists are not influenced in their evaluation of phenomena. These measures will ensure that results are more reliable and easier to extrapolate to orthodontic clinical practice.

scholarly journals Exploring Gender Differences in Support for Rightist Parties: The Role of Party and Gender Ideology

2018 ◽  
Vol 14 (01) ◽  
pp. 80-105 ◽  
Author(s):  
Rosie Campbell ◽  
Silvia Erzeel
Keyword(s):  
Gender Differences ◽  
Western Europe ◽  
Gender Ideology ◽  
Radical Right ◽  
Special Issue ◽  
Gender Ideologies ◽  
Populist Radical Right ◽  
And Gender ◽  
The Right

This contribution to the Special Issue on Gender and Conservatism uses expert and election surveys to explore the extent to which the feminist or traditional gender ideology of parties of the right relates to their economic and liberal/authoritarian ideology. We show that although parties of the left generally espouse more feminist ideologies than parties of the right, there are a significant number of rightist parties in Western Europe that combine laissez-faire economic values with liberal feminist ideals. That said, there is more homogeneity among parties of the populist radical right than rightist parties more generally. We find that despite some variation in their gender ideology, parties of the populist radical right overwhelmingly—with the exception of one party in the Netherlands—continue to adopt traditional or antifeminist gender ideologies. In terms of attracting women voters, we find that rightist parties who adopt a feminist gender ideology are able to attract more women voters than other parties of the right. We detect several examples of center-right parties that include feminist elements in their gender ideologies and are able to win over larger proportions of women voters than rightist parties that fail to adopt feminist positions.

scholarly journals Predisposing factors to severe external root resorption associated to orthodontic treatment

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 ◽  
...  
Keyword(s):  
Root Length ◽  
Orthodontic Treatment ◽  
Alveolar Bone ◽  
Root Resorption ◽  
Treatment Time ◽  
Predisposing Factors ◽  
Crown Root ◽  
External Root Resorption ◽  
Lateral Cephalograms ◽  
Maxillary Incisors

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.

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