Orthodontic Treatment of Bilateral Transposition of Maxillary Canines and Lateral Incisors

Dental transposition is a severe disturbance of tooth position and its eruptive sequence. It may affect any tooth, and it may occur at any location within the dental arch, although some teeth may be more frequently affected than others. There are several types of dental transposition, and their classification depends on the type of teeth involved. The aetiology of transposition is not very clear and has always been the subject of controversies, and it is still not completely understood. The prevalence of dental transposition and the factors related to this dental anomaly have been well documented in the literature. When treating dental transposition, many factors which may affect the treatment results must be considered, such as aesthetics, occlusion, treatment duration, patient comfort, patient cooperation, and periodontal support. Various treatment options are currently available for the treatment of dental transposition. Successful treatment outcomes depend on the patient’s age, concern about facial and dental aesthetics, motivation of the patient, functional requirements, type of malocclusion, and the position of the root apices. The present case report is aimed at outlining the orthodontic treatment of a young adult patient diagnosed with bilateral maxillary canine-lateral incisor transposition.

Dental Management of Generalised Developmental Defect of Enamel in A Child with Global Developmental Delay

Development Defect of Enamel (DDE) although not common, can bring about serious sequelae and needs immediate action. If we leave the teeth untreated, many complications such as poor dental aesthetics, chipping of teeth and dental pain often set in. These complications are further aggravated if the patient has any coexisting medical issues, such as Global Developmental Delay (GDD). Children with GDD often exhibit poor oral health with an abundance of plaque that leads to caries and periodontal disease progression because of poor motor and cognitive development. Many of them also exhibit negative behaviour toward dental treatment. This case describes the dental care for a Global Developmental Delay (GDD) child with sporadic generalised Development Defect of Enamel (DDE). The case management touches on the appropriate behaviour guidance strategies used to aid the child’s unfavourable behaviour towards treatment and the restorative treatment performed to preserve the structural durability of the affected teeth in a general dental setting.

Satisfaction and attitudes of the student population about dental aesthetics

Introduction: Perceptions of the esthetic appearance of teeth vary in different individuals and can affect satisfaction with the dental appearance, attitudes, and the need for appropriate dental treatment. The research aims to examine the factors influencing the satisfaction with the appearance of the dentition and the attitude toward treatments which improve dental esthetics among students of the faculty of dentistry in comparison to the attitudes of students of non-dental faculties.Methods: The research included a total of 358 students of the Faculty of Dentistry and Faculty of Architecture in Sarajevo who voluntarily filled out a questionnaire created for this research. The questionnaire contained questions related to satisfaction with the appearance of teeth in general, tooth color, tooth position, questions related to the previous, and future desired esthetic restorations and treatments.Results: Female subjects expressed statistically significantly greater dissatisfaction with the appearance of the dentition and did or plan to do treatments that could improve dental esthetics compared to male subjects. Students of the Faculty of Dentistry at final years were significantly more satisfied with the general appearance of teeth and tooth color compared to freshmen students of the Faculty of Dentistry and students of the Faculty of Architecture.Conclusion: Satisfaction with dental appearance is a subjective experience that is influenced by various factors, level, and type of education is among them.

Perception of Dental Aesthetics among Dental Students; a Cross-sectional Study in Riyadh, Kingdom of Saudi Arabia

Background: Dental aesthectics is now a necessary area in the field of dentistry, and new graduates' perceptions should be investigated. Hence the present cross-sectional study aimed to assess the perception about dental aesthetics among clinical interns, dentistry interns, and pre-clinical interns in dental colleges on Saudi Arabia. Materials and Methods: The study subjects comprises of all above three (clinical interns, dentistry interns, and pre-clinical interns) groups volunteered from different colleges. Perception about dental aesthetics was measured using a 14 item questionnaire. Chi-square test was performed on SPSS to determine the statistically significant differences (p<0.05) across gender and dentistry level. Results: Findings revealed 61% of the participants were male while 39% were female. Among them, 26% were pre-clinical interns, 41% were dental interns and 33%were clinical students. All the particiants reported some kind of dissatisfaction with appearance of their teeth and males were more satisfied and confident about their teeth and smile than females. Conclusion: To conclude, in the present study male participants and clinical students were confident about their smile as compared to female while dental interns thought others have good smile. The study reported the significant gender differences on looking at magazines, having whiter teeth, they way gums look and putting hand over mouth while non-significant differences across dentistry level.

Peri Implant Aesthetics - An Integrated Review

BACKGROUND Aesthetic dentistry is making its own new position in current scenario. The aesthetic desire of patient has become need of an hour and it is essential for dental practitioner to understand the aesthetics of implants. For planning of implants in anterior region, overall general health of patient should be considered including systemic health, good oral hygiene practice and good compliance of patients. The peri-implant aesthetics is determined by two components - soft tissue and hard tissue, which includes bone and gingiva. Modifications refining the tissues around implant can enhance the aesthetics. Treatment protocol should include pre-planning of all functional and aesthetic considerations which should be discussed to patients as well prior to preceding treatment of implant. Judicious understanding of these factors can not only provide physical integrity of tissue but also prevent future aesthetics and implant failure. Implants in anterior region become challenging for clinicians to emulate what nature has provided. The harmonious relationship between functional stability and peri-implant soft tissue becomes an essential requisite for successful endosseous implant so as to attain proper facial aesthetics. Visualization of aesthetics related to implants is a complex phenomenon which requires utilization of multidisciplinary approach including prosthetic and periodontal consideration as the implant position as well implant abutment junction if placed at improper position can cause bone resorption. Compiling this, comprehensive knowledge regarding soft and hard tissue can help dentists to integrate a balance between the smile and face of an individual. This review article is a detailed endeavour to explore peri-implant aesthetics. KEY WORDS Crestal Bone, Dental Aesthetics, Gingiva, Peri-Implant Aesthetics

Translasi dan validasi kuesioner Psychosocial Impact of Dental Aesthetic Questionnaire versi Indonesiaranslation and validation of the Indonesian version of the Psychosocial Impact of Dental Aesthetics Questionnaire to measure the psychosocial impact of dental aesthetics

Pendahuluan: Maloklusi dapat menimbulkan gangguan psikologis dan sosial (psikososial) akibat susunan gigi yang tidak estetik. Gangguan psikososial tersebut dapat mengukur kebutuhan dan keberhasilan perawatan dari sudut pandang pasien dengan lebih akurat. Pengukuran dampak psikososial akibat maloklusi dapat dilakukan dengan kuesioner Psychosocial Impact of Dental Aesthetic Questionnaire (PIDAQ). Penelitian ini bertujuan untuk melakukan translasi dan memvalidasi kuesioner PIDAQ dalam Bahasa Indonesia. Metode: Jenis penelitian ini merupakan penelitian cross-sectional. Prosedur penelitian diadaptasi dari pedoman yang dibuat oleh International Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) Consortium Network. Tahap pertama adalah tahapan linguistik, yaitu penerjemahan PIDAQ yang dibuat oleh Klages, et al., ke Bahasa Indonesia, evaluasi terjemahan PIDAQ Bahasa Indonesia, penerjemahan kembali PIDAQ Bahasa Indonesia ke Bahasa Inggris, kemudian evaluasi akhir terjemahan PIDAQ Bahasa Indonesia ke Bahasa Inggris. Tahap kedua adalah tahapan uji validitas dan reliabilitas. PIDAQ dalam Bahasa Indonesia diberikan kepada 32 orang responden untuk melihat validitas dan reliabilitas PIDAQ dalam Bahasa Indonesia. Tahap ketiga adalah tahapan analisis. Hasil uji validitas dan reliabilitas dianalisis menggunakan analisis Pearson Product Moment, Intra-Class Correlation (ICC), Cronbach Alpha, dan analisis faktor menurut Kaiser-Meyer-Olkin (KMO) dan Bartlett’s Test of Sphericity. Hasil: Penelitian ini menghasilkan kuesioner PIDAQ Bahasa Indonesia yang valid dan reliabel berdasarkan analisis Pearson Product Moment, ICC, Cronbach Alpha, analisis faktor menurut KMO, dan Bartlett’s Test of Sphericity. Nilai-nilai analisis tersebut telah menyamai nilai asli pada PIDAQ. Translasi tersebut terdiri dari 23 pernyataan yang dibagi dalam empat dimensi. Simpulan: Kuesioner Psychosocial Impact of Dental Aesthetic Questionnaire mengukur dampak psikososial dari estetika gigi pada subjek di Indonesia dan setiap item dalam kuisioner valid dan reliabel. ABSTRACTIntroduction: Malocclusion will lead to psychological and social (psychosocial) disorders due to unaesthetic dental arrangement. These disorders can measure the need and success of treatment from the patient’s point of view more accurately. The psychosocial impact of malocclusion can be measured using the Psychosocial Impact of Dental Aesthetic Questionnaire (PIDAQ). This study was aimed to translate and validate the PIDAQ questionnaire in Indonesian. Methods: A cross-sectional study was performed with the procedure adapted from guidelines developed by the International Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) Consortium Network. The first stage was the linguistic stage, which was the Indonesian translation of PIDAQ by Klages et al., evaluation of the Indonesian translation, retranslation of the Indonesian version of PIDAQ to the original version, and final evaluation of the Indonesian to English translation of PIDAQ. The second stage was the stage of validity and reliability testing. The Indonesian version of PIDAQ was given to 32 respondents to test its validity and reliability. The third stage was the analysis stage. The validity and reliability tests results were analysed using Pearson Product Moment, Intra-Class Correlation (ICC), Cronbach Alpha, and factor analysis according to Kaiser-Meyer-Olkin (KMO) and Bartlett’s Test of Sphericity. Results: A valid and reliable Indonesian version of the PIDAQ questionnaire was able to be created based on the Pearson Product Moment, ICC, Cronbach Alpha, KMO factor analysis, and Bartlett’s Test of Sphericity results. The analysis values of the Indonesian version of the PIDAQ questionnaire were close to the original version’s values. The translation consisted of 23 statements divided into four dimensions. Conclusions: The Psychosocial Impact of Dental Aesthetic Questionnaire measures the psychosocial impact of dental aesthetics on Indo-nesian subjects, and each item in the questionnaire is valid and reliable.

Validity and Reliability of The Persian Version of The Short-Form Child Perceptions Questionnaire 11–14

BackgroundThe Child Perception questionnaire 11-14 (CPQ 11-14) is an efficient tool for assessment of oral health-related quality of life (OHRQoL). This questionnaire has been shortened to 16 items (CPQ11–14 ISF-16) to facilitate its use. The purpose the present study was to translate CPQ11–14 ISF-16 in the Persian language, culturally adapt and initially validate among adolescent population.Material and methodThe questionnaire was translated to Persian, back-translated to English and underwent cultural adaptation and pretesting. It was then filled out by 318 young adults (175 grils and 143 boys) between 11 to 14 years in Shiraz, Iran. The Persian version of CPQ11–14 ISF-16 along with the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) and two Suggested global questions were administered among participants to assess its Creition validity.ResultsFactor analysis extracted two domains and the factor loading of domains ranged from 0.423 to 0.837. Persian version of CPQ11–14 ISF-16 presented high internal consistency (Cronbach’s alpha = 0.854); It showed excellent criterion validity with PIDAQ (rho= 0.731, p < 0.001). There was a statistically significant positive moderate correlation between CPQ11–14 ISF-16 and its factors 1 and 2 and two global questions (first global question: rho= 0.439, p < 0.001; second global question: rho= 0.457, p=0.035)ConclusionThe Persian version of CPQ11–14 ISF-16 has optimal validity and reliability in a general population of 11–14-year-old Persian children.

Orthodontic clinicians’ attitudes and knowledge of dentogingival aesthetics: A cross-sectional survey of BOS members

Objective: To assess orthodontic clinicians’ knowledge and attitudes towards dentogingival aesthetics and to explore characteristics that predict the knowledge of dentogingival aesthetics. Design: Cross-sectional questionnaire Setting: On-line survey of members of the British Orthdontic Society. Materials and Methods: An 11-item online questionnaire was sent to orthodontic practitioners for completion. The questionnaire covered respondent demographics and questions relating to both knowledge and attitudes towards dentogingival aesthetics (six parameters). Descriptive statistics were calculated for study characteristics and summary values for the survey items. Responses to the eight knowledge-based questions were converted to a binary outcome (correct and incorrect answer). The maximum score that could be achieved was eight. Multivariable modelling was used in order to examine associations between the study characteristics and the aggregate score. Results: A total of 252 responses were obtained resulting in a response rate of 17%. Within this cohort, the respondents were primarily women (52.8%) and aged 30–40 years (35.7%). The mean score for the eight knowledge-based questions was 3.8 ± 1.8 (range = 0−8). Knowledge of the ideal gingival margin position of the anterior teeth was high (92.4%). Knowledge of the other five dentogingival aesthetic parameters was variable. In the multivariable analysis, lower knowledge scores were predicated by respondents who did not have a special interest in dental aesthetics (−0.54; 95% confidence interval [CI] = −1.01 to −0.07; P = 0.02), who could not recall attending courses, lectures or seminars on dental aesthetics in the past five years (−0.80; 95% CI = −1.43 to −0.17; P = 0.01) and with increasing age (−0.43; 95% CI = −0.62 to −0.23; P < 0.001). Conclusion: Knowledge of ideal dentogingival parameters is generally suboptimal among orthodontists in the UK. The reported lack of knowledge of the ideal dentogingival parameters may also influence respondents’ attitudes towards the importance of dentogingival aesthetics. Further teaching or courses related to dentogingival aesthetics is desired by orthodontic clinicians.

Protocol for the development of a Core Outcome Set for trials on the prevention and treatment of Orthodontically induced enamel White Spot Lesions (COS-OWSL)

Background Enamel white spot lesions (WSLs), characterized by an opaque, matt, and chalky white appearance of enamel, are a sign of incipient caries. WSLs are common in orthodontic practice and can affect both the oral health and dental aesthetics of patients. Extensive studies have been conducted to evaluate the effectiveness of prevention or treatment for orthodontically induced enamel WSLs. However, substantial heterogeneity has been found in the outcomes used for the prevention and treatment of WSLs in literature, which prevents researchers from comparing and combining the results of different studies to draw more decisive conclusions. Therefore, we aim to develop a Core Outcome Set for trials on the prevention and treatment of Orthodontically induced enamel White Spot Lesions (COS-OWSL). Methods The development of COS-OWSL comprises four phases: (1) a scoping review to identify and summarize all existing outcomes that have been used in trials on the prevention or treatment of orthodontically induced WSLs; (2) qualitative interviews with orthodontic patients without (for prevention) and with WSL-affected teeth (for treatment) and relevant dental professionals to identify additional outcomes relevant to them; (3) Delphi surveys to collect opinions from key stakeholders including patients, dental professionals, and researchers and to reach a preliminary consensus; and (4) a consensus meeting to develop the final COS-OWSL. Discussion The COS-OWSL will be developed to facilitate the synthesis of evidence regarding the prevention and treatment of orthodontically induced WSLs and to promote the consistent use of relevant patient-important outcomes among future studies in this field. Trial registration Core Outcome Measures in Effectiveness Trials (COMET) initiative (the COS-WSL project) 1399