Dental fluorosis - an orthodontic adhesive challenge

The purpose of this study, carried out in early 2010, was threefold: Firstly, to assess the frequency of mild to severe type of dental fluorosis in the school children of district Jhang, [Punjab], both males and females with an age range of 6-14 years. The ratio between girls [420] and boys [278] was 1.51:1. Out of a total sample size of 698, 76 girls and 90 boys suffered from dental fluorosis with a total frequency of 23.78%. Secondly, to give a wake up call to those who are responsible for the prevention of this menace from that specific segment of poor and neglected society. Lastly, to get an effective bonding clue for this pretty good quantum of patients who pose a great challenge in orthodontics, in terms of poor sheer bond strength of adhesives due to repeated bond failures while using "standard etching protocol", resulting in a poor treatment outcome. Current orthodontic literature hints that among the various orthodontic adhesive materials, self etching primer has so far played a promising role in these cases, as is evident from various studies

Frequency of ectopic canines - a study

The purpose of this study was to assess the frequency of ectopic canines in patients' reporting to the 28 Military Dental Centre Lahore Cantt, seeking orthodontic treatment during the last twelve months. A total of 173 patients were evaluated. Out of which 41[24%] patients [11 were males and 30 were females] with an approximate male to female ratio of 1:3. Most frequent location was labial, 38 out of 41[93%]

Prevalence of impacted and ectopic teeth in patients seen in a tertiary care centre

The objective of the study was to calculate the prevalence of most frequent impacted and, ectopic teeth in patients reporting to Orthodontic OPD at Armed Forces Institute of Dentistry [AFID] Rawalpindi. Duration of the study was one year from 7 December 04 to 6 December 05. The sample consisted of 388 females and 162 males. Complete record of the patient was taken. 500 patients of both sexes of age 8-25 years were fully analyzed, 124 patients had impacted teeth and 102 patients had ectopic teeth. Most frequently impacted teeth were third molars especially lower right ones. Most frequent ectopic teeth were canines especially upper left canines. Comparing the two jaws, impaction was more common in the mandible 52 [10.4%] than in maxilla 30 [6%], while 42 [8.4%] patients had impacted teeth in both jaws simultaneously. Only one patient had 5 teeth impacted. Most commonly ectopic teeth were maxillary canines which were 102 [60.5%]. Ectopic teeth were more common in females than in males and were more in the upper jaw than in the lower

Prevalence of class III malocclusion in an orthodontically referred Pakistani population

To assess the prevalence of Class III malocclusions in all military and civilian patients seeking orthodontic treatment at Armed Forces Institute of Dentistry, so as to strategize treatment planning on a priority and individualized basis. A total of 1348 patients referred to the department of Orthodontics ..AFID from Oct 1999 through June 2008 were both clinically and cephalometrically screened for this study. Out of a final sample size of 1185, comprising 375 [31.6%] males and 810 [a 4% females, [11.1%] patients exhibited Class III malocclusion. Class III was found in 51 males and 80 females only. Males exhibited a higher frequency 13.6% as compared to females 9.9%. Frequency of Class III malocclusion in our sample is higher than those of Caucasians, Africans and Asians of Middle East. It is however compatible to Turkish and Japanese populations, but lesser than Koreans

frequency of deep bite in orthodontic patients at the armed forces Institute of Dentistry, Rawalpindi

The objective of this study was to evaluate the frequency of deep bite among orthodontic patients who presented at the Department of Orthodontics, AFID, Rawalpindi during a time period of 7 years. The orthodontic treatment records of 1856 patients were evaluated for the presence of anterior deep bite. Patient's study casts and pre-treatment photographs were used for this propose. All the patients included in the study were in the permanent dentition stage. Three hundred sixty eight patients out of 1856 had anterior deep bite with an incisor overlap of more that 3 mm. Of these, 368 patients 238 were females and 130 were males. The patients were divided into two groups. Grade 1 deep bite, having an incisor overlap of more than 3 mm without palatal irritation and Grade 2 deep bite, having an overlap of more than 3 mm with trauma to the palatal mucosa. The occurrence of deep bite among these patients was 19.8% out of which 64.6% were females and 35.4% were males

Aids - an alarming death trap in the dental zone

Acquired immunodeficiency syndrome has been a great challenge both the for medical and dental profession. Early detection is of prime importance. Oral manifestations of AIDS associated lesions, both in children and adults, mostly precedes the systemic signs and symptoms. After acquainting with this current update, an astute Dental professional certainly will probably be the first one to identify and help in diagnosis, and thus minimizing the devastating effects of this crippling and catastrophic syndrome

White enamel lesions associated with fixed orthodontic appliances

Appearance of white demineralized lesions in the vicinity of bonded and banded attachments is a common occurrence during fixed orthodontic treatment. It seems to be a big challenge for every treating orthodontist. The prerequisite of tremendous oral hygiene practice during active fixed orthodontic treatment must be conveyed to the patient and parents apiece. Strict preventive measures are to be reinforced. A wake up call and still more to adapt various ways to prevent this terrible condition from endangering our net orthodontic outcome

Restore a wide radiant smile without dental extractions

Seeking orthodontic treatment is the right of every patient. Its outcome however depends on the clinical judgment of an orthodontist who thoroughly evaluates and customizes a comprehensive treatment planning so as to fulfill the current [needs and wants] of the patient in question. Non extraction philosophy is the main pivot of this article. The logic behind is to maintain a fuller labial profile, concomitant with a wide attractive smile, which in turn expedites easy psychosocial adjustability of the patient in the community around

Complement your teeth through impacted cuspids

A young patient consulted an Oral Surgeon who advised him surgical removal of both of his impacted cuspids. The patient and his father agreed to this treatment, as they were not told of any other conservative options. After seeking some orthodontic information they landed at this clinic where after thorough evaluation, an orthodontic preference was suggested to which they agreed

It took almost 22 months to achieve the set goals. The treatment plan called for replacement of decidous cuspids with the permanent canines, which were impacted. Cuspid guidance was gained. By adding the cuspids in question, a full complement of teeth was restored. He was smartened up with an inspiring and wide radiant smile

Labial estheticsi no more an orthodontic dilemma

The aesthetic destiny of an orthodontic patient is to be paid due attention in terms of avoiding unjustified extraction, which in turn leads to a premature flattening and collapsing of the facial profile

A young profile oriented girl, sought multitude of opinions from different clinics but was confused due to a pool of diversified opinions, she had collected

She finally made her mind. Her [Wants] and [Needs] were given top priority. Keeping in mind the collapsed labial region in particular, prime importance was paid to the key problems in question. After almost two years oftreatment she was blessed with a fuller juvenile labial profile reinforced with a wide radiant smile and complete balanced occlusion

Finally she lost her incisor! A wake up call for orthodontists

The treatment of a young girl with a maxillary ectopic/impacted canine, leading to complete resorption, followed by loss of a neighboring maxillary lateral, is presented. Treatment sequences used to achieve a balanced and functional result are discussed. The patient's parents and/or dental professionals were not aware of this negligence or mishap which led to the loss of her incisor, at such a young age. Thus this part of the chapter is kept tinder a veil while technical part of the subject is addressed and shared in brief