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Background@#Pain during fixed orthodontic treatment can have a detrimental effect on patient treatment compliance.To overcome this, there is a definite need to establish the best pain-relieving methods suitable for orthodontic patients in terms of efficacy and use. The objective of this study was to compare the effect of chewing gum and pre-emptive tenoxicam on pain after initial archwire placement and to evaluate the pain perceptions of orthodontic patients in the two groups while performing various functions at specific time intervals. @*Methods@#Forty-two patients were selected and randomly divided into two groups: group A (chewing gum) and group B (pre-emptive tenoxicam). Pain perception was documented by patients immediately; at 4 h; at bedtime on the day of archwire placement; the next morning; at 24 h; and at bedtime on the 2nd, 3rd, and 7th day after the initial archwire placement. Pain scores were noted during fitting of the posterior teeth, biting, and chewing using a visual analog scale. The data obtained were subjected to statistical analysis. @*Results@#Group A showed a significant increase in pain until the next morning while fitting the posterior teeth, biting, and chewing [36.2, 52.0, 33.4, respectively]], followed by a gradual decrease by the 7th day. Group B showed a significant increase in pain at bedtime on biting, with a peak value of 47.5. Pain on chewing, fitting posterior teeth, peaked the morning of the next day (100.0, 45.0). The Freidman test showed a statistically significant difference with a p-value of 0.05] between the two groups. @*Conclusions@#Chewing gum was not inferior to pre-emptive tenoxicam. Thus, chewing gum is a non-pharmacological alternative to analgesics for orthodontic pain control that eliminates the chance of adverse reactions and can be used in the absence of adult observation.
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During orthodontic treatment the teeth are exposed to forces and moments, and these acting forces always generate reciprocal forces of the same magnitude but opposite in direction which follows Newton’s third law. To avoid unwanted tooth movements and maintain treatment success, these reciprocal forces must be diverted effectively. In orthodontic treatment, anchorage loss is a potential side effect of orthodontic mechanotherapy and one of the major causes of unsuccessful results. Its cause has been described as a multifactorial response in relation to the extraction site, appliance type, age, crowding, and overjet.Therefore, clinicians throughout the years have made an effort to find biomechanical solutions to control anchorage. The purpose of this article is to review the basics of anchorage and the anchorage planning in different appliance systems.
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Self-ligating brackets encompass fast popularity over the past several decades and had various advantages with regard to the efficiency, effectiveness, and stability of treatment when compare with conventional brackets. Self ligating brackets are basically two main types, according to the design of the locking mechanism, the dimensions of the slot, and the dimensions of the arch wires; they are passive and active. Active self-ligating brackets have a spring clip that stores energy to press against the archwire for rotation and torque control. Self-ligating brackets appear to be the beneficiary of the most recent studies as their design and engineering can offer the clinician the ability to take advantage of our better understanding of arch wire/bracket interactions. Since we know the impact of different bracket –arch wire combinations on the resistance to sliding, it is now possible for us to select the best combination depending upon the case.
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With the invention of lingual orthodontics, the patients received the most aesthetic orthodontic treatment, which attracted many orthodontists and patients to seek this aesthetic treatment. Lingual orthodontics is one of the fixed orthodontic technique in which brackets are invisible. The use of invisible orthodontic technique increased the patient’s selfesteem, but there exists a difference in bonding technique, biomechanical aspect and the anchorage considerations between the conventional and lingual orthodontic techniques. In this article, the complete lingual orthodontic technique has been reviewed.
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Oral habit is a part of normal development in children and is a prime concern for parents. It is a learned pattern of muscle contraction with complex nature, which is a repetitive act, commonly seen from infancy and should diminish automatically as age advances. These habits can result in damage to dentoalveolar structure. Therefore, dentists play a crucial role in giving necessary information to parents.
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Root resorption is unavoidable, unwanted and undesirable consequence of the orthodontic tooth movement. This paper describes the various causes, types and classification of root resorption during orthodontic treatment.
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Distraction osteogenesis (DO) one of the recent and most successful treatment option for various skeletal deformities. Initially it was mainly used for correction of axial skeleton, but its introduction to the craniofacial skeleton has revolutionized the mode of treatment of craniofacial deformities and congenital syndromes. Currently DO in dentistry have a wide range application starting from, rapid canine retraction, alveolar distraction, treatment of cleft palate, and correction of many mandibular disorders.
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Open bite is a malocclusion that occurs in the vertical plane, characterized by lack of vertical overlap between the maxillary and Mandibular dentition. The anterior open bites particularly skeletal open bites are called as “stigmata of malocclusion”. The varied etiological characterstic features of openbite are discussed in this article. Openbites are easy to diagnose but difficult to retain. The various modes of treatment are also discussed depending upon the age of the patient.