Prevalence of hoarding disorder among primary care patients

Objectives: Despite the inclusion of hoarding disorder (HD) in the DSM-5, there is little epidemiological data on hoarding from low and middle-income countries. This study, the first from India, examines the prevalence and correlates of HD among primary care patients in the state of Kerala, India. Methods: To assess correlates, the Hoarding Rating Scale-Interview (HRS-I) and other structured instruments were administered to 7,555 subjects selected by stratified random sampling from 71 primary health centers. Results: The prevalence of HD was 1.02% (95%CI 0.8-1.3). Those with HD were more likely to be older and live alone. In the binary logistic regression analysis, after controlling for significant sociodemographic variables, subjects with HD had a higher odds of reporting chronic illness, depression, anxiety disorder, alcohol abuse, and tobacco dependence. Subjects with HD had significantly higher disability scores than unaffected individuals. Conclusion: Although HD is not uncommon in India, this disorder is rarely reported in specialty settings in India, which suggests that awareness and detection should be improved, considering the co-occurring negative correlates and disability among affected individuals.

Corticotomy assisted orthodontic treatment A boom to adult orthodontics

Corticotomy assisted orthodontic treatment is a time-honored and effective orthodontic procedure that progressively extended admiration as an adjunct treatment preference for adults. It involves selective alveolar decortication in the form of lines and dots performed around the tooth that are to be moved. It is done to induce a state of increased tissue turnover and a transient osteopenia, which is followed by a faster rate of orthodontic tooth movement. The treatment time is reduced to one-third of that in conventional orthodontics. Its main advantages are reduction of treatment time and post orthodontic stability. The aim of this article is to present a broad review on the corticotomy assisted orthodontic treatment in adults.

Maxillary canine impaction – A hitch in orthodontic treatment planning

Maxillary canine has a significant importance in functional and esthetic aspect of the occlusion. Clinicians must have a sound knowledge regarding the management of impacted maxillary canines as is second most common teeth prone for impaction after third molars. With early detection and timely interception and well planned orthodontic treatment the impacted canines can be successfully bought to the occlusion. This article gives an overview of etiology, diagnosis and prognosis of impacted canine