surgical treatment of skeletal Class III malocclusion: Report of two adult cases

This article describes orthodontic treatment of two adult patients presenting with a skeletal Class Ill malocclusion. A camouflage treatment procedure was implemented for each one of them in order to resolve the dental problems: For the first patient, we extracted two mandibular second premolars, and for the second one, the decayed first permanent mandibular molars. The aim of this paper is to show that treatment of borderline skeletal Class III malocclusions by dentoalveolar compensation is possible and can assure occlusal improvement and favorable effect on facial esthetics, if indications are initially well established

[Specific problem related to oro maxillo facial sphere and hwaring in 340 Lebanese musicians practicing wind instruments]

The aim of this study is to detect the problems related to wind instruments in order to determine the contributing factors. This study is a prospective study of a sample of Lebanese wind-instruments musicians. Questionnaire of 17 items about personal data, musical activities in general and specific problems related to wind instruments. 340 response out of 400 [85%]. Gender: male 100%. Age: 28.5 +/- 6.5 years [13-50]. Practice of any physical activity: 57.5%. Smokers: 40.5%. Data about musical practice-Years of practice: 6.5 +/- 5.5. Daily practice: 2.5 +/- 1.5 hours with 35 +/- 2 rest periods of 16.5 +/- 15 minutes. Weekly practice: 5 +/- 2 days. Data about medical problems-Hear loss 34%; respiratory difficulties: 19.5%; wound of lips muscles: 5%; gums and tongue lesions: 7.8%; myospasms of the cheeks and lips: 34.5%; dental problems: 30.7%temporo-mandibular disorders [TMD]: 22.5%. There is a high association between risk factors and pathology. Risks related to the instrument's use: hear loss [p=0.001], traumas to lips muscles [p=0.065], myospasms [p=0.064], TMD [p=0.000]. Other factors: physical activity is beneficial; smoking is harmful [breathing difficulties, spasms, headaches]. Factors influencing the different problems: age [31 +/- 7 years]; years of practice [9 +/- 6]; hours of practice per day [2 +/- 15]; days of practice per week [4.5 +/- 2.5]. Wind instruments are related to problems of mouth, facial muscles and hearing. This may lead musicians to stop their activities or to irreversible professional disabilities. A medical follow-up during the musicians training is needed to prevent these problems

Diagnosis and management of compound composite odontoma

After a review of literature, a clinical report will discuss the management of a rare case of supernumerary teeth identified as compound composite odontoma. In this orthodontic case, a significant delay in tooth eruption of the right maxillary central and lateral permanent incisors was the chief complaint. Further clinical and radiological investigations were undertaken, and a combined orthodontic-surgical approach was decided by means of an atraumatic surgery, an adequate control of gingival inflammation and use of minimal orthodontic forces in order to ensure a higher percentage of success in terms of esthetics, occlusion and periodontal health