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1.
Cureus ; 15(9): e44514, 2023 Sep.
Article in English | MEDLINE | ID: mdl-37790041

ABSTRACT

Reaction to the force application is observed in the clinical scenarios as anchorage loss, which is the unwanted movement of the teeth. A plethora of approaches have been developed over time in orthodontics to overcome anchorage loss. These approaches are termed anchorage reinforcement procedures. Anchorage loss refers to the unintended movement or shifting of teeth that are intended to remain stable and serve as anchoring points during orthodontic treatment. This loss of stability can occur in various dimensions, including horizontal, vertical, or transverse, and can result in undesired changes to the overall positioning and alignment of teeth. Anchorage can be termed as conventional intraoral anchorage which usually leads to significant anchorage loss. The conventional extraoral anchorage such as headgear suffers from the issue of compliance.

2.
Cureus ; 15(9): e44834, 2023 Sep.
Article in English | MEDLINE | ID: mdl-37809259

ABSTRACT

Currently, ligature-free bracket technologies, including self-ligating brackets (SLBs), are all the rage in orthodontics. Self-ligating mechanisms have been shown to be more effective and less time-consuming in orthodontic treatment than traditional appliances due to their enhanced frictional properties. Crucial to the success of the multi-band/bracket method is the transmission of forces and moments from the bracket to the archwire. Advances in bracket design and ligation techniques are constantly being made to better distribute loads and increase the efficiency of leveling.

3.
Cureus ; 15(6): e40162, 2023 Jun.
Article in English | MEDLINE | ID: mdl-37431361

ABSTRACT

During the treatment planning process, extraction decisions are crucial. As a therapy option, the extraction of teeth should be considered in instances where there is a lack of facial harmony and stability in the occlusion. Treatment aims, the kind of malocclusion, aesthetic considerations, and growth patterns are all factors that influence asymmetric extraction. For the most part, premolar extractions are required when there is a significant midline difference or an asymmetrical connection between the teeth. Premolars, which are the first teeth to erupt and occupy the posterior position in chewing, are more vulnerable to injury than other permanent teeth. The optimal time to remove a second molar is at the moment when the connection between the molars has normalized or when a major front cross-bite can be remedied.

4.
Cureus ; 15(4): e37923, 2023 Apr.
Article in English | MEDLINE | ID: mdl-37220436

ABSTRACT

BACKGROUND AND AIM: Orthodontic brackets can be a significant factor in enamel demineralization due to their complex structure, which makes brushing the teeth difficult and promotes the accumulation of food particles and dental plaque. The fact that metal braces have the highest surface tension and are more likely to cause enamel demineralization, which can result in the development of white spot lesions and enamel caries, is of critical significance to doctors, dentists, and patients. Probiotics have a beneficial effect in preventing and treating oral infectious diseases like tooth decay, gingival disorders, and bad breath. Research has shown that taking probiotics lowers the amount of Streptococcus mutans in the body. There has not been much research done to examine the results of administering a probiotic medication locally. This study was conducted to examine the effectiveness of three separate probiotics in the prevention of S. mutans accumulation in plaque surrounding orthodontic braces. MATERIALS AND METHODS: A randomized controlled trial was conducted. The volunteers for each group were chosen using a straightforward random method. The sample size was 160 empirically determined subjects. They were divided as follows: study group 1 received probiotic lozenges (n=40). Study group 2 received probiotic sachets (n=40). Study group 3 received probiotic beverages (n=40). Group 4 was the control group, those who did not get probiotics (n=40). The samples were then plated onto culture media to test for Streptococcus mutans. S. mutans colonies were counted using a computerized colony counter. RESULTS: The mean values of colony forming units (CFU/mL) of S. mutans at baseline in the control group were 354±23.6, while they were 232±41.7 at the end of the observation duration. The difference was non-relevant statistically (p=0.793). The mean values of CFU/mL of S. mutans at baseline in the group taking probiotic lozenges were 358.7±39.93, while they were 57±10.12 at the end of the observation duration. The difference was relevant statistically (p=0.021). The mean values of CFU/mL of S. mutans at baseline in the group taking probiotic sachets were 321.36±41.67, while they were 215.5±22.66 at the end of the observation duration. The difference was relevant statistically (p=0.043). The mean values of CFU/mL of S. mutans at baseline in the group taking the probiotic drink were 335.76±40.12, while they were 75.1±28.74 at the end of the observation duration. The difference was relevant statistically (p=0.032). CONCLUSION: There was a significant decline in the number of colonies of S. mutans in all three forms of probiotics; however, the decline was greatest in the study participants taking probiotic lozenges.

5.
Cureus ; 14(11): e31921, 2022 Nov.
Article in English | MEDLINE | ID: mdl-36579292

ABSTRACT

Everyone aspires to have a youthful appearance, complete with a beaming grin. By treating skeletal and dental malocclusions that interfere with facial aesthetics, orthodontics helps patients attain a beautiful face and a smile they will be proud of. The diagnosis of the underlying illness or condition serves as the basis for all medical, dental, and surgical operations. Dental professionals all across the world have reaped the benefits of a major scientific advance in recent years. Many measurements may now be seen and quantified more easily using computer-assisted cephalometry. The accuracy and high quality of all dental materials have been enhanced thanks to computer-aided design and computer-aided manufacture. There have been several developments in the realm of orthodontics. The growing use of technology in recent years has transformed every sector, including medicine and dentistry. From Angle's time to today's nanorobotic age, orthodontic ideas, biomaterials, and technology have evolved greatly. It has been extensively utilized for diagnosis, treatment planning, three-dimensional printing, appliance systems, digital storage, integration, and data retrieval. The technology used in orthodontics is always getting better, and this article aims to give an overview of the most recent changes.

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