ABSTRACT
The demand for aesthetic smile makeover treatments is increasing, especially with the rise in social media use. Historically, healthy tooth structure was sacrificed in order to achieve rapid results but this would invariably lead to compromise of the occlusion and a less-than-ideal result.Multi-disciplinary treatment planning, including the use of orthodontic treatment, is now routinely used in order to achieve optimal results. This paper aims to highlight the importance of a combined orthodontic-restorative planning process to allow a long-term aesthetic and functional result for our patients.
Subject(s)
Esthetics, Dental , Smiling , Dental Care , Dental Occlusion , Health Status , HumansABSTRACT
INTRODUCTION: Knowledge of a patient's stage of growth and development plays a vital role in diagnosis, treatment planning, results, and stability of the outcome. Cervical vertebral maturation (CVM) predicts the stage of growth and development, but its validity has only been investigated restrospectively, using historic samples. Our objective was to assess prospectively whether a correlation exists between CVM stage and statural height growth velocity. METHODS: Participants were aged between 8 and 18 years and of both sexes. Standing height was measured every 6 weeks with participants barefoot and in natural head position. CVM stage was assessed from lateral cephalograms taken at the start of treatment. Intraobserver and interobserver reliability of CVM staging and statural height measurements were assessed using the Cohen weighted kappa, percentage of agreement, intraclass correlation coefficient, and Bland-Altman plots, respectively. Analysis of variance was used to test for statistically significant differences between growth velocities at the CVM stages. RESULTS: We analyzed 108 participants. The peak in statural height growth velocity occurred at CVM stage 3 (P = 0.001). There was a statistically significant difference in the mean annualized growth velocity between all CVM stages except stages 2 and 4. Girls had their peak pubertal growth spurt an average of 1.2 years earlier than did boys. CONCLUSIONS: This study suggests that there is a significant relationship between CVM stage and statural height velocity.
Subject(s)
Cervical Vertebrae/growth & development , Facial Bones/growth & development , Sexual Maturation , Adolescent , Adolescent Development/physiology , Body Height/physiology , Cephalometry/methods , Child , Child Development/physiology , Female , Humans , Male , Orthodontics , Prospective Studies , Reproducibility of Results , Sex Factors , United KingdomABSTRACT
Dental concrescence is a rare dental abnormality resulting in the joining of two teeth at the level of the cementum. This is the first reported case of the orthodontic management of a dental concrescence and the options for patient treatment are discussed. In this case, a compromised occlusal result was accepted with restorative masking of the affected teeth.
