Severe skeletal Class II Division 1 malocclusion in postpubertal girl treated using Forsus with miniplate anchorage.

This case report outlines the treatment of a 17-year-old female with Class II Division 1 malocclusion with mandibular retrusion, deep bite, and convex facial profile. The Forsus fatigue resistance device with miniplate was used for this patient and it was very affecting tool in correcting both skeletal and dental parameters. The total active treatment time was 19 months. This method can serve as an alternate choice of treatment, especially those who refuse orthognathic surgery. Hence, Forsus with miniplate might be useful in both growing and postpubertal patients.

Clinician Corner- A Simple and Efficient Modified Goshgarian Arch ("T" Arch) Appliance for Correcting Single Tooth Scissor Bite.

Scissor bite is a rare form of malocclusion that is often accompanied by varying degrees of facial asymmetry. Correction and treatment of scissor bite in posterior teeth is a challenging job for an orthodontist. There are several treatment options for correction of scissor bite in posterior teeth but some have their own ill-effects on the dentition thus contributing further to the problem and some require patient compliance which compromises the outcome of the treatment. Therefore to overcome these drawbacks we have designed a new appliance to correct the molar scissor bite.

A Speedy Yet Simple Tip to Align Imbricated Anterior Teeth.

Correction of dental crowding can be achieved with several orthodontic procedures like extraction of teeth, proximal stripping etc. In contemporary orthodontic practice, resolution of incisor crowding is most commonly achieved by the use of canine lacebacks. This method takes time, requires frequent activations and taxes anchorage since it involves the "PULL" mechanics. In order to overcome these disadvantages, mostly the time factor, we devised a method of using open coil NiTi spring on 0.016" SS wire piggy backed on the 0.014" heat activated NiTi base arch wire ligated only at the canines. This method, resolved the incisor crowding in almost one third of the time taken with the use of canine lacebacks. Moreover, the result was more physiologic since light continuous force was applied with the spring and it essentially eliminated the anchorage loss since it involved "PUSH" mechanics.

Effect of Various Finishing Procedures on the Reflectivity (Shine) of Tooth Enamel - An In-vitro Study.

INTRODUCTION: Reflectivity of an object is a good parameter for surface finish. As the patient evaluates finishing as a function of gloss/reflectivity/shine an attempt is made here to evaluate changes in surface finish with custom made reflectometer. AIM: The aim of the present study was to study the effect of various procedures during orthodontic treatment on the shine of enamel, using a custom made reflectometer. MATERIALS AND METHODS: Sixty one extracted premolars were collected and each tooth was mounted on acrylic block. Reflectivity of the teeth was measured as compared to standard before any procedure. One tooth was kept as standard throughout the study. Sixty teeth were acid etched. Reflectivity was measured on custom made reflectometer and readings recorded. Same procedure was repeated after debonding. Then 60 samples were divided into three groups: Group 1 - Tungsten Carbide, Group 2 - Astropol, Group 3- Sof-Lex disc depending upon the finishing method after debonding and reflectivity was measured. RESULTS: The mean percentage of reflectivity after acid etching was 31.4%, debonding 45.5%, Tungsten carbide bur finishing (Group 1) was 58.3%, Astropol (Group 2) 72.8%, and Sof-Lex disc (Group 3) 84.4% as that to the standard. There was statistically very highly significant (p<0.001) difference in reflectivity restored by the three finishing materials in the study. Thus, the light reflection was better in Group 3> Group 2> Group 1. CONCLUSION: The primary goal was to restore the enamel to its original state after orthodontic treatment. The methods tested in this study could not restore the original enamel reflectivity.

Friction between Archwire of Different Sizes, Cross Section, Alloy and Brackets Ligated with Different Brands of Low Friction Elastic Ligatures- An Invitro Study.

INTRODUCTION: Friction in orthodontic treatment does exist and is thought to reduce the efficiency of orthodontic appliances during sliding mechanics. During sliding mechanics, a friction force is produced at the bracket archwire-ligature unit which tends to counteract the applied force and in turn resists the desired movement. AIM: The aim of this invitro study was to determine the friction between archwire of different sizes, cross section, alloy and brackets ligated with different brands of low friction elastic ligatures. MATERIALS AND METHODS: An 0.022-in slot, 10 stainless steel brackets and various orthodontic archwires which were ligated with low-friction ligatures and subjected to evaluate frictional resistance i.e. static friction and dynamic friction. The archwires of 0.014″ and 0.016″ nickel titanium (NiTi), 0.016 × 0.022″ stainless steel (SS), 0.017 × 0.025″ NiTi, 0.017 × 0.025″ SS, 0.017 × 0.025″ titanium molybdenum alloy (TMA), 0.019 × 0.025″ SS were used. Each bracket/archwire combination was evaluated 10 times at room temperature of 27 ± 2°C. The study groups included Group I of conventional round shape module with reduced friction coating i.e. super slick and synergy and Group II contained figure of "8" shape module i.e. Octavia ties and Slide ligature. RESULT: The mean static friction force and dynamic friction force for all 7 types of wires was lower in Group II (C, D) combined compared to Group I (A, B) and the difference was statistically very highly significant (p<0.001). CONCLUSION: Super slick and synergy can be used in the initial and final phase of treatment when full engagement of archwire in the bracket slot is necessary for proper tip and torque expression. Slide and Octavia ties modules can be used in the premolar brackets during en mass retraction when using friction mechanics.

Simple and Efficient Technique for Correction of Unilateral Scissor Bite Using Straight Wire.

Unilateral scissor bite is a relatively rare malocclusion. However, its correction is often difficult and a challenge for the clinician. This article presents simple and efficient technique for the correction of severe unilateral scissor bite in a 14 year old boy, using 0.020 S.S. A. J. Wilcock wire (premium plus) out of the spool, with minimal adjustments and placed in mandibular arch. After about six weeks time, good amount of correction was seen in the lower arch and the lower molar had been relieved of scissor bite.

Comparison of Self-Etch Primers with Conventional Acid Etching System on Orthodontic Brackets.

INTRODUCTION: The self-etching primer system consists of etchant and primer dispersed in a single unit. The etching and priming are merged as a single step leading to fewer stages in bonding procedure and reduction in the number of steps that also reduces the chance of introduction of error, resulting in saving time for the clinician. It also results in smaller extent of enamel decalcification. AIM: To compare the Shear Bond Strength (SBS) of orthodontic bracket bonded with Self-Etch Primers (SEP) and conventional acid etching system and to study the surface appearance of teeth after debonding; etching with conventional acid etch and self-etch priming, using stereomicroscope. MATERIALS AND METHODS: Five Groups (n=20) were created randomly from a total of 100 extracted premolars. In a control Group A, etching of enamel was done with 37% phosphoric acid and bonding of stainless steel brackets with Transbond XT (3M Unitek, Monrovia, California). Enamel conditioning in left over four Groups was done with self-etching primers and adhesives as follows: Group B-Transbond Plus (3M Unitek), Group C Xeno V+ (Dentsply), Group D-G-Bond (GC), Group E-One-Coat (Coltene). The Adhesive Remnant Index (ARI) score was also evaluated. Additionally, the surface roughness using profilometer were observed. RESULTS: Mean SBS of Group A was 18.26±7.5MPa, Group B was 10.93±4.02MPa, Group C was 6.88±2.91MPa while of Group D was 7.78±4.13MPa and Group E was 10.39±5.22MPa respectively. In conventional group ARI scores shows that over half of the adhesive was remaining on the surface of tooth (score 1 to 3). In self-etching primer groups ARI scores show that there was no or minor amount of adhesive remaining on the surface of tooth (score 4 and 5). SEP produces a lesser surface roughness on the enamel than conventional etching. However, statistical analysis shows significant correlation (p<0.001) of bond strength with surface roughness of enamel. CONCLUSION: All groups might show clinically useful SBS values and Transbond XT can be successfully used for bracket bonding after enamel conditioning with any of the SEPs tested. The SEPs used in Groups C (Xeno V+) and D (G-Bond) have significantly lowered SBS. Although, the values might still be clinically acceptable.