Pre-directional appliance: a new approach to correct shifted premaxilla in bilateral cleft cases.

Management of bilateral cleft lip and palate cases is a challenging task, and if the premaxilla is shifted to either side, it poses a problem for the surgeon to operate and also for the orthodontist to do the orthodontic alignment. The aim of this study was to reposition the shifted premaxilla for better retraction with presurgical infant orthopedics, thus reducing the tissue tension and further scarring which have detrimental effects on maxillary growth. The innovative technique with pre-directional (PD) appliance is easy to fabricate and use and works in this direction. Acrylic, springs, permasoft liner, elastics, retentive tapes. Previous approach for the shifted premaxilla was more focused on the surgical correction. In adults, surgery with osteotomy is the only option, with its own limitations and disadvantages, in repositioning the shifted premaxilla. Thus, PD appliance aids to correct the shifted premaxilla in presurgical molding stage. The premaxilla was thus shifted 5.5 mm to the left side, with premaxilla in facial symmetry, with the PD appliance. Presurgical orthopedics with PD appliance is worth in infants with shifted premaxilla in bilateral clefts cases.

A comparative analysis of the effect of various denture adhesives available in market on the retentive ability of the maxillary denture: an in vivo study.

"Every human being has a divine right to enjoy the health to its fullest." Oral and Dental health is not an exception to this dictum. The speciality of Prosthodontics has emerged as a science to provide replacement of missing dentition for its form and functions along with associated structures. Any successful complete denture treatment combines exemplary technique, effective patient rapport, patient education, and familiarity with all possible management options in order to provide maximum satisfaction to patient. There are some forcing situations where providing desirable (optimal) retention may be a problem. In such types of patients use of denture adhesives is recommended for enhancing the quality of retention. The use of denture adhesive provides comfort and additional confidence not only by increasing the adhesive and cohesive but also eliminating voids between the denture base and the basal seat. This study is undertaken to evaluate the enhancement of retentive quality of complete denture with the use of denture adhesives available in Indian markets for the use by denture wearers.