جستجوی مقالات مرتبط با کلیدواژه « malocclusion » در نشریات گروه « پزشکی »
-
سابقه و هدف
تالاسمی ماژور یک اختلال کم خونی ژنتیکی شایع می باشد که باعث بروز مشکلات دندانی مانند پوسیدگی دندانی و مال اکلوژن می گردد. در این مطالعه به بررسی اثر شدت مال اکلوژن بر کیفیت زندگی بیماران مبتلا به تالاسمی ماژور پرداختیم.
مواد و روش هادر این مطالعه مقطعی توصیفی-تحلیلی، 37 بیمار دارای تالاسمی ماژور شرکت داشتند. ارزیابی کیفیت زندگی مرتبط با سلامت دهان بیماران بر اساس پرسشنامه (Orthognathic Quality of Life Questionnaire (OQLQ و ارزیابی شدت مال اکلوژن با شاخص نیاز به درمان ارتودنسی Index of Orthodontic Treatment Need (IOTN) بررسی شد. تحلیل های آماری با استفاده از نرم افزار SPSS26 و در سطح معناداری کمتر از 0/05 انجام گرفت و جهت مقایسه میانگین نمره کیفیت زندگی بر حسب مال اکلوژن از آزمون واریانس یک طرفه استفاده شد.
یافته هادر این مطالعه مشخص شد که کیفیت زندگی مرتبط با مال اکلوژن در %43/2 بیماران مبتلا به تالاسمی ماژور، در سطح بد قرار دارد. از نظر شدت مال اکلوژن، %94/6 افراد در درجه 3 الی 5 بوده و بیشترین شیوع نیز مربوط به درجه 3 (%45/9) بود. ارتباط معنی داری بین کیفیت زندگی و متغیرهای شدت مال اکلوژن و جنسیت مشاهده نشد. (0/05<P) .
نتیجه گیریدر نزدیک به نیمی از بیماران مبتلا به تالاسمی ماژور کیفیت زندگی مرتبط با مال اکلوژن در سطح ضعیف قرار دارد و تقریبا همه بیماران از نظر نیاز به درمان ارتودنسی در سطح متوسط تا شدید قرار داشتند. با افزایش شدت مال اکلوژن، تغییر معنی داری در کیفیت زندگی دیده نشد. همچنین ارتباط معنی داری بین کیفیت زندگی با جنسیت وجود نداشت
کلید واژگان: تالاسمی ماژور, درمان ارتودنسی, مال اکلوژن, کیفیت زندگی}Background and AimThalassemia major is a common genetic anemia disorder that causes dental problems such as dental caries and malocclusion. In this study, we investigated the effect of malocclusion severity on quality of life of patients with thalassemia major.
Materials and MethodsIn this descriptive-analytical cross-sectional study, 37 patients with thalassemia major participated. Patients' oral health quality of life was assessed based on orthognathic quality of life questionnaire (OQLQ) and malocclusion severity was measured by index of orthodontic treatment need (IOTN). Data was analyzed by Spss26 and One Way Anova with significance level less than 0.05.
ResultsIn this study, it was found that quality of life associated with malocclusion was poor in 43.2% of patients with thalassemia major. Regarding the severity of malocclusion, 94.6% of people were in grade 3 to 5 and the highest prevalence was related to grade 3 (45.9%). There was no significant relationship between quality of life and malocclusion severity or gender (P>0.05).
ConclusionApproximately half of patients with thalassemia major had poor quality of life associated with malocclusion, and nearly all patients showed moderate to severe orthodontic treatment need. With increasing severity of malocclusion, no significant change was observed in quality of life. There was also no significant relationship between quality of life and gender and age.
Keywords: Thalassemia Major, Orthodontic Treatment, Malocclusion, Quality Of Life} -
Journal of Research in Dental and Maxillofacial Sciences, Volume:9 Issue: 2, Spring 2024, PP 124 -128Background and Aim
Anterior crossbite is the most commonly observed developing malocclusion during the mixed dentition period. Dental crossbite occurs due to over-retained deciduous teeth or their delayed exfoliation, impacted or supernumerary teeth, pathologies present around the affected teeth, or dental trauma during the primary dentition period. Various removable and fixed appliances have been used in the literature for correction of crossbite depending on the patient's age, and space availability in dental arch.
Case PresentationThis paper presents a case series of anterior crossbite cases corrected using a simple posterior bite plane appliance. This appliance is simple, easy to fabricate, and takes less time to correct the crossbite.
ConclusionA posterior bite plane with a palatal plate could be an efficient solution for correction of anterior dental crossbite in the mixed dentition period. This chair-side fabricated appliance achieves correction quickly without harming the periodontal tissue. Developing malocclusions should be immediately identified by dentists to prevent complex treatment options in the future.
Keywords: Malocclusion, Incisor, Orthodontics, Interceptive, Dentition, Mixed} -
Background
The Bolton analysis is commonly used by orthodontists. The Bolton ratios of different populations are significantly different from the standard values of Bolton. This study sought to examine the Bolton's anterior and overall ratios in various malocclusion types in Mashhad, Iran, in contrast to the Bolton’s standards.
MethodsThis descriptive-analytical study was conducted on 240 study models of patients (121 males and 119 females) in four groups (n= 60 cases) of normal occlusion, Class I, Class II, and Class III. The mesiodistal dimensions of the teeth were measured twice using a digital caliper. The anterior and overall ratios of Bolton were calculated. Statistical analysis was conducted utilizing SPSS 18.0.
ResultsThe mesiodistal width of the maxillary lateral incisors in normal occlusion cases was greater than that in Class I, Class II, and Class III malocclusions (P<0.05). Conversely, the mesiodistal width of the maxillary first and second premolars was the greatest in Class II and the smallest in Class III malocclusion (P<0.05). Correlation was not observed between dental ratios (anterior and overall) and gender or malocclusion groups (P>0.05). Furthermore, the anterior ratio was significantly higher than the Bolton's standard in Class I and III malocclusion groups (P<0.05). The normal occlusion group's overall ratio was significantly lower than the Bolton's original ratio (P<0.05).
ConclusionImplementing the Bolton analysis in the population of Mashhad, Iran should be approached with caution.
Keywords: Tooth, Malocclusion, Orthodontics, Bolton’S Ratio, Iran} -
Background
The aim was to determine the effect of first premolars extraction with maximum incisor retraction on airway magnitude and hyoid bone position in cases with bimaxillary dentoalveolar protrusion.
MethodsLateral cephalograms of patients with Class I skeletal and dental relationships were retrospectively recruited. Inclusion criteria were 15-30 years old patients having bimaxillary proclination who had undergone all first premolar extractions with maximum incisor retraction. Patients with dentofacial anomalies, chronic mouth breathing and those who had undergone tonsillectomy or adenoidectomy were excluded. Pre-and post-treatment lateral cephalograms were digitally analyzed for airway measurements and hyoid bone position. Paired samples T-test was used for statistical analysis. P-value<0.05 was considered statistically significant.
ResultsA total of 33 patients, comprising 22 females and 11 males, with a mean age of 24.39 ± 6.92 years were included. Statistically significant differences were found in airway dimensions from pre-treatment to post-treatment; upper airway size between soft palate and posterior pharyngeal wall (SPP-SPPW) was reduced by 1.91mm (12.78%), at uvula & middle posterior wall (U-MPW) by 2.51mm (20.60%), at tongue base to posterior-inferior point on middle pharyngeal wall (TB-TPPW) by 3.39mm (24.26%) and vallecular to lower pharyngeal wall by 1.51mm (9.94%). The vertical position of hyoid bone also significantly reduced as indicated by inferior movement of hyoidale (H) by 4mm (3.8%). There was no significant changes in the horizontal position of the hyoid bone.
ConclusionPremolar extraction with maximum retraction in bimaxillary protrusion cases can decrease the airway dimension and increase vertical position of hyoid bone.
Keywords: Bicuspid, Hyoid Bone, Malocclusion, Pharynx, Palate, Sleep Apnea Syndromes} -
Introduction
We aimed to assess the effect of finger-sucking, nail-biting, and salivary levels of growth hormone on the type of malocclusion among primary school students.
MethodsThis study was conducted among 10–11-year-old (4th and 5th class of the elementary schools) students in the center of Karbala city from February to June 2021 using a multistage cluster random sampling technique. Data related to oral habits were obtained using questionnaires, which were distributed among the students and collected the next day after being answered and signed by the parents. Unstimulated saliva samples were collected, and salivary levels of growth hormone were assessed using the enzyme-linked immunosorbent assay (ELISA) method. Data were analyzed via multinomial logistic regression using R software.
ResultsThe finger sucking was a significant predictor for class 2 malocclusion (p < 0.001). Night-time finger sucking was a significant predictor for class 3 malocclusion (p = 0.031). Salivary levels of growth hormone and nail-biting were not significant predictors for malocclusion (p ˃ 0.05). Also, finger sucking was a marginally nonsignificant predicator for class 3 malocclusion (p = 0.057).
ConclusionCross-sectional studies capture data at a single point in time, and they cannot establish a cause-and-effect relationship. More cohort studies are required to reach a conclusion about the effect of non-nutritive sucking habits such as finger sucking, nail-biting and salivary level of growth hormone on type of malocclusion.
Keywords: Malocclusion, finger sucking, nail-biting, nonnutritive sucking habits, salivary growth hormone, salivary biomarker} -
مقدمهانواع متعددی از دستگاه های گسترش فک بالا با سرعت های گسترش متفاوت وجود دارند که می توانند به درمان این ناهنجاری کمک کنند. هدف از این مطالعه بررسی اثربخشی یک پلاک ارتودنسی متحرک جدید در مقایسه با دستگاه رایج مشابه، در درمان تنگی قوس فک بالا بود.مواد و روش هامطالعه حاضر یک مطالعه نیمه تجربی بود که روی 15 بیمار که طی تیرماه 1399 لغایت دی ماه 1400 به کلینیک ویژه ی دانشکده دندانپزشکی بیرجند مراجعه کرده بودند، صورت گرفت. گسترش در گروه مداخله با پلاک متحرک شفاف از جنس صفحات ترموپلاستیک فاقد اجزای سیمی، انجام گرفت. اطلاعات گروه کنترل که با پلاک متحرک آکریلی دارای اجزای سیمی انجام شده بودند، از یک مطالعه مشابه استخراج شد. داده ها بعد از جمع آوری، وارد نرم افزار SPSS نسخه 25 شد. از آزمون های آماری t-test و معادل ناپارامتری آن (من ویتنی و آزمون تی تک نمونه ای) جهت مقایسه گروه ها استفاده شد. سطح معناداری داده ها کمتر از 05/0 در نظر گرفته شد.یافته هامیانگین ماهانه گسترش بین مولری در گروه مداخله و کنترل به ترتیب 552/ 0± 871/0 و 09/1± 156/1 میلی متر بود. میانگین ماهانه گسترش بین کانینی در گروه مداخله 498/0± 994/0 میلی متر و در گروه کنترل 869/0± 931/0 میلی متر برآورد شد. نتایج حاکی از عدم اختلاف معنی دار بین دو گروه از نظر گسترش بین مولری(07/0=P) و گسترش بین کانینی (68/0=P) بود. میزان رضایت مندی از درمان در گروه مداخله بیش از گروه کنترل ارزیابی شد (01/0=P).نتیجه گیریبه نظر می رسد استفاده از پلاک متحرک شفاف از جنس صفحات ترموپلاستیک و فاقد اجزای سیمی نسبت به مدل رایج آن با اجزای سیمی اثر بخشی بیشتری بر درمان بیماران با تنگی قوس فک بالا ندارد. با اینحال استفاده از این دستگاه جدید می تواند با حفظ اثربخشی در افزایش رضایتمندی بیمار موثر باشد.کلید واژگان: گسترش عرضی کام, دستگاه ارتودنسی متحرک, مال اکلوژن}BackgroundMany types of maxillary expansion devices with different expansion rates are used in the treatment of maxillary arch constriction. This study aimed to assess the effectivenessof a new removable plate appliance to improve maxillary arch constriction in comparison to similar common devices.Methods and Materials: The present quasiexperimental study was conducted on 15 patients who had referred to the dental clinic of Birjand University of Medical Sciences between July 2020 and December 2021. In the case group, the maxilla was widened with a transparent removable plate made of thermoplastic plates without wire components. The information of patients in the control group (treated with the removable acrylic plate with a midline screw and wire components) was extracted from a similar study. Data were subjected to statistical analysis using SPPS version 25. T-test, Mann-Whitney and one-sample T-test were used to compare groups. P-value less than 0.05 was considered statistically significant.ResultsThe average amount of monthly intermolar expansion was 0.871±0.552 and 1.156±1.09 mm in the case and control groups, respectively. The mean amount of monthly inter-canine expansion was 0.994±0.498 mm and 0.931±0.869 mm in the case and control group, respectively. The results indicated no significant difference between the two study groups in terms of intermolar expansion (P=0.07) and intercanine expansion (P=0.68). The degree of satisfaction with the treatment was significantly higher in the case group, compared to the control group (P=0.01).ConclusionIt seems that the transparent thermoplastic removable plate without wire components is not more effective in the treatment of patients with maxillary arch stenosis compared to the common model with wire components. However, the use of this new device can be effective in increasing patients’ satisfaction by maintaining the efficiency of treatment.Keywords: Malocclusion, Palatal expansion, Removable orthodontic appliance}
-
Objectives :
This study aimed to assess the relationship of skeletal class of malocclusion with some radiomorphometric indices of the mandible in short-face patients.
Methods :
This cross-sectional study was conducted on 179 short-face patients between 17 to 30 years who sought orthodontic treatment during 2013 to 2020. The gonial and antegonial angles, and type and depth of antegonial notch were assessed bilaterally on traced panoramic radiographs. The correlation between radiomorphometric indices and class of malocclusion was analyzed using One-way ANOVA and Independent T-test by SPSS version 25 (alpha=0.05).
Results:
The mean size of gonial angle was significantly different among the three classes of malocclusion (P<0.001), and the largest gonial angle was recorded in class III, and the smallest in class I patients. The mean size of antegonial angle and antegonial depth were not significantly different among the three classes of malocclusion (P=0.487). The difference in the mean size of gonial and antegonial angles was not significant between males and females (P=0.119, and P=0.176, respectively). However, the mean antegonial depth in males was significantly greater than that in females (P<0.001). Type I antegonial notch was more common in females than males at both sides. Age had no significant correlation with gonial angle, antegonial angle, or antegonial notch depth (P=0.422, P=0.737, P=0.392, respectively).
Conclusion:
Facial growth pattern in short-face patients can be predicted with antegonial angle. Also there is significant correlation between skeletal class of malocclusion and the size of gonial angle.
Keywords: Dental Occlusion, Face, Radiology, Malocclusion} -
Background
The term Ponticulus Posticus (PP) refers to a complete or partial bony bridge on the vertebral artery that passes through the superior-lateral surface of the posterior arch of the atlas. This study was conducted with the aim of investigating the prevalence of ponticulus posticus in orthodontic patients referred to Mashhad Dental School.
MethodsIn this cross-sectional study, one thousand cephalograms were selected from the patients referred to the orthodontics department of Mashhad Dental School between 2017 and 2021. In lateral cephalogram images with appropriate quality, the type of malocclusion was determined using the AudaxCeph software (Audax d.o.o., Ljubljana, Slovenia). Then, the images were evaluated for the presence or absence of PP. For the statistical analysis, chi-square and t-test were used.
ResultsIn this study, 861 lateral digital cephalograms were analyzed. The overall prevalence of PP in the studied population was 17.5%. The prevalence of PP was higher in males than in females (P < 0.001). The variables “presence of PP” (P = 0.056) and “type of PP” (P = 0.522) were found to be independent of age groups. Although class II subjects showed a higher prevalence of PP, skeletal malocclusion classes were not found to be correlated with the presence of PP (P = 0.104) nor with its types (P = 0.958).
ConclusionThe current study is considered the primary study that provides data concerning the prevalence of PP in the East of Iran. Our study showed that PP was not rare in this region. More studies with 3D radiological examination are needed to increase the accuracy of diagnosing PP and its prevalence in Iran.
Keywords: Lateral Cephalogram, Ponticulus Posticus, Malocclusion, Radiography} -
Aim
This study aimed to investigate the effect of growth modification treatments on oral health-related quality of life in adolescents aged 11 to 14 years with Class II malocclusion.
MethodsEighty people participated in this case-control study. The case group (n=43) included adolescents with a history of Class II malocclusion treated with growth modification. The control group consisted of 37 adolescents with Class II malocclusion who were not treated. Both groups were given a translation of the Child Perception Questionnaire (CPQ), measuring the quality of life in four domains: oral symptoms, functional limitations, psychological health, and social well-being. Data were statistically analyzed by SPSS software and a significance level of 0.05 was considered.
ResultsThe oral health-related quality of life of the case group was better than the control group in all areas although this difference was not statistically significant (P=0.204).
ConclusionThe oral health-related quality of life between two groups was not different; however, the difference in mental health components between the two groups was clinically negligible.
Keywords: Quality of Life, Malocclusion, Angle class II, Adolescent, oral health} -
Journal of Research in Dental and Maxillofacial Sciences, Volume:8 Issue: 4, Autumn 2023, PP 236 -242Background and Aim
The bite force changes due to alterations in the lever system of the jaw following orthognathic surgery. This study aimed to assess the changes in the maximum bite force of skeletal Class II patients between 18-30 years after orthognathic surgery compared with the preoperative state.
Materials and MethodsThis inception cohort study evaluated 17 patients with skeletal Class II malocclusion (mandibular deficiency) and normal vertical dimension between 18-30 years who underwent mandibular advancement surgery. The maximum bite force on the mandibular first molars was measured preoperatively and at 6 weeks, and 3 and 6 months, postoperatively. The overjet and overbite were also measured on diagnostic casts. Data were analyzed by the Shapiro-Wilk test, Mauchly’s test, the Greenhouse–Geisser correction, and the Spearman and Pearson’s correlation coefficients.
ResultsThe mean maximum bite force preoperatively was significantly higher than that at 6 weeks (P<0.001), 3 months (P<0.001), and 6 months (P<0.001), postoperatively. No significant difference was noted in the mean bite force in the right and left sides of the jaw (P=0.589). The overbite and maximum bite force were not significantly correlated in the right (P=0.181) or the left (P=0.134) side, preoperatively. The overjet had no significant correlation with the maximum bite force in the right (P=0.881) or the left (P=0.677) side, preoperatively.
ConclusionMandibular advancement surgery in skeletal Class II patients with mandibular deficiency decreases the maximum bite force in the first 6 months, postoperatively.
Keywords: Malocclusion, Angle Class II, Bite Force, Mandibular Osteotomy, Micrognathism} -
BackgroundClass II malocclusion is one of the most prevalent occlusion discrepancies. Knowledge of growth changes in craniofacial components can help clinicians plan orthodontic treatment, determine the proper timing to initiate the treatment, and predict the treatment outcome, especially in growth modification protocols. This study evaluates craniofacial skeleton changes in class II malocclusion subjects compared to class I malocclusion.MethodsIn this cross-sectional study, cephalograms of 858 individuals aged between 7 and 23 were investigated. The samples were divided into the class I group (ANB angle 0–4) and class II group (ANB angle ≥ 4 degrees), including 426 and 432 cephalograms, respectively, and each group was divided into seven subgroups considering age. Cephalometric analysis was performed using OnyxCeph software, and statistical analyses of variance, mean, paired t test, and independent samples t test were performed using SPSS software.ResultsThe results showed no significant differences between class I and class II groups in variables related to the cranial base and vertical facial height. In class II groups, the SNA angle was significantly greater. The total mandibular height (Co-Gn), facial angle (Npog-FH), and SNB angle were significantly greater in class I compared to the class II group.ConclusionProtrusion of the maxilla affects the formation of class II malocclusion, but an underdeveloped mandible is the main component of Class II malocclusion formation. With increasing age, especially after puberty, the mandible may become more retruded in class II patients.Keywords: Malocclusion, Angle class I, Angle class II, Cephalometry, Cranial base}
-
سابقه و هدف
کراس بایت قدامی یکی از شایع ترین مشکلات ارتودنسی به شمار می رود. سطح آگاهی والدین تعیین کننده ی نحوه ی برخورد آنها با مشکلات کراس بایت قدامی کودکشان است. در مطالعه حاضر، سطح آگاهی، نگرش و عملکرد والدین کودکان دبستانی در مورد کراس بایت قدامی مورد ارزیابی قرار گرفت.
مواد و روش هادر این مطالعه مقطعی - توصیفی، پرسشنامه ای برای بررسی آگاهی، نگرش و عملکرد والدین از کراس بایت قدامی کودکان طراحی شد. روایی صوری از طریق مصاحبه، روایی محتوایی با محاسبه CVR و روایی ساختاری با استفاده از تحلیل عاملی اکشتافی بررسی شدند.. پرسشنامه در اختیار250 نفر از والدین قرار گرفت و روایی سازه و پایایی آن با استفاده از نرم افزار spss محاسبه شد. برای ارزیابی آگاهی، نگرش و عملکرد والدین پرسشنامه نهایی توسط 250 نفر دیگر از والدین تکمیل گردید.
یافته هابر اساس تحلیل عاملی اکتشافی، ابزار در 6 حیطه طبقه بندی شد. میانگین امتیازات در حیطه های "آگاهی از درمان"، "آگاهی از عوارض"، "نگرش در خصوص درمان"، "نگرش در خصوص تشخیص"، "عملکرد در زمینه درمان" و "عمکلرد در زمینه پیشگیری" به ترتیب برابر با 3/33 ± 19/48 (از 25)، 2/01 ± 10/19 (از 15)، 2/79 ± 7/53 (از 20)، 2/31 ± 9/83 (از 15)، 3/46 ± 19/4 (از 25) و 2/07 ± 9/41 (از 15) بود.
نتیجه گیریوالدین دارای آگاهی، نگرش و عملکرد مناسبی در رابطه با کراس بایت قدامی بودند و تنها "نگرش در خصوص تشخیص" والدین نسبتا پایین بود که نیازمند آموزش در این زمینه است.
کلید واژگان: تحلیل عاملی اکتشافی, مال اکلوژن, زیبائی, کراس بایت قدامی}Background and AimsAnterior crossbite is one of the most common orthodontic problems. Parents' level of awareness determines how they deal with their child's anterior crossbite problems. In the present study, the level of knowledge, attitude and practice of parents of primary school children about anterior crossbite was evaluated.
Material and MethodsIn this cross-sectional descriptive study, a questionnaire was designed to assess parents' knowledge, attitude and practice of children's anterior crossbite. Face validity was confirmed through interviews, content validity was assessed by CVR calculation and construct validity was assessed using exploratory factor analysis. The questionnaire was provided to 250 parents and its construct validity and reliability were calculated using SPSS software. The final questionnaire was completed by another 250 parents to assess parents' knowledge, attitude and practice.
ResultsBased on factor analysis, the questionnaire was classified into 6 domains. The average scores in the areas of "treatment awareness", "complication awareness", "treatment attitude", "diagnosis attitude", "treatment practice" and "prevention performance" are equal to 19.48 ± 3.33 (out of 25), 10.19 ± 2.01 (out of 15), 7.53 ± 2.79 (out of 20), 9.83 ± 2.31 (out of 15), 19.4 ± 3.46 (out of 25), and 9.41 ± 2.07 (out of 15), respectively.
ConclusionParents had good knowledge, attitude and practice regarding anterior crossbite and only the "attitude towards diagnosis" of parents was relatively low which requires training in this field.
Keywords: Exploratory factor analysis, Malocclusion, Esthetics, Anterior Crossbite} -
Background and Objectives
Given the extensive number of surgical procedures available for correcting CL III anomalies, the present study was conducted in a private clinic from 2014-15 to determine whether simpler orthodontic and surgery techniques could be an alternative to the conventional techniques for resolving such functional and aesthetic problems.
Materials and MethodsThe present study was conducted using a sequential before-after design on patients with mild to moderate maxillary deficiency. First, the study records including casts, photographs and radiographs were prepared. A Hyrax appliance with two tongue plates was then constructed for the patient before the Surgically Assisted Rapid Maxillary Expansion (SARME) osteotomy. The surgical technique involved local anesthesia without general anesthesia and the Lefort I osteotomy was performed without down fracture and without the manipulation of the pterygomaxillary suture. The transverse problem was corrected by unscrewing the Hyrax, and the tongue force exerted on the back of the tongue plate corrected the sagittal maxillary deficiency. To evaluate the efficacy of this appliance, the mean changes to the cephalometric indicators before and after the treatment were examined, and the paired t-test was used for the statistical analysis.
ResultsThe present study was conducted on 11 patients (9 females and 2 males). The mean changes indicated a significant increase in Articular Angle, Jarabak index, and a significant decrease in L1 - NB (mm), L1 - NB (º) and Saddle Angle. The other indicators had either decreased or were not changed.
ConclusionUsing a Hyrax appliance combined with a tongue plate after a SARME surgery is effective in correcting CL III anomalies associated with maxillary deficiency.
Keywords: Malocclusion, CL III, Maxillary deficiency, SARME, Tongue plate, Hyrax} -
Aim
The aim of this study was to determine the level of awareness and knowledge of family physicians regarding oral and maxillofacial evaluations and orthodontic treatment.
MethodsThe survey was designed as 21 questions and sent to family physicians in Turkiye. The participants were asked about their age, gender, place of work, years of experience, regions evaluated during the routine examination, and level of orthodontic awareness and knowledge.
ResultsA total of 400 family physicians completed the survey. There was a significant difference in the referral rate of family physicians working in university hospitals (p<0.01), years of experience (p<0.001), whether evaluating the head and neck region (p<0.05), and the jaw positions during a routine examination (p<0.001) and for those who performed an intraoral examination and who checked dental crowding (p<0.001). When evaluating the head and neck region and dental crowding in routine examinations, a significant difference was found in the number of experienced family physicians (p<0.05).
ConclusionAwareness of the facial profile and having orthodontic knowledge was relatively high in the family physicians who participated in our study; however, their number of oral and maxillofacial evaluations were found to be low in routine examinations. It would be beneficial to organize seminars, conferences, and symposiums to increase the awareness and knowledge of family physicians on the oral and maxillofacial region and how to conduct efficient orthodontic evaluations.
Keywords: Awareness, family physicians, Malocclusion, Orthodontics} -
Aim
The aim of this study was to assess the association between malocclusion, self-perception, self-esteem, and socio-demographic factors among primary schoolchildren in Dar es Salaam, Tanzania.
MethodsThis was an analytical cross-sectional study that involved children aged 10-12 years from primary schools in Dar es Salaam. A questionnaire was used to obtain information about the participants’ socio-demographics, self-perception and self-esteem. Clinical examination was done to determine their occlusal statuses. Data were analyzed using SPSS software (version 22.0), and Chi-square test and logistic regression model were used to assess statistically significant differences between variables. P<0.05 was considered as significant.
ResultsA total of 620 schoolchildren participated in this study. The overall prevalence of malocclusion was 66.5%. Undesirable self-perception was reported in 34.0% and self-esteem issues in 30.0% of the schoolchildren. Significantly, many participants with less educated fathers had malocclusion compared with their counterparts (p=0.002). Furthermore, most children with malocclusion perceived themselves negatively and reported lower self-esteem compared with those who had no malocclusion (78.7% vs. 21.3%, p=0.000 and 75.8% vs. 24.2%, p=0.001, respectively). In the logistic regression model, the presence of malocclusion remained as a significant determinant of schoolchildren perceiving themselves negatively and reporting lower self-esteem (OR: 2.4, CI: 1.62-3.54, p= 0.000 and OR: 1.82, CI: 1.23-2.7, p= 0.003, respectively).
ConclusionConclusionThe presence of malocclusion was associated with children's negative self-perception and lower self-esteem. Malocclusion prevention and early interventions in children are highly recommended.
Keywords: Malocclusion, Orthodontic Treatment Need} -
مقدمه
نتیجه درمان ارتودنسی به مال اکلوژن و نسبت سایز دندان های فکین نسبت به هم، بستگی دارد. هدف از انجام این مطالعه بررسی اختلالات اندازه تاج دندان ها در گروه های مختلف مال اکلوژن می باشد.
مواد و روش هادر این مطالعه مقطعی 165 نفر از بیماران مراجعه کننده به بخش ارتودنسی دانشکده دندانپزشکی بابل بطور تصادفی انتخاب شدند نمونه ها در سه دسته مال اکلوژن اسکلتالی 55 نفره بر اساس زاویه ANB تقسسیم شدند. میزان نسبت قدامی و کلی بولتون در افراد محاسبه و انحراف از مقدار نرمال بولتون قدامی و خلفی محاسبه شد. نتایج با تست ANOVA و Chi squared آنالیز شدند. سطح معنادار آماری P-value<0.05 در نظر گرفته شد.
یافته هانمونه ها شامل 80 مذکر و 85 مونث بوده و رنج سنی آنها بین 12 تا 25 سال بود.میانگین و انحراف معیار نسبت قدامی 2/87 ± 79/06 در کلاس I و 3/18 ± 79/23 در کلاس II و 3/71 ± 80/16 در کلاس III محاسبه شد و اختلاف معنی داری بین میانگین نسبت قدامی بین گروه های مال اکلوژن دیده نشد. میانگین و انحراف معیار نسبت کلی بولتون 2/39 ± 91/3 در کلاس I و 2/49 ±91/6 در کلاس II و 2/64 ± 92/49 در کلاس III بوده و اختلاف بین میانگین نسبت کلی بین گروه ها از لحاظ آماری معنی دار بود.
نتیجه گیریبراساس نتایج این مطالعه بین گروه های مختلف مالاکلوژنی، کلینسین ها بایستی بررسی دقیق نسبت های دندانی در مرحله تشخیص و طرح ریزی را در نظر داشته باشند.
کلید واژگان: ارتودنسی, مال اکلوژن, تاج دندان}Evaluation of the discrepancy of the bolton ratio in three groups of sagittal skeletal relationshipsIntroductionThe outcome of orthodontic treatment depends on the malocclusion and the ratio of the size of the upper and lower teeth. The aim of this study was to evaluate the discrepancy of tooth crown size in different groups of malocclusions.
Materials & MethodsIn this cross-sectional study, 165 patients referred to the Orthodontic Department of Babol School of Dentistry were randomly selected. The samples were divided into three skeletal malocclusion groups (55 in each group) according to the ANB angle. The level of anterior and total Bolton ratio in the cases was calculated, and the deviation from normal value of anterior and posterior Bolton was calculated. The results were analyzed using the ANOVA and chi-square test. The significance level was set at p <0.05.
ResultsThe sample consists of 80 males and 85 females aged 12 to 25 years. The mean and standard deviation of the anterior tooth ratio were 79.06 ± 2.87 in Cl I, 79.23 ± 3.18 in Cl II, and 80.16 ± 3.71 in Cl III, and there was no significant difference between the mean anterior ratio between the malocclusion groups. The mean and standard deviation of the total Bolton ratio (TBI) were 91.3 ± 2.39 in Cl I, 91.6 ± 2.49 in Cl II, and 92.49 ± 2.64 in Cl III and the difference between the mean total ratio among the groups was statistically significant.
ConclusionBased on the results of this study between different groups of malocclusion, clinicians should consider the detailed examination of dental proportions in the diagnosis and treatment planning stage.
Keywords: Orthodontics, Malocclusion, Tooth Crown} -
BackgroundThe influence of orthodontic treatment on self-confidence and quality of life is a major reason for patients to seek treatment. This study was designed to assess the relationship between orthodontic treatment need and psychosocial impact of dental aesthetics in patients seeking orthodontic treatment.MethodsThis descriptive analytical cross-sectional study was performed on 165 patients referred to orthodontic clinics in Kerman to start treatment. Patients were selected by census method to reach the specified sample size. The data collection tools included 3 forms: demographic information form, Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) and a form for recording information obtained from clinical examination to determine orthodontic treatment need based on Index of Orthodontic Treatment Need (IOTN). Data analysis was performed through SPSS 22 and using t test, ANOVA, and linear regression at a significance level of 0.05.ResultsThe educational level of subjects and their parents and economic status showed no significant relationship with total PIDAQ score and any of its domains (P>0.05). In psychological impact domain, women’s score was significantly higher (P=0.016) and there was a significant relationship between the treatment need based on aesthetic component (AC) and the domains of dental self-confidence (P=0.003), social impact (P=0.049) and psychological impact (p=0.066), as well as the total score of questionnaire (P=0.012). Treatment need based on dental health component had no statistically significant relationship with PIDAQ score (P>0.05).ConclusionAC of IOTN had significant relationship with dental self-confidence, social impact and psychological impact as well as the total score of PIDAQ. In orthodontic treatments, in addition to malocclusion, the psychological aspects should also be considered.Keywords: Orthodontics, Malocclusion, Treatment Need}
-
زمینه آنومالی های دندانی به دلیل اختلالاتی که در زیبایی و عملکرد بیماران ایجاد می کنند، حایز اهمیت هستند و همراهی آن ها با ناهنجاری های کرانیوفاسیال موجب پیچیده تر شدن درمان های ارتودنسی می شود.
هدف مطالعه حاضر با هدف مقایسه فراوانی آنومالی های دندانی بین مال اکلوژن های گوناگون اسکلتی انجام شد. به علاوه، فراوانی آنومالی ها بر اساس سن و جنسیت بیماران نیز بررسی شد.
روش ها تعداد 310 بیمار که 32/9 درصد دارای اکلوژن کلاس I، 33/9 درصد کلاس II و 33/2 درصد کلاس III بودند، از نظر غیبت دندانی، دندان اضافه، نهفتگی، میکرو/ماکرودنشیا و دنس اینواژیناسیون/اواژیناسیون بررسی شدند. ارتباط ناهنجاری های دندانی با مال اکلوژن و جنسیت با آزمون های کای دو و دقیق فیشر و تاثیر سن به وسیله آزمون تی مستقل تعیین شد.
یافته ها فراوانی کلی ناهنجاری های دندانی 33 درصد به دست آمد. بیماران کلاس III بالاترین میزان ناهنجاری ها را داشتند (40/8 درصد).با این حال، این تفاوت ازنظر آماری معنادار نبود (0/105= P). غیبت دندانی و نهفتگی فراوان ترین ناهنجاری ها در هر 3 نوع مال اکلوژن اسکلتال بودند. بروز نهفتگی بین مال اکلوژن ها تفاوت معناداری داشت (0/001< P)، به طوری که بالاترین میزان متعلق به گروه اسکلتال کلاس III بود. غیبت دندانی بیشتر در مردان مشاهده شد (0/040= P). میکرودنشیا و نهفتگی ارتباط معناداری با سن داشتند (0/05< P).
نتیجه گیری ناهنجاری های دندانی بیشتر با مال اکلوژن اسکلتی کلاس III مرتبط هستند. علاوه بر این، جنسیت و سن در بروز برخی از انواع ناهنجاری ها نقش دارند.کلید واژگان: ناهنجاری های دندانی, مال اکلوژن, ارتودانتیکس}Background Dental abnormalities are considered important, since they cause aesthetic and functional problems for people. Orthodontic treatment becomes more complicated when craniofacial abnormalities are accompanied with dental abnormalities.
Objective This study aims to compare the frequency and type of dental abnormalities among patients with different skeletal malocclusion classes in northern Iran in terms of age and gender.
Methods Participants were 310 patients (32.9% Class I, 33.9% Class II, and 33.2% Class III). They were evaluated with respect to hypodontia, hyperdontia, impaction, microdontia, macrodontia, and dens invaginatus/evaginatus. Association of the prevalence of dental abnormalities with the type of malocclusion and gender was assessed by chi-square test and Fisher’s exact test, while independent t-test was used to determine its association with age.
Results The overall frequency of dental abnormalities was 33%. Class III patients had the highest rate of dental abnormalities (40.8%); however, the difference was not statistically significant (P=0.105). Hypodontia and impacted teeth were the most frequent abnormalities in all malocclusion groups. Occurrence of tooth impaction differed significantly among the three malocclusion groups (P<0.001), where the highest rate belonged to the class III group. Hypodontia was more frequent in males (P=0.040). Tooth impaction and microdontia were the two abnormalities that showed significant association with age (P<0.05).
Conclusion Dental abnormalities in northern Iran is more prevalent among people with the skeletal class III malocclusion. The prevalence of some dental abnormalities is associated with gender and age.Keywords: Tooth Abnormalities, Malocclusion, Orthodontics} -
Objectives :
The decision regarding orthodontic tooth extraction or dental arch expansion is an important yet challenging topic in orthodontic treatment planning. However, studies in this respect are limited In Iran. This study aimed to assess the frequency of orthodontic tooth extractions and the role of malocclusion-related factors that affect the frequency of orthodontic extractions in a university setting during 25 years.
Methods :
This descriptive retrospective study evaluated 1,222 records of patients who underwent fixed orthodontic treatment in Shahid Beheshti Dental School from 1994 to 2018. The frequency of tooth extraction, type of malocclusion, and age and gender of patients were analyzed by the Chi-square test. The correlation of quantitative and qualitative variables related to occlusion (overjet, overbite, space discrepancy, cross-bite, A point–nasion–B point angle, mandibular plane angle, canine relationship, molar relationship, and the Curve of Spee) with orthodontic extraction was analyzed by the binary logistic regression. All statistical analyses were performed by SPSS version 21.
Results :
The frequency of orthodontic extraction decreased from 1994 (74.5%) to 2018 (41.6%). The highest frequency of orthodontic extraction (60%) occurred in class II division I malocclusion cases. Frequency of orthodontic extraction in the age group of 12-20 years was significantly higher than in other age groups (P=0.003). The odds of orthodontic extraction increased by an increase in overjet (P=0.036) and in class II malocclusion cases (P=0.05), and decreased by an increase in overbite (P=0.020).
Conclusion:
Tendency to orthodontic extraction has decreased in contemporary orthodontics in Shahid Beheshti Dental School. In addition to the degree of dental crowding, the decision regarding orthodontic extraction also depended on overjet, overbite, and type of malocclusion.
Keywords: Malocclusion, Orthodontics, Tooth Extraction} -
BackgroundThis study aimed to compare the quantitative and qualitative components of IOTN index in determining the orthodontic treatment needed in High school students in Ahvaz, Iran.MethodsThis cross-sectional study was performed on 356 students aged 15-18 years. The samples were selected by cluster stratified method and the information was collected using IOTN index and clinical examinations. Statistical data were obtained using the descriptive analysis and chi-square test (P <0.05).ResultsThe findings showed that 51.94% of males and 80.5% of females had no or little treatment need, 17.94% of males and 3% of females had moderate and 30.12% of males and 16.5% of females had severe or extreme treatment needs. Regarding the aesthetic component of (AC), based on the student’s point of view, 76.5% of males and 98.8% of females had no or little need, 15.2% of males and 1.3% of females had moderate need and 8.3% of males and 0% of females had severe or extreme treatment need. According to the dentist's opinion, 93.6% of males and 90% of females had no or little need, 5.1% of males and 4.5% of females had moderate needs, 1.3% of males and 5.5% of females had definite needs for treatment. Comparing the DHC and the AC showed that the DHC-based orthodontic treatment need is higher.ConclusionOcclusion-based judgment is more accurate and less complex. Aesthetic-based judgment is descriptive, indefinite, and individualized, and depends on a variety of social, psychological, cultural, and ethnic factors, and is more complex. Therefore, in order to achieve a better quality of life, it is recommended to consider the aesthetic and appearance-related factors based on the patient's opinion.Keywords: orthodontic treatment need, IOTN index, Students, Malocclusion}
- نتایج بر اساس تاریخ انتشار مرتب شدهاند.
- کلیدواژه مورد نظر شما تنها در فیلد کلیدواژگان مقالات جستجو شدهاست. به منظور حذف نتایج غیر مرتبط، جستجو تنها در مقالات مجلاتی انجام شده که با مجله ماخذ هم موضوع هستند.
- در صورتی که میخواهید جستجو را در همه موضوعات و با شرایط دیگر تکرار کنید به صفحه جستجوی پیشرفته مجلات مراجعه کنید.