Journal articles on the topic 'Orthodontics, Interceptive. Malocclusion. Orthodontics, Interceptive Malocclusion'

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1

Bittencourt Neto, Aristeu Corrêa de, Armando Yukio Saga, Ariel Adriano Reyes Pacheco, and Orlando Tanaka. "Therapeutic approach to Class II, Division 1 malocclusion with maxillary functional orthopedics." Dental Press Journal of Orthodontics 20, no. 4 (August 2015): 99–125. http://dx.doi.org/10.1590/2176-9451.20.4.099-125.sar.

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INTRODUCTION: Interceptive treatment of Class II, Division 1 malocclusion is a challenge orthodontists commonly face due to the different growth patterns they come across and the different treatment strategies they have available.OBJECTIVE: To report five cases of interceptive orthodontics performed with the aid of Klammt's elastic open activator (KEOA) to treat Class II, Division 1 malocclusion.METHODS: Treatment comprehends one or two phases; and the use of functional orthopedic appliances, whenever properly recommended, is able to minimize dentoskeletal discrepancies with consequent improvement in facial esthetics during the first stage of mixed dentition. The triad of diagnosis, correct appliance manufacture and patient's compliance is imperative to allow KEOA to contribute to Class II malocclusion treatment.RESULTS: Cases reported herein showed significant improvement in skeletal, dental and profile aspects, as evinced by cephalometric analysis and clinical photographs taken before, during and after interceptive orthodontics.
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Almeida, Soraia Azevedo, Paula Loureiro Cheib, Gustavo Quiroga Souki, Lorenzo Franchi, and Bernardo Quiroga Souki. "Do orthodontists recommend Class II treatment according to evidence-based knowledge?" Revista de Odontologia da UNESP 44, no. 5 (October 6, 2015): 305–12. http://dx.doi.org/10.1590/1807-2577.0004.

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AbstractIntroductionThe adequate indications for the timing of treatment for Class II malocclusion are mandatory for the ethical and efficient practice of orthodontics, but clinicians are reluctant to accept new information that contradicts their preferred method of treatment.ObjectiveThe aim of this investigation was to assess the agreement regarding the indications for Class II malocclusion interceptive therapy between a group of international opinion-makers on early treatment and a group of orthodontists and to compare their treatment indications with the current evidence-based knowledge.Material and methodAn electronic survey containing photographs of mild, moderate and severe Class II malocclusions in children was sent to two panels of experts. Panel 1 (n=28) was composed of international orthodontists who had authored world-class publications on early orthodontic treatment, and Panel 2 (n=261) was composed of clinical orthodontists. Based on a 5-point Likert-type scale, the orthodontists selected their therapy option for each of the 9 Class II malocclusion cases.ResultThe Class II malocclusion treatment recommendations of Panel 2 were significantly different from those offered by Panel 1 with a skew of at least 1 scale point toward earlier treatment. The Class II malocclusion treatment recommendations of the members of Panel 1 members were in accordance with contemporary evidence-based knowledge.ConclusionClass II malocclusion overtreatment appears to be the tendency among clinical orthodontists but not among orthodontists who are academically involved with early treatment. There is a gap between the scientific knowledge and the practices of orthodontists.
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Pincheira, Christian, Sergio Thiers, Eduardo Bravo, and Hugo Olave. "Prevalence of Malocclusion in 6 and 12 Year-old Schoolchildren from Choshuenco – Neltume, Chile." International Journal of Medical and Surgical Sciences 3, no. 2 (October 26, 2018): 829–37. http://dx.doi.org/10.32457/ijmss.2016.013.

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To develop preventive and interceptive strategies in orthodontics is necessary to know the prevalence of malocclusion of the population in which is intended to introduce these measures. The aim of this study was to determine the prevalence of malocclusion in schoolchildren of 6 and 12 year-old from Choshuenco and Neltume 2015, belonging to the commune of Panguipulli, Chile. A descriptive study of census was conducted. The total sample was 91 children and adolescents enrolled in educational institutions in the towns of Choshuenco and Neltume. A visual clinical examination was performed to determine the number of individual malocclusions according to the method of Björk et al. (1964). For data analysis descriptive statistic was performed using Excel program. Prevalence of malocclusions was 60 % at 6 years and 91.3 % at 12 years. Prevalence data exceed those reported nationwide so it is necessary to reinforce promotional measures in the population and promote preventive - interceptive actions taking place in these locations.
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Verma, Jaya, and Vipin Ahuja. "Interception of developing anterior malocclusion due to supernumerary tooth by “2 x 4 Appliance”: A clinical case report." Journal of Dental Panacea 3, no. 1 (June 15, 2021): 40–45. http://dx.doi.org/10.18231/j.jdp.2021.010.

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Interceptive orthodontics in mixed dentition period of children is practiced to prevent the severity of incurred malocclusion at an incipient juncture of life. Identifying malocclusion at a very early phase and diagnosing it at right age can help the pediatric dentists to achieve stability as far as the treatment is concerned. Mesiodens is a common type of supernumerary tooth which is found commonly in the incisor region of oral cavity. This anomalous occurrence can lead to varied complications like unerupted teeth, displaced teeth etc. This case report deciphers a case of mesiodens causing anterior teeth malocclusion and its management by 2 x 4 Orthodontic appliance.
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Kravitz, Neal D. "Interceptive Orthodontics with Resin Turbos for Pseudo-Class III Malocclusions." Case Reports in Dentistry 2019 (May 5, 2019): 1–6. http://dx.doi.org/10.1155/2019/1909063.

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Background and Overview. Lingual eruption of the permanent maxillary central incisors in the early mixed dentition can result in a traumatic anterior crossbite, causing mobility and gingival recession to the opposing mandibular incisors.Case Description. This case report presents a common finding of a 7-year-old boy with a dental crossbite and pseudo-Class III malocclusion caused by lingual eruption of the maxillary central incisors. An interceptive phase of orthodontic treatment was provided by bonding a beveled resin turbo on the mandibular incisors. The crossbite was corrected in 3 months without any orthodontic appliances. In the absence of the traumatic occlusion, the mandibular incisors stabilized and the gingival tissue was expected to regenerate.Conclusions and Practical Implications. Dentists and orthodontists can place beveled resin turbos on the mandibular incisors to jump an anterior dental crossbite conservatively, without the use of orthodontic brackets and wires.
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Shimizu, Roberto Hideo, Isabela Almeida Shimizu, Ana Cláudia M. Melo Toyoffuku, Rebecca Marquesini, Tatiane Travizan Lima, and Marcela Villegas. "Abordagem precoce da má oclusão de Classe II esquelética com atresia maxilar e mordida aberta anterior e o uso de alinhadores ClearCorrect – relato de caso." Orthodontic Science and Practice 14, no. 53 (2021): 97–106. http://dx.doi.org/10.24077/2021;1453-97106.

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Adequate planning and early treatment of Angle Class II malocclusion with maxillary atresia and anterior open bite provides harmonization of maxillomandibular bone bases in the three planes of space. Orthodontic aligners have emerged as an alternative treatment having the following advantages: being more aesthetic and more comfortable for the patient, less treatment time when they are correctly indicated, less chairside time, less complications, possibility of remote monitoring, easier feeding, and dental hygiene. On the other hand, they offer difficulties to treat adults with severe skeletal Class II malocclusions, posterior crossbite and anterior open bite. Therefore, the objective of this clinical case report is to early correct skeletal Class II malocclusion with maxillary atresia through the use of mechanical orthopedics and devices that help eliminate habits and close the anterior open bite, and later the use of orthodontic aligners to finish the treatment. It was concluded that the early interceptive treatment of malocclusion was efficient to harmonize the bone bases in the anteroposterior, vertical, and transversal directions, changing this malocclusion from high to low complexity and, consequently, highly predictable and with an excellent prognosis for treatment with orthodontic aligners. The treatment with ClearCorrect aligners corrected the occlusion in a shorter period of time when compared to corrective orthodontics and with a high predictability in relation to the virtual setup.
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Dias, Flaviana Alves, Flávia Diane Assis Urnau, Paula Vanessa Pedron Oltramari, Marcelo Lupion Poleti, Marcio Rodrigues de Almeida, and Thais Maria Freire Fernandes. "Stability of early treatment of anterior open bite: clinical performance of bonded lingual spurs." Journal of Orthodontics 46, no. 1 (February 1, 2019): 68–73. http://dx.doi.org/10.1177/1465312519827601.

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Anterior open bite (AOB) is a malocclusion that generates aesthetic, speech, feeding and psychological issues, a fact that emphasises the importance of conducting early treatments to fix the disorder. Finger-sucking, pacifiers and oral habits are the main aetiological factors of AOB; thus, it is necessary to apply interceptive treatments focused on correcting and improving bite stability during childhood in order prevent the need of undergoing advanced therapy. The aim of this article is to present the early diagnosis of aetiological factors causing severe AOB and the interceptive treatment based on the use of bonded lingual spurs for one year. Results showed excellent bite stability after two years of follow-up; in other words, the proper treatment applied for the recommended growth and developmental periods enabled case stability.
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Wimalarathna, A. A. A. K., W. B. M. C. R. D. Weerasekara, and E. M. U. C. K. Herath. "Comprehensive Management of Ectodermal Dysplasia with Interceptive Orthodontics in a Young Boy Who Was Bullied at School." Case Reports in Dentistry 2020 (December 30, 2020): 1–7. http://dx.doi.org/10.1155/2020/6691235.

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Aim. The management of hypohidrotic ectodermal dysplasia with oligodontia in Class-I malocclusion in late mix dentition. Case Report. An 11-year-old boy with ED was treated and managed by means of interceptive orthodontic treatment accompanied by direct and indirect restorative methods in a successful manner. The patient was prepared to receive definitive oral rehabilitation with dental implants for the missing teeth when the patient reaches a suitable age. The patient was followed for 5 years from the beginning of treatment. Conclusion. Management of the child with ectodermal dysplasia with oligodontia was a real challenge. Early diagnosis, necessary investigation, and providing age-appropriate multidisciplinary treatment were key steps in successful outcomes. The objectives were not only just orthodontic or paedodontics but also prosthetic and psychological.
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Ivanović, Tanja, Dragan Ivanović, Predrag Nikolić, Svjetlana Janković, Bojana Davidović, and Ivana Grujičić. "The Prevalence of Malocclusion among 11–13 Years Old Children in Foča/ Učestalost ortodontskih nepravilnosti kod dece uzrasta 11–13 godina u Foči." Stomatoloski glasnik Srbije 62, no. 2 (June 1, 2015): 65–70. http://dx.doi.org/10.1515/sdj-2015-0007.

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SUMMARY Introduction Malocclusion is common in children and it has great influence on the quality of life of patients. The aim of this study was to determine the prevalence of malocclusion among 11-13 years old children in the municipality of Foca in Republika Srpska. Material and Methods The study included 81 respondents, 11-13 years old. It was conducted in elementary schools in the municipality of Foča. Respondents underwent clinical examination, alginate impressions of upper and lower jaws were taken and study models analyzed. To determine malocclusion (crowding, spacing, cross bite, deep bite, open bite and occlusion class as per Angle) ICON index (Index of Complexity, Outcome and Need) was used. Results The results showed that 17.3% of respondents had spacing between teeth, 80.2% crowding, 23.4% cross bite, 29.6% deep bite while open bite was present in 2.4% of patients. Occlusion II/1 class by Angle was present in 38.3% of respondents, II/2 class in 12.3% of respondents, Class I occlusion in 40.7% of respondents and III class was found in 2.4% of respondents. Conclusion There was high prevalence of malocclusion in the examined children. It is necessary to implement prevention programs, early treatment of dental caries, prevent premature tooth loss as well as measures of interceptive orthodontics in order to reduce frequency of malocclusion
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Rai, Amita, Bandana Koirala, Mamta Dali, and Sneha Shrestha. "Earlier the Better: Interceptive Orthodontics to Correct Various Forms of Malocclusion in a Nine-year-old Boy." Orthodontic Journal of Nepal 10, no. 1 (September 4, 2020): 83–87. http://dx.doi.org/10.3126/ojn.v10i1.31012.

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Guidance of eruption and development of the primary, mixed, and permanent dentitions is an integral component of comprehensive oral healthcare for all pediatric dental patients; which should contribute to the development of a permanent dentition that is stable, and functionally and esthetically acceptable. In this case note, we present a case in which various forms of interceptive treatment modalities like; extraction of impacted and erupted supernumerary teeth, correction of anterior crossbite and irregularities using Z-springs and Hawley’s labial bow, and provision of lingual holding arch space maintainer were done to correct malocclusion in a nine-year-old patient. Arch alignment was achieved within seven month of starting of treatment, which was acceptable to the patient.
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Achmad, Harun, and Hendrastuti Handayani. "Ortodontik interseptif: efektivitas rapid palatal expander pada crowding gigi anterior pada anak Interceptive orthodontics: effectivity of rapid palatatal expander in children withanterior teeth crowding." Journal of Dentomaxillofacial Science 11, no. 1 (February 28, 2012): 22. http://dx.doi.org/10.15562/jdmfs.v11i1.289.

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Interceptive orthodontic treatment aims to reduce and improve the causes of malocclusion in the stage of growth and development that may have a bad effect in the future. Dental crowding is a state of the disproportion betweenthe size of the teeth, jaw size and arch length. There are three conditions that facilitate the crowding, the width ofthe teeth, small jaw basal bones or a combination of both. One of the techniques of handling the case of childrenanterior crowding due to disproportion size of tooth width with a narrow arch is the rapid palatal expander device(RPE) in order to obtain the ideal space for the teeth and arch length. A boy, aged 11 years, wants to be treated histeeth with complaints teeth of front upper jaw and lower jaw experiencing crowding, thereby disrupting theappearance and mastication. Almost all the permanent teeth have erupted, and the jaw is still in its infancy. Thetreatment is carried out with a combination of fixed orthodontic devices and RPE for 4 months of treatment, showed a positive change in the profile seen in clinical oral cavity conditions of patients.
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Vasconcelos, Juliana de Brito, Daiara Paula Pacheco, Jefferson Scwhertner, Marcio Rodrigues De Almeida, Ana Cláudia de Castro Ferreira Conti, Paula Vanessa Pedron Oltramari, Thais Maria Freire Fernandes, and Renato Rodrigues De Almeida. "Correction of Anterior Open Bite Malocclusion with the Association of Removable Palatal Crib and Chincup." Journal of Health Sciences 21, no. 5 (December 20, 2019): 434–36. http://dx.doi.org/10.17921/2447-8938.2019v21n5p434-436.

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AbstractAnterior open bite affects the child population by approximately 20%, with great aesthetic-functional impairment due to dental-skeletal changes, which may involve the presence of posterior crossbite. The objective was to present the anterior open bite correction associated with posterior crossbite with the use of a removable palatal crib. Patient during the mixed dentition phase presented an anterior open bite caused by a pacifier sucking habit and secondary lingual interposition. The treatment protocol consisted of the use of removable expander with palatal crib and nocturnal use of the chincup. The anterior open bite was corrected, and the best transverse relation of the arches was obtained. The precocious treatment using the palatal crib associated to the chincup allows to achieve favorable results in the resolution of the anterior open bite. Keywords: Open Bite. Malocclusion. Orthodontics, Interceptive. ResumoA mordida aberta anterior acomete a população infantil em aproximadamente 20%, com grande comprometimento estético-funcional em decorrência das alterações dentoesqueléticas, podendo envolver a presença de mordida cruzada posterior. O objetivo do estudo foi apresentar a correção da mordida aberta anterior associada à mordida cruzada posterior com a utilização de grade palatina removível. Paciente em fase de dentadura mista, apresentava mordida aberta anterior ocasionada por um hábito de sucção de chupeta e interposição lingual secundária. O protocolo de tratamento consistiu na utilização de expansor removível com grade palatina e uso noturno da mentoneira. A mordida aberta anterior foi corrigida e melhor relação transversal dos arcos foi obtida. O tratamento precoce utilizando grade palatina associada à mentoneira permite alcançar resultados favoráveis na resolução da mordida aberta anterior. Palavras-chave: Mordida Aberta. Má Oclusão. Ortodontia Interceptora.
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Hashim, Hayder A. "Management of Crowded Class 1 Malocclusion with Serial Extractions: Report of a Case." Journal of Contemporary Dental Practice 11, no. 4 (2010): 41–48. http://dx.doi.org/10.5005/jcdp-11-4-41.

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Abstract Aim The purpose of this article is to show the value of serial extractions in a young patient with severe crowding. Background Serial extraction is a technique advocated for use by Kjellgren1 in 1948 due to a shortage of orthodontists at the time. This form of treatment was intended to facilitate the treatment of orthodontic cases by general dentists to minimize the demand upon the orthodontist. Case Description An eight-year-old Sudanese female did not like the appearance of her anterior teeth. Clinical examination revealed a Class I molar relationship, severe crowding of the maxillary and mandibular arches, minimum overjet, and minimum overbite. Results The patient's treatment included serial extractions. The treatment resulted in improved esthetics, good arch alignment, and occlusion while maintaining her Class I molar relationship, overjet, and overbite. Summary This case demonstrated that despite the criticism some may direct toward this interceptive technique, good clinical results can be achieved in carefully selected cases. Clinical Significance There are certain clinical situations when treatment planning the use of serial extractions can prove beneficial to young patients. Citation Hashim HA. Management of Crowded Class 1 Malocclusion with Serial Extractions: Report of a Case. J Contemp Dent Pract [Internet]. 2010 July; 11(4):041-048. Available from: http://www.thejcdp.com/journal/view/ volume11-issue4-hashim
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Uddin, Helal, Ziauddin Ahmed, Nitish Krishna Das, Arup Kumar Saha, Mohammad Rakibul Islam Babu, and Abu Mohammad Shareeful Alam Khan. "Common Malocclusion Problems and their Management: A Hospital based study." City Dental College Journal 10, no. 1 (February 5, 2018): 22–25. http://dx.doi.org/10.3329/cdcj.v10i1.13827.

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Aims: Orthodontics is the branch of dentistry concerned with the prevention, interception and correction of malocclusion. The present study aimed at the common malocclusion problems and their management in Bangladeshi population. It was also aimed to align for aesthetics reason, functional efficiency and structural balance. Methods: A cross-sectional study was carried out among 120 respondents having malocclusions. Students, especially young women and urban residents were selected as the main respondents of our series which reflected its aesthetic value against malocclusion Results: Mean age of the respondents was 22.22±9.07 years with a male and female ratio of 1:3.1. Among the respondents, 37.5% were within the 11 to 20 years age group with a past (21.0%) and present (7.5%) history of finger sucking habit and abnormal over jet (71.7%) and over bite (55.8%). Mean over jet and overbite were 4.4 ±3.47 (range, -2 to 12) mm and 3.47±1.98 (range, 0 to 7) mm, respectively. Angle’s classification revealed type 1, type 2 (division 1), type 2 (division 2) and type 3 were 55.0%, 28.3%, 3.3% and 13.3%, respectively, and based on skeletal relationships, type 1, type 2 and type 3 were 64.2%, 25.0% and 10.8%, respectively. Of all patients, 66.7% had convex, 22.5% straight and 10.8% had concave face profiles. They also had 44.2% competent, 36.7% incompetent and 19.2% habitual competent anterior lip seals. Conclusions: Smile is a global language though many of our patients are deprived of both socially and economically, especially young women from this language. With growing importance imposed on preventive orthodontic treatment and proper oral health education, incidence of malocclusion can be reduced. DOI: http://dx.doi.org/10.3329/cdcj.v10i1.13827 City Dent. Coll. J Volume-10, Number-1, January-2013
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Zohra, Shan. "Knowledge Skill and Attitude among fresh dental graduates about orthodontics." Health Professions Educator Journal 3, no. 2 (May 27, 2020): 15–19. http://dx.doi.org/10.53708/hpej.v3i2.11.

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Orthodontics is an important part of the 4 year BDS program. According to the American Association of Orthodontists, orthodontics and dentofacial orthopedics are defined as the area of dentistry that includes the diagnosis, prevention, interception, guidance, and correction of mal-relationships of the developing or mature orofacial structures. (“2012 AAO Glossary_0,” n.d.) This branch of dentistry deals with irregularities of teeth and improper jaw relationships. Malocclusion is known as the improper positioning of teeth when the jaws are closed. The goals of orthodontic therapy are to improve the smile and facial appearance (resulting in improvement in an individual’s social well-being and quality of life), obtain optimal occlusion, and establish normal oral function (Ackerman 2012). Due to a growing esthetic awareness among the general population orthodontics is gaining popularity as a profession. Hence dentists need to be trained well in this field to cater to the growing needs of the general population. There are 2 types of training offered in the field of orthodontics, Postgraduate training, and undergraduate training. A graduate must be competent enough to diagnose and treat minor orthodontic cases as well as know when is the right time for referral to a specialist. If a general dental practitioner is well trained in the field of orthodontics, specialists only have to deal with complex ones which decreases the workload of the specialist. The level of the graduate thus should be such that they must be able to deal with minor orthodontic cases as a general dental practitioner. There was a study conducted at the University of Missouri Kansas city about how well fresh graduates are prepared to deal with orthodontic cases. (“No Title,” 2016). There has been no such study done in Pakistan. However, there have been studies conducted on how confident graduates felt about practicing unsupervised. The researches revealed that orthodontics was the field where the students felt least confident. (“Preparedness for practice,” 2011). No such research has been done in Pakistan. The purpose of this research is to find out if the fresh dental graduates of Pakistan are competent enough to deal with orthodontic cases without supervision. The level of training of the undergraduates is accessed to check if it is according to the international standards and if Pakistani graduates meet the international competency need in the subject of orthodontics. This research would help identify the voids in the training of graduates which would create a basis for further research on this topic and the revision of the dental curriculum.
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Beard, Gary B. "Anterior Crossbite: Interceptive Orthodontics for Prevention, Maryland Bridges for Correction." Journal of Veterinary Dentistry 6, no. 2 (June 1989): 14–17. http://dx.doi.org/10.1177/089875648900600201.

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Displacement of teeth (malocclusions) in companion animals becomes important when it results in occlusal traumas and tooth attrition, or soft tissue damage. These defects may be so minor that years elapse before they take their toll on oral health or they may be so major that mastication is impossible. This paper addresses the oral health aspects of veterinary dental orthodontics as it relates to anterior cross bite and interceptive orthodontics.
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King, Gregory J., and Pongsri Brudvik. "Effectiveness of interceptive orthodontic treatment in reducing malocclusions." American Journal of Orthodontics and Dentofacial Orthopedics 137, no. 1 (January 2010): 18–25. http://dx.doi.org/10.1016/j.ajodo.2008.02.023.

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King, G. J., C. F. Spiekerman, G. M. Greenlee, and G. J. Huang. "Randomized Clinical Trial of Interceptive and Comprehensive Orthodontics." Journal of Dental Research 91, no. 7_suppl (June 14, 2012): S59—S64. http://dx.doi.org/10.1177/0022034512448663.

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Focusing public insurance programs on interceptive orthodontics (IO) may increase access for low-income children. This report presents outcomes from a randomized clinical trial (RCT) comparing IO with comprehensive orthodontics (CO) in Medicaid patients. One hundred seventy pre-adolescents with Medicaid-eligible malocclusions were randomized to IO (n = 86) followed by observation (OBS) or OBS followed by CO (n = 84). One hundred thirty-four completed the trial. Models at pre-treatment (baseline) and following ≤ 2 years of intervention and 2 years of OBS (48 mos) were scored by calibrated examiners using the Peer Assessment Rating (PAR) and Index of Complexity, Outcome and Need (ICON). Overall outcomes and clinically meaningful categorical ICON data on need/acceptability, complexity, and improvement were compared. At baseline, groups were balanced by age, gender, ethnicity, and PAR/ICON scores. Most were minorities. Most (77%) were rated as difficult-to-very difficult. Scores improved significantly for both groups, but CO more than IO (PAR, 18.6 [95%CI 15.1, 22.1] vs.10.1 [95%CI 6.7, 13.4]; ICON, 44.8 [95% CI 39.7, 49.9] vs. 35.2 [95%CI 29.7, 40.6], respectively). On average, IO is effective at reducing malocclusions in Medicaid patients, but less than CO. (ClinicalTrials.gov number CT00067379)
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Szpinda-Barczyńska, Anna, and Konrad Perkowski. "Interceptive treatment of class III malocclusions – a case report." Orthodontic Forum 17, no. 1 (2021): 64–70. http://dx.doi.org/10.5114/for.2021.105082.

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Oltramari-Navarro, Paula Vanessa Pedron, Renato Rodrigues de Almeida, Ana Cláudia de Castro Ferreira Conti, Ricardo de Lima Navarro, Marcio Rodrigues de Almeida, and Leandra Sant'Anna Ferreira Parron Fernandes. "Early Treatment Protocol for Skeletal Class III Malocclusion." Brazilian Dental Journal 24, no. 2 (April 2013): 167–73. http://dx.doi.org/10.1590/0103-6440201301588.

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Skeletal Class III malocclusion, with its unpredictable and unfavorable nature, has been characterized by a growth pattern with doubtful prognosis regarding orthodontic mechanics, even when performed early. For a long time, Class III malocclusion was regarded as a synonym of mandibular prognathism, regardless of the affected skeletal structures. Mandibular growth, essentially determined by genetic factors, could barely be controlled by early orthodontic interventions. Therefore, the treatment choice was to wait for the patient to grow, and then make an orthodontic intervention associated with an orthognathic surgery. Maxillary involvement in the etiology of Class III malocclusion was conclusive to change orthodontic therapeutics. Maxillary intramembranous growth has a better response to orthopedic treatment, based on growth control and redirection, thus contributing for early intervention success. In several cases, excellent results have been achieved with rapid maxillary expansion and protraction. The aim of this study was to describe and discuss the treatment of a patient with Class III malocclusion, whose treatment planning comprised two phases: interceptive (mechanical orthopedic appliances) and comprehensive (fixed orthodontic appliance). The results of this case showed that Class III malocclusion should be intercepted as early as possible to permit growth redirection, mainly when the maxilla is the primary etiologic factor or dental and/or functional factors are involved. Diagnosis, treatment planning and prognosis depend on patient age, growth potential and severity of malocclusion. Early intervention, adequate indication of appliances, and patient compliance are key factors for good outcomes.
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AlShahrani, Ibrahim. "Diagnosis and Referral of Orthodontic Cases: An Institutional Survey among Dental Graduates." World Journal of Dentistry 5, no. 1 (2014): 33–36. http://dx.doi.org/10.5005/jp-journals-10015-1254.

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ABSTRACT General dentists play an important role in intercepting the progression of malocclusion. The right stage of referral to specialist orthodontist is considered key to the success of orthodontic treatment. The objective of this study was to assess the preparedness of fresh dental graduates in dealing with orthodontic patients in general dental practice. A total of 80 general dentists who had recently completed the BDS program formed the study group. They were asked to respond to a self-administered questionnaire consisting of case scenarios to evaluate their knowledge of Angles classification, occlusal characteristics, the ideal stage of treatment and need for referral to specialist orthodontist. The response rate was 75% (n = 60). 87% (n = 52) correctly identified the Angles Classification of the presented cases. 87% (n = 52) and 100% (n = 60) correctly identified overbite and over-jet cases. Cross bite and deviated midline was correctly identified by 68% (n = 41) and 65% (n = 39) of the respondents respectively while 93% (n = 56) diagnosed median diastema correctly. Almost all the respondents (97%) identified the cases which have to be referred to the orthodontist while, more than half (55%) did not know the ideal time to initiate orthodontic treatment. The graduates recognized their limits of personal competence and successfully identified the cases that need to be referred to the orthodontist. Proper emphasis should be placed on the ‘the ideal time of referral and initiation of treatment’ during undergraduate orthodontic training. How to cite this article AlShahrani I. Diagnosis and Referral of Orthodontic Cases: An Institutional Survey among Dental Graduates. World J Dent 2014;5(1):33-36.
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Nardoni, Daniele Nóbrega, Danilo Furquim Siqueira, Mauricio de Almeida Cardoso, and Leopoldino Capelozza Filho. "Cephalometric variables used to predict the success of interceptive treatment with rapid maxillary expansion and face mask. A longitudinal study." Dental Press Journal of Orthodontics 20, no. 1 (February 2015): 85–96. http://dx.doi.org/10.1590/2176-9451.20.1.085-096.oar.

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INTRODUCTION: Prognosis is the main limitation of interceptive treatment of Class III malocclusions. The interceptive procedures of rapid maxillary expansion (RME) and face mask therapy performed in early mixed dentition are capable of achieving immediate overcorrection and maintenance of facial and occlusal morphology for a few years. Individuals presenting minimal acceptable faces at growth completion are potential candidates for compensatory orthodontic treatment, while those with facial involvement should be submitted to orthodontic decompensation for orthognathic surgery. OBJECTIVES: To investigate cephalometric variables that might predict the outcomes of orthopedic treatment with RME and face mask therapy (FM). METHODS: Cephalometric analysis of 26 Class III patients (mean age of 8 years and 4 months) was performed at treatment onset and after a mean period of 6 years and 10 months at pubertal growth completion, including a subjective facial analysis. Patients was divided into two groups: success group (21 individuals) and failure group (5 individuals). Discriminant analysis was applied to the cephalometric values at treatment onset. Two predictor variables were found by stepwise procedure. RESULTS: Orthopedic treatment of Class III malocclusion may have unfavorable prognosis at growth completion whenever initial cephalometric analysis reveals increased lower anterior facial height (LAFH) combined with reduced angle between the condylar axis and the mandibular plane (CondAx.MP). CONCLUSION: The results of treatment with RME and face mask therapy at growth completion in Class III patients could be predicted with a probability of 88.5%.
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Vig, Katherine W. L. "Phase 1 interceptive orthodontic treatment reduces the severity of malocclusion." Journal of Evidence Based Dental Practice 6, no. 2 (June 2006): 178–79. http://dx.doi.org/10.1016/j.jebdp.2006.04.007.

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Perillo, Letizia. "Early treatment of dentoskeletal Class III malocclusion: SEC III protocol." APOS Trends in Orthodontics 9 (June 29, 2019): 73–76. http://dx.doi.org/10.25259/apos-56-2019.

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Dentoskeletal Class III malocclusions are one of the greatest challenges to the orthodontists due to the interaction of both environmental and genetic etiological factors. Over the years, several interceptive treatments for Class III dentoskeletal malocclusions have been proposed in growing patients. Our orthopedic approach includes two occlusal Splints combined with Class III Elastics and Chincup and so it is named SEC III protocol. The main difference with all the other appliances is the vertical control that is crucial, above all, in the most difficult cases as the hyperdivergent Class III malocclusions.
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Chawla, Megha, Bhavna Gupta Saraf, Neha Sheoran, Saumya Paul, Siji Elizabeth, and Shivani Singh. "Dental cross-bite: The paradigm of interception in orthodontics." Journal of Dental Panacea 3, no. 1 (June 15, 2021): 29–32. http://dx.doi.org/10.18231/j.jdp.2021.007.

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Crossbite is a form of malocclusion in which a tooth (or teeth) in the upper or lower dental arch is more buccal or lingual (that is, closer to the cheek or tongue) than its corresponding antagonist tooth. Crossbite, to put it another way, is a lateral misalignment of the dental arches. Crossbite should be corrected as soon as a child's cooperation is obtained. Early treatment may prevent or slow the progression of abnormal alveolar processes and jaws.
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Josell, Stuart D. "Interceptive Orthodontic Treatment may be Effective in Reducing the Severity of Developing Malocclusion." Journal of Evidence Based Dental Practice 11, no. 1 (March 2011): 31–32. http://dx.doi.org/10.1016/j.jebdp.2010.12.003.

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Tanaka, Orlando Motohiro, Alessandro Yuske Kusano Morino, Oscar Fernando Machuca, and Neblyssa Ágatha Schneider. "When the Midline Diastema Is Not Characteristic of the “Ugly Duckling” Stage." Case Reports in Dentistry 2015 (2015): 1–5. http://dx.doi.org/10.1155/2015/924743.

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This case report presents the interceptive orthodontic treatment of a 9-year, 5-month-old boy with class I malocclusion, a 9.0-mm maxillary midline diastema, and deviation from the midline. The treatment goals were to decrease the magnitude of the diastema and to simulate the characteristics of the “ugly duckling” stage. Braces were placed on the first molars and the maxillary central incisors. The biomechanics of the anchors on the first molars elicited substantial mesial movement of the left central incisor to match the midline. A flat wire segment was bonded onto the palatal surface of the central incisors for retention.
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Ansari, Akram, Abhay Kumar Jain, Ankit Singh, Priya Sharma, and Muneeb Adil. "Management of Skeletal Class II Malocclusion in Non-Complaint Patient using Powerscope - A Case Report." Orthodontic Journal of Nepal 9, no. 2 (December 31, 2019): 77–81. http://dx.doi.org/10.3126/ojn.v9i2.28421.

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Class II malocclusion in pubertal phase presents a major and a common challenge to orthodontists. Proper diagnosis and treatment planning in early stage help in preventing and intercepting the severity of malocclusion. In pubertal phase skeletal Class II malocclusion due to mandibular retrusion are best treated with functional appliance. In recent time PowerScope fixed functional appliance is gaining immense popularity as noncompliant Class II corrector. In the present case report an adolescent male patient having Class II division 1 malocclusion with functional jaw retrusion was treated using MBT 0.022” prescription and PowerScope appliance. 7-8 months of PowerScope wear obtained stable and successful results with improvement in facial profile, skeletal jaw relationship and mild increase in IMPA. It can thus be concluded that PowerScope gives good results in Class II correction with a combination of patient comfort and ease of use that was unmatched among other appliances
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Padmanabhan, Vaishnavi, Shreya Kishore, and Suvetha S. "Fiber Reinforced Composite Space Maintainers Versus Band and Loop Space Maintainers – A Systematic Review." Journal of Evolution of Medical and Dental Sciences 10, no. 31 (August 2, 2021): 2505–10. http://dx.doi.org/10.14260/jemds/2021/512.

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BACKGROUND Premature loss of primary teeth requires orthodontic intervention to prevent the occurrence of malocclusions in the future. The most preferred way to maintain this space is by using space maintainers. Band and loop maintainers are the most commonly used fixed space maintainers. Despite being the most effective, it has several disadvantages. Hence, the objective of this review was to compare the efficiency between fiber reinforced composite (FRC) space maintainer and the conventional band & loop space maintainer. METHODS A systematic review was performed. Electronic and hand search retrieved 260 records, 246 were screened. The intervention and outcomes were assessed in the study included for systematic review. RESULTS Seven studies were included in this systematic review. These studies compared the fiber reinforced composite and the conventional band & loop and provided results about their clinical efficacy and patient satisfaction. CONCLUSIONS Despite being one of the gold standard appliances for space maintenance, the conventional band and loop space maintainers have multiple disadvantages. The major disadvantages included failure of the appliance due to cement loss and bending of the wire. Out of the 7 articles included in this study, 6 of the articles concluded that the FRC space maintainers are as effective as the conventional band and loop. FRC space maintainers proved to be time effective, more aesthetic, has better patient acceptance and is easier to fabricate. Hence, fiber reinforced composite space maintainers can be used as a more aesthetic and effective alternative to the conventional band and loop space maintainers if proper technique and protocol is followed. KEY WORDS Space Maintainers, Band and Loop Space Maintainer, Fiber Reinforced Space Maintainer, Interceptive Orthodontics, Orthodontics
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Bollen, Anne-Marie. "Interceptive Orthodontic Treatment Improves Malocclusions Over no Treatment, but does not Produce Finished-Quality Results." Journal of Evidence Based Dental Practice 10, no. 4 (December 2010): 248–49. http://dx.doi.org/10.1016/j.jebdp.2010.09.004.

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Tanaka, Orlando Motohiro, Isabelle Adad Fornazari, Ariane Ximenes Graciano Parra, Bruno Borges de Castilhos, and Ademir Franco. "Complete Maxillary Crossbite Correction with a Rapid Palatal Expansion in Mixed Dentition Followed by a Corrective Orthodontic Treatment." Case Reports in Dentistry 2016 (2016): 1–6. http://dx.doi.org/10.1155/2016/8306397.

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This case report presents the interceptive orthodontic treatment of a boy, aged 8 years 4 months with a Class I malocclusion with severe transverse maxillary deficiency and complete maxillary crossbite and correction using Haas expansion and fixed appliance. The treatment goals were to correct the posterior crossbite and anterior crossbite and restore the normality of the dentition and occlusion. In phase I, the patient was treated with a modified Haas-type palatal expander, which provided a clinically significant palatal expansion and increased the maxillary arch perimeter with favorable conditions for orthodontic treatment with fixed appliances in phase II. The optimization of E-space and the use of intermaxillary Class III elastics helped to maintain the mandibular incisors upright. A removable wraparound type appliance and a bonded lingual canine-to-canine retainer were used as retention. Although the literature has reported a high rate of relapse after palatal expansion, after 2 years 9 months of posttreatment follow-up, the occlusal result was stable and no skeletal reversals could be detected.
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Souki, Bernardo Quiroga, Barbra Duque Costa Bastos, Luana Fialho Ferro Araujo, Wagner Fernando Moyses-Braga, Mariele Garcia Pantuzo, and Paula Loureiro Cheib. "Effective and Efficient Herbst Appliance Therapy for Skeletal Class II Malocclusion Patient with a Low Degree of Collaboration with the Orthodontic Treatment." Case Reports in Dentistry 2015 (2015): 1–7. http://dx.doi.org/10.1155/2015/986597.

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The current concept for effective and efficient treatment of skeletal Class II malocclusion prescribes that interceptive approach should be delivered during the pubertal growth stage. However, psychosocial issues and a greater risk of dental trauma are also factors that should be addressed when considering early Class II therapy. This paper reports a case of a patient that sought orthodontic treatment due to aesthetic discomfort with the incisors’ protrusion. Two previous treatments failed because patient’s collaboration with removable appliances was inadequate. Given his history of no collaboration and because the patient was in the prepubertal stage, it was decided to try a different approach in the third attempt of treatment. Traumatic injury protective devices were used during the prepubertal stage and followed by Herbst appliance and fixed multibrackets therapy during the pubertal stage, resulting in an adequate outcome and long-term stability.
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Mathew, Mebin George. "Management of Mesiodens and ectopically Erupted Central Incisor." CODS Journal of Dentistry 8, no. 1 (2016): 49–53. http://dx.doi.org/10.5005/jp-journals-10063-0012.

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ABSTRACT Pediatric dentists come across children and developing malocclusion at the earliest, early recognition and interception could avoid long-term laborious orthodontic treatment. Mesiodens are the most common supernumerary teeth, in the central region of the premaxilla, between the two central incisors, which may be the cause for a variety of irregularities in the developing occlusion, in particular, can lead to the impaction or ectopic eruption of adjacent permanent teeth, in the most esthetically important zone. Presented here is a case of management of ectopically erupted right permanent central incisor caused due to supernumerary tooth. How to cite this article Nagaveni NB, Poornima P, Valsan A, Mathew MG. Management of Mesiodens and ectopically Erupted Central Incisor. CODS J Dent 2016;8(1):49-53.
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Fichera, Grazia, Stefano Martina, Giuseppe Palazzo, Rosaria Musumeci, Rosalia Leonardi, Gaetano Isola, and Antonino Lo Giudice. "New Materials for Orthodontic Interceptive Treatment in Primary to Late Mixed Dentition. A Retrospective Study Using Elastodontic Devices." Materials 14, no. 7 (March 30, 2021): 1695. http://dx.doi.org/10.3390/ma14071695.

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The aim of this study was to assess the skeletal and dentoalveolar changes obtained after 1 year of treatment with elastodontic appliances (EA) in a retrospective cohort of children reporting early signs of malocclusion. Also, a detailed description of the tested EAs was reported. The study sample included 20 subjects, 8 males and 12 females, with a mean age of 8.4 ± 0.6 years, and a control group consisting of 20 subjects, 9 males and 11 females, with a mean age of 8.1 ± 0.8 years. All subjects in the treated group received the AMCOP second class (SC) (Ortho Protec, Bari, Italy) device. Digital impressions were taken along with a digital bite registration in centric relation before treatment (T0) and after 1 year (T1). Lateral cephalograms were also taken at T0 and T1 and cephalometric analysis was performed to assess the skeletal sagittal changes of the maxilla and the mandible (sella, nasion, A point angle, SNA^; sella, nasion, B point angle, SNB^; and A point–nasion–B point angle, ANB^) as well as the changes of the inter-incisors angle (IIA^). In the treated group, the distribution of subjects according to the presence of crowding and the pattern of malocclusion changed at T1. In the same group, there was an increase of subjects showing no signs of crowding and a class I occlusal relationship, while in the control group, there was a small increase of subjects developing dental crowding and featuring a worse sagittal relationship (class II) compared to pre-treatment condition. A statistically significant reduction of the overjet and overbite was recorded in the treated group between T0 and T1 (p < 0.05); in the control group, a slight increase in the overjet and overbite was detected at T1, being this increment significanct only for the latter parameter. In the tested group, no significant differences were found between SNA^ values detected at T0 and T1 (p > 0.05), instead the SNB^, ANB^, and IIA^ showed a significant increase after 1 year of treatment (p < 0.05). From a clinical perspective, all clinical goals were reached since patients showed remarkable improvements in overjet, overbite, crowding, and the sagittal molar relationship. Within the limitations of the present study, EAs could be effectively used for the interceptive orthodontic in growing patients.
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Bollen, Anne-Marie. "Interceptive Orthodontic Treatment of Class II Malocclusions is Slightly More Successful with Headgear/Biteplane than with Bionator Treatment." Journal of Evidence Based Dental Practice 11, no. 1 (March 2011): 58–59. http://dx.doi.org/10.1016/j.jebdp.2010.11.010.

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Widiarsanti, Setiarini, Darmawan Sutantyo, and Pinandi Sri Pudyani. "Perawatan Ortodontik Interseptif dengan Alat Aktivator pada Periode Percepatan Pertumbuhan." Majalah Kedokteran Gigi Klinik 1, no. 1 (June 29, 2016): 27. http://dx.doi.org/10.22146/mkgk.11915.

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Perawatan ortodontik interseptif efektif untuk mengurangi keparahan maloklusi disertai dengan kebiasaan buruk. Pemilihan waktu perawatan sangat penting agar perawatan dapat berhasil. Periode percepatan pertumbuhan berkisar antara 10-12 tahun untuk perempuan dan 12-14 tahun untuk laki-laki. Aktivator dengan skrup ekspansi digunakan untuk menstimulasi pertumbuhan mandibula, untuk mendapatkan ruang dari ekspansi pada kedua lengkung rahang dan untuk menghentikan kebiasaan buruk. Tujuan dari studi kasus ini adalah untuk memaparkan tata laksana perawatan dengan aktivator pada masa percepatan pertumbuhan. Pasien seorang laki-laki berusia 12 tahun datang dengan keluhan utama gigi atas maju dan kurang menarik. Kebiasaan buruk pasien adalah bernafas melalui mulut. Pemeriksaan objektif menunjukkan hubungan klas I pada kedua sisi, pola skeletal klas II, jarak inter P1 atas 35,7 mm dan jarak inter P1 bawah 30,3 mm. Maloklusi Angle Klas I tipe dentoskeletal dengan tipe skeletal kelas II dan incisivus maksila protrusif, overjet: 9,5 mm, overbite: 6,2 mm, palatal bite, scissorbite, malposisi gigi individual, kebiasaan buruk bernafas melalui mulut dan pergeseran midline RA kekanan sebesar 1,6 mm. Setelah 4 bulan perawatan, kebiasaan buruk telah berhenti, overjet menjadi 5 mm, overbite menjadi 3,2 mm, jarak inter P1 atas 36,5 mm dan jarak inter P1 bawah 31,6 mm. Aktivator dengan skrup ekspansi efektif untuk mencegah terjadinya disharmoni rahang dengan modifikasi pertumbuhan dan perkembangan rahang serta untuk menghentikan kebiasaan buruk dalam waktu singkat. Beberapa hal tersebut dapat dicapai dengan ketepatan pemilihan waktu perawatan yaitu dalam periode percepatan pertumbuhan. ABSTRACT: Interceptive Orthodontic Treatment Using Activator in Growth Spurt Period. Interceptive orthodontic treatment is effective to reduce the severity of malocclusion with oral bad habits. Time treatment is an important thing to make the treatment become successful. Growth spurt period in range 10-12 years old for female and 12-14 years old for male. Activator with an expansion screw was used to stimulate the mandibula growth, to create space by expanding both arches and to stop the bad habit. A 12 years old male patient with a chief complaint of protruded maxillary teeth and unpleasant appearance. The oral bad habit of patient was mouth breathing. Objective examination showed class I molar relationship on both sides, skeletal class II pattern, inter upper premolars was 35,7 mm and inter lower premolars was 30,3 mm. Angle malocclusion class I with skeletal class II and protruded incisive maxilla, overjet 9,5 mm, overbite 6,2 mm, mouth breathing bad habit, upper midline shifting 1,6 mm to the right side. After 4 months of treatment the oral bad habit was stop, overjet 5 mm, overbite 3,2 mm, inter upper premolars 36,5 mm and inter lower premolars 31,6 mm. Activator with an expansion screw was effectively prevent the skeletal disharmony by modification of growth and development of jaw, and stop the oral bad habit in short period of time. Those can be achieved by the right time choosing in growth spurt period for the treatment.
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Rai, Dr Anurag, Dr Tanoj Kumar, Dr Shweta Rai, Dr Minti Kumari, and Dr Pallawee Chaudhary. "EVALUATION OF ECTOPIC ERUPTION IN TEETH’S OF CHILDRENS FROM 5 TO 12 YEARS AGE GROUP." International Journal of Medical and Biomedical Studies 3, no. 11 (December 3, 2019). http://dx.doi.org/10.32553/ijmbs.v3i11.767.

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Treatment is advised to guide the tooth into a more favorable path of eruption to minimize damage to affected dentition, preserve arch length, and to maintain function. Without intervention, sequelae can include premature loss of the anteriorly affected tooth, tipping and rotation of the ectopic molar, space loss and malocclusion. Treatment will depend upon the severity of the impaction. Mildly to moderately impacted molars can be guided easily with elastic orthodontic separators. More severe impactions require more complex treatment options, including potential extraction of the anteriorly affected tooth, removable or fixed appliances, or surgical uprighting. The present study was planned for evaluation of Evaluation of Ectopic Eruption in Teeth’s of Childrens from 5 to 12 Years Age Group. The present study was planned in Department of Orthodontics, Patna Dental College and Hospital, Patna. Total 50 childrens referred to Department of Orthodontics were evaluated for the ectopic eruptions. All the radiographs were compared in each patient, along all the usual followup time. To rule out the possibility of error due to radiographic magnification, the crown measurements in bitewing radiographs and in dental casts were compared, and no significant differences were present. Early intervention of ectopically erupting first permanent molars is very crucial to avoid complex orthodontic treatment later on. Ectopic eruption of individual teeth tend to occur as often bilaterally as unilaterally in the same arch, except for mandibular central incisors, first molars and mandibular canines. Early diagnosis and interception of ectopically erupting teeth will allow us in preventing more complicated malocclusions in future. Keywords: Eruption problems, Ectopic eruption, Permanent teeth, etc.
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Salim, Nesreen A., Mariam M. Al-Abdullah, Abeer S. AlHamdan, and Julian D. Satterthwaite. "Prevalence of malocclusion and assessment of orthodontic treatment needs among Syrian refugee children and adolescents: a cross-sectional study." BMC Oral Health 21, no. 1 (June 14, 2021). http://dx.doi.org/10.1186/s12903-021-01663-4.

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Abstract Background There is a scarcity of data concerning the prevalence and pattern of malocclusion and orthodontic treatment needs in Syrian refugee. In this study, extra and intra-oral features of malocclusion and the dental health component of the Index of Orthodontic Treatment Need (IOTN) were reported. Methods Examination of 606 Syrian children/adolescents refugees attending Zaatari clinic was carried out (males = 280, females = 326, mean age = 11.84 ± 2.1 years). Subjects not within the age limit, with a history of orthodontic treatment, or with craniofacial anomalies were excluded. Both extra and intra-oral features of malocclusion were assessed. Intra-oral features included inter- and intra-arch occlusal characteristics: crowding, spacing, crossbite, overjet, overbite, molar and canine relationship, incisor relationship, and centerline shift. In addition, the dental health component (DHC) of the Index of Orthodontic Treatment Need (IOTN) was recorded. Gender and age variations in malocclusion characteristics and IOTN grading were tested using chi-square and nonparametric tests respectively (P < 0.05). Results The prevalence of malocclusion was 83.8% (52.6% class I, 24.2% class II, 7% class III). The most common features of malocclusion were crowding (71.1%) followed by centerline shift (52.1%), increased overjet (36.1%), high vertical proportions (34%) and deep overbite (31.2%); there were significant gender and age differences for a number of occlusal traits. The prevalence of moderate to severe need for orthodontic treatment was 67.7%. Conclusions This study provides baseline data on the prevalence of malocclusion in Syrian refugee children/adolescents in Zaatari camp where data concerning oral health of this population are lacking. The prevalence of orthodontic treatment need was high warranting the need for a comprehensive interceptive orthodontic program to prevent increasing oral health problems in the future. This high burden of oral diseases has a negative financial impact on the hosting country which can be reduced through public health interventions and implementing community-based dental healthcare for this underprivileged population.
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Garbin, Artenio Jose Isper, Bruno Wakayama, and Izabella Maria Martin. "Filosofia Bioprogressiva de Ricketts e Arco Seccionado de Forças Paralelas no Tratamento da Classe II: relato de caso." ARCHIVES OF HEALTH INVESTIGATION 9, no. 1 (July 16, 2020). http://dx.doi.org/10.21270/archi.v9i1.4820.

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A má oclusão classe II de Angle é uma oclusopatia de alta prevalência na população brasileira, com grandes impactos nas estruturas dentárias, ósseas, bem como na qualidade de vida dos indivíduos. O objetivo deste estudo foi relatar a eficácia do arco seccionado de forças paralelas, no tratamento da classe II divisão 1. O caso clínico refere-se a uma paciente do sexo feminino de 19 anos de idade. O tratamento da má oclusão foi iniciado com o uso do Arco Utilidade ou Arco Base Inferior, a fim de nivelar e corrigir as interferências antero-posteriores, bem como possibilitar a ancoragem do molar inferior. Em seguida utilizou-se o Arco Seccionado de Forças Paralelas, associado ao uso de elástico 5/16 médio, a fim de potencializar a distalização do molar superior, eliminando os efeitos indesejáveis pelo uso do elástico intermaxilar. Após a correção da posição molar em classe I, foram feitos os ajustes finais de fechamento de diastemas, nivelamento e alinhamento. Conclui-se que o tratamento da classe II divisão 1, com base na terapia bioprogressiva com o uso dos arcos seccionados de forças paralelas foi altamente eficaz, possibilitando além da correção da má oclusão, garantir a estabilidade oclusal e a harmonia do perfil facial da paciente.Descritores: Má Oclusão; Má Oclusão de Angle Classe II; Ortodontia Corretiva.ReferênciasBauman JM, Souza JGS, Bauman CD, Florido FM. Aspectos sociodemográficos relacionados à gravidade da maloclusão em crianças brasileiras de 12 anos. Ciênc. saúde coletiva. 2018;23(3):723-32.Campos FL, Vazquez FL, Cortellazzi KL, Guerra LM, Ambrosano GMB, Meneghim MC et al. A má oclusão e sua associação com variáveis socioeconômicas, hábitos e cuidados em crianças de cinco anos de idade. Rev Odontol UNESP. 2013;42(3):160-66.Angle EH. Classification of malocclusion. Dental Cosmos.1899;41:248-64.Arruda RT, Cruz CM, Crepaldi MV, Santana AP, Guimaraes Junior CH. Trtamento precoce da classe II: relato de caso. R Faipe. 2017;7(1):25-35.Garbin AJI, Grieco FAD, Rossi LB. Ortodontia de visão. Ribeirão Preto: Editora Tota, 2016.Seehra J, Newton JT, Dibiase AT. Interceptive orthodontic treatment in bullied adolescents and its impact on self-esteem and oral-health-related quality of life. Eur J Orthod. 2013;35(5):615-21.Gatto RCJ, Garbin AJI, Corrente JE, Garbin CAS. Self-esteem level of Brazilian teenagers victims of bullying and its relation with the need of orthodontic treatment. RGO Rev Gaúch Odontol. 2017;65(1):30-6.Gatto RCJ, Garbin AJI, Corrente JE, Garbin CAS. The relationship between oral health-related quality of life, the need for orthodontic treatment and bullying, among Brazilian teenagers. Dental Press J. Orthod. 2019;4(2):73-80.Dibiase A, Sandler PJ. Early treatment of Class II malocclusion. In: Cobourne MT. (eds) Orthodontic management of the developing dentition. Springer: Cham; 2017. p.151-67.Janson G, Barros SEC, Simão TM, Freitas MR. Variáveis relevantes no tratamento da má oclusão de Classe II. R Dental Press Ortodon Ortop Facial. 2009;14(4):149-57.Gimenez CMM, Bertoz APM, Bertoz FA, Vedovello Filho M, Tubel CAM. Momento Oportuno para a Abordagem Ortodôntica no Tratamento da Classe II. UNOPAR Cient Ciênc Biol Saúde. 2010;12(3):5-10.Capistrano A, Xerez JE, Tavares S, Borba D, Pedrin RRA. APM/FLF no tratamento da Classe II em adulto: 8 anos de acompanhamento. Rev Clín Ortod Dental Press. 2018;17(2):58-71Ricketts RM, Bench RW, Gugino CF, Hilgers. JJ, Schulhof RJ. Bioprogressive Therapy. Denver: Rocky Mountain Orthodontics; 1979.Garbin AJI, Grieco FAD, Guedes-Pinto E. Bioprogressiva e reabilitação neuro-oclusal: a evolução da Ortodontia. Araçatuba: Editora Somos; 2009.Tadesco AF, Oppermann NJ, Duarte MS, Cunha FL, Cavenaghi M. Avaliação do comportamento do eixo facial em pacientes classe II divisão 1, tratados sem extração, com mecânica secccionada e elásticos. RGO. 2005;53(1):67-70.Ferreira FM, Garbin AJI, Grieco FAD, Rossi LP. Arco seccionado de forças paralelas no tratamento da má oclusão de classe II. Ortho Sci Orthod sci pract. 2014;7(25):58-69.Lopes MAP, Santos DCL, Negrete D, Flaiban E. O uso de distalizadores para a correção da má oclusão de Classe II. Rev. Odontol Univ Cid São Paulo. 2013;25(3):223-32.Ricketts RM. Cephalometric analysis and synthesis. Angle Orthod, Appleton, 1961;31(3):141-56. Sahad MG, Grieco FAD, Cartaxo ZBP, Guedes Pinto E, Prokopowitsch I, Araki ÂT. Tratamento da má oclusão de Classe II, subdivisão direita, segundo a terapia bioprogressiva. Rev Clín Ortod Dental. Press 2012; 11(1):92-7.Aranha MF, Garbin AJI, Grieco FAD, Guedes Pinto E, Mendonça MR. Utilização dos arcos seccionados para o tratamento da má oclusão classe II, divisão 2. Rev Clín Ortod Dental Press. 2010;9(3):51-56.Garbin AJI, Wakayama B, Teruel GP. Tratamento da classe II divisão 1 – uma abordagem terapêutica com a mecânica bioprogressiva e arco seccionado de forças paralelas. Rev UNINGÁ; 2019;56(S3):71-83.Loriato LB, Machado AW, Pacheco W. Considerações clínicas e biomecânicas de elásticos em ortodontia. R Clin Ortodon Dental Press. 2006;5(1):42-55.
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Gupta, Sanjay Prasad, and Dr Shristi Rauniyar. "Orthodontic management of skeletal class II malocclusion with horizontally impacted maxillary canine: A case report." Europasian Journal of Medical Sciences 3, no. 1 (April 18, 2021). http://dx.doi.org/10.46405/ejms.v3i1.304.

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Management of skeletal class II relation in growing patient require careful evaluation of growth status, proper diagnosis and treatment plan to address the patient’s need. Twin block is the appliance of choice among functional appliance to correct the skeletal class II malocclusion due to it’s acceptability by the patient and simplified design. Maxillary canine impaction is the second most prevalent impaction after the third molars. Treatment of maxillary canine impaction is usually a challenge to orthodontic approach as the defect lies in the esthetic region of the jaw. This case report describes the orthodontic management of a 9 years male patient having skeletal Class II malocclusion with horizontally impacted maxillary canine. Some modifications in the treatment mechanics are deemed essential to address the patient’s need for achieving the optimal esthetic and to improve the occlusion. Twin block is beneficial for the treatment of skeletal malocclusion in a growing patient to achieve the maximum benefit. The orientation of impacted teeth may change from horizontal to favorable one, hence it should be considered a viable treatment alternative. In such case, early diagnosis and interception at the right time along with radiographic follow-ups are necessary to achieve successful results. Keywords: Canine Impaction, Class II malocclusion, Growth modification, Twin block appliance
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41

TEIXEIRA, Suélen Alves, Mariana Oliveira GUIMARÃES, Natália Mendes De Matos CARDOSO, Raiane Machado MAIA, Natália Cristina Ruy CARNEIRO, and Ana Cristina BORGES-OLIVEIRA. "Dental management of a child with a rare bone disorder: a case report with a six-year follow up." RGO - Revista Gaúcha de Odontologia 68 (2020). http://dx.doi.org/10.1590/1981-863720200005020190074.

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ABSTRACT Osteogenesis imperfecta is a rare genetic disorder involving abnormal type I collagen composition that compromises bone and collagen-rich tissues. Individuals with Osteogenesis imperfecta exhibit oral and systemic abnormalities, including dentinogenesis imperfect. The purpose of the review is to report a clinical case of a nine-year-old boy diagnosed with Osteogenesis Imperfecta type III, focusing on dental and occlusal aspects. The case report was developed at the outpatient clinic at the School of Dentistry of the Federal University of Minas Gerais, in Southeastern of Brazil. The clinical oral examination revealed Angle Class III malocclusion and anterior crossbite. It was also observed the presence of dentinogenesis imperfect in both primary and permanent teeth. Radiographic analysis showed the presence of completed obliterated pulp chambers in both dentitions. Dental treatment included oral hygiene counseling, dental extraction, fluoride therapy and restorations. The child was followed up for a period of six years and then referred to the orthodontic outpatient clinic at the same university for the treatment of malocclusion. Early dental care is important to the prevention or interception of oral diseases, such as dentinogenesis imperfect and malocclusion, as well as the improvement of dental esthetics in cases of Osteogenesis Imperfecta.
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42

Arqub, Sarah Abu, Khadijeh Al-Zubi, Marissa G. Iverson, Effie Ioannidou, and Flavio Uribe. "The biological sex lens on early orthopaedic treatment duration and outcomes in Class III orthodontic patients: a systematic review." European Journal of Orthodontics, September 8, 2021. http://dx.doi.org/10.1093/ejo/cjab058.

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Summary Background Treatment outcomes for Class III orthopaedic treatment are highly unpredictable and dependent on the timing of interception, age, and biological sex. Objective This systematic review aimed to assess the effects of sex dimorphism on outcomes and duration of orthopaedic treatment for Class III malocclusion in young children. Search methods Unrestricted search in six electronic databases until May 2021 was conducted. Supplemented by search in resources for published, unpublished literature, and ongoing trials. Selection criteria Randomized and non-randomized controlled trials reporting the use of Class III growth modification appliances, with baseline and outcome data for both sexes, were included. Data collection and analysis Study selection and data extraction were performed blindly and in duplicate by two reviewers. ROBINS-I, Cochrane Risk of Bias, and GRADE tools were used for certainty assessment. Results A total of 2429 records were screened. Four trials fulfilled the inclusion criteria, one was a randomized clinical trial (RCT) comparing facemask and facemask with mini-screw. Two clinical trials evaluated the effects of facemask appliance, one had a control group, another was prospective non-controlled. One compared the effects of the maxillary protraction bow appliance to a no treatment control. Two of the clinical trials were appraised as low and one was appraised as high risk of bias. The overall certainty of the available evidence was assessed as moderate. There was significant clinical heterogeneity in terms of methodology, type of intervention, and the measured outcomes, precluding a meta-analysis. Conclusions Minimal variations in sagittal, vertical, and dentoalveolar post-treatment cephalometric changes were reported between sexes. The available evidence is unclear to support these variations. Long-term-powered RCTs assessing cephalometric outcomes between sexes until the end of growth spurt and without pooling are not available, therefore, much needed. Registration PROSPERO database number CRD42020185797.
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43

R., Vignesh, C. Vishnu Rekha, Sankar Annamalai, Parisa Norouzi, and Ditto Sharmin. "A Comparative Evaluation between Dermatoglyphic Patterns and the Permanent Molar Relationships – An Attempt to Predict the Future Malocclusions." Journal of Forensic Dental Sciences, May 7, 2021, 10–17. http://dx.doi.org/10.18311/jfds/12/1/2020.11.

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Background: Due to the similar duration of development, finding the dermatoglyphic patterns to predict malocclusions can help a pediatric dentist to attempt any necessary preventive and interceptive orthodontic therapies. Aim: To assess the correlation between different dermatoglyphic patterns with the permanent molar relationships. Materials and Methods: 300 children who are 14-16 years old with completely erupted 2nd permanent molars up to occlusal table were recruited and the pattern of molar terminal plane was recorded in the proforma. Finger prints of these subjects were recorded with ink and roller method. Forensic analyst analysed the prints and classified based on the classification given by Galton and also calculated the finger ridge count as given by Cummins and Midlo Statistical analysis used: Chi-Square test was applied to compare proportions between all the groups and also for gender comparison. Fisher’s exact test was used when any expected cell frequency of less than five were obtained. Paired t-Test and McNemar’s test were applied to compare values between right and left hand. Results: Class I children showed absence of arch pattern in thumb and little finger of left hand; and higher total finger ridge count in right hand when compared to left hand. Children with Class II molar relationship had a significant association with presence of arch pattern in thumb finger of left hand; and presence of whorl pattern in both left and right ring fingers. Class III had a significant association with presence of loop pattern in left thumb finger and little finger; absence of arch pattern in thumb of right hand. Conclusion: Dermatoglyphics can be a useful non-invasive analytical tool to predict malocclusions in permanent dentition and sometimes, to identify an individual. Further studies with larger sample size are required to provide an insight into its significant correlations.
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Sudhakar, Shetty Suhani, K. Mithun, Abhinay Sorake, K. Nillan Shetty, and Thankam C. Susan. "Correlation of Growth Pattern and Palatal Rugae Pattern in South Indian Population." Journal of Indian Orthodontic Society, July 11, 2021, 030157422110159. http://dx.doi.org/10.1177/03015742211015934.

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Aim: To determine the correlation between palatal rugae (PR) pattern and subjects with vertical, average, and horizontal growth pattern and to determine gender variation if any. Material and Methods: One hundred and twenty study models were divided into horizontal, vertical, and average growth patterns with 40 (20 males and 20 females) samples in each group. The pattern of PR was assessed in each group using a template. Result: Type B (wavy type) PR occurs more often in horizontal and average growth pattern (80% and 72.5% respectively), whereas its occurrence in vertical growth pattern subject is the least among other growth patterns, that is, 42.5% of the total subjects. Type E (curved type) PR has appeared highest in 27.5% of average growth pattern patient followed by 12.5% of vertical growth pattern subjects. The occurrence of type E PR is least in horizontal growth pattern which is just 5% of the total subjects. Conclusion: Curved-type PR was more prevalent in vertical and average growth patterns. Diverging PR pattern was mainly seen in vertical growth pattern. PR also shows sexual dimorphism. The association is clinically significant as it will lead to determination of facial vertical growth pattern at early age; thus, it serves as a diagnostic adjunct for different malocclusions very early in life and aids in preventive or interceptive orthodontic measures to alleviate forthcoming growth pattern.
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45

Choudhari, Smita Mangesh, and Sunita Shrivastav. "Comparative Evaluation of Adenoids, Upper Airway, and Tongue Using “Predictors of Difficult Airways” in Class II Division 1 and Division 2 Cases with Class I Cases: Prospective In Vivo Observational Study." Journal of Indian Orthodontic Society, March 31, 2021, 030157422096341. http://dx.doi.org/10.1177/0301574220963411.

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Introduction: Altered nasorespiratory function leads to altered craniofacial growth. Thus, airway evaluation is important for preventive, interceptive, and corrective orthodontic treatment. The aim of this study was to evaluate and compare adenoids, the upper airway, the tongue, and mandibular dimensions using “predictors of difficult airways” in class II division 1 and class II division 2 cases with class I cases. Method: Sixty subjects of age 15 to 18 years were divided into 3 groups (group 1: class I cases; group 2: class II division 1 cases; and group 3: class II division 2 cases) based on cephalometric parameters, with 20 cases in each group. Cephalometric evaluation of adenoids and the nasopharyngeal airway was done using the Handelman–Osborne area method. Upper and lower airway evaluation was done using McNamara’s linear method. “Predictors of difficult airways” were used for evaluation of the airway, which included nasal competency, the Mallampati scale, mandibular length, mandibular protrusion, and the thyromental distance. Results: The present study found a significant positive correlation between the grades of nasal competency and percentage adenoid wall area, and a significant negative correlation between the grades of nasal competency and the upper airway. There was a significant positive correlation between the grades of nasal competency and mandibular length, and a significant positive correlation between the grades of mandibular protrusion and mandibular length. There was a significant positive correlation between the grades of the thyromental distance and mandibular length. Conclusion: It was concluded that the “predictors of difficult airways” would be helpful in early diagnosis and identification of potential risk factors that may cause “breathing disorders”–related malocclusions and later on increase the risk of developing OSA.
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