BackgroundIn contemporary dental care, an increasing number of adult patients are now seeking orthodontic treatment with the primary motive of improvement in appearance and achievement of esthetic smile. Proper recognition of the dental and facial defects at the outset of treatment is the most important key to esthetic success and is essential in satisfying the patient’s needs. By following the rules of Golden proportion smiles can be made attractive, harmonious, symmetrical, and proportionate.MethodologyConsisted of 22-year-old girl who came for treatment of crowding in maxillary and mandibular arches, abnormal overjet and overbite and had unesthetic peg lateral.ResultsNon-extraction therapy was carried out since the patient had good soft tissue drape, alignment was achieved by expanding the arches and moving teeth in ideal axial inclination. Esthetic smile was attained using composite buildup of upper right peg lateral and minor adjunctive surgery (full thickness periodontal graft) on lower right central incisor.ConclusionThe present case report orchestrates interrelationship between various branches of dentistry and orthodontics. It exhibits how multidisciplinary approach can be used to achieve ideal dental esthetics in a 22-year-old girl who was successfully treated for peg shaped lateral incisor, gingival recession, and unesthetic smile.

Aim: The aim was to study and compare lower incisor dentoalveolar compensation and mandibular symphysis morphology of patients with Class II and Class III malocclusion. Materials and Methods: Lower incisor inclination (incisor mandibular plane angle [IMPA]), as well as buccal (LA) and lingual (LP) cortex depth, and mandibular symphysis height (LH) were measured in 60 lateral cephalometric X-rays of adult patients without prior orthodontic treatment. The subjects were divided into three groups based on antero-posterior skeletal malocclusions-Class I (control group), Class II and Class III groups. Results: IMPA and symphysis dimensions showed significant differences between the sagittal malocclusion groups. In Class III subjects, the lower incisor apex was closer to the buccal cortex, therefore, value of LA was decreased and LH was increased. In Class II subjects, the lower incisor apex was near to the lingual cortex, there value of LP was reduced and LH increased. Conclusion: Narrow alveolus was observed in Class II and III subjects compared to the Class I subjects. Natural compensation elongates the symphysis and influences the lower incisor position. Thus limiting the pre-surgical decompensation and increasing the risk of damage to periodontal tissues.

Objective: To determine if text messaging reminders regarding intra oral elastic wear have any influence on the level of compliance in an orthodontic population.

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Introduction: Sterilization in orthodontics has been discussed and stressed over times in the dental literature. Sterility of orthodontic materials should be of prime interest to the orthodontist as a health care professional and he should take appropriate measures to prevent the risk of cross infection.Aim: To evaluate the sterility of orthodontic materials as received from the manufacturer and that exposed to clinic environment for 6 months. Materials and methods:The sterility of orthodontic materials "as received" from the manufacturer and "clinically exposed" (unused materials stored in the clinic environment for a period of 6 months) was microbiologically evaluated (universal & conventional PCR).The materials which were included in this study were the sealed and unsealed orthodontic archwires, molar bands, elastomeric module, stainless steel bracket, coil spring and tungsten carbide burs of various brands (American Orthodontics, 3M Unitek, Ormco, Orthosystems, G&H, Modern Orthodontics, SS white etc).Results: After universal and conventional PCR, the detection of micro-organisms in all materials was significantly higher in the clinically exposed samples compared to as received samples from manufacturers (P <0.001). The detection of micro-organisms in all orthodontic wires is significantly higher in the unsealed samples compared to sealed samples (P <0.001). In universal PCR, the detection of microorganisms in all materials (Coil spring, E-chain, Elastomeric, Molar brands, Tungsten carbide) except for SS brackets is significantly higher in both as received and clinically exposed samples. Conclusion:After universal and conventional PCR, we conclude that bacteria were present on almost all orthodontic materials "as received from the manufacturers" and that exposed to a clinical environment. Therefore all materials should be sterilized before use in patients. 13 South Eur J Orthod Dentofac Res Musaddique SS. et al. Evaluating the sterility of orthodontic materials

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Aim: To determine the co-relationships of the root crown length and occlusal contacts in patients with Class-III skeletal relationship, anterior open-bite, and high mandibular plane angle. Materials and Methods: Study group consisted of 10 untreated Class-III patients with reverse over jet of minimum-2 or more and an anterior open-bite. Control group consisted of untreated patients with average 0-4 mm of over jet and overbite. Dental casts, orthopantomograms, and lateral cephalograms were recorded for measuring the root and crown lengths, occlusal contacts, and mandibular plane angle readings and were analyzed. Results: The root length and the root-crown ratios were reduced from incisors toward the pre-molars in the study group. Occlusal hypofunction was seen associated with the study group. Short dental roots were observed specifi cally with the anteriors. Conclusion: Patients with Class-III skeletal relationship, high mandibular plane angle, and an anterior open-bite have a tendency toward developing short dental roots that can be associated with occlusal hypofunction that is associated with the condition.