OBJECTIVE: The vast spread of COVID-19 not only affected the major businesses of the world but also the health care facilities like dentistry. Due to the unprecedented closure of dental services, on-going orthodontic patients also suffered the brunt. The aim of this study was to assess the at-home management approaches used by the patients to tackle the complications associated with orthodontic treatment. METHODOLOGY: It was a cross-sectional questionnaire-based study carried out from June 15 to September 15, 2020 in orthodontic OPD of Jinnah Medical and Dental College, Karachi. A total of 300 orthodontic patients, 208 females and 92 males between ages from 15 to 35 years completed a questionnaire on the complications faced by them and management techniques adopted by them during COVID-19 related office closures. Convenient sampling method was used for data collection. RESULTS: The majority of patients reported in this study were females. Approximately 69.33% (n = 300) of the responders were females and 31% were males. The highest numbers of complications reported during the lockdown period were loose brackets, loose bands and poking of archwire. The most common at-home hack used was removing the loose bracket/ bands and cutting of free end of arch wire with nail cutter like instrument. CONCLUSION: It is the responsibility of the clinician to keep in touch with their patients during pandemic like situation through telemedicine portal. In case of emergencies, patients should be provided with an adequate amount of information to tackle any complications with ease and without hurting themselves. KEYWORDS: COVID-19, Pandemic, Orthodontic Emergencies
The aim of the study is to evaluate and compare the soft tissue chin thickness values among adult patients with different vertical growth patterns. A sample size of 180 adults patients (32 males and 148 females), with an average age of 21.42 years (range 17-32 years), was selected. The sample was divided into three groups according to the vertical growth pattern using SNMP angle (hypodivergent <27°, normodivergent 27-37° and hyperdivergent >37°). The soft tissue chin thicknesses in each group were measured at pogonion (Pog), gnathion (Gn), and menton (Me) and analyzed using the one-way analysis of variance and post-hoc Tukey test. The soft tissue chin thickness values were greater in hypodivergent group at Pog (12.71±2.10 mm), Gn (9.72 ± 2.55 mm) and Me (9.13 ± 2.88 mm) and smallest in hyperdivergent group (Pog 8.05 ±1.20 mm, Gn 6.07±1.47 mm, Me 5.91±1.21 mm). The soft tissue chin thicknesses were greater in men than women. Soft tissue chin thickness was greater in hypodivergent adults than those of normodivergent and hyperdivergent adults. In all the three groups, soft tissue thickness values were greater in men than women.
To evaluate the bite force (BF) changes in bilateral cleft lip and palate (BCLP) in contrast to the non BCLP children after ALT-RAMEC Facemask therapy. The prospective study was carried out on a total of 60 subjects of age 6 to 13 years in a tertiary care hospital; treatment group, 30 children with BCLP and control group, 30 children without cleft lip and palate. Each cleft patient was received ALT-RAMEC Facemask treatment and their BF assessed at 4 different stages. Bite force taken before treatment, immediately, 3 months and 6 months after treatment. Bite force of the control group was taken at baseline to compare with the treatment group to demonstrate the difference in BF values. Independent t test and analysis of variance were used to perform statistical analysis. There was a significant difference in BF between the treatment group (BCLP) 122.53 ± 8.64 N and the control group (non BCLP) 181.38 ± 18.84 N at baseline. After the Alt RAMEC protocol, changes in BF recorded over 3 and 6 months of therapy showed significant improvement. The mean values of BF at 3months and 6 months were 106.7 ± 9.3 N and 137.4 ± 9.5 N, respectively. Bite force was significantly improved after ALT-RAMEC protocol followed by facemask therapy in BCLP patients.
Ghair Munqot art and Litrature is an unique type of literature. This literature is only linked with the languages of East i.e. Arabic, Perscian, Urdu and Punjabi languages.In this type of literature, those letter of language is used in writtings which are free from “Noqta / dot”. This field of art is known as Sanat e Mahmila or Aatila. It is not very easy so it is very important that writers and poets must have a big range of vocaboulary in concerned language and synonums are used that are free from Noqta or dots. Many writers and poets imparted to produce their contribution in this field. Likewise, most of them wrote Ghair Munqot literature on Quran’s translation, tafsir, Seerah, Naat. This research deals with the study of the those books of Seerah those were written under this art.
Objectives: This study was conducted to determine the perceived attractiveness of the face by change in chin position between orthodontic patients and the general public and determine their desire for surgery to correct it. Study Design: Cross Sectional Study Setting: Orthodontic OPD, Period: March 2021- July 2021 Material & Methods: An ideal facial outline was created with a computer software. 150 participants, divided into two groups (pre-treatment orthodontic patients and lay person) were part of the research. Each participant was given a survey and asked to fill it out and rank images on a summative scale Results: Results showed that the aesthetic judgement of both observer groups was the same for most images; The rating was decided by the amount of shift in the chin position, with the scoring being higher when the chin was more forward than when it was backward. Keywords: attractiveness, chin position, esthetics, facial profile, orthodontics
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