Most of Class II malocclusions are due to underdeveloped mandible with increased overjet and overbite. Lack of incisal contact results in the extrusion of the upper and lower anterior dentoalveolar complex, which helps to lock the mandible and prevent its normal growth and development, and this abnormality, is exaggerated by soft tissue imbalance. The purpose of present study was to cephalometrically evaluate skeletal and dentoalveolar changes following the use of Twin-Block appliance in 10 growing children of age group 9-13 years (mean 11.1 year ± SD 1.37) of Class II division 1 malocclusion with a deficient mandible. Cephalometric pre- and post-functional treatment measurements (angular and linear) were done and statistically analyzed using student's paired t-test. The results of the present study showed that maxilla (SNA) was restricted sagittally (head gear effect) with marked maxillary dental retraction. Significant mandible sagittal advancement (SNB) with minimum dental protraction was observed with significant increase in the mandibular length. The maxillomandibular skeletal relation (ANB and WITS appraisal) reduced considerably which improved the profile and facial esthetics. Pronounced correction of overjet and overbite was seen. The present study concluded that Class II correction occurs by both skeletal and dentoalveolar changes.
Dental implants are fixtures that serve as replacements for the root of the missing natural tooth and in the current day dental practice. Success or failure of the dental implant treatment is mainly based on the principles of osseointegration, which is the direct and stable anchorage of an implant due to the formation of bony tissue around the implant. A number of systemic and local factors influence the production of an osseointegrated interface and therefore the stability of the implant. Present article covers various methods used for surface treatment of titanium and titanium alloy implants. They are mechanical method such asMachining,Grinding,Polishing and Grit blasting. Chemical treatment include Acid treatment,Hydrogen peroxide treatment,Alkali treatment.Sol-gel coatings include TiO2 coating,Calcium phosphate coatings, Titania/hydroxyapatite composite coatings and Silica coating.Electrochemical treatments includes Thermal spraying,Plasma spraying.Ion implantation and deposition include Oxygen implantation, Nitrogen implantation,Carbon implantation and deposition, Metal ion implantation. Surface modification methods used to improve the mechanical, chemical and biological properties of titanium and its alloys for biomedical application.
Sinus lift surgery is an established and reliable technique because of the low rate of postoperative complications and the success of implants placed in the grafted area. However, as with any surgical procedure, it is not immune from risk. To minimize this risk, the surgery must be carried out by experienced professionals with appropriate planning. The major part of success with implant placement in posterior maxilla by grafting procedure lies in treatment planning. The in-depth knowledge of anatomy of the maxillary sinus is utmost important before actually performing the sinus floor elevation procedure. In this article we will be discussing in detail the various anatomical and clinical considerations in the posterior maxillae for sinus floor elevation procedure to ensure a predictable success with minimum complication.
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