Canine impaction is a condition wherein the tooth is embedded in the alveolus and is locked in by bone, teeth, or other structures, leading to difficulty in eruption. In this study, we present a case report of a 15-year-old female patient with a straight profile, class I skeletal and dental relationship, over retained deciduous teeth, severe anterior crowding in both the arches, and impacted canine in maxillary arch on both the sides and in mandibular arch on the right side. Extraction of deciduous teeth was done prior to fixed appliance therapy. After leveling and alignment using fixed appliance, surgical exposure of impacted canines was done using open flap surgical technique. Canines were brought into occlusion using conventional orthodontic technique. In mandibular arch, space for lingually placed lateral incisor was created using nickel-titanium (NiTi) open coil spring. Results achieved after decrowding and getting impacted canines into normal occlusion are presented.
Introduction: Interproximal enamel reduction dates back to 1944 when it was first advocated for correcting lack of tooth size harmony by stripping the proximal surfaces of the mandibular anterior segment. Despite convincing results, interproximal reduction (IPR) only became popular after the advent of bonding, as full-arch banding done previously completely deferred the use of this method for tooth material reduction. With the current status and ongoing development of new techniques of IPR, use of this method as a mean of gaining space has increased exponentially over the last three decades.Procedure: A 12-inch length of 0.036" diameter wire is used for fabrication of the assembly. Helices of 2.5 mm diameter with two coils and the other according to finger grip are fabricated, and U-loops are prepared at the free ends for engaging the proximal strips. This assembly can be placed intraorally in the interdental region of our choice to cut the tooth material. Conclusion:This assembly provides an effective grip rather than using hand held strips. It is also accessible in both anterior and posterior regions with a minimum requirement of armamentarium and can be sterilized and reused.
Aim To explore a successful, much simpler, less cumbersome, and time-consuming technique for mini-implant placement. Materials and Methods Crimpable hook, intraoral periapical radiograph, 15 number surgical blade. Results Very simple and efficient technique for mini-implant placement. Conclusion The proximity of roots in mandibular arch is major risk factor for placements of mini-implants. With the help of this technique, the proper direction and orientation of the miniimplant to be placed can be evaluated. Clinical significance There is no additional armamentarium required for this technique with the least clinical time for the operator providing a very efficient way for mini-implant placement. How to cite this article Joshi D, Patni V, Karandikar G, Ravindranath VK. A New Technique for Precise Microimplant Placement. J Contemp Dent 2016;6(3):157-160.
With pain being the major drawback and reason for patient dropouts in orthodontic treatment, its management becomes an essential part of orthodontics. Patients commonly use nonsteroidal anti-inflammatory drugs (NSAIDs) such as paracetamol, Ibuprofen, Diclofenac-sodium, Acetylsalicylic acid, and Celecoxib to alleviate orthodontic pain. However, it has shown that the use of these drugs has a significant effect on the orthodontic movement of teeth.Arnica montana is an accepted remedy in homeopathic medicine since concentrated extract of Arnica can be toxic, only homeopathic pellets which contain extremely diluted concentration of drug are considered appropriate for ingestion.Arnica has shown efficiency in treating inflammation and associated pain. It has a wide scope in the field of dentistry and can be used as an alternative to NSAIDs in order to control intra-operative and post-operative pain without hampering orthodontic tooth movement. Arnica 30° C can be used for the treatment of dental pain.
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