The purpose of this article was to evaluate the effects of a new upper molar distalization system, the Frog Appliance, on dentofacial structures in a Class II, division 1 patient. An 11-year-old girl was referred to our clinic for orthodontic treatment. She had a mild skeletal Class II malocclusion with Class II molar and canine relationship on both sides. The treatment plan included distalization of the upper first molars bilaterally followed by full fixed appliance therapy. For the upper molar distalization, a new system, the Frog Appliance, was constructed and applied. Lateral cephalometric radiographs were used to evaluate the treatment results. Distalization of the upper first molars was achieved in four months successfully, and Class I molar relationship was obtained. Total treatment time was 16 months. According to the results of the cephalometric evaluation, a nearly bodily distal molar movement with a slight anchorage loss was attained.In conclusion, the Frog Appliance was found to be a simple, effective, non-invasive, and compliance-free intraoral distalization appliance for achieving bilateral molar distalization.
Aim: To test the hypothesis that there is no difference between measurements performed on conventional frontal radiographs (FRs) and those performed on FRs obtained from cone beam computed tomography (CBCT) scans. Materials and Methods: This study consisted of conventional FRs and CBCT-constructed FRs obtained from 30 young adult patients. Twenty-three landmarks were identified on both types of cephalometric radiographs. Twenty-one widely used cephalometric variables (14 linear distances, 4 angles, and 3 ratios) were calculated. Paired t-tests were performed to compare the means of corresponding measurements on two cephalometric radiographs of the same patient. Results: Reproducibility of measurements ranged from 0.85 to 0.99 for CBCT-constructed FRs, and from 0.78 to 0.96 for conventional FRs. A statistically significant difference was observed between conventional FRs and CBCT-constructed FRs for all linear measurements
ObjectiveTo test the null hypothesis that SmartClip self-ligating brackets are more effective than conventional brackets for initial mandibular alignment and identify influential factors.MethodsFifty patients were randomly allocated to two equal treatment groups by using an online randomization program: self-ligating group (SmartClip brackets) and conventional group (Gemini brackets). The archwire sequence was standardized. Changes in anterior irregularity index, intercanine width, and intermolar width were assessed on plaster models at 8th and 16th weeks. Changes in incisor position and inclination were assessed on lateral cephalometric radiographs at 16 weeks. Intragroup and intergroup comparisons were performed with paired t-test and Student's t-test, respectively. Multiple linear regression was performed to identify variables affecting improvement in anterior ambiguity.ResultsData of 46 patients were analyzed; those missing an appointment (n = 2) or showing bracket breakage (n = 2) were excluded. Incisor inclination (p < 0.05), intercanine width (p < 0.05), and intermolar width (p > 0.05) increased at 8 and 16 weeks in both the groups; no significant intergroup differences were noted (p > 0.05). Initial anterior irregularity index and intercanine width change were significantly associated with improvement in anterior irregularity (p < 0.001).ConclusionsThe null hypothesis was rejected. Bracket type has little effect on improvement in anterior ambiguity during initial mandibular alignment.
<p><strong>Objectives:</strong> The aim of the present study was to determine the frequency and the distribution of supernumerary teeth (ST) in patients from east-northern Turkey.</p> <p><strong>Materials and Methods:</strong> A retrospective study was performed using panoramic radiographs of 1876 patients [673 females (mean age: 13.05±2.79 years) and 1203 males (mean age: 13.63±3.18 years)] ranging in age from 7 to 34 years (mean age: 13.39±3.05 years). Demographic variables including age and sex, the type, number, eruption status of the ST were recorded. In addition, associated pathologies or complications (displacement, eruption failure, resorption of adjacent tooth, and cyst formation) caused by ST were also recorded. The Pearson chi-squared test was used to determine potential differences between genders.</p> <p><strong>Results:</strong> ST were detected in 15 patients (0.75 %). The frequency of males and females with ST was 1.16 % and 0.49 %, respectively (P= 0.944). The most commonly observed ST was premolar (33.33%) followed by mesiodens (26.67%), distomolar (20.0%), lateral (13.33%), paramolar (6.67%), respectively. Most of the ST were found to be unilateral, impacted, and in the maxilla. Complications associated with ST were observed in 20.0% of the patients with ST.</p> <strong>Conclusions: </strong>The frequency of ST in east-northern Turkish general population was found to be 0.75% with no gender difference (p>0.05). The most commonly observed ST was premolar followed by mesiodens
Aim: The mesiodistal widths of the maxillary and mandibular teeth and anterior and overall tooth size ratios were measured by CBCT and conventional orthodontic plaster methods, compared, and correlation coefficients for both methods determined.
Material and methods: The records of 26 patients (14 males and 12 females) between the ages of 18 and 28 years were randomly selected from the archives of the Oral Diagnosis, Radiology and Orthodontic Departments at the Karadeniz Technical University. The mesiodistal diameters of the maxillary and mandibular permanent teeth from first molar to first molar were measured on the patient’s plaster models and also on CBCT arch renditions. Anterior and overall Bolton ratios were calculated for each method. Comparisons were performed using Pearson’s correlation coefficient (PCC).
Results: The measurements of the mesiodistal widths of most maxillary and mandibular teeth were similar and consistent between the conventional and CBCT methods. PCC values ranged from 0.637 (mandibular right second premolar) to 0.916 (maxillary right canine). PCC values for anterior and overall ratios were 0.756 and 0.781, respectively, indicating that correlations between conventional and CBCT methods were acceptable.
Conclusion: Dental measurements and anterior and overall Bolton ratios calculated on CBCT showed acceptable PCC values indicating that CBCT measurements could be used instead of those obtained from conventional plaster models.
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