Various procedures performed from the start till the end of orthodontic treatment such as bonding and debonding involve profound care and caution by the clinician. This can prevent iatrogenic effects of bonding procedures such as occurrence of white spot lesions, enamel cracks, tearouts and irreversible damage to the pulp. This review focuses on the various iatrogenic effects encountered and the possible precautions to be taken to prevent these effects from occurring.
Self-ligating brackets are a ligature less brackets system that has a mechanical device incorporated with the brackets to close off the slot. The idea of Self-ligating brackets was not new to orthodontics. It was existing for shockingly lengthy time-frame in orthodontics. Russell lock edgewise attachment being depicted by Dr Jacob Stoltenberg in 1935. More up to date structures of these brackets have on seemed even today. This proceeded with prevalence of self-ligating brackets has pulled in excess of a little level of brackets producers, deals and clients. This narrative review focuses on the different structures, rationalities and movement of self-ligating brackets.
Introduction: The goal of orthodontic treatment is not only to improve facial esthetics and function but also to address the health of supporting structures and how teeth are placed in them. The interrelationship between ortho and perio often resembles symbiosis. Case description: A 21-year-old female patient reported with the chief complaint of forwardly placed upper front teeth and increasing frontal spacing in the maxillary teeth. She had a mild convex profile with a posterior divergence of the face. Results: The occlusal examination revealed Angle's class I molar relationship bilaterally. The upper incisors showed pathologic anterior migration and extrusion of right central incisor, impacted 23 and crossbite in relation to 22 and 24, whereas the lower arch segment demonstrated mild spacing in the incisor region. Discussion: Periodontal findings were 5-7 mm of generalized pocket depth 13 mm in 11 and 12 mm in 26. The periodontal treatment comprised regular reinforcement of oral hygiene instructions, supragingival scaling, and full mouth open flap debridement. Six-month postperiodontal therapy, orthodontic treatment was initiated and space closure was performed using light continuous force. Conclusion: Posttreatment results showed significant improvement in the extraoral features with competent lips and an average over jet and overbite with sufficient space for the replacement of 11.
Early treatment of skeletal class III becomes necessary in growing patients to prevent the future deterioration of the existing malocclusion and avoiding the complex orthognathic surgical procedures to correct the same. This case series explains two different treatment modalities for growing patients with skeletal class III malocclusion with anterior crossbite, who have differing degree of growth potential, growth pattern, facial profile, lip competency and strain, amount of skeletal discrepancy, and intra-arch relationships. The treatment goals have been achieved efficiently in each situation, due to prompt diagnosis and utilization of proper treatment mechanics.
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