BACKGROUND The Forsus fatigue resistant device (FFRD) appliance is known to correct Class II malocclusion. The disadvantage of it are labial flaring of lower incisors, distalisation and extrusion of maxillary molars, difficulty in procuring the appliances in remote areas and cost. No research has documented the comparison of patient’s experience with FFRD and Sharma’s Class II corrector appliance. Therefore, a questionnaire survey was conducted. METHODS 40 patients having Class II Division 1 malocclusion were included and were divided into two groups- FFRD appliance (group 1, 20 patients) and Sharma’s Class II corrector (group 2, 20 patients). A questionnaire was framed that consisted of 15 questions. Descriptive and analytical statistics was done using SPSS software. The difference in proportions was calculated by chi-square test. The level of significance was set at P < 0.05. RESULTS 30 % of cases in group 2 indicated that the Sharma’s Class II corrector looks good (Q1) as compared to 15 % in group 1. (P = 0.630) 5 % indicated it was not aesthetic in group 2 as compared to 10 % in group 1. 30 % of cases in group 1 indicated that there were problems associated with speech as compared to 0 % in group 2. (P < 0.05). Values were statistically significant. CONCLUSIONS Sharma’s Class II corrector has similar patient acceptance as compared to FFRD appliance with the additional benefit of cost effectiveness. Hence, this can be considered as a better option in treating Class II malocclusion with fixed therapy. KEY WORDS FFRD, Fixed Function Appliance, Economic Orthodontics, Growth Modification, Sharma’s Class II Corrector
BACKGROUND Skeletal class II division 1 malocclusion is an antero posterior discrepancy between maxilla and mandible which is usually treated by functional appliances when the patient is in the growing phase. It has been shown that these functional orthodontic appliances may lead to pressure on the oral mucosa, soft tissue tension, oral constriction, toothache and pain. They may also lead to fatigue or to functional speech and respiratory disorders, and they may affect the appearance of the face. All of these undesired consequences affect the patients’ degree of compliance in a negative manner, and may in turn affect the patients’ perception towards the treatment. This study was conducted to investigate patient perception of treatment need, appliance acceptance, expectations of treatment influence on oral health, value of dental aesthetics and information concerning treatment procedures. METHODS Total 30 samples were selected 15 samples were cases treated with twin block appliance and other 15 samples were treated with clear block appliance. After 8 months of treatment, a questionnaire survey was conducted assessing discomfort, expectations and experiences of all patients being treated with clear block appliance and twin block appliance. RESULTS Clear block seemed to be better with regard to all the parameters used in the study but on statistical analysis the difference between the two groups was insignificant. CONCLUSIONS Clear block appliance was designed to increase the compliance of the patient. However, clear block and twin block appliance have similar effects. KEY WORDS Class II, Clear Block, Twin Block
Background: Cleft lip and palate are the most common congenital craniofacial defects, which need early intervention with a multidisciplinary approach including surgeons, orthodontists, speech therapists, pedodontists, etc. Craniofacial growth is affected the most, leading to marked skeletal discrepancies. Constricted maxillary arch is one of the reasons for faulty occlusal inclined planes which results in abnormal loading of condyles, thus leading to temporomandibular disorders (TMDs) in cleft. Condylar head inclination helps to evaluate the position of condyle in the glenoid fossa. Thus, changing the position of condylar head in the glenoid fossa at an early age prevents further worsening of TMD condition. The purpose of this study was to evaluate condylar inclination in individuals with cleft lip and palate and compare it with non-cleft individuals. Method: The study comprised of 40 subjects aged between 9 and 12 years, divided into 4 groups (10 in each)—unilateral cleft lip and palate (UCLP), bilateral cleft lip and palate (BCLP), and class III and class I malocclusion. Scanned three-dimensional digital volume tomography (3D-DVT) images were taken, and condylar head inclination was evaluated and compared. Result: Significant findings were obtained when group 1 was compared to group 2, group 3, and group 4 ( P-value = .001). Also, when group 2 was compared to group 3 and group 4, the values were statistically significant with P-value = .001. Conclusion: Condylar head inclination was found to be most anteriorly angulated in the class III group compared to all the other groups. Unilateral cleft lip and palate had more anteriorly angulated condyle than bilateral cleft lip and palate.
The branch of orthodontics has had an interest in the cervical vertebrae wherein cervical spine is used as a reference structure for natural head position, so skeletal age was evaluated by studying variations in the cervical vertebral morphologies. Among all evaluations, very limited data is available wherein comparison between cervical vertebral body volumes between the different malocclusions has been done. This study aimed to compare the differences in the volumes of cervical vertebral bodies of C2, C3, and C4 between skeletal class I and class II malocclusions of both horizontal and vertical growth patterns. In class I the volume was significantly lesser as compared to class II. It was seen that there was statistically no significant difference in the volume between the horizontal and vertical growers. It can be concluded from this study that cervical vertebral body volume has no effect on growth pattern. However, variations in cervical vertebral body volume are seen with different malocclusions.
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