Canine retraction is a very important step in treatment of patients with crowding, or first premolar extraction cases. In severe crowding cases until, the canines have been distilized to relive the crowding, space to correctly align the incisors will not be available. Correct positioning of the canines after retraction is of great importance for the function, stability, and esthetics. The aim of this systematic review was to examine, in an evidence-based way, which kinds of canine retraction methods/techniques are most effective and which have the least side effects. A literature survey was performed by applying the Medline Database (Entrez PubMed) and Science Direct database covering the period from 1985 to 2014, to find out efficient ways to accomplish canine retraction. Randomized controlled trials (RCTs), prospective and retrospective controlled studies, and clinical trials were included. Two reviewers selected and extracted the data independently and assessed the quality of the retrieved studies. The search strategy resulted in 324 articles, of which 22 met the inclusion criteria. Due to the vast heterogeneity in study methods, the scientific evidence was too weak to evaluate retraction efficiency during space closure. The data so far reviewed proved that elastomeric power chains, elastic threads, magnets, NiTi coil springs, corticotomies, distraction osteogenesis, and laser therapy, all are able to provide optimum rate of tooth movements. All the methods were nearly similar to each other for retraction of canines Most of the techniques lead to anchorage loss in various amounts depending on the methods used. Most of the studies had serious problems with small sample size, confounding factors, lack of method error analysis, and no blinding in measurements. To obtain reliable scientific evidence, controlled RCT's with sufficient sample sizes are needed to determine which method/technique is the most effective in the respective retraction situation. Further studies should also consider patient acceptance and cost analysis as well as implants and minor surgeries for canine retraction.
The aim of this study was to correlate the morphological facial index and canine relationship in adults. Materials and method: The research was conducted on 1000 subjects (563 males and 437 females), aged 18-40 years, selected randomly. The parameters were morphological facial height and facial width. The standard spreading caliper with its scale was used for the measurement of facial parameters. Canine relationship was observed intra-orally with the subjects seated on the dental chair. Result: Euryprosopic facial type (53.2%) was most common in majority of the subjects followed by Mesoprosopic (21.6%), Hypereuryprosopic (19%), Leptoprosopic (5.6%) and the least common was Hyperleptoprosopic (0.6%). The canine relation was mostly Class I in both the genders, females showed a higher value of Class II and Class III canine relation. Conclusion: The overall majority had the euryprosopic facial type and there was no significant association between facial morphologic types and canine relationship in both the genders in different age groups at either side. The canine relationship association with facial morphologic type was significant only for left side.
Keywords: Golden proportion, Aesthetic smile, Tooth sizes Aim: This study aimed to investigate the existence of the golden proportion between the widths of the maxillary anterior teeth in individuals with an aesthetic smile.
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