From grandmothers to medical professionals, everyone seems to have a list of symptoms they believe are linked to teething. During this time period of an infant's life, passive immunity due to maternal antibodies wanes and exposure to a wide variety of childhood illnesses occurs. Parental false beliefs associated with teething may interfere with the prompt diagnosis and management of a range of serious illnesses. Strong parental beliefs which are not borne out by evidence will unlikely change until professionals (most of whom are also parents) change theirs. Therefore, there is a need to know the facts and the false beliefs attributed to teething. Medical professionals need to be educated about teething to provide reasonable explanations to concerned caregivers. This article examines the signs and symptoms frequently attributed to teething and their possible alternative causes. The contemporary principles of the management of teething are discussed,including supportive care.
Purpose: To evaluate the muscle response in order to determine the mechanism of neuromuscular adaptations with Forsus Fatigue Resistant DeviceTM which has greater elasticity and flexibility; allows greater range of movement of mandible; is available in pre fabricated assembly of springs, tubes and rods and is a simple, effective and reliable corrective appliance that benefits not only growing patients but also malocclusions that previously required extractions, headgears and surgery. Method: Bilateral EMG activity from anterior temporalis and masseter muscles was monitored longitudinally on 10 young growing females with Class II Division 1 malocclusion to determine changes in postural, swallowing, and maximal voluntary clenching over an observation period of 6 months. Results: There was a significant decrease in the muscle activity at one month after Forsus Fatigue Resistant DeviceTM insertion during swallowing of saliva and maximal voluntary clenching which gradually returned to pre treatment levels at the end of six months.Conclusion: This study suggests that Forsus Fatigue Resistant DeviceTM should be given for at least six months to allow for adequate neuromuscular adaptations to occur for long term stability of the result.
The anterior temporalis and masseter muscles clearly responded to appliance therapy. The neuromuscular adaptation documented after 6 months of treatment remained stable over a 24-month observation period.
This study has been done to compare fourteen cephalometric measurements collected from computerized tracing of digital radiographs followed by manual tracing of the same to check their reliability and reproducibility.Pretreatment lateral cephalograms of fifty subjects were taken, on which fourteen cephalometric measurements were traced. Ten randomly selected cephalograms were retraced by the same operator both manually and digitally.Out of fourteen parameters, eight parameters (N-ANS, S-N, A-Pog, Facial angle, FMA, SNA, SNB and ANB) showed statistically significant differences between the two techniques but were clinically acceptable whereas six parameters did not show any significant differences. Digital measurements obtained from CS8100SC software were reliable for all except ANB. Reproducibility between both the tracing was good except for ANB, Facial axis, Facial angle and FMIA.CS8100SC Imaging software program can be brought into play for cephalometric measurements.
To analyze the effect of Rapid Maxillary Expansion (RME) with posterior bite blocks on craniofacial structures in hyperdivergent patients with adenoid hypertrophy and to compare them with control group. 32 patients of adenoid hypertrophy (mean age 11.6 yrs, range 8-12 years) with a transverse discrepancy were selected and divided into two groups in a random way - Group A: (n=16) hyrax RME with posterior bite block group, Group B: (n=16) control group. Group A- Lateral and Posteroanterior cephalograms were recorded pretreatment (T0), postexpansion (T1), and after 9 months retention (T2). Group B- Lateral and Posteroanterior cephalograms were recorded pretreatment (T0), and after 9 months (T2) concurrent with Group A. Cephalometric measurements in sagittal, vertical and transverse dimensions were taken and comparison was made using Paired and Unpaired t-test with p < 0.05 as statistically significant. Group A underwent insignificant increase in SN-MP angle whereas it increased significantly in Group B. The lower facial height and jarabak’s ratio decreased significantly. All transverse parameters increased significantly with maximum increase in intermolar width when compared with Group B. Significant increase in the transverse dimensions of mid face occurs with RME thus increasing the upper airway patency and effective control of the vertical growth pattern, typical of adenoid hypertrophy, was seen in the treatment group when compared with the control group.
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