Advances in Management of Class II Malocclusions

Tehranchi, Azita; Behnia, Hossein; Younessian, Farnaz; SaharHadadpour,

doi:10.5772/63348

Cited by 3 publications

(2 citation statements)

References 59 publications

(62 reference statements)

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“…To lessen postoperative edema and pain, oral and maxillofacial surgeons frequently prescribe short-acting corticosteroids 14 .…”

Section: Discussionmentioning

confidence: 99%

Importance of Dexamethasone for Control of Edema and Pain at Surgical Site in the Mandibular Fracture Osteosynthesis Treatment

Mubeen¹,

Farheen²,

Khattak³

et al. 2021

PJMHS

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Dexamethasone is highly sensitive to low dosages and is widely used in oral surgical procedures with variable dosage, timing and route of administration. Aim of the study: Comparison of the results of treatment with placebo and dexamethasone in terms of the edema and mean pain at the surgical site in patients with osteosynthesis of the mandible. Methods: This randomised controlled trial was held in the Oral and Maxillofacial surgery department of different dental hospitals of Lahore for one-year duration from June 2021 to May 2022. A total of 100 patients with mandibular fractures of both sexes, aged 20 to 60, were included in the study. Patients with other associated facial fractures, patients with a history of diabetes mellitus, heart and kidney disease due to chronic drug use, and pregnant women were excluded. The experimental group was given eight milligrams of dexamethasone with submucosal infiltration at the surgical incision site and the normal saline was given in the control group. Edema and pain were evaluated by means of visual analog scale at a nine-line measurement at twenty-four and seventy-two hours postoperatively, respectively. Results: In this study, 24 hours after the procedure, the visual analog scale was 2.16 ± 0.89 in group I (experimental group) and 3.51 ± 1.23 in group II (placebo group) and 2.29 ± 0.89 in control group and 0.62 ± 0.19 in group given dexamethasone at seventy-two hours. Postoperative edema score was significantly less up to 4.26 ± 1.42 in patients receiving group I (dexamethasone), in comparison to group II (placebo group) 5.38 ± 1.01 twenty-four hours afterwards surgical procedure and 2.06 ± 0.64 in the placebo group and 0.042 ± 1.23 in the group given dexamethasone at seventy-two hours. Conclusions: This study found that patients with osteosynthesis of the mandible had lower rates of pain and swelling after applying dexamethasone to the surgical site. Keywords: Dexamethasone, Mandibular osteosynthesis, Edema.

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“…To lessen postoperative edema and pain, oral and maxillofacial surgeons frequently prescribe short-acting corticosteroids 14 .…”

Section: Discussionmentioning

confidence: 99%

Importance of Dexamethasone for Control of Edema and Pain at Surgical Site in the Mandibular Fracture Osteosynthesis Treatment

Mubeen¹,

Farheen²,

Khattak³

et al. 2021

PJMHS

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“…Therefore , Moyers defined new classification for classifying skeletal class II malocclusion. He divided it into two types i.e vertical and horizontal [4]. Basically, Skeletal class II discrepancy occur when mandibular jaw is in posterior relation to the maxillary jaw when seen in sagittal relation.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Efficacy of Novel Method of Quantifying and Grading Class II Malocclusion in Vidarbha Population

Tikar

Reche

Jadhav

et al. 2021

JPRI

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Background: It is important to quantify class II malocclusion for proper diagnosis of the case and adjusted treatment will aid in successful correction of malocclusion. Hence, the study will aid for proper treatment planning by classifying class II malocclusion established on the amount of overjet, overbite, distance and relation of maxillary and mandibular first molar and the relationship of canine and molar. Objectives: To grade Class II malocclusion in form of overjet and overbite. Materials and Methods: Patients visiting Department of Orthodontics and Dentofacial Orthopedics, Sharad Pawar Dental College, Wardha, having class II malocclusion will be chosen. The chi square test, student's paired and unpaired t test, and descriptive and inferential statistics will be used in the statistical analysis. Expected Results: The outcome after conduction of the study is expected to have more patients with Type 1 overjet and Type B overbite kind of Class II malocclusion. Conclusion: The establishment of this new classification will aid in concise analysis and proper treatment planning of Class II malocclusion thereby enhancing the esthetics and functional stability for the patient comfort.

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