Archive for 'Diagnosis'
Early Orthodontic Treatment – is it worth it ?
March 2012
The time at which orthodontic treatment should be started remains a matter of conjecture. Anomalies of dental development and functional problems tend to be addressed in the mixed dentition, while definitive treatment tends to be delayed until the late mixed dentition to maximize growth potential and patient compliance. However, some clinicians advocate starting treatment earlier in certain types of malocclusion. In this article, the current concepts of early treatment, both physiological and psychological, will be explored and the relevant indications are discussed with a case report .
Asymmetric extraction in a Class I malocclusion with bilateral agenesis of maxillary lateral incisors and mandibular anterior crowding
February 2012
Congenital absence of teeth (hypodontia) is the most common developmental dental anomaly in human. Certain adult patients with unique orthodontic problems contralateral tooth size differences, and maxillary/ mandibular tooth size disharmonies demand asymmetric extraction. This report describes management of class I malocclusion with congenital bilateral agenesis of maxillary lateral incisors and mandibular anterior crowding with asymmetric extraction in mandibular dental arch.
Osteoporosis – An Orthodontic Challenge
February 2012
Osteoporosis has been shown to affect periodontium and orthodontic tooth movement. There are also reports of Osteonecrosis related to oral bisphosphonate therapy during treatment for Osteoporosis. Hence an Orthodontist should be aware of the possible risks involved in osteoporotic patients undergoing Orthodontic treatment. Hence, certain recommendations are being suggested while doing Orthodontic treatment of an Osteoporotic patient.
Closed Versus Open Eruption in Management of Impacted Canines
January 2012
Impacted teeth vary according to their positions, depth, patients’ general status and “manageability”. Such variations and distinctions impose additional burdens on the practitioner to establish and successfully execute a treatment plan. One must realize that a single treatment plan will not suffice for all cases, but must be designed for each instance. However, the cornerstones in impaction cases are: Synoptic treatment plan, establishing the position of the Impacted tooth and finding the traction techniques that ultimately lead the impacted tooth into its correct anatomical position.
Diagnosis of Facial Asymmetry Using Conventional PA Cephalometric Analysis and a Maxillofacial 3-Demensional CT Analysis: A Comparative Study
January 2012
The advent of computed tomography has greatly reduced magnification errors from geometric distortions that are common in conventional radiographs. Recently introduced 3-dimensional (3D) software enables 3D reconstruction and quantitative measurement of the maxillofacial complex.
Primary Failure of Eruption (PFE) of Multiple Permanent Teeth: A diagnostic and Rehabilitation challenge
January 2012
ABSTRACT The objective of this article is to help the dentist diagnose a case of primary failure of eruption (PFE) appropriately and distinguish it from other causes of eruption failure. The literature on the possible etiology of PFE was reviewed and correlated with our patient. A systematic approach towards the diagnosis and treatment by surgical [...]
An Easy Approach for Diagnostic Setup in Moderate to Severe Crowding Cases
December 2011
Diagnostic setups have been used in orthodontics for a long time to decide upon treatment plans individual patients. Numerous methods of have been described for diagnostic setups1-5. However while preparing diagnostic setups it is always difficult to slice out all individual teeth from a single model especially in moderate to severe crowding cases.
A Patient’s Guide to Orthognathic Surgery
October 2011
Orthognathic surgery (jaw surgery) is a term and a process unfamiliar to most people. When orthognathic surgery is recommended to you or your child, you want as much information as you can possibly get. We have been leaders in this field of dentistry for 30 years, and in that time have encountered many myths and misconceptions patients gather through conversations with friends and neighbors and exploring the Internet.
Impacted Maxillary Central Incisor with Mesiodens – Treatment Protocol
October 2011
At your clinical examination, the alveolus in the right central incisor region appears fairly wide or perhaps a little bulky and it certainly feels as though there is a tooth underneath the mucosa. You prescribe a periapical radiograph which clearly shows a supernumerary conical tooth, with little or no root development, superimposed on the image of what appears to be a normal, but displaced, central incisor. The root of this incisor is well over 2/3 of its final root length, although its apex is still open and the tooth itself is quite high in the alveolus.
