Fixed appliance treatment is a popular treatment modality with a burgeoning increase in the numbers of children and adults realizing the benefits that can be gained. Appliance breakage is an unavoidable nuisance which is at best inconvenient, and at worst may result in significant pain or discomfort for the patient. General dental practitioners (GDPs) should have the practical knowledge of how ...

This randomized split-mouth study aimed to examine the levels of matrix metalloproteinases (MMPs) -1, -2, -3, -7, -8, -12, and -13 in the gingival crevicular fluid (GCF) at different time points during orthodontic tooth movement. A total of 16 healthy orthodontic subjects (7 females, 9 males; mean age, 17.7 years) who needed their first upper premolars extracted were enrolled. One randomly chos...

OBJECTIVE The objective is to evaluate the effects of maxillary distraction osteogenesis (DO) in an adult patient with unilateral cleft lip and palate (UCLP) by using a rigid external distraction (RED) device with dentoskeletal anchorage. METHOD 31-year-old male patient with UCLP with severe maxillary hypoplasia, dolichofacial growth pattern, negative overjet and 1.5 mm openbite. After pre-su...

In growing patients. Class II malocclusion can be corrected by various modalities. Among all methods, functional appliances bring about better facial esthetics and functional harmony. Twin block is a most common among all functional appliances used to the correct skeletal discrepancy in growing individuals.1−4 A crowded dental arches necessities an additional prefunctional orthodontics to align...

The last stage of orthodontic treatment is occlusal finishing. This complex and subtle treatment period demands careful reflection by orthodontists in order for them to achieve an optimal occlusion. Elastodontic concept is a straightforward therapeutic tactic, whose essence is a considered and individualised approach to treatment within a well-structured plan. Elastodontic concept enables ortho...

The immediate problem to be addressed in a new born with cleft lip and palate is the interference of feeding. Here we present a case of cleft lip and palate for which a feeding obturator was made to facilitate feeding till the defect could be surgically repaired. The design was modified by placing orthodontic wire on the acrylic plate for attaching the ties of mouth mask. Different precautionar...

There are numerous intra-oral appliances that are used for many purposes in orthodontic practice. Some popular instances include those for anchorage preservation, distalizing plates, and expansion appliances. In maximum anchorage extraction cases, which are serious challenges for orthodontists, none of intra-oral devices can preserve the anchorage precisely. Butterfly arch with its unique desig...

A 9-year-old girl with Papillon-Lefèvre syndrome (PLS) was treated orthodontically 24 months after the start of mechanical and antibiotic therapy in adjunct with periodontal treatment every 6 weeks. After achieving stable periodontal conditions, orthodontic treatment was commenced to correct the teeth position, facial profile, and maxillary protraction. Following the combination therapy and a f...

The aim of the present study was to compare the recolonization pattern of mutans streptococci on densely colonized teeth with and without fixed orthodontic appliances after treatment with a 40 per cent chlorhexidine (CHX) varnish (EC 40, Explore). Healthy subjects free of carious lesions requiring fixed orthodontic appliance treatment but with high bacterial mutans streptococci saliva counts we...

This case report describes the surgical management of mucosal entrapment a mini-implant-supported molar distalization appliance.A 17-year-old female patient was referred for removal implant-supported pendulum appliance entrapped in palatal mucosa, which is used by Department Orthodontics. The clinical findings suggested that overlying soft tissue non-inflammatory and occurred due to forceful im...