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The present study was primarily carried out to assess the severity of malocclusion and treatment needs of 14- to 15-year-old schoolchildren of Bangalore, India, using the Dental Aesthetic Index (DAI) and to correlate them with the subjective perception of aesthetics, function, speech and treatment needs. A total of 1618 students aged 14 to 15 years, who were randomly selected from 40 government and private schools, were included in the present study. The subjects were asked about their self-perception of malocclusion using a structured questionnaire. A Likert scale was used to assess their perception. They were then subjected to a clinical examination, wherein the malocclusion and the treatment needs were assessed using the DAI. The data were analysed using the SPSS® version 10 statistical package. Most of the subjects were satisfied with the arrangement of their teeth. Weak but statistically significant correlations were found between all of the variables (P < 0.01). Correlation was found to be greater between aesthetics and speech (r = 0.489; P < 0.01), aesthetics and the DAI component (r = 0.342; P < 0.01), and subjectively and objectively perceived treatment needs (r = 0.476; P < 0.01). There was no significant difference observed between the children in private and government schools (P > 0.05). Aesthetics was the most common reason for seeking treatment. Most of the subjects were satisfied with the appearance of their teeth, masticatory function and speech. The perception of dissatisfaction with dental appearance increased with increasing severity of malocclusion. However, the same did not apply for masticatory function and speech. Self-perception of treatment need was low.

Rachala M.R.,SVS Institute of Dental science
International journal of orthodontics (Milwaukee, Wis.) | Year: 2010

Light-emitting diode (LED) light curing units (LCU) have recently been used to polymerize resin-based orthodontic adhesives and preliminary studies indicate their use has been successful. The objectives of this study were to evaluate the shear bond strength (SBS) oforthodontic brackets bonded to enamel with a LED LCU (LEDMAX 4, Hilux, Kulzer comp.) at 10, 20 and 40 seconds and comparing them with that of 40 seconds light exposure from a conventional halogen-based LCU (Hilux unit, Heraeus Kulzer comp.). Also to assess the amount of adhesive remaining on the tooth after debonding using Adhesive Remnant Index (ARI). 120 extracted human premolars were divided into 4 groups of 30 each. After photo polymerization, all the samples were stored in distilled water at 37 degrees C for 24 hours and then subjected to a shear force with universal testing machine until bracket failure. All the recordings were evaluated statistically ANOVA and Turkey tests revealed that, no statistically significant differences were found among the shear bond strengths of 40 sec halogen (10.15 +/- 1.55), 20 sec LED (9.58 +/- 1.71) and 40 sec LED (10.34 +/- 1.83) cured groups; but the bond strength of 10 sec cure LED group (7.56 +/- 1.47) showed significantly lower than the other groups. Chi-square comparisons indicated that there were no significant differences in the ARI scores between the 4 groups tested. The results of this study are promising for orthodontic application of LED curing units in clinics, but further in vivo trials should be performed before validation.

Gandi P.,SVS Institute of Dental science
BMJ case reports | Year: 2013

A variety of treatment modalities, from removable partial dentures, fixed prosthesis to implant placement can be used for replacement of missing teeth. Anterior diastema closure is one of the most challenging tasks; it is appreciable that restorative approach is the fastest, simplest and most predictable. This case report presents a successfully accomplished closure of diastema in mandibular anterior teeth, and splinting of the adjacent teeth which were grade II mobile. This present treatment modality offers a conservative, aesthetic and non-invasive treatment which can be considered as a long-lasting treatment.

Gandi P.,SVS Institute of Dental science
BMJ case reports | Year: 2013

Mucosal fenestration is an opening or an interstice through the oral mucosa. A lesion which occurs with greater frequency than generally realised, its occurrence is attributed to a myriad of causes. Mucogingival procedures including connective tissue grafts, free gingival grafts and lateral pedicle grafts are generally considered to be the treatment of choice in the closure of a mucosal fenestration. More often, these procedures are performed in conjunction with other procedures such as periradicular surgery and with bone grafts. However, the concomitant use of gingival grafts and bone grafts in mucosal fenestrations secondary to infections in sites exhibiting severe bone loss is highly debatable. In this article, we report two cases of mucosal fenestrations secondary to trauma and their management by regenerative periodontal surgery with the placement of guided tissue regeneration membrane and bone graft. The final outcome was a complete closure of the fenestration in both the cases.

External cervical resorption is the loss of dental hard tissue as a result of odontoclastic action; it usually begins on the cervical region of the root surface of the teeth. This case report demonstrates an external cervical resorption in a maxillary central incisor of a 24-year-old male patient. After surgical intervention and root canal treatment, the resorption was subsequently sealed with mineral trioxide aggregate. The 18 months follow-up demonstrates no pathological changes on clinical and radiographic examination. This case report presents a treatment strategy that might improve the healing outcomes for patients with external cervical resorption.

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