Combined orthodontic and surgical correction of an adolescent patient with thin palatal cortex and vertical maxillary excess.

This paper describes the treatment of a male patient aged 14 years who presented with a skeletal class I, vertical maxillary excess, marked increase in overjet, thin palatal cortex and a gummy smile. Considering the severity of his malocclusion and its impact severity on his psychosocial well being, he was managed with a combined approach of Fixed Orthodontic therapy and Orthognathic surgery, even though his growth was not complete. Records of Pre treatment, Post treatment and three years in retention were analyzed and the functional and esthetic results were found to be fairly stable.

Different pharmacological solutions in intracanal irrigation.

Irrigation of root canals during endodontic therapy is an important step. Sodium hypochlorite (NaOCl), hydrogen peroxide (H2O2), chlorhexidine (CHX) and normal saline are commonly used intracanal irrigants to disinfect and clean the root canals. This prospective study was set to observe the efficacy of normal saline (0.9% NaCl) irrigation with sequential irrigation of 3% H2O2, 5.2% NaOCl and 0.9% NaCl. A total number of 228 dental patients were screened and 104 patients fulfilling the inclusion criteria were enrolled for the endodontic therapy of mature permanent teeth for the period of one year. Two treatment groups were constituted in which patients were randomly allocated equally in each treatment group. Post-obturation pain, swelling, analgesic use and eight weeks post-obturation radiological evaluation of the patients were carried out as the measurement of clinical and radiological success of the endodontic treatment. No statistically significant differences were observed in the measured treatment outcomes between two groups. However, studies involving larger sample size and longer post-obturation follow up are recommended for the further either confirmation or rejection of present findings.

Orthodontic repositioning of a malposed and dilacerated central incisor.

Dilacerated teeth are commonly seen in the maxillary anterior region. They are a cause for concern to both patients as well as parents when such teeth do not erupt or erupt in an unusual position. Careful planning is required while aligning such teeth. Orthodontists often hesitate aligning severely dilacerated teeth due to high chances of failure. A case of a dilacerated and malposed right central incisor in an eleven-year-old male patient is presented here. The tooth was orthodontically repositioned despite its unusual position and severely dilacerated root.