Clinical evaluation of "componeers" and direct composite veneers using minimally invasive enamel preparation technique: In vivo study.

AIM: The aim of this study was to evaluate the clinical behavior of prefabricated componeers and direct composite veneering. The objective of the study was to compare the changes in color, surface texture, marginal integrity, and gingival response for componeers and direct composite veneers. SETTINGS AND STUDY DESIGN: This was an in vivo, comparative study. MATERIALS AND METHODS: Ten patients indicated for anterior veneers were selected and divided into Groups A and B of five patients each. Group A was restored with componeers and Group B with direct composite veneers. Both the groups were compared for color changes, surface textural changes, marginal integrity, and gingival response, starting immediately post veneering and at 3, 6, 9, and 12 months subsequently. STATISTICAL ANALYSIS USED: Friedman's two-way analysis of variance and Mann-Whitney test were used for statistical analysis. RESULTS: Results for color ranged from excellent to good with minimal color changes post veneering. Overall, "gingival response," in both the groups, showed statistically significant differences in mean rank scores (P ≤ 0.05). The data depicted an improvement in gingival response for all patients during the period of the study. Surface textural changes were significant only for maxillary right canine and maxillary left lateral incisor (P = 0.024 and 0.039, respectively) in both the groups. Maxillary right canine in both the groups showed significant changes in marginal integrity. Intergroup comparison of gingival response, surface texture, and marginal integrity depicted no significant difference between the groups (P > 0.05). CONCLUSIONS: This study concluded that the intergroup comparison of componeers and direct composite veneers for the parameters, gingival response, surface texture, and marginal integrity did not depict any significant differences. Both the groups displayed minimal changes in color, surface texture, and marginal integrity and improved gingival response.

Pharyngeal airway evaluation following isolated surgical mandibular advancement: A 1-year follow-up.

INTRODUCTION: The aim of this study was to evaluate the stability of pharyngeal airway space changes with the use of acoustic pharyngometry 1 year after bilateral sagittal split ramus osteotomy for mandibular advancement in patients with skeletal Class II malocclusion. METHODS: The sample comprised 16 patients (mean age 21.26 ± 1.86 years). Acoustic pharyngometry measurements were recorded 1 week before surgery (T0), 2 months after surgery (T1), and 1 year after surgery (T2). Parameters were compared by means of repeated-measures analysis of variance (ANOVA). RESULTS: Significant increase was seen in minimum cross-sectional area 2 months after surgery (P < 0.001). Relapse of 12.6% was observed within 1 year after surgery (P < 0.001). Statistically significant increase, ie, 31.5%, was seen in mean cross-sectional area 2 months after surgery (P < 0.001), which relapsed by 7.9% 1 year after surgery (P < 0. 0.001). Significant increase in mean volume from 30.32 ± 2.2 cm3 before surgery to 38.91 ± 2.73 cm3 2 months after surgery (P < 0.001) was observed. Mean volume relapsed 3.9% 1 year after surgery (P < 0.001). CONCLUSION: Changes in pharyngeal airway space dimensions in patients subjected to isolated surgical mandibular advancement on 1 year follow up showed encouraging results.

Management of Nonsyndromic Skeletal Dysgnathia by Distraction Osteogenesis Long-Term Follow-Up.

Distraction osteogenesis has been a paradigm shift in the field of orthognathic surgery. Majority of the published cases are those of syndromic patients that have been managed using varying treatment protocols. This communication describes a patient of 18-year-old male diagnosed with skeletal Class II malocclusion due to mandibular retognathism. The patient was taken up for mandibular corpus distraction of 10 mm. By this approach the patient was benefitted with good esthetic result and functional occlusion. Distraction protocol followed in this patient for lengthening of mandibular corpus has resulted in a stable outcome. The 2-year follow-up photographs show a stable result both esthetically and functionally.