Severe Open Bite Correction and 5-mm Mandibular Arch Distalisation without Skeletal Anchorage: 4-year Follow-up of a Case of Nonsurgical Orthodontic Treatment of Adult Skeletal Class III Malocclusion.

Ideally, orthognathic surgery is indicated to treat skeletal Class III malocclusion with severe open bite in adults. In this borderline case, however, camouflage treatment without any skeletal anchorage was chosen. This report describes the orthodontic treatment of a 23-year-old man who presented with multiple orthodontic problems including severe open bite of the anterior and posterior teeth up to the first molars, bilateral posterior crossbite, bilateral Class III molar relationship, severe crowding, increased vertical dimension, and dental and facial midline deviation. The treatment included the extraction of four wisdom teeth, uprighting and distalisation of the mandibular arch with molar intrusion using curved NiTi wires with intermaxillary elastics. After 36 months of treatment, satisfactory improvements in the vertical overlap, horizontal overlap and sagittal malocclusion were achieved. The design of the mechanical system used in this case confirmed stable results at the 4-year follow-up.

Atmospheric transport and accumulation of organochlorine compounds on the southern slopes of the Himalayas, Nepal.

Studies have been devoted to the transport and accumulation of persistent organic pollutants (POPs) in mountain environments. The Himalayas have the widest altitude gradient of any mountain range, but few studies examining the environmental behavior of POPs have been performed in the Himalayas. In this study, air, soil, and leaf samples were collected along a transect on the southern slope of the Himalayas, Nepal (altitude: 135-5100 m). Local emission occurred in the lowlands, and POPs were transported by uplift along the slope. During the atmospheric transport, the HCB proportion increased from the lowlands (20%) to high elevation (>50%), whereas the proportions of DDTs decreased. The largest residue of soil POPs appeared at an altitude of approximately 2500 m, and may be related to absorption by vegetation and precipitation. The net deposition tendencies at the air-soil surface indicated that the Himalayas may be a 'sink' for DDTs and PCBs.

[Investigation on facial profile preferences of orthodontic patients].

PURPOSE: To investigate facial profile preferences of orthodontic patients and determine whether the patient's age and sex were influential factors in the esthetic perception for providing reference for clinical practice. METHODS: Profile digital photographs of each patient were used. Changes in facial convexity were established by altering the position of mandible incrementally with Photoshop 7.0. Thus profile images of various degrees of mandiblular anteroposterior discrepancy for each patient was generated. Then an electronic questionnaire was designed and administered to investigate tolerable boundary values for mandibular retrognathism, tolerable boundary values for mandibular prognathism and most pleasing profiles of 203 subjects (average age 19.2±6.0 years; 70 males, 133 females). Differences between male and female profiles in the esthetic perception of patients were analyzed by Wilcoxon matched-pairs signed ranks test. Comparison of esthetics perception for male and female profiles regarding patient's sex and age was made by Wilcoxon rank sum test of two independent samples. All statistical analysis was performed using SPSS 17.0 software package. RESULTS: The zone of acceptability of facial convexity was 168°-180° for male model and 160°-172° for female model. The most pleasing profile was 172° for male and 168° for female. There was no significant difference between male and female patients in facial profile preferences (P>0.05). The differences in facial profile preferences between adult group and immature group were statistically significant (P<0.05). In the comparison of age groups, the adult group preferred bigger facial convexity angles than immature group for male and female retrognathia profile, male prognathia profile and male most pleasing profile. CONCLUSIONS: The zone of acceptability of facial convexity and the most pleasing profile exist in patients' esthetic perception of profile. There is difference between male and female profiles in the esthetic perception. The facial profile preferences of orthodontic patients are influenced by age, not by sex.