Maxillary Sinus Elevation Difficulty Score with Lateral Wall Technique.

Maxillary sinus augmentation is a procedure commonly performed in patients in need of posterior maxillary implants with limited vertical ridge height and sinus pneumatization. However, minimal information has been presented to evaluate the complexity of the sinus elevation procedure via a lateral window approach based on patient examination, including extraoral findings, anatomical factors, and the possible influence from the surgeon's experience. Therefore, this article presents a new scheme of maxillary sinus floor elevation difficulty score based on comprehensive patient- and surgical-related factors. The proposed scoring tool aims to aid surgeons in performing a comprehensive presurgical evaluation prior to the lateral wall sinus augmentation surgery and also enhance communication between clinicians and patients regarding the complexity of the case.

3-dimensional finite element analysis of the outcomes of Alexander, Gianelly, Roth and MBT bracket prescription.

The purpose of this study was to compare the effect of a 4-bracket system including Alexander, Roth, MBT (Maxillary Transverse Bioadaptation), and Gianelly on the upper anterior tooth movement in sliding mechanics with the help of a 3-Dimensional (3D) Finite Element Method. METHODS: Displacement, stress, strain, centre of rotation and resistance on the incise edge and apex of the maxillary central incisor were calculated when 100, 200, 300, 400grams of retraction force were applied. RESULTS: The amount of incise edge displacement was 2.609×10-4mm 2.682×10-4mm 2.875×10-4mm and 2.881×10-4mm in Alexander, Gianelly, Roth and MBT respectively with 100gr of retraction force. The value of apex root movement was 3.485×10-4mm 3.547×10-4mm 3.852×10-4mm and 3.864×10-4mm in Alexander, Gianelly, Roth and MBT respectively with 400g of retraction force. CONCLUSIONS: The MBT system had the maximum apex root and incisal edge movement in all 100, 200, 300, 400grams of retraction force. The Alexander system had the lowest apex and incisal edge movement in all retraction forces.

Effect of Bionator and Farmand Appliance on the Treatment of Mandibular Deficiency in Prepubertal Stage.

OBJECTIVE: The present study aimed to compare dentoskeletal changes in mandibular-deficient patients treated with Bionator and Farmand appliances. METHODS: This study included 54 subjects treated for class II division I malocclusion. All subjects fulfilled the following criteria: ANB>5°, SNB<77°, and overjet >5 mm. The Bionator group consisted of 27 patients (15 girls, 12 boys) with the mean age of 11 (SD 1) years and the Farmand group consisted of 27 patients (17 girls, 10 boys) with the mean age of 11.1 (SD 1.4) years. Statistical analyses were performed using t-test, paired t-test, Wilcoxon, and Mann-Whitney test. RESULTS: In the Farmand group, SNB significantly increased from 74.3° (SD 1.7) to 77.6° (SD 2.3) and ANB decreased by 3.2° (SD 1.7) (p<0.001). In the Bionator group, SNB significantly increased from 75.5° (SD 0.9) to 79° (SD 0.9), and ANB decreased by 3.3° (SD 1.3) (p<0.001). The increase in IMPA showed that the lower incisors were significantly tipped using both appliances. T-test did not show any significant differences between the two groups. CONCLUSION: Despite the different designs of the appliances, both were successful in the treatment of class II division 1 malocclusion in mandibular-deficient patients.

Cleft sidedness and congenitally missing teeth in patients with cleft lip and palate patients.

BACKGROUND: The aim of this study was to investigate the prevalence of cleft sidedness, and the number of congenitally missing teeth in regard to cleft type and gender. METHODS: The charts, models, radiographs, and intraoral photographs of 201 cleft patients including 131 males with the mean age of 12.3 ± 4 years and 70 females with the mean age of 12.6 ± 3.9 years were used for the study. T test, Chi-square, and binomial tests were used for assessment of the data. RESULTS AND CONCLUSIONS: One hundred forty-eight of the subjects suffered from cleft lip and palate followed by 41 subjects who suffered from cleft lip and alveolus. Chi-square test did not show any significant difference between the genders. Binomial test showed that left-sided cleft was more predominant in unilateral cleft lip and palate patients (P < 0.001). This study also showed that the upper lateral incisors were the most commonly missing teeth in the cleft area.

Photogrammetric analysis of facial profile in Persian adults.

When facial photographs are analyzed for the purpose of identifying esthetics norms, differences in dentofacial relationships among ethnic and racial groups must be taken into consideration. Therefore, it is necessary to establish standards for various populations. The purpose of this study was to establish norms of photogrammetric soft tissue profile analysis for Persian adults. Pretreatment lateral photographs of 147 subjects (66 men and 81 women aged 18-35 years) with a Class I skeletal pattern were collected. Twelve angular parameters were evaluated in the subjects. Values for men and women were compared with a t test. Statistically significant sexual dimorphism was found for nasofrontal (P < 0.059), nasal (P < 0.059), nasal dorsum (P < 0.001), cervicomental (P < 0.001), facial convexity (P < 0.004), and total facial convexity (P < 0.002) angles. The mean values obtained from this study can assist in orthodontic diagnosis and treatment planning for Persian adults.

Hypodontia and supernumerary and impacted teeth in children with various types of clefts.

INTRODUCTION: The purpose of this study was to determine the prevalence of hypodontia, hyperdontia, and impacted teeth in children with various types of clefts. METHODS: This study sample consisted of 201 cleft patients including 131 male subjects with a mean age of 12.3 ± 4 years and 70 female subjects with a mean age of 12.6 ± 3.9 years. Charts, models, radiographs, and intraoral photographs were used for the study. t tests, chi-square tests, and binomial tests were used for assessment of the data. RESULTS AND CONCLUSIONS: Hypodontia was found in 129 subjects (64.1%). The chi-square test showed no statistically significant difference between the type of cleft and hypodontia (P <0.319). The binomial test showed that the frequencies of subjects with hypodontia were significantly higher in both unilateral and bilateral cleft lip and palate patients (P <0.015 and P <0.001, respectively). Hyperdontia and impacted teeth were also found to occur mostly in the maxillary arch, and maxillary canines were the most commonly impacted teeth in both unilateral and bilateral cleft lip and palate patients.

Prevalence of Orthodontic Treatment Need and Occlusal Traits in Schoolchildren.

Background. Widespread use of the IOTN along with detailed study of occlusal traits is suitable for planning community dental health resources. Objectives. The aim of current study was to assess the need for orthodontic treatment among school children of Tehran by means of the Dental Health Component (DHC) of the Index of Orthodontic Treatment Need (IOTN) and also to evaluate the occlusal traits of the subjects. Methods. 684 (343 boys and 341 girls) school children, 15 to 17 years of age, were selected at random from 12 schools to represent the four main areas of Tehran. The final sample who met the inclusion criteria comprised 643 subjects (322 males and 321 females). Malocclusion was determined with the Index of Orthodontic Treatment Need. The IOTN grades were statistically compared in the two genders using chi-square test. Results. Orthodontic treatment need, using the DHC, was found in only 9.0 per cent of the children. The prevalence of Angle Class I malocclusion in this study was higher than other malocclusions (65.2 per cent), followed by crowding in 62.7 per cent of the subjects. Conclusion. Orthodontic treatment need for Tehran high school students was relatively lower than that reported in most recent studies in Europe.