Open surgical exposure of two horizontally impacted maxillary incisors combined with orthodontic treatment: A case report.

INTRODUCTION: Maxillary anterior teeth that have not erupted may substantially alter the appearance of the teeth and face. Orthodontists often encounter a clinical challenge while dealing with an impacted maxillary incisor, which creates space problems in the anterior region. The purpose of this paper is to describe the well-synchronized orthodontic and surgical treatment of a horizontally impacted maxillary central incisors. CASE PRESENTATION: A male patient, aged 27, presented with a complaint of unerupted two maxillary front teeth. This resulted in the displacement of adjacent teeth into the vacant region. An intraoral examination revealed a Class II molars on both sides, a deep curve of the space with a 2.3 mm overjet, and an edge-to-edge bite of 0.1 mm. The 3D cone beam computed tomography (CBCT) imaging unveiled a labial impacted and a rotation of approximately 90 degrees (horizontal impacted) on both central maxillary incisors. DISCUSSION: The self-ligating bracket was installed and orthodontic traction aligned the affected tooth in the dental arch. To reach the labial surface of the impacted incisor, open surgical exposure by window excision of soft tissues with a laser was preferable due to the large bulge in the sulcus. Because self-ligating bracket systems employed modest pressures to position the maxillary right central incisor in the arch, the window surgical technique did not produce gingival scarring or increased clinical crown length. CONCLUSION: The impacted upper central incisor was successfully treated using a collaborative interdisciplinary (surgical-orthodontic) approach, which resulted in a favorable aesthetic and functional outcome.

Intention and Oral Health Behavior Perspective of Islamic Traditional Boarding School Students Based on Theory of Planned Behavior

Abstract Objective: To analyze the correlation of the students in an Islamic boarding school intention toward oral health behavior by means of the Theory of Planned Behavior (TPB) approach. Material and Methods: A cross-sectional analytic study was conducted on 153 students of an Islamic boarding school who fulfilled the criterion. Data were obtained by a questionnaire and clinical examination. Data were presented as mean and standard deviation. Results: The highest score of the variable that affects behavior recorded from both male and female respondents was Subjective Norm (57.288 ± 12.828), followed by Attitude (25.627 ± 4.144). Meanwhile, the lowest score that affects behavior was Oral Health Knowledge (3.179 ± 1.402). All study variables, according to the theory of planned behavior, such as knowledge, attitude, subjective norm, perceived behavior control, and intention had significant value to predict and assess behavior with p<0.05. Conclusion: Attitude, subjective norms, perceived behavioral control, and oral health knowledge in Private Boarding School's Santris influence the intention to improve oral hygiene behavior.

Dental Caries and Associated Factors among Primary School Children in Metropolitan City with the Largest Javanese Race Population: A Crosssectional Study.

BACKGROUND: Dental caries is the most prevalent and chronic oral disease, particularly in childhood age. Dental caries is a progressive infectious process with multifactorial etiology. AIM: The aim of this study was to examine the prevalence of dental caries and its associated factors among primary school children at Surabaya, as the metropolitan city with the largest Javanese race population in Indonesia. MATERIALS AND METHODS: A school-based cross-sectional study was conducted at Surabaya in August 2017. Cluster random sampling technique was used to select the children. Structured questionnaire by the World Health Organization (WHO) was used to interview children and/or parents to collect sociodemographic variables. Clinical dental information was obtained by experienced dentist using dental caries criteria set by the WHO. Binary and multiple logistic regression analysis were computed to investigate the factors associated with dental caries. RESULTS: Of 213 children, 50.4% were boys. Majority (99%) of the children cleaned their teeth using toothbrush. The proportion of children having dental caries was 53%. Decay-Missing-Filled (DMF) score was 1, decayed-extracted-filled (def) score was 1.08, and total DMF and def score were 2.07. Toothbrush usage, soda consumption, and educational level of fathers were the associated factors for dental caries. CONCLUSION: Toothbrush usage, soda consumption, and educational level of fathers were the associated factors for dental caries. Therefore, prevention measures, such as health education on oral hygiene, dietary habits, and importance of dental visit, are obligatory for children.