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At least 1,243 records · Page 69Linked to original sources
PubMed1993

Orthodontic treatment needs in Westmead Hospital Dental Clinical School.

One hundred and fifty-four adolescents, 76 female and 78 male consented to take part in this survey. The two authors examined and assessed them for dental aesthetics, malocclusion related features and TMJ related signs. The patients were also questioned about their opinion of dental aesthetics, their interest in having orthodontic treatment and their TMJ symptoms. Only 63 per cent of the adolescents who were considered suitable for orthodontic treatment expressed an interest in wanting treatment. Twenty-seven per cent of patients had signs and/or symptoms of TMJ disturbance. No association was found between individual malocclusion problems and TMJ signs and symptoms. The authors considered 56.5 per cent of the total group for orthodontic treatment, the majority for aesthetic reasons, and placed them into high, medium and low priority groups. Fixed appliance therapy for both arches was the recommended type of treatment for most patients.

Adolescent↗
PubMed2003

The use of small titanium screws for orthodontic anchorage.

The use of conventional dental implants for orthodontic anchorage is limited by their large size. The purpose of this study was to quantify the histomorphometric properties of the bone-implant interface to analyze the use of small titanium screws as an orthodontic anchorage and to establish an adequate healing period. Overall, successful rigid osseous fixation was achieved by 97% of the 96 implants placed in 8 dogs and 100% of the elastomeric chain-loaded implants. All of the loaded implants remained integrated. Mandibular implants had significantly higher bone-implant contact than maxillary implants. Within each arch, the significant histomorphometric indices noted for the "three-week unloaded" healing group were: increased labeling incidence, higher woven-to-lamellar-bone ratio, and increased osseous contact. Analysis of these data indicates that small titanium screws were able to function as rigid osseous anchorage against orthodontic load for 3 months with a minimal (under 3 weeks) healing period.

Analysis of Variance↗
PubMed2005

A 2-year outcome audit of a versatile orthodontic bone anchor.

This study examined complications leading to, or possibly leading to, treatment failure, related to the use of the orthodontic bone anchor (OBA). The OBA is a potential means of providing absolute anchorage and consists of a base-plate fixed with mono-cortical screws, a neck piercing the soft tissues, and a coronal part with conventional orthodontic hooks, tubes or slots. The investigation took the form of a single centre prospective registry at a supra-regional teaching hospital. Eighteen patients (average age 21 years) had one to four OBAs placed between January 2000 and February 2002. Altogether 35 OBAs were placed. Follow-up took place until April 2004. Reasons for placing the OBAs were noted together with any associated complications during the follow-up period. Twenty-three OBAs have been removed so far, four prematurely (one of them before it was taken into use, due to a change of treatment plan enforced by loss of the contralateral OBA). Nineteen were removed as planned after completion of the intended tooth movements. Common (but minor) complications included granulations, acute gingivitis and gingival recession. Light mobility of the OBA was also noted in some cases, but without clinical repercussions. The OBA can be loaded directly, at the level of the orthodontic archwire or more occlusally. It can be placed at any site at the circumference of the jaws, given good quality and thickness of the bony wall. Conventional biomechanical techniques can be applied. However, the failure rate (premature loss of OBA) of 8.6% is considered high, and has necessitated changes in the hardware and protocol.

Adolescent↗
PubMed1983

Proximal caries increment in connection with orthodontic treatment with removable appliances.

The progression of proximal caries on canines, premolars and molars has been studied among 129 children treated with removable orthodontic appliances. The registration of carious lesions was performed on posterior bitewing radiographs taken before and after the orthodontic treatment. The children in this investigation showed a higher proximal caries progression than children treated with fixed orthodontic appliances where bands had been used. However, in comparison with caries data from epidemiological investigations in children of similar ages from the same area no difference was noted.

Adolescent↗
PubMed1990

A study of need and demand for orthodontic treatment in two contrasting National Health Service regions.

A study has been made of attitudes towards the need for orthodontic treatment and its acceptability to fifth year high school pupils in two regional health authorities in England, selected because of differences in the number of orthodontists practising in the regions and in the amount of General Dental Service orthodontics undertaken in each. The respondents in both regions showed similar levels of awareness to the need for treatment, but treatment was found to be less acceptable to those in the region where less orthodontic appliance therapy was being undertaken. The differences between regions were greater in girls than boys. In both regions, girls were more aware of malocclusions than boys and were more prepared to accept treatment.

Adolescent↗
PubMed1990

Temporary pontics in aesthetic orthodontics--a new design.

A new and simple technique for aesthetic tooth replacement during orthodontic treatment, with a pontic using orthodontic wire mesh, is described and appears in the author's clinical practise to be superior to the other techniques reported previously. These pontics may be used in maxillary first bicuspid extraction cases, and with adaptation where anterior teeth have to be replaced because of agenesis, extractions, or traumatic loss. This technique thus also provides the clinician with an aesthetic and dependable space maintainer for anterior teeth whilst orthodontic treatment is being completed.

Adult↗
PubMed1992

The prevalence and severity of malocclusion and the need for orthodontic treatment in 9-, 12-, and 15-year-old Glasgow schoolchildren.

An epidemiological investigation involving 765 Glasgow schoolchildren aged nine, twelve, and fifteen years was undertaken to assess the severity of malocclusion, the need for orthodontic treatment, and the proportion of children in each age group who had previously received treatment. An index termed the Malocclusion Severity Index (MSI) was developed to establish objectively the severity of malocclusion in each individual. Fifty sets of orthodontic study models and six orthodontists assessed the reproducibility and validity of the index. Although there was a significant reduction in the proportion of children in need of orthodontic treatment between 9 and 15 years of age, a considerable number were still in need of treatment; crowding of their dentitions being responsible for the majority of the treatment requirement. The MSI was found to be as precise and valid as previously developed occlusal indices, for estimating the treatment needs of sample populations.

Adolescent↗
PubMed1992

The subjective need and demand for orthodontic treatment.

The subjective need and demand for orthodontic treatment amongst 955 12-year-old Sheffield children has been assessed using the aesthetic component of the Index of Orthodontic Treatment Need and by a fixed choice questionnaire. When answering the questionnaire a greater proportion of females perceived themselves as having less attractive dentitions and greater treatment need despite any objective evidence to support this view. Of the children at the attractive end of the aesthetic component scale 84.5 per cent were prepared to accept orthodontic treatment of an unspecified nature.

Anodontia↗
PubMed2001

Does orthodontics damage faces?

With the increasing provision of orthodontic care in this country, certain practitioners have raised concerns regarding the use of elective extractions and retraction mechanics, especially the effects on the facial profile and the TMJ. The non-extraction versus extraction debate spans the history of orthodontics, and the concepts of facial attractiveness are subject to change as fashions change. Within the realms of evidence-based practice, there is little or no evidence to suggest that the philosophies and mechanics of contemporary orthodontics, in the vast majority of cases, cause damage to the profile or are directly linked to the development of TMJ dysfunction.

Esthetics, Dental↗
PubMed2004

Behavior of partially formed roots of teeth submitted to orthodontic movement.

The occurrence of root resorption in orthodontically treated permanent incisors with partially formed roots was investigated using periapical radiographs taken before and after the orthodontic leveling in the mixed dentition. The mean age at the beginning of treatment was 9 years and the mean treatment time was 7.1 months. The findings showed that the orthodontic movement during root formation causes no root resorption. The longitudinal follow-up showed that incompletely formed roots developed normally.

Child↗
PubMed2001

The use of an osseointegrated implant for orthodontic anchorage to a Class II Div 1 malocclusion.

This case report describes the use of an osseointegrated implant to maximize anchorage in a 24-year-old female orthodontic patient with an Angle Class II, Division 1 malocclusion. Preadjusted edgewise appliance therapy was performed by extraction of only the maxillary first premolars. The osseointegrated implant was placed in the median-sagittal region of the hard palate for maximum orthodontic anchorage and connected to maxillary first molar bands via a transpalatal arch. Total treatment time was 2 years and 8 months. Cephalometric superimposition revealed the achievement of maximum molar anchorage in the maxilla, resulting in satisfactory occlusal and facial improvements. Histological analysis of the implant-bone interface demonstrated that the fixture was successfully osseointegrated. In conclusion, the osseointegrated implant placed in the median-sagittal palate was shown to be an effective orthodontic system that can be used clinically as a rigid intraoral anchorage.

Adult↗
PubMed1989

[Evaluation of super-elasticity characteristics of orthodontic Ni-Ti alloy wire].

Mechanical properties of orthodontic Ni-Ti alloy wires, especially their super-elasticity characteristics, were investigated in order to use them effectively in the clinics. In this study, twenty commercial orthodontic Ni-Ti wires were tested and two parameters were devised for the load-deflection curve and introduced to evaluate the practical mechanical properties, one being the "super-elastic index: SEI" for super-elasticity, and the other being the "E-load" for the load in the super-elastic region. There was a "flat area" in the load-deflection curve of the super-elastic type of Ni-Ti alloy wires, whose SEI was above seventy and a continuous force could be used through the wide range of deflection. The load of the work-hardened type of Ni-Ti wires, SEI below thirty, was nearly proportional to the deflection. And the middle type showed intermediate properties of the two. The E-load values of the super-elastic type wires are thought to indicate the load level in the super-elastic region. The quantitative evaluation of the super-elasticity characteristics of the orthodontic Ni-Ti wires became possible by the introduction of these parameters.

Dental Alloys↗
PubMed1996

[Tooth movement by biomechanical technique in orthodontic treatment].

The purpose of this study was to analyze tooth movement by measuring the electric impedance of the wire and by using the nonlinear finite element analysis. In this study, the HP4338A Milliohmmeter was used and the model consisted of a metal tooth, silicone bath, bracket, and orthodontic wire. Then, the two-dimensional finite elements were used and the model consisted of tooth, periodontal ligament, alveolar bone, bracket, and orthodontic wire. There were two analyses. The first was the contact nonlinear finite element analysis of elastic deformation in the displaced tooth at the slide points between the bracket and wire where two gap element areas existed, and the second was the material nonlinear finite element analysis of the stress relaxation in bone at the fixing points between the bracket and wire where two rigid element areas, differing from the gap element areas, existed. The results were as follows: 1. The linear proportion between the electric impedance and the orthodontic wire was found. Therefore very minute tooth movements became measurable with changes of the wire electric impedance. 2. During tooth movement, the stick between the bracket and the wire altered with the slip ones repeatedly. 3. The movement of the displaced tooth at the center of rotation was counterclockwise. 4. The movement of the displaced tooth at the bracket position was clockwise.

Biomechanical Phenomena↗
PubMedDate not supplied

Regaining space by using elastic orthodontic separators.

When an extensive carious lesion is present, interproximal space may be lost due to drifting of adjacent teeth. This may encroach upon the space needed to restore the tooth to proper occlusal and interproximal contours. Although the space may be regained with conventional orthodontics, this may not be an option in some cases due to financial or technical considerations. The outlined clinical technique uses elastic orthodontic separators in conjunction with an incrementally modified acrylic crown to regain lost interproximal space. The results of this technique were achieved rapidly and allowed for the placement of a physiologically contoured restoration. This procedure is technically simple, provides quick results, and is less expensive for the patient than conventional orthodontics.

Adult↗
PubMed1999

[The relationship between the length of orthodontic treatment and patient compliance].

Based on the results of the psychological tests and their clinical experience, the authors conclude as follows: 1. At the beginning of the orthodontic treatment the fear of the unknown is dominating, but later on the aesthetic desires gain more importance than the first reaction. 2. The compliance and the length of the orthodontic treatment show an indirect proportional relationship. The compliance is stronger in case of a shorter and more successful orthodontic treatment.

Adolescent↗
PubMed2000

Implant site development using orthodontic extrusion: a case report.

One of the most important factors in the successful placement of endosseous implants is the presence of adequate alveolar bone at the recipient site. Alveolar bone loss associated with destructive periodontal disease frequently results in osseous defects that may complicate subsequent implant placement. Typically, such defects are treated prior to or at the time of implant surgery using the principles of guided bone regeneration. Under certain circumstances, however, such defects may be managed non-surgically by orthodontic extrusion. Orthodontic extrusion can be used to increase the vertical bone height and volume and to establish a more favourable soft-tissue profile prior to implant placement. The addition, the increase in the vertical osseous dimension at interproximal sites may assist in the preservation of the interdental papillae and can further enhance gingival aesthetics. This report illustrates the treatment sequence for site development with orthodontic extrusion prior to immediate implant placement.

Adult↗
PubMed2000

Outcome of a scheme for orthodontic care: a comparison of untreated and treated 19-year-olds.

The organization of the orthodontic service within the Public Dental Health Service in the southern part of the county of Halland, Sweden is described, and data for the provision of treatment are presented. The aim of this study was to examine the outcome of this service by studying the prevalence of malocclusion and residual need, as well as attitudes to treatment in previously treated and untreated individuals. Three samples of 19-year-olds were established: patients treated by specialists (n=132), patients treated by general practitioners (GP) (n=132), and untreated individuals (n=492). All samples were examined clinically, and radiographs, photographs, and study casts were obtained from the two treated groups. Attitudes to own teeth and orthodontic treatment were recorded by use of questionnaires. Deviant occlusal traits were recorded, and all the individuals were categorised according to a treatment need index. Generally, good occlusal conditions were observed in all samples. More deviant traits were observed in individuals that had been treated by GPs, and significant differences were observed for overjet, overbite, and crowding compared to the other samples. The majority of individuals belonged to the little/no treatment need index categories. Of those treated by GPs, one third belonged to the moderate (22%) or urgent (11%) need categories. About 10% reported dissatisfaction with their dental appearance, but only 2% expressed a desire for (further) orthodontic treatment.

Adult↗
PubMed2000

[Testing a computer-assisted bending machine for manufacturing orthodontic treatment elements].

The use of suitable orthodontic devices producing desired defined force systems is of importance for successful orthodontic treatment. Bending loops can be difficult and time-consuming. Computerised fabrication would enable very precise reproduction of individual loops. A bending machine has now been developed within the framework of a computer-assisted treatment concept. In this study, a prototype machine was used to fabricate U-, T- and delta loops made of stainless steel, cobalt chromium and titanium molybdenum wire. The various geometric parameters of each loop were measured to determine how precisely they had been produced. Furthermore, the force system of each loop were experimentally investigated during simulated activation in an orthodontic measurement and simulation system. The results indicate that the geometric parameters had an average error of 2.8 degrees for angles and 0.9 mm for lengths. Owing to the fabrication errors, loops of the same type produced different force systems. Overall, the new bending machine can fabricate different types of loop, but the requirements of very precise fabrication are currently not met. This fact, together with further limitations in terms of configuration, means that the machine cannot be used routinely at present. However, the machine can nevertheless be considered a good basis for further development.

Computer-Aided Design↗