Changes In Vertical Dimension Research Articles

Vertical and transverse treatment effects of Invisalign First system compared to Hyrax maxillary expanders with fixed appliances in mixed dentition patients

ABSTRACT Objectives To compare vertical and transverse changes in mixed dentition patients treated with the Invisalign First System (IFS) to those treated with a banded hyrax expander with fixed appliances (Hyrax) and control groups, and to assess the efficiency rate of dental arch expansion with IFS. Materials and Methods The study included 80 mixed dentition patients, with 40 in each group (IFS and Hyrax) and 40 controls from the American Association of Orthodontists Foundation Craniofacial Growth Legacy Collection. Skeletal and dental vertical dimension changes and arch width changes between pretreatment (T1) and posttreatment (T2) were evaluated. Results Age at T1, time interval (T1-T2), sex, and Angle class did not significantly differ among the groups. Mandibular plane angle changes showed a similar reduction for the control and IFS groups, with no changes in the Hyrax group. However, the differences among the three groups did not reach statistical significance (P = .06). The Hyrax group showed significantly greater expansion in maxillary intermolar width compared to the IFS group, 4.4 vs 2.5 mm, respectively. The efficiency of maxillary expansion using IFS ranged from 52.3% to 76.87%. Conclusions During the mixed dentition stage, no significant changes occurred in vertical dimensions among the control, Hyrax, and IFS groups. Although there was a trend suggesting a greater reduction in mandibular plane angle in the IFS group compared to the Hyrax group, this may not be clinically significant given the less than 1° difference. IFS can be a viable option for addressing mild arch width deficiencies, with a predictable increase in intermolar width of approximately 2.5 mm.

Vertical Control in Molar Distalization by Clear Aligners: A Systematic Review and Meta-Analysis.

Background: Molar distalization is used to correct molar relationships or to create space for mild anterior crowding. However, whether clear aligners can provide proper vertical control with the sequential distalization strategy has been highly debated. Thus, the current study aimed to systematically review the amount of dentoskeletal changes in the vertical dimension that results from sequential molar distalization in clear aligner therapy without temporary anchorage devices (TADs). Methods: Registered with PROSPERO (CRD42023447211), relevant original studies were screened from seven databases and supplemented by a manual search by two investigators independently. Articles were screened against inclusion and exclusion criteria, and a risk of bias assessment was conducted for each included article. Relevant data were extracted from the included articles and meta-analysis was performed using RStudio. Results: Eleven articles (nine for maxillary distalization and two for mandibular distalization) were selected for the final review. All studies have a high or medium risk of bias. For maxillary molar distalization, the meta-analysis revealed 0.26 mm [0.23 mm, 0.29 mm] of maxillary first molar intrusion based on post-distalization dental model analysis, as well as 0.50 mm [-0.78 mm, 1.78 mm] of maxillary first molar intrusion and 0.60 mm [-0.42 mm, 1.62 mm] of maxillary second molar intrusion based on post-treatment lateral cephalometric analysis. Skeletally, there was a -0.33° [-0.67°, 0.02°] change in the SN-GoGn angle, -0.23° [-0.30°, 0.75°] change in the SN-MP angle, and 0.09° [-0.83°, 1.01°] change in the PP-GoGn angle based on post-treatment lateral cephalometric analysis. There was insufficient data for meta-analysis for mandibular molar distalization. Conclusions: No significant changes in vertical dimension were observed, both dentally and skeletally, after maxillary molar distalization with a sequential distalization strategy. However, further studies on this topic are needed due to the high risk of bias in the currently available studies.

Penggunaan Gigi Tiruan pada Lansia dengan Obstructive Sleep Apnea

A person who has reached the elderly stage will have an experienced degenerative process that causes several disorders. Changes in the masticatory function due to the loss of the remaining teeth can cause a transformation not only in the mastication system but also in the upper airway system of respiration. This is due to orofacial deformation, tongue retraction while in the resting position, occlusal vertical dimension changes, and a decrease in facial height. Obstructive Sleep Apnea (OSA) is a sleep breathing disorder with 17 % prevalence rate in adults and increases up to 49% in the elderly stage. A complete denture can be a rehabilitative treatment option for the elderly OSA patient. Wearing dentures during sleep is against the principles of dentistry because it can cause the tongue to be positioned posteriorly. However, people, mostly women, still wears denture while sleeping. This might further increase the obstruction of upper airway system.

Vertical Occlusal Dimension Changes of Complete Dentures between Autoclave and Traditional Processing Techniques

The aim of the present in vitro study was to investigate the effect of using an autoclave with three different programs and the traditional water bath method (short cycle) on the changes in the vertical occlusal dimension of the complete acrylic dentures. Forty complete acrylic dentures were divided into four groups: G1, dentures were polymerized by water bath method (short cycle for 90 min at 74 °C and then 30 min at 100 °C); G2, dentures were polymerized with an autoclave (134 °C/2.1 bar/10 min); G3, dentures were polymerized with an autoclave (121 °C/1.1 bar/20 min); and G4, dentures were polymerized with an autoclave (121 °C/1.1 bar/5 min). The vertical occlusal dimension of the dentures was measured before and after the polymerization process. The difference between the initial and final measurements expressed the change in the vertical occlusal dimension. Data were statistically analyzed by t-test and one-way ANOVA test. Statistically significant lower vertical dimension changes were detected in G1 (0.703 ± 0.078 mm) compared to the other groups (p < 0.05), whilst statistically greater changes were detected in G4 (1.263 ± 0.063 mm) compared to the other groups. No statistically significant differences were found between G2 (0.844 ± 0.061 mm) and G3 (0.88 ± 0.059 mm) (p > 0.05). Within the limitations of the present in vitro study, it can be concluded that all polymerization methods increase the vertical occlusal dimension of complete acrylic dentures. The increase in the vertical occlusal dimension in Groups 1, 2 and 3 was less than 1 mm which is clinically acceptable and can be overcome by selective abrasion. Therefore, the traditional curing technique using a water bath and the autoclave methods using two settings (134 °C/2.1 bar/10 min or 121 °C/1.1 bar/20 min) could be used for the complete acrylic denture with acceptable augmentation in the vertical occlusal dimension. In contrast, the method used in G4 increases the vertical occlusal dimension by more than 1 mm, which is not clinically acceptable.

Large-area silicon photonic crystal supporting bound states in the continuum and optical sensing formed by nanoimprint lithography.

Optical bound states in the continuum (BIC) are found in various dielectric, plasmonic and hybrid photonic systems. The localized BIC modes and quasi-BIC resonances can result in a large near-field enhancement and a high-quality factor with low optical loss. They represent a very promising class of ultrasensitive nanophotonic sensors. Usually, such quasi-BIC resonances can be carefully designed and realized in the photonic crystal that is precisely sculptured by electron beam lithography or interference lithography. Here, we report quasi-BIC resonances in large-area silicon photonic crystal slabs formed by soft nanoimprinting lithography and reactive ion etching. Such quasi-BIC resonances are extremely tolerant to fabrication imperfections while the optical characterization can be performed over macroscopic area by simple transmission measurements. By introducing lateral and vertical dimension changes during the etching process, the quasi-BIC resonance can be tuned over a wide range with the highest experimental quality factor of 136. We observe an ultra-high sensitivity of 1703 nm per RIU and a figure-of-merit of 65.5 for refractive index sensing. A good spectral shift is observed for detecting glucose solution concentration changes and adsorption of monolayer silane molecules. Our approach involves low-cost fabrication and easy characterization process for large-area quasi-BIC devices, which might enable future realistic optical sensing applications.

Vertical Skeletal Changes after Extraction and Nonextraction Orthodontic Treatment.

Due to the constant battle regarding the controversial topic of orthodontic extraction, this study aims to assess the changes in vertical dimensions of patients treated with premolar extractions compared with nonextraction orthodontic patients. A sample of 60 borderline patients were recruited and divided into extraction and nonextraction groups. Eleven pretreatment cephalometric measurements were recorded using WebCeph and patients were followed-up until the completion of treatment. Intragroup and intergroup comparisons were made using paired t-test and two-sample independent t-test, respectively. The joint significance of differences was measured using F-tests. The intragroup comparison revealed that in the extraction group, the vertical dimension was significantly increased posttreatment for four cephalometric measurements, that is, mandibular plane angle (p < 0.05), palatal plane angle (p < 0.05), Frankfort mandibular plane angle (p < 0.05), and y-axis (p < 0.05). In the comparison of the posttreatment values of both groups, the mean differences of the posttreatment values for sella nasion (SN)-gonion (Go)-gnathion (Gn) angle (p = 0.008), the total anterior (p = 0.050), and lower anterior facial heights (AFH; p = 0.011) were significantly higher. At the same time, the Jarabak ratio was significantly (p = 0.006) lower in the extraction group than in the nonextraction group. The increase in vertical dimension is significantly higher in the extraction group than in the nonextraction group which indicates a significant impact of orthodontic extraction on the vertical dimensions.

The Impact of Increase in the Vertical Dimension of Occlusion on Nociception in Rats - A Preliminary Report

Abstract Since the change in vertical dimension of occlusion (VDO) is extremely important in prosthetic dentistry, the aim of the study was to examine the effect of VDO increase on nociception parameters in rodent experimental model. The study was performed on seven experimental groups (6 animals per group) on male Wistaralbino rats: sham; 0.6/3, 0.9/3, and 1.2/3 groups where VDO was increased by 0.6, 0.9, and 1.2 mm (respectively), for three days; 0.6/20, 0.9/20, and 1.2/20 groups where VDO was increased by 0.6, 0.9, and 1.2 mm (respectively), for twenty days. The VDO raising protocols were performed as follows: on a day 1, following anaesthesia, a two-phase impression was taken with addition silicones; on a day 3, the cementing process for both maxillary incisors and inside crowns preparation was performed, and cementing zirconium crowns, manufactured using CAD-CAM technology, were applied. The behavioural testing (the tail flick and hot plate test) was performed on day 3 and 20. The results obtained in the tail flick test suggest that the raise in VDO in the early phase induced increased sensitivity to pain in a stepwise manner, while this hyperalgesic effect was diminished in a timedependent manner. The stepwise increase in VDO also resulted in significant decline in the pain tolerance with the higher VDO (0.9 and 1.2 mm) in the hot plate test that persisted after twenty days in 1.2/20 group. It seems that VDO elevation is sufficient to produce hyperalgesic effect in this experimental model, which may be attenuated in time-dependent manner.

Digital Workflow in Implant Treatment Planning For Terminal Dentition Patients.

Treatment planning for the transition of patients from terminal dentition to full-arch implant rehabilitation poses challenges. Such challenges pertain to achieving the new orientation of the occlusal and esthetic plane as well as the change of vertical dimension of occlusion (VDO), while the fixed provisionalization using a digital workflow still tends to be considered complex and hard to perform. This article illustrates step-by-step the utilization of a digital workflow protocol in the treatment planning for rehabilitation of terminal dentition patients, simplifying the smile design and ensuring that fixed provisionalization serves both functional and esthetic requirements. This protocol includes facially driven, three-dimensional (3D) digital smile design and chairside mock-up restoration workflows that enable prosthetically driven assessment prior to implant treatment planning and 3D printing of surgical templates and prefabricated interim prostheses, which can predictably reduce chairside time and adjustments at the surgical and fixed provisionalization appointment.

A comparison of virtually mounted dental casts from traditional facebow records, average values, and 3D facial scans

Statement of problemAlthough average values and facebow records have been incorporated into prosthetic dentistry with much success, little is known about how using 3D facial scans for mounting compare with traditional mounting methods. PurposeThe purpose of this pilot clinical study was to determine differences in measurements among casts mounted virtually by using the average values of the Bonwill triangle and the Balkwill angle, casts mounted by using facebow records, and casts mounted from 3D facial scans. Material and methodsIntraoral digital scans were obtained from each participant (n=10) and 3D printed in resin. For the facebow preservation group (FPG), a facebow record was used to mount the resin casts on a semiadjustable articulator. A desktop scanner was used to digitize this mounting while preserving the facebow record. The average mounting group (AMG) consisted of intraoral digital scans that were mounted virtually by using the concepts of the Bonwill triangle and the Balkwill angle. For the facial scan group (FSG), the participants’ digitized casts were superimposed on the facial scans by using a target system. The Bergstrom point and the glabella were used to mount these casts and their associated facial scans in the digital environment. This study used the FPG as the group to compare with the other mounting techniques because of its wide acceptance in restorative dentistry. These virtual mountings were completed in a computer-aided design software program, and the distance from right and left condylar elements to the incisal embrasure between mandibular central incisors, distance from left mandibular first molar to left condylar element and from right mandibular first molar to right condylar element, and anterior and posterior recordings at 0 mm, 3 mm, and 5 mm of vertical dimension increase were recorded. A Kruskal-Wallis 1-way analysis of variance was performed (α=.05). The Mann-Whitney U test was performed to evaluate differences in measured values among groups, and multiple comparisons were adjusted by using Bonferroni correction. ResultsAll anterior and posterior measurements to the condylar elements of the virtual articulator were found to be significantly different (P<.05). Both anterior and posterior condylar measurements between the FPG and the AMG were found to be significantly different (P<.05), while comparisons between the FPG and the FSG were found not to be significantly different (P>.05). All changes in vertical dimension were found not to be significantly different with respect to both anterior and posterior measurements (P>.05). ConclusionsWhen used to virtually mount dental casts, 3D facial scanners performed similarly to traditional facebow records.

A comparative study of conventional and Hall techniques of crown placement using finite element stress analysis

Hall technique of crown placement causes the changes in vertical occlusal dimension; the mode of settlement of which needs to be explored. To assess and compare the changing patterns of stress distribution following placement of stainless steel crowns on primary teeth by Hall and conventional techniques using a finite element model analysis. The clinical crown heights of primary molars restored with Hall and conventional techniques and opposing teeth in contact, vertical dimension changes in the primary canine area were measured using intraoral digital scan. T-scan was used to measure the changes in bite force while the finite element analysis was used to assess deformative changes on the 2nd, 5th, 10th, and 15th days. The Hall technique of crown placement caused more stress distribution in the tooth supporting tissues that settled in 2 weeks as compared with conventional technique of crown placement in which settlement occurred in 2 days. The settling of vertical occlusal dimension as well as stress distribution in Hall technique probably takes place by intrusion of crowned tooth and opposing teeth in contact.

Dimensional and histomorphometric evaluation of biomaterials used for alveolar ridge preservation: a systematic review and network meta-analysis.

This systematic review and network meta-analysis aimed to answer to the following questions: (a) In patients undergoing alveolar ridge preservation after tooth extraction, which grafting material best attenuates horizontal and vertical ridge resorption, as compared to spontaneous healing?, and (b) which material(s) promotes bone formation in the extraction socket? The MEDLINE, SCOPUS, CENTRAL, and EMBASE databases were screened in duplicate for RCTs up to March 2021. Two independent authors extracted the data and assessed the risk of bias of the included studies. Primary outcomes were ridge horizontal and vertical dimension changes and new bone formation into the socket. Both pairwise and network meta-analysis (NMA) were undertaken to obtain estimates for primary outcomes and compare different grafting materials. Eighty-eight RCTs were included, with a total of 2805 patients and 3073 sockets. Overall, a total of 1740 sockets underwent alveolar ridge preservation with different materials (1432 were covered by a membrane). Pairwise meta-analysis showed that, as compared to spontaneous healing, all materials statistically significantly reduced horizontal and vertical shrinkage. According to the multidimensional scale ranking of the NMA, xenografts (XG) and allografts (AG), alone or combined with bioactive agents (Bio + AG), were the most predictable materials for horizontal and vertical ridge dimension preservation, while platelet concentrates performed best in the percentage of new bone formation. Alveolar ridge preservation is effective in reducing both horizontal and vertical shrinkage, as compared to untreated sockets. NMA confirmed the consistency of XG for ridge dimension preservation, but several other materials and combinations like AG, Bio + AG, and AG + alloplasts, produced even better results than XG in clinical comparisons. Further evidence is needed to confirm the value of such alternatives to XG for alveolar ridge preservation. Bio + AG performed better than the other materials in preserving ridge dimension and platelet concentrates in new bone formation. However, alloplasts, xenografts, and AG + AP performed consistently good in majority of the clinical comparisons. XG and Bio + AG demonstrated significantly better performance in minimizing post-extraction horizontal and vertical ridge dimension changes as compared with other grafting materials or with spontaneous healing, even if they presented the worst histological outcomes. Allografts and other materials or combinations (AG + AP) presented similar performances while spontaneous healing ranked last.

Evaluating the Effect of Complete Dentures on Signs and Symptoms of Temporomandibular Disorders Analyzed by Craniomandibular Index in Completely Edentulous Patients- A Study Protocol

Background: A Temporo-mandibular disorder (TMD) itself is a cumulative terminology used to indicate the situations which entails the pain alone or in association with dysfunction of the Temporomandibular joint (TMJ) with or without involving the associated structures. One of the main cause of developing TMD is the loss of tooth. The completely edentulous patients also have reported high prevalence of TMD as in dentulous patients. &#x0D; Methods: It is a prospective interventional study that will be carried out in three years. The sample size will be those completely edentulous subjects, who has not used dentures for a duration of six months to five years of tooth extraction. Such subjects will then be subjected to anamnestic component of Helkimos Index for screening purpose.110 subjects exhibiting mild to severe signs and symptoms of Temporomandibular disorders will be considered as the study participants for the study. Study participants will be categorized as Group A (study participants having mild symptoms of TMD, n=55) and the second will be Group B (study participaants having severe symptoms of TMD, n=55). The Craniomandibular Index will be used to score the severity of the TMD before denture insertion. The initial recorded score will be then correlated with the score obtained after 3 months of delivery of denture. Descriptive as well as analytical statistics will be performed. The statistical relevance among the Group A and Group B before intervention and after 3months of intervention will be assessed at p&lt;0.05. &#x0D; Discussion: Through the study results we anticipate a fall in CMI score i.e improvement by lowering the intensity of TMD due to intervention by complete dentures in completely edentulous subjects. In case the above Hypothesis is not proved, then prevalence of TMD among patients who are completely edentulous needs to be anticipated with the factors such as anatomical or pathological diversities in TMJ and not to be associated with changes in vertical dimensions because of teeth loss.

In-vivo-wear in composite and ceramic full mouth rehabilitations over 3 years

The aim of this study was to quantify and to compare the wear rates of premolar (PM) and molar (M) restorations of lithium disilicate ceramic (LS2) and an experimental CAD/CAM polymer (COMP) in cases of complex rehabilitations with changes in vertical dimension of occlusion (VDO). Twelve patients with severe tooth wear underwent prosthetic rehabilitation, restoring the VDO with antagonistic occlusal coverage restorations either out of LS2 (n = 6 patients, n = 16 posterior restorations/patient; N = 96 restorations/year) or COMP (n = 6 patients; n = 16 posterior restorations/patient; N = 96 restorations/year). Data was obtained by digitalization of plaster casts with a laboratory scanner at annual recalls (350 ± 86 days; 755 ± 92 days; 1102 ± 97 days). Each annual recall dataset of premolar and molar restorations (N = 192) was overlaid individually with the corresponding baseline dataset using an iterative best-fit method. Mean vertical loss of the occlusal contact areas (OCAs) was calculated for each restoration and recall time. For LS2 restorations, the mean wear rate per month over 1 year was 7.5 ± 3.4 μm (PM), 7.8 ± 2.0 μm (M), over 2 years 3.8 ± 1.6 µm (PM), 4.4 ± 1.5 µm (M), over 3 years 2.8 ± 1.3 µm (PM), 3.4 ± 1.7 µm (M). For COMP restorations, the mean wear rate per month over 1 year was 15.5 ± 8.9 μm (PM), 28.5 ± 20.2 μm (M), over 2 years 9.2 ± 5.9 µm (PM), 16.7 ± 14.9 µm (M), over 3 years 8.6 ± 5.3 µm (PM), 9.5 ± 8.0 µm (M). Three COMP restorations fractured after two years and therefore were not considered in the 3-year results. The wear rates in the LS2 group showed significant differences between premolars and molars restorations (p = 0.041; p = 0.023; p = 0.045). The wear rates in COMP group differed significantly between premolars and molars only in the first two years (p < 0.0001; p = 0.007). COMP restorations show much higher wear rates compared to LS2. The presented results suggest that with increasing time in situ, the monthly wear rates for both materials decreased over time. On the basis of this limited dataset, both LS2 and COMP restorations show reasonable clinical wear rates after 3 years follow-up. Wear of COMP restorations was higher, however prosthodontic treatment was less invasive. LS2 showed less wear, yet tooth preparation was necessary. Clinicians should balance well between necessary preparation invasiveness and long-term occlusal stability in patients with worn dentitions.

Evaluation of the Effect of Removable Maxillary Expanders on Facial Vertical Dimension

Background: Palatal expansion is one of the most common types of orthodontic treatment, which is administered employing different appliances, and is used for the correction of posterior cross bite. This treatment can elevate the palatal cusp on the maxillary first molar, lead to the rotation of mandible, and increase the height of the lower third of the face. In some cases, the use of bite plane is suggested to avoid vertical dimension changes of the face. This study aimed to assess the effect of removable maxillary expanders on facial vertical dimensions. Methods: In this cross-sectional study, 68 patients referring to Hamedan School of Dentistry and being treated using removable maxillary expander with or without bite plane were examined. Pretreatment and post treatment cephalograms of the patients were analyzed by Dolphin Imaging Software 11.9 version, and the results from 5 cephalometric variables, namely the mandibular plane related to SN line, the angle of mandibular plane related to FH, Y axis, the maxillary plane angulation, as well as the lower facial height were calculated. Patient’s transverse dimension was measured by a caliper on the dental casts along the mesiobuccal cusp of maxillary first molars. Paired t test and independent t-test were adopted for carrying out data analysis. Results: There was no significant difference between the two groups in terms of age and sex at the beginning of treatment. However, maxillary plane angulation and Y axis changed significantly in group with bite plane. (P=0.034, P=0.007). The changes were less than 1.5 degrees. No significant difference was observed between the groups with or without bite plane regarding the changes of cephalometric variables during the treatment. The transverse dimension of the arch was increased significantly in both groups. The changes were similar in two groups. Conclusions: According to the results from this study, the presence of bite plane had no advantage over its absence. However, it seemed necessary to design a randomized clinical trial in this regard.

Cephalometric evaluation of changes in vertical dimension and molar position in adult non-extraction treatment with clear aligners and traditional fixed appliances.

ABSTRACTIntroduction: Orthodontists have been using clear aligners to treat malocclusions, and one potential effect of treatment with orthodontic aligners is the intrusion and/or resists extrusion of the posterior teeth. This “bite-block effect” is primarily anecdotal due to the frequent occurrence of posterior open bites in patients after clear aligner therapy. Objective: The purpose of this study was to compare changes promoted by clear aligners and traditional fixed appliances in cephalometric measurements of the vertical dimension and molar position in adult patients with Class I malocclusion treated with non-extraction. Methods: Pre- and post-treatment lateral cephalometric radiographs of adult patients treated with either clear aligners (n=44) or traditional fixed appliances (n=22) were selected for retrospective analysis. Eight interval measurements and one nominal measurement were evaluated: anterior overbite (OB), mandibular plane angle related to cranial base (SN_MP) and related to Frankfort (FMA), lower molar height (L6H) and upper molar height (U6H), palatal plane to mandibular plane angle (PP_MP), lower facial height (LFH), total facial height (TFH), and posterior open bite (Posterior_OB). A single evaluator traced all cephalographs, and changes in select measures of the vertical dimension were compared within and between groups. Results: OB decreased (1.15 mm) and L6H increased (0.63 mm) in the traditional fixed appliance group. Mandibular plane angles (related to cranial base and to Frankfort) increased (0.43° and 0.53°, respectively) in the clear aligner group, but just FMA showed significant difference between groups (difference of 0.53°). LFH and TFH increased (ranging from 0.52 mm to 0.80 mm) in both groups, with no differences between treatment modality. Presence of visible posterior open bite significantly increased over the course of treatment. OB, FMA and L6H exhibited an interaction between treatment stage (pre- and post-treatment) and modality (clear aligner therapy and traditional fixed appliances), but no interaction among these three variables was found. Conclusions: The evidence does not support the theory that clear aligner therapy produces better vertical dimension control than traditional fixed appliances. Traditional fixed appliance therapy slightly extruded the lower molar, and clear aligner therapy produced a slightly mandibular backward rotation.

Correlation of Patient Satisfaction with Treatment Duration in Tooth Supported Full Mouth Rehabilitation Cases: A Retrospective Study

Full mouth rehabilitation is a comprehensive treatment and hence requires a longer duration along with patient co-operation and operator skill. Data of 86000 patients between June 2019 and March 2020 was reviewed from the patient's records and analysed that was documented in Saveetha Dental College and Hospital, Chennai, India. 152 patients who underwent tooth supported full mouth rehabilitation were included in this retrospective study. The data regarding the duration of the entire treatment, patient satisfaction, type of temporary teeth and change in vertical dimension was collected from Dental Information Archiving Software (DIAS). The data censored was collected by recalling the patient and reviewing. Statistical analysis was performed using pearson's correlation and chi square test to assess the association between patient satisfaction and increase in the vertical dimension, type of temporisation and duration of the treatment. The associations between patient satisfaction and increase in vertical dimension (Chi-square value : 8.809, df: 6, p value : 0.185), type of temporisation (Chi-square value : 8.809, df: 6, p value : 0.185) and duration of the treatment (Chi-square value : 303.548, df: 306, p value : 0.529) were statistically insignificant (p&gt;0.05). From the available data it was observed the duration of the treatment plays a secondary role in relation to patient satisfaction in the treatment of full mouth rehabilitation cases. The quality of treatment and decisiveness in providing definitive care with respect to treatment needs gives better patient satisfaction.

The Effect Of Facial Vertical Dimension Changes On The Value Of Facial Harmony In Malocclusion Class II Skeletal In RSGM USU

Treatment of Class II malocclusion have impact in relation to the vertical dimensions of the skeletal and facial soft tissues mainly to the facial balancing and proportion which relate to patient facial harmony. The aim of this study was to determine the changes and differences in facial vertical dimensions to the total value of facial harmony in skeletal Class II after treatment with extraction and non-extraction of the maxillary first premolar based on Arnett and Bergmann at the Orthodontic Specialist Clinic of RSGM, Universitas Sumatera Utara. The sample consisted of initial and final cephalometry of 36 patients with age 18-35 years old, skeletal Class II malocclusion ANB &gt; 4o, divided into extraction of maxillary first premolar and non-extraction group. Cephalometric tracing with the required points, then the photos are processed into image J software. Then the data that obtained is tested statistically with Pearson’s Correlation Test and T-Test Independent. There was a significant change between MP-SN and Pog-Imd (P=0,036) in the first premolar extraction group, but there was not a significant change in the non-extraction first premolar group. There was a significant difference in the face harmony value at point G-A between the extraction and non-extraction groups (P=0,038). There was a significant difference on the face harmony value in the treatment of malocclusion Class II orthodontic with maxillary first premolar extraction.

Changes in vertical dimension: Extraction versus non-extraction

Introduction: To evaluate and compare the vertical changes in patients treated orthodontically with or without different patterns of premolars extraction.&#x0D; Materials &amp; Method: The lateral cephalograms of 112 orthodontically treated patients were categorized into four groups of 28 each based upon extraction strategy. Cephalometric analysis comprised of 3 angular and 8 linear measurements were used to analyze vertical changes from pre- to post treatment.&#x0D; Result: Active orthodontic treatment with or without various premolar extraction therapies led to a statistically significantly increase in the anterior facial height. Second premolar extraction resulted in significantly greater forward movement of the maxillary and mandibular first molars compared to non-extraction therapy.&#x0D; Conclusion: Active orthodontic treatment resulted in no significant changed in maxillary to mandibular (MM) angle with or without extraction therapy.

Improved bone regeneration through amniotic membrane loaded with buccal fat pad-derived MSCs as an adjuvant in maxillomandibular reconstruction

BackgroundHuman amniotic membranes (HAMs), as a biological membrane with healing, osteogenic, and cell therapy potential, has been in the spotlight to enhance the outcomes of treating bone defects. Present study aims to clinically assess the potential of HAM loaded with buccal fat pad-derived stem cells (BFSCs) as an osteogenic coverage for onlay bone grafts to maxillomandibular bone defects. Materials and methodsNine patients with jaw bone defects were enrolled in the present study. The patients were allocated to two study groups: Iliac crest bone graft with HAM coverage (n = 5), and Iliac bone grafts covered with HAM loaded with BFSCs (n = 4). Five months following the grafting and prior to implant placement, cone beam computed tomography was performed for radiomorphometric analysis. ResultsThe mean increase in bone width was found to be significantly greater in the HAM + BFSCs group (4.42 ± 1.03 mm versus 3.07 ± 0.73 mm, p < 0.05). Further, the changes in vertical dimension were greater in the HAM + BFSCs group (4.66 ± 1.06 mm versus 4.14 ± 1.03 mm, p > 0.05). ConclusionCombined use of HAM with mesenchymal stem cells may enhance bone regeneration specifically in the horizontal dimension. Moreover, this methodology reduces the amount of harvested autogenous bone and diminish secondary bone resorption.

Partial Edentulism in Patients Visiting the Dental Out-Patient Department at the Tertiary Care Centre in the Eastern Part of Nepal

Introduction: Partial edentulism is an irreversible condition resulting from various dental diseases like dental caries and periodontal lesions. Loss of teeth produces deleterious effects on masticatory function, phonetics, facial appearance and comfort of the patients. If not restored on time, it can lead to pathological changes in vertical dimension, occlusion and temporomandibular joint.&#x0D; Methods: This study was conducted in the department of Prosthodontics, CODS, BPKIHS from September 2015 to March 2016. All patients above the age of 14 years presenting with partial loss of dentition and willing to give informed consent were included in the study. Data regarding age, gender, missing teeth, cause of permanent tooth loss and age of first permanent tooth loss were collected from 750 patients.&#x0D; Results: Dental caries was the major cause of tooth loss accounting for 60.5% of the study population followed by periodontal disease (14.0%) and trauma (11.9%). First permanent tooth loss was highest in the age group of 35-44 years (22.9%). The most common type of partial edentulism was found to be Kennedy’s class III followed by class IV, class I and class II in both the arches.&#x0D; Conclusions: The most common cause of permanent tooth loss was dental caries in the study population. The first permanent tooth loss was found to be highest in age group 35-44 years. The most common type of partial edentulism was the Kennedy's class III in both the arches.