Cases Of Mutilation Research Articles

Orthodontic Management of Severe Dentoalveolar Collapse with Miniscrew-Assisted TMA Cantilever Springs and Bite Blocks

Introduction: Management of mutilated cases is challenging, and adult patients often require orthodontic correction of occlusion before prosthetic replacement of missing teeth. Objective: To highlight the novel, simple, hygienic, and efficient miniscrew-supported Beta titanium molybdenum alloy (TMA) cantilever spring for uprighting severe mesially tipped molars for interdisciplinary treatment. Diagnosis and Treatment: A 23-year-old male patient presented with skeletal Class I relation, average growth pattern, Class II Division 1 malocclusion with dentoalveolar collapse, crowding, multiple missing, supraerupted teeth, and severe mesially tipped mandibular third molars. MBT appliance with 0.022˝ slot was used to achieve the objectives. 38 and 48 were uprighted and protracted with miniscrew implant-supported TMA cantilever springs to substitute 37 and 47. Mild intrusion of maxillary posterior teeth was done with acrylic bite blocks and transpalatal arch (TPA), followed by prosthetic replacement of missing teeth. Results: The patient had a consonant smile arc and a pleasing soft tissue profile. 38 and 48 were uprighted and protracted with good vertical control, and the mesial pockets were eliminated. 17 and 27 were intruded, and group function occlusion was established. Class I canine relationship, normal overjet, and overbite were achieved. Conclusion: Miniscrew supported TMA cantilevers are efficient for uprighting of severely tipped 38 and 48 without extrusion, unlike the conventional mechanics. 18, 28, 38 and 48 with good root forms can be protracted and substituted as 17, 27, 37 and 47 respectively to minimize or eliminate prosthetic rehabilitation.

Temporary Anchorage Devices―A Review

In orthodontics, anchorage has been a matter of concern for many years. In addition, the greater number of mutilated cases, un co-operative patients have all added to the growing need for skeletal anchorage. Anchorage Devices brought about a revolutionary change to obtain absolute anchorage without patient compliance. Anchorage promises to serve as controllable and efficient anchors for any type of tooth movements the orthodontist would want to make The successful use of implants has widened the horizons in orthodontics and has gained much popularity in the recent years.

Bilateral Intrusion of Molar using Modified transpalatal Arch in Mutilated Case

Bilateral Intrusion of Molar using Modified transpalatal Arch in Mutilated Case

Response: The Constancy of Cruelty and Power

ResponseThe Constancy of Cruelty and Power Patricia Skinner (bio) I’d like to thank the Forum contributors for their careful and constructive remarks. Given the reservations expressed by them, it would be entirely legitimate to ask why the Journal of Women’s History would allow such a piece to see the light of day. Susan Stuard rejects the contention that nasal mutilation has a constant, underlying meaning across time, suggesting that disfigured faces were more commonplace in medieval society and thus less shocking; Bonnie Effros criticizes the use of “random examples cherry-picked from a distant era”—in fact they are anything but; whilst Lora Wildenthal is concerned that a focus on nose-cutting as “emblematic of wider suffering” masks or even detracts from the wider issue of violence against women. I am grateful for the opportunity to clarify and respond to these issues in turn. At the heart of the unease appears to be my juxtaposition of medieval and modern, public punishment and private vengeance. The core thread linking these, I argue, is a practice which—whether targeted at a male or female victim—is tied to the timeless theme of the defense or performance of male honor through the subjection of other males and of women, and the expression of this through removal or mutilation of the most visible and central facial feature. The historian Jürgen Frembgen’s 2006 article on modern cases of mutilation in Pakistan makes this link clear.1 Crucially, Frembgen states that such mutilation, when carried out on a woman, is most often “considered to be an individual decision and a domestic affair,” neatly sidestepping the issue of what is and is not “legitimate” behavior, a dichotomy that causes Wildenthal concern, and leads Stuard to raise the question of whether public and private mutilations were so qualitatively different as to resist comparison. Nevertheless, Frembgen reaches a similar conclusion on the purpose of the punishment: in mutilating his wife or daughter, “a dishonoured man . . . imprints his power on the surface of her body.”2 And it is this issue of power over another’s body that perhaps the article did not bring out fully enough. For the common—and constant—feature behind the threat to mutilate the nose, or its actual execution, whether in medieval Byzantium, England, or Sicily, or modern Afghanistan, India, and Pakistan, is a claim to punish, whether or not that claim is widely accepted. Stuard suggests that on that basis, the Byzantine political mutilations of emperors are a quite different matter, for they damage a figure already in power. How, then, do these cases fit on the continuum of betrayal that I argue underlies [End Page 85] nose-cutting? I believe that the motivation was to reduce the emperor to the same status as those who had been found guilty of treason (such as the iconodule monks) or of heinous sexual crimes (as laid out in the Ecloga), depriving him of all honor and, crucially, any claim to rule. It is no coincidence, I think, that the Byzantine cases cluster in a specific period when the very depiction of the (saintly) human face and body was the subject of such intense and vicious debate, and that nose-cutting later went out of fashion in favor of political blinding, whose symbolism has been effectively analyzed by the historian Geneviève Bührer-Thierry.3 But did nasal mutilation automatically signal shame and humiliation, as the paper argues? Bonnie Effros thinks not, citing the celebration in medieval texts of self-mutilating female saints (of dubious authenticity) and the rather more reliable evidence of the Edix Hill leprosy victim’s careful burial. The progressive disfigurement brought by disease, however, and the “contusions, injuries, and diseases” highlighted by Susan Stuard, are not a fair comparison with the sudden and traumatic loss of a nose at the hands of others. Whilst the Edix Hill burial may (or may not—we have no idea, after all, what sort of life this person led) disprove the idea that lepers were automatically shunned from their community, it does not help in deciphering deliberate mutilation. The gendering of the practice in early medieval Europe comes under scrutiny as...

Bilateral Intrusion of Molar using Modified transpalatal Arch in Mutilated Case

For treating the extruded molars, various orthodontic techniques have been introduced. In this article, bilateral molar intrusion is carried out with a modified transpalatal arch.

Class II malocclusion with mutilated anterior segment: Treated with a rare approach-creating an apparent midline

Mutilated cases pose a challenge to orthodontists by limiting the treatment options. The following case report shows a 15-year-old male patient with Class II malocclusion who had missing central incisor and canine in the upper right quadrant, which were extracted around 4 years back. The case was treated by space closure involving movement of left central incisor into right central incisor position and conversion of the left lateral incisor into left central incisor. Overall an esthetic result was achieved saving the patient from the need for a prosthesis.

Defective sexuality and female circumcision: the cause and the possible management.

To verify the effect of circumcision on female sexuality and to define the need for clitorolabioplasty in these cases. Thirty uncircumcised controls, 30 minorly circumcised, 30 minorly circumcised mutilated, and 57 circumcised cases having clitoral cysts were selected on random bases at Kasr El Aini School of Medicine. Sexuality was assessed by a special questionnaire sheet prepared by the authors to fit the circumcised cases. Clitorolabioplasty and clitoral cyst excision were also done in cases of sexual defects. Sexuality was not affected in minorly circumcised cases. However, sexuality was markedly affected in the mutilated cases. The scores for sex desire and arousal and for orgasm were especially affected in such cases. These defects were not detected in cases having clitoral cysts until late, when cysts enlarged. The role of clitorolabioplasty in restoration of sexuality was confirmed. The loss of certain clitoral and labial bulk, necessary for orienting the woman towards her genitalia and initiating her interest in their function, was responsible for the occurrence of such defects; this was able to be restored by surgery. Counseling parents about these sexual defects and asserting the need for correcting the mutilation, which resulted from these circumcisions, are effective steps in banning such procedures.

Perawatan Ortodonti pada Kasus Mutilasi dengan Resorpsi Tulang Alveolar dan Resesi Gingiva (Laporan Kasus)

In the mutilated case in adults, generally malocclusion is often accompanied by less support of periodontal tissues, such as alveolar bone resorption and gingival recession. The treatment of orthodontic is to arrange the teeth into good position and good occlusion, but is widely known to increase the alveolar bone resorption. In handling such case, orthodontist needs to look at factors which do not increase existing alveolar bone resorption and gingival recession. In this case report, it will be reported orthodontic treatment on mutilated case which are accompanied by alveolar bone resorption and gingival recession on a patient of 45 years and 4 months of age.

The differential force method of orthodontic treatment

Knowing how to execute differential force treatment with the proper appliances gives the orthodontist a great advantage, and treatment of any type of malocclusion, including mutilated cases and those not requiring reduction of tooth substance, becomes simple.In order to derive such benefits from the differential force technique, one must use it exclusively and not attempt the simultaneous use of other methods, which leads to confusion in both diagnosis and appliance design. It is absolutely necessary to use the cold-drawn, heat-treated, highly resilient wire as produced especially for this method by A. J. Wilcock of Australia. Failures are caused by the use of other wire.The knowledge gained from the study of Stone Age attritional occlusion must be applied as much as is possible during orthodontic treatment. It will affect the diagnosis, amount and method of tooth mass reduction (if indicated), and final positions of teeth for maximum stability and esthetics. To date the differential force method is the only orthodontic technique that was developed to fit the true biologic requirements of man.The practice of the other branches of dentistry must also be related as nearly as possible to the principles found in the natural evolutionary development of man's dentition, as found in his Stone Age attritional occlusion. To date we have, in orthodontics, the light wire differential force treatment method which is in accordance with this principle. The future must bring similar changes in many other branches of dentistry and, it is hoped, even more in orthodontics.

Possible orthodontic assistance in mutilated cases in conjunction with or in preparation for prosthetic restorations

Possible orthodontic assistance in mutilated cases in conjunction with or in preparation for prosthetic restorations

Treatment of a neutroclusion mutilated case

Treatment of a neutroclusion mutilated case

Psychologic rehabilitation of a child with the insertion of a prosthetic restoration

There is a definite place in child dentistry for prosthetic work. 1. 1. The approach to normality through prosthetic restoration will do much to improve the mental status of the individual. 2. 2. Physically, prosthetic appliances will improve the health and nutrition of the child. 3. 3. Dentally, a mutilated case of malocclusion may be averted by the use of bridges, and partial and full dentures.

Consideration of Malocclusion in Mutilated Cases

Consideration of Malocclusion in Mutilated Cases

Cases showing progressive correction of a habit without the aid of appliances and progress of a mutilated case. Treatment begun at the age of twenty-eight. (Clinic)

Cases showing progressive correction of a habit without the aid of appliances and progress of a mutilated case. Treatment begun at the age of twenty-eight. (Clinic)

An appliance used on an advanced mutilated case

An appliance used on an advanced mutilated case