Orthodontic Treatment Options Research Articles

Study on decision-making for orthodontic treatment plans based on analytic hierarchy process

BackgroundOrthodontics is a common treatment for malocclusion and is essential for improving the oral health and aesthetics of patients. Currently, patients often rely on the clinical expertise and professional knowledge of doctors to select orthodontic programs. However, they lack their own objective and systematic evaluation methods to quantitatively compare different programs. Therefore, there is a need for a more comprehensive and quantitative approach to selecting orthodontic treatment plans, aiming to enhance their scientific validity and effectiveness.MethodsIn this study, a combination of the analytic hierarchy process (AHP) and semantic analysis was used to evaluate and compare different orthodontic treatment options. An AHP model and evaluation matrix were established through thorough research and semantic analysis of patient requirements. This model considered various treatment factors. Expert panels were invited to rate these factors using a 1–9 scale. The optimal solution was determined by ranking and comparing different orthodontic treatment plans using the geometric mean method to calculate the weights of each criterion.ResultsThe research indicates a higher preference for invisible correction compared to other orthodontic solutions, with a weight score that is 0.3923 higher. Factors such as comfort and difficulty of cleaning have been given significant attention.ConclusionThe Analytic Hierarchy Process (AHP) method can be utilized to effectively develop orthodontic treatment plans, making the treatment process more objective, scientific, and personalized. The design of this study offers strong decision support for orthodontic treatment, potentially improving orthodontic treatment outcomes in clinical practice and ultimately enhancing oral health and patients’ quality of life.

Impact of clear aligner therapy on masticatory musculature and stomatognathic system: a systematic review conducted according to PRISMA guidelines and the Cochrane handbook for systematic reviews of interventions

BackgroundClear aligner therapy has gained popularity as a minimally invasive orthodontic treatment option. However, its impact on the masticatory musculature and the stomatognathic system is an area of growing interest, as it involves the adjustment of occlusion and tooth movement. This systematic review aims to comprehensively assess and synthesise existing evidence regarding the influence of clear aligner therapy on the masticatory musculature and the stomatognathic system.MethodsAn exhaustive search was performed on electronic databases that adhered to PRISMA guidelines. Clinical studies that evaluated the impact of patients receiving aligner orthodontic treatment on the muscles of the mastication and stomatognathic systems were included. A standardised data extraction form was devised for relevant variables. Two reviewers extracted the data variables. ROB-2 was used for bias evaluation in the selected studies.ResultsA total of six studies met the inclusion criteria. The wearing of clear aligners significantly impacted the muscles of mastication. Muscle activity and discomfort showed a significant alteration in the initial days of appliance placement. but this observation was temporary, with no significant changes thereafter in subsequent follow-up. Bite force reduction was also noted. All the studies evaluated showed good methodological quality.ConclusionThe review found that aligned orthodontic treatment may have a variable impact on muscles of mastication, with a potential for initial exacerbation of symptoms followed by possible improvement. However, due to the limited number of studies and their heterogeneous nature, further robust research is recommended to fully understand the relationship between aligned orthodontic treatment and masticatory muscles.

Treatment Efficiency of Maxillary and Mandibular Orovestibular Tooth Expansion and Compression Movements with the Invisalign® System in Adolescents and Adults.

Aligners are an effective and esthetic orthodontic treatment option for permanent and mixed dentition. There are only a few studies dealing with the effectiveness of orovestibular tooth movement using aligners and applying adequate examination methods. In the present retrospective study, the aligner efficiency of orovestibular movements for the entire dentition was systematically evaluated using 3D superimposition, taking into account the influence of jaw, tooth type and Invisalign® system. Group 1 (n = 18 adults, Invisalign®) and Group 2 (n = 17 adolescents, Invisalign® Teen) were treated with Invisalign® Ex30 aligner material and Invisalign® specific auxiliary means. In this non-interventional retrospective study, pre- and post-treatment maxillary and mandibular plaster cast models were scanned and superimposed with ClinChecks® via Surface-Surface Matching Algorithm on unmoved teeth providing stable references. Effectivity of planned versus clinically realized movements was evaluated for each tooth. Statistics were performed with a t-test and Bonferroni-Holm correction (α = 0.05). Orovestibular movement efficiency was excellent without statistical significance regarding jaw, tooth type or Invisalign® system. Mandibular translational tooth movements were highly effective, and outstanding for premolars (91-98%). Maxillary translational tooth movements were successful for incisors and premolars, but less effective for canines and molars. Almost all teeth were moderately or very effectively corrected by crown tipping, performing better for mandibular (70-92%) than maxillary (22-31%) canines as much as for adolescent upper front teeth (81-85%) and lower canines (92%). Aligners are able to effectively implement translational orovestibular movements, supported by tilting the crowns for even more efficient implementation of the movements. This phenomenon was observed in our studies for all teeth in both jaws, regardless of the Invisalign® system used. Treatment planning should nevertheless take into account the individual patient parameters with regard to the movements to be performed in order to make the aligner therapy as successful as possible in terms of realizing the desired therapeutic goal.

Evidences From Systematic Reviews Regarding Miniscrew-Assisted Rapid Palatal Expansion (MARPE) Approach In Orthodontics

Background. Miniscrew-assisted rapid palatal expansion (MARPE) has been considered as relatively novel and effective method of orthodontic treatment, but the discussion is still ongoing regarding effectiveness of MARPE for different age population groups, while also in comparison with surgically assisted rapid palatal expansion or conventional rapid maxillary expansions, since evidences available for MARPE is mostly of insufficient quality.
 Objective. To collect and represent evidences of MARPE treatment outcomes in orthodontics based on the data available within systematic reviews.
 Materials and Methods. Search was provided via PubMed Central, Web of Science and Scopus databases, while also within Cochrane Library. Only systematic reviews written in English were considered for analysis. Primary outcomes such as success rate (percentage of cases, where required maxillary width was achieved) and maxillary expansion rate in means of midpalatal split, dental intermolar width, skeletal and dentoalveolar expansion, palatal suture opening, palatal width measured in millimeters or percentage were tabulated and analyzed. Secondary outcomes were presented in descriptive manner 
 Results. Overall 12 systematic reviews were enrolled into study group of targeted publications. Among these 12 systematic reviews primary outcomes were extracted from 8 of them, while rest 4 systematic reviews were used for analysis of secondary outcomes. Succes rate of MARPE varied in the range of 82.8-100%, while intermolar width increase after MARPE treatment – in the range of 4.79-6.55 mm. 
 Conclusion. Considering data available within systematic reviews MARPE approach seems to be reliable orthodontic treatment option, which help to gain significant increase for skeletal and dental intermolar width among patients with maxillary transverse deficiency. Such treatment strategy provides better results than conventional rapid maxillary expansion and lesser periodontal negative consequences compare to surgical-assisted rapid palatal expansion, even though quality of data supporting these statements are insufficient and debatable.

Is Apical Root Resorption Greater When Using Clear Aligners as Compared to Conventional Fixed Appliances in Adult Patients Following Orthodontic Treatment? A literature Review

Background: Apical root resorption has been identified as a potential risk/adverse effect of conventional orthodontic treatment, however, with changing dental demand and increasing patient preference for clear aligners therapy, the availability of evidence-based information on its incidence/severity following treatment with either clear aligners or fixed appliance is of relevance to clinical practice in providing guidance on orthodontic treatment risk to patients and therefore contributing to the process of obtaining valid informed consent. Objectives: The aim of this study is to undertake a literature review to establish whether apical root resorption following orthodontic treatment is greater in adult patients treated with clear aligners as compared to conventional fixed appliances, to analyse and appraise the data, to make appropriate recommendations relevant to orthodontic practice and is widely referenced by orthodontists. Search Methods: A systematic literature search of three databases (Medline, Embase, Web of science), Google scholar and a hand search of relevant journals was done. Selection Criteria: Primary research studies high in the hierarchy of evidence that investigated/compared apical root resorption following extraction/non-extraction based orthodontic treatment with fixed appliance or clear aligners in adult patients equal to or greater than 18 years between January 2010 and December 2021 were selected for this systematic review. Data Collection and Analysis: Studies were accessed, duplicates eliminated, data extracted with the use of a customized data extraction form, and quality assessed using a critical appraisals skills programme tool. Results: A total of 67 studies were identified, and after the elimination of duplicates and quality assessment, six studies were selected for review. The Cochrane Rob 2 bias tool was used to assess the risk of bias of the selected studies. Apical root resorption prevalence/severity was measured using two different radiographic methods: 3-Dimesional (CBCT-scan) and 2-Dimensional (panoramic/periapical radiographs). Conclusions: The majority of the studies showed that the severity/prevalence of apical root resorption is less in clear aligners compared to fixed appliance treated patients, however, they are characterized by different baseline malocclusion/treatment duration/modalities, study design flaw, inconsistency in outcome measurement/calculation. Due to these limitations, it is difficult to arrive at a conclusion and make recommendations applicable to everyday clinical practice. The clinician should take into consideration factors that increase the risk of apical root resorption such as genetic predisposition, treatment duration, force application (types and location), types of tooth movement, initial malocclusion and extraction/ non-extraction-based treatment in deciding on the orthodontic treatment option and gaining patient consent.Limitations: The current evidence has a number of limitations including the lack of robust prospective studies on apical root resorption, different methods of outcome measurement and calculation, different baseline malocclusions, the evaluation of apical root resorption in only one treatment modality and short treatment duration which may influence the validity of the study conclusions. A meta-analysis could not be performed due to the heterogeneous outcome recording methods. Further research is recommended

Indications, limitations, and outcomes of clear aligners in orthodontic treatment

Clear aligners have gained popularity in orthodontic treatment as a comfortable and aesthetically pleasing alternative to traditional braces. The use of clear aligners has increased due to their advantages, including improved aesthetics, easy removability, and minimal soft tissue irritation. The treatment process involves sequential aligners custom-made for each patient, using computer-aided design and manufacturing technology. Clear aligners employ controlled forces to gradually move teeth into proper alignment. However, clear aligners have limitations, such as the need for patient compliance and their effectiveness in addressing complex malocclusions. Clinical considerations include thorough assessment, regular follow-up visits, and patient education. Treatment outcomes vary depending on the specific malocclusion characteristics. Clear aligners have demonstrated benefits in treating mild malocclusions, spacing issues, and certain types of malocclusion corrections. Treatment duration may be shorter compared to fixed appliances in mild cases. Stability and periodontal health can be influenced by clear aligner therapy, which has effects on plaque levels and gingival inflammation. Root resorption is a concern, but aligners have shown a lower prevalence compared to fixed appliances. Compliance, eruption of permanent teeth, and limitations in visualizing hard and soft tissues are important considerations. Overall, clear aligners offer an aesthetic orthodontic treatment option for a variety of dental abnormalities and mild to moderate orthodontic issues.

Awareness of Orthodontic Treatment among Primary, Middle, and High School Teachers in Pakistan

OBJECTIVE: The aim of this study was to assess the level of awareness of schoolteachers towards orthodontic treatment and treatment options, as they can play a pivotal role in the early treatment of cases by motivation and referring the patients. METHODOLOGY: A 16 questions based questionnaire was circulated among schoolteachers. The responses received to the online form were analyzed for the level of awareness of schoolteachers towards orthodontic treatment. Chi-square test was applied to study the means between gender, level of teaching, and other questions. P-value of <0.05 was considered significant. RESULTS: There was significant association between the response of question 12 (Braces treatment is expensive) with groupIII and age group 31-40 years old, question 5 with group-III and question 16 with group-I, p-value < 0.05. CONCLUSION: The questionnaire found that there is a lack of awareness towards orthodontic treatment, treatment timings and payment information among the primary, middle and high school teachers in Pakistan. KEYWORDS: Age, Awareness, School, Socioeconomic status, Teachers, Treatment

Orofacial findings and orthodontic treatment conditions in patients with down syndrome – a retrospective investigation

IntroductionThe most common chromosomal anomaly is Down syndrome/Trisomy 21, which can be associated with varying degrees of intellectual disability and physical malformation. Specific orofacial characteristics regarding orthodontic treatment options and features are described on the basis of a patient collective from the Witten/Herdecke University, Germany.MethodsData of 20 patients (14 boys and 6 girls, mean age: 11.69 ± 3.94 years) who underwent orthodontic treatment between July 2011 and May 2022 were analyzed. Baseline skeletal and dental conditions were assessed, as well as the presence of hypodontia, displacements, and treatment-related root resorptions. The treatment need was evaluated based on the main findings according to the German KIG classification. In addition, treatment success was determined in relation to patient compliance.ResultsThe patient group was characterized predominantly by a class III relationship (ΔANB: −2.07 ± 3.90°; ΔWITS: −3.91 ± 4.33 mm) and a brachyfacial cranial configuration (ΔML-NL: −4.38 ± 7.05°, ΔArGoMe: − 8.45 ± 10.06°). The transversal discrepancy of the dental arch width from maxilla to mandible was −0.91 ± 3.44 mm anteriorly and −4.4 ± 4.12 mm posteriorly. Considering the orthodontic indication groups, the most frequent initial finding and treatment indication represented hypodontia (85%), followed by frontal (75%) and unilateral lateral (35%) crossbite. In 55% of the cases, the teeth had a regular shape, but in 35% a generalized and in 15% an isolated hypoplasia. Only 25% of the patients could be treated with a fixed multiband appliance due to sufficient cooperation. In each of these patients, varying degrees of root resorptions were detected during treatment, and 45% of all treatments had to be terminated prematurely due to a lack of cooperation by patients or parents.ConclusionThe extent of dental and skeletal malformations and the high rate of findings requiring treatment in patients with Down syndrome represent a significant indication for orthodontic therapy, which can be well illustrated by the KIG classification. However, this is in contrast to the eventually increased risk of root resorption, with significantly reduced patient cooperation. A compromised treatment outcome and process must be expected. Consequently, the orthodontic treatment must be simple and realistic to achieve fast and therapeutically satisfactory treatment result.

Clear Aligner Therapy: Up to date review article.

The advantages of Clear Aligners Therapy (CAT) include the braces being virtually invisible, comfortable to wear, and removable for eating and brushing; that way, CAT can be used to treat a wide range of orthodontic issues. In 1999, the company Align Technology introduced the frst commercial clear aligner system called Invisalign. The Invisalign system was initially only available to orthodontists, but later became available to general dentists as well. The system quickly gained popularity among patients who were looking for a more discreet and comfortable alternative to traditional braces. In 2000, Align Technology received FDA clearance for the Invisalign system, which further increased its popularity. The biomechanics of clear aligners involve the use of custom-made tooth aligners that are specifcally shaped to guide teeth into desired positions. These aligners are typically made from flexible materials such as polyurethane or ethylene vinyl acetate and are adjusted to apply the necessary forces for tooth movement. Attachment devices, such as power ridges or buttons, are often used to enhance or assist in specifc tooth movements and for retention of the aligner. The use of attachments allows for the exertion of desired force on the teeth, which is crucial for the success of Clear Aligner Therapy. CAT should be used if patients are concerned about the esthetic appearances of their teeth-for example, actors and other individuals that rely on their appearances in public in a professional context-and if the misalignment is not severe, so that clear aligners can still work. One should not use CAT in cases of severe crowding or spacing issues that require extractions. If the patient has complex jaw discrepancies or skeletal issues or if teeth need to be moved extensively in multiple directions, CAT is likely not going to be strong enough. In conclusion, Clear Aligner Therapy is a safe, effective, and convenient orthodontic treatment option that offers patients a virtually invisible way to achieve a straighter, more beautiful smile. With continued advancements in technology and a growing body of research supporting its effectiveness, the future of Clear Aligner Therapy looks bright.

Laypersons’ Perception Towards Gummy Smile and Facial Types: Acceptability and Treatment Benefit

Smile aesthetic perceptions could have different impact on orthodontic and prosthodontic treatment management and options to the patient. Objectives: To determine the laypersons’ smile aesthetic perceptions; irrespective of age and gender, of gummy smile and its treatment need and benefit on three different facial types. Methods: Smiling frontal photographs of a male and female subject were altered to simulate three facial types (brachyfacial, mesofacial and dolichofacial) with different levels of gummy smile increase from 2.0mm to 5.0mm. A total of 150 laypersons ranging from 18-45 years old were randomly approached to rate the photographs. Perceptions differences were assessed using visual analog scale for each group. Results: Repeated measure ANOVA was applied and showed that the mean level of attractiveness among three different facial types based on gummy smile levels was not statistically significant. This suggests that the facial type does not influence the laypersons’ ratings on gummy smile level. Further test found that the laypersons perceived 4.0mm gummy smile as borderline attractive while at 5.0mm is considered as unaesthetic. Chi Square test showed that there was statistically significant difference between the treatment need and attractiveness scoring (p=<0.01) whereby the treatment benefit is dependent on attractiveness ratings of gummy smile variables. Conclusion: Different levels of gingival show affect the laypersons’ perception of smile attractiveness, regardless of the facial type. The higher the level of gingival show, as seen in 4-5mm categories is perceived to be unattractive and thus, more likely to benefit from treatment.

Emerging insights and new developments in clear aligner therapy: A review of the literature

Aggressive promotion by stakeholders and increased public awareness for alternative esthetic orthodontic treatment options have popularized the demand for clear aligner therapy (CAT). Patient demand is driven by appearance, comfort, convenience, and less complicated oral hygiene control. CAT is an important treatment alternative to conventional fixed appliances and a viable alternative for mild-to-moderate malocclusions in nonextraction, nongrowing patients. CAT is less effective and predictable than conventional fixed appliances for complex orthodontic tooth movements and malocclusions. However, the introduction of improved software, aligner materials, and auxiliary devices has enhanced the scope of malocclusions that may be treated. Managing complex tooth movements during CAT requires auxiliaries, overcorrections, and refinements to improve the predictability, effectiveness, and stability of treatment outcomes. The main predictors of treatment outcome are proper patient selection, patient complexity, treatment planning, compliance, clinician experience, and regular monitoring. Currently, there are no evidence-based clinical guidelines for CAT. Aligner technology and therapy are continuously evolving and improving. This literature review aimed to assess and summarize current scientific knowledge and evidence relating to CAT.

Factors affecting willingness to pay for NHS-based orthodontic treatment.

Objective To assess factors affecting willingness to pay for orthodontic treatment.Methods An online discrete choice experiment and willingness to pay study was conducted on a convenience sample of 250 participants aged 16 and above over a four-month period. Participants completed a series of stated-preference tasks, in which they viewed choice sets with two orthodontic treatment options involving different combinations of attributes: family income; cost to patient; cause of problem; prevention of future problems; age; severity of the problem; and self-esteem/confidence.Results Family income, cost to patient, cause of the problem, age and self-esteem/confidence were the most important attributes influencing participants' decisions to have orthodontic treatment. Participants felt that free NHS-based orthodontic provision should be prioritised for those under 18, regardless of family income, for those with developmental anomalies, particularly where self-esteem and confidence are affected, with younger participants (aged 16-24 years) strongly preferring full NHS funding for those under 18 years old (p = 0.007, 95% CI: 0.57-0.09) who dislike smiling in public, especially where self-esteem and confidence are impaired (p = 0.002, 95% CI: 0.16-0.71). Participants with high annual income had the highest preference for the NHS to fund treatment regardless of income (p = 0.02, 95% CI: 0.13-1.47) and placed an onus on addressing developmental anomalies (p = 0.004, 95% CI: 0.22-1.15). In total, 159 (63.6%) of those who would undergo treatment were willing to pay for it, with the majority (88%) open to paying up to £2,000 and only three participants stating the NHS should not contribute towards the cost of orthodontic treatment.Conclusions Based on this pilot study, key factors influencing the decision to undergo treatment included family income, cost, the aetiology of malocclusion, age and self-esteem/confidence. It was felt that free NHS-based treatment should be given priority where self-esteem and confidence are impaired among young people. Further research to inform the priorities underpinning the provision of dental care and orthodontic treatment within the NHS is required.

Orthodontic management of skeletal Class II malocclusion using three mini-implants- A case report

Vertical dimension issues are frequently regarded as the most difficult dentofacial problems to treat in clinical practice. The difficulty level increases when vertical dysplasia is paired with sagittal discrepancy. The use of mini-implants in Orthodontics has broadened the scope of orthodontic treatment options. The treatment of a 14-year-old female patient with skeletal Class II malocclusion, slight hyperdivergent profile, and enhanced incisor visibility with four premolar extraction followed by comprehensive orthodontic treatment to correct the convex profile and increased incisor visibility, with two posterior implants for retraction and a midline mini implant for intrusion of the anterior maxillary dentoalveolar segment is described in this case report. The active therapy period was 25 months long.

Factors influencing the desire for orthodontic treatment among patients and parents in Saudi Arabia: A cross-sectional study.

OBJECTIVES:The decision to pursue orthodontic treatment is influenced by a variety of cosmetic, functional, and social reasons. This study compared the factors that influence adults’ decisions before orthodontic treatment versus parents’ decisions prior to their children's orthodontic treatment in Jeddah city, Saudi Arabia.MATERIALS AND METHODS:A cross-sectional survey was distributed to the patients of orthodontic clinics of King Abdulaziz University in addition to a private orthodontic clinic in Jeddah city, Saudi Arabia. The survey consisted of two versions of a questionnaire: one for adults and one for children's parents. The survey inquired about the participants’ demographics, factors that led to the necessity of treatment, and considerations before opting for orthodontic treatment. The factors influencing the decision-making process of adults were compared to that of parents using the Chi-square test.RESULTS:A total of 417 subjects participated, 331 adults and 86 parents. The majority of the respondents in both groups were females. When compared to children, adults were more aware of the necessity for orthodontic treatment (78.5% of adults vs. 41.9% of children). The primary motivation for adults and parents to begin orthodontic treatment was to improve their esthetic appearance (58.6% and 87.2%), whereas functional concerns were less frequently reported (12.1% and 15.1%). Adults relied on less trustworthy sources of information about orthodontic treatment options, whereas parents relied on more dependable sources.CONCLUSIONS:The main reason for opting for orthodontic treatment in Jeddah city, Saudi Arabia was esthetic for both adults and children.

A qualitative twitter analysis of the patient experience with invisible orthodontics; lingual braces versus invisalign

Objectives: The aim of this qualitative study was to examine orthodontic patients’ thoughts and experiences about the invisible orthodontic treatment options – lingual braces and Invisalign – through the analysis of Twitter posts’ content. Materials and Methods: A software program was written for the data collection. The program consecutively collected the tweets posted over an 8-month period from Twitter’s publicly accessible database. Tweets that were written in the English language and contained any of the four keywords “Invisalign,” “lingualorthodontics,” “lingualbraces,” and “invisiblebraces” were collected. The tweets that included irrelevant or incoherent posts, professional advertisements, unclear/not applicable content, and reposts were excluded from the study. Two authors, with different experiences, independently read, and analyzed the tweets. Each applicable tweet was classified into one of the three categories: Positive, negative, and neutral for two study groups (Invisalign and lingual braces). Pearson Chi-square test was used to analyze the negative and positive tweet rates of the groups. Results: 1176 of 2407 tweets were selected as applicable and analyzed by the authors. There was a statistically significant very good agreement between the two observers (Kappa = 0.933, P < 0.001). The negative comment rate (39%) and neutral comment rate (31.1%) in the lingual group were statistically higher than the Invisalign group (27.2% and 21.7%, respectively; P < 0.001). The positive comment rate in the Invisalign group was significantly higher (51.1%) compared to the lingual group (29.9%, P < 0.001). Conclusion: Orthodontic patients use social media to share their experiences and feelings about their treatment process. The applicable Tweet number and the positive Tweet rate in the Invisalign group were higher than the lingual braces group.

Survey on the Orthodontic Awareness in MGM Campus, Navi Mumbai, Maharashtra, India

ABSTRACT Introduction Awareness is the state or ability to perceive, to feel, or to be conscious. The decision to go for an orthodontic treatment is influenced by the desire to look attractive, to overcome social pressure, and to enhance self-esteem. The aim of the present survey was to assess the awareness of orthodontics in MGM Campus, Navi Mumbai. Materials and methods This study was carried out through an online questionnaire of 22 questions which was distributed through various channels, such as personal e-mails and communication through the phone to students of MGM Campus, Navi Mumbai fitting the inclusion criteria. The sample size of 285 represented a population of students in the age group of 18–24 years. The questionnaire was made accessible to the participants for 2 months. Results Results showed that nearly 78% of the subjects had visited a dentist before while 40% were unaware of the role of an orthodontist, indicating a general lack of awareness of the difference between a general dentist and an orthodontist. The majority of the subjects were able to notice people with irregular teeth around them and 79.6% of the subjects noticed improper positioning of their teeth by themselves, thus indicating that people were conscious about the crowding seen within their dentition. More than 80% of the subjects believed that maintaining oral hygiene is difficult with the presence of crowded teeth, oral habits can have deleterious effects on teeth, and for an esthetic facial appearance, teeth should be well aligned. Nearly 50% of the participants were simply unaware that orthodontic treatment could be performed after the age of 40 years as well. Majority were aware of the various types of braces and >60% of the subjects knew that ceramic and lingual braces are more expensive as compared to traditional metal braces. A lack of awareness about invisible braces options was seen in >60% of the participants. Diet restrictions for better orthodontic results were known to majority of the participants. Nearly 90% of the subjects knew that special care has to be taken of oral hygiene during the orthodontic treatment. Extraction protocol for better treatment results and disadvantages, such as pain and ulcerations, either was known to >80% of the subjects. More than 70% were aware that orthodontic treatment is usually of longer duration as compared to other types of dental treatment. Nearly 46% of the subjects were unaware of the frequency of orthodontic appointments. Only 66% knew that it is necessary to wear retainers after the completion of treatment. More than 50% felt that self-consciousness would majorly influence their decision to go for orthodontic treatment. Nearly 60% felt that social life is not adversely affected by braces. Conclusion There was less awareness in young adults, about various orthodontic treatment options and in general about orthodontic treatment, hence there is a need to create awareness about the same, which will help us provide a better quality of treatment. How to cite this article Vajifaker PJ, Mhatre AC, Joshi D. Survey on the Orthodontic Awareness in MGM Campus, Navi Mumbai, Maharashtra, India. J Contemp Dent 2019;9(3):101–108.

Smile Designing Using Laminate Veneers – A Case Report

Aim: To describe a treatment plan that serves as a functional and aesthetic alternative to orthodontic treatment options that may be time-consuming, for mild crowding in anterior teeth wherein only aesthetics is of concern. Background: Laminate veneers are a conservative alternative to full coverage crowns for improving the appearance of the anterior teeth. Adhesive technologies make it possible to bond the prosthesis whilst preserving the tooth structure.[3] Immediate results are achieved since the prosthesis could be delivered within a few days. Ceramics are aesthetic, biocompatible, wear- resistant, exhibit excellent colour stability, and present a thermal coefficient of expansion similar to enamel. Hence prove to be the most desired material for laminate veneers. Case Description: Laser gingivoplasty was done on the maxillary anterior (13 to 23) to align the gingival zenith. Veneer preparation was done on the same teeth with minimal tooth reduction (0.5 mm) on the enamel only. All-ceramic veneers were bonded to the teeth with light cure resin cement to achieve the desired aesthetic results. Conclusion: Smile aesthetics can be achieved only when there is harmony between the teeth and the gingival zenith. With proper diagnosis and treatment planning, a desirable aesthetic result was achieved. Clinical Signification: Smile designing includes scientific and artistic principles, which helps in creating an aesthetic smile. These norms were found through the collection of data from patients, diagnostic casts, mock wax-ups, measurements, concepts of beauty, and golden proportions.

The effect of social media on patient acceptance of temporary anchorage devices.

To investigate the relationship between the use of social networking sites (SNSs) on patient perceptions, acceptance, and expectations of treatment using temporary anchorage devices (TADs) and to compare differences between patients from the United Kingdom and Brazil. Cross-sectional questionnaires were administered to 39 participants at orthodontic practices in the United Kingdom and Brazil about patients' use of SNSs, exposure to TADs on SNSs, and thoughts on extractions, jaw surgery, or TADs as treatment options. UK patients prefer for clinicians to have SNS profiles (P = .022). Most UK and Brazilian patients want to see their clinician's work online (76.7%) and use SNSs to get information about treatment options (76.6%). There was a statistically significant difference in Brazilian patients' acceptance of TADs as a treatment option compared with UK patients, particularly if it meant avoiding extractions (P = .002), avoiding jaw surgery (P = .004), or reducing treatment time (P = .010). Knowledge of TADs was greater in Brazilian patients (P < .001). Patients use SNSs to obtain information about treatments and prefer clinicians to have social media accounts. Patients exposed to TADs on SNSs are more likely to accept them as an orthodontic treatment option. UK patients have less knowledge of TADs and are therefore less sure to consider TADs as an option. Brazilian patients are more confident in considering the use of TADs. Clinicians should consider increasing their social media presence to accommodate patients' expectations and acceptance of TADs.

Patients Preference to Clear Aligner Therapy Over Conventional Orthodontic Therapy

Malocclusion is defined as irregularity of the teeth or a mal-relationship of the dental arches beyond the range of what is accepted as normal occlusion. Maloccluded teeth can cause psychological problems that are related to impaired dentofacial esthetics. Malocclusion may also cause serious problems related to oral health. This is a multifactorial defect caused by factors such as environment, lifestyle, health, genetics, socio-economic status etc. Clear aligners are orthodontic therapeutic options which are preferred for the correction of maloccluded teeth. The main aim of the study was to find out the awareness of the patients towards the preference of clear aligners as orthodontic treatment options. A University based setting was conducted. A sample size of hundred patients was taken for the survey. The survey was done by distributing an online questionnaire through Google forms consisting of 11 questions and circulated among the participants. The participants comprise both male and female patients. To eliminate bias, a randomized sampling method was used. The data was collected over a period of one week. All the 11 questions of the survey were close ended questions. Chi square test was applied to find the association between the parameters and the level of significance. This study shows the patients have a moderate understanding of clear aligners and their acceptance of it as an orthodontic treatment option.

Utilização dos mantenedores e recuperadores de espaço na ortodontia interceptativa: Revisão dos conceitos atuais

A dentição decídua é fundamental para que ocorra um bom desempenho nas funções mastigatórias, deglutição, fonação e oclusão. Existem vários fatores que podem interferir no equilíbrio do desenvolvimento da dentição decídua e/ou mista, dentre esses fatores destacam-se a perda prematura dos decíduos. O objetivo desse estudo foi realizar uma revisão de literatura abordando a utilização de mantenedores e recuperadores de espaço na odontologia. De acordo com a literatura foi observado que os mantenedores de espaço são dispositivos ortodônticos utilizados a fim de substituírem um ou mais dentes decíduos, preservando o espaço destinado ao dente permanente sucessor. Eles são classificados em, funcionais e não funcionais e fixos e removíveis, sendo selecionados de acordo com a idade do paciente e número de dentes perdidos. Já os recuperadores são dispositivos ortodônticos dinâmicos, e a sua finalidade é recuperar espaços que foram perdidos após a exodontia dos dentes decíduos. É fundamental que o cirurgião-dentista realize um diagnóstico precoce dos problemas decorrentes do espaço nas dentições decíduas ou mistas, conhecendo os fatores etiológicos envolvidos na perda prematura, bem como, as opções de tratamento ortodôntico disponíveis.