Swati Saraswata Acharya

How do I Imagine Orthodontic World in 2035

The future orthodontic world is so bright that we definitely ‘need to wear shades’. We are infiltrating a new era of orthodontics accoutered with modern technologies. However, ever growing operating costs, greater patient expectations and indictments against orthodontists are few concerns which need to be addressed. Increased information technology skills, three-dimensional image superimposition methods, custom designed treatments, tooth movement control systems, digital models and evidencebased orthodontics will be the new outlook in the next twenty years. Orthodontic research is entering an epoch of exhilaration. Trends, issues and new evolutions can come together in startling ways. Scenarios are the recitals about the future that combine these forces of change in various ways. Genome wide coalition studies are vital to further the evidence base to practice orthodontics in the coming years.

Will technology master orthodontist? The shades of grey

First, a realistic approach in meticulously examining the patient with accurate records, diagnosis and treatment planning in an orthodontic office by an orthodontist is way beyond a set of pictures and homemade molds of teeth which can never be considered to deliver safe results. Endeavoring to save a few thousands and not getting treated by an orthodontist just for a “temporary esthetic fix” which can never correct the underlying issues is a recipe for disaster.[2]

Cancellous osteoma of maxilla: A rare case report

Osteoma is a slow growing benign tumor result from either cancellous or compact bone proliferation. Osteoma of the jaws may arise from the surface of the bone as a sessile mass located either peripherally or endosteally. This paper presents a rare case report of peripheral cancellous osteoma, involving the buccal cortical plate and alveolar process of the right maxilla of a 37-year-old female patient.

Comparison of individual canine retraction using HYCON device and nickel titanium closed coil spring: In vivo study

Objective: To compare the individual canine retraction using HYCON device and Nickel Titanium closed coil springs. Materials and Methods: The sample consists of 20 patients, 10 males and 10 females. Class1 bimaxillary protrusion cases were selected for the study with age group ranging from 14 to 23 years. HYCON device was placed on the right side of the maxillary arch and Nickel Titanium closed coil spring were placed on left side of the maxillary arch. Lateral cephalograms, OPG and study models were taken before retraction (T0) and records were taken after retraction (T1). Results: The duration of this study is for 3 months. HYCON device retracted canines by 2.42 mm/mo whereas NiTi closed coil spring retracted canines by 1.34 mm/mo in a period of 3 months. Anchorage loss with a minimal of 1.40 mm is seen in HYCON device whereas in case of NiTi closed coil spring the anchorage loss was 3.35 mm. The angular rotation of canines measured was found to be 2.59 degrees in HYCON device and 10.80 in NiTi closed coil spring. Clinically and radiologically, in most of the cases canines moved bodily with 1.90 degrees of tipping for HYCON device while NiTi closed coil spring canine tipping was 6.95 degrees. Conclusion: For rapid space closure HYCON device is a promising appliance. With HYCON device, canines can be completely retracted in 3 months and there was bodily movement of canines seen in all cases with minimum amount of tipping.

Psychiatric morbidity in oral lichen planus: A preliminary study

Objective: To study the clinical types and association of psychological factors in patients with Oral Lichen Planus (OLP). Materials and Methods: An analytical age- and sex-matched study involved 30 patients with oral lichen planus (group 1) and 30 control subjects (group 2). We applied the following psychometric tests to both groups: General Health Questionnaire (GHQ) and Hospital Anxiety and Depression Scale (HADS). Results: The patients with OLP were found to exhibit statistically significant higher anxiety, insomnia, and social dysfunction with the tests that were used (GHQ 24 and HADS) than the control group ( P > 0.05). The study group likewise exhibited greater depression and somatic symptoms. The mean total of the GHQ and HAD scores were found to be higher in the study group than in the controls ( P > 0.05). Among the various types of OLP, patients with the erosive type had higher mean scores for anxiety and insomnia, social dysfunction and depression. Conclusion: In most patients psychiatric morbidity was strongly associated with OLP, which could support its role in the etiopathogenesis of the disease. The higher scores of the General Health Questionnaire and Hospital Anxiety and Depression Scale gave an insight into the hypothesis that psychological factors are associated with the causation of OLP.

A clinical and radiographic study to evaluate the rate of retraction of maxillary canine using nickel-titanium closed coil spring with two different bracket systems

Objectives: This study compares the efficiency of self-ligating brackets with the conventional preadjusted edgewise (PEA) brackets during maxillary canine retraction using nickel-titanium closed coil springs. Materials and Methods: The sample comprised of 20 healthy patients (10 males and 10 females), within age groups 16-26 years (mean, 20 years) having Class I malocclusion with bimaxillary protrusion. All patients underwent bilateral extraction of the maxillary first bicuspids and retraction of the maxillary canines with fixed self-ligating brackets (3M Smart clip) and PEA appliance (3M Gemini). The initial records included standard intra- and extra-oral photographs, study models, lateral cephalograms, and panoramic radiographs. Results: The mean distal movement of canines in self-ligating brackets was 0.89 mm/mo with standard deviation of 0.255 and in preadjusted edgewise brackets, the mean distal movement of canines was 0.87 mm/mo with standard deviation of 0.214. The mean tipping of canine in self-ligating brackets was 7.45 ± 1.050(0) and in PEA brackets it was 7.70° ± 1.21°. The mean rotation of canine in self-ligating brackets was 7.65° ± 3.47° and in preadjusted edgewise appliance it was 12.30° ± 3.08°. Conclusion: The rates of distal movement of the maxillary canines were similar with both conventional and self-ligating brackets. Rotation of the maxillary canines during retraction was minimized with self-ligating brackets in comparison to conventional bracket systems.