Online ISSN: 2515-8260

Keywords : Malocclusion


Comparative Analysis For The Presence And Intensity Of TMD Symptoms In Skeletal Class I Malocclusion, Skeletal Class II Horizontal Malocclusion & Skeletal Class II Vertical Malocclusion Using Helkimo And Craniomandibular Index. A Study Protocol

DR. SWAPNAJA GOSAVI; DR.SUNITA SHRIVASTAV

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 2, Pages 2113-2118

Abstract: Background: Healthy dentition is a pre requisite for good esthestic, phonectics
and self-esteemed of an individual. In India 40-80% of population have one or the other
class of malocclusion with varying severity. There are various methods used of evaluation
of TMJ dysfunction like tomogram, MRI, but Helkimo is a pioneer in developing indices
by which severity can be clinical evaluated Temporomandibular disorder is a multifactorial
disease. Awareness regarding this is an important aspect in today’s scenario. In
Orthodontic practice awareness regarding TMD is utmost important. A parallel group trial
study is to analyze & compare presence and intensity of TMD symptoms in skeletal class I,
class II (vertical & horizontal) using Helkimo and Craniomandibular index. This study
will help us in day to day Orthodontic practice.
Objective: Evaluation of presence & intensity of TMD symptoms in skeletal class I, class II
(vertical & horizontal) cases using Helkimo index & Craniomandibular index.
Evaluation of presence & intensity of TMD symptoms in skeletal class I, class II (vertical
& horizontal) cases using Craniomandibular index
Material and methods: Total 90 patients (Class I, Class II (vertical & horizontal)), in age
range of 14-25 years, will be selected.
For every patient, Helkimo and craniomandibular index will be taken. Scores will be
recorded and will be compared. The results compared will give us which skeletal pattern is
prone for TMD.

SPACE ANALYSIS BY MOYERS METHOD, TANAKA-JOHNSTON METHOD, AND SITEPU METHOD IN MIXED DENTITION

Ratih Cahyaning Puri; Sindy Cornelia Nelwan; Tania Saskianti

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 5, Pages 778-782

Background: The prevalence of malocclusion in Indonesia is very high, which is around 80% of the total population. Orthodontic treatment in the mixed dentition stage is the right time to minimize the occurrence of malocclusion, and it requires space analysis in advance. To predict the space required in space analysis, prediction methods can be applied, such as Moyers method, Tanaka- Johnston method, and Sitepu method. These three methods are obtained from studies with different races.
Objective: This research was conducted to determine the differences in the results of space analysis with the three methods.
Methods: Seventy-three (73) dental casts were obtained from children aged 8-12 years at SD Negeri Gubeng 1. The space available and space required was measured by these three methods. The discrepancy of these methods was calculated based on the space available and the space required. The results were statistically analyzed using Kruskal-Wallis.
Results: By Kruskall-Wallis test, the space analysis measurement method in maxillary arch showed no significant differences (p> 0.05), while in mandibular arch showed significant differences (p< 0.05).Mann-Whitney Utest on the maxillary arch showed no significant differences (p> 0.05), while in mandibular arch was (p< 0.05). This means that there was a significant difference between the Moyers method in mandibular arch and the Sitepu method in mandibular arch, and also between the Tanaka-Johnston method in mandibular arch and the Sitepu method in mandibular arch.
Conclusion: By using these three methods, the results of space analysis on mandibular arch showed a significant difference, while on maxillary arch showed no significant differences.

RELATIONSHIP BETWEEN STUDENT’S PERCEPTIONS TOWARDS THE USE OF FIXED ORTHODONTIC APPLIANCE AND INTEREST IN MALOCCLUSION TREATMENT

Kirana .; Mustaqbal .; Syafiri .; Retno Palupi

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 5, Pages 681-690

Background: The main physical appearance that can be seen from the face is inseparable from the appearance of the teeth and mouth. The teenagers realize that the first impression is greatly influenced by appearance. Purpose: Determine the relationship between the perception of young adults using fixed orthodontic appliance and interest towards of malocclusion treatment inclass of 2019 undergraduate students of Faculty of Dental Medicine Universitas Airlangga Surabaya. Methods: This research was an analytic cross-sectional study design and the sampling technique used purposive sampling. The amount of sample which met the inclusion and exclusion criteria was 87 students. Data collected by giving questionnaires to 87 students. Cross-tabulation between perception and interests showed that the most interests of the respondent were seen in the moderate category in the perception of both functional and aesthetic aspects. The data were analyzed using the chi-square test with α = 0,05. Results: The relationship between the perception of late adolescence using fixed orthodontic appliance and interest towards of malocclusion treatment did not show a significant result with p = 0,351. Conclusions: There is no relationship between the perception of young adults using fixed orthodontic appliance and interest towards ofmalocclusion treatment in class of 2019 undergraduate students of Faculty of Dental Medicine Universitas Airlangga Surabaya

ASSOCIATION OF PERIODONTAL HEALTH AND ANGLE’S MALOCCLUSION- AN INSTITUTIONAL BASED STUDY

Thanish Ahamed. S; Nivethigaa B; Mebin George Mathew

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 1820-1826

Of the several pathologies that affect the oral cavity, malocclusion is the third most important problem in the world population. It not only affects the appearance but also affects the periodontal health. The aim of the study was to assess the association between periodontal health and different angle’s malocclusion. This retrospective study was conducted among outpatients reported to Saveetha Dental College and Hospitals, Chennai from June 2019 to March 2020. The study consisted of 300 patients (50 patients in each group). Patients were segregated into six groups based on Angle’s classification (Group 1: Class I; Group 2: Class II division 1; Group 3: Class II division 2; Group 4: Class II subdivision; Group 5: Class III; Group 6: Class III subdivision). The type of molar relationship was then correlated with the periodontal status. Out of 300 patients, the prevalence of gingivitis (92%) was higher among Class II subdivision patients and the prevalence of periodontitis (22%) was higher among Class II division patients. Also, the correlation between different types of malocclusion and periodontal health was assessed and found to be statistically not significant (p=0.306).

MANDIBULAR ARCH FORMS IN CLASS II DIVISION 1 MALOCCLUSION

Anubhav Das; Ravindra Kumar Jain

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 1851-1857

The dental arch form is defined as the shape formed by the configuration of the bony ridge of the jaw. Arch form dimension and variations have been studied by several authors. Consideration of the arch form is of utmost importance, because it is crucial that the arch form should be examined before starting upon the treatment as this gives valuable information about the position into which teeth can be moved if they are to be stable following treatment. Different methods have been developed to describe the dental arch morphology ranging from simple classification of arch shape through combinations of linear dimensions to complex mathematical equations.This study is a cross sectional retrospective study which has been undertaken in a university setting. Case records of 300 class II division 1 malocclusion patients in the age group of 12- 40years were included for the study and an analysis was done on different dental arch forms prevalent in class II division 1 malocclusion. Descriptive statistical analysis was performed for association of arch form with gender, age group of the included records in SPSS software by IBM. Chi- square test was performed,frequency distribution was performed. No significant statistical association between gender and arch form , age group and arch form in class II div 1 malocclusion was seen.

PREVALENCE OF CLASS I, II, III MALOCCLUSION IN PATIENTS WITH BILATERAL CLEFT LIP AND PALATE

P. Deeksheetha; Arvind S; Nashra kareem

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 1105-1112

The aim of this study was to assess the prevalence of class I,II, III malocclusions in patients with bilateral
cleft lip and palate. Cleft lip and palate are the most common congenital defects. Cleft lip and cleft palate
can be divided into bilateral cleft lip and palate and unilateral cleft lip and palate. In patients with cleft lip
and palate the prevalence of other dental anomalies is very common. Cleft lip and palate patients require a
multidisciplinary treatment approach, to correct the cleft and other other associated defects. This study
was done in a university based setting on the bilateral cleft lip and palate patients who reported to our
hospital. The data was obtained by reviewing case sheets from June 2019 to March 2020 of Saveetha
dental college and hospitals. The data was collected and tabulated in the excel sheets and exported to the
SPSS software for statistical analysis. The prevalence of Class I was 52%, class III was 28% and Class II
had 20% prevalence in bilateral cleft lip and palate patients. There was a difference between the incidence
of different types of malocclusions among different genders, with more male predilection, however it was
statistically insignificant. The prevalence of Class I malocclusion was more in our Bilateral cleft lip and
palate population.

PREVALENCE AND ASSOCIATED FACTORS FOR CROWDING IN PATIENTS WITH CLASS III MALOCCLUSION VISITING A PRIVATE DENTAL COLLEGE IN CHENNAI

Ilankizhai RJ; Dr. Ravindra Kumar Jain; Dr. Madhulaxmi M

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 216-223

Numerous studies in the past have been conducted to determine the prevalence of malocclusion in different populations. These show extreme variations and it is only right to determine the prevalence in a referred population. Class III malocclusion even though it is the least common, treatment planning and treatment is quite difficult, thus characteristics of class III malocclusion need to be studied in detail.The aim of the study is to evaluate the prevalence of crowding among patients with class III malocclusion visiting Saveetha dental college and hospitals. A retrospective study was done using case sheets of patients visiting the university hospital from June 2019- February 2020. About 100 case sheets of patients visiting the department of orthodontics containing information on malocclusion type and crowding was retrieved and analysed using SPSS 20.0. The study included 100 patients out of which 74% were males and 26% were females.Crowding was observed in 51% of the patients with class III malocclusion. Out of which 62.75% of the patients were reported to have minimal crowding ,31.37% had moderate crowding and 5.88% had severe crowding of the mandibular incisors. There was no statistically significant association between age, gender, and severity of crowding as determined by pearson's chi-square tests.Within the limits of the study, it can be concluded that mild mandibular crowding was the most common finding in class III malocclusion patients.

HABIT BREAKING APPLIANCES IN THE MANAGEMENT OF PARAFUNCTIONAL ORAL HABITS

Harini Kumaran; Nivethigaa B; Nivedhitha M.S

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 1808-1813

Oral habits such as finger and thumb sucking, lip sucking, mouth breathing when used excessively or continuously can lead to poor dental health or malocclusion.The use of habit breaking appliances will restrict oral habits and prevent malocclusion. The aim of this study was to evaluate the prevalence, gender and age distribution of usage of habit breaking appliances in the management of parafunctional oral habits. 44,100 patient records were reviewed from June 2019 to March 2020. Patients who had undergone treatment with habit breaking appliances were selected and their treatment details were obtained from the patient records to obtain the prevalence. Details on habits and habit breaking appliances were also noted and tabulated in excel and imported to SPSS. Descriptive statistics and chi square test were done. There was a statistical significance between age and habits breaking appliances (p<0.05). No statistical significance was noted between gender and appliance usage. Treatment with habit breaking appliances was more prevalent in males. Thumb sucking was the most prevalent habit among the studied population and tongue crib was the preferred choice of appliance.

PREVALENCE AND ASSOCIATED FACTORS FOR DENTAL CARIES IN SCHOOL CHILDREN WITH MALOCCLUSION

Nur Liyana Hannah Binti Izham Akmal; Ravindra Kumar Jain M.D.S .; Revathi Duraisamy M.D.S .

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 1952-1963

Malocclusion is one of the common dental problems reported in children that refers to the malalignment of the teeth or improper relationship of the dental arches due to altered developmental systems of the orofacial complex. Several studies have reported on the relationship between malocclusion and dental caries in which the presence of malocclusion such as crowding and spacing may act as predisposing factors in the development of dental caries. The aim of this study is to evaluate the prevalence of dental caries among 12-16 years old school children with malocclusion. It is a retrospective study conducted by reviewing 86,000 patient case records of the Saveetha Dental College and Hospital, Chennai, India. A total of 313 consecutive case records of patients for a period of June 2019 to March 2020 with signed informed consent were retrieved and analysed. Patient’s name, patient’s identification number (PID), age, gender, malocclusion and dmft score were collected from the patients’ case records. Data collection and analysis were done using the SPSS version 23.0. Descriptive analysis was done for the assessment of age, gender, malocclusion and dental caries. Chi square test was used to evaluate the association of dmft score with malocclusion. A total of 134 children with malocclusion were affected by dental caries (42.81%). The overall dmft score was 1.5. Most of the children present with dental caries were within the 12-14 years age group (60.45%), followed by those within the 15-16 years age group (39.55%). High prevalence of dental caries was seen in males (52.24%) as compared to females (47.76%). Most of the children had Class I malocclusion (70.93%), followed by Class II malocclusion (29.07%). In terms of crowding, mandibular crowding (57.19%) was more common among the children when compared to maxillary crowding (38.98%). There is a statistically significant association between maxillary crowding and dental caries. No association of dental caries with mandibular crowding and dental malocclusion. Within the limits of the present study, dental caries is seen in 134 of the patients with an average dmft score of 1.5. There is a positive association between maxillary crowding and dental caries but no significant association of dental caries with dental malocclusion and mandibular crowding.