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Fulltext Surgical orthodontics: a case report

Wael Mohamed, Rozita Hassan, Shaifulizan Ab. Rahman

International Medical Journal Malaysia, 2017;16(21):7-7.
MyJurnal

Duration of treatment is one of the things orthodontic patients complaint about
most and challenging orthodontist to shorten treatment time. A new surgical technique was
introduced to accelerate tooth movement during orthodontic treatment through combining surgical
and orthodontic treatment by doing surgical reduction of the bone mass in the path of desired
tooth movement prior to start orthodontic alignment of the teeth. (Copied from article).

Matched MeSH terms: Orthodontists
Fulltext Light Curing Units: Tips For Orthodontists

Radzi, Z., Yahya, N.A., Zamzam, N., Wood, D.J.

Ann Dent, 2004;11(1):-.
MyJurnal

Choosing the right light-curing unit can be a very difficult task for some orthodontists. Currently, there are various types of light curing units available in the market with various trade names and specifications. Most of the time information regarding light curing units is obtained from advertisements, websites or manufacturers’ catalogues. Sometimes such information can be misleading. This article attempts to provide several tips for orthodontists in selecting light curing units.

Matched MeSH terms: Orthodontists
Fulltext Evaluation of orthodontic treatment outcome: a self-audit using the peer assessment rating (PAR) index

Loke, Shuet Toh

Malaysian Dental Journal, 2010;31(1):25-34.
MyJurnal

Introduction: The peer assessment rating (PAR) index was used to self-audit 4 years of completed pre-adjusted edgewise appliance cases treated by a single orthodontist in a government clinic. The objectives of this study were to evaluate orthodontic treatment standards and factors which may influence treatment outcomes and treatment time.

Methodology: Pre and post-treatment study models were scored using the PAR index by the author. 17 models were re-examined for intra-examiner reliability using intra-class correlation coefficient (ICC). ICC was excellent for pretreatment (0.96), post-treatment (0.98) and reduction in PAR (0.96) scores.

Results: There were 173 cases (51 males; 122 females) with mean age 17.6 (SD 5.75) years. Mean treatment time was 18.6 (SD 6.47) months with range between 5-40 months. There was no statistically significant difference between one-arch and two-arch cases and between routine and compromised cases. Treatment time in extraction cases (mean 19.5, SD 6.17) was significantly different (p=0.000) compared with non-extraction cases (mean 11.6, SD 4.10) although this accounted for 15% of the variation only (r=0.388). 76.3% cases were ‘greatly improved’, 22.0% ‘improved’ and 1.7% ‘worst/ no different’. Mean pretreatment, post-treatment and reduction in PAR score was 34.1(SD 9.68), 6.4 (SD 6.84) and 27.9 (SD 9.69) respectively. Mean percentage PAR score reduction was 82.0% (SD 1.96). Pretreatment (p=0.000), post-treatment (p=0.000) and reduction (p=0.489) in PAR scores was significantly different between routine and compromised cases. There was significant difference (p=0.000) between category of improvement and pretreatment scores but not with treatment time.

Conclusion: Severe malocclusions had larger reduction in PAR scores and required longer treatment time. Extraction cases took longer to complete and routine cases had better outcomes than compromised cases with severe skeletal discrepancy.

Matched MeSH terms: Orthodontists
Aggressive periodontitis with a history of orthodontic treatment

Gupta VV, Ramachandra SS

J Indian Soc Periodontol, 2019 8 2;23(4):371-376.
PMID: 31367137 DOI: 10.4103/jisp.jisp_654_18

This report presents a 29-year-old aggressive periodontitis patient from Morocco with a history of orthodontic treatment. Despite all the first molars showing advanced bone loss, the maxillary anterior teeth did not show any periodontal destruction. The scientific literature rarely reports cases of aggressive periodontitis without involving maxillary anterior teeth. The treatment provided includes extraction of hopeless tooth, removal of overhanging restoration, scaling, root debridement, and regenerative periodontal therapy. The discussion highlights the dilemma during diagnosis of the case as either "iatrogenic periodontitis due to orthodontic treatment" or "localized aggressive periodontitis." The age group of 15-35 years is the common age group for patients' seeking orthodontic treatment and the occurrence of aggressive periodontitis. Sound knowledge of periodontitis and identification of early signs of aggressive periodontitis through meticulous periodontal examination may help in earlier identification and minimalistic treatment. Education regarding periodontitis, especially aggressive periodontitis, is essential among orthodontists and general dentists. This case report aims to discuss the dilemma involved during diagnosis of localized aggressive periodontitis.

Matched MeSH terms: Orthodontists
Fulltext Delivery time of orthodontic appliances from government dental laboratories in Selangor

Loke, S.T., Tan, S.Y.

Malaysian Dental Journal, 2011;32(1):5-11.
MyJurnal

Compliance to delivery of orthodontic appliances within specified times and factors which influenced compliance by dental technicians in Selangor was evaluated. This is a prospective 8-month study of 18 trainee/ trained technicians from 4 main government dental laboratories in Kajang, Klang, Tanjong Karang and Shah Alam. Delivery times specified by orthodontists were 1 day for plastic retainer, 3 days acrylic retainer, 5 days active plates (URA), 10 days functional appliances (FA), 10 days transpalatal arch (TPA) and 10 days for quadhelix. Punctual delivery was recorded as ‘compliant’. Compliance was compared between appliances, clinics, technicians, orthodontists and seniority of technicians. The sample comprised appliances from 365 patients; 38 (10.4%) Tanjong.Karang, 114 (31.2%) Kajang, 191 (52.3%) Klang and 22 (6.0%) Shah Alam. The majority of appliances were retainers (66.3%), followed by URA (13.4%), functionals (9.3%), TPA (9.0%) and quadhelix (1.9%). Mean compliance for all appliances in Selangor was 55%. Plastic retainers had highest compliance (77.8%), followed by acrylic retainers (59.9%), quadhelix (57.1%), FA (47.1%), TPA (45.5%) and URA (24.5%). Senior technicians (>3 years in service) were more compliant than juniors (

Matched MeSH terms: Orthodontists
Orthodontic material usage among Malaysian orthodontists

Asma Alhusna Abang Abdullah, Nurul Asyikin Yahya

Sains Malaysiana, 2011;40:1313-1317.

Fixed orthodontic treatment requires the use of orthodontic brackets and archwires in order to correct malocclusions. The objective of this study was to evaluate the pattern of orthodontic material usages i.e. bracket and archwire among Malaysian orthodontists. A self-administered questionnaire was distributed to members of the Malaysian Association of Orthodontist. Data entry and statistical analysis was done using SPSS version 15.0. Descriptive statistics were used for analysis. Means and standard deviations were calculated for continuous variables, frequency and percentages for categorical variables. Thirty-four orthodontists responded to the survey, with 76% (n=26) were female and the mean age was 43.31 years (SD 8.76). Most respondents used conventional metal brackets (60%, n=60) and most bracket prescription used was MBT (56%, n=19). At levelling stage, most respondents used nickel titanium archwire (84.5%, n=47). Stainless steel archwire was the most favourable choice for retraction/space closure stage (73.9%, n=34). At finishing, most respondents (60.4%, n=29) preferred to use stainless steel wire in their cases. As a conclusion, specific types of orthodontic materials were preferred and used by Malaysian orthodontists in delivering orthodontic treatment.

Matched MeSH terms: Orthodontists
Orthodontic treatment with miniscrew anchorage: Analysis of quality of information on YouTube

Yahya M'F, Wang GM, Nimbalkar S

Am J Orthod Dentofacial Orthop, 2023 Jul;164(1):97-105.
PMID: 36890012 DOI: 10.1016/j.ajodo.2022.11.013

INTRODUCTION: The evaluation of the quality of information (QOI) and clarity of information (COI) among oral health-related videos on the video-streaming Web site YouTube is scarce. This study evaluated QOI and COI regarding temporary anchorage devices contained within videos uploaded by dental professionals (DPs) on YouTube.
METHODS: YouTube videos were systematically acquired with 4 search terms. The top 50 videos per search term by the number of views were stored in a YouTube account. A set of inclusion/exclusion criteria were applied, videos were assessed for viewing characteristics, a 4-point scoring system (0-3) was applied to evaluate QOI in 10 predetermined domains, and a 3-point scoring system (0-2) was applied to evaluate COI. Descriptive statistical analyses and intrarater and interrater reliability tests were performed.
RESULTS: Strong intrarater and interrater reliability scores were observed. Sixty-three videos from the top 58 most-viewed DPs were viewed 1,395,471 times (range, 414-124,939). Most DPs originated from the United States (20%), and orthodontists (62%) uploaded most of the videos. The mean number of reported domains was 2.03 ± 2.40 (out of 10). The mean overall QOI score per domain was 0.36 ± 0.79 (out of 3). The "Placement of miniscrews" domain scored highest (1.23 ± 0.75). The "Cost of miniscrews placement" domain scored the lowest (0.03 ± 0.25). The mean overall QOI score per DP was 3.59 ± 5.64 (out of 30). The COI in 32 videos was immeasurable, and only 2 avoided using technical words.
CONCLUSIONS: The QOI related to temporary anchorage devices contained within videos provided by DPs through the YouTube Web site is deficient, particularly in the cost of placement. Orthodontists should be aware of the importance of YouTube as an information resource and ensure that videos related to temporary anchorage devices contain comprehensive and evidence-based information.

Matched MeSH terms: Orthodontists
Fulltext Treatment satisfaction and its influencing factors among fixed orthodontic patients in UiTM

Shamsul,Fadzil,S,S,, Ahmad,Khalil,A,I,, Noviaranny,I,Y,, Abdullah,Al-Jaf,N,M,, Kazi,J,A,

Compendium of Oral Science, 2020;7(1):21-29.
MyJurnal

Abstract
Objectives: The aims of this study were to evaluate patient’s satisfaction regarding the orthodontic treatment
provided by the Faculty of Dentistry Universiti Teknologi MARA (UiTM) and to determine the factors that
affected their satisfaction level.
Methods: : A cross-sectional study was conducted among the patients treated with full fixed appliances in the
faculty’s orthodontic clinic using a validated questionnaire.
Results: : The final sample consisted of 105 subjects (response rate 76%) which comprises of 26 males and 79
females were chose with 97% of the respondents are Malay. Most subjects had orthodontic treatment duration
of more than 1.5 years (100%) and were still wearing fixed appliances (89%). Items included in the
questionnaire: reasons for seeking orthodontic treatment, questions relevant to satisfaction with orthodontic
treatment, doctor-patient relationship and pain experience during orthodontic treatment. Concerning the doctor
patient relationship, 91% of the respondents were contented with their orthodontist. Respondents answered
‘Yes’ to the treatment plan explained prior to the procedure (91.4%), questions answered promptly (94.3%),
gentleness of the orthodontist (91.4%) and dental assistant (88.6%), orthodontist honesty about treatment
duration (90.5%) and cost (97.1%), and recommendation to others (90.5%).
Conclusion: Generally, patients who had received orthodontic treatment from the orthodontic clinic in Faculty
of Dentistry UiTM were satisfied with the overall treatment outcomes. However, there were still some aspects of
the service that can be improved in the future in order to provide a better healthcare services specifically in
orthodontic treatment.

Matched MeSH terms: Orthodontists
Fulltext Cleft Lip And Palate Centre: The University Hospital Experience

Ghani, S.H.A., Hussain, R., Hassan, S., Tan, K.K., Ahmad, M.H.

Ann Dent, 1996;3(1):-.
MyJurnal

The Combined Cleft Clinic at the University Hospital, Kuala Lumpur was organised in 1992. The team consists of Plastic Surgeon, Orthodontists, Speech therapist, Ear, Nose and Throat Surgeon, Audiologist, medical officers and the nurses. We attend the clinic on a regular basis. Specialists from other medical and dental disciplines as well as the members of the Cleft Lip and Palate Association of Malaysia (CLAPAM) do occasionally participate in this set-up.The team members formulate treatment plans for each cleft patient, monitor the patient's growth and development and manage the patient at different stages according to the individual needs. To date, the idea of team approach and an establishment of a centre towards management of cleft patients seem to be the most ideal as the patients are benefiting total treatment and care from various specialists from only one place. The experience of University Hospital as a centre for cleft patients is discussed.

Matched MeSH terms: Orthodontists
Fulltext n investigation of inter-e xaminer reproducibility in recording malocclusion parameters during orthodontic epidemiologic studies

Ang, Grace, Jacqueline Maryam Kamaluddin, Wizziyiane Ahmad, Uday Kumar Umesan, Siti Waznah Wahab, Naing, Lin

Archives of Orofacial Sciences, 2014;9(1):1-9.
MyJurnal

his study assesses inter-examiner reproducibility in recording various malocclusion parameters and Index of Orthodontic Treatment Need (IOTN) grade during patient examination by utilising the kappa statistic. Five previously calibrated orthodontists clinically examined 233 non-orthodontically treated schoolchildren aged 14-17 years for recording various malocclusion parameters. The examination was repeated twice, thirty days apart and precluded the use of study-models or radiographs. Although good inter-examiner reproducibility was observed in recording incisor class, IOTN dental health grade, type of posterior crossbite, and excellent for parameters with absolute criteria like
erupted supernumeraries, etc, substantial examiner variation resulted in only fair reproducibility for recording IOTN esthetic category, canine class, overbite category, traumatic overbite and upper centre-line shift of two millimetres or more from the facial midline. Reproducibility for detecting occlusal displacement in the presence of crossbite was poor, and kappa statistic was incalculable for recording openbite and number of upper incisors rotated 30° or more. Kappa was also incalculable for recording IOTN dental health subcategory due to the creation of asymmetric tables caused by rarely chosen subcategory options. Despite prior agreement between previously calibrated examiners on evaluation criteria, detection of certain malocclusion parameters during an epidemiological examination can prove to be challenging. Epidemiological studies that report on prevalence of malocclusion in the population should always report on the kappa reproducibility, especially if the study is carried out by multiple examiners.

Matched MeSH terms: Orthodontists