Dental Anxiety and Fear Levels, Patient Satisfaction, and Quality of Life in Patients Undergoing Orthodontic Treatment: Is There a Relationship?

Objective: This study aimed to evaluate the relationship between dental anxiety and fear levels, patient satisfaction, and oral health-related quality of life (OHRQoL) in patients undergoing orthodontic treatment.Methods: The study was conducted in the Department of Orthodontics, Sivas Cumhuriyet University Faculty of Dentistry. This cross-sectional study included 252 patients, aged 11-14 years undergoing orthodontic treatment. The data collection tools were the Index of Dental Anxiety and Fear (IDAF-4C+), the Child Perceptions Questionnaire (CPQ 11-14), the Patient Satisfaction Questionnaire, and the Clinical Examination Data Form. The CPQ 11-14 was used to measure OHRQoL. Descriptive statistics, the independent samples t-test, analysis of variance (ANOVA), Cronbach’s alpha, and Pearson coefficient were used for statistical analysis at a significance level of 0.05.Results: The CPQ 11-14 parameters were sufficiently reliable, and the patients mostly had problems with oral symptoms. A significant difference was observed between the type of treatment, the initiation of treatment, emotional well-being, and social well-being (P < .05). The relationship between treatment satisfaction and all parameters was significant (P < .05). There was a significant relationship between IDAF-4C+ and CPQ 11-14, while a moderate correlation was found between dental anxiety and emotional well-being.Conclusion: According to the results of this study, the type of treatment, the initiation of treatment, and dental anxiety impact the quality of life. It was found that treatment satisfaction and a positive patient–dentist relationship positively affect the quality of life and dental anxiety

Orthodontic Approach to Patients with Autism: A Review

Autism is a complex neurobehavioral disorder that causes problems in thinking, feeling, language, and the ability to communicate with other people. Over the past two decades, there has been a great deal of interest in autism disorder. This problem is recognized worldwide, and various measures are taken both nationally and internationally to improve the lives of affected individuals and families. The oral health care of such patients can be complicated since they cannot express their problems and can show unpredictable behaviors during treatment. The aim of the literature review was to collect information about the general oral health status of patients with autism, the difficulties that may be encountered during treatment, and the precautions that can be taken and the treatment approaches. This article reviews the dental literature from 1943 to the present

Evaluation of the Preventive and Interceptive Orthodontic Treatment Need of an Inner City Group of Anatolian Turkish Children

Objectives: The aim of this study is to examine the oral and dental health among the primary school children in a city in Turkey and to identify the need for preventive and interceptive practices.Materials and Methods: Our study was carried out on total 334 individuals, which include 135 male and 199 female primary school students between 6 and 9 years of age in Sivas, Turkey. These individuals were examined intraorally in the school environment. In order to determine the need for preventive and interceptive orthodontic treatment, pre-prepared data forms were filled in during the examination and existing problems were recorded. Collected data were evaluated through the program of SPSS (Ver:15.0). Results: The number of the individuals, who needed at least one of the preventive and interceptive orthodontic treatments was 319 (95.5%). The most required one among these practices was found as fissure sealant with a ratio of 52.1%. When the relationship between age and gender data and other parameters was evaluated, a significant relation was observed only between age and the fissure sealant, space maintainer need and posterior cross bite.Conclusions: The need for preventive and interceptive treatments was quite high and it is a fact that a special attention should be paid to these applications

Assessment of the relationships between deleterious oral habits that may cause orthodontic anomalies and psychological and socio-demographic factors

Objectives: The aim of this study is to identify the relation between the deleterious oral habits (DOH) which can cause orthodontic anomalies such as finger sucking, nail biting, lip chewing, bruxism and psychological and socio-demographic factors. Materials and Methods: 64 males, 71 females, between the ages of 9 and 12, including their parents have been included into our study. In our study, a survey form consisting of Clinic Examination Data Form, Socio-demographic Data Form, Children’s Depression Inventory (CDI), Child State Trait Anxiety Inventory (CSTAI) has been applied to patients. Results: DOH have been observed on 62,5 % of the male children and % 52,1 of the female children, but these results are not statistically significant (p&gt;0,05). No statistically significant associations were found between DOH and CDI (p&gt;0,05). No statistically significant associations were found between the CSTAI status section score and trait section score and DOH (p&gt;0,05). Statistically significant associations were found between family type and DOH (p&lt;0,05). Conclusions: While there were no significant associations between anxiety and depression and DOH, there were a significant associations family type from socio-demographic factors and DOH

Tek taraflı cerrahi destekli hızlı üst çene genişletmesi

İskeletsel tek taraflı posterior çapraz kapanış özellikle yetişkinlerde tedavisi zor bir anomalidir. Genç bireylerde bu problemin çözümünde kolaylıkla uygulanan hızlı maksiler genişletme, yetişkinlerde maksillanın çevre yüz kemikleriyle yaptığı artikülasyonların rijiditesindeki artma nedeniyle maksillada yapılan kortikotomiler yardımıyla uygulanmaktadır. Bu yolla yapılan çift taraflı genişletme darlık olmayan tarafta da genişlemeye sebep olmakta, bu da tedavi süresini uzatmaktadır. Bu olgu sunumunda 16 yaşında, tek taraflı posterior çapraz kapanışı olan bayan hastada, tek taraflı kortikotomi ve hızlı üst çene genişletmesini takiben yapılan ortodontik tedavi sunulmuştur. Ekspansiyon sonrası darlık olmayan tarafta aşırı bir genişlemeye sebep olmadan, iyi bir okluzyon ve estetik bir gülümseme elde edilmiştir

Multiple Purpose Essix Appliance

A new design of Essix appliance and its fabrication are described in this article. This case report illustrates both correction of anterior cross bite and distal movement of maxillary molars. This new vacuum formed Essix appliance can be a reasonable alternative to conventional appliances

Treatment of Midline Deviation with Miniscrews: A Case Report

A 15-year-old female presented with the chief complaint of crowding. Extraoral examination revealed little facial asymmetry, which was related with mandibular deviation caused by constriction of the maxilla. Upon intraoral examination, Class III molar and Class II canine relationships were seen on the right side, and Class III molar and Class III canine relationships were seen on the left side. A morphological lower midline shift was detected (4 mm to the right). After the start of treatment with rapid maxillary expansion, miniscrews were inserted into the buccal shelf and canine-premolar areas in order to solve the morphological deviation without extractions. Because there was a need to shift the lower midline to the right side, miniscrews were inserted into the left buccal shelf at the right canine-premolar area. The miniscrews were placed vertically so that the angle between the long axes of the teeth and the long axes of the screws were approximately 20 degrees. Acceptable correction of the midline deviation lasted for four months. At the end of the treatment, a good occlusal relationship was obtained

Camouflage Treatment of a Severe Deep-Bite and Orthognathic Surgery Required Case with En Masse Retraction

In adult patients with severe class II division 2 malocclusion, the ideal treatment option is the orthognathic surgery. However, camouflage therapy is also an acceptable treatment option due to its less traumatic and acceptable esthetic and functional results. In this case report, the camouflage treatment with two maxillary premolar extractions in a 21-year-old female patient who did not accept orthognathic surgery is presented. Acceptable esthetic and functional results were obtained at the end of the treatment

Effect of Strontium Ranelate on Condylar Growth during Mandibular Advancement in Rats

Objective:Strontium ranelate (SR), unlike other anti-osteoporotic agents, might not only prevent bone resorption but also might induce bone formation. The aim of this experimental study was to evaluate the effects of systemic SR on condylar growth during mandibular advancement (MA) in growing rats.Methods:Fifty-six, 8-week-old Wistar male rats weighting 160-190 g were randomly divided into four groups; one control (n=14) and three experimental (n=14). Group 1: Control group, Group 2: SR (900mg/kg daily dose), Group 3: MA, Group 4: SR +MA. The amount and direction of mandibular growth were assessed by linear measurements on the computed tomography (CT) images taken on days 1, 15, and 30. For immunohistochemical evaluation, half of the subjects in the groups were sacrificed on the 15th day (early phase) and the rest of them on the 30th day (late phase). New cartilage and bone formation areas on the condyle were analyzed by using Sox9 and Osteopontin antibodies.Results:Early and late CT images measurements showed no significant difference between the groups (p<0.05). However, there were significant differences between the control and experimental groups in the immunohistochemical assessment. Severe immunolocalization of SOX9 and Osteopontin was observed in Group 4, while the immunolocalization scores were moderate in Group 2 and Group 3. In addition, early histological findings were similar to late results in all groups.Conclusion:In mandibular advancement therapy, Strontium ranelate could be therapeutically effective in avoiding relapse and reducing the duration of retention