Guidelines of Revised Orthodontic Practices for Establishing “New Normality” Post COVID-19 Pandemic

The aim of this article is to shed light upon formulation of new guidelines of revised orthodontic practices in the post-pandemic era caused due to the novel coronavirus disease 2019 (COVID-19) and also to adapt to the new regulations to prevent further spread of infection. All relevant information pertaining to the area of concern was collected using electronic databases which include Google Scholar, PubMed, Cochrane, orthodontic journals, and health bodies such World Health Organization, the British Orthodontic Society, and the National Institute of Health. Post-pandemic visionary was also contemplated. Data collected through the electronic databases were studied and compiled to provide an overview of the possible modifications which could be employed to prevent cross-contamination during and after the orthodontic therapy in the -post-pandemic era. Refashioning of the dental set-up along with the formulation of new regulations have been elucidated. This review highlights that the post-pandemic orthodontic practice is a divergent layout requiring tedious clinical and environmental modifications. New categorization of patients requiring orthodontic treatments and procedural classification based on generation of aerosol must be taken into consideration. Formulation of new regulations and redesigning the clinical set-up is crucial yet essential

High Prevalence of Metabolic Syndrome among Outpatients in a Tertiary Care Centre, Tamil Nadu, India

Background: Metabolic Syndrome (MetS), a constellation of specific cardiometabolic risk factors increases the risk of diabetes and cardiovascular diseases. These risk factors can be largely reversed through lifestyle changes. To develop individualized lifestyle therapeutic interventions among patients attending non-communicable disease specialty departments, there is a need for identification of people with high risk of developing MetS. Aim and Objectives: To determine the prevalence of MetS, it's associated demographic and clinical characteristics among patients attending specialty Outpatient Department (OPD) in a tertiary care centre. Material and Methods: In this hospital-based cross-sectional study, randomly selected adults (aged 20 years or more) attending the diabetology or cardiology OPD were included. Using pretested interview tool, demographic details, height, weight and waist circumference were measured as per standard guidelines. Blood pressure, fasting blood sugar and fasting lipid profile were assessed. MetS was classified based on the modified Adult Treatment Panel (ATP-III) and International Diabetes Federation (IDF) criteria. Results: A total of 668 patients were included and the mean age was 50.1 ± 9.7 years. Of the total, 72.6% and 64.5% of patients had MetS. Patients aged 60 years or more had 1.8 times [Adjusted PR 95% CI:1.05-3.16] higher prevalence of MetS compared to 20-30 years. Patients who were doing at least 30 minutes of regular moderate physical activity had 17% less occurrence of MetS [Adj PR: 0.71-0.96] compared to those who did less than 15 minutes of physical activity. Gender, literacy, type of diet and amount of visible fat intake were not significantly associated with MetS. Conclusion: MetS is highly prevalent among patients attending diabetology and cardiology OPD. Across several subgroups, around two-thirds had MetS and low high-density lipoprotein was the major contributing factor for MetS

Comparative evaluation of efficacy of self-ligating interactive bracket with conventional preadjusted bracket: A clinical study

Aims and Objectives: This clinical study was conducted to compare the interactive self-ligating twin brackets and the standard double width brackets for their efficiency in Rate of Retraction. Materials and Methods: A total of 20 patients with Angle's class I or class II or class III dento-alveolar malocclusions between the age group of 18-25 years were selected. 10 patients in each group both males and females were randomly selected for the study. Ten patients were bonded using conventional brackets (Group I) the other ten patients were bonded using Interactive self-ligating brackets (Group II). The Rate of retraction was quantified using the scanned models. Pretreatment and post treatment models were taken and scanned to measure the amount of Incisor movement and Anchor loss. Results: (1) Interactive Self-ligating brackets showed significant Rate of retraction when compared with conventional brackets on right and left quadrant. (Group I 0.545 ± .205: Group II 0.827 ± .208 P= .013*) (Group I 0.598 ± .160: Group II 0.804 ± .268 P= .071) (2) Interactive self-ligating brackets when compared with conventional brackets had significant amount of incisor movement on right and left quadrant. (Group I 3.51 ± .548: Group II 4.38 ± .1.06 P= .047*) and (Group I 3.66 ± .899: Group II 4.67 ± 1.02 P= .047*) (3) Conventional brackets showed significant Amount of Anchor loss when compared with that of Interactive self-ligating brackets on right and left quadrant. (Group I .948 ± .392: Group II 0.501 ± .229 P= .013*). In the left side (Group I 0.861 ± .464: Group II 0.498 ± .227 P= .060). Conclusion: The interactive self-ligating brackets show more efficiency in Rate of Retraction, Amount of Incisor movement and Amount of Anchor loss when compared with the conventional brackets

Surgical management of hyperdivergent Class II malocclusion with vertical maxillary excess: A 2-year follow-up

Skeletal Class II malocclusions with vertical maxillary excess (VME) present with an amalgamation of several problems pertaining to psychological, esthetics, and function. The optimal treatment plan in such cases includes a synchronized orthodontic-surgical approach through superior repositioning and setback of maxilla by means of Le Fort I osteotomy and augmentation genioplasty. This case report describes a multidisciplinary approach in the successful management of a patient with VME to achieve superior esthetics and function