Soft tissue facial profile and anteroposterior lip positioning in Iranians

Objective: Since orthodontic and orthognathic treatment planning in each ethnic group must be done according to the soft tissue facial characteristics regarded as beauty, they thus vary from country to country. The main purpose of this articlewas to determine the mean range of the middle third of soft tissue facial profile and anteroposterior lip positioning using 3angular and 2 linear measurements in adult male and female Iranians to compare with European standards.Methods: After clinical examination of 180 dental students, 70 Iranian adults who had normal occlusion aged between 21 to 29 years (mean:24.5 years) were selected(35 males and 35females). After obtaining consent form, lateral cephalograms were taken in natural head position (NHP) (as seen in a mirror) and analyzed according to the Rickets(E-Line),Tweed-Merrifield(Z-angle) and Holdaway (H-angle).For comparison of data with standards, the One-Sample-t-test and for comparison of measurements between groups, Independent Sample-t-test was used.Results: Radiographic evaluation revealed that all Iranian samples had significant differences with European standards with no differences between males and females. In the Rickets (E-Line)  analysis, both upper (p<0.001)and lower(p<0.01) lips were behind the E-line. In the Tweed- Merrifield (Z-angle) analysis this angle in the Iranian sample was smaller (p<0.001) and in the Holdaway (H-angle) analysis our sample had smaller H-angle as well (p<0.001).Conclusion: Iranian adults have retruded upper and lower lip position in both sexes  and  more convex profile than European standards; thismay be due to a more retruded position of the chin and lips or more prominence of the nose in Iranian samples

Treatment of Severe Anterior Open-bite Accompany with Impacted Canine:A Case Report

The anterior open bite is a multifactorial malocclusion and a challenge between orthodontists. Based on the origin, divided in two types as dental and skeletal, and appear in the anterior or posterior segments, (unilateral or bilateral). Dental open-bite in the most of patients have environmental etiologic factor such as oral habits, tongue trust, mouth breathing, large tongue. In skeletal type, excessive vertical growth of the maxilla is etiologic factor and accompany with downward-backward rotation of the mandible.Case Report:The case was a 27years woman with an anterior open bite and unilateral impacted upper canine and congenital missing of lower 2ndpremolar in the left side and retained 2ndlower deciduous molar and upper canine in the left side. She consulted for orthodontic treatment in Tehran Dental School of Shahid Beheshti University of Medical Sciences in October of 2017.The Orthodontic treatment was down with MBT slot 22 system (USA. Orthoorganizer, inc) for apply extrusive force on impacted upper canine in left side with auxiliary 014 ss, segmented arch wire. loop arch wire technique with 16×22 ss rectangular continuous arch wire was used for space closing in extraction site and correction overbite. The extracted teeth were right lower 2ndpremolar and left 2nddeciduous molar and 1stpremolars in upper arch. As recommended advancement genioplasty for correction chin deficiency the patient refused it. Conclusion:In this technique we used Orthodontic treatment alone instead of Orthognathic surgery for open bite correctio

Effects of Palatal Expansion with Torque Activation using a Transpalatal Arch: A Preliminary Single-Blind Randomized Clinical Trial

Purpose. The literature regarding the treatment of posterior crossbites using a transpalatal arch (TPA) is scarce. Moreover, there is only one clinical study on the correction of unilateral crossbites using torque activation. This is an important clinical issue; therefore, this study was conducted to show the effects of an active Goshgarian TPA in correcting nonfunctional single-tooth unilateral crossbite. Methods. The present single-blind, randomized clinical trial examined 60 observations on 30 individuals with nonfunctional single-tooth unilateral crossbites in the first permanent molar area. Patients were randomly divided into two groups of “symmetric expansion” [control] and “expansion + torque activation” using Goshgarian TPAs [experimental]. The palatal arch was expanded at a rate of 2 mm/month, for 2–8 months. The average treatment durations were 157.9 and 117.1 days, respectively, for the control and experimental groups. Dentoskeletal alterations were assessed on dental records, posteroanterior frontal cephalographs, and occlusal radiographs taken before and after treatment. Changes induced by treatments in each group and differences between changes in both groups were analyzed statistically (α = 0.05). Results. The treatment duration was significantly shorter in the experimental group (P0.05). Both treatments tilted the teeth in crossbite (P0.05). The noncrossbite molar was displaced in the control group, whereas this did not occur in the experimental group (between-group P<0.001). Conclusions. The Goshgarian TPA can be used with torque activation in order to deliver a more effective and faster correction of nonfunctional single-tooth unilateral crossbites with more favorable clinical results

Evaluation Cephalometric Norms in Iranian Adult Live in Ahvaz Using McNamara Analysis

Today diagnosis and treatment planning in patients for orthodontic or surgical treatment is expected to correspond with the same ethnic cephalometric norms. This study aimed to determine the cephalometric norms of the Iranian population living in Ahvaz via McNamara's analysis and to verify the presence of gender related disparity and compare it with the standard norms and similar studies.Materials & Methods:Cephalograms of 79 patients (39 females, 40 males in the age range of 19-29 years old) were selected from the Orthodontic department of Ahvaz Dental School archive during 2018-2019. The subjects had a Class 1 molar relationship with a balanced profile, no history of orthodontic or surgical treatment or trauma, and no congenital anomalies. According to the McNamara analysis 8 linear and 4 angular measurements were traced manually and analyzedstatistically by Shapiro-Wilk, independent t-test, and Mann-Whitney tests with a meaningful level ofp value 0.05).Conclusion:Despite the differences observed in the cephalometric parameters with the normal range among Caucasians,McNamara's analysis was applicable for surgical and orthodontic treatment in Iranians

Morphometric variations and nonmetric anatomical traits or anomalies of the primary molar teeth, plus the molars' size thresholds for sex identification

Abstract Introduction Morphological and morphometric features of the teeth are of interest to various clinical and academic dental and medical fields including prosthodontics, orthodontics, anatomy and anthropology, pathology, archeology, and forensic dentistry. These have been more or less researched in the case of the permanent dentition. However when it comes to the primary dentition, the literature is scarce and controversial. No study worldwide exists on the cutoff points (thresholds) for sex identification; no study exists on metric or nonmetric traits of deciduous teeth in Iranians. Hence, the aim of the study was to assess both the metric and nonmetric traits of primary molars, as well as their cut-off points for sex identification. Methods In this epidemiological cross-sectional study, pretreatment casts of 110 children (51 boys and 59 girls) aged 6 to 12 years were collected. Maxillary and mandibular first and second primary molars were evaluated regarding their metric traits (mesiodistal and buccolingual widths) and 9 nonmetric traits (Accessory cusp on the upper D, Accessory cusp on the lower D, Fifth cusp on the upper E, Carabelli’s cusp on the upper E, Protostylid on the lower E, Fifth cusp on the lower E, Sixth cusp on the lower E, Tuberculum intermedium [metaconulid] on the lower E, and Deflecting wrinkle on the lower E). ROC curves were used to identify cut-off points for sex determination as well as the usefulness of metric measurements for this purpose. Data were analyzed using independent-samples and paired-samples t-tests, McNemar, Fisher, and chi-square tests, plus Pearson and Spearman correlation coefficients (α = 0.05). Results All the primary molars’ coronal dimensions (both mesiodistal and buccolingual) were extremely useful for sex identification (ROC curves, all P values ≤ 0.0000099). Especially, the mandibular primary molars (areas under ROC curves [AUCs] between 85.6 and 90.4%, P values ≤ 0.0000006) were more useful than the maxillary ones (AUCs between 80.4 and 83.1%, P values ≤ 0. 0000099). In the mandible, the first primary molar (maximum AUC = 90.4%) was better than the second molar (maximum AUC = 86.0%). The optimum thresholds for sex determination were reported. Sex dimorphism was significant in buccolingual and mesiodistal crown widths of all the primary molars (all P values ≤ 0.000132), but it was seen only in the case of 2 nonmetric traits: Deflecting wrinkle (P = 0.001) and Tuberculum intermedium (metaconulid, P = 0.029) on the lower Es, taking into account the unilateral and bilateral cases. The occurrence of nonmetric traits was symmetrical between the right and left sides (all P values ≥ 0.250). All mesiodistal and two buccolingual molar measurements were as well symmetrical (P > 0.1); however, two buccolingual measurements were asymmetrical: in the case of the maxillary E (P = 0.0002) and mandibular D (P = 0.019). There were three weak-to-moderate correlations between the nonmetric traits of the mandibular second molars (Spearman correlations between 22.7 and 37.5%, P values ≤ 0.045). Up to 6 concurrent nonmetric traits were observed in the sample, with 53.6% of the sample showing at least 2 concurrent nonmetric traits at the same time, without any sex dimorphism (P = 0.658). Conclusion Sex dimorphism exists considerably in primary molars’ sizes, but it is not as prevalent in their nonmetric traits or abnormalities. Primary molars’ crown sizes are useful for sex identification; we calculated optimum cut-off points for this purpose, for the first time