Evaluation of Incisor Inclination on Smile on Lateral Profile

Background: Smile is the key that fits the lock of every heart. Objective: The aim of the study was to evaluate inclination of maxillary incisors on smile aesthetics in relation with the profile view and to evaluate the perception and awareness of dentists, orthodontists, lay people and students towards smile attractiveness. Methods: A right smiling lateral profile photographs of a 21-year-old female subject were taken and then altered. Five final images were obtained which were printed separately and randomly distributed to four groups of evaluators (50 orthodontists, 50 dentists, 50 lay people and 50 students). A Visual Analogue Scale (VAS) was distributed to them for judgment. The obtained data were subjected to statistical analysis using ANOVA and Fischer’s test. Results: The results showed significant variation in the perception of smile based on the incisor inclination among different professionals (Wilk's Lambda, F = 2.825, P = <0.001). The original profile smile had the highest score among all professions (58% of dentists, 94% of orthodontists, 36% of students and 28% of layman). Conclusion: Orthodontists preferred inclination labially; dentists and laypeople did not appreciate excessive incisor inclination in either the lingual or the labial directions

A survey of perception of pain and discomfort with elastomeric separators in patients undergoing orthodontic treatment in Western Maharashtra region

Aim: The aim is to determine the perception of pain and discomfort by the patient during the placement of orthodontic separators. Materials and Methods: Elastomeric separators were placed in randomly selected 100 patients for fixed orthodontic mechanotherapy. Visual analog scale was used to register the patient's pain perception during the placement of elastomeric separators and continued subsequently on 1st, 2nd, 3rd, 4th, and 5th day. Results: The data show 41.3% of urban and 53.7% of the rural population of the patients reported pain during the placement of separators. Until the 1st day, in the urban, 53.04% of patients and in the rural population, 48.15% of patients reported pain. In the urban population, 30.43% of patients and in the rural population, 25.93% consumed analgesics. Conclusion: The pain associated peaks within 4–48 hr from separator placement, and then declines to reach its lowest level on the 5th day. Since pain of moderate intensity occurs during the treatment, analgesics and soft food are recommended