INTERDISCIPLINARY APPROACH IN THE TREATMENT OF IMPACTED CANINES - review and a case report

The successful management of severely impacted maxillary canine requires close cooperation of an orthodontist, an oral surgeon, a radiologist a periodontist and a prosthodontist.The present report reviews the literature on diagnosis on treatment and management of impacted maxillary canines and presents the interdisciplinary and individual approach to a 14 year-old patient with severely impacted upper right canine.Extraction of permanent impacted maxillary canine is not a routine method, but it is sometimes a good and inevitable choice. A beautiful smile and functional occlusion can be achieved in the absence of the canine and by the rest of the available teeth

Sex -related differences in the lips and mouth area of Buglarians - an investigation by 3D laser scanning

Purpose : The objective of this study was to supply information about normal sex-related dimensions of the mouth area and lips among contemporary Bulgarian population (linear distances, ratios, angles, area, volume) and compare the results with other populations.Materials and methods : The three-dimensional coordinates of several soft-tissue landmarks on the lips and mouth were obtained by a non-invasive method with FastSCAN in 16 male and 23 female healthy subjects aged 21-35 years. From the landmarks, linear distances (mouth width, width of the philtrum, vermilion heights of the upper, lower and total lips, total lip height), the vermilion height-to-mouth width ratio, areas (vermilion of the upper, lower and total lip) and volumes (upper, lower, and total lip volume) were calculated and averaged for sex.Results : Comparisons were performed by SPSS 17.0. Data collected in the present investigation could serve as a database for the quantitative description of human lip morphology during normal growth, development and aging. Conclusion. Forensic applications (evaluations of trauma, craniofacial alterations, teratogenic- induced conditions, facial reconstruction, aging of living and dead persons, personal identification) may also benefit from age- and sex-based data banks

ORTHODONTIC PROBLEMS IN PATIENTS WITH HYPODONTIA AND TAURODONTISM OF PERMANENT MOLARS

Taurodontism is a morphological abnormality of the tooth shape with the following characteristic features: vertically enlarged pulp chamber, apical displacement of the bifurcation and trifurcation, shortened roots and no constriction at the level of the cementoenamel junction. This anomaly is still neglected by orthodontists when it comes to making treatment plans in spite of the reports in the literature of a close association of this condition with hypodontia and oligodontia.Aim: The article discusses the orthodontic problems arising in treating patients with hypodontia and taurodontism and suggests approaches to reducing the risk of complications during orthodontic tooth movement.Discussion: Failure to identify taurodont teeth in hypodontic patients can cause serious complications in their orthodontic management because of the greater susceptibility of these types of teeth to root resorption in orthodontic tooth movement. Besides, these types of teeth are less anchorage.Conclusion: The high incidence of taurodontism in hypodontic patients presents a clinical challenge for general dental practitioners and orthodonists alike. Furthermore, successful management of hypodontia rests on the orthodontist's ability to identify taurodont teeth and correctly include them in treatment plan

SURGICAL UNCOVERING AND STIMULATION OF PHYSIOLOGICAL ERUPTION OF PALATALLY IMPACTED MAXILLARY CANINES: Case reports

Introduction. The orthodontist treating patients with palatally impacted canines usually strives to build a complex treatment plan, based on uncomplicated and biological orthodontic and surgical techniques.The aim of the present report was to demonstrate by case reports the potential of the open surgical technique for stimulation of physiological eruption of palatally impacted canines.Material and methods. Three patients aged 13 to 20 years with various degrees of unilateral and bilateral palatal impaction of maxillary canines were managed by the described technique.Results and discussion. All canines underwent autonomous eruption after all soft- and hard-tissue obstructions on their paths were removed.Conclusion. The described method of surgical uncovering and autonomous eruption created conditions for biological eruption of the palatally impacted canines into the oral cavity and facilitated considerably the subsequent orthodontic treatment for their proper alignment in the dental arch

Digital Occlusion Analysis after Orthodontic Treatment: Capabilities of the Intraoral Scanner and T-Scan Novus System

Digital technology is becoming increasingly popular in dentistry. The aim of this article is to demonstrate and compare the capabilities of two different digital approaches, namely, intraoral scanning and digital examination of occlusion, in the final analysis of occlusion after orthodontic treatment. The capabilities and limitations of both systems are emphasized to help clinicians determine which system to use in specific cases. Materials and methods: The study included 32 patients (15 males and 17 females) in the retention phase after orthodontic treatment. Patients were aged 15 to 28 years with a mean age of 18.62 years (±4.17), and 62.2% were aged under 18 years. At the beginning of the orthodontic treatment, 18 patients had Angle Class I and 14 had Angle Class II. Overall, 18 patients were treated without extractions and 14 with extractions, while 12 had impacted teeth. All patients wore an Essix retainer in the upper jaw and a fixed canine-to-canine retainer in the lower jaw. Intraoral scanning was performed using Trios color (3Shape, Copenhagen, Denmark, 2014), and digital occlusion imaging was performed using T-Scan Novus (Tekscan, Norwood, MA, USA, 2018). SPSS 23.0 was used to perform descriptive statistical analysis. Result and Conclusion: With the 3Shape system, the contacts are marked based on the proximity between dentitions. The T-Scan system measures the strength of the contacts, regardless of their area. Despite its many advantages, intraoral scanning is not a reliable method for recording occlusions. The results obtained are not incorrect, but they include limited parameters for analysis. The T-Scan system provides comprehensive results and allows analysis and treatment of occlusal dysfunctions. The T-Scan system can provide information on the first contact, strength of the contacts, contact distribution on each tooth, sequence of contacts, maximum bite force and maximum intercuspation, path of the lower jaw movement, and occlusion and disocclusion times as well as record videos with active sequences and distributions of the contacts. There is a good collaboration between intraoral scanning and digital occlusion determination

Root Development of Permanent Incisors and Mandibular Molars in Correlation with Treatment Plan

Background: The incisors and molars play a major role in the formation and function of permanent dentition. Much research has been devoted to investigating the eruption of teeth and their root development

Phylogenetic identification of Balkan endemic Stachys species and genomic stability during ex vitro conservation

The genus Stachys is one of the largest in the Lamiaceae family. Representatives of the genus are among the most ancient medicinal plants used in the ethnomedicine. The Balkan endemic species S. thracica, S. bulgarica and S. scardica are included in The Red Data Book of Bulgaria and due to their endangered status are scarcely studied. The aim of the present work was to examine the genetic status of these three endemic Stachys species during the process of their ex situ conservation. To gain information about their taxonomic position in the genus Stachys, we applied the DNA barcoding approach. Nuclear (ITS) and plastid (rbcL, matK and trnH‑psbA) DNA barcodes were generated and aligned with accessions available in the data base. In the constructed phylogenetic trees S. thracica was placed in a cluster together with S. alpina, S. germanica and S. cretica, while S. bulgarica and S. scardica were clustered with S. officinalis. The ex situ conservation was achieved by the initiation of in vitro shoot cultures and their subsequent adaptation in ex vitro conditions. To check the genomic stability of the plants during the acclimatisation from in vitro conditions to ex vitro, analysis by sequence-related amplified polymorphism (SRAP) markers was performed. No difference was detected between the SRAP profiles of in vitro cultivated and ex vitro adapted S. thracica and S. scardica plants. In S. bulgarica, only 0.4% fragment difference was detected. The obtained results indicated that the three Stachys species preserved their genetic stability during the process of in vitro multiplication, which is a prerequisite for conserved bioactive capacity