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Biomedical subjects

Ram S Nanda

Publications and source records attributed to Ram S Nanda.

14 recordsLinked to original sources
PubMed2006

Assessment of anterior face height in a native African sample.

INTRODUCTION: The purpose of this research was to evaluate the anterior face height (AFH) of a native African ethnic group. METHODS: Cephalograms of 101 adult ethnic Shona subjects (51 men, 50 women; age range, 18 to 38 years) were evaluated and compared with norms of African Americans and North American whites. A number of measurements, some conventionally used and others specifically derived for this study, were assessed, including ANS to Me, Me to PP, and Me to FH, TAFH, NOrb, NANS, NPP, OrbANS, and OrbPP. Three age groups were considered: less than 22 years, 22 to 25, and more than 25 years. RESULTS: ANOVA detected significant differences among the 3 age groups and between the sexes. AFH was higher in men than in women. The post hoc Bonferroni test showed that NPP, NANS, and OrbPP were significantly different at ages less than 22 and more than 25. The older age group had shorter heights than the younger group. The AFH of the Shona was significantly lower than that of the African Americans. All AFHs for the men and only TAFH for the women were significantly shorter for the Shona than for the whites. CONCLUSIONS: The anterior vertical dimension of the Shona subjects was anatomically shorter than that of whites and African Americans, and conventional measurements did not provide the true status of the Shona, who had shorter lower AFHs.

Adolescent↗
PubMed2006

Relapse of anterior crowding in patients treated with extraction and nonextraction of premolars.

INTRODUCTION: The purpose of this study was to evaluate long-term stability of incisor crowding in orthodontic patients treated with and without premolar extractions. METHODS: Dental casts and cephalometric records of 98 patients were evaluated before treatment (T1), at posttreatment (T2), and at postretention (T3). Half of the patients had been treated with extractions, and half were treated nonextraction. RESULTS: Irregularity, as measured by the irregularity index, decreased 5.51 mm in the extraction group and 2.38 mm in the nonextraction group. Mandibular incisor irregularity increased 0.97 mm in the extraction group and 0.99 mm in the nonextraction group, respectively, in the postretention period. Maxillary incisor irregularity relapse was smaller than mandibular incisor relapse for both groups. Intercanine width expanded during treatment. At T3, mandibular intercanine width decreased in both groups, but the differences were not statistically significant. At T3, intermolar width was stable, arch depth decreased, overbite and overjet slightly increased, SN mandibular plane angle decreased, and incisor positions in both groups tended to return to T1 values. Clinically acceptable stability was obtained. CONCLUSIONS: With the exception of the interincisal angle, no statistically significant differences were recorded between the extraction and nonextraction groups from T2 to T3. No statistically significant correlations were found between any variables studied and mandibular incisor irregularity at T1, T2, and T3.

Adolescent↗
PubMed2004

Comparison of maxillary and mandibular growth.

In this longitudinal study, serial lateral cephalometric radiographs were used to compare growth patterns of the maxilla and mandible, with hand-wrist radiographs used to assess skeletal maturity. The sample comprised 28 untreated subjects (15 female, 13 male) who were followed from ages 6 to 20 years. All subjects had Class I malocclusions without anterior crossbites. Absolute values and incremental changes for linear and angular cephalometric measurements were recorded and analyzed, and the relative growth-rate formula was used to provide an accurate index of acceleration and deceleration of growth. The SNA angle did not change significantly with age, but the SNB angle increased significantly in the male subjects. The ANB angle decreased continuously until age 14. The palatal plane descended significantly from the horizontal plane. The anterior and posterior nasal spines moved at about the same rate. The mandible grew in length twice as much as the maxilla from ages 6 to 20. With growth, the facial profiles of the male subjects became straighter as the chin became more prominent. The female subjects had less incremental growth and duration of growth of the mandible, so that the profiles remained more convex. Overall, skeletal and chronologic ages did not differ significantly, except at ages 10 and 16 in the female subjects. Individual variability pointed to the need for assessing each patient's pattern in the general guidelines of the group pattern.

Adolescent↗
PubMed2004

Changes in the curve of Spee with treatment and at 2 years posttreatment.

The purposes of this study were to determine pretreatment skeletal and dental patterns related to curve of Spee depth, evaluate changes in the curve of Spee with treatment and the effects on dentofacial structures, and determine factors associated with the stability of the curve of Spee after treatment. Lateral cephalograms and dental casts were evaluated for 24 white male and 26 white female patients at pretreatment, posttreatment, and at least 2 years postretention. All patients had mandibular permanent second molars and premolars erupted and in occlusion. The following variables were correlated with increased pretreatment curve of Spee depth: low Frankfort-mandibular plane angle, deep overbite, increased overjet, and Class II molar malocclusion. No significant differences were found in pretreatment curve depth between male and female patients or between right and left sides. Leveling the curve of Spee was accomplished by uprighting the molars, extruding the premolars, and intruding or flaring the incisors. Extraction and nonextraction cases demonstrated no significant differences in the amount of curve relapse. Increased curve relapse was correlated with postretention increases in overbite, irregularity index, and patients given removable retainers. Overall, the curve of Spee was relatively stable after treatment, with only a 16% relapse of the leveled curve.

Adolescent↗
PubMed2003

Deactivation force-deflection behavior of multistranded stainless steel wires.

This investigation measured the deactivation (unloading) force-deflection behavior of selected multistranded stainless steel orthodontic wires. The guidelines from the revised American National Standards Institute/American Dental Association Specification No. 32 for orthodontic wires (type 2, nonlinear elasticity) were used to perform a 3-point bending test to obtain data for the deactivation force levels at 3, 2, 1, and 0.5 mm, and permanent deformation values. The study tested 20 wire designs: triple-stranded twisted wires, 5- and 6-stranded coaxial wires, and 8- and 9-stranded braided rectangular wires of selected cross-sections. Twenty specimens were tested for each wire design. The specification guidelines for testing provided a means for obtaining comparative unloading force delivery data for the deflections tested. Multistranded wires of significantly different cross-section, weave, and strand number fell within relatively narrow ranges of force delivery at the 0.5-mm (1.7-42.7 grams-force [gmf]) and 1-mm (31.1-134.2 gmf) deflections and wider ranges of force levels at the 2-mm (57.0-320.5 gmf) and 3-mm (72.5-451.8 gmf) deflections. All wires exhibited some permanent deformation, but none averaged greater than 0.66 mm. The testing also showed that multistranded wires of significantly different design exhibit similar force levels. The guidelines of the revised Specification No. 32 yielded deactivation data with regard to force delivery and provided comparisons of the wire designs tested.

Dental Alloys↗
PubMed2003

Stability of transverse expansion in the mandibular arch.

This was a retrospective, longitudinal cephalometric and cast study of 29 white patients at pretreatment, posttreatment, and an average of 6 years 3 months postretention. The goal was to assess changes with treatment and retention with the expanding mandibular lingual arch appliance in conjunction with fixed edgewise treatment. Seven mandibular cast measurements were assessed, including arch crowding, arch perimeter, arch length, and arch width at the permanent canines, first premolars, second premolars, and first molars. Cephalometric radiographs were digitized, and 16 cephalometric measurements were made. Repeated-measures analysis of variance and 2-sample t tests were used to determine statistically significant changes. It was found that the expanding lingual arch used for less than 6 months with the mandibular fixed edgewise appliance caused an increase in both the transverse and sagittal dimensions of the mandibular dental arch. Transverse expansion was more stable in the posterior region of the mandibular dental arch than in the anterior region. Mandibular intercanine width increase could be maintained only by fixed retention. Although the maxillary and mandibular incisors were advanced and proclined, lip protrusion did not occur.

Adolescent↗
PubMed2003

Bialveolar protrusion in a Zimbabwean sample.

This study was undertaken to assess dentoalveolar relationships in a well-balanced sample of adult black Zimbabweans. Lateral cephalograms of 25 men and 25 women 18 to 38 years of age with Class I occlusions were obtained from the University of Zimbabwe. Twelve angular and 6 linear measurements were analyzed, and men and women were compared with the Student t test. No statistically significant difference was noted between the 2 sexes. The Zimbabwean sample had a low Frankfort-mandibular plane angle (19.6 degrees +/- 5.5 degrees ) with a receding chin as shown by the negative Pog-NB measurement (-0.7 +/- 1.5 mm). Both the maxilla (SNA = 88.5 degrees +/- 4.7 degrees ) and the mandible (SNB = 83.3 degrees +/- 4.4 degrees ) were prognathic, and the ANB difference was large (5.3 degrees +/- 2.7 degrees ). The maxillary incisors were more upright compared with those of white people as measured by the angle of the maxillary incisor to NA line (20.6 degrees +/- 7.7 degrees ), while the mandibular incisors were severely proclined (IMPA = 105.8 degrees +/- 6.0 degrees, L1-Apog = 6.9 degrees +/- 2.7 degrees, L1-NB = 37.6 degrees +/- 4.9 degrees ), and this proclination was considered to be compensatory to the prognathic maxilla.

Adolescent↗
PubMed2002

Evaluation of physiological tooth movements within clinically normal periodontal tissues by means of periodontal pulsation measurements.

The three-dimensional physiological tooth movement synchronized with heartbeat, periodontal pulsation, has already been demonstrated by previous researchers. The purpose of this study was to estimate physiological tooth movements within clinically normal periodontal tissues, thus establishing periodontal pulsation standards. The measuring device consisted of an amorphous sensor and a small magnet, which could detect tooth displacement without coming into contact with the tooth surface. The samples consisted of the left maxillary central incisors of 23 adult subjects. Three points on the labial surface were used as reference points to measure the labial-lingual movement range, and a point on the incisal edge was used for measuring the incisal-apical movement range. Periodontal pulsation and electrocardiogram measurements were recorded simultaneously for six minutes. The results showed that the mean amplitude of periodontal pulsation concerning the labial-lingual movement range was equal at the three labial points (0.59 microm) and tended to be smaller than that of the incisal-apical movement range (0.87 microm). There were no significant differences in the mean amplitude of periodontal pulsation at any of the four reference points. Significant correlations of the amplitude of periodontal pulsation existed among the three labial points. Though most teeth pulsated uniformly to the labial direction, some teeth moved in a complex manner including rotation with an axis among the three labial points. These results suggest that the values of periodontal pulsation amplitude which were recorded employing the amorphous sensor device are reliable standards of periodontal pulsation within clinically normal periodontal tissues.

Adult↗
PubMed2002

Transition of molar relationships in different skeletal growth patterns.

This study investigated maxillary and mandibular growth differences and their effect on the changes in molar relationships from early transitional dentition to adult permanent dentition. Various landmarks were identified and measurements made on the longitudinal cephalometric radiographs of 40 people. The subjects were classified into 3 groups based on the amount of sagittal skeletal growth difference between the jaws. In group A, the mandible grew more than did the maxilla; in Group B, growth was about the same; and in group C, the maxilla grew more than did the mandible. The results revealed that skeletal growth differences between the jaws significantly influenced the changes in molar relationship during the transitional dentition, not only by translating basal bones but also by altering the amount of physiologic mesial shift in the dentition. However, the skeletal growth difference during the permanent dentition did not influence the changes in molar relationship. The sagittal growth difference between the jaws was largely absorbed by a dentoalveolar compensation. Tooth movement showed different characteristic features depending on the amount of the skeletal growth difference: (1) If the mandible grew more than did the maxilla, the growth difference was mostly absorbed by mesial displacement of the maxillary first molars and counterclockwise rotation of the occlusal plane. Anterior occlusion was adjusted by mesial displacement and labial inclination of the maxillary incisors and lingual inclination of the mandibular incisors. (2) If the maxilla grew more than did the mandible, the growth difference was mainly absorbed by mesial displacement of the mandibular molars. Then the maxillary molars showed minimal mesial displacement. The occlusal plane also showed minimal rotational change. Anterior occlusion was adjusted by lingual tipping of the maxillary incisors and mesial displacement and labial tipping of the mandibular incisors.

Adaptation, Physiological↗
PubMed2002

Skeletal Class II patterns in the primary dentition.

The aim of this longitudinal cephalometric study was to investigate early characteristics of favorable and unfavorable growth. Two groups of untreated subjects with skeletal Class II pattern were formed on the basis of an ANB angle at least 2.5 degrees above the individual norm, according to Järvinen, at age 5. The subjects were followed longitudinally until age 12. The favorable growth group (n = 13) consisted of subjects who exhibited a decrease in the individualized ANB angle of at least 1.5 degrees during follow-up. The unfavorable growth group (n = 10) was characterized by an increase in the individualized ANB angle during the growth period from 5 to 12 years. Early characteristics of unfavorable growth included increased mandibular plane angle (measured to the sella-nasion line and the palatal plane, P <.05), increased lower gonial angle (P <.05), and a decreased ratio of posterior-to-anterior face height (P <.05) [corrected]. At the longitudinal follow-up at age 12, the 2 groups showed significant differences in SNB (P <.01) and individualized ANB (P <.01). The improved sagittal jaw relationship in the favorable growth group was the result of changed mandibular position. Morphogenetic posterior rotation seems to occur early in patients with skeletal Class II pattern and unfavorable growth and might be part of an adaptive mechanism compensating for insufficient mandibular growth.

Cephalometry↗
PubMed2002

Role of cranial base flexure in developing sagittal jaw discrepancies.

The aim of this longitudinal cephalometric study was to investigate skeletal features in patients with small and large cranial base angles. Two groups of untreated subjects were formed on the basis of a small and large cranial base angle N-S-Ar at the age of 5 years: the large cranial base angle group (n = 22) consisted of subjects with an N-S-Ar angle larger than 125 degrees (mean, 128.1 degrees ), and the small cranial base angle group (n = 20) included subjects with an N-S-Ar angle of less than 120 degrees (mean, 117.6 degrees ). Cephalometric data of the 2 groups were analyzed at subject ages 5 and 12 years. At both ages, the groups showed significant differences of the variables SNA, SNB, individualized ANB, and Y axis. The unadjusted ANB angle and the angle of convexity N-A-Pg were not significantly different between the 2 groups. According to the individualized norm of the ANB angle, subjects with a large cranial base angle in the primary dentition demonstrated a skeletal Class II tendency both at the initial observation and at the longitudinal follow-up. On the basis of cephalometric variables at 12 years of age, it was possible to classify 88.1% of the initial large and small cranial base angle individuals, indicating a constancy of the skeletal pattern during the longitudinal follow-up. The relationship between cranial base flexure and skeletal pattern of the jaws seems to be established before the age of 5 years.

Cephalometry↗
PubMed2002

Anterior open bite in the deciduous dentition: longitudinal follow-up and craniofacial growth considerations.

The aim of this longitudinal cephalometric study was to evaluate craniofacial growth changes in subjects with an anterior open bite in the deciduous dentition. From longitudinal records of untreated subjects, an open bite group (n = 14) was selected at the age of 5 years based on the presence of a negative overbite and compared with a control group (n = 14) with a regular overbite at this age. Cephalometric measurements were analyzed at ages 5, 9, and 12 years. Although only 1 subject in the deciduous dentition open bite group had an open bite at 12 years of age, the overbite remained lower during the longitudinal follow-up. Early cephalometric characteristics of the open bite group included a reduced overbite depth indicator and a lower ANB angle. At ages 9 and 12 years, the open bite sample was also characterized by shorter ramus height. An underlying skeletal pattern seems to be present in the deciduous dentition open bite sample that persists during the longitudinal follow-up. The overbite depth indicator might help to identify patients with anterior open bite tendencies.

Case-Control Studies↗
PubMed2002

Prospective study of posttreatment changes in the temporomandibular joint.

The purpose of this follow-up prospective longitudinal study was to determine what changes occurred in the condyle/fossa relationship after treatment. Orthodontic posttreatment records, including corrected tomograms of 106 white patients (58 Class I and 48 Class II Division 1), from a pretreatment sample of 232 patients, were analyzed. The average pretreatment age was 13.6 +/- 3.0 years. The average length of treatment was 2.3 +/- 0.6 years for the Class I group and 2.8 +/- 0.9 years for the Class II Division 1 group. With orthodontic treatment, the condyle became more concentrically positioned, and a significant (P <.05) decrease in left and right anterior, posterior, and superior joint spaces was observed in most subjects. There was no statistically significant correlation between changes in the condyle/fossa relationship based on age, gender, skeletal or dental variables, signs or symptoms of temporomandibular disorder, headgear use, type of elastics, or nonextraction vs extraction treatment.

Adolescent↗