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At least 19 recordsLinked to original sources

[An evaluation of appliance hygiene index on patients wearing removable orthodontic appliance].

The appliance hygiene performance and its relationship with stomatitis lesions were investigated on 124 patients who were using maxillary removable orthodontic appliance. The patients were divided into five groups according to the appliance wearing periods. Appliance hygiene index (AHI) showed no significant difference between the groups except the fifth group and the prevalence of stomatitis was found as 8.9 percent. There was not any significant correlation between the quantity of plaque and the degree of stomatitis.

Dental Plaque↗

Use of the PAR index in assessing the effectiveness of removable orthodontic appliances.

The dental study casts of 150 consecutively completed removable appliance cases were examined before and after orthodontic treatment using the PAR index. Eighty-nine per cent were classified either as 'improved' or 'greatly improved'. Of the 16 cases classified as 'worse, no different', six were mixed dentition cases with limited treatment objectives (which were successfully achieved) and three were permanent dentition cases where only one tooth was being aligned. Using predefined criteria removable appliances were shown to be most effective in treating cross-bites, ectopic tooth position, anterior spacing, and overjet, and less effective in treating crowding, rotations, and molar relationships.

Adolescent↗

Psychophysical testing of taste and flavour reactivity in young patients undergoing treatment with removable orthodontic appliances.

Upper removable appliances (URA), as well as full dentures, are known to be the cause of various complaints related to oral handling of food and beverages, phonation and vocalization, in addition to general discomfort. To test the hypothesis that taste and flavour perception might also be affected by URA, 22 young orthodontic patients (10 males and 12 females aged 11.5 +/- 1.7 years; experimental group) wearing URA and 17 subjects (seven males and 10 females aged 11.6 +/- 2.0 years; control group) not wearing any orthodontic appliances were presented with a battery of eight intra-oral gustatory and three retro-nasal flavour stimuli. The subjects in the experimental group were tested on three different occasions and those in the control group on two occasions. All participants were required to label verbally the perceived taste and flavour sensations, as well as to estimate the palatability and intensity of the perceived sensation on a 100 mm visual analogue scale (VAS). Means and standard deviations were calculated from the individual values and then compared between the two groups and among the different testing times. Statistical significance was assessed with a level of confidence set at 0.025. The results revealed no significant difference between the indicative values chosen to represent taste and flavour reactivity, neither between the groups nor among different dates of testing within each group. Orthodontists should therefore encourage patients to also use the URA during meals, without any detrimental effect on taste and/or flavour perception.

Case-Control Studies↗

Removable orthodontic appliances.

One of the goals of this article has been to emphasize the limitation of removable appliances. It is also stressed that if the right preconditions are present, the removable appliance is a tool that should be used by a general dentist as well as by the orthodontist. Interceptive treatment carried out with removable appliances at the correct time may save the patient from a more complicated treatment at a later stage. Minor tooth movements can often facilitate the fabrication of a bridgework and should therefore be included in reconstruction. It has been pointed out that the construction and design of the appliance may be of crucial importance. A careful treatment plan and detailed description of the appliance should therefore precede treatment.

Activator Appliances↗

Palatal finger springs in removable orthodontic appliances--an in vitro study.

Palatal finger springs are often used in removable orthodontic appliances to tip teeth in a mesiodistal direction. There is general consensus that a force of 30-50 g is required to tip a single-rooted tooth, with an activation of about 3 mm for a spring with a load/deflection rate (LDR) of 15 g/mm. The purpose of this report is to establish the magnitude of forces for finger springs made from different types of wires (i.e. those from different manufacturers and of different diameters and lengths). The findings were that springs made from ordinary 18/8 stainless steel wire showed a lower LDR than previously reported. The 18/9 stainless steel springs gave yet a lower LDR. Definite specifications are given for forming springs. For example, a Unitek 0.51 x 17 mm spring can be used when the traditional activation of 2-4 mm is applied, but should increased activation be required (advocated in this report), the spring length would have to be increased to 20 mm to keep the force within the specified range.

Dental Stress Analysis↗

The contemporary use of removable orthodontic appliances.

Although apparently simple and efficient to use, removable appliances are no longer the appliance of choice for comprehensive orthodontic treatment in the permanent dentition. Their mechanical properties result in simple tipping of teeth, therefore multiple simultaneous tooth movements with apical control are not possible. It is for these and other reasons that removable appliances are usually only indicated for specific interventions in the mixed dentition, and as an adjunct to more complex fixed appliance treatment. Removable appliances, once popular because of their case of use, are no longer seen as the appliance of choice. This article discusses the rationale behind this statement and indicates cases suitable for removable appliance treatment.

Adult↗

Indications for the use of fixed and removable orthodontic appliances.

This article reviews the factors involved in choosing the type of fixed and removable orthodontic appliance therapy. While this cannot replace the essential hands-on experience from an undergraduate course or regional hospital unit, it provides a useful update and outline.

Humans↗

Effect of removable orthodontic appliances on oral colonisation by mutans streptococci in children.

Little is known about the effect of removable orthodontic appliances on oral colonisation by mutans streptococci (MS). In the present study, the frequency of isolation and serotype distribution of MS were evaluated in two groups of children, one undergoing therapy with removable appliances and the other not subjected to any kind of orthodontic treatment, respectively. Streptococci isolated from dental plaque samples from both groups of children were identified as mutans streptococci on the basis of their morphological and biochemical properties and were then serotyped in an enzyme immuno-assay using monoclonal antibodies. The number of subjects harbouring MS in their dental plaque was statistically higher in the group of orthodontic children without caries experience (CF) in comparison with CF children of the control group (10/12, 83.3% vs. 15/44, 34%). No clear difference was observed in the distribution of the different MS serotypes between the experimental and control group: S. mutans c,f serotype was the most frequently isolated in both groups of children followed by S. mutans serotype e and S. sobrinus serotype g. Such results suggest that the use of removable appliances may lead to the creation of new retentive areas and surfaces, which favour the local adherence and growth of MS. The data obtained stress the importance of a careful monitoring of patients treated orthodontically for risk of caries development.

Case-Control Studies↗

Gingival response to removable orthodontic appliances.

The gingival state of twenty-four young patients (mean age 9.4 years) wearing simple removable orthodontic appliances was assessed and followed at monthly intervals for 4 months. In nine of the patients intentional relief of the appliance was made in the upper right area. The plaque index levels were similar in both "relief" and "no-relief" groups and reached a similar score at 4 months. The gingival index was significantly higher in the "relief" group, and all five cases that showed gingival hyperplasia of the experimental area belonged to this group.

Adolescent↗

Candidal carriage and plaque distribution before, during and after removable orthodontic appliance therapy.

Candidal counts at 6 mucosal sites in 33 subjects were estimated by imprint culture before, during and after removable orthodontic appliance therapy. Additionally, dental plaque scores and salivary pH were measured at each stage. Whole mouth and site prevalence of candida rose significantly during therapy before falling to levels approximating initial values. A similar pattern was seen for candidal counts for the whole mouth and at individual mucosal sites, although post-treatment densities were usually lower than originally seen. The number of sites colonised by candida and salivary pH also increased significantly during treatment and fell significantly afterwards. Only the upper palatal plaque scores rose during therapy and most other dental sites showed a gradual decrease in value during the course of the study. This could be attributed to regular monitoring of the patient's oral hygiene procedures. This investigation demonstrated a direct relationship between the presence of an acrylic appliance, candida and low salivary pH levels. Furthermore, removable appliance therapy had a positive, though transient influence upon the prevalence and density of oral candidal carriage, suggesting that the appliance may initiate the carrier state.

Adolescent↗