Print ISSN: 2204-1990

Online ISSN: 1323-6903

Keywords : orthognathic surgery


En Masse Distalization As A Treatment Option In Correction Of Skeletal Class Ii Malocclusion.

AKSHAY MOHAN; HARISH BABU; NIVETHIGAA BALAKRISHNAN

Journal of Contemporary Issues in Business and Government, 2021, Volume 27, Issue 2, Pages 3078-3084
DOI: 10.47750/cibg.2021.27.02.315

Treatment of skeletal Class II malocclusion in a growing patient will involve growth modification therapy using myofunctional appliances. In case of some patients non compliance Class II correctors may be used to correct discrepancies. Skeletal Class II malocclusion due to prognathic maxilla may require headgears for correction. The introduction of infra zygomatic screws and buccal shelf screws have broadened the scope of Class II correction in late adolescence and adults. Invariably patients with skeletal Class II malocclusions do not report to the orthodontists at a time when growth can be harnessed for correction of the skeletal malocclusion. In most of these cases camouflage treatment or orthognathic surgery were the options. Bone screws have now changed the scenario providing patients with the option of en masse distalisation not involving extractions or surgery. This study aims to evaluate the treatment options not involving growth modification chosen for patients with skeletal Class II malocclusion.  Patient records were screened for skeletal Class II malocclusion, patients from the age group of 14 to 35 were chosen for the study. Patients undergoing treatment with myofunctional appliances and non compliance Class II correctors were eliminated from the study. A total of 80 patient records were obtained. Data on age, gender and treatment plan were tabulated. Samples were divided into three groups based on treatment plan. Group A (N= 50) represented camouflage treatment, Group B (N= 16) represented en masse distalisation and Group C (N= 14) represented orthognathic surgery. The association between age, gender and treatment plan was tested using Pearson’s test of independence. Results of the study showed that 62.5% of all patients in the study had undergone camouflage treatment with only 20% undergoing en masse distalisation. 17.5% of patients had undergone orthognathic surgery. It was observed that the age group of 20-24 years contributed to the maximum number of patients  reporting for correction of Class II skeletal malocclusions. Pearson Chi-Square value of 2.843 and  p-value of 0.241( p-value< 0.05 significant) showed that there was no association between gender and treatment plan chosen. Pearson’s Chi Square value of 18.09 and  p value of 0.021 (p value < 0.05,statistically  significant) showed an association between age and treatment plan chosen for the patient. From the results of the study it can be concluded that there was an association between age and treatment plan in correction of Class II malocclusion. En masse distalisation as a treatment option was predominantly chosen in late adolescence and young adults.

Aesthetic Surgical Procedures- Is It A Matter of Age?

SHIVANGI GAUR; MADHULAXMI M; HEMAVATHY O R

Journal of Contemporary Issues in Business and Government, 2020, Volume 26, Issue 2, Pages 1666-1679
DOI: 10.47750/cibg.2020.26.02.213

Face is the seat of an individual’s identity. Hence treatment plan and execution of corrective esthetic surgeries are challenging. The average age at which patients become self-aware of dentofacial deformities and seek professional help is usually in the second decade of life when they begin to develop a sense of individualistic identity to integrate into the society. However, it is observed that individuals in the older age groups are seeking treatment for correction of dentofacial deformities. The aim of this study was to identify the age at which individuals report for orthognathic surgery. For the purpose of this study, data collection was done retrospectively from the hospital archives for patients undergoing orthognathic surgery during a period of ten months from June 2019 to March 2020. In our study it was observed that despite differences in chief complaints, 54.17% females and 45.83% males seek jaw corrective procedures. Though the association between age of patients and osteotomy procedure was not of statistical significance (p=0.470 > 0.05), there was a substantial increase in those seeking treatment in the fourth decade of life (16.67%) implying a marked clinical significance. This increase is due to the multidisciplinary team involved in functional rehabilitation of patients in this age group.

Occurrence of Accessory Mental Foramen

DENESH RAJ ELANGKOVAN; DHANRAJ GANAPATHY

Journal of Contemporary Issues in Business and Government, 2020, Volume 26, Issue 2, Pages 1975-1981
DOI: 10.47750/cibg.2020.26.02.245

The mental foramen is an oval or circular opening on the anterior surface of the mandible. Mental foramen is the determinant of the mental triangle and forms an important landmark of the human mandible.  Mental nerves and vessels pass through it and supply the area from canine to first molar. The mental nerve is the neurosensory nerve. Mental Foramen it’s important landmark and orientation which serves surgical, local anaesthetic and other invasive procedures for oral and maxillofacial surgery. Understanding the anatomy of this region is important for effective nerve block and to avoid neurovascular bundles. It is also important to identify the ideal location of mental foramen for periodontal surgery, flap operation of lower tooth and for orthodontic surgery. Even so, in order to avoid neurovascular complications, particular attention should be paid to the possible occurrence of one or more accessory mental foramen during surgical procedures involving the mandible. The mental foramen is an important structure that needs to be considered in the surgery.