Eshan Awasthi - Academia.edu (original) (raw)
Papers by Eshan Awasthi
International Journal of Scientific and Research Publications (IJSRP)
International journal of current research and review, 2015
Studies have shown that orthodontic mini-implants serve as an important anchorage method, for ort... more Studies have shown that orthodontic mini-implants serve as an important anchorage method, for orthodontists at all treatment stages, reducing the patient`s compliance and achieving more predictable results. Implant serves as an absolute anchorage taking anchorage from skeleton with no reactionary force on posterior teeth during reaction Aim: This case report describes the treatment of a 31-year-old female who had incompetent lips with severe bimaxillary dentoalveolar protrusion. Methodology: The preferred treatment alternative for such malocclusion is extraction of four first premolars and utilization of extraction spaces retraction of the anterior teeth. To maintain the extraction space, maximum anchorage is required. Mini-implants were used for absolute anchorage to get a good facial profile. Conclusion: Post treatment the profile improved, competency of lips was achieved and cephalometric superimposition revealed that no anchorage loss was seen with all extraction space being uti...
Bimaxillary dentoalveolar protrusion is the condition characterized by procumbency of lips due to... more Bimaxillary dentoalveolar protrusion is the condition characterized by procumbency of lips due to increased protrusion of maxillary and mandibular incisors. This condition can be due to tooth size arch length discrepancy, weak lip musculature unable to withstand strong tongue pressure. This results in severe labial tipping of incisors, which causes upper and lower lip protrusion. This case report describes the treatment of a 21-year old girl with bimaxillary protrusion and convex profile with incompetent lip seal. The treatment of choice for the patient was extraction of four first premolars and utilization of extraction space to reduce the facial convexity by retraction of anterior teeth. The anchorage requirement was maximum for complete correction of facial profile. Mini implants were used to retract the anterior teeth and improve facial aesthetic. Treatment was completed in 20 months. Patient`s facial profile improved significantly with reduced dental protrusion and lip eversion.
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2016
An adult male patient aged 21-year-old reported with the chief complaint of forwardly placed chin... more An adult male patient aged 21-year-old reported with the chief complaint of forwardly placed chin and deviation of chin towards the left side. The patient had an asymmetric face (shifted to left) with leptosoprosopic face form. On profile examination patient had a mild concave profile. The facial midline was not coincident with dental midline as chin was deviated towards left [Table/Fig-1]. Class III molar and canine relationship on right side and Class I molar, canine relation on left side was seen. There was an edge to edge overbite and overjet [Table/Fig-1]. Diagnosis: Skeletal Class III malocclusion with vertical growth pattern. Angle's Class III, sub division on left side. Treatment plan: A comprehensive treatment plan involving presurgical orthodontics followed by Bilateral Saggital Split Osteotomy (BSSO) to perform asymmetrical setback with more orientation to the right side in order to correct the shift of lower jaw midline. Pre-surgical orthodontics: An MBT 0.022" x 0.028" prescription was bonded to both upper and lower arch. Lower single tooth (lower right incisor) extraction for resolving lower anterior crowding along with upper arch expansion was done as the upper arch was constricted. The upper and lower arches were aligned, leveled and were stabilized with 0.021" x 0.025" in stainless steel wire presurgically [Table/Fig-2]. Cephalometric prediction and mock surgery: Cast prediction or model surgery and fabrication of occlusal splints for use at surgery were planned. The lower dental cast was repositioned simulating the movement of the jaws for which the guide was manual prediction. [Table/Fig-3a,3b].
Journal of Indian Orthodontic Society, 2016
This case report discusses orthodontic treatment combined with the corticotomy technique to accel... more This case report discusses orthodontic treatment combined with the corticotomy technique to accelerate tooth movement and shorten the treatment time in a 34-year-old female patient with an anterior open bite and flared and spaced upper and lower incisors. Fixed orthodontic appliances (MBT 0.018″ edgewise brackets) were bonded, and 4 months later, buccal and lingual corticotomy with alveolar augmentation procedure in the maxillary arch from canine to canine was performed. Orthodontic therapy proceeded with frequent activation of the appliances to retract the incisors every 2 weeks. The total treatment time was 10 months with an active period of 4 months and no adverse effects were observed at the end of active treatment. The addition of the decortication procedure to the conventional orthodontic therapy decreased the duration of treatment significantly. Successful closure of the anterior open bite with adequate overbite and interdigitation of the teeth was achieved.
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2016
A 24-year-old male patient reported to the dental clinic with the chief complaint of spacing betw... more A 24-year-old male patient reported to the dental clinic with the chief complaint of spacing between teeth in upper front region of jaw [Table/Fig-1]. The patient was systemically healthy with no deleterious habits found. Periodontal examination revealed adequate zone (>3mm) of attached gingiva, having no gingival recession, no signs of acute infection and periapical pathology, root fracture or severe root irregularities and a healthy Cementoenamel Junction (CEJ).
Journal of Research in Medical and Dental Science, 2016
Bimaxillary dentoalveolar protrusion is the condition characterized by procumbency of lips due to... more Bimaxillary dentoalveolar protrusion is the condition characterized by procumbency of lips due to increased protrusion of maxillary and mandibular incisors. This condition can be due to tooth size arch length discrepancy, weak lip musculature unable to withstand strong tongue pressure. This results in severe labial tipping of incisors, which causes upper and lower lip protrusion. This case report describes the treatment of a 21-year old girl with bimaxillary protrusion and convex profile with incompetent lip seal. The treatment of choice for the patient was extraction of four first premolars and utilization of extraction space to reduce the facial convexity by retraction of anterior teeth. The anchorage requirement was maximum for complete correction of facial profile. Mini implants were used to retract the anterior teeth and improve facial aesthetic. Treatment was completed in 20 months. Patient`s facial profile improved significantly with reduced dental protrusion and lip eversion.
Journal of Indian Orthodontic Society, 2016
Skeletal Class II malocclusion occurs in nearly one-third of the population, [1] the main cause b... more Skeletal Class II malocclusion occurs in nearly one-third of the population, [1] the main cause being mandibular retrusion. [2] Therefore, both removable and fixed functional appliances were designed to stimulate mandibular growth by constant forward positioning of the mandible. [3] One of the most widely used techniques to correct Class II malocclusion in growing patients is functional jaw orthopedics through mandibular advancement. Fixed devices for sagittal advancement of the mandible not requiring the patient's compliance and that can be worn in conjunction with fixed appliances have been introduced to overcome two major limitations of removable appliances: The need for patient compliance and shortening treatment duration. [4] Fixed functional appliances are reported to correct Class II skeletal problems by encouraging mandibular growth and by eliciting dentoalveolar effects. The three variants, i.e., rigid, flexible, and hybrid appliances, have been introduced which include Herbst, Jasper Jumper, Eureka Spring, Forsus, mandibular protraction appliance, Churro Jumper, and Ritto appliance. [5-7] Small and hygienic design, stability, less breakage, and more range of lateral excursion of mandible make the hybrid type more popular. Forsus type superelastic appliance because of their ease in clinical application is widely used. However, these appliances are prefabricated and clinician needs to be dependent on manufacturer's design. The present case series discusses the effect of Sharma's bite corrector appliance (SBCA) (flexible fixed functional appliance) which is easy to fabricate chairside, economical, and easy to place and remove from mandibular archwire, increased flexibility due to incorporation of coil (number of turns of coil doubled within the same length). [8]
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2016
International Journal of Scientific and Research Publications (IJSRP)
International journal of current research and review, 2015
Studies have shown that orthodontic mini-implants serve as an important anchorage method, for ort... more Studies have shown that orthodontic mini-implants serve as an important anchorage method, for orthodontists at all treatment stages, reducing the patient`s compliance and achieving more predictable results. Implant serves as an absolute anchorage taking anchorage from skeleton with no reactionary force on posterior teeth during reaction Aim: This case report describes the treatment of a 31-year-old female who had incompetent lips with severe bimaxillary dentoalveolar protrusion. Methodology: The preferred treatment alternative for such malocclusion is extraction of four first premolars and utilization of extraction spaces retraction of the anterior teeth. To maintain the extraction space, maximum anchorage is required. Mini-implants were used for absolute anchorage to get a good facial profile. Conclusion: Post treatment the profile improved, competency of lips was achieved and cephalometric superimposition revealed that no anchorage loss was seen with all extraction space being uti...
Bimaxillary dentoalveolar protrusion is the condition characterized by procumbency of lips due to... more Bimaxillary dentoalveolar protrusion is the condition characterized by procumbency of lips due to increased protrusion of maxillary and mandibular incisors. This condition can be due to tooth size arch length discrepancy, weak lip musculature unable to withstand strong tongue pressure. This results in severe labial tipping of incisors, which causes upper and lower lip protrusion. This case report describes the treatment of a 21-year old girl with bimaxillary protrusion and convex profile with incompetent lip seal. The treatment of choice for the patient was extraction of four first premolars and utilization of extraction space to reduce the facial convexity by retraction of anterior teeth. The anchorage requirement was maximum for complete correction of facial profile. Mini implants were used to retract the anterior teeth and improve facial aesthetic. Treatment was completed in 20 months. Patient`s facial profile improved significantly with reduced dental protrusion and lip eversion.
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2016
An adult male patient aged 21-year-old reported with the chief complaint of forwardly placed chin... more An adult male patient aged 21-year-old reported with the chief complaint of forwardly placed chin and deviation of chin towards the left side. The patient had an asymmetric face (shifted to left) with leptosoprosopic face form. On profile examination patient had a mild concave profile. The facial midline was not coincident with dental midline as chin was deviated towards left [Table/Fig-1]. Class III molar and canine relationship on right side and Class I molar, canine relation on left side was seen. There was an edge to edge overbite and overjet [Table/Fig-1]. Diagnosis: Skeletal Class III malocclusion with vertical growth pattern. Angle's Class III, sub division on left side. Treatment plan: A comprehensive treatment plan involving presurgical orthodontics followed by Bilateral Saggital Split Osteotomy (BSSO) to perform asymmetrical setback with more orientation to the right side in order to correct the shift of lower jaw midline. Pre-surgical orthodontics: An MBT 0.022" x 0.028" prescription was bonded to both upper and lower arch. Lower single tooth (lower right incisor) extraction for resolving lower anterior crowding along with upper arch expansion was done as the upper arch was constricted. The upper and lower arches were aligned, leveled and were stabilized with 0.021" x 0.025" in stainless steel wire presurgically [Table/Fig-2]. Cephalometric prediction and mock surgery: Cast prediction or model surgery and fabrication of occlusal splints for use at surgery were planned. The lower dental cast was repositioned simulating the movement of the jaws for which the guide was manual prediction. [Table/Fig-3a,3b].
Journal of Indian Orthodontic Society, 2016
This case report discusses orthodontic treatment combined with the corticotomy technique to accel... more This case report discusses orthodontic treatment combined with the corticotomy technique to accelerate tooth movement and shorten the treatment time in a 34-year-old female patient with an anterior open bite and flared and spaced upper and lower incisors. Fixed orthodontic appliances (MBT 0.018″ edgewise brackets) were bonded, and 4 months later, buccal and lingual corticotomy with alveolar augmentation procedure in the maxillary arch from canine to canine was performed. Orthodontic therapy proceeded with frequent activation of the appliances to retract the incisors every 2 weeks. The total treatment time was 10 months with an active period of 4 months and no adverse effects were observed at the end of active treatment. The addition of the decortication procedure to the conventional orthodontic therapy decreased the duration of treatment significantly. Successful closure of the anterior open bite with adequate overbite and interdigitation of the teeth was achieved.
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2016
A 24-year-old male patient reported to the dental clinic with the chief complaint of spacing betw... more A 24-year-old male patient reported to the dental clinic with the chief complaint of spacing between teeth in upper front region of jaw [Table/Fig-1]. The patient was systemically healthy with no deleterious habits found. Periodontal examination revealed adequate zone (>3mm) of attached gingiva, having no gingival recession, no signs of acute infection and periapical pathology, root fracture or severe root irregularities and a healthy Cementoenamel Junction (CEJ).
Journal of Research in Medical and Dental Science, 2016
Bimaxillary dentoalveolar protrusion is the condition characterized by procumbency of lips due to... more Bimaxillary dentoalveolar protrusion is the condition characterized by procumbency of lips due to increased protrusion of maxillary and mandibular incisors. This condition can be due to tooth size arch length discrepancy, weak lip musculature unable to withstand strong tongue pressure. This results in severe labial tipping of incisors, which causes upper and lower lip protrusion. This case report describes the treatment of a 21-year old girl with bimaxillary protrusion and convex profile with incompetent lip seal. The treatment of choice for the patient was extraction of four first premolars and utilization of extraction space to reduce the facial convexity by retraction of anterior teeth. The anchorage requirement was maximum for complete correction of facial profile. Mini implants were used to retract the anterior teeth and improve facial aesthetic. Treatment was completed in 20 months. Patient`s facial profile improved significantly with reduced dental protrusion and lip eversion.
Journal of Indian Orthodontic Society, 2016
Skeletal Class II malocclusion occurs in nearly one-third of the population, [1] the main cause b... more Skeletal Class II malocclusion occurs in nearly one-third of the population, [1] the main cause being mandibular retrusion. [2] Therefore, both removable and fixed functional appliances were designed to stimulate mandibular growth by constant forward positioning of the mandible. [3] One of the most widely used techniques to correct Class II malocclusion in growing patients is functional jaw orthopedics through mandibular advancement. Fixed devices for sagittal advancement of the mandible not requiring the patient's compliance and that can be worn in conjunction with fixed appliances have been introduced to overcome two major limitations of removable appliances: The need for patient compliance and shortening treatment duration. [4] Fixed functional appliances are reported to correct Class II skeletal problems by encouraging mandibular growth and by eliciting dentoalveolar effects. The three variants, i.e., rigid, flexible, and hybrid appliances, have been introduced which include Herbst, Jasper Jumper, Eureka Spring, Forsus, mandibular protraction appliance, Churro Jumper, and Ritto appliance. [5-7] Small and hygienic design, stability, less breakage, and more range of lateral excursion of mandible make the hybrid type more popular. Forsus type superelastic appliance because of their ease in clinical application is widely used. However, these appliances are prefabricated and clinician needs to be dependent on manufacturer's design. The present case series discusses the effect of Sharma's bite corrector appliance (SBCA) (flexible fixed functional appliance) which is easy to fabricate chairside, economical, and easy to place and remove from mandibular archwire, increased flexibility due to incorporation of coil (number of turns of coil doubled within the same length). [8]
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2016