Mukul Shetty - Academia.edu (original) (raw)
Papers by Mukul Shetty
Acta Marisiensis, Dec 1, 2022
Objective: To evaluate the potential use of digital and reconstructed three-dimensional printed m... more Objective: To evaluate the potential use of digital and reconstructed three-dimensional printed models as an alternative to conventional plaster models by assessing the accuracy of their linear measurements. Methodology: Pre-treatment plaster models of 45 patients were selected from the archives of the Department of Orthodontics. Each physical plaster model was scanned and digitized using a three-dimensional (3D) laser surface scanning system (inEOS X5, Dentsply Sirona, Bensheim, Germany). The scanned STL files were later used to reconstruct models by 3D printing using Figure4® standalone 3D printer (3D systems, Rock Hill, South Carolina). Measurements of teeth 11 and 16, the transverse width of the upper jaw between the first molars (MM-intermolar width) and canines (CC-intercanine width) were done manually using a digital vernier caliper (Mitutoyo, Kawasaki, Japan), and the CAD Assistant software (Open cascade, Guyancourt, France). Intra examiner data, Intraobserver variability, and measurement accuracy were evaluated using Intraclass Correlation Coefficient (ICC) analysis was done using SPSS 20.0. Results: The intraclass correlation coefficients were >0.8 indicating high reproducibility and reliability. Significant differences were found between the physical and the digital models but to a small proportion which were deemed not clinically relevant. Conclusion: Both the digital models and reconstructed three-dimensional printed models using Figure4® technology were clinically permissible in terms of accuracy and reproducibility. The digital storage, transmission, and treatment planning in an environmentally friendly manner should promote digital over conventional records.
Gulhane Medical Journal, Mar 13, 2020
The purpose of this study was to assess the efficacy of bite wafer (BW) in reducing pain levels, ... more The purpose of this study was to assess the efficacy of bite wafer (BW) in reducing pain levels, which is a highly complex and subjective phenomenon by assessing the substance P level in the gingival crevicular fluid (GCF) at different time intervals after initial arch wire placement. Methods: A parallel 2-group prospective case control study was designed for the estimation of substance P levels in GCF after bite-wafer chewing to validate orthodontic pain reduction. The sample size consisted of 80 subjects (47 males and 33 females, mean age of 18.94±2.87 years), who were randomly divided into two groups as the BW group (BWG) and the control group (CG). Fixed orthodontic appliance was placed in each patients of both groups and 0.014-inch nickel-titanium wire was placed and ligated. GCF was collected from the BW and CG before and 8, 24 and 72 hours after the initiation of orthodontic treatment. Unpaired T test was applied between the control and experimental group to evaluate the significant difference between the groups. Results: The substance P level in GCF for both the BWG and CG followed a similar curve i.e., their levels increased after 8 hours, reached its peak at 24 hours and decreased gradually at 72 hours. The mean substance P level was significantly lower in the BWG compared to the CG, which implied that rhythmic chewing of BW helps in alleviating pain. Conclusion: Bite wafers offer an excellent non-pharmacological option in reducing substance p level, thus indicating pain alleviation after orthodontic procedures.
Acta Marisiensis - Seria Medica
Objective: To evaluate the potential use of digital and reconstructed three-dimensional printed m... more Objective: To evaluate the potential use of digital and reconstructed three-dimensional printed models as an alternative to conventional plaster models by assessing the accuracy of their linear measurements. Methodology: Pre-treatment plaster models of 45 patients were selected from the archives of the Department of Orthodontics. Each physical plaster model was scanned and digitized using a three-dimensional (3D) laser surface scanning system (inEOS X5, Dentsply Sirona, Bensheim, Germany). The scanned STL files were later used to reconstruct models by 3D printing using Figure4® standalone 3D printer (3D systems, Rock Hill, South Carolina). Measurements of teeth 11 and 16, the transverse width of the upper jaw between the first molars (MM - intermolar width) and canines (CC - intercanine width) were done manually using a digital vernier caliper (Mitutoyo, Kawasaki, Japan), and the CAD Assistant software (Open cascade, Guyancourt, France). Intra examiner data, Intraobserver variabilit...
Journal of Health and Allied Sciences NU, 2021
Introduction The purpose of this study was to evaluate and compare the skeletal, dentoalveolar an... more Introduction The purpose of this study was to evaluate and compare the skeletal, dentoalveolar and soft-tissue effects of 2 fixed functional appliance; Forsus Fatigue Resistance Device (FFRD) and PowerScope appliance in treating patients with skeletal class II division 1 malocclusion. Materials and Methods This comparative prospective two-group study included 20 patients with a mean age of 11.2 ± 1.6 years with skeletal class II malocclusion with retrognathic mandible. One group was treated with FFRD, and second group was treated with PowerScope appliance. Lateral cephalograms were evaluated at T1 (pre-functional appliance treatment)) and at T2 (postappliance treatment). Cephalometric values were calculated and assessed to evaluate skeletal, dentoalveolar and soft-tissue changes. Results Sagittal correction of class II malocclusion appeared to be mainly achieved by dentoalveolar changes in the PowerScope group. The FFRD was able to induce both skeletal and dentoalveolar changes. A f...
Gulhane Medical Journal, 2020
The purpose of this study was to assess the efficacy of bite wafer (BW) in reducing pain levels, ... more The purpose of this study was to assess the efficacy of bite wafer (BW) in reducing pain levels, which is a highly complex and subjective phenomenon by assessing the substance P level in the gingival crevicular fluid (GCF) at different time intervals after initial arch wire placement. Methods: A parallel 2-group prospective case control study was designed for the estimation of substance P levels in GCF after bite-wafer chewing to validate orthodontic pain reduction. The sample size consisted of 80 subjects (47 males and 33 females, mean age of 18.94±2.87 years), who were randomly divided into two groups as the BW group (BWG) and the control group (CG). Fixed orthodontic appliance was placed in each patients of both groups and 0.014-inch nickel-titanium wire was placed and ligated. GCF was collected from the BW and CG before and 8, 24 and 72 hours after the initiation of orthodontic treatment. Unpaired T test was applied between the control and experimental group to evaluate the significant difference between the groups. Results: The substance P level in GCF for both the BWG and CG followed a similar curve i.e., their levels increased after 8 hours, reached its peak at 24 hours and decreased gradually at 72 hours. The mean substance P level was significantly lower in the BWG compared to the CG, which implied that rhythmic chewing of BW helps in alleviating pain. Conclusion: Bite wafers offer an excellent non-pharmacological option in reducing substance p level, thus indicating pain alleviation after orthodontic procedures.
Journal of Family Medicine and Primary Care, 2020
Aim and Background: Dental practice is blooming in India with many conventional and advanced setu... more Aim and Background: Dental practice is blooming in India with many conventional and advanced setups providing orthodontic services. Orthodontics as a specialty has come to the forefront, as awareness of orthodontic therapy has increased. It is important to classify any health practice to understand, compare, and research the implications of various organizational setups in the country. It should possess the ability to chart the similarities and distinctions between different setups for ease of communication and patient awareness. Presently, there is no defined system that classifies the type of orthodontic practice in the country. Lack of any classification of the organizational setups makes it impossible to categorize or compare the various setups for research purpose, recognition of the dental personnel and facilities provided. This article aims to propose a simple 3-stage classification to orthodontic practices in India. Technique: Three-stage classification of orthodontic practice in group, type, and subtype gives a comprehensive coverage to all types of orthodontic setups in India. The group explains the center in three levels based on the armamentarium and services provided. The type explains the center in five levels based on ownership and scope of providing care. Finally, the subtype explains the availability and qualification of the operating personnel. Conclusion and Significance: This classification aims to provide a tool for communication and recording the levels of orthodontic care possible at any given center. It also facilitates continued study of its impact on practice efficacy and patient awareness.
International Journal of Dentistry and Oral Science, 2021
Most of the orthodontic cases require extraction of 1st premolars, to create space, for the succe... more Most of the orthodontic cases require extraction of 1st premolars, to create space, for the successful correction of the malocclusion. Closure of extraction space becomes an important stage of orthodontic mechanotherapy especially in maximum anchorage cases where more than 75% of the extraction space is utilized for
Acta Marisiensis, Dec 1, 2022
Objective: To evaluate the potential use of digital and reconstructed three-dimensional printed m... more Objective: To evaluate the potential use of digital and reconstructed three-dimensional printed models as an alternative to conventional plaster models by assessing the accuracy of their linear measurements. Methodology: Pre-treatment plaster models of 45 patients were selected from the archives of the Department of Orthodontics. Each physical plaster model was scanned and digitized using a three-dimensional (3D) laser surface scanning system (inEOS X5, Dentsply Sirona, Bensheim, Germany). The scanned STL files were later used to reconstruct models by 3D printing using Figure4® standalone 3D printer (3D systems, Rock Hill, South Carolina). Measurements of teeth 11 and 16, the transverse width of the upper jaw between the first molars (MM-intermolar width) and canines (CC-intercanine width) were done manually using a digital vernier caliper (Mitutoyo, Kawasaki, Japan), and the CAD Assistant software (Open cascade, Guyancourt, France). Intra examiner data, Intraobserver variability, and measurement accuracy were evaluated using Intraclass Correlation Coefficient (ICC) analysis was done using SPSS 20.0. Results: The intraclass correlation coefficients were >0.8 indicating high reproducibility and reliability. Significant differences were found between the physical and the digital models but to a small proportion which were deemed not clinically relevant. Conclusion: Both the digital models and reconstructed three-dimensional printed models using Figure4® technology were clinically permissible in terms of accuracy and reproducibility. The digital storage, transmission, and treatment planning in an environmentally friendly manner should promote digital over conventional records.
Gulhane Medical Journal, Mar 13, 2020
The purpose of this study was to assess the efficacy of bite wafer (BW) in reducing pain levels, ... more The purpose of this study was to assess the efficacy of bite wafer (BW) in reducing pain levels, which is a highly complex and subjective phenomenon by assessing the substance P level in the gingival crevicular fluid (GCF) at different time intervals after initial arch wire placement. Methods: A parallel 2-group prospective case control study was designed for the estimation of substance P levels in GCF after bite-wafer chewing to validate orthodontic pain reduction. The sample size consisted of 80 subjects (47 males and 33 females, mean age of 18.94±2.87 years), who were randomly divided into two groups as the BW group (BWG) and the control group (CG). Fixed orthodontic appliance was placed in each patients of both groups and 0.014-inch nickel-titanium wire was placed and ligated. GCF was collected from the BW and CG before and 8, 24 and 72 hours after the initiation of orthodontic treatment. Unpaired T test was applied between the control and experimental group to evaluate the significant difference between the groups. Results: The substance P level in GCF for both the BWG and CG followed a similar curve i.e., their levels increased after 8 hours, reached its peak at 24 hours and decreased gradually at 72 hours. The mean substance P level was significantly lower in the BWG compared to the CG, which implied that rhythmic chewing of BW helps in alleviating pain. Conclusion: Bite wafers offer an excellent non-pharmacological option in reducing substance p level, thus indicating pain alleviation after orthodontic procedures.
Acta Marisiensis - Seria Medica
Objective: To evaluate the potential use of digital and reconstructed three-dimensional printed m... more Objective: To evaluate the potential use of digital and reconstructed three-dimensional printed models as an alternative to conventional plaster models by assessing the accuracy of their linear measurements. Methodology: Pre-treatment plaster models of 45 patients were selected from the archives of the Department of Orthodontics. Each physical plaster model was scanned and digitized using a three-dimensional (3D) laser surface scanning system (inEOS X5, Dentsply Sirona, Bensheim, Germany). The scanned STL files were later used to reconstruct models by 3D printing using Figure4® standalone 3D printer (3D systems, Rock Hill, South Carolina). Measurements of teeth 11 and 16, the transverse width of the upper jaw between the first molars (MM - intermolar width) and canines (CC - intercanine width) were done manually using a digital vernier caliper (Mitutoyo, Kawasaki, Japan), and the CAD Assistant software (Open cascade, Guyancourt, France). Intra examiner data, Intraobserver variabilit...
Journal of Health and Allied Sciences NU, 2021
Introduction The purpose of this study was to evaluate and compare the skeletal, dentoalveolar an... more Introduction The purpose of this study was to evaluate and compare the skeletal, dentoalveolar and soft-tissue effects of 2 fixed functional appliance; Forsus Fatigue Resistance Device (FFRD) and PowerScope appliance in treating patients with skeletal class II division 1 malocclusion. Materials and Methods This comparative prospective two-group study included 20 patients with a mean age of 11.2 ± 1.6 years with skeletal class II malocclusion with retrognathic mandible. One group was treated with FFRD, and second group was treated with PowerScope appliance. Lateral cephalograms were evaluated at T1 (pre-functional appliance treatment)) and at T2 (postappliance treatment). Cephalometric values were calculated and assessed to evaluate skeletal, dentoalveolar and soft-tissue changes. Results Sagittal correction of class II malocclusion appeared to be mainly achieved by dentoalveolar changes in the PowerScope group. The FFRD was able to induce both skeletal and dentoalveolar changes. A f...
Gulhane Medical Journal, 2020
The purpose of this study was to assess the efficacy of bite wafer (BW) in reducing pain levels, ... more The purpose of this study was to assess the efficacy of bite wafer (BW) in reducing pain levels, which is a highly complex and subjective phenomenon by assessing the substance P level in the gingival crevicular fluid (GCF) at different time intervals after initial arch wire placement. Methods: A parallel 2-group prospective case control study was designed for the estimation of substance P levels in GCF after bite-wafer chewing to validate orthodontic pain reduction. The sample size consisted of 80 subjects (47 males and 33 females, mean age of 18.94±2.87 years), who were randomly divided into two groups as the BW group (BWG) and the control group (CG). Fixed orthodontic appliance was placed in each patients of both groups and 0.014-inch nickel-titanium wire was placed and ligated. GCF was collected from the BW and CG before and 8, 24 and 72 hours after the initiation of orthodontic treatment. Unpaired T test was applied between the control and experimental group to evaluate the significant difference between the groups. Results: The substance P level in GCF for both the BWG and CG followed a similar curve i.e., their levels increased after 8 hours, reached its peak at 24 hours and decreased gradually at 72 hours. The mean substance P level was significantly lower in the BWG compared to the CG, which implied that rhythmic chewing of BW helps in alleviating pain. Conclusion: Bite wafers offer an excellent non-pharmacological option in reducing substance p level, thus indicating pain alleviation after orthodontic procedures.
Journal of Family Medicine and Primary Care, 2020
Aim and Background: Dental practice is blooming in India with many conventional and advanced setu... more Aim and Background: Dental practice is blooming in India with many conventional and advanced setups providing orthodontic services. Orthodontics as a specialty has come to the forefront, as awareness of orthodontic therapy has increased. It is important to classify any health practice to understand, compare, and research the implications of various organizational setups in the country. It should possess the ability to chart the similarities and distinctions between different setups for ease of communication and patient awareness. Presently, there is no defined system that classifies the type of orthodontic practice in the country. Lack of any classification of the organizational setups makes it impossible to categorize or compare the various setups for research purpose, recognition of the dental personnel and facilities provided. This article aims to propose a simple 3-stage classification to orthodontic practices in India. Technique: Three-stage classification of orthodontic practice in group, type, and subtype gives a comprehensive coverage to all types of orthodontic setups in India. The group explains the center in three levels based on the armamentarium and services provided. The type explains the center in five levels based on ownership and scope of providing care. Finally, the subtype explains the availability and qualification of the operating personnel. Conclusion and Significance: This classification aims to provide a tool for communication and recording the levels of orthodontic care possible at any given center. It also facilitates continued study of its impact on practice efficacy and patient awareness.
International Journal of Dentistry and Oral Science, 2021
Most of the orthodontic cases require extraction of 1st premolars, to create space, for the succe... more Most of the orthodontic cases require extraction of 1st premolars, to create space, for the successful correction of the malocclusion. Closure of extraction space becomes an important stage of orthodontic mechanotherapy especially in maximum anchorage cases where more than 75% of the extraction space is utilized for