Orthodontic Balaji
Kerby Kolpack
The site is secure.
The ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Background: An alveolar cleft commonly affects 75% of cleft lip and palate patients. While it is common practice to provide a course of orthodontic treatment before alveolar bone grafting, there are no previous high-quality studies reporting on the benefits of this type of treatment.
Method: The PABO trial is a multicentric, parallel, two-arm, single-blinded randomised controlled trial. The inclusion criteria include unilateral cleft alveolus patients requiring bone graft and between the age group of 8 and 13 years with erupted upper central incisors. Participants will be recruited at three centres across India. Participants will be randomised to orthodontic treatment or no orthodontic treatment group. Both groups of participants will have alveolar bone graft surgery and will be followed up for 6 months after surgery. The primary outcome will be the success of the alveolar bone graft measured by anterior oblique radiograph and secondary outcomes include quality of life, cost analysis and quality of the dento-occlusal outcome. Data analysis will be carried out by an independent statistician at the end of the study.
Discussion: This study is the first to evaluate the effect of orthodontics on alveolar bone graft success. The increased burden of care for these patients with multiple treatments required from multiple specialists from birth to adult life highlights the need for reducing unnecessary treatment provision.
Periodontally accelerated osteogenic orthodontics (PAOO) is a periodontal-orthodontic interrelationship procedure that helps in accelerating orthodontic treatment by periodontal procedure reinforcement. This depends on the principle of the regional acceleratory phenomenon which involves inducing changes in the biology of periodontal tissues to fasten the orthodontic tooth movement by creating a surge in the osteopenic environment for tooth movement followed by bone deposition and mineralisation to stabilise the tooth in newly moved position. This PAOO involves the intentional creation of surgical corticotomy cuts followed by a grafting procedure to maintain bone resorption and thickness. Numerous modifications have been incorporated to reduce surgical complications and to improve treatment results by minimally invasive techniques. Hence, this case report incorporated piezosurgery-assisted corticotomy cuts involving the buccal side along with particulate bone grafting to fasten the orthodontic tooth movement, reducing the overall treatment time, root resorption and stabilising the orthodontic treatment results.
The Department of Orthodontics and Dentofacial Orthopedics at Sri Balaji Dental College is a speciality department, well equipped with state of the art facilities. It caters to patients with a wide array of dental and skeletal problems with various treatment options. The experienced and well trained faculty handle patients with utmost care and patient comfort in mind.
Awareness programmes are conducted by the department to educate the people about the need for correcting malocclusion in the numerous surrounding colleges. This enables to spread the message that crooked teeth need to be corrected not just for esthetic purposes but also for structural balance and functional integrity of the dento-facial structures.
The Department currently imparts UG curriculum for II BDS, III BDS, IV BDS students along with Interns and PG curriculum for MDS students as prescribed by KNR University of Health Sciences, Telangana, in keeping with the norms laid down by the Dental Council of India.
Over the period of three years the students are made to understand the various aspects that are involved in the development of malocclusions, the underlying mechanisms that are essential to maintain the balance of facial structures and their functions and various age appropriate treatment modalities best suited to the presenting condition of the patient. This is made possible by a combination of the interactive theory sessions as well as the clinical postings. Their clinical training enables them to handle patients with confidence by taking a detailed case history and finally approaching the diagnosis in a stepwise manner after obtaining the necessary clinical records of the patient.
Practical laboratory exercises also split over the duration of these three years help the students develop their dexterity in wire bending skills in a progressive manner. Such skills are of immense importance in orthodontics and dentofacial orthopedics. They are needed in the fabrication of appliances, which the students are trained to make by the end of their IV year.
Fifty percent of the total marks in any subject computed as aggregate for theory, i.e., written, viva voce and internal assessment and practicals including internal assessment, separately is essential for a pass in all years of study.
A candidate pursuing the Masters degree in Orthodontics and Dentofacial orthopedics is required to have a deep knowledge of the growth of cranio-facial structures and the anomalies associated with it.
By a combination of hands-on treatment of numerous cases of varying complexities and understanding the biomechanics that underlie the basis of every treatment the student will be able to treat patients under the guidance of the approachable and experienced staff in the department. Students will be required to interact with other dental specialties as well as many patients may need a multi-disciplinary approach for optimized treatment results.
Part-II
Paper-I: Orthodontic history, Concepts of occlusion and esthetics, Child and Adult Psychology, Etiology and classification of malocclusion, Dentofacial Anomalies, Diagnostic procedures and treatment planning in Orthodontics, Practice management in Orthodontic.
Once the basic pre-clinical work is completed in three months, the students can take up clinical cases and the clinical training. Each postgraduate student should start with a minimum of 50 fixed orthodontics cases and 20 removable including myofunctional cases of his/her own. Additionally he/she should handle a minimum of 25 transferred cases. The start of cases can be as follows:
Part-I: Shall consist of one paper : There shall be a theory examination in the Basic Sciences at the end of 1st year of course. The question papers shall be set and evaluated by the concerned Department/Specialty. The candidates shall have to secure a minimum of 50% in the Basic Sciences and shall have to pass the Part-I examination at least six months prior to the final (Part-II) examination.
Clinical/practical examination is designed to test the clinical skill, performance and competence of the candidate in skills such as communication, clinical examination, medical/dental procedures or prescription, exercise prescription, latest techniques, evaluation and interpretation of results so as to undertake independent work as a specialist. The affiliating university shall ensure that the candidate has been given ample opportunity to perform various clinical procedures.
The practical/clinical examination in all the specialities shall be conducted for six candidates in two days. Provided that practical / clinical examination may be extended for one day, if it is not complete in two days.
Written examination shall consist of Basic Sciences (Part-I) of three hours duration shall be conducted at the end of First year of MDS course. Part-II Examination shall be conducted at the end of Third year of MDS course. Part-II
Examination shall consist of Paper-I, Paper-II and Paper-III, each of three hours duration. Paper-I & Paper-II shall consist of two long answer questions carrying 25 marks each and five questions carrying 10 marks each. Paper-III will be on Essays. In Paper-III three Questions will be given and the student has to answer any two questions. Each question carries 50 marks. Questions on recent advances may be asked in any or all the papers. Distribution of topics for each paper will be as follows:
Practical / Clinical Examinations: Practical / Clinical examination shall be conducted to test the knowledge and the competence of candidates for undertaking independent work as a specialist / teacher.
To provide knowledge and proper understanding of orthodontics and enable the students to formulate diagnoses and develop comprehensive treatment plans with a deep understanding of the possibilities and the limitations of orthodontic treatment. Make the students aware about their role in the society as healthcare workers and instill a habit of delivering quality orthodontic care to the patients
Dr Selvaraj Balaji is skilled in implantology as well as sinus and bone grafting. His skills have been developed through rigorous and extensive training. Selvaraj is committed to training and has attended courses worldwide. Dr Balaji is currently enroled on the Diploma in Restorative Dentistry with the Royal College of Surgeons (England).
The Gallery Dental & Implant Centre offers endodontic and orthodontic treatment, cosmetic dentistry and hygienist services as well as skilled sedation techniques. Nervous patients are welcomed. The practice also offers an interest free credit payment option.
The Gallery Dental & Implant Centre, located in Buckingham, offers a comprehensive range of services including dental implants. The practice provides high quality dental care carried out by skilled staff in a contemporary, comfortable and relaxed environment.
Removable orthodontic appliances can be inserted and removed by the patient. They were first developed in the 1830s using plaster models. Key advantages are that they allow for oral hygiene and are less expensive than fixed appliances. However, they have less control over tooth movement and require patient cooperation. Removable appliances use components like clasps for retention and bows or springs for applying forces. Common clasps include Adams, Jackson's, and circumferential clasps which engage tooth undercuts. Guidelines for appliance activation include allowing space for tooth movement and preventing anchorage loss.Read less
c80f0f1006