|
the premium dental site completed 6th successful year of online , entered
7th year on 23rd Feb 2004
|
Dental India Newsletter - 11th
July 2004
- dental trauma due a to a strok with a hockey
stick
- Bio-mechanics
- Please help us to update our database
In my mind, there is no doubt about the effectiveness of certain antibiotics in treating periodontal diseases. Brian Mealey, DDS, periodontist, researcher, and speaker on periodontitis and diabetes, says that a course of doxy when treating a diabetic patient for perio will often help with bringing the blood glucose level down, as well as benefitting the perio outcome. But many of us are uncomfortable with the notion of long term usage of antibiotics - for any reason. David, I recommend you read the book "The Antibiotic Paradox - How the Misuse of Antibiotics Destroys Their Curative Powers" by Stuart Levy, MD. It is an eye-opener read! Also, the April issue of Access magazine contained a compelling article on antibiotic prophylaxis. Because of all the emerging strains of microbes that are resistant to ANY antibiotic, there will probably be BIG changes to the established guidelines. Here's a quote from Brian Strom, MD, MPH, chair of biostatistics and epidemiology at U. of Penn.: "There is no need for prophylaxis for dental work . Valve disease is indeed a risk factor - a strong one. But one would need antibiotics all year round, as dental work does not add to the risk.." Asked how he believes the guidelines should be altered, he answers succinctly, "They should be eliminated." He wrote this because of what he feels is indiscriminate use of antibiotice - all because of the emergence of new, highly resistant microbes. Dianne Glasscoe - Periodontal discussion forum (www.dentalindia.com)
- the only professional Indian dental site
Dental India Group - largest group of 11,000 dentists and growing
stronger....
(forward this mail to your colleagues and
friends)
Please fill up the database and mail it to us if you have not done
so
far |








Bio-mechanics
For a general understanding of v-bend placement and loop comprehension, please look for the articles of the Professor of the Orthodontists you have mentioned: Dr. Charles J. Burstone. I'd recommend you to try to stay away from recipes for use of mechanical appliances of people that usually work for companies, not for Orthodontics. That won't help you very much in your understanding of biomechanics and will probably only increase your confusion.
A few comments:
1) If you want to have a more precise idea about the
force system involved during space closure, you have to try segmented arch
mechanics. If you use continuous arches it is too difficult to measure or
predict the force system. There are studies showing force systems for
segmented arches. A lot of people recommend a few methods for continuous
arches but you will have to "believe them" and sometimes not in physics, since
estimation of the force system for v bends in continuous arches is pretty
difficult. Mulligan's method for cuspid retraction is effective if you do not
bond brackets on the bicuspids. You need that interbracket distance. For
evidence-based placement of v-bends for incisor retraction, it is more
complicated because the arch has 3 dimensions and the classic article on
v-bend placement can be applied correctly only to a straight wire. A student
from Dr.Lindauer from Virginia Commonwealth University completed his thesis on
this type of v-bend placement. I think the result is shown in one of the
editions of Seminars in Orthodontics. V-bends placed on continuous arches tend
to deformate the anterior part of the arch affecting second-order positioning.
Take a look.
2) If you want to talk about T-loops for example, generally there are two
methods for placement of V-bends. The first, simpler, is to use the v-bend
incorporated on the loop itself (see the last Kuhlberg & Burstone article
from 97 or the book Modern Edgewise Mechanics and the Seg. Arch Technique).
If you use this method, you position the loop asymmetrically in
direction of the unit you want to keep stable (2-3 mm of asymmetry). I use
this method when I start with a symmetrical loop and need more control in the
end of space closure, when I reactivate the loop. The second method is to use
the natural activation moment of the loop (that would configure a v-bend)
together with a v-bend placed away from the loop. So you have a dynamic
truncated v-bend as a result during space closure. In this method, you use a
curved or acute v-bend near the unit you want to keep stable and the loop
positioned near the active unit. This method is better if you want to control
the anchorage since the beginning. For the rationale of the choice, wait for
my article on this matter in the AJODO, which is on the Journal's line for
publication, named "Self-corrective T-loop design for differential space
closure".
After segmented arch space closure and root movement if
necessary finishing can be performed with continuous arches.
Courtesy:
Rodrigo F. Viecilli, CD, Ortho. Cert. (Brazil) - The Electronic Study Club of
Orthodontics
(We request members who are yet to furnish their datato find time to fillup these details and send it to us!)Name : Dr
Mr/Mrs/Miss :(names of Spouse and children
who are also Dentists)Address:City:PIN:
Date of Birth:Profession :Experience : YEARSClinic Name :
Address:
City:
Pincode:Phone with std code (R) :
Phone with std code (C) :Phone with std code (off) :
Cell :
E-mail :Internet experience:own website if any:Qualification :
Graduation Year :
Graduation College :Specialization :Post Graduate College :
Your comment aboutDental India News Digests
Dental India website: