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)e s ISSN 0301-5742

The Journal of Indian Orthodontic Society Official publication of Indian Orthodont ic Society (Reg_ No. 16920/68) published quarterly: March, June, September, December

Editor Dr. Ashok Karad

Consultant Editors Dr. Ashima Valiathan Dr. Ashok Utreja Dr. Jyothindra Kumar Dr. M.K. Prakash Dr. G.P. Kharbanda Dr. Sadashiva Shetty

International Consultant Editor Dr. Ramesh Sabhlok IUAE)

Assistant Editors Dr. Ravi Anthony Dr. Aniruddha Ka le Dr. Nikhilesh Vaid

Busi ness Manager Dr. Chintamani Ka le

Editors (or Reviews and Abstracts Dr. N.R. Krishnaswamy Dr. Chetan Jayade

Journal Committee Dr. IMrs) Daksha Chitre Dr. Ashok Dhoble Dr. P. V. Wadkar LI. Col. Pawar Dr. Vaishal i Vadgaonkar Dr. R.B. Sable Dr. Shailesh Deshmukh Dr. Ravi Gupta Dr. Gauri Vichare

Dr. Jayesh Rahalkar Dr. Sandeep Sharma Dr. Sumukh Deodhar

Journal Consultative Board Dr. V.P. Jayade Dr. S. Rangachari Dr. Krishna Nayak Dr. D.N. Kapoor Dr. Rupesh Godiawala Dr. Pradip Jayana Dr. A.S. Ka lha Dr. V. Surendra Shetty Dr. V.P. Sharma Dr. T. Sam raj Dr. Harindranathan Dr. J.G. Kannappan Dr. E.T. Roy Dr. Akhtar Hussain Dr. Jeyaraj Dr. Vi nod Verma

Dr. H imanshu Sharma Dr. Kedar Vartak Dr. Vikram Gandhi Dr. Vad ive l Kumar

Dr. Hina Desai

Dr. N. K. Ahuja Dr. K. Umashankar Dr. Vivek Soni

Committee for reviews and abstracts Dr. Girish Karandikar

Dr. Pradip Shetye Dr. Joseph Varghese Dr. Lodd Mahendra Dr. Ritu Duggal Dr. Nikhi l Vashi

INDIAN ORTHODONTIC SOCIETY

Office Bearers (2006)

Pres ide nt Dr. Akhle r Hussain President - Elect Or. Ashok Ulreja

Immediate Past President Or. Joseph Isaac

Vice President Dr. S. P. Singh

Sec retary Dr. Jayant Dehadrai

n. Secretary Or. Alka Banker

Treasure r Dr. Kalyani Trivedi

Management Committee Members: Dr. Sanjay Ganeshkar Dr. Amish Mehta Dr. K Raja Sekar Dr. G. Shiva Prakash Dr. Ganesh Dr. K. U. Kariappa Dr. V. S. Kohli Dr. Ni ll an Shelly Dr. A. V. Arun Dr. Reena Dr. K. Uma shankar

Head Office -5, NishkaAvenue, Opp. Pizza Hut, Near 5waSl:ik Cross Roads, Navrangpura, Ahmedabad - 380 009. T.: 079 - 64 21071 E-mail : jpdehadraiftyahoo.com

INDIAN BOARD OF ORTHODONTICS

founded in '999 by The Indian Orthodontic Society

Board of Directors

Dr. N. R. Krishnaswamy Chairman

Dr. lodd Mahendra Vice Chairma n

Dr. Gaud Vichare Secretary - T reasu rer

Dr. V. Surendra Shetty Director

Dr. M. K. Prakash Director

• The Journal of Indian Orthodonti c Society 0105) welcomes cont ri but ions both from India and abroad. It 's aim is to publish cl ini ca l, research a nd review articles of interest to O rthodo nt ists in India and th roughout the world. The Journal is publi shed by the Indian O rthodo nt ic Society.

• No part of this publication may be reprod uced; stored in a retrieva l system, o r transmitted in any fo rm or by any means, electroni c, mechanica l, photocopyi ng, recording o r otherwise, witho ut the prior pe rm ission of the Ed itor.

• Statements and opinio ns exp ressed in the art icles and communicatio ns he re in are those o ( the autho rs and not necessa rily those of the Edilor, Publishe r or Associatio n. The Editor, Publishe r o r Associatio n do not endo rse a ny product or service ildverti sed in thi s pub lication , also they do nol guarant ee any claim made by the manufacturer of such product o r service.

• Applicatio ns fo r adverti sing spacel pos it ion should be addressed to the Edito r JlOS.

Editoria l Office: Smile Care, 13, Geetanjali , 234, S.V. Road , Bandra (west), Mumbai 400050. India Tel : 022-2643 1670/71 Fax: 0 22-641634 2 e-mai l: smile@bom7.vsnl.net.in

s Volume 39 Number 1

CONTENTS

Guest Editorial Kevin Walde

Clinical

Treatment of an Adult Patient w ith Vertica l Maxillary Excess Using Miniscrew Fixation Paik el al

Maxi llary Canine-First Premolar Transposition­Orthodontic Management - A Case Report Cyan Prakash el al

Excellence in Loops - Some Reflections A. Sivakumar el al

Research

Structural and Mechanical Characterization of Newer Elastomeric Modules Sanjeev Dalana et al

Quantitative and Qualitative Effects of Tw in-block Appliance Rilu Duggal el al

Clinical Utility of the Mesh Diagram Method in Malocclusion and Surgical Orthodontic Patients D. N. Kapoor el al

Contents

January - March 2006

...... .. ....... ..... ......... .... ... .... ......... ........... 5

.. .. ........ ... ..... ... ..... ... ............. ................ 8

.. .. ..... ... ... .. .. ................................ ......... 14

.... ............... ......... .. .. ....... .... ................. 20

....... ................. .... ....... .... ... ............... ... 23

.................................. ....... ... .... .... ....... . 30

..... ..... ....... ..... ...................................... 42

A study of Skeletal & Dentoalveolar features in deep bite. - A cephalometric appraisal .................................. .......................... 49 Sandeep Shelly el al

Reviews and Abstracts ..... .. ...... ... .. .. .... .. ...... ... ........... ........ ... ... 53

News, comments, announcements ............ ... ............. ... .......... .. ........ .. ....... 55

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s 1 st JIOS International Symposium, Mumbai, India

As you are aware "The journal of Indian Orthodontic Society" is conducting the 1· International Symposi um at the ITC Grand Maratha Sheraton and Towers, Mumbai in june 2006. This vibrant symposium offers an interactive trade exhibition and an outstanding scientific program with an array of international speakers.

Pre and Post Symposium workshops have been specially designed for academicians, private practitioners and orthodontic students.

A unique opportuni ty and experience, not to be missed.

jlOS Main Symposium Saturday, june 17th & Sunday, june 18th 2006

Pre Symposium Workshop Friday, june 16th 2006

Post Symposium Workshop Monday, june 19th 2006

Trade Exhibition Saturday, june 17th & Sunday, june 18th 2006

Symposium Venue ITC Grand Maratha Sheraton and Towers

Symposium location Mumbai, India

Highlights

1. An array of excellent scienti fic programs with International speakers. 2. Pre and Post Symposium workshops designed for academicians, private practitioners and orthodontic

students. 3. A comprehensive program that will be thought provoking and challenging, to foster deliberations on

important areas in issues on orthodontic practice. 4. A forum for delegates from di fferent countries to interact. 5. An interactive trade show.

Main Symposium

Concepts and Controversies in Contemporary Orthodontics ... Dr. Jay Bowman, USA Four types of Mini -Screw Applications for expanding Orthodontic Envelope ... Dr. Cheol Ho Paik, Korea Current Perspectives in Maxillary Molar Distali zation Techniques ... Dr. Ramesh Sabhlok, UAE High Technology in Orthodontics ... Mr. Chester Wang, USA

Pre-Symposium Workshop: How to place mini screw implants .... Dr. Cheol Ho Paik, Korea

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TItanium mini screws provide sufficient anchorage for various types of orthodontic tooth movements. Their use eliminates the force of reaction, does not require patient co-operation, conservative and inexpensive. Unlike onplants or oseeointegrated implants, mini screws are not limited to specific locations, are easy to insert and remove, can be loaded immediately and has versatile appl icability to routine orthodontic mechanics.

Live Demonstrations and Lectures

.. Instrumentation

.. Types of mini screw implants

.. Di fferent intra-oral sites

.. Fixation Techniques

1 st JIOS International Symposium, Mumbai, India

Post-Symposium Wo rksho p: Capture the Pe rfec t Orthodontic Photos Mr. Chester Wa ng, USA

Let's Switch to Digita l Clinica l Photography!

<I> Discover how easy it ca n be to create a whole new approach to patient documentation , communication, and market ing by usi ng the right digita l camera.

<\> Learn how to capture the perfect smi Ie and leave w ith new ideas and skil ls to make outstanding photographs of faces and cli nica l images.

<\> Get to know how to incorporate this invaluable too l into orthodont ic practice the fastest and easiest way and use the tips and tricks of a professiona l photographer.

Highlights

This hands-on course will guide you with your own camera in uti lizing proven techniques for capturing routine photos

What to bring?

.. Enthusiasm to learn!

.. Digital cameras for capturing orthodontic photos .

.. Notebook computer (preferred, but not required) to load, store and review captured images. <\> Li P retractors. '\> Occlusa l mirrors. <I> Cheek retractors.

Please Note: Some pre-selected cameras and instruments w i ll be ava i lable for sharing. A ll denta l d igital camera equipment is not suitable for orthodont ic photos. This is a highly interactive session, so partic ipation is an absolute must! Each attendee wi ll be expected to practi ce, learn materia ls, and evaluate o ther attendees' work . Participants will also be patients and have photos taken on them: both fac ial and intraora l records.

Outline

lec ture: Introduction on digital camera technologies, components; disclIssions on photo techniques; current camera models and software are presented

Hands-o n: Exlraora l Views; Camera Tests. Int roduction on the best ways to capture patie nt 's facia l fronta l and lateral views; great emphasis on tighting will be covered; attendees wi ll practice on each other and the instructors w ill criti ca lly eva tuate and suggest improvements. During this seelion, the instructo rs wi ll a lso attempt to make the best use of the 3l1endee's camera(s) o r decide whether it's unusable for orthodonti c purposes.

Hands-on: Centra l, buccal intraora l view s. Int roduction o n the best ways to capture patient's central and side intraoral views; the usage of lip retractors are highly recommended forthese views. If attendees do not bring thei r own, a few lip retracto rs wi ll be available and can be shared; th is section will great ty connrm the macro and lighting capabilities of the attendee's own cameras

Hands-o n: Occluca l views. Introduction o n the best techniques to capture the patie nt's intraoral occlusal views; the usage of occlusal mirror and an appropriate chair for the patient is highly recommended for these v iews. If attendees do not bring their own instruments, a few occlusal mirrors w ill be avai lable and can be shared; note that not all cameras will be able to perform th is task appropriatety

Photo Sequence: Putting it all together. The attendees w ill practice and further master the techniques taught by combining all the views together in a photo sequence, emphasizing both quatity and speed

Fina l Test: Pho to Conlest. A final confirmation on the techniques taught during the course will be revealed in a group photo contest; each group w ill be given a fi xed amount of time to capture the same patient and setect the best sequence of photos to present. The entire ctass

is then to critique the results and wi ll determine the top 3 best groups of photos; prizes wi ll be given to the team with the best photos

Concluding Remarks.

For Registrations and further information please contact: The Symposium Secretariat Editoria l O ffi ce: 13 Geetanjali, 234 S.v. Road , Bandra IWI. Mumbai 400050.

Tet: 91-22-26431670 /2643 1671 Fax: 91-22-264 t 6342 Email: info@ jiossymposiym com Website: www jiossymlJOsium.com

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Guidelines for Contributors General : The lou mal of Indian Orthodontic Society will publish articles on original research, cl inical observations and experiences, reviews, news, comments and letters to the editor. Art icles are accepted with the stipulation that they are written in English, are original and have not been subm itted fo r publication elsewhere. Articles will be reviewed by the Editor and Consultants and are subject to editorial revision. All published articles wi ll become the property of the JIOS.

The Editor and journal Committee reserve the right to reject any article without givi ng any explanations thereof. The journal accepts no responsibility for the opinions expressed by the contributors. The Editor/journal does not guarantee or endorse any products, servi ces advertised in the JIOS.

Format: Art icles should be typewritten on one side of A-4 size (21 x 28 c.m.) white paper in double spacing with a sufficient margi n. One original and two high quality xerox copies should be submitted. The authors' name is to be written only on the first copy but not on two xerox copies which are to be submitted to the Consultants for a critical review. Authors are advised to retain a copy for the reference.

Include a tit le page in the original (fi rst) copy, with the tit le of the art icle, full name of the author(s), academic degrees, positions and institutional affiliations. The corresponding author's address and telephone number should be given.

Manuscript Format I. Abstract : An abstract of the art icle not exceeding 200

words should be included with abbreviated title for page head use.

2. Introduction : The purpose of th is para is to answer briefly the question why did you do the study/ clinical procedure/ research? State the objective and OMIT extensive review of literature which is normally found in 'Thesis' ,

3. Materials, methods, Case Histories, Samples : In this section answer only the question what did you do? Give deta ils if the work is original, otherwise, quote only references.

4. Results and Finding : Give yourresults only. Use Tables, Charts, Photographs etc. to clari fy.

5. Discussion: Discuss and point out signi fica nce of fi ndings and limitations (What you actually found out), and its clinical implications and compari son with other similar fi ndings. Do not repeat the 'introduction'.

6. References : References should be selecti ve and keyed in numerical order to the text - in Vancouver style (NOT alphabetica ll y). Type them double spaced on a separate sheet of paper. Authors are responsible for the accuracy of references. lournal references must include author'S names, article title, abbreviated (as per standards) journal name, year, volume number and page number. Book reference must include author'S, or editor's names,

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chapter titie, book title, edition number, publisher, year and page number.

For example : Vashi NS, Begg- Ribbon Arch Combination Systems (BRACS) - A new approach, j Ind Orthod Soc. 1991 ;22:30-32.

7. Illustrations: All figures (Fig.) must be mentioned sequentia lly in the text. Each figure must be accompanied by a legend, typed on a separate paper. The ill ustrations must be of good quality. Good black and white photographs are preferred for black and white reproduction. Coloured photographs will be publ ished at author'S expense where a coloured glossy print is preferred. Cost of coloured printing would be Rs. 500/- ($ 20) per postcard size photograph in addition to Rs. 600/- ($ 25) towards additional printing charges. Photographs of x-rays should be sent and not the original x-rays. Original drawings and graphs shou ld be of professional quality. These should be prepared with black Indian-ink and typographic (stencil) lettering (No free handwritten letterings). Ori gi nal drawi ngs are preferred to the photographs of the drawings. Prints should be clear and glossy. On the back of each print in the upper right corner, write lightly the figure number and author's name, ind icate top of th e photograph with an arrow or word 'Top'.

8. Tables: Tables should be self- explanatory, numbered in Roman numbers, according to the order in the text and typed on a separate sheet of paper like legends for illustrations.

9. Photographs : Author's photograph - Passport size, glossy, black and white (3 cm x 4 cm).

10. Diagrams: Width preferably 8 cm or 16.5 cm for smaller and wider diagrams respectively.

11. Letters to the Editor : Are encouraged in order to stimulate a healthy dialogue relating to the specialty.

12. Books for Review : Books and monographs will be reviewed, based on their relevance to jlOS readers. Books should be sent to the Editor and wi ll become property of jlOS and will be retained permanently in the library of the Indian Orthodontic Society.

13. Return of Articles : Unaccepted articles wi ll be returned to the authors only if sufficient postage is enclosed with the manuscri pts.

14. Manuscript should be on a CD Rom also, for easy printing. 15. Each manuscript should be accompanied by a certificate!

letter stating that it is their original work and not sent for publication anywhere else.

For further information write to :

The Editor, journal of Indi an Orthodontic Society Smile Care Centre, 13, Geetanjali , 234, S. V. Road, Bandra (West), Mumbai 400 050, Maharashtra, India Tel: (022) 26431670 Ext. : 104, Fax: (022) 26416342