Publications (2)2.71 Total impact
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Article: Inconsistencies in the differential diagnosis of open bite.
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ABSTRACT: To examine inconsistencies in the differential diagnosis of open bite. Using visual judgments, a total of 77 anterior open-bite cases in the postpubertal growth period were grouped as either morphogenetic, functional, or combination. The same sample was also grouped as either hyperdivergent, normodivergent, or hypodivergent using mandibular-plane angle and conventional cephalometry. Kappa analysis was used to test the agreement between the 2 methods of evaluation, and chi2 tests were used to analyze the distribution of cephalometrically grouped hyperdivergent, normodivergent, and hypodivergent cases among the visually assessed morphogenetic, functional and combination groups and vice versa. A kappa score of 0.343 indicated a weak agreement between visual judgment and cephalometric methods of evaluation (P < .001). Despite the expectation that cases evaluated as hyperdivergent using cephalometry would be visually evaluated as morphogenetic, more than half of the cases assessed as hyperdivergent were in fact classified as functional. These findings highlight the inadequacy of relying solely on cephalometric evaluation to classify open bite.The Angle Orthodontist 05/2008; 78(3):415-20. · 1.21 Impact Factor -
Article: Hemisection of a fused tooth.
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ABSTRACT: Fusion is a developmental anomaly which occurs due to a union of 1 or more adjacent teeth during morphodifferentiation of the dental germs. The present case report presents the hemisection of a maxillary central incisor fused with a supernumerary tooth. A 10-year-old boy was referred to clinic with the chief complaint of the presence of a large anterior tooth. Intraoral and radiographic investigations indicated fusion between the left central incisor and a supernumerary tooth. The fused tooth was separated with a diamond bur, and the supernumerary tooth was extracted. The left central incisor was restored with composite resin and the diastema between the maxillary central incisors was closed with orthodontic treatment. The left central incisor was still healthy after a follow-up examination period of 24 months. An ideal overjet and overbite relation was achieved at the end of the orthodontic treatment. Hemisection can be considered as an appropriate treatment alternative for a permanent tooth fused with a supernumerary tooth.Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics 11/2007; 104(4):e120-4. · 1.50 Impact Factor
