The document outlines a 16-part series on "Common Sense Mechanics" in orthodontics. It discusses various orthodontic mechanics principles like forces, moments, torque, and their clinical applications. Key topics include the diving board concept to control forces, differential torque mechanics, archwire-bracket relationships, extraction mechanics, and various malocclusion treatments. The goal is to help orthodontists understand and apply basic mechanics principles in a common sense manner.
Roth philosophy /certified fixed orthodontic courses by Indian dental academy Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
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Andrew’s straight wire appliance /certified fixed orthodontic courses by Indi...Indian dental academy
Welcome to Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Lingual orthodontics /certified fixed orthodontic courses by Indian dental ac...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Roth philosophy /certified fixed orthodontic courses by Indian dental academy Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Andrew’s straight wire appliance /certified fixed orthodontic courses by Indi...Indian dental academy
Welcome to Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Lingual orthodontics /certified fixed orthodontic courses by Indian dental ac...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Root resorption in orthodontics /certified fixed orthodontic courses by Indi...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Torque in pre adjusted e.w.a /certified fixed orthodontic courses by Indian...Indian dental academy
The Indian Dental Academy is the Leader in
continuing dental education , training dentists
in all aspects of dentistry and offering a wide
range of dental certified courses in different
formats.
Indian dental academy provides dental crown &
Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit
www.indiandentalacademy.com ,or call
0091-9248678078
Friction less mechanics in orthodontics /certified fixed orthodontic course...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
00919248678078
lingual appliance in orthodontics.
a recent advancement in orthodontics.
invisible orthodontics.
invisible braces.
invisible braces for adults.
adult orthodontics.
braces for adults.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Biomechanics of headgears in orthodontics /certified fixed orthodontic course...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Comparison of The Roth prescription,Alexander prescription & MBT prescription...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Loops in orthodontics /certified fixed orthodontic courses by Indian dental ...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
00919248678078
in Orthodontics, Torque is a vital ingredient in the achievement of optimal esthetics, function and health of teeth and surrounding tissues, as also in stability of the treatment results
Arch Form in orthodontics /certified fixed orthodontic courses by Indian dent...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
This slide gives you a detailed description of History
,Bone screws,Maxillary infra-zygomatic bone crest anatomy,Dimensions of IZC,Indications of IZC,Sites of placing IZC Screws,Mini-screw insertion in IZ crest of maxilla,Biological limitation for placement of IZC for distalization,General guidelines for placing IZC,Post operative care,Failures of IZC
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Roth philosophy /certified fixed orthodontic courses by Indian dental academy Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Root resorption in orthodontics /certified fixed orthodontic courses by Indi...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Torque in pre adjusted e.w.a /certified fixed orthodontic courses by Indian...Indian dental academy
The Indian Dental Academy is the Leader in
continuing dental education , training dentists
in all aspects of dentistry and offering a wide
range of dental certified courses in different
formats.
Indian dental academy provides dental crown &
Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit
www.indiandentalacademy.com ,or call
0091-9248678078
Friction less mechanics in orthodontics /certified fixed orthodontic course...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
00919248678078
lingual appliance in orthodontics.
a recent advancement in orthodontics.
invisible orthodontics.
invisible braces.
invisible braces for adults.
adult orthodontics.
braces for adults.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Biomechanics of headgears in orthodontics /certified fixed orthodontic course...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Comparison of The Roth prescription,Alexander prescription & MBT prescription...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Loops in orthodontics /certified fixed orthodontic courses by Indian dental ...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
00919248678078
in Orthodontics, Torque is a vital ingredient in the achievement of optimal esthetics, function and health of teeth and surrounding tissues, as also in stability of the treatment results
Arch Form in orthodontics /certified fixed orthodontic courses by Indian dent...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
This slide gives you a detailed description of History
,Bone screws,Maxillary infra-zygomatic bone crest anatomy,Dimensions of IZC,Indications of IZC,Sites of placing IZC Screws,Mini-screw insertion in IZ crest of maxilla,Biological limitation for placement of IZC for distalization,General guidelines for placing IZC,Post operative care,Failures of IZC
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Roth philosophy /certified fixed orthodontic courses by Indian dental academy Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Common sense mechanics (2) /certified fixed orthodontic courses by Indian den...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Gelecek hane perspektif-raporu-subat-2015Gelecek Hane
Genel gidişat iyiye doğru gitmektedir. Yaşam kalitesi genel itibariyle gelişmektedir. Ancak eşit oranlarda dağılmamaktadır. Bilim ve teknoloji daha önce görülmediği hızda gelişmektedir. Ancak gezegenin büyük sorunları vardır ve yeterli hassasiyet henüz oluşmamıştır.
Tabiat, iklim, doğal kaynaklar, enerji, siyaset ve ekonomi, insan ve toplum dengelerini tutturmamız şarttır. Teknolojik devrimleri bu dengeyi tutturmak için seferber etmeliyiz. ‘Ben’ odaklı düşünceden ‘Biz’ odaklı düşünce yapısına geçmek zorundayız. Bunları başarırsak, 21. yüzyıl ve sonrası çok güzel olacak.
scoliosis is a lateral bending of curve with associated rotation, it is a three dimensional deformity. the finite element analysis is the effective method of treatment where the axial rotation and lateral bending is considered because of coupling movements, The facet orientation also plays the major diagnosis factor of treatment.
Frictionless Mechanics in Orthodontics
In frictionless mechanics, teeth are moved without the brackets sliding
over the archwire.
Retraction is accomplished with the help of loops or springs.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Vertical force consideration in differential space closure /certified fixed o...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Common sense mechanics in orthodontics /certified fixed orthodontic courses b...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
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New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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2. CONTENTS
‡ Common Sense Mechanics Part 1
-Introduction
-Visual inspection
-Simple rule
‡ Common Sense Mechanics Part 2
-Forces and Moments
-Cue Ball concept
-Translation, Rotation
-forces and moments on teeth
-Lingual root torque
‡ Common Sense Mechanics Part 3
-Static Equilibrium
-Requirements
‡ Common Sense Mechanics Part 4
-Cross Bites
-Expansion/contraction overlays
3. ‡ Common Sense Mechanics Part 5
-Diving board concept
-Cantilever principle
-Constant load versus constant deflection
‡ Common Sense Mechanics Part 6
-Clinical application of the diving board concept
‡ Common Sense Mechanics Part 7
-Distalization with differential torque
-Class II correction without head gear or elastics
‡ Common Sense Mechanics Part 8
-Wire bracket relationships
‡ Common Sense Mechanics Part 9
-Extraction mechanics
‡ Common Sense Mechanics Part 10
4. ‡ Common Sense Mechanics Part 11
-Simultaneous cuspid and bicuspid retraction
‡ Common Sense Mechanics Part 12
-Applying principal to total treatment
-Class I non extraction
‡ Common Sense Mechanics Part 13
-Class II division 2
‡ Common Sense Mechanics Part 14
-Class III malocclusion
‡ Common Sense Mechanics Part 15
- Types of cross bites
5. "Common Sense Mechanics"
Thomas F. Mulligan- series of articles in JCO
(Sep. 1979 – Dec. 1980)
Based on fact that no appliance exists which allow an orthodontist to treat
Maloclussion without adding the necessary ingredient of "Common Sense"
to the mechanics instituted for correcting the malocclusion
6. • Refinement in appliances may ↓ the physical effort, but will not
eliminate the need for the orthodontist to
• Think
• understand
• Apply basic principles of mechanics
in a common sense manner
7. Visual Inspection Method
• Often confuses the orthodontist in attempting to
determine with reliability what forces are present
• The visual method seems to be so obvious, but faulty
conclusions.
• Not to be misled by determining forces present through the visual
inspection method
Common Sense Mechanics, Part 1 Volume 13 : Number 09 : Pages (588-594) 1979
13. A SIMPLE RULE
• If the bend is located off center, there will be a long segment and a short segment.
When the short segment is engaged into the bracket or tube, the long segment will
point in the direction of the force produced
• Another way to think of it is this: The short segment points in the opposite direction
of the force. This is certainly different than visual inspection might lead us to
believe.
14. Determine only the forces p
Same wire
as below
Same wire
as above
Same wi
as abov
15.
16. t this time.
ame wire
as below
Same as
below
Same as
above
13 Figure 1-14
24. • You can "sense" a force when you bend a wire, but you
cannot "sense" torque. Because the latter is simply a
product of force times distance, as previously discussed,
the distance (length) is just as effective as the force. If
the force passes through the center of resistance, no
perpendicular distance is involved. Therefore,
regardless of the magnitude of the force, there is no
moment.
What does all of this mean?
31. • Extrusive force present on the molar teeth acts at the molar
tubes which lie, buccally to COR. This force times distance
results in molar Lingual Crown Torque.
32. When lingual root
torque is placed into the
incisor section, a long
segment & a short
segment is produced as
with tip back bend.
35. When one observes an effect, he should be able to
interpret the cause and vice versa. We should also
begin to recognize that such force systems should
not be routinely considered as undesirable side
effects except for the orthodontist who is unaware of
their presence and therefore is not prepared to
prevent undesirable effects as well as to utilize the
systems effectively when indicated.
If lingual crown torque is desired, it should be
permitted to act. If undesirable, it can be prevented
with a lingual arch, a rectangular wire, or whatever
means the operator chooses.
36. STATIC EQUILIBRIUM
• When forces acting on an object which is at rest are balanced, then we say that the
object is in a state of static equilibrium. The resultant of these forces equals zero
• If we, desired to convert this "dynamic" state to a state of statics, either shift the
unequal weights or the fulcrum point on the board
37. REQUIRMENTS FOR STATIC EQUILIBRIUM
• The sum of all the Vertical Forces present must
equal zero.
we must deal with extrusive components of force
during overbite correction.
• the sum of all Horizontal Forces present must
equal zero .
This is why we cannot correct a unilateral
crossbite with a single horizontal force
• The sum of the Moments acting around ANY
point must also equal zero
We may produce heavy torques in a given area and
little or no torque elsewhere, but when added
around any given point, they should equal zero.
REQUIREMENTS FOR
EQUILIBRIUM
1. Sum of the Vertical Forces equals zero.
2. Sum of the Horizontal Forces equals zero.
3. Sum of the Moments around a Common
Point equals zero.
um
38. Golden Rule
The archwire when fully engaged always relults
and/or tries to achieve a sate of static equllibrium.
39. • With two equal moments at either end of
the archwire, the system is in balance.
40. • With two unequal moments at either end of
the archwire, the system reaches a balance,
but seems to be unbalanced and with the
entire unit rotating counterclockwise.
41. • the unequal moments create (in this case) an extrusive force
on the incisor and an intrusive force on the molar. The sum
of these forces is zero, but the configuration causes the
entire unit to rotate clockwise.
44. ARCH LEVELLING
• Do you sometimes observe the posterior teeth moving lingually for no
"apparent" reason during arch leveling procedures?
• During arch leveling procedures, we frequently observe responses that
may be undesirable. They often occur unexpectedly and in various forms.
• As we can see, there is a reason for all responses.
• Whenever we witness responses for "no apparent reason", we have failed
to recognize the cause, and as a result made our treatment somewhat more
difficult. The recognition of causes permits us to utilize as well as avoid
certain types of tooth movement.
• When leveling an arch, it has already been shown that in a full strapup,
intrusive forces act through the molar tubes, producing buccal crown torque
on the molars. Do you sometimes observe the posterior teeth moving
buccally for no "apparent" reason during arch leveling?
45.
46.
47. CROSS BITES
• If an individual molar, or an entire buccal segment in crossbite
• when we observe a buccal segment in crossbite, it may be a unilateral
crossbite, or in most of cases a bilateral crossbite with a lateral
mandibular shift
48. OVERLAYS
• 0.36 mm over lays in 0.45 mm head gear tubes
• The force provided will be equal and opposite—
not unilateral in direction as might appear to be
the case when the overlay is inserted into one
tube and observed
• the over corrected or worsened side will
eventually return to normal by relapse , wheras
the corrected side will remain corrected.
53. THE DIVING BOARD CONCEPT
• It is not that we use the diving board in force control, but
the mental image should permit us to recall more vividly the
advantages involved in utilizing the factor of "length" in our archwires.
• There is a formula that says that stiffness— or load/deflection rate— is inversely
proportional to the cube of the length. Formulas of this kind often seem confusing
and of little use to the orthodontist, as well as difficult to remember.
• To make all of this useful and a little easier, let us analyze the situation more
closely. First of all, stiffness is the amount of deflection we get from a given load
(force).
Stiffness or load/deflection rate α 1/ L3
54. • The formula tells us that if we are dealing with a cantilever (such as a diving board),
by doubling the length stiffness is reduced to one-eighth. By doubling the length,
only one-eighth the force will be required to produce the same deflection or the same
force acting at double the length will produce eight times as much deflection.
A.When the length of the diving board is doubled, only one-eighth the force is required to produce
the same amount of deflection.
B. The same force acting at twice the length will produce eight times as much deflection
55. • Load on diving board produces bending moments along the board,
with the maximum moment being located closest to the point of
attachment
In orthodontics, we often refer to this moment as the "Critical Moment",
as it is the largest moment involved and is often responsible for
breakage in an archwire at that particular point
56.
57.
58. • when we place a given bend, we
must determine what angle is
necessary to produce the desired
load (force). It also requires that we
must know the length of wire
between brackets and tubes. We
can resort to reference tables or we
can go through "trial and error"
until we arrive at the bend which
gives us the force we want. If,
instead, we choose to place a
"constant" bend (angle), we find
that we create variable loads
(forces)
59. CLINICAL APPLICATION
• As we know, small interbracket distances can produce very high magnitudes of force
with the so called "light wires
• Bypassing teeth is one method of increasing interbracket distance. Individuals often
use single wing brackets for this purpose, but when all teeth are banded all of the
time and an archwire engaged in every bracket automatically, there is little
alternative for reducing force levels
60. • we recognize that length load (force).
If we double the length of wire, we reduce the force per unit of deflection to one-
eighth.
• Therefore, if we bypass bicuspids and cuspids during overbite correction, and use a
wire with tipback bends at the molars, we have in effect created a "diving board”.
• If the tipback activation is constant, such as a 45° angle, then as the distance
doubles, so does the deflection
61. • Therefore, although the load per unit of deflection is reduced to one-
eighth, the unit of deflection is doubled, resulting in a net force of one-
fourth (2 × 1/8 = ¼). However, it is quite evident that the length of
wire is increasing much more than "twice", and therefore the net
intrusive force on the anterior segment is dramatically reduced.
• With wire sizes of .016, the magnitudes at times become so low,
you wonder if "anything" will happen with the overbite. It is common
to have forces in the range of 20-30 grams and lower. If we apply a
total force on an incisor segment of 30 grams (intrusion), for example,
we produce equal and opposite forces on the molars. But, one-half goes
to each molar, meaning that each molar in this example would incur
only 7½ grams of force— enough to allow the molars to erupt during
vertical growth, but not enough to overcome the forces of occlusion.
62. DIFFERENTIAL TORQUE
center bend. These similarities will be extr
predicting force systems.
Cuspid Root Torque
Molar Tip-Back
Lingual Root Torque
Molar Tip-Back
Figure 1-23 Figure 1-24
63. ROW BOAT EFFECT
"rowboat effect“- tendency for the maxillary teeth to move forward during anterior
lingual root torque
65. • This "distalization" tendency -easy to check simply by observing the unbanded cuspids
and their change in axial inclination.
• The cuspid crowns
tip distally as they are
forced back as a
result of the thrust
being received at the
crown level.
66.
67.
68. CLASS II CORRECTION WITHOUT HEADGEAR
OR ELASTICS
Class II correction is coincidental during overbite correction using tipback bends esp. in
U/arch..
The amount of headgear treatment originally planned is either reduced, sometimes even
eliminated.
69.
70. WIRE / BRACKET RELATIONSHIPS
• The relationship of the
archwire to the brackets and
tubes, prior to engagement,
offers valuable and
interesting information
• If a straight wire is placed
over angulated brackets, a
certain angular relationship
develops between the wire
and the plane of the bracket
slot
71. • The same wire/bracket
relationship can be created
by a bend in the wire or a
straight wire in relation to a
malocclusion.
73. Applying the requirements for static equilibrium.
• If all four forces (activational) are equal- first requirement for static equilibrium is
fulfilled.
82. EXTRACTION MECHANICS
• Diffrential torque is produced by a tip back off-
center bend
• Depending on the angle at which the wire with
an off-center bend crosses the bracket, and the
length of the long segment
• moment produced by the longer segment can
be
• clockwise
• counterclockwise
• nonexistent
99. • This type of case requires certain compromises to be established beforehand,
such as the willingness to leave "some“ lower rotations, which will encourage
more overbite and overjet following treatment
102. CONCLUSION
• Common sense mechanics is a very easy to use system if we as orthodontists
understand how it works. It is much more convenient to predict precise movements
of teeth and prepare in advance for any unwanted tooth movement.
• This does not require us to use different appliances, or discard a different technique,
but certain modifications brought about to the mechanics can be a great deal of help.
103. REFERENCES
• Common Sense Mechanics Part 1
• Common Sense Mechanics Part 2
• Common Sense Mechanics Part 3
• Common Sense Mechanics Part 4
• Common Sense Mechanics Part 5
• Common Sense Mechanics Part 6
104. • Common Sense Mechanics Part 7
• Common Sense Mechanics Part 8
• Common Sense Mechanics Part 9
• Common Sense Mechanics Part 10
• Common Sense Mechanics Part 11
• Common Sense Mechanics Part 12
• Common Sense Mechanics Part 13
• Common Sense Mechanics Part 14
105. • Common Sense Mechanics Part 15
• Common Sense Mechanics Part 16
Editor's Notes
born in Grand Forks, North Dakota, served in the army in the far east , and received his D.D.S. degree from Marquette University in 1960. his orthodontic practice in Phoenix, Arizona, where he has since resided and practiced. His many interests outside of orthodontics have included boating, sailing, flying and jogging.
Appliances are being refined and will continue to improve with the passage of time. Which is good, but the danger lies with the individual who fails to recognize that the refinement of appliances may reduce the physical effortThis means that regardless of how well we understand mechanics and regardless of how much the appliance is refined, we are dealing with a biologic environment whose variation in response will continue to challenge the orthodontist in many ways..
Part 1 Over bite returns So, let us proceed to determine what forces, if any, are present on the particular tooth in question. Disregard the moments altogether and ask
only whether there will be an intrusive or extrusive force present— or no force at all
Before we begin, we should know that forces can act in the vertical plane of space, and the horizontal pla
A number of two teeth illustrations to help us understand and quickly determine directions of forces .On the molar? On the cuspid?
On the molar on the cuspid?
let us move from the vertical planes of space and proceed to ask questions similar in the buccal and lingual planes of space
When ever this passes thorough the center of resistance – translation
Center of mass – of a free body is a point in the body where the whole of its mass is concentrated, it is also called as valance point.Center of resistance is the center of mass of a restrained body.determined by root lenth, alveolar bone level, and number of roots.
The tendency for a force to produce a rotation is called moment .it is determined by the magnitude of force multiplied with the perpendicular distance from the line of action.
Units of moments is newton (gm x mm)
ADD couple force photograph
Tug of war because of bigger moment , which will be explained later in the row boat effect
the net forces will be intrusive on the molar and extrusive on the incisor. Therefore, if we are hoping for overbite correction, but increased our lingual root torque to this point, we can expect our overbite to increase instead of decreasing. So, we might decide, if we know this beforehand, to either increase the molar tipback bend, decrease the amount of lingual root torque on the incisor segment, or a combination of each, in order to assure ourselves of a net intrusive force on the incisor segment for overbite correction.
If two individuals are of equal weight and equal distance from the fulcrum , theyw ill be in complete balance
attempting anterior intrusion, we produce anterior and posterior forces with equal and opposite extrusive forces occurring through the bicuspid areas
Intrusive forces acting on molar tipps it buccaly
Extrusive forces acting through molar when a 2x4 appliance is used,
These are heavy wires overlaying the main arch wire
But, the overalay movement is very rapid-usually about three to six weeks
It dosnt show when one smiles
Part 5
For a given bend determine angle necessary to produce the desired force & to know length of wire between brackets and tubes
anterior-posterior arch length varies from patient to patient, when bicuspids and cuspids are bypassed the length becomes a variable and, thus, so do the magnitudes of the intrusive and extrusive forces at each end of the archwire
However, the entire range of force is so low that low magnitudes of force may pose a greater problem than attaining higher levels of force. In fact, it may even require going to archwire of greater diameter to produce a required force and desirable response.
PART 7
Crown movement precedes root movement If overbite interferes, at the time, with the distal crown movement (tendency), mesial root movement of the molars will occur.
Notice the teeth tipped back along the mandibular plane …in the pic below see how the tooth have come to normal upright position after appliance removal
particularly where molars require some uprighting, the combination of "E" space with that gained mechanically is significant. The tipped-back teeth, while uprighting, are continuing to erupt along a new longitudinal axis, and thus give a "net gain" when they finally attain their upright position. So there is gain of an extra 1-1½ millimetersnotice in the second picture the second molar is banded instead of the first , only to increase the lenth of the arch wire and bring about good use of the diving board principle
Girl presented to the author with a class II molar relationship . Because of the extreme deep bite and significant mesial crown tipping of the molar the difrrential torque mechanism with a tip back bend was used . And head gear treatment was given just prior to finishing of treatment
Centered bend
there are no horizontal forces necessary to engage the wire into the brackets,so the second principle is fulfilled
Thrd requirement states that moments should add up to zero .
A produces a clockwise moment equaling the cunter clockwise moment produced by d
B produces a smaller moment which is counter clock wise and opposite to c , smaller moment because the inter bracket distance is reduced .
When we add these moments it is equal to 0
Force A and Force D each produce clockwise moments equal in magnitude and opposite in direction to the counterclockwise moments produced by Forces B and C. In spite of the fact that Forces B and C act at smaller distances, balance is maintained due to their greater magnitudes of force. The important thing to realize is that the net activational forces at each bracket are unequal, unlike the center bend
Therefore to achieve equilibrium to compensate for these unbalanced moments there will be forces acting on either end( white arrows )
Part 9-14
Just as a review
.022 × .028 slots and .045 headgear tubes, the initial wires used were 0.16 class 1 molar relationship/ canine relationship
Off center bends placed mesial to molar bracket
The non anchor side is farther away from the offcenter bend. As it moves back , it tips, upon reaching the bend the system gets converted to a center bend system, which helps uprighting the tooth roots now. A molar toe in is also given to counteract molar rotation because of the elastics.
Class I molar relation with deep overbite , missing lower left 2nd bicuspid, but first bicuspid is almost in contact with lateral incisor. Notice the tissue blanching because of unerupted cuspid
Initiallu 0.16 wires were used, and a off-centerbend just distal to lower left molar was given and the 1st bicuspid was retracted . The off center was converted to a center and the roots uprighted
On the lower left side the wire has a step down bend to act as a space maintainer, meanwhile aslso having a center bend to upright the roots of the 1st premolar. On the right side you can see the molar and the bicuspid are ready for protraction . Here no tip back bend is given mesial to molar, but it is given distal to the canine and an 0.18 wire is used, a 0.020 wire can also be used for this purpose.because the tendency for molar to rptate is more on a lighter wire
Class 2 div 1 case with removal of upper first bicuspids and lower 2nd bicuspids .maximum anchorage in lower arch . Bends were placed ntraorally and in the upper arch u can see thebend mesial to the 2nd bicuspid, where as in lower arch mesial to molar . After achieveing a class 1 canine relation, his intial plan was -decided on protracting the lower molars ,
But he decided to retract the lower cuspids fut=rther more, which created anterior spacing. He then again close the lower space and protracted the molars.
In the following articles he demonstrated how the unconventional method of treatment could lead to good results as well , only because of application of comman sense.This is a class 1 non extraction case with crowding in lower anteriors and liguoversion of lower right bicuspids, the maxilarry and mandibular lingual cusps are high as we can see, and muligan explained that we can understand which direction to apply the force on the teeth according to which cusp we see higher.The lower molars required a lingual tipping, which would bring about the illusion of the upper molars being in buccoversion ,we can also see that the lower lingually tipped bicuspids require buccal force to upright.
0.16 wire was placed in a 2x4 appliance . Due to the tip back bend, the molars had an eruptive force, which cause the lower molars to have a lingual tip, which as predicted brought the upper molars into a buccoversion. The lower anterior crowding was corrected by the space gained due to the lower molars tipping back, . Then a constricted overlay of 0.36 diameter was given to constrict the maxillary arch
Class 2 div 2 malocclusion
To be noted in this case is the overbite, and the buccoversion of the 2nd moars in the maxillary arch what is interesting in this case that the line of force is assumed to pass lingually to the incisor, but the cephalometric tracing show this is not the case.The case was treated with an upper first bicuspid extraction and 0.16 wire . An intrusion arch was given in the upper anteriors, only then the lower anteriors were strapped up.
An 0.18 arch wire with distal extensions for force application on the second molar is given and activated intraorally with a tweeds loop forming pliar . The distal extensions were then cut off once the desired lingual crown movement was achieved
Finally after this, a rectangular arch wire of 19x 25 dimension was fabricated with anterior lingual root torque in the upper anteriors.
Class 2 subdivision open bite case . Left side in class 2 and right side in class 1 in the second figure we can see the amount of anterior spacing created by retraction of cuspids, except here on the lower left side , were retracted only part way followed by molar protraction.To close the bite, up and down anterior elastics were used. No wires were used except round wires, except for the class 2 div 2 case
Three types of class 3 cases, pseudo, purely dental, one is a combination of skeletal and dental, and the last purely skeletal.This case is an atypical class 3, anterior mandibular shift while closure.first 4 bicuspids were extracted, maxillary incisor alighntment was achived by saving anchorage, but then after alighntment the maxillary molars were protracted.here it was intended to retract the mandibular incisors sufficiently to eliminate mandibular shift .
A skeletal and dental class 3 malocclusion , notice the dish face appearance due to midface deficiency .
A non extraction treatment was instituted, with a clear intention to expant the maxillary tooth , and to correct the molar relation as much as possible with class 3 elastics. Coil springs were given to advance the maxillary incisors, and after 6 and a hlf months, a mild overbite has been achieved , the maxillary molars have also moved slightly distally due to the prolonged coil spring.an expansion over lay was given for correction of the cross bite bilaterally. After one year of appliance removal, the expected relapse has occurred, though the pverbite has remained as corrected in this patient.
The patient was asked to keep the lower tooth out of the way.