The Journal of Contemporary Dental Practice, May-June 2013;14(3):00-00
ABSTRACT
Aim: Retraction of maxillary canines after first premolar
extractions is a very common orthodontic task in cases of
crowding or for the correction of large overjet. Many studies
have been done to increase the rate of retraction. The aim is to
compare the rate of canine retraction into recent extraction site
with and without circumferential supracrestal fiberotomy.
Materials and methods: The rate of movement of the canines
into the recent extraction site of the first premolar with or without
circumferential supracrestal fiberotomy was measured in 14
patients aged 13 to 22 years. The study was done on 9 maxillary
and 5 mandibular arches. The appliance used in the present
study was the preadjusted edgewise (0.022 inch Roth
prescription) and retraction performed by frictionless mechanics
using Composite T Loop. The distalization of canines was
measured at regular intervals (T1, T2, T3 and T4). Recordings
of the positions of the canines at the beginning and at different
intervals were made from dental casts.
Results: The mean difference between the two sides for the
total time span T1-T4, for maxillary arch was 0.36 mm and for
mandibular arch was 0.60 mm respectively.
Conclusion: There can be various factors that affect the rate
of tooth movement. Factors like bone density, bone metabolism,
and turnover in the periodontal ligament, amount of force applied
may be responsible for the variation.
Clinical significance: No clinically significant increased rate
of retraction of cuspids in the recent extraction site with
fiberotomy was found in comparison to the retraction in recent
extraction site without fiberotomy.
Keywords: Canine retraction, Fiberotomy, Circumferential
supracrestal fiberotomy, T loop, Rate of retraction.
How to cite this article: Kalra A, Jaggi N, Bansal M, Goel S,
Medsinge SV, Abraham R, Jasoria G. Comparison of Rate of
Canine Retraction into Recent Extraction Site with and without
Gingival Fiberotomy: A Clinical Study. J Contemp Dent Pract
2013;14(2):00-00.

Pregnancy,or the desire to become pregnant, often inspires women to take better care of them — quitting smoking,caffeine for example,or eating more nutritiously.But now many women face an increasingly common problem: obesity,which affects 36 percent of women of childbearing age.In addition to hindering conception,obesity — defined as a body mass index above 30 — is linked to a host of difficulties during pregnancy,labor and delivery.These range from gestational diabetes,hypertension and pre-eclampsia to miscarriage,premature birth,emergency cesarean delivery and stillbirth.

The infants of obese women are more likely to have congenital defects, and they are at greater risk of dying at or soon after birth.Babies who survive are more likely to develop hypertension and obesity as adults. To be sure, most babies born to overweight and obese women are healthy. Yet a recently published analysis of 38 studiesfound that even modest increases in a woman’s pre-pregnancy weight raised the risks of fetal death, stillbirth and infant death.

Many clinics and doctors’ avoid taking obese patients for pregnancy because that may reduce their pregnancy success results. It is time for doctors to take a call and they must take more positive steps to treat obese women who are pregnant or want to become pregnant. Obesity is commonly viewed as a personal failing that can be prevented or reversed through motivation and willpower. But the facts suggest otherwise. Many obese women who manage to lose weight are usually highly motivated and use a commercial diet plan. But many obese females fail even though they are very anxious to get pregnant and have a healthy pregnancy. This is the new reality, and obstetricians have to be aware of that and know how to treat patients with weight issues.

Obese patients should not be viewed differently from other patient populations that require additional care or who have increased risks of adverse medical outcomes. Obese patients should be cared for in a nonjudgmental manner, and it is unethical for doctors to refuse care within the scope of their expertise solely because the patient is obese. Obstetricians should discuss the medical risks associated with obesity with their patients and avoid blaming the patient for her increased weight.
Any doctor who feels unable to provide effective care for an obese patient should seek a consultation or refer the woman to another fertility specialist.

Being obese during pregnancy can have a major impact on your health and your baby's health. Most women who are very overweight have a successful pregnancy but if you have a BMI over 30, extra problems for you may include:

Miscarriage and stillbirth
Gestational diabetes
High blood pressure and pre-eclampsia
Blood clots inside a blood vessel (thrombosis)
Infection (urine and post-caesarean wound infections)
Hemorrhage after the birth
Problems with breastfeeding
Having a baby with an abnormally high birth weight

You are also more likely to need:

Induction and instrumental (ventouse or forceps) delivery
Caesarean section

Obesity during pregnancy can increase the risk of complications for you and your baby. To ease your anxiety, work closely with your health care provider. He or she can help you avoid excessive weight gain, manage any medical conditions, and monitor your baby's growth and development.

Obese women who want to get pregnant must get a preconception checkup from there OB-GYN. This is a medical checkup you get before pregnancy.The doctor can help you with ways to eat healthy and exercise. This can help you lose weight before you get pregnant.

It is the dream of every women to become mother and enjoy parenthood. The Rupal Hospital for Women offer a one-stop diagnostic and treatment service for infertile couples.Our Obstetricians and Gynecologists specialists provide all necessary information and guidance to plus-size women to lose weight before pregnancy,limit weight gain during pregnancy,and lose baby weight quickly after pregnancy. Counseling is given to pregnant or would be pregnant females about appropriate caloric intake and exercise. The use of our cutting edge technology coupled with our personal commitment to our patients has resulted in excellent success rates and high levels of patient satisfaction.

You can contact today for any information and guidance on how to conceive with overweight or any plus size pregnant females can contact at Rupal Hospital for Women and Know today about your options for having a baby using IVF & assisted reproductive technology.You can contact our fertility and IVF specialist at http://www.rupalhospital.com or http://rupalhospital.wordpress.com