Authors : Dr. Sharath Kumar Shetty; Dr. Mahesh Kumar Y.; Dr. Ram Kumar G

Volume/Issue : Volume 9 - 2024, Issue 5 - May

Google Scholar : https://tinyurl.com/4b8j2cj6

Scribd : https://tinyurl.com/4k56rwf5

DOI : https://doi.org/10.38124/ijisrt/IJISRT24MAY1981

Abstract : Occlusal cant, indeed, plays a significant role in smile aesthetics. It refers to the asymmetry or tilt of the occlusal plane, which can affect the balance and harmony of the smile. The dynamic display zone, which includes lateral, vertical, and anteroposterior characteristics, as well as the cant of the occlusal plane, are important factors to take into account when creating a smile or designing mechanotherapy (treatment utilizing mechanical devices). Ensuring an aesthetic plane of occlusion involves aligning the teeth and jaws in a way that enhances the overall appearance of the smile. This may involve orthodontic treatment, dental restorations, or other interventions aimed at achieving symmetry and balance in the occlusal plane. By addressing occlusal cant as part of smile design and mechanotherapy, orthodontists can help patients achieve optimal smile aesthetics and function This review article decribes diagnosis ,etiology, methods of detecting occlusal cant and treatment alternatives.

Keywords : Occlusal Cant , Occlusal Cant Index (OCI) , Yin Yang Arch Wire

References :

1. Ackerman MB, Ackerman JL. Smile analysis and design in the digital era. J Clin Orthod. 2002; 36:221- 36.
2. Abu Alhaija ES, Al-Shamsi NO, Al-Khateeb S. Perceptions of Jordanian laypersons and dental professionals to altered smile aesthetics. Eur J Orthod. 2011; 33:450-6.
3. Schabel BJ, Franchi L, Baccetti T, McNamara JA Jr. Subjective vs objective evaluations of smile esthetics. Am J Orthod Dentofacial Orthop. 2009;135: S72-9.
4. Erickson KL, Bell WH, Goldsmith DH: Analytical model surgery, in Bell WH (ed): Modern Practice of Orthognathic and Reconstructive Surgery. Philadelphia, PA, Saunders, 1992, p156.
5. Sçenısçık NE, Hasipek S. Occlusal cant: etiology, evaluation, and management. Turk J Orthod. 2015;27(4):174–180.
6. Padwa BL, Kaiser MO, Kaban LB. Occlusal cant in the frontal plane as a reflection of facial asymmetry. J Oral Maxillofac Surg. 1997;55:811–816.
7. Jayakrishnan Mithun K, Shetty KN, et al. Clinical innovation CANT identification device in orthodontics—enabling early detection of occlusal CANT. Int J Innovative Sci Res Tech. 2020;5(2):2456–2465.
8. Burstone CJ. Diagnosis and treatment planning of patients with asymmetries. Semin Orthod. 1998;4(3):153-64.
9. Jeon YJ, Kim YH, Son WS, Hans MG. Correction of a canted occlusal plane with miniscrews in a patient with facial asymmetry. Am J Orthod Dentofacial Orthop. 2006;130(2):244-52.
10. Lamarque S. The importance of occlusal plane control during orthodontic mechanotherapy. Am J Orthod Dentofacial Orthop. 1995;107(5):548–58.
11. Kasrovi PM, Meyer M, Nelson GD. Occlusion: an orthodon tic perspective. J Calif Dent Assoc. 2000;28:780–790. Review.
12. Davies SJ, Gray RM, Sandler PJ, O’Brien KD. Orthodontics and occlusion. Br Dent J. 2001;191:539–542, 545–549.
13. Uşümez S, Orhan M. Inclinometer method for recording and transferring natural head position in cephalometrics. Am J Orthod Dentofacial Orthop. 2001;120
14. 664–670. 6. Liu XJ, Li QQ, Pang YJ, Tian KY, Xie Z, Li ZL. Modified method of recording and reproducing natural head position with a multicamera system and a laser level. Am J Orthod Dentofacial Orthop. 2015;147(6):781–787.
15. Penton-Voak IS, Jones BC, Little AC, Baker S, Tiddeman B, et al. Symmetry, sexual dimorphism in facial proportions and male facial attractiveness. Proc Biol Sci. 2001;268:1617– 1623.
16. Jones BC, DeBruine LM, Little AC. The role of symmetry in attraction to average faces. Percept Psychophys. 2007;69: 1273–1277.
17. Little AC, Jones BC. Attraction independent of detection suggests special mechanisms for symmetry preferences in human face perception. Proc Biol Sci. 2006;273:3093– 3099.
18. Ho¨ nn M, Go¨ z G. The ideal of facial beauty: a review [in German]. J Orofac Orthop. 2007;68:6–16.
19. Occlusal Cant: Etiology, Evaluation, and Management Neslihan Ebru Sxenısxık1 and Selcan Hasipek
20. Occlusal plane canting: a treatment alternative using skeletal anchorage Marcel Marchiori Farret1,2,3,4,
21. Clinical Innovation CANT Identification Device in Orthodontics- Enabling Early Detection of Occlusal CANT Jayakrishnan1 , Mithun K2 , K Nillan Shetty3 , Rohan Rai4 , Anjali Jayaraj
22. Development and validation of an occlusal cant index Hessah A. Alhuwaish and Khalid A.Almoammar
23. An archwire for non-invasive improvement of occlusal cant and soft tissue chin deviation Eric Jein-Wein Liou1 , Kunal Mehta2,3,4, James Cheng-Yi Lin5,6