The canine plays an important role in dentofacial aesthetics and function. It supports the base of the alar and upper lip, which are necessary for smile aesthetics. When impacted, these functions are lost, leading to low self-esteem and overall poor health-related quality of life. This study was designed to determine the prevalence and pattern of impacted canines in the southwestern region, Kingdom of Saudi Arabia. This was a retrospective study carried out in a dental center in the southwestern region of Saudi Arabia. A total of 2000 panoramic radiographs were screened, and all patients with impacted canines were further screened both clinically and radiologically (cone beam CT). Demographics, position, laterality, and relationships to the midline were retrieved and recorded. Cone beam CT was used to diagnose palatal or labial impactions. The data were analyzed using IBM SPSS Statistics for IOS Version 25 (Armonk, NY: IBM Corp). A total of 2000 panoramic radiographs were screened, out of which 107 cases were found to have impacted canines, giving a prevalence of 5.35%. There were 38 males and 69 females with a M:F ratio of 1:1.8. Their age ranged from 15 to 75 years with a mean ± SD age of 20.4 ± 11.1. There were more affected maxillary canines (99 (92.5%)) compared with mandibular canines (8 (7.5%)). Palatal impaction positions were more frequent than labial impactions. The prevalence of canine impaction in the southwestern region of Saudi Arabia was 5.35%, with a female preponderance and more palatal positions. The impactions occurred more unilaterally on the left side than on both sides.

Objective: To report clinical case series of cleft lip with or without palate (CL/P) and to estimate the prevalence of infants with CL/P who were syndromic or nonsyndromic. Design: This is a clinical case series study of CL/P among live births in the maternity hospital. Setting: The study was carried out in Maternity and Children Hospital, Najran between January 2013 and December 2016. Materials and Methods: Sex and clinical presentation of CL/P were collected from the medical records of live births. Clinical presentations were identified by type of CL/P and stratified according to laterality of occurrence. The data were analyzed using (SPSS) program, version 20. Results were presented in simple descriptive statistics. Main Outcome: Prevalence of CL/P in the Najran region of Saudi Arabia was 0.65 per 1000 live births (95% CI: 0.650 [0.389-1.092]). Cleft lip and palate was the commonest clinical presentation. Result: Of 24 367 live birth, 16 were classified as having CL/P. The overall frequency of CL/P was 0.65/1000 live births (95% CI: 0.650 [0.389-1.092]). There were 10 males and 5 females. Infant sex cannot be established in 1 case. Two (12.5%) patients had cleft lip, 4 (25%) had isolated cleft palate, and 10 (62.5%) had combined CL/P. Nine (56.25%) neonates were cases of nonsyndromic CL/P, while 7 (43.75%) were cases of syndromic CL/P. Conclusions: Prevalence rate of 0.65 per 1000 live births over 4-year period was observed at (95% CI: 0.650 [0.389-1.092]). Cleft lip with or without palate was the commonest clinical presentation.

Untreated malocclusion can lead to compromised aesthetic function, depression, and low self-esteem. The aim of this study was to evaluate dental malocclusion in Najran, Saudi Arabia as no data existed before. This was a retrospective study analyzing the casts of all patients in Najran, Kingdom of Saudi Arabia, seeking orthodontic management for malocclusion between 2017 and 2019. The consultant orthodontist is the single investigator involved in collecting the details of demographics followed by molar relationships, overjet, overbite, crowding and spacing using digital caliper on each dental cast. Data were analyzed using IBM SPSS Statistics for IOS Version 25 (Armonk, NY: IBM Corp. A total of 326 patients sought treatment for different types of malocclusion. There were 143 males and 183 females with an M:F ratio of 1:1.3. Age ranged from 6 to 55 years with a mean SD of 22.6 ± 8.98. The prevalence for Class I, II and III malocclusions at 95% CI was (0.76 (0.757, 0.774)), 0.251 (0.243, 0.260) and 0.529 (0.519, 0.539) respectively. Fifty-one (15.6%) patients had reversed overjet, 65 (19.9%) reduced overjet, and 86 (26.4%) increased overjet. One hundred and sixty-four (50.3%) cases of reduced overbite and 99 (30.4%) cases of deep overbite were also observed. Tooth size arch length discrepancy were noticed with crowding and spacing in 83 (26.4%) and 71 (21.8%) patients, respectively. This study has shown the prevalence of Class I, Class II, and Class III malocclusion to be 72.7%, 11.6% and 15.6% respectively. Increased over jet and crowding was demonstrated in more patients, though it is not statistically significant.

Distalization of the maxillary molars is among the most commonly employed nonextraction treatment strategies for angle Class II malocclusion. This approach is primarily recommended for subjects with dentoalveolar maxillary protrusion or minor skeletal abnormalities. A case of a 17-year-old Hispanic male patient with Class II skeletal base with Class II end on canines and molars, upper anterior crowding, severe overjet, and moderate overbite is hereby reported. He refused extraction; therefore, he was offered full single upper arch distalization using subzygomatic temporary anchorage devices (TADs). After 11 months of retraction, the TADs were removed and it was observed that the overjet and overbite were now within normal values and midline shift was also corrected. Satisfactory leveling and alignment, alleviation of crowding, and Class I molar and canine relationship were achieved. The aim of this case report was to describe full single arch distalization using subzygomatic TADs in a patient with Class II skeletal, molar, and canine relationships.

Crossbite (CB) has been reported to be associated with Gingival Marginal Recession (GMR) especially in the anterior region. The current study aims to evaluate the association between GMR and CB both in anterior and posterior regions. This was a cross-sectional study in a private dental clinic in Najran, Kingdom of Saudi Arabia involving 120 medically healthy patients with CB, good to fair oral hygiene, non-severe gingival inflammation and without prosthesis. Socio-demographic data was obtained from the clinic records and diagnosis of cross-bite and GMR was made. The diagnosis of GMR was made with periodontal probe. Oral hygiene index (OHI) and Gingival index (GI) was also evaluated. All the 120 cases of CB had at least 1 tooth with GMR. There were 55 (45.8%) males and 65 (54.2%) females with a M:F of 0.8:1. Age ranged from 11 to 50 years with Mean ± SD (21.78 ± 7.63). Age group < 30 years constitute the majority of the patients. The value of Odd’s ratio (OR) is much higher than 1.0 in all the lower anteriors (41, 41, 43, 31, 32 and 33), and statistically significant as compared with much lesser OR values for some of the upper anteriors (21, 22 and 23). Similar findings was also observed in the posterior dentition. Females tend to have better OHI and GI than males with statistical significance in the GI only (p = 0.048). Association between CB and GMR especially in the lower anterior and posterior dentition was observed.

Background: The early tooth loss has an adverse effect on the overall well-being of an individual. The aim of the current study was to highlight the orthodontic complications of long-term tooth loss in the city of Najran. Materials and Methods: This was a cohort study of patients presenting for orthodontic rehabilitation. A total of 326 patients that presented for orthodontic rehabilitation were examined clinically and data such as age, gender, number of missing teeth, missing teeth, duration of missing teeth, tipping, and overerupted and rotated teeth were recorded. Patients that can be treated with orthodontic space closure were excluded from the study. Patients’ data were analyzed using IBM SPSS Statistics and results were presented as simple frequencies and descriptive statistics. Results: Out of 326 patients that presented for orthodontic rehabilitation, 259 patients had missing teeth with its sequelae that will demand prosthodontic rehabilitation with a prevalence rate of 79.4%. There are 97 (37.5%) males and 162 (62.5%) females with M:F ratio of 1:1.7. The age ranged from 15 to 52 years with mean ± standard deviation (28.5 ± 8.5). The age group 21–30 years constitutes the group with the highest number of missing teeth. A total number of 595 (60.2%) teeth were missing, 173 (17.5%) teeth were tipped, and 124 (12.5%) teeth were overerupted, whereas only 97 (9.8%) teeth were rotated (n = 989). Fixed orthodontic appliances (FOAs) were used for all cases with rotation and FOAs + Mini Screws were used for all cases with tipping, overeruption, and/or combinations. The dental loss was managed by prosthesis depending on patients’ choice and financial capability ranging from removable/fixed prosthesis and dental implants. Conclusion: Orthodontic consequences of early tooth loss include tipping and rotation of adjacent teeth and overeruption of opposing teeth. Early acknowledgment of tooth replacement after tooth loss is essential in preventing long-term orthodontic adverse effects.