Spacing is a common complexity, can be seen in both maxillary and mandibular arches or between any tooth which has to be corrected to bring out the perfect smile for which everyone aims. Spaced dentition is characterized by interdentally spaces and lack of contact points .Spacing can be both localized or generalized type due to number of teeth involved. Maxillary midline diastema is a common aesthetic problem which needs a definite treatment. This case report highlights the treatment of a patient with a midline diastema by using a combination of both fixed orthodontic mechanotherapy and frenectomy procedure. A 18-year-old male patient, whose chief complaint was a spacing between upper and lower central incisors, had a symmetric face and competent lips. Intraoral examination showed class 1 molar relationship bilaterally with decreased over jet. For the closure of midline diastema, fixed orthodontic therapy followed by here frenectomy is done.

The number of adult patients seeking orthodontic treatment has increased over the past few years. While treating adult patients various factors like their psychosocial factors and systemic factors have to be considered in addition apart from the regular treatment planning. Also while treating the adult patients an interdisciplinary approach is often necessary. The treatment for adults differs from that of adolescent patients and has certain limitations to it. Hence the aim of this review article is to throw light on the various limitations of adult orthodontics.

Aims & Objective: To evaluate the prevalence of peg lateral incisors in Kanpur Orthodontic population. Materials & Methods: A retrospective study was designed in which records (dental casts, OPG, IOPA, history sheets) of 722 patients who visited department of Orthodontics, Rama Dental College, Hospital & Research Centre, were evaluated. Results: A total of 722 subjects were taken out of which male subjects were 274 (38%) & females were 448 (62%).Distribution of peg laterals among males was20% & in females it was 80 %. There were 10 cases which were unilateral (Right side 30% & left side 70%).There were nine cases which were bilateral. Conclusion: 1. Prevalence of peg lateral was found to be 4.1%.2. The male female ratio was found to be 1:4. 3. Out of 19 peg laterals 10 were unilateral (52.63%) & 9 were bilateral (47.37 %). Out of 10 unilateral cases 3 were on right side & 7 were on left side.

Maxillary midline diastema is one of the common esthetic problems appearing in deciduous dentition and affecting adults. This study is aimed at determining the prevalence of midline diastema among a sample of Rama University students in Kanpur city. Materials and Methods: A cross sectional descriptive study was carried out for 2200(1700females, 500males) Rama university students, 18-25years old. Results: The prevalence of midline diastema was recorded 7.5% (7.1%maxillary, 0.3% mandibular and 0.2% both maxillary and mandible). It occurs more frequently in females (8.2%) than male (4.9%). Conclusion: The study reveals prevalence of midline diastema in the sample. The result gives evidence regarding the prevalence of the midline diastema in Rama University students.

Objective: The purpose of this study was to report the epidemiological profile of the patients with cleft lip and palate referred to the orthodontic department of Rama dental college, hospital and research centre Methods: The records of 2354 patients were taken who reported in Rama dental college, hospital and research centre in Kanpur Uttar Pradesh from most of the Northern U.P. region. Results: 63 cases of cleft lip and palate were recorded among the 2354 patients. 30 cases were male and 33 were females. The study showed bilateral clefts (52%) are more common than unilateral cleft (48%). In our study, bilateral clefts were more common in females. (p<0.05). Conclusions: Based on the results obtained in this study, we conclude that: • The overall incidence of cleft lip and / or palate in was 63 in 2354 patients with a prevalence rate of 2.6% • There is no significant variation based on gender discrimination.