SIVAKUMAR ARUNACHALAM



Salutation
Associate Professor Dr

School/Centre
School of Dentistry

Department
Clinical Oral Health Sciences

Appointment
Associate Dean, Quality and Stakeholders Engagement

Position
Associate Professor

Email
sivakumar@imu.edu.my

Professional Network


Education

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Postgraduate Diploma in Health Professions Education (Health Professions Education), 2022 International Medical University
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Postgraduate Certificate in Health Professions Education (PGCHPE) (Medical Education), 2021 International Medical University
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Fellowship in Dental Surgery (without examination) (FDS RCS, Edinburgh) (Dentistry), 2016 Royal College of Surgeons of Edinburgh, U.K.
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Diploma in Membership in Orthodontics (MOrth RCS, Edinburgh) (Orthodontics), 2006 Royal College of Surgeons of Edinburgh, U.K.
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Master of Dental Surgery, Orthodontics (MDS) (Orthodontics), 2004 Manipal Academy of Higher Education, College of Dental Surgery, Manipal.
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Bachelor of Dental Surgery (BDS) (Dentistry), 2000 The Tamilnadu Dr.MGR Medical University, Chennai, India.

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Memberships

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Association of Medical Education in Europe Member 2023 - 2024
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Royal College of Surgeons of Edinburgh Fellow 2016 - Present
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Royal College of Surgeons of Edinburgh Membership in Orthodontics 2006 - Present
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Indian Orthodontic Society Member 2004 - Present

Research Funding
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A Qualitative Study on Students’, Supervisors’ and Patients’ Perceptions and Experiences of Direct Observation, Feedback and Reflection in Undergraduate Dental Education IMU Internal Research Grant | 23 May 2024 - 15 Apr 2025
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Development and evaluation of the reliability and validity of Competency Assessment Analytic Rubric (CAAR) for assessing core entrustable professional activities IMU Internal Research Grant | 15 May 2023 - 31 Jul 2024
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Effect of osteosclerotic lesions of the jaw bones on orthodontic tooth movement – A scoping review IMU Internal Research Grant | 01 Apr 2023 - 30 Apr 2024
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Development and Evaluation of a Web-Based Application for Assessing Entrustable Professional Activities in Undergraduate Dental Education IMU | 29 Dec 2021 - 07 Feb 2424
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An interactive E-learning tool for enhancing analytic skills in oral and maxillofacial pathology for dental undergraduate students IMU | 10 Sep 2021 - 12 Aug 2022
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Effect of Strontium Fluoride on Mechanical and Remineralization properties of Enamel: An Invitro Study IMU | 01 Sep 2021 - 31 May 2022
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The relationship of orthodontic patients’ knowledge and psychomotor abilities to oral hygiene practice Bachelor of Dental Surgery | 05 Aug 2021 - 05 Jun 2022
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Oral hygiene instruction acquisition ability and effect of structured mentored instructions in orthodontic patients IMU Internal Research Grant | 05 Aug 2021 - 05 Jun 2022
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The impact of self-directed computer-aided learning (CAL) on analytical reasoning of Index of Orthodontic Treatment Need (IOTN). IMU Internal Research Grants | 15 Apr 2021 - 15 Sep 2021
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Assessing the performance of radiographical methods of dental age estimation on individuals at 18-year-old threshold -A systematic review IMU | 01 Jan 2021 - 31 Oct 2021
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Differences in student satisfaction and skill development with different learning resources for teaching dental tooth carving - A pilot study IMU | 01 Nov 2020 - 31 Aug 2021
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Assessment of aesthetic perception of posed, spontaneous and selfie smiles among dental and non-dental students of International Medical University, Malaysia IMU | 01 Apr 2020 - 01 Dec 2020
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Dental and Occlusal Traits in Ethnically Diverse Subjects with Oral Tori IMU | 01 Feb 2020 - 01 May 2021
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Digital Videographic Assessment of Smile Representation Through Selfie – A Smile Characterization Study IMU | 19 Apr 2019 - 29 Dec 2019
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Manual Dexterity Aptitude and Effect of Structured Mentoring in Skill Acquisition Among Beginner Dental Students IMU | 19 Apr 2019 - 29 Dec 2019
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Effect of orthodontic arch length preservation strategies in the mixed dentition on eruption of Mandibular second permanent molar: A systematic review IMU | 18 Oct 2018 - 01 Dec 2018

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Publications

Research Articles

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Does the use of platelet-rich fibrin enhance the rate of orthodontic tooth movement? A systematic review and meta-analysis JOURNAL OF ORAL BIOLOGY AND CRANIOFACIAL RESEARCH 2024
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Queries regarding monthly vs biweekly appointments for treatment of Class II malocclusion AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS 2024
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Assessment of Bone Thickness at the Infra Zygomatic Crest Region for Various Orthodontic Miniscrew Implant (OMSI) Insertion Angles: A Cone-Beam Computed Tomographic Study TURKISH JOURNAL OF ORTHODONTICS 2024
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Virtual student mobility: New opportunity on the horizon of undergraduate dental education JOURNAL OF DENTAL EDUCATION 2023
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Wearable Orofacial Technology and Orthodontics DENTISTRY JOURNAL 2023
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Does the use of platelet-rich plasma in sinus augmentation improve the survival of dental implants? A systematic review and meta-analysis JOURNAL OF ORAL BIOLOGY AND CRANIOFACIAL RESEARCH 2022
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A BIBLIOMETRIC ANALYSIS OF THE 100 MOST CITED ARTICLES IN TOP RANKED DENTAL JOURNAL UTTAR PRADESH JOURNAL OF ZOOLOGY 2022
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Perception and analysis of lip-line canting by different populations: Some questions Response AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS 2022
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The split-mouth investigation and statistical computation AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS 2022
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Appraisal of root-crown ratio of maxillary incisors in various skeletal and dental malocclusions JOURNAL OF DR. NTR UNIVERSITY OF HEALTH SCIENCES 2022
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Culture of reflection through case scenarios reversing the Bloom Learning Framework. JOURNAL OF DENTAL EDUCATION 2022
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Entrustable professional activities in undergraduate dental education: A practical model for development and validation EUROPEAN JOURNAL OF DENTAL EDUCATION 2022
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Draw to learn‐removable partial denture designing through team based learning JOURNAL OF DENTAL EDUCATION 2022
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Does HIV infection affect the survival of dental implants? A systematic review and meta-analysis THE JOURNAL OF PROSTHETIC DENTISTRY 2021
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Does arch length preservation in mixed dentition children affect mandibular second permanent molar eruption? A systematic review and meta-analysis BMC ORAL HEALTH 2021
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Orthodontic Postgraduate Students’ Perception on Didactics and Clinical Training During the COVID-19 Crisis JOURNAL OF INDIAN ORTHODONTIC SOCIETY 2021
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Co‐design in preclinical skill‐based learning: A pandemic plan for continuity and reinforcement JOURNAL OF DENTAL EDUCATION 2021
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Clinical audit of orthodontic chart documentation by dental undergraduates EUROPEAN JOURNAL OF DENTAL EDUCATION 2021
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A Cross-sectional Radiographic Study on the Effect of Vertical Malocclusions on Root Crown Ratio of Maxillary Teeth RECENT DEVELOPMENTS IN MEDICINE AND MEDICAL RESEARCH VOL. 3 2021
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Virtual role‐playing simulation as clinic: A model for experiential learning of critical thinking skills JOURNAL OF DENTAL EDUCATION 2020
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A Nomenclature Coding System for Facial and Dental Midline JOURNAL OF INDIAN ORTHODONTIC SOCIETY 2020
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COVID-19 Reflections and Team-Based Entrustable Professional Activities for Bioevent Preparedness MEDEDPUBLISH 2020
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COVID-19—Orthodontic Care During and After the Pandemic: A Narrative Review JOURNAL OF INDIAN ORTHODONTIC SOCIETY 2020
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Do highly active antiretroviral therapy drugs in the management of HIV patients influence success of dental implants? AIDS REVIEWS 2020
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A case for invincible first premolar extraction AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS 2019
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Electron microscopic comparative analysis of smear layer removal by ethylenediaminetetraacetic acid and chitosan using ultrasonic activation: An in vitro study JOURNAL OF OPERATIVE DENTISTRY AND ENDODONTICS 2019
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Surgery-first approach vs traditional approach AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS 2018
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placement, 1 month preoperatively and 1 month postoperatively for both groups: the OQLQ-22 and the OHIP-14.” 4. Quality of life was assessed 1 month postoperatively, which referred to the end of the protocol. However AM J ORTHOD DENTOFACIAL ORTHOP 2018
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Assessment of the bond strength and mode of failure of glass fibre posts luted using two different adhesives: an in vitro analysis JOURNAL OF OPERATIVE DENTISTRY & ENDODONTICS 2018
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Complexities in Diagnosis and Management of Long Face JOURNAL OF CONTEMPORARY ORTHODONTICS 2018
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An Orthodontist's Data THE ANGLE ORTHODONTIST 2018
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Re: Salivary leptin levels in normal weight and overweight individuals and their correlation with orthodontic tooth movement. Tamizhmani Jayachandran, Bhadrinath Srinivasan, Sridevi Padmanabhan. The Angle Orthodontist. 2017; 87: 739-744 ANGLE ORTHODONTIST 2018
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Letters From Our Readers: To: Editor, The Angle Orthodontist. Re: Salivary leptin levels in normal weight and overweight individuals and their correlation with orthodontic tooth movement. Tamizhmani Jayachandran, Bhadrinath Srinivasan, Sridevi Padmanabhan. The Angle Orthodontist. 2017; 87: 739-744. THE ANGLE ORTHODONTIST 2018
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Tricks of the trade: molar distalization with double loop archwire distalizer ORTHODONTIC UPDATE 2018
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Orthodontic appliances and oral hygiene: Are we asking the right questions? AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS 2018
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Assessment of hyoid bone position among different skeletal patterns ORTHODONTIC WAVES 2017
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Treatment of 3-prong anterior crossbite and unilateral lingual posterior crossbite malocclusion in an adolescent boy JOURNAL OF INDIAN ORTHODONTIC SOCIETY 2017
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Understanding masticatory function in unilateral crossbites APOS TRENDS IN ORTHODONTICS 2016
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Shear bond strength of different adhesive materials used for bonding orthodontic brackets: A comparative in vitro study ORTHODONTIC JOURNAL OF NEPAL 2015
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The “quack” in the orthodontist AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS 2015
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The dark side of orthodontic practice AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS 2015
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The fear of scientific publishing AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS 2014
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Mushroom composite button for orthodontic use. INTERNATIONAL JOURNAL OF ORTHODONTICS (MILWAUKEE, WIS.) 2014
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Natural pontics. JOURNAL OF ORTHODONTICS 2014
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A Box Loop for Intrusion of an Overerupted Molar JOURNAL OF CLINICAL ORTHODONTICS: JCO 2014
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Waiting for the litmus test? AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS 2014
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Incorporation of antimicrobial macromolecules in acrylic denture base resins: a research composition and update JOURNAL OF PROSTHODONTICS 2014
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Fabrication of Patient's Elastic Placer JOURNAL OF INDIAN ORTHODONTIC SOCIETY 2014
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An adjustment in NiTi closed coil spring for an extended range of activation. INTERNATIONAL JOURNAL OF ORTHODONTICS (MILWAUKEE, WIS.) 2014
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Bimaxillary protrusion trait in the Indian population: A cephalometric study of the morphological features and treatment considerations ORTHODONTIC WAVES 2014
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Collaborative management of a young patient with generalized aggressive periodontitis. INTERNATIONAL JOURNAL OF ORTHODONTICS (MILWAUKEE, WIS.) 2014
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Intrusion of an overerupted molar using orthodontic miniscrew implant: A preprosthodontic therapy CONTEMPORARY CLINICAL DENTISTRY 2014
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Custom Made Vertical Pins (I-Pins): An Alternative to T-Pins JOURNAL OF INDIAN ORTHODONTIC SOCIETY 2014
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Repairing fractured tie wings of ceramic brackets JOURNAL OF CLINICAL ORTHODONTICS: JCO 2013
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A comparison of the accuracy of three removable die systems and two die materials EUR J PROSTHODONT RESTOR DENT 2013
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Other specialists can provide valuable insight AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS 2012
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Occupational health hazards in a prosthodontic practice: review of risk factors and management strategies THE JOURNAL OF ADVANCED PROSTHODONTICS 2012
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Conundrum in vertical dimension changes EUROPEAN JOURNAL OF ORTHODONTICS 2012
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Re: Effects of mandibular incisor intrusion obtained using a conventional utility arch vs bone anchorage. Angle Orthod. 2011; 81: 767–775, by Esen Aydoğdu and Ömür Polat Özsoy. THE ANGLE ORTHODONTIST 2012
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Re: Nasal Obstruction Causes a Decrease in Lip-Closing Force. Angle Orthod. 2011; 81: 750–753, by Sabashi K, Washino K, Saitoh I, Yamasaki Y, Kawabata A, Mukai Y, Kitai N THE ANGLE ORTHODONTIST 2012
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Cleanliness is next to Godliness AUSTRALIAN ORTHODONTIC JOURNAL 2012
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Impact of Orthodontic Treatment and Socio-economic Status on Daily performances in Indian School Children: A Two Centre Study THE JOURNAL OF THE INDIAN A 2011
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Are we legally in the right? AM J ORTHOD DENTOFACIAL ORTHOP 2011
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Single strand conformation polymorphism in CatSper1 gene in Tharparkar cattle INDIAN J. ANIM. GEN. BREED. 2011
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Being statistically literate AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS 2011
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No excuse for poor reporting of surgical RCTs JOURNAL OF ORTHODONTICS 2011
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Class II treatment of an adolescent patient with a history of acute lymphocytic leukemia JOURNAL OF CLINICAL ORTHODONTICS: JCO 2011
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Success rate of microimplants in a university orthodontic clinic INTERNATIONAL SCHOLARLY RESEARCH NOTICES 2011
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Re: Orthodontic treatment of malocclusion improves impaired skillfulness of masticatory jaw movements. By Wakko Tome, Kohtaro Yashiro, Kenji Takada. Angle Orthod. 2009; 79 (6): 1078-1083. ANGLE ORTHODONTIST 2010
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The objective and subjective sides of malocclusions--more justification for orthodontics? JOURNAL OF ORTHODONTICS 2010
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Root resorption AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS 2010
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ONLINE ONLY AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS 2010
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Eruption of an ectopic horizontal maxillary canine. JOURNAL OF ORTHODONTICS 2010
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‘enter safe zone’: a versatile radiographic and surgical guide for miniscrew-implant placement ORTHODONTIC UPDATE 2009
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Secondary retention of permanent molars in otherwise healthy adults: three case reports ORTHODONTIC UPDATE 2009
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Maxillary Protraction Therapy JOURNAL OF INDIAN ORTHODONTIC SOCIETY 2009
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Re: Impacts on daily performances related to wearing of different orthodontic appliances-A study on Brazilian adolescents ANGLE ORTHODONTIST 2008
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Malocclusion and headache AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS 2008
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An Overview of Randomized Control Trials in Orthodontics JOURNAL OF INDIAN ORTHODONTIC SOCIETY 2008
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Micro-implants BRITISH DENTAL JOURNAL 2008
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Cephalometric assessment of dentofacial vertical changes in Class I subjects treated with and without extraction AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS 2008
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Simultaneous eruption of an impacted premolar due to traction applied on adjacent impacted tooth–what and where is the connection? JOURNAL OF PIERRE FAUCHARD ACADEMY (INDIA SECTION) 2008
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Headaches and malocclusion AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS 2008
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Long-term clinical evaluation of bracket failure with a self-etching primer: a randomized controlled trial JOURNAL OF ORTHODONTICS 2008
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Accentuated and reversed curve of Spee AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS 2008
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Re: maxillary molar angulation and its effect on molar relationships. THE ANGLE ORTHODONTIST 2007
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Re: bimaxillary protrusion in the Palestinian population. Angle Orthod. 2007; 77 (5): 817-20. THE ANGLE ORTHODONTIST 2007
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Molar class taxonomy AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS 2007
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Truthiness in orthodontics THE ANGLE ORTHODONTIST 2007
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Idiopathic failure of eruption of multiple permanent teeth: Report of 2 adults with a highlight on molecular biology AM J ORTHOD DENTOFACIAL ORTHOP 2007
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Orthodontic guidelines AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS 2007
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Curve of Spee AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS 2007
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Idiopathic failure of eruption of multiple permanent teeth: Report of 2 adults with a highlight on molecular biology AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS 2007
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Report of a new syndrome: focus on differential diagnosis and review of Ellis-van Creveld, Curry-Hall, acrofacial dysostosis, and orofacial digital syndromes ORAL SURGERY, ORAL MEDICINE, ORAL PATHOLOGY, ORAL RADIOLOGY, AND ENDODONTOLOGY 2007
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Dental ceramics and ormocer technology–navigating the future TRENDS BIOMATER ARTIF ORGANS 2006
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Thurston syndrome: report of a new case ORAL SURGERY, ORAL MEDICINE, ORAL PATHOLOGY, ORAL RADIOLOGY, AND ENDODONTOLOGY 2006
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Intra-arch Retraction Mechanics-A contemporary review. JOURNAL OF INDIAN ORTHODONTIC SOCIETY 2006
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Re: Failure Rate of Self Ligating and Edgewise Brackets Bonded With Conventional Acid Etching and a Self Etching Primer: A Prospective in Vivo Study. Angle Orthod. 2006; 76: 119-122 THE ANGLE ORTHODONTIST 2006
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Oral and Maxillofacial Pathology ORAL SURG ORAL MED ORAL PATHOL ORAL RADIOL ENDOD 2006
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To: Editor, The Angle Orthodontist Re: Vertical changes in Class II division 1 malocclusion after premolar extractions ANGLE ORTHODONTIST 2006
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Nonsurgical correction of Class III malocclusion AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS 2006
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Re: New generation open-bite treatment with zygomatic anchorage. Angle Orthod. 2006; 76: 519-526 THE ANGLE ORTHODONTIST 2006
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To: Editor, The Angle Orthodontist-Re: Failure rate of self ligating and edgewise brackets bonded with conventional acid etching and a self etching primer: A prospective in vivo study. Angle Orthod. 2006; 76: 119-122. ANGLE ORTHODONTIST 2006
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Stability and functional appliances AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS 2005
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SSCI 1 (1) 78N INDEX INDIA 1979

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Other Publications

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Integrating Entrustable Professional Activities into the Dental Curricula- Experiences and Lessons Learned International Conference on Dental Education & Curriculum Conclave 6.0 | 27 Sep 2024
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Class III Malocclusions Transformed: Cutting-Edge Solutions with Clear Aligner Technology 58th Indian Orthodontic Conference | 20 Sep 2024
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Transforming Student-Supervisor Relationships: Pilot Implementation of a Web App in Clinical Training IUCEL-KNOVASI | 04 Sep 2024
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A Faculty Development Workshop for Discourse on entrustment-supervision scales in dental education AMEE 2024 | 24 Aug 2024
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Clear Aligners Manipal Alumni Talk | 30 Dec 2023
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I3DENTAPP 2.0 FOR ENTRUSTMENT BASED DISCUSSION – AN INNOVATIVE LEARNING MEDIUM iLRF 2023 | 06 Nov 2023
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A Prescriptive Approach in Diagnosis and Treatment Planning with Clear Aligners 20th Penang Dental Congress | 27 Oct 2023
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A prescriptive approach in diagnosis and treatment planning with Clear aligners 20th Penang Dental Congress | 01 Jan 2023
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Reimagining Collaboration with Industry: Impact on Dental Education and Training IMU Alumni Conference | 01 Jan 2022

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Books

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Paras Medical Books. (2021). Lasers in orthodontics
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Paras Medical Publishing (2016). MCQs in Orthodontics with explanatory answers
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Paras Medical Publishing (2016). Orthodontic Enquest

Medias

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IMU School of Dentistry winds Patil Teaching Innovation Award (Chinese) IMU | 16 Dec 2023
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Proud moment for dentistry faculty IMU | 23 Nov 2023
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IMU School of Dentistry Wins Prestigious ‘Patil Teaching Innovation Award 2023’ at AMEE Glasgow 2023 IMU | 26 Aug 2023
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IMU Dental Students Win First Prize at National Dental Students’ Scientific Conference Competition 13th National Dental Student's Scientific Conference 2021 | 29 May 2021


Supervisions
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Hannah Marie, Seak Wen Hui | Undergraduate | 01 Apr 2023 - 30 Apr 2024 Thesis: Effect of osteosclerotic lesions of the jaw bones on orthodontic tooth movement – A scoping review
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Goh Zi Xuan, Ong Shan Phay , Wee Yuan Tsing | Undergraduate | 03 Feb 2022 - 09 Mar 2023 Thesis: Manual Dexterity Aptitude and Effect of Structured Mentoring in Skill Acquisition Among Beginner Dental Students
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Clement Goh Han Xian, Lee Tin Jun | Undergraduate | 05 Aug 2021 - 05 Jun 2022 Thesis: The relationship of orthodontic patients’ knowledge and psychomotor abilities to oral hygiene practice
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Tee Yi Wen, Lee JiaWen | Undergraduate | 05 Aug 2021 - 05 Jun 2022 Thesis: Oral hygiene instruction acquisition ability and effect of structured mentored instructions in orthodontic patients
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Goh | Undergraduate | 01 Nov 2020 - 31 Aug 2021 Thesis: Differences in student satisfaction and skill development with different learning resources for teaching dental tooth carving - A pilot study
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Tey Lu Yen, Fong Zi Qing | Undergraduate | 01 Apr 2020 - 01 Dec 2020 Thesis: Assessment of aesthetic perception of posed, spontaneous and selfie smiles among dental and non-dental students of International Medical University, Malaysia
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Dang Tien Kiong and Voon Ying Xuan | Undergraduate | 19 Apr 2019 - 29 Dec 2019 Thesis: Digital Videographic Assessment of Smile Representation Through Selfie – A Smile Characterization Study
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Sarat | Master (Research) | 01 Jan 2014 - 01 Jan 2015 Thesis: Characterization of an antimicrobial monomer containing adhesive system using FTIR and HPLC
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Vijay | Master (Research) | 01 Jan 2014 - 01 Jan 2015 Thesis: A comparative evaluation of dento-alveolar changes in anterior deep bite correction using a single miniscrew with segmental or continuous arch
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Alekhya Gandikota | Master (Research) | 01 Jan 2013 - 01 Jan 2015 Thesis: Pain control in orthodontic mechanotherapy – Capsaicin drug therapeutics- A randomized controlled trial
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Siddharth | Master (Research) | 01 Jan 2013 - 01 Jan 2015 Thesis: Assessment of nutritional intake in orthodontic patients
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Mohammad Azhar | Master (Research) | 01 Jan 2012 - 01 Jan 2014 Thesis: Hyoid bone position in skeletal Class I and Class II hyper and normo-divergent subjects – A cephalometric investigation

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