Do we pay for maxillary protraction? Evaluation of the effects of Alt-RAMEC protocol and face mask treatment on root development

2021 ◽  
Author(s):  
Berza Sen Yilmaz ◽  
Elif Dilara Seker ◽  
Hanife Nuray Yilmaz ◽  
Nazan Kucukkeles
Keyword(s):  
Root Development ◽  
Face Mask ◽  
Maxillary Protraction

scholarly journals Comparison of two protocols for maxillary protraction: bone anchors versus face mask with rapid maxillary expansion

2010 ◽  
Vol 80 (5) ◽  
pp. 799-806 ◽  
Author(s):  
Lucia Cevidanes ◽  
Tiziano Baccetti ◽  
Lorenzo Franchi ◽  
James A. McNamara ◽  
Hugo De Clerck
Keyword(s):  
Face Mask ◽  
Rapid Maxillary Expansion ◽  
Maxillary Expansion ◽  
Maxillary Protraction ◽  
Bone Anchors

scholarly journals Expansion/Facemask Treatment of an Adult Class III Malocclusion

2014 ◽  
Vol 2014 ◽  
pp. 1-6
Author(s):  
Gregory W. Jackson ◽  
Neal D. Kravitz
Keyword(s):  
Face Mask ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Older Children ◽  
Maxillary Expansion ◽  
Viable Option ◽  
Maxillary Protraction ◽  
Skeletal Pattern ◽  
Maxillary Deficiency ◽  
The Ideal

The orthodontic treatment of class III malocclusion with a maxillary deficiency is often treated with maxillary protraction with or without expansion. Skeletal and dental changes have been documented which have combined for the protraction of the maxilla and the correction of the class III malocclusion. Concerning the ideal time to treat a developing class III malocclusion, studies have reported that, although early treatment may be the most effective, face mask therapy can provide a viable option for older children as well. But what about young adults? Can the skeletal and dental changes seen in expansion/facemask therapy in children and adolescents be demonstrated in this age group as well, possibly eliminating the need for orthodontic dental camouflage treatment or orthognathic surgery? A case report is presented of an adult class III malocclusion with a Class III skeletal pattern and maxillary retrusion. Treatment was with nonextraction, comprehensive edgewise mechanics with slow maxillary expansion with a bonded expander and protraction facemask.

scholarly journals INFLUENCE OF GROWTH IN TREATED CLASS III GROWING PATIENTS WITH FACE MASK THERAPY AND UNTREATED PATIENTS

2019 ◽  
Vol 31 (4) ◽  
pp. 883-888
Author(s):  
Sofija Carceva Shalja ◽  
Sandra Atanasova
Keyword(s):  
Negative Impact ◽  
Face Mask ◽  
Treated Group ◽  
Control Group ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Maxillary Protraction ◽  
Before And After ◽  
Maxillary Deficiency ◽  
Observation Period

Developing Class III Malocclusion in most of the cases affects dentofacial appearance. The goal of this study is to investigate the changes in the facial appearances in treated patients withFace mask orthopedic treatment and untreated Class III patients. The sample consisted 49 patients (boys and girls),with average age of 9 years, who had a Class III Malocclusion with an anterior crossbite and a component of maxillary deficiency. 28 of them were treated with protraction Face mask- Delair mask (petit tipe), and the other 21 were presenting the control group consisted of untreated Class III Patients.In treated group pretreatment and posttreatment cephalometric radiographs from 28 patients(15 males and 13 females) were analyzed and compared with the results of cephalometric analyzes in untreated group(observation period of 1 year). Results from these study showed forward displacement of maxilla(SNA p<0.05),increasing of maxillary length(Co-A p<0.05)correction of maxillary-mandibular relationship(ANB p<0.05) in treated group while in untreated groupvalues for the parameters in the upper jaw and inter jaw relationship before and after the observation period of 1 yearshowed no statistically significant changes pointing to the negative impact of incorrect skeletal terms in Class III growing patients.Based on our findings we can concluded that in Class III patients there is a big motivation for orthodontic treatment because their dentofacial appearance deviates from sociocultural norms.Therefore, an important objective of accepting maxillary protraction treatment in Class III malocclusion is providing nonsurgical alternative in the treatment and improving the physico-social wellbeing and appearance of the patients, especially during their teenage years.

scholarly journals Treatment of Maxillary Retrusion-Face Mask with or without RPE?

2018 ◽  
Vol 22 (2) ◽  
pp. 93-97 ◽  
Author(s):  
Elona Kongo
Keyword(s):  
Treatment Protocol ◽  
Face Mask ◽  
Maxillary Incisor ◽  
Class Iii ◽  
Skeletal Class ◽  
Maxillary Protraction ◽  
Palatal Expansion ◽  
Rapid Palatal Expansion ◽  
Significant Difference ◽  
Incisor Inclination

SummaryBackground/Aim: Maxillary transverse deficiency often combines with retruded maxillary skeletal position causing a skeletal class III malocclusion. In these cases combination of rapid palatal expander and a facial mask to protract the maxilla is a very effective treatment protocol. When the maxilla is not deficient is it necessary to use palatal expansion before protracting? Should we use this combination because it has been proved to be effective? The aim of this paper is to show that maxillary protraction is also effective when applied without expanding the maxilla although there are some statistically significant changes.Material and Methods: Two groups of 20 patients each, were created for this study. The first group were treated with rapid palatal expansion and face mask. In the second group, patients were treated only with face mask.Results: Measurements made at T0 (prior to treatment) and those at T1 (after treatment) were statistically analyzed. At the end of the treatment patients of the 1st group showed significant difference for the values of SNA, SNB, ANB angles (p=0.000). Significant changes were observed also for the second group (SNA, SNB, ANB). The only differences between the two groups were observed regarding SNA angle (p=0.040) and maxillary incisor inclination (p=0.028).Conclusions: At the end of treatment, all patients showed skeletal class III correction and improved facial appearance. Significant changes of SNA angle were observed for each group. There were also significant changes in the position of the mandible. These changes contributed in skeletal class III correction but there was no significant difference between them.

Maxillary Corticotomy and Extraoral Orthopedic Traction in Mature Teenage Patients: A Case Report

2007 ◽  
Vol 8 (5) ◽  
pp. 76-84 ◽  
Author(s):  
Sandro Pelo ◽  
Roberto Boniello ◽  
Giulio Gasparini ◽  
Gianluigi Longobardi
Keyword(s):  
Case Report ◽  
Skeletal Maturity ◽  
Young Patients ◽  
Face Mask ◽  
Optimal Timing ◽  
Class Iii ◽  
Maxillary Protraction ◽  
Orthopedic Device ◽  
Days Of Therapy ◽  
Age Range

Abstract Aim The authors’ propose to combine the reverse pull headgear with a Delaire type face mask and a maxillary corticotomy to treat a Class III non-growing patient with maxillary retrusion. The aim of this report is to present two cases in which this treatment strategy was successful. Background Several studies suggest the majority of Class III dento-skeletal malocclusions have components of maxillary retrusion. Early treatment of these patients with maxillary protraction devices have shown promising results. Facemask therapy has some important limits. Most important is the optimal timing of treatment between the ages of six to ten years. Closure of the maxillary suture occurs as a child ages which results in an increase of maxillary resistance to protraction. Report A proposed therapy carried out in orthodontic and surgical phases was used in the treatment of two young patients. They were both beyond the optimal age range for the application of the orthopedic device (a girl 15 years old and a boy 16 years old), however, they had not reached the necessary skeletal maturity for orthognathic surgery. Summary The described technique has the advantage of being quick and easy to perform with a low surgical risk yielding satisfactory results after 15-20 days of therapy instead of the six to nine months associated with traditional procedures. Citation Pelo S, Boniello R, Gasparini G, Longobardi G. Maxillary Corticotomy and Extraoral Orthopedic Traction in Mature Teenage Patients: A Case Report. J Contemp Dent Pract 2007 July;(8)5:076-084.

Maxillary Protraction With Intermaxillary Elastics to Miniplates Versus Bone-Anchored Face-Mask Therapy in Cleft Lip and Palate Patients

2016 ◽  
Vol 27 (5) ◽  
pp. 1247-1252 ◽  
Author(s):  
Arezoo Jahanbin ◽  
Mozhgan Kazemian ◽  
Neda Eslami ◽  
Iman Saeedi Pouya
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Face Mask ◽  
Maxillary Protraction

Dentoskeletal Effects of Maxillary Protraction in Cleft Patients with Repetitive Weekly Protocol of Alternate Rapid Maxillary Expansions and Constrictions

2009 ◽  
Vol 46 (4) ◽  
pp. 391-398 ◽  
Author(s):  
Gustavoda Luz Vieira ◽  
Luciane Macedo de Menezes ◽  
Eduardo Martinelli S. de Lima ◽  
Susana Rizzatto
Keyword(s):  
Repeated Measures ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Covariance Structure ◽  
Face Mask ◽  
Rapid Maxillary Expansion ◽  
Maxillary Expansion ◽  
Maxillary Protraction ◽  
Significant Difference ◽  
Group 2

Objective: To evaluate the amount of maxillary protraction with face mask in complete unilateral cleft lip and palate patients submitted to two distinct rapid maxillary expansion (RME) protocols. Material and Methods: The sample consisted of 20 individuals (nine boys and 11 girls; mean age of 10.4 ± 2.62 years) with unilateral complete cleft lip and palate who had a constricted maxilla in the vertical and transverse dimensions. Ten patients underwent 1 week of RME with screw activation of one complete turn per day, followed by 23 weeks of maxillary protraction (group 1). The other 10 patients underwent 7 weeks of alternate rapid maxillary expansion and constriction, with one complete turn per day, followed by 17 weeks of maxillary protraction (group 2); both groups underwent a total of 6 months of treatment. Cephalometric measurements were taken at different times: pretreatment (T1), soon after RME (T2), and after 6 months of treatment (T3). Each measurement was analyzed with mixed models for repeated measures, and the covariance structure chosen was compound symmetry. Results: The maxilla displaced slightly forward and downward with a counterclockwise rotation; the mandible rotated downward and backward, resulting in an increase in anterior facial height; the sagittal maxillomandibular relationship was improved; the maxillary molars and incisors were protruded and extruded; and the mandibular incisors were retroclined. Conclusion: There was no significant difference between the groups in evaluation time.

Efficacy of Rapid Maxillary Expansion Associated With Maxillary Protraction in Patients With Unilateral Complete Cleft Lip and Palate

2020 ◽  
Vol 57 (7) ◽  
pp. 872-876
Author(s):  
Okada Terumi Ozawa ◽  
Costa Daniela Salzedas ◽  
de Lima Beatriz Oliveira ◽  
Renata Sathler ◽  
Gleisieli Baessa ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Control Sample ◽  
Face Mask ◽  
Rapid Maxillary Expansion ◽  
Maxillary Expansion ◽  
Maxillary Protraction ◽  
The Stability ◽  
In The Beginning ◽  
Dental Casts

Objective: To evaluate the efficacy of rapid maxillary expansion (RME) and maxillary protraction (MP) in patients with unilateral complete cleft lip and palate (UCLP) using the Goslon yardstick index. Design: Retrospective study. Patients: Dental casts of 34 Goslon 3 (G3) and Goslon 4 (G4) patients treated with RME and MP were evaluated which composed the treated sample (S1). The dental cast were taken before the RME (T1) and immediately after the use of face mask for MP was suspended (T2). In order to verify the stability of the treatment, dental casts of 17 of these patients were evaluated 1 year after the treatment was finished (T3). For the control sample (S2), dental casts of 20 untreated G3 and G4 patients were evaluated. Results: At T2, 85.7% of study sample patients initially G3 and 70% of patients initially G4 obtained improvement in occlusal index. At T3, the majority of patients initially classified as G3 and G4 returned to the same classification as in the beginning of the treatment. The evaluation of the control sample showed that patients initially classified as G3, 55.6% continued at this initial index, and 44.4% had it worsened. Those initially G4, 100%, continued at this initial index. Conclusion: The immediate result of RME and MP was satisfactory, and despite the instability of these results, the outcome of this treatment option was better than the untreated sample.

Relationship of Velopharyngeal Insufficiency With Face Mask Therapy in Patients With Cleft Lip and Palate

2019 ◽  
Vol 57 (1) ◽  
pp. 118-122 ◽  
Author(s):  
Narmin Helal ◽  
Matthew Ford ◽  
Osama Basri ◽  
Lindsay Schuster ◽  
Brian Martin ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Cleft Lip ◽  
Pediatric Patients ◽  
Cleft Lip And Palate ◽  
Face Mask ◽  
The United States ◽  
Velopharyngeal Insufficiency ◽  
Patient Counseling ◽  
Maxillary Protraction ◽  
Increased Risk

Objective: To determine whether orthodontic/dentofacial orthopedic maxillary protraction face mask therapy induces changes in velopharyngeal functioning in a cohort of pediatric patients having cleft palate with or without cleft lip. Design: Retrospective chart review. Setting: A children’s hospital in the United States. Participants: Forty-three pediatric patients with cleft palate, with or without cleft lip, syndromic or with isolated clefts, who received face mask therapy from January 2009 to April 2016. Intervention: Clinical data were extracted for review and analysis from medical records obtained from the Cleft Database/Research Registry (CDB-RR). Main Outcome Measures: Pittsburgh Weighted Speech Scores (PWSS) before and after therapy. Results: There was a significant increase in PWSS after face mask therapy for patients with a PWSS score of 0 prior to treatment. Patients with PWSS >0 before treatment remained largely stable after face mask therapy. Maxillary advancement was not significantly associated with change in PWSS or fistula presence/absence. Conclusions: There is an increased risk of velopharyngeal insufficiency with maxillary protraction face mask treatment in patients with cleft palate. Patient counseling and obtaining consent regarding speech changes during treatment are recommended.

scholarly journals Treatment of class III Malocclusion with maxillary expansion and face-mask therapy: A case report

2014 ◽  
Vol 2 (1) ◽  
pp. 59-63
Author(s):  
M Mansuri ◽  
VP Singh
Keyword(s):  
Treatment Option ◽  
Face Mask ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Maxillary Expansion ◽  
Mandibular Growth ◽  
Maxillary Protraction ◽  
Medical College ◽  
Skeletal Pattern ◽  
Functional Appliances

The developing class III malocclusion is one of the most challenging problems for the practicing orthodontist to manage clinically. True class III malocclusion is rare in our region as compared to Class II and Class I malocclusion. With adults, orthognathic surgery and dental camouflage is the viable treatment option. A variety of treatment alternatives exists for patients in the developing stages of a Class III malocclusion. In the past much of the therapy has focused on restriction of mandibular growth with chin cups and functional appliances. This is based on the traditional thought that developing Class III malocclusions were the result of  prognathic mandible. Recently, however, there has been a growing awareness that the majority of patients with a developing Class III skeletal pattern exhibit a maxillary deficiency with a normal or only slightly prognathic mandible. Therefore, considerable attention has been given to early treatment using maxillary protraction therapy. Using facemask therapy in conjunction with maxillary expansion has been shown in clinical reports to be a successful and predictable treatment option. Treatment should be carried out as early as possible with the aim to prevent it from becoming severe. A case treated with biphasic therapy – orthopaedic appliance followed by fixed orthodontic treatment is presented here. DOI: http://dx.doi.org/10.3126/jmcjms.v2i1.11539 Janaki Medical College Journal of Medical Sciences (2014) Vol. 2 (1):59-63

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