Dentoalveolar and skeletal changes associated with the pendulum appliance followed by fixed orthodontic treatment

2006 ◽  
Vol 129 (4) ◽  
pp. 520-527 ◽  
Author(s):  
Fernanda Angelieri ◽  
Renato Rodrigues de Almeida ◽  
Marcio Rodrigues de Almeida ◽  
Acácio Fuziy
2015 ◽  
Vol 85 (6) ◽  
pp. 997-1002 ◽  
Author(s):  
Sayeh Ehsani ◽  
Brian Nebbe ◽  
David Normando ◽  
Manuel O Lagravere ◽  
Carlos Flores-Mir

ABSTRACT Objective:  To compare the short-term skeletal and dental effects of two-phase orthodontic treatment including either a Twin-block or an XBow appliance. Materials and Methods:  This was a retrospective clinical trial of 50 consecutive Class II cases treated in a private practice with either a Twin-block (25) or XBow (25) appliance followed by full fixed orthodontic treatment. To factor out growth, an untreated Class II control group (25) was considered. Results:  A MANOVA of treatment/observation changes followed by univariate pairwise comparisons showed that the maxilla moved forward less in the treatment groups than in the control group. As for mandibular changes, the corpus length increase was larger in the Twin-block group by 3.9 mm. Dentally, mesial movement of mandibular molars was greater in both treatment groups. Although no distalization of maxillary molars was found in either treatment group, restriction of mesial movement of these teeth was seen in both treatment groups. Both treatment groups demonstrated increased mandibular incisor proclination with larger increases for the XBow group by 3.3°. The Wits value was decreased by 1.6 mm more in the Twin-block group. No sex-related differences were observed. Conclusions:  Class II correction using an XBow or Twin-block followed by fixed appliances occurs through a relatively similar combination of dental and skeletal effects. An increase in mandibular incisor inclination for the XBow group and an increased corpus length for the Twin-block group were notable exceptions. No overall treatment length differences were seen.


2009 ◽  
Vol 135 (5) ◽  
pp. 566.e1-566.e7 ◽  
Author(s):  
Brittany Potts ◽  
Shiva Shanker ◽  
Henry W. Fields ◽  
Katherine W.L. Vig ◽  
F. Michael Beck

2015 ◽  
Vol 20 (4) ◽  
pp. 91-98
Author(s):  
João Hélder Ferreira de Aguiar

Angle Class III malocclusion is characterized by anteroposterior dental discrepancy which might be associated or not with skeletal changes. Class III molar relationship is associated with vertical or lingually tipped mandibular incisors and a usually concave profile. These characteristics seriously affect facial esthetics and most frequently are the reason why patients seek orthodontic treatment. This case was presented to the committee of the Brazilian Board of Orthodontics and Facial Orthopedics (BBO) as part of the requisites to become a BBO Diplomate.


2009 ◽  
Vol 79 (1) ◽  
pp. 85-90 ◽  
Author(s):  
Britta A. Jung ◽  
Martin Kunkel ◽  
Peter Göllner ◽  
Thomas Liechti ◽  
Heinrich Wehrbein

Abstract Objective: To analyze the clinical outcome of a prospective two-center study of second-generation palatal implants 6 months after functional loading. Material and Methods: From 2005 to 2006, 30 patients aged 12 to 41 years were included in the study. In all patients, orthodontic treatment required stationary anchorage. The palatal implants (Straumann, Basel, Switzerland) were placed in the median region of the anterior palate. Results: All implants were initially stable at the time of placement. However, two (6.7%) were lost during the unloaded healing period. The remaining 28 (93.3%) were subjected to functional loading after a mean healing period of 12 weeks. Typical signs of slight superficial inflammation were observed in the peri-implant mucosa (n = 28). During the orthodontic loading phase, the implants were equipped with either a modified pendulum appliance for distalization or a transpalatal arch for stationary anchorage to the posterior teeth. No implant loosening or loss was registered during the active treatment period. Conclusions: The failure rate of palatal implants of the second generation was low (6.7%). Slight inflammatory reactions of peri-implant tissue caused neither implant loss nor pain.


2021 ◽  
Vol 15 (1) ◽  
pp. 501-504
Author(s):  
Himawan Halim

Background: The process of distalization in orthodontic treatment is often very difficult. The most common method is the use of cervical headgear. However, due to poor patient compliance, it leads to poor treatment outcomes. Treatment alternatives that require minimal compliance include Jones jig, magnets, and pendulum. Objective: This study aimed to perform distalization of a maxillary molars on a bilateral Class II molar relationship patient with a crowded maxillary arch. Case Report: A 10-year-old female with a Class II molar relationship, bilateral posterior crossbite, and nonerupted upper canines was treated with a rapid palatal expander (RPE), pendulum appliance, and fixed appliance. The crowding in the maxillary arch and spacing in the mandibular arch were eliminated, and transverse discrepancies were corrected. Conclusion: Pendulum appliance is very effective in creating spaces for the eruption of canines and ectopic premolars. Pendulum appliances have been introduced for a long time and have proven successful for molar distalization and space regainer and require minimal patient cooperation. Like other distalization appliances, distal tipping of the molars and mesial movement of the premolars could be observed.


2006 ◽  
Vol 76 (6) ◽  
pp. 1010-1014 ◽  
Author(s):  
Melih Y. Sueri ◽  
Tamer Turk

Abstract Objective: To evaluate the effects of laceback ligatures on canine distalization during the leveling and aligning stage and to compare the effectiveness of laceback ligatures with that of superelastic NiTi closed coil springs. Materials and Methods: Fifteen subjects were included in this study. Fixed orthodontic treatment was planned with the extraction of first premolars to solve crowding in upper and/or lower arches. Stainless steel direct-bonding Roth brackets (0.022-inch) were used. For canine distalization superelastic NiTi closed coil springs generating 150 g of force were used on one side. Lacebacks made from 0.010-inch ligature wire were applied on the contralateral side. Dental and skeletal changes were evaluated from predistalization and postdistalization lateral cephalometric and submento vertical radiographs. A Wilcoxon test was applied to determine the differences between predistalization and postdistalization mean values and to determine the mean differences between the groups. Results: Upper incisor crowns moved posteriorly. Distal movement and tipping of the canines were significant for both groups. Likewise, mesial movement and tipping of the first molars were significant for both groups. Furthermore, distopalatinal rotation of the canines was significant in the coil group. Canine and molar movements were greater for the coil group than for the laceback group, and the differences were significant. These differences may be attributed to force characterization, as well as to arch wire size and material. Conclusion: The laceback ligatures proved to be effective for canine distalization. Less canine and molar movement was found for the laceback group, but more controlled movements were obtained for the sagittal, vertical, and transverse planes.


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