Predicting functional appliance treatment outcome in Class II malocclusions–a review

1997 ◽  
Vol 112 (3) ◽  
pp. 282-286 ◽  
Author(s):  
Susi Barton ◽  
Paul A. Cook
Keyword(s):  
Treatment Outcome ◽  
Class Ii ◽  
Functional Appliance

The twin-block appliance for correction of class II division 1 malocclusion

Dental Update ◽  
2021 ◽  
Vol 48 (7) ◽  
pp. 579-583
Author(s):  
Erfan Salloum ◽  
Declan T Millett ◽  
Grant T McIntyre
Keyword(s):  
Treatment Outcome ◽  
Children And Adolescents ◽  
Clinical Management ◽  
Class Ii ◽  
Functional Appliance ◽  
Twin Block ◽  
Division 1 ◽  
Case Assessment ◽  
The Uk ◽  
Class Ii Division 1

The twin-block appliance is a widely used functional appliance for the correction of Class II division 1 malocclusion in growing children and adolescents. This article outlines the indications and case assessment, the steps in clinical management and appliance design. Evidence regarding the mode of action, effects and prediction of treatment outcome of the twin-block appliance for Class II division 1 malocclusion are also presented. CPD/Clinical Relevance: The twin-block appliance is a widely used functional appliance in the UK for the correction of Class II division 1 malocclusion in growing children and adolescents.

scholarly journals An Esthetic Treatment Outcome of Orthognathic Surgery and Dentofacial Orthopedics in Class II Treatment: A Cephalometric Study

2012 ◽  
Vol 13 (5) ◽  
pp. 602-606 ◽  
Author(s):  
Karthik Jayadevappa Kabbur ◽  
M Hemanth ◽  
GS Patil ◽  
V Sathyadeep ◽  
Naveen Shamnur ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Orthognathic Surgery ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Functional Appliance ◽  
Functional Therapy ◽  
Class Ii Treatment ◽  
Fixed Functional Appliance ◽  
Dentofacial Orthopedics ◽  
Cephalometric Study

ABSTRACT Aim The main objective of any orthodontic treatment is to achieve well-established stable occlusal relationship with a definite positive change in facial profile. The purpose of this study was to determine, if such a goal is achievable for patients who could be classified as borderline surgical cases without the invasive use of the actual surgery or, with the use of the recently developed and rapidly spreading fixed functional appliance system (Forsus) and a comparison of the esthetic treatment outcome with the two systems. Materials and methods Twelve postadolescent borderline skeletal class II patients with a deficient mandible. All the patients used in the study were treated by a preadjusted edgewise appliance for presurgical decompensation with or without extractions and for postsurgical finishing and detailing. Out of the 12 patients six were treated with bilateral saggital split osteotomy (BSSO) and six were treated with fixed functional appliance (Forsus). Results The results suggested that although surgical patients had a better mandibular advancement, profile reduction, and marked improvements in soft tissue structures, the patients who had undergone fixed functional therapy also had comparable improvement in the above aspects. In the maxilla there was no change in cases treated with surgery but in case of Forsus some retraction of anterior dental segment was evident. Conclusion In surgical group, class II malocclusion correction was more skeletal than dental, whereas in functional group class II malocclusion correction was more dental than skeletal. Clinical significance Looking at the common surgical risks, cost-effective and postsurgical problems and patients with borderline class II malocclusion, fixed functional therapy is a valuable adjunct in the management of class II malocclusion. How to cite this article Kabbur KJ, Hemanth M, Patil GS, Sathyadeep V, Shamnur N, Harieesha KB, Praveen GR. An Esthetic Treatment Outcome of Orthognathic Surgery and Dentofacial Orthopedics in Class II Treatment: A Cephalometric Study. J Contemp Dent Pract 2012;13(5):602-606.

scholarly journals The British Orthodontic Society MOrth Cases Prize 2019

2021 ◽  
pp. 146531252098287
Author(s):  
Adam C Jowett
Keyword(s):  
Class Ii ◽  
Functional Appliance ◽  
First Case ◽  
Permanent Molars ◽  
Fixed Appliances ◽  
Unerupted Teeth ◽  
Removable Appliance ◽  
Division 2 ◽  
Lower Arch ◽  
First Permanent Molars

This paper describes the orthodontic treatment of two cases that were successful in winning the British Orthodontic Society (BOS) Membership in Orthodontics (MOrth) Cases Prize in 2019. The first case describes the management of a 12-year-old girl with a Class II division 2 malocclusion complicated by moderate upper and lower arch crowding, multiple unerupted teeth, restored lower first permanent molars, pseudo-transposition of the lower left lateral incisor and canine, and diminutive upper lateral incisors. Treatment involved a combination of an upper removable appliance followed by upper and lower preadjusted edgewise fixed appliances. Anteroposterior correction and overbite reduction was achieved with triangular Class II elastics with posterior occlusal disengagement. Both upper permanent canines were exposed and aligned, and the diminutive upper incisors built up with resin-based composite. Treatment was completed over a period of 23 months. The second case describes the management of a 13-year-old boy with a Class II division 2 malocclusion complicated by severe upper and lower arch crowding with unerupted UR5, UL4, LR3, rotated LR5, an increased overbite complete to tooth, buccally displaced upper canines and hypoplastic upper first premolars. Treatment involved a first phase of functional appliance therapy, followed by the extraction of UR4, UL4, LL5, LR4 and upper and lower preadjusted edgewise fixed appliances over a 28-month period.

Electromyographic Muscular Activity Improvement in Class II Patients Treated with the Pre-Orthodontic Trainer

2014 ◽  
Vol 38 (4) ◽  
pp. 380-384 ◽  
Author(s):  
E A Satygo ◽  
A V Silin ◽  
G O Ramirez-Yañez
Keyword(s):  
Muscular Activity ◽  
Class Ii ◽  
Treated Group ◽  
Functional Appliance ◽  
Treatment Results ◽  
Division 1 ◽  
Before And After ◽  
Masseter Muscles ◽  
Normal Controls ◽  
Class Ii Division 1

Objective: A study was designed to determine changes in the amplitude of the EMG muscular activity of the Masseter and Temporalis muscles at clench in children with a Class II, division 1 malocclusion treated with the pre-orthodontic Trainer functional appliance, for 12 months. Study Design: 36 Class II, division 1 malocclusion patients (mean age 7.6 ± 1.3 years) composed the treated group and wore the functional appliance; 22 children with a similar age and malocclusion composed the untreated controls; and, 20 children with no dental malocclusion participated as normal controls. Electromyographic (EMG) muscular activity of the Temporalis and Masseter muscles were recorded before and after treatment. Results: Subjects in the treated group reported a bilateral significant increase in the muscular electrical activity in the both tested muscles (p < 0.001). After treatment, they recorded values similar to those measured in normal controls, whereas the untreated controls remained on lower values. Conclusion: These results confirm that treatment with the pre-orthodontic Trainer functional appliance significantly increases the EMG muscular activity in the Temporalis and Masseter muscles at clench in patients with Class II, division 1 malocclusion.

scholarly journals Nonsurgical and nonprosthetic camouflage treatment of skeletal Class II open bite with bilaterally missing lower first molars

2018 ◽  
Vol 89 (3) ◽  
pp. 505-517. ◽  
Author(s):  
Tung Nguyen ◽  
Eui Seon Baek ◽  
Soonshin Hwang ◽  
Kyung-Ho Kim ◽  
Chooryung J. Chung
Keyword(s):  
Treatment Outcome ◽  
Three Dimensional ◽  
Class Ii ◽  
Open Bite ◽  
Third Molars ◽  
Second Molar ◽  
Skeletal Class ◽  
Long Term Stability ◽  
Skeletal Class Ii

ABSTRACT This report illustrates the successful nonsurgical and nonprosthetic camouflage treatment of a skeletal Class II open bite malocclusion combined with missing mandibular first molars bilaterally. In the mandible, the second and third molars were uprighted and protracted, substituting for the missing first molars. In the maxilla, anterior bodily retraction and full-arch intrusion were achieved following premolar and second molar extraction, which also induced autorotation of the mandible. The treatment outcome and prognosis were confirmed with three-dimensional superimposition techniques, along with long-term stability.

scholarly journals Influence of Lateral Cephalometric Radiographs on Orthodontic Treatment Planning of Class II Patients

2018 ◽  
Vol 12 (1) ◽  
pp. 296-302
Author(s):  
Irina Stupar ◽  
Enver Yetkiner ◽  
Daniel Wiedemeier ◽  
Thomas Attin ◽  
Rengin Attin
Keyword(s):  
Treatment Planning ◽  
Orthodontic Treatment ◽  
Class Ii ◽  
Functional Appliance ◽  
Fixed Functional Appliance ◽  
Routine Manner ◽  
Knowing That ◽  
Signed Rank ◽  
Minor Influence ◽  
University Of Zurich

Background:Lateral Cephalometric Radiographs (LCR) are a common decision-making aid in orthodontic treatment planning and are routinely used in clinical practice. The aim of this present study was to test the null hypothesis that LCR evaluation does not alter specific components of orthodontic treatment planning in Class II patients.Materials and Methods:Records of 75 patients, who had been treated at the Department of Orthodontics, Centre of Dental Medicine, University of Zurich comprised the study material. Inclusion criteria were: (1) adolescents between the age of 12-15, (2) permanent dentition with Class II buccal segment relationship (3) absence of craniofacial and dento-alveolar malformations. Fifteen orthodontists from the dental faculties of Istanbul University, Istanbul and Ege University, Izmir filled out Likert-type linear scale questionnaires without knowing that they would repeat the same procedure with and without LCRs at two different time points. Equivalence and clinical relevance were assessed using (%95 CI) Wilcoxon signed rank tests.Results:Extraction decision did not differ between groups (p=0.68). Preference of functional appliance use (p=0.006) and inter-maxillary fixed functional appliance (p=0.043) was different among groups.Conclusion:LCR evaluation has minor influence on treatment planning procedure of Class II patients. It might be beneficial to consider its prescription not in a routine manner but as a supplementary tool considering possible reduction of radiation exposure.

Circumpubertal skeletal Class II patient treated using herbst functional appliance an comprehensive fixed mechanotheraphy

2016 ◽  
Vol 50 (4) ◽  
pp. 258-263
Author(s):  
Sayeeda Laeque Bangi ◽  
Ashok Talapaneni ◽  
Saravanan Pichai ◽  
Arshad Hussain
Keyword(s):  
Class Ii ◽  
Functional Appliance ◽  
Skeletal Class ◽  
Skeletal Class Ii
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