scholarly journals A Cephalometric Evaluation and Comparison of Skeletal, Dentoalveolar, and Soft Tissue Changes Brought about by the Forsus Fatigue Resistant Device and PowerScope Fixed Functional Appliance

2021 ◽  
pp. 030157422110044
Author(s):  
Gabbie Jasmine Kaur ◽  
Geetanjali Gandhi ◽  
Mannu Khanna ◽  
Anju Loomba ◽  
Atul Sharma
Keyword(s):  
Soft Tissue ◽  
Class Ii ◽  
Rank Test ◽  
Fixed Functional Appliance ◽  
Skeletal Class Ii ◽  
Soft Tissue Profile ◽  
Tissue Changes ◽  
Functional Appliances ◽  
Soft Tissue Changes ◽  
Forsus Fatigue Resistant Device

Background: Though studies have been conducted on the PowerScope, not many researches are available in the literature which compare its effects with other fixed functional appliances. Therefore, the aim of our study was cephalometric evaluation and comparison of the skeletal, dentoalveolar, and soft tissue changes brought about by the Forsus Fatigue Resistant Device and PowerScope appliance. Materials and Methods: Pre and Posttreatment cephalometric records of 20 patients with Class II Division 1 malocclusion treated with fixed functional appliances (Forsus Fatigue Resistant Device and PowerScope) were compared. Values of various cephalometric parameters were used to evaluate the skeletal, dental, and soft tissue changes. Wilcoxon signed-rank test (intragroup comparison) and Mann–Whitney U test (intergroup) were used to see significant differences in the parameters ( P ≤ .05). Results: Both the appliances were successful in correcting the Class II discrepancy. Skeletal changes were seen significantly in both the groups, though they were more in the Forsus patients. Dentoalveolar changes were predominantly seen in PowerScope patients. Also, an improvement in soft tissue profile was seen in both the groups. Conclusion: From our study, we concluded that the PowerScope and the Forsus Fatigue Resistant Device are equally good options for the correction of skeletal Class II malocclusion due to a retrognathic mandible, as they achieve changes in all the three aspects: skeletal, dentoalveolar and soft tissue.

scholarly journals Comparative Evaluation of Hard-Tissue and Soft-Tissue Changes following Fixed Functional Appliance Treatment in a Skeletal Class II Malocclusion Using Forsus and PowerScope

2021 ◽  
Author(s):  
Prajwal Shetty ◽  
Mukul Shetty ◽  
Maitreyi Chalapati ◽  
Chaitra Kori ◽  
Crystal Runa Soans ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Functional Appliance ◽  
Skeletal Class ◽  
Fixed Functional Appliance ◽  
Skeletal Class Ii ◽  
Tissue Changes ◽  
Skeletal Effects ◽  
Soft Tissue Changes

Abstract Introduction The purpose of this study was to evaluate and compare the skeletal, dentoalveolar and soft-tissue effects of 2 fixed functional appliance; Forsus Fatigue Resistance Device (FFRD) and PowerScope appliance in treating patients with skeletal class II division 1 malocclusion. Materials and Methods This comparative prospective two-group study included 20 patients with a mean age of 11.2 ± 1.6 years with skeletal class II malocclusion with retrognathic mandible. One group was treated with FFRD, and second group was treated with PowerScope appliance. Lateral cephalograms were evaluated at T1 (pre-functional appliance treatment)) and at T2 (postappliance treatment). Cephalometric values were calculated and assessed to evaluate skeletal, dentoalveolar and soft-tissue changes. Results Sagittal correction of class II malocclusion appeared to be mainly achieved by dentoalveolar changes in the PowerScope group. The FFRD was able to induce both skeletal and dentoalveolar changes. A favorable influence on facial convexity was achieved by both groups. A significant increase in upper pharynx and lower pharynx dimension was seen in the PowerScope group. A statistically significant decrease in upper lip protrusion, increase in lower lip protrusion, increased nasolabial angle, and decrease in inferior labial sulcus were noted in both the groups. Lower incisors proclined more in the PowerScope group. Conclusion Both appliances were effective in correcting class II malocclusion. Forsus had more skeletal effects on the mandible, whereas PowerScope had less skeletal effects on the mandible and more dentoalveolar effects, contributing to class II correction. Both groups showed a significant improvement in soft-tissue profile. PowerScope group showed a significant increase in airway dimensions

scholarly journals The changes of soft tissue profile in skeletal class II patients with mandibular retrognathy treated by the extraction of maxillary first premolars

2008 ◽  
Vol 20 (2) ◽  
Author(s):  
H. Hendri ◽  
Tono S. Hambali ◽  
Jono Salim ◽  
Endah Mardiati
Keyword(s):  
Soft Tissue ◽  
Class Ii ◽  
Treatment Result ◽  
Facial Profile ◽  
Fixed Appliance ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Soft Tissue Profile ◽  
Tissue Changes ◽  
Soft Tissue Changes

The purpose of this research is to measure the change of soft tissue profile, both anteroposteriorly as well as vertically in skeletal class II patients with mandibular retrognathy cases, treated with extraction of the maxillary first premolars. Pre and post treatment result of 16 patient treated with the Standard Edgewise fixed appliance were compared using a Canon D646u series scanner and Corel Draw 12 computer programme, utilizing the TVL line as a plane of orientation. The result was analyzed with a paired t-test. Statistical analysis shows significant anteroposterior and vertical soft tissue changes in facial profile in skeletal class II patients with mandibular retrognathy treated with extraction of maxillary first premolars using the Standard Edgewise fixed appliance, measured with the STCA-VTL method.

scholarly journals The Effects of Functional Appliances on Female Patients with Skeletal Class II Malocclusion 6 Months after Menarche

2016 ◽  
Vol 17 (4) ◽  
pp. 286-293
Author(s):  
Ali AM Jouybari ◽  
Valiallah Arash ◽  
Saeid Tavanafar ◽  
Soraya Khafri ◽  
Zahra Dehghan
Keyword(s):  
Soft Tissue ◽  
Class Ii ◽  
Growth Spurt ◽  
Class Ii Malocclusion ◽  
Skeletal Class ◽  
Female Patients ◽  
Skeletal Class Ii ◽  
Soft Tissue Profile ◽  
Functional Appliances ◽  
The Mean

ABSTRACT Aim To investigate the skeletal, dental, and soft tissue changes in girls with class II division 1 malocclusion after growth spurt peak under the effect of activator appliance. Materials and methods In this clinical trial study, 15 female patients, with skeletal class II and mandibular growth deficiency and at least 5 mm overjet, were randomly selected 6 months after their menarche. The mean of their ages at the beginning was 12.33 ± 0.81 years, and in the end it was 13.73 ± 0.79 years; the mean duration of treatment was 12.2 ± 3.18 months. Lateral, cephalometric radiographs were taken from all the patients before and after the treatment. Data were analyzed with Statistical Package for the Social Sciences (SPSS) 20 using paired t-test. Results On an average, the ANB angle, the angle of the upper incisors with the S-N, facial convexity, and overjet decreased by 2.6° ± 0.9, 5.4° ± 0.8, 3.8° ± 3.4, and 5.6 ± 1.8 mm respectively. The SNB angle, the angle of the lower incisors with the N-B, the labiomental angle, the total length of the mandible, the lower anterior facial height, the lower lip distance, the first molar of the mandible, and the soft tissue pogonion to the vertical line from the S point increased by 2.8° ± 1.8, 3.4° ± 3, 14.7 ± 15, 3.7 ± 2.6, 2.1 ± 1.6, 6.3 ± 2.5, 4.4 ± 2.4, and 6 ± 3.3 mm respectively. All these figures were statistically significant (p = 0.000). Conclusion The functional appliance improved the dental–skeletal relations and the soft tissue profile of patients after growth spurt peak of puberty in a group of Iranian girls, whereas dental changes were more than skeletal ones. Clinical significance Functional appliances can be used for correction of skeletal class II malocclusion 6 months after menarche in girls. How to cite this article Jouybari AAM, Arash V, Tavanafar S, Khafri S, Dehghan Z. The Effects of Functional Appliances on Female Patients with Skeletal Class II Malocclusion 6 Months after Menarche. J Contemp Dent Pract 2016;17(4):286-293.

scholarly journals Treatment effects of “PowerScope” fixed functional appliance – a clinical study

Folia Medica ◽  
2021 ◽  
Vol 63 (2) ◽  
pp. 253-263
Author(s):  
Anirudh Kalra ◽  
Vinit Swami ◽  
Veera Bhosale
Keyword(s):  
Clinical Study ◽  
Soft Tissue ◽  
Class Ii ◽  
Functional Appliance ◽  
Lateral Cephalogram ◽  
Fixed Functional Appliance ◽  
Division 1 ◽  
Maxillary Molar ◽  
Tissue Changes ◽  
Soft Tissue Changes

Aim: To study the skeletal, dental effects and evaluate the soft tissue changes with PowerScope-fixed functional appliance in class II malocclusion. Materials and methods: This clinical study was carried out where a total of 10 growing (CVMS 3 and 4) Class II Division 1 malocclusion patients, indicated for treatment with fixed functional appliance were allocated based on specific inclusion criteria. PowerScope (American Orthodontics) was used as the fixed functional appliance. Skeletal, dental and soft tissue effects of the appliance with various angular and linear parameters on a digital lateral cephalogram were evaluated for all 10 participants. Records were collected before the insertion of PowerScope appliance (T0) and after 5 months, during the appliance removal (T1). All participants were treated with 0.018ʺ×0.025ʺ MBT (3M Unitek) prescription. Statistical analysis was performed using a paired t-test to compare individual mean changes for each treatment category.  Results: Statistically significant changes were seen in skeletal parameters such as forward positioning of the mandible with an increase in SNB angle and N perpendicular-Pogonion distance, the class II jaw base relationship improved with reduction in ANB angle and Wits appraisal. Significant changes were observed in dental parameters such as forward positioning of mandibular incisors, maxillary molar distalization and intrusion with reduction in overbite and overjet respectively. In the soft tissue, a significant improvement in facial profile was seen due to an increase in labiomental angle. Conclusions: The results of this study have shown that statistically significant changes in skeletal, dental and soft tissue parameters

Soft-tissue changes during facial growth in skeletal Class II individuals

2007 ◽  
Vol 131 (4) ◽  
pp. 490-495 ◽  
Author(s):  
Luciana Bocudo Hoffelder ◽  
Eduardo Martinelli Santayana de Lima ◽  
Fernando Lima Martinelli ◽  
Ana Maria Bolognese
Keyword(s):  
Soft Tissue ◽  
Class Ii ◽  
Facial Growth ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Tissue Changes ◽  
Soft Tissue Changes

scholarly journals Changes in soft tissue profile following the treatment using a Herbst appliance: A photographic analysis

2014 ◽  
Vol 71 (1) ◽  
pp. 9-15 ◽  
Author(s):  
Nenad Nedeljkovic ◽  
Danka Cubrilo ◽  
Milos Hadzi-Mihailovic
Keyword(s):  
Soft Tissue ◽  
Computer Program ◽  
Free Space ◽  
Treatment Effects ◽  
Class Ii ◽  
Herbst Appliance ◽  
Soft Tissue Profile ◽  
Before And After ◽  
Tissue Changes ◽  
Soft Tissue Changes

Background/Aim. Aesthetics is the reason for most of the class II malocclusion patients to opt for orthodontic treatment. In order to regulate retrognathic profile Herbst appliance for anterior movement of the mandible can be a treatment of choice. The aim of this study was to determine the soft tissue profile changes following Herbst appliance therapy on before and after treatment photos, using the computer program. Methods. This investigation was performed on profile photographs of 20 class II patients (12 females and 8 males) aged 18-23 years. Analysis of the changes in soft tissue facial structure relationships evident on the photographs before and after the Herbst appliance therapy was performed using Bentley Micro Station program. The first contour of the soft tissue profile was marked. The following reference lines were subsequently traced: Ricketts aesthetic E line and Juanita line. The area enclosed by these two lines included the nose, upper and lower lip, chin and free space in front of the lips. Using the computer program, the surfaces of the soft tissue structures and free space defined by the reference lines and profile contours were measured. Calculation of the relative proportion of surfaces was done for each photograph. The data obtained were then compared for each patient before and after the treatment. Skeletal and dentoalveolar treatment effects that support soft tissue changes were presented by the profile cephalometric parameters of sagital occlusion (SO) analysis. Results. A reduction in the relative surface of the upper lip in males (p < 0.01) and females (p < 0.05) was shown by the pictures. The space occupied by the chin was reduced after the treatment for females only (p < 0.05). The relative surface of the nasal soft tissues, that was included in the reference space was increased (p < 0.01) in both genders. The relationship between the soft tissue and empty surface was changed in favor of the empty surface (p < 0.05) in females. No statistically significant differences were found between the males and the females, before or after the Herbst appliance therapy. The soft tissue changes were the consequence of skeletal and dentoalveolar treatment effects: upper incisors retrusion, lower incisor protrusion and forward movement of the lower jaw. Conclusions. The Herbst appliance therapy caused a significant improvement of the profile appearance. The extent of soft tissue changes that occur on its dentoalveolar and skeletal support is a complex issue.

Soft-tissue changes after Class II malocclusion treatment using the Sander bite-jumping appliance: a retrospective study

2019 ◽  
Vol 68 (3) ◽  
Author(s):  
Michele Tepedino ◽  
Maria V. Della Noce ◽  
Domenico Ciavarella ◽  
Patrizia Gallenzi ◽  
Massimo Cordaro ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Soft Tissue ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Tissue Changes ◽  
Soft Tissue Changes

Skeletal, Dental and Soft Tissue Changes in Postural Class III Malocclusion Treated with a Maxillary Removable Appliance

2007 ◽  
Vol 31 (2) ◽  
pp. 149-152
Author(s):  
Elham Abu Alhaija
Keyword(s):  
Soft Tissue ◽  
Treated Patient ◽  
Treated Group ◽  
T Test ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Soft Tissue Profile ◽  
Tissue Changes ◽  
Soft Tissue Changes ◽  
Removable Appliance

Objective: This longitudinal retrospective cephalometric study was undertaken in an attempt to evaluate the effect of upper removable appliances on the hard and soft tissue structures in subjects with postural Class III. Methods: The material consisted of cephalometric films of 17 Class III patients (8 females and 9 males, with a mean age of 10.10 ± 1.63). Each treated patient was matched before treatment with Class III subject for sex and age. Differences in treated group at T1 and T2 and between treated and untreated groups were examined using paired t-test and independent t-test respectively. Results: Treated and untreated Class III subjects differed in mandibular prognathism (SNB, P&lt;0.01). Upper incisors proclined and inter-incisal angle reduced during treatment (P&lt;0.001). Soft tissue A point moved anteriorly as maxillary incisors were proclined (P&lt;0.05). Soft tissue profile was improved (NNP, P&lt;0.05; NAP, P&lt;0.01). Conclusion: Skeletal, dental and soft tissue changes were found in patients treated by upper removable appliance in postural Class III patients. Clinical relevance: upper removable appliance is an efficient method to procline upper incisors in postural Class III malocclusion and may be of greater influence in improving soft tissue profile.

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