scholarly journals Influence of orthopedic treatment on hard and soft facial structures of individuals presenting with Class II, Division 1 malocclusion: a comparative study

2004 ◽  
Vol 12 (2) ◽  
pp. 164-170 ◽  
Author(s):  
Liliana Ávila Maltagliati ◽  
José Fernando Castanha Henriques ◽  
Guilherme Janson ◽  
Renato Rodrigues de Almeida ◽  
Marcos Roberto de Freitas
Keyword(s):  
Statistical Significance ◽  
Class Ii ◽  
Control Group ◽  
Vertical Position ◽  
Orthopedic Treatment ◽  
Lower Lip ◽  
Division 1 ◽  
Cephalometric Changes ◽  
Observation Period ◽  
Class Ii Division 1

The purpose of this investigation was to comparatively evaluate the cephalometric changes in soft and hard tissues related to treatment of Class II, division 1 malocclusion with activator-headgear and Bionator appliances. Twenty-four individuals formed the activator-headgear group and twenty-five comprised the Bionator group, while other twenty-four presenting the same malocclusion did not receive any intervention and served as controls. Lateral headfilms were taken at the beginning and at the end of the observation period and were digitized with computerized cephalometrics; cephalometric analysis was performed and the results were submitted to statistical test. According to the methodology employed, our findings suggested that both appliances do not significantly alter the growth path, and also they were not able to modify the posterior inferior height and the sagittal and vertical position of the upper lip. The lower lip and the soft menton were only slightly modified by the orthopedic appliances, but the mentolabial sulcus showed a significant decrease in deepness compared to the control group. Of statistical significance, only the anterior inferior hard and soft facial heights and the lower lip height increased more in the treated groups.

scholarly journals Evaluation of tongue posture & dimensions in relation to skeletal Class I and Class II patterns- A cephalometric study

2021 ◽  
Vol 7 (4) ◽  
pp. 276-281
Author(s):  
Puja Khanna ◽  
Sumit Chhabra ◽  
Preeti Munjal ◽  
Sunny Mittal ◽  
Nishtha Arora
Keyword(s):  
Statistical Tests ◽  
Class Ii ◽  
Class I ◽  
Control Group ◽  
Skeletal Class ◽  
Normal Occlusion ◽  
Division 1 ◽  
Skeletal Pattern ◽  
Bonferroni Test ◽  
Class Ii Division 1

Association of tongue posture with dental and facial skeletal pattern have been suggested in past. This study was undertaken to assess tongue posture and dimensions in Class I and Class II Dentoskeletal patterns to determine whether any correlation exists between tongue posture and skeletal pattern of an individual. Cephalograms of 150 individuals (aged 18-23 years), taken in Natural Head Position (NHP) and tongue at rest were divided into three groups i.e. Group 1 – Class I Normal occlusion, Group 2 – Class II Division 1 Normodivergent and Group 3 – Class II Division 1 Hypodivergent, consisting of 50 samples each. To ensure the rest position of tongue, patient was asked to relax for 30 seconds after coating the tongue with barium sulphate in midline and then to swallow, and the X-ray was taken at the end of swallowing. Each group was divided into two subgroups according to sex. Groups were constituted according to the Frankfort mandibular plane angle (FMA) angle. The subjects who had skeletal Class II pattern due to mandibular retrusion and not due to maxillary prognathism were only included in the study group. Statistical analysis was done using the software SPSS version 21.0. The statistical tests used were unpaired t-test and One-way ANOVA test with post-hoc bonferroni test. The p-value was considered significant if less than 0.05.The dorsum of the tongue was higher at back and lower in front in Class II Division 1 Hypodivergent group as compared to Class I Normal occlusion group (P<.05). Tongue height and tongue length were significantly reduced in Class II Division 1 Normodivergent and Class II Division 1 Hypodivergent malocclusion groups when compared to Class I control group (P<.05).The study supports the existence of a relationship between posture & dimensions of the tongue with Class I and Class II skeletal patterns.

scholarly journals Alveolar and symphysis regions of patients with skeletal class II division 1 anomalies with different vertical growth patterns

2012 ◽  
Vol 06 (02) ◽  
pp. 123-132 ◽  
Author(s):  
Elcin Esenlik ◽  
Fidan Alakus Sabuncuoglu
Keyword(s):  
Normal Subjects ◽  
Class Ii ◽  
Growth Patterns ◽  
Control Group ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Lateral Cephalograms ◽  
Division 1 ◽  
Main Factor ◽  
Class Ii Division 1

ABSTRACTObjectives: The aim of this study was to investigate the alveolar and symphysis region properties in hyper-, hypo-, and normodivergent Class II division 1 anomaliesMethods: Pretreatment lateral cephalograms of 111 young adult female patients with skeletal Class II division 1 anomalies were compared to those of 54 Class I normal subjects (control group). Class II cases were divided into hyperdivergent (n = 58), hypodivergent (n = 19), and normodivergent groups (n = 34). The heights and widths of the symphysis and alveolus and the depth of maxillary palate were measured on the lateral cephalogramsResults: Mean symphysis width was wider in the hypodivergent Class II group than in the other groups, while mean symphysis height was similar among all groups. Maxillary palatal depth, upper incisor angle, upper and lower molar alveolar heights, and Id–Id′ width were also similar among groupsConclusion: Symphysis width is the main factor in the differential diagnosis of Class II division 1 anomaly rather than symphysis height and hypodivergent Class II Division 1 anomaly is more suitable for mandibular incisors movements. (Eur J Dent 2012;6:123-132)

scholarly journals Facial esthetic outcome of functional followed by fixed orthodontic treatment of class II division 1 patients

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Mary-Eleni Zouloumi ◽  
Kleopatra Tsiouli ◽  
Simeon Psomiadis ◽  
Olga-Elpis Kolokitha ◽  
Nikolaos Topouzelis ◽  
...  
Keyword(s):  
Class Ii ◽  
Control Group ◽  
Orthodontic Appliances ◽  
Facial Appearance ◽  
Twin Block ◽  
Fixed Orthodontic Appliances ◽  
Division 1 ◽  
Wilks Lambda ◽  
Facial Changes ◽  
Class Ii Division 1

Abstract Objectives To assess the perceived facial changes in class II division 1, convex profile patients treated with functional followed by fixed orthodontic appliances. Subjects and methods The study sample consisted of 36 pairs of pre- and post-treatment photographs (frontal and profile, at rest) of 12 patients treated with activator, 12 with twin-block, and 12 controls with normal profiles, treated without functional appliances. All photographs were presented in pairs to 10 orthodontists, 10 patients, 10 parents, and 10 laypersons. Visual analog scale (VAS) ratings of changes in facial appearance were assessed. Results The patient groups were similar in sex distributions, age, and treatment duration. The different rater groups showed strong to excellent agreement. There were no significant differences among treatment groups (F = 0.91; P = 0.526; Wilks lambda = 0.93), raters (F = 1.68; P = 0.054; Wilks lambda = 0.83), and when testing the combined effect of treatment and rater on the results (F = 0.72; P = 0.866; Wilks lambda = 0.85). The raters detected slightly more positive changes in the activator and twin-block groups, compared to the control group, regarding the lower face and the lips, but these findings did not reach significance. Furthermore, their magnitude hardly exceeded 1/20th of the total VAS length. Limitations Retrospective study design. Conclusions The perceived facial changes of convex profile patients treated with functional, followed by fixed orthodontic appliances, did not differ from those observed in normal profile patients, when full-face frontal and profile photos were simultaneously assessed. Consequently, professionals should be skeptical regarding the improvement of a patient’s facial appearance when this treatment option is used.

scholarly journals Immediate Skeletal and Dentoalveolar Effects of the Crown- or Banded Type Herbst Appliance on Class II division 1 Malocclusion

2008 ◽  
Vol 78 (2) ◽  
pp. 361-369 ◽  
Author(s):  
Gregory A. Barnett ◽  
Duncan W. Higgins ◽  
Paul W. Major ◽  
Carlos Flores-Mir
Keyword(s):  
Clinical Trials ◽  
Selection Criteria ◽  
Normal Growth ◽  
Class Ii ◽  
Control Group ◽  
Herbst Appliance ◽  
Lateral Cephalograms ◽  
Division 1 ◽  
Growth Changes ◽  
Class Ii Division 1

Abstract Objective: To evaluate the relative skeletal and dental changes produced by the crown- or banded-type Herbst appliance in growing Class II division 1 malocclusion cases. Materials and Methods: Several electronic databases were searched with the help of a health sciences librarian, without language limitation. Abstracts that appeared to fulfill the initial selection criteria (Herbst use and clinical trial) were selected by consensus, and their original articles were then retrieved. Clinical trials were selected that used lateral cephalograms to assess immediate skeletal and dental changes from the use of either crown or banded Herbst appliances. Clinical trials that employed other simultaneous potentially growth-modifying appliances or surgery were excluded. A comparable untreated Class II division 1 malocclusion control group was required to factor out normal growth changes. References from the selected articles were also hand searched. Results: Only three articles meet the selection criteria. Proclination and anterior movement of the lower incisors, overjet reduction, and improvement of first molar relationship thorough mesial movement of the first molars, reduction of ANB angle, and an increase in the mandibular plane angle were reported. There were mixed findings as to mandibular sagittal length and position and increases in lower face height, both anteriorly and posteriorly. No statistically significant changes were noted in the sagittal length or position of the skeletal maxilla. Conclusions: Dental changes have more impact than skeletal changes in the correction of Class II division 1 malocclusions with the crown or banded Herbst appliance.

Impact of functional orthodontic treatment on facial attractiveness of children with Class II division 1 malocclusion

2019 ◽  
Vol 42 (2) ◽  
pp. 144-150 ◽  
Author(s):  
Sergio Paduano ◽  
Roberto Rongo ◽  
Rosaria Bucci ◽  
Giuseppe Carvelli ◽  
Iacopo Cioffi
Keyword(s):  
Orthodontic Treatment ◽  
Facial Attractiveness ◽  
Class Ii ◽  
Upper Lip ◽  
Chi Square ◽  
Lower Lip ◽  
Division 1 ◽  
Chi Square Test ◽  
Functional Appliances ◽  
Class Ii Division 1

Summary Background/objectives Whether orthodontic treatment with functional appliances improves facial aesthetics is still under debate. This study aimed to determine whether functional orthodontic treatment improves the facial attractiveness of patients with Class II division 1 malocclusion. Materials/method Extraoral lateral photographs of 20 children with Class I (CLI, 11.7 ± 0.8 years), and before (T1) and after treatment (T2) photographs of patients with Class II division 1 (CLII T1 and CLII T2; mean age ± SD = 11.1 ± 0.6 years) treated with functional appliances, were transformed into black silhouettes. Three panels of examiners including 30 orthodontists (39.0 ± 10.1 years), 30 dentists (40.0 ± 9.7) and 30 laypersons (39.0 ± 9.2) evaluated the attractiveness of patients’ silhouettes using a 100-mm visual analogue scale, and the sagittal position of patients’ upper lip, lower lip, and chin using a 3-point Likert scale. Two-way ANOVA and a chi-square test were used to test differences among groups. Statistically significance was set as P  <  0.05. Results The silhouettes of CLII T2 individuals were more attractive than those of the other groups (all Ps < 0.001). The upper lip, lower lip, and the chin of these individuals were judged to be normally positioned in 69.5 per cent, 74.9 per cent, and 72.3 per cent of the assessments, respectively (all Ps < 0.05). Limitations This study did not account for the psychological profile of the examiners, which may have affected the ratings. Conclusions/implications Orthodontic treatment with functional appliances is associated with a superior facial profile attractiveness. Functional treatment should be considered as a treatment option to improve the facial appearance of children with Class II division 1 malocclusion.

scholarly journals Lip Morphological Changes in Orthodontic Treatment

2009 ◽  
Vol 79 (2) ◽  
pp. 256-264 ◽  
Author(s):  
Rafiqul Islam ◽  
Toru Kitahara ◽  
Lutfun Naher ◽  
Atsushi Hara ◽  
Akihiko Nakasima
Keyword(s):  
Adult Female ◽  
Orthodontic Treatment ◽  
Morphological Changes ◽  
Class Ii ◽  
Control Group ◽  
Upward Movement ◽  
Normal Occlusion ◽  
Division 1 ◽  
Before And After ◽  
Class Ii Division 1

Abstract Objective: To evaluate the morphological changes in the lips and to determine the degree of improvement in the smile after orthodontic treatment for Class II division 1 malocclusion. Materials and Methods: The sample subjects were divided into two groups: a group that consisted of 20 adult female patients with Angle Class II division 1 malocclusion and a control group that consisted of 28 adult female volunteers with normal occlusion. Frontal photographs were taken before and after orthodontic treatment, and 35 landmarks were placed on each tracing made from the photograph. Thereafter, landmarks were digitized into an x- and y-coordinate system with the subnasal point as the origin. The comparisons between pretreatment and posttreatment at rest and on smiling, and the comparisons between Class II division 1 and control group were made using Student's t-test. Results: Both the upper and lower lips in the smile of patients in the Class II division 1 pretreatment group were positioned downward, and the upward movement of the upper lip and mouth corners was smaller in comparison with the control group. These characteristics of the Class II smile improved after orthodontic treatment, but the differences with the control group remained unchanged immediately after treatment. Conclusion: The soft tissue morphology shows a relative improvement after orthodontic treatment.

scholarly journals Effects of Class II division 1 malocclusion treatment with three types of fixed functional appliances

2019 ◽  
Vol 24 (5) ◽  
pp. 30-39 ◽  
Author(s):  
Deborah Brindeiro de Araújo Brito ◽  
José Fernando Castanha Henriques ◽  
Camilla Foncatti Fiedler ◽  
Guilherme Janson
Keyword(s):  
Class Ii ◽  
Control Group ◽  
Test Results ◽  
Maxillary Molars ◽  
Mandibular Plane ◽  
Intergroup Comparison ◽  
Division 1 ◽  
Functional Appliances ◽  
Vertical Development ◽  
Class Ii Division 1

ABSTRACT Objective: This study aimed at comparing the dentoskeletal changes in patients with Class II division 1 malocclusion, treated with three types of fixed functional appliances. Methods: A sample comprising 95 patients with the same malocclusion, retrospectively selected, and divided into four groups, was used: G1 consisted of 25 patients (mean age 12.77 ± 1.24 years) treated with Jasper Jumper appliance; G2, with 25 patients (mean age 12.58 ± 1.65 years) treated with the Herbst appliance; G3, with 23 patients (mean age 12.37 ± 1.72 years) treated with the Mandibular Protraction Appliance (MPA); and a Control Group (CG) comprised of 22 untreated subjects (mean age 12.66 ± 1.12 years). Intergroup comparison was performed with ANOVA, followed by Tukey test. Results: The Jasper Jumper and the Herbst group showed significantly greater maxillary anterior displacement restriction. The Jasper Jumper demonstrated significantly greater increase in the mandibular plane angle, as compared to the control group. The MPA group demonstrated significantly greater palatal inclination of the maxillary incisors. Vertical development of the maxillary molars was significantly greater in the Herbst group. Conclusions: Despite some intergroup differences in the amount of dentoskeletal changes, the appliances were effective in correcting the main features of Class II malocclusions.

scholarly journals A Modified Three-piece Base Arch for en masse Retraction and Intrusion in a Class II Division 1 Subdivision Case

2017 ◽  
Vol 6 (1) ◽  
pp. 26-32
Author(s):  
Dhaval Ranjitbhai Lekhadia ◽  
Gautham Hegde
Keyword(s):  
Class Ii ◽  
Maxillary Incisor ◽  
Orthopedic Treatment ◽  
Deep Bite ◽  
Mandibular Plane ◽  
Final Treatment ◽  
Division 1 ◽  
En Masse Retraction ◽  
Selection Of ◽  
Class Ii Division 1

ABSTRACT This case report describes the orthodontic and orthopedic treatment of an 18-year-old male patient who presented with prognathic maxilla, deep bite, low mandibular plane angle, and proclined incisors. Modified three-piece base arch was used for the intrusion and retraction of maxillary incisor. En masse retraction was achieved in 6 months. Reduced time for retraction was attributed to a single stage of retraction unlike Burstone three-piece intrusion base arch where canines are individually retracted followed by retraction of incisors. A modified utility arch was used in lower arch followed by a continuous archwire technique. The case was finished using bite settling elastics on a continuous archwire. The step between canine and premolar was corrected in the finishing phase of treatment. The final treatment outcomes were satisfactory and true intrusion was achieved with proper selection of biomechanics. How to cite this article Lekhadia DR, Hegde G. A Modified Three-piece Base Arch for en masse Retraction and Intrusion in a Class II Division 1 Subdivision Case. Int J Experiment Dent Sci 2017;6(1):26-32.

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