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

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.

2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Nugroho Ahmad Riyadi

The aim of orthodontics treatment is normalization of teeth position in three planes, using various orthodontics appliance to reach the chepalometric standar and normal occlusion. Orthodontic treatment for dentoskeletal class II division 1 malocclusion in growing patients using myofunctional appliance may correct anteroposterior planes of mandibula. This study was a descriptive retrospective analytic study to look at the success of Orthodontic treatment for dentoskeletal class II division 1 in growing patients with myofunctional appliance using chepalometrics analysis Steiner value. The sample used in this study is chepalogram radiographic from patient with dentoskeletal class II division 1 malocclusion in growing patients before and after using myofunctional appliance in PPDGS orthodontics Clinic of Padjadjaran University. Statistic analysis were performed with pair t-test and Wilcoxon. Based on this study, it is concluded that orthodontic treatment with myofunctional appliance such as activator and twin block in growing patient with dentoskeletal class II division 1 malocclusion shows significant changes and compatibility with the normal criteria.


2013 ◽  
Vol 18 (3) ◽  
pp. 72-79
Author(s):  
André da Costa Monini ◽  
Luiz Gonzaga Gandini Júnior ◽  
Luiz Guilherme Martins Maia ◽  
Ary dos Santos-Pinto

INTRODUCTION: This study evaluated posteroanterior cephalograms before and after treatment and long term follow-up of Class II division 1 patients treated with bionator. OBJECTIVE: The objective was to demonstrate the transverse growth of maxilla and mandible during and after bionator therapy. METHODS: Measurement of transverse dimensions between posterior maxillary and mandibular implants, as well as the distances between the buccal, gonial and antegonial points were recorded. Measurements were analyzed at three periods: T1 = before bionator therapy, T2 = after bionator therapy and T3 = 5.74 years after T2. RESULTS: There was statistically significant transverse increase due to growth and/or treatment for all variables, except for the distance between the anterior maxillary implants. CONCLUSIONS: During the study period only the anterior maxillary area did not show transverse growth.


2021 ◽  
Vol 55 (2) ◽  
pp. 202-208
Author(s):  
Ashish Garg

This case report was submitted to the board under category II for the Indian Board of Orthodontics examination in November 2017. This case report illustrated the treatment of class II division 1 malocclusion by pre-adjusted appliance along with Forsus Fatigue Resistance Device (FRD) fixed functional appliance (single-phase treatment) in a 13.6 year-old female patient whose growth was about to cease. The summary of the treatment, various records, treatment progress, and critical appraisal are reprinted here with minimal editing and reformatting, and hence, the presentation resembles the actual documents submitted to the board.


2009 ◽  
Vol 79 (2) ◽  
pp. 256-264 ◽  
Author(s):  
Rafiqul Islam ◽  
Toru Kitahara ◽  
Lutfun Naher ◽  
Atsushi Hara ◽  
Akihiko Nakasima

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.


2021 ◽  
Vol 33 (1) ◽  
pp. 59
Author(s):  
Dhani Ayu Andini ◽  
Maria Purbiati ◽  
Nia Ayu Ismaniati Suria ◽  
Ira Tanti

Pendahuluan: Maloklusi kelas II divisi 1 dilaporkan seringkali memicu terjadinya gangguan sendi temporomandibula. Posisi kondilus mengalami perubahan pada akhir perawatan ortodontik dengan pencabutan premolar pada maloklusi kelas II divisi 1. Tujuan penelitian menganalisis posisi kondilus pada akhir perawatan ortodontik supaya dapat memberikan pelayanan yang efektif dan komprehensif kepada pasien. Metode: Jenis penelitian deskriptif observasional dengan desain kohort dilakukan pada Klinik Spesialis RSKGM FKG UI dari Maret sampai Mei 2019. Subjek sebanyak 30 orang mengalami maloklusi kelas II divisi 1 yang memiliki gejala gangguan temporomandibular yang memenuhi kriteria inklusi. Metode sampling yang digunakan adalah sampling konsekutif. Foto transkranial dibandingkan dan diukur ruang sendinya bagian anterior, posterior dan superior dan dianalisis menggunakan uji Mc Nemar. Hasil: Sebelum dan sesudah perawatan ortodontik, posisi kondilus kanan dan kiri tidak mengalami perubahan yang signifikan (p>0,05). Sebelum dan sesudah perawatan ortodontik, AJS (Anterior Joint Space), PJS (Posterior Joint Space), SS (Superior Space) kanan dan kiri tidak mengalami perubahan yang signifikan (p>0,05). Gejala gangguan sendi temporomandibula pada akhir perawatan ortodontik adalah kliking dan krepitasi dilaporkan masih ada sedangkan gejala tidak nyaman dan keterbatasan membuka mulut dilaporkan sudah hilang.  Simpulan: Tidak terdapat perbedaan posisi kondilus kanan dan kiri, sebelum dan sesudah perawatan ortodontik dengan pencabutan premolar pada maloklusi kelas II divisi 1. Keluhan gangguan sendi temporomandibular tidak ditemukan lagi pada akhir perawatan ortodontik.Kata kunci: Posisi kondilus, perawatan ortodontik, maloklusi kelas II divisi 1, pencabutan premolar. ABSTRACTIntroduction: Class II division 1 malocclusion is reported to trigger temporomandibular joint disorders often. The position of the condyles changed at the end of orthodontic treatment with premolar removal in class II division 1 malocclusion. This study aimed to analyse the position of the condyles at the end of orthodontic treatment to provide effective and comprehensive services to patients. Methods: This type of descriptive observational study with a cohort design was conducted at the Specialist Clinic of University of Indonesia Dental Hospital from March to May 2019. Thirty subjects experienced class II division 1 malocclusion who had temporomandibular disorders that met the inclusion criteria. The sampling method used was consecutive sampling. Transcranial radiographs were compared, and anterior, posterior and superior joint spaces were measured and analysed using the McNemar test. Results: Before and after orthodontic treatment, the position of the right and left condyles did not change significantly (p>0.05). Before and after orthodontic treatment, AJS (Anterior Joint Space), PJS (Posterior Joint Space), SS (Superior Space) right and left did not change significantly (p>0.05). Symptoms of temporomandibular joint disorder at the end of orthodontic treatment were clicking, and crepitus was reported to be present, while the symptoms of discomfort and limited opening of the mouth were reported to have disappeared. Conclusion: There is no difference in the position of the right and left condyles before and after orthodontic treatment with premolar extraction in class II division 1 malocclusion. Complaints of temporomandibular joint disorders were not found again at the end of orthodontic treatment. Keywords: Condyle position, orthodontic treatment, class II division 1 malocclusion, premolar extraction.


2016 ◽  
Vol 28 (3) ◽  
Author(s):  
Lee Jie Xin ◽  
Endah Mardiati ◽  
Andriani Harsanti

Introduction: Twin-block appliance is simple removable bite block mostly used in the management of Class II malocclusion. It can modify the occlusal inclined plane to guide the mandible protrusion. Hence, when the patients are wearing the Twin-block appliances, this altered biomechanical environment and will stimulate the growth of the secondary cartilage of condyle and will caused the condyle to change in size, volume or position the in long term. The aim of this study was to investigate the changes of horizontal distance from condyle to nasal septum after the Twin-block treatment on Class II division 1 with retrognathic mandible. Methods: There were total 5 samples of panoramic radiograph before Twin-block treatment and 5 samples of panoramic radiograph after Twin-block treatment. The panoramic radiographs were traced to identify the changes of horizontal distance from condyle to nasal septum after the Twin-block treatment. The distance from the middle of nasal septum to the most superior surface of condyle head for right region and left region were measured, then the differences were statistically analyzed. Results: The horizontal distance from the middle of nasal septum to the most superior surface of condyle head after the Twin-block treatment increased. The difference of condyle position before and after the treatment of Twin-block.was slight (p-value > 0.05). Conclusion: There is no significant difference in horizontal distance from the most superior surface of condyle head to the middle of nasal septum before and after treatment of Twin-block.


Dental Update ◽  
2021 ◽  
Vol 48 (7) ◽  
pp. 579-583
Author(s):  
Erfan Salloum ◽  
Declan T Millett ◽  
Grant T McIntyre

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.


2019 ◽  
Vol 12 (4) ◽  
pp. 151-156
Author(s):  
Sridhar Premkumar ◽  
Varun Peter

Every treatment technique in the orthodontic specialty has its own set of advantages. Combining the techniques in an effective manner could result in a synergistic effect. Two such techniques are lingual orthodontics and functional orthopaedic appliances. This case report shows the effective and efficient use of a customized functional appliance, along with lingual orthodontics, in the management of Class II division 1 malocclusion. It emphasizes the importance of combining the benefits of different strategies of orthodontic treatment. CPD/Clinical Relevance: The use of a customized functional appliance along with lingual orthodontics can produce desirable changes in Class II division 1 cases and clinicians should be aware of these advantages.


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