scholarly journals The difference between Begg and Straightwire appliances on molar position, occlusal plane angle, and anterior and posterior facial height changes

2020 ◽  
Vol 53 (4) ◽  
pp. 223
Author(s):  
Dewi Sartika Santoso ◽  
C. Christnawati ◽  
Cendrawasih Andusyana Farmasyanti

Background: Bimaxillary and bidental protrusion Class I Angle malocclusions have a characteristic convex facial profile and protrusion lips due to the labial inclination of the anterior teeth. Extraction of the first four premolars is the most common choice for orthodontic treatment of these cases when all the permanent teeth are complete and in good condition. Orthodontic treatment can be performed using the Begg or Straightwire techniques. Purpose: This study aims to investigate the difference in the effect of orthodontic treatment with Begg and Straightwire appliances on molar position, occlusal plane, and anterior and posterior facial height. Methods: Sixty pairs of lateral cephalograms before and after the treatment of patients with bimaxillary and bidental protrusive Angle malocclusion Class I, aged 18–35 years old, who underwent orthodontic treatment using the Begg and Straightwire techniques with the extraction of all first premolars that met the inclusion criteria. Data analysis was performed using two-way repeated analysis of variance (p<0.05) and Pearson correlation (p<0.05). Results: Molar position, occlusal plane angle, and anterior and posterior facial heights increased significantly after the Begg technique treatment and decreased significantly after the Straightwire technique treatment (p<0.05), but there were no significant differences between the four variables in the two techniques (p>0.05). Medium correlation was found between variables in both the Begg and Straightwire techniques. Conclusion: Molars were extruded and mesialized and the occlusal plane angle and height of the anterior and posterior faces increased after the Begg appliances treatment. The molars moved mesially and occlusally and there was a decrease in the occlusal plane angle, as well as the height of the anterior and posterior faces, after treatment with the Straightwire appliances. However, there was no difference between the two techniques.

2012 ◽  
Vol 13 (4) ◽  
pp. 539-544
Author(s):  
Chanamallappa R Ganiger ◽  
KU Cariappa ◽  
AR Yusuf Ahammed

ABSTRACT Aim This study was undertaken to analyze the clinical usefulness of the maxillomandibular bisector, its reproducibility, its validity and its relationship to the functional occlusal plane, the bisecting occlusal plane and the nature of its cant. Materials and methods Thirty pretreatment lateral cephalograms, each of adolescents (above 18 years of age) and children (10- 12 years), seeking orthodontic treatment were randomly selected and the Wits technique of anteroposterior measurement was used to compare A-B values measured to the new plane with those measured to the functional occlusal plane (FOP) and to the traditional or bisecting occlusal plane (BOP). Results Present study showed that MM bisector plane is more reproducible and valid reference plane, than the FOP and BOP. Conclusion A new plane, geometrically derived from the dental base planes, has been tested as an occlusal plane substitute for the measurement of anteroposterior jaw relationships. It lies close to but at an angle and inferior to the traditional occlusal planes and is highly reproducible at all times. Clinical significance Maxillomandibular planes angle bisector may be a useful adjunct for the cephalometric assessment of sagittal relationship of the patient. How to cite this article Ganiger CR, Nayak USK, Cariappa KU, Ahammed ARY. Maxillomandibular Plane Angle Bisector (MM) Adjunctive to Occlusal Plane to evaluate Anteroposterior Measurement of Dental Base. J Contemp Dent Pract 2012; 13(4):539-544.


2010 ◽  
Vol 22 (2) ◽  
Author(s):  
Agutina Suherman ◽  
Endah Mardiati ◽  
Tono Hambali ◽  
Bergman Thahar

Introduction: The purpose of this study was to determine the difference in the ratio of maxillary anterior teeth as the results of Edgewise Standard fixed orthodontic treatment with and without extraction with golden proportion values. Methods: This study is using a retrospective analitist descriptive method. Sample divided at two groups of 13 patients with extraction of first premolar and 19 patients without first premolar extraction. The study population was patients who had completed the Edgewise Standard fixed orthodontic treatment at the Orthodontics Specialist Professional Program of the Faculty of Dentistry Universitas Padjadjaran at 2000-2009. The study was conducted using frontal intraoral photometry before and af-ter treatment with 3R photo size, then measured with electronic digital calliper software. Results: Evaluation is done by measuring the maxillary anterior teeth ratio using phimatrix software on frontal intra oral photometry of the post standard edgewise orthodontics patients with Class I malocclusion to the golden proportion, then proceed with statistical t-test. Conclusion: The conclusion of this study shows that the maxillary anterior teeth post standard edgewise orthodontic treatment in class I dento-skeletal patients with or without the first premolar extraction whose treated in orthodontic resident’s clinic Padjadjaran University shows a significant differences with the golden proportion.


2007 ◽  
Vol 77 (6) ◽  
pp. 986-990 ◽  
Author(s):  
Nejat Erverdi ◽  
Serdar Usumez ◽  
Alev Solak ◽  
Tamer Koldas

Abstract Objective: To evaluate the dentoalveolar and skeletal effects of the new-generation open-bite appliance. Subjects and Methods: The study group was composed of 11 subjects with a mean age of 19.5 years who underwent intrusion of the posterior dentoalveolar segment using an open-bite appliance supported by bilateral zygomatic implants. The study was carried out on lateral cephalograms of the subjects taken before treatment and after intrusion. The mean intrusion time was 9.6 months. Results: The mean intrusion measured as the distance of the U6 to the palatal plane was 3.6 ± 1.4 mm (P &lt; .001). This resulted in an average of 3.0° ± 1.5° of closure of the Go-Gn-SN angle (P &lt; .001). The gain in the overbite was 5.1 ± 2.0 mm (P &lt; .001), and the overjet was reduced by 1.4 ± 1.5 mm (P &lt; .01). The change in the occlusal plane angle was an average of 2.4° ± 1.4° counterclockwise rotation (P &lt; .001). The lower facial height was also decreased significantly by 2.9 ± 1.3 mm (P &lt; .001). No significant changes were observed in the SNA angle and incisor positions (P &gt; .05), except for the interincisal angle, which was increased by 3.5° (P &lt; .05). Conclusion: Zygomatic anchorage can be used effectively for open-bite correction through posterior dentoalveolar intrusion.


2013 ◽  
Vol 18 (2) ◽  
pp. 133-140
Author(s):  
Matheus Melo Pithon

This clinical case reports the orthodontic treatment of a Class I malocclusion with anterior open bite and bimaxillary dentoalveolar protrusion in a 28-year-old female patient. The treatment of choice was to perform tooth extractions followed by retraction of the anterior teeth, with consequent closure of the anterior open bite and better accommodation of the teeth on their bony bases. This case was presented to the Brazilian Board of Orthodontics and Facial Orthopedics (BBO), representing the Category 2 - i.e., an Angle Class I malocclusion, with anterior open bite, treated with extraction of permanent teeth -, as part of the requisites to become a BBO diplomate.


2013 ◽  
Vol 20 (2) ◽  
pp. 132
Author(s):  
Yenni Hanimastuti ◽  
Pinandi Sri Pudyani ◽  
Darmawan Sutantyo

Penentuan rencana perawatan ortodontik dengan pencabutan atau tanpa pencabutan masih menjadi perdebatan, terutama pada kasus borderline.Perawatan ortodontik dengan atau tanpa pencabutan dapat mempengaruhi profil wajah.Perubahan pada penampilan wajah terjadi akibat adanya perubahan posisi gigi anterior yang dapat mempengaruhi perubahan profil jaringan lunak wajah terutama pada daerah bibir. Penelitian ini bertujuan mengetahui perbandingan perubahan profil bibir dan posisi gigi insisivus pada kasus borderline klas I antara perawatan dengan pencabutan 4 premolar kedua dan tanpa pencabutan. Penelitian dilakukan pada 28 sefalogram lateral kasus borderline klas I  yang dirawat dengan teknik straight wire, terdiri dari 2 kelompok (13 kasus dengan pencabutan dan 15 kasus tanpa pencabutan). Masing-masing sefalogram dilakukan pengukuran profil bibir,yaitu jarak bibir atas dan bawah terhadapVertical Reference Plane (VRP) dan sudut interlabial; serta posisi gigi insisivus, yaitu jarak gigi insisivus atas dan bawah terhadap Vertical Reference Plane (VRP), sebelum dan sesudah perawatan. Hasil penelitian menunjukkan pada tahap awal perawatan kedua kelompok memiliki karakteristik profil bibir dan posisi gigi insisivus yang sama (p>0,05). Terdapat perbedaan bermakna (p<0,05) pada perubahan posisi bibir, sudut interlabial, dan posisi gigi insisivus antara kelompok yang dirawat dengan pencabutan dan tanpa pencabutan setelah perawatan ortodontik. Kesimpulan penelitian ini adalah profil bibir dan posisi gigi insisivus pada kasus borderline klas I yang dirawat dengan pencabutan 4 premolar kedua menjadi lebih retrusif daripada profil bibir dan posisi gigi insisivus kasus borderline klas I yang dirawat tanpa pencabutan.Lips Profile And Incisivus Position In Class Iborder Line Cases With Or Wthout Extraction. Determining whether an orthodontic treatment plan should be with or without extraction is still debatable, particularly for borderline cases. In fact, such a treatment could affect the facial profile. The change in facial appearance is caused by the reposition of anterior teeth which could cause facial soft tissue profile changes, particularly at the lips area. The aim of this study is to compare the changes of lips profile and incisors position in class I borderline cases which have been treated with extraction of 4 second premolars and non-extraction.The study was conducted on 28 lateral cephalograms of class I borderline cases which have been treated with straight wire technique, as divided into two groups (13 extraction and 15 non-extraction cases). Each cephalograms had measured on lips profile, which was the distance of upper and lower lips to Vertical Reference Plane (VRP) and interlabial angle; and the position of incisors, which was the distance of upper and lower incisors to Vertical Reference Plane (VRP), at pre and post-treatment. The results of this study have shown that at the initial treatment, lips profile and incisors position for both groups have similar characteristics (p>0,05). There are significant differences (p<0.05) on lips position, interlabial angle, and incisors position changes between the extraction and non- extractiion cases after orthodontic treatment. From this study, it can be concluded that lips profile and incisors position in class I borderline cases treated with the extraction of second bicuspid are more retruded than that of non-extraction cases


2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Qiannan Sun ◽  
Wenhsuan Lu ◽  
Yunfan Zhang ◽  
Liying Peng ◽  
Si Chen ◽  
...  

Abstract Backgroud To analyze the morphological changes of the anterior alveolar bone after the retraction of incisors in premolar extraction cases and the relationship between incisor retraction and remodeling of the alveolar base represented by points A and B displacements. Methods Pre- (T0) and post-treatment (T1) lateral cephalograms of 308 subjects in the maxilla and 154 subjects in the mandible who underwent the orthodontic treatment with extraction of 2 premolars in upper or lower arches were included. Alveolar bone width and height in both the maxillary and mandible incisor area were measured at T0 and T1 respectively. By superimposing the T0 and T1 cephalometric tracings, changes of points A and B, and the movement of the incisors were also measured. Then the correlation between incisor movement and the displacements of points A and B was analyzed. Results The alveolar bone width (ABW) showed a significant decrease in both maxilla and mandible (P < 0.001) except the labial side of the mandible (P > 0.05). The alveolar bone height (ABH) showed a significant increase in the labial side of maxilla and a significant decrease in the lingual side of maxilla and mandible. A strong positive correlation was verified between incisor movement and position changes of points A and B in both horizontal and vertical directions. Conclusions Anterior alveolar bone width and height generally decreased after orthodontic treatment. Incisor retraction led to significant position changes of points A and B. The decrease of anterior alveolar bone due to significant incisor retraction should be taken into account in treatment planning.


2021 ◽  
Vol 11 (1) ◽  
pp. 49-54
Author(s):  
Sujal Amatya ◽  
Rabindra Man Shrestha ◽  
Shristi Napit

Introduction: Great emphasis has been given to the evaluation of sagittal apical base relationship in orthodontic diagnosis and treatment planning. The prediction of magnitude and direction of facial growth based on sagittal relationship will help in orthodontic treatment with growth modification. The objective of the study is to assess the growth pattern in skeletal Class I malocclusion. Materials and Method: 104 subjects (52 male and 52 female) with the age between 18-30 years with Class I skeletal relation was selected from lateral cephalograms of patients visiting the Department of Orthodontics, Kantipur Dental College. The ANB angle was measured to assess the sagittal jaw relationship and the Jarabak’s ratio to access the growth pattern. Descriptive statistics were calculated for each parameter. Pearson’s test was done to evaluate the correlation between the parameters. Independent t-test was done to compare Anterior Facial height (AFH), Posterior Facial Height (PFH) and Jarabak’s ratio between male and female subjects. Result: Among the total subjects with skeletal Class I malocclusion; hyperdivergent growth pattern was least (10.57%), followed by normodivergent (18.26%) and hypodivergent growth pattern (71.15%). Mean Jarabak’s ratio for hyperdivergent, normodivergent and hypodivergent growth pattern were 58.65±1.94, 63.98±0.85 and 69.98±4.13 respectively. Very strong correlation was found between AFH and PFH in hyperdivergent (r = 0.821) and normodivergent group (r =0.978). Strong correlation was found in hypodivergent group between AFH and PFH (r =0.743). Also, strong correlation was found in hypodivergent group between PFH and Jarabak’s ratio (r =0.643). Conclusion: Hypodivergent growth pattern was the dominant growth pattern in skeletal Class I malocclusion. PFH influenced the determination of Jarabak’s ratio more than the AFH in hypodivergent growth pattern. Hypodivergent growth pattern is correlated with large SNB angle.


2020 ◽  
Author(s):  
Chang Yoon Jung ◽  
Jae Hyun Park ◽  
Ja Hyeong Ku ◽  
Nam-Ki Lee ◽  
Yoonji Kim ◽  
...  

ABSTRACT Objectives To compare the dental and skeletal treatment effects after total arch distalization using modified C-palatal plates (MCPPs) on adolescent patients with hypo- and hyperdivergent Class II malocclusion. Materials and Methods The study group included 40 patients with Class II malocclusion (18 boys and 22 girls, mean age = 12.2 ± 1.4 years) treated with MCPPs. Fixed orthodontic treatment started with the distalizing process in both groups. Participants were divided into hypo- or hyperdivergent groups based on their pretreatment Frankfort mandibular plane angle (FMA) ≤22° or ≥28°, respectively. Pre- and posttreatment lateral cephalograms were digitized, and 23 variables were measured and compared for both groups using paired and independent t-tests. Results The hyper- and hypodivergent groups showed 2.7 mm and 4.3 mm of first molar crown distalizing movement, respectively (P &lt; .001). The hypodivergent group had a slight 2.2° crown distal tipping of first molars compared with 0.3° in the hyperdivergent group. After distalization, the FMA increased 3.1° and 0.3°, in the hypodivergent and hyperdivergent groups, respectively (P &lt; .001). SNA decreased in the hypodivergent group, while other skeletal variables presented no statistically significant differences in the changes between the groups. Conclusions The hypodivergent group showed more distal and tipping movement of the maxillary first molar and increased FMA than the hyperdivergent group. Therefore, clinicians must consider vertical facial types when distalizing molars using MCPPs in Class II nonextraction treatment.


2013 ◽  
Vol 9 (1) ◽  
Author(s):  
Elena Krieger ◽  
Thomas Drechsler ◽  
Irene Schmidtmann ◽  
Collin Jacobs ◽  
Simeon Haag ◽  
...  

Abstract Introduction Objective of this study was to investigate the incidence and severity of apical root resorptions (ARR) during orthodontic treatment with aligners. Materials and methods The sample comprised 100 patients (17–75 years of age) with a class I occlusion and anterior crowding before treatment, treated exclusively with aligners (Invisalign®, Align Technologies, Santa Clara, CA, USA). The following teeth were assessed: upper and lower anterior teeth and first molars. Root and crown lengths of a total of 1600 teeth were measured twice in pre- and post-treatment panoramic radiographs. Afterwards, relative changes of the root length during treatment were calculated by a root-crown-ratio taking pre- and post-treatment root and crown lengths into consideration. A reduction of this ratio was considered as a shortening of the initial root length. Additionally, tooth movements of the front teeth were assessed by lateral cephalograms and the 3-dimensonal set up of each patient. Results All patients had a reduction of the pre-treatment root length with a minimum of two teeth. On average 7.36 teeth per patient were affected. 54% of 1600 measured teeth showed no measurable root reduction. A reduction of >0%-10% of the pre-treatment root length was found in 27.75%, a distinct reduction of >10%-20% in 11.94%. 6.31% of all teeth were affected with a considerable reduction of >20%. We found no statistically significant correlation between relative root length changes and the individual tooth, gender, age or sagittal and vertical orthodontic tooth movement; except for extrusion of upper front teeth, which was considered as not clinical relevant due to the small amount of mean 4% ARR. Conclusions The present study is the first analyzing ARR in patients with a fully implemented orthodontic treatment with aligners (i.e. resolving anterior crowding). The variety was high and no clinical relevant influence factor could be detected. A minimum of two teeth with a root length reduction was found in every patient. On average, 7.36 teeth per patient were affected.


2018 ◽  
Vol 23 (6) ◽  
pp. 48-55 ◽  
Author(s):  
Waqar Jeelani ◽  
Mubassar Fida ◽  
Attiya Shaikh

ABSTRACT Introduction: Maxillary incisal display is one of the most important attributes of smile esthetics. Objective: The aim of this study was to determine the relationship between maxillary incisal display at rest (MIDR) and various soft tissue, hard tissue and dental components. Methods: A cross-sectional study was conducted on 150 subjects (75 males, 75 females) aged 18-30 years. The MIDR was recorded from the pretreatment orthodontic records. The following parameters were assessed on lateral cephalograms: ANB angle, mandibular plane angle, palatal plane angle, lower anterior and total anterior facial heights, upper incisor inclination, upper anterior dentoalveolar height, and upper lip length, thickness and protrusion. The relationship between MIDR and various skeletal, dental and soft tissue components was assessed using linear regression analyses. Results: The mean MIDR was significantly greater in females than males (p = 0.011). A significant positive correlation was found between MIDR and ANB angle, mandibular plane angle and lower anterior facial height. A significant negative correlation was found between MIDR and upper lip length and thickness. Linear regression analysis showed that upper lip length was the strongest predictor of MIDR, explaining 29.7% of variance in MIDR. A multiple linear regression model based on mandibular plane angle, lower anterior facial height, upper lip length and upper lip thickness explained about 63.4% of variance in MIDR. Conclusions: Incisal display at rest was generally greater in females than males. Multiple factors play a role in determining MIDR, nevertheless upper lip length was found to be the strongest predictor of variations in MIDR.


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