scholarly journals Class III Orthopedic Treatment with Skeletal Anchorage

2016 ◽  
Vol 14 (3) ◽  
pp. 263-272 ◽  
Author(s):  
Tuncay Sahin ◽  
Antoine Delforge ◽  
Emilie Garreau ◽  
Gwenaël Raoul ◽  
Joël Ferri

Author(s):  
Muhammed Hilmi Buyukcavus ◽  
Burak Kale

Abstract Aim: To compare the two different skeletal anchorage methods with finite element analysis in the treatment of Class III patients with maxillary retrognathia. Material and Methods: Two different treatment scenarios were performed on the skull model obtained from computerized tomography images of skeletal Class III patients with maxillary retrognathia and finite element analysis was performed. In the first group; mini plates were simulated on the infra zygomatic crest. A unilateral 500 g protraction force was applied to the face-mask. In the second group; mini plates were simulated in the infrazigomatic crest and mandibular symphysis. Then, 500g protraction force was applied with Class III elastic between the miniplates. Von Misses stresses and displacement values were evaluated comparatively. Results: In the Class III elastic group, maximum Von Misses stress occurred around the infra zygomatic crest and symphysis anchored with 0.078MPa. The maxillary posterior region and paranasal regions were the areas that showed the highest Von Misses tension after infra zygomatic crest and symphysis. In the face-mask group, the most common site of Von Misses stress in the nasomaxillary complex and alveolar structures were the infra zygomatic area where plaques were applied, followed by pterygomaxillary suture. Tensile forces are reduced especially in these two areas by spreading to the surrounding structures. Conclusion: In both methods, it was determined that the amount of force transmitted to the circumaxillary sutures was sufficient to induce the formation of osteogenesis in these regions. Keywords: skeletal anchorage, Class III malocclusion, finite element analysis. Continuous...


2019 ◽  
Vol 42 (2) ◽  
pp. 193-199 ◽  
Author(s):  
Sang-Hoon Lee ◽  
Sang-Duck Koh ◽  
Dong-Hwa Chung ◽  
Jin-Woo Lee ◽  
Sang-Min Lee

Summary Objectives The purpose of this study was to compare the results of skeletal anchorage (SAMP) and tooth- borne (TBMP) maxillary protraction followed by fixed appliance in growing skeletal Class III patients. Materials and methods Patients treated with maxillary protraction were selected and classified into two groups (SAMP: n = 19, mean age = 11.19 years; TBMP: n = 27, mean age = 11.21 years). Lateral cephalograms taken before treatment (T0), after the maxillary protraction (T1), and after the fixed appliance treatment (T2) were analysed and all variables were statistically tested to find difference between the two groups. Results Compared to the TBMP, the SAMP showed significant forward growth of maxilla (Co-A point and SN-Orbitale) and improvement in intermaxillary relationship (ANB, AB to mandible plane, and APDI) after the overall treatment (T0–T2), with no significant sagittal changes in maxilla or mandible throughout the fixed appliance treatment (T1–T2). Limitations In maxillary protraction, effects of skeletal anchorage were retrospectively compared with those of dental anchorage, not with Class I or III control. Conclusions and implications After maxillary protraction, skeletal and tooth-borne anchorage did not cause significant differences in the residual growth of maxilla throughout the phase II treatment. Orthopaedic effects with skeletal anchorage showed appropriate stability in maxilla and intermaxillary relationship even after fixed appliance treatment.


2015 ◽  
Vol 45 (2) ◽  
pp. 95 ◽  
Author(s):  
Elçin Esenlik ◽  
Cahide Ağlarcı ◽  
Gayem Eroğlu Albayrak ◽  
Yavuz Fındık

2008 ◽  
Vol 78 (3) ◽  
pp. 561-573 ◽  
Author(s):  
Laura De Toffol ◽  
Chiara Pavoni ◽  
Tiziano Baccetti ◽  
Lorenzo Franchi ◽  
Paola Cozza

Abstract Objective: To assess the scientific evidence on the effectiveness of early orthopedic treatment in Class III subjects. Materials and Methods: A literature survey was performed by applying the Medline database (Entrez PubMed). The survey covered the period from January 1966 to December 2005 and used the Medical Subject Headings (MeSH). The following study types that reported data on the effects of Class III treatment with orthopedic appliances (facial mask, chincup, FR-3) on intermaxillary sagittal and vertical relationships were included: randomized clinical trials (RCTs), and prospective and retrospective longitudinal controlled clinical trials (CCTs) with untreated Class III controls. Results: The search strategy resulted in 536 articles. After selection according to criteria for inclusion and exclusion, 19 articles qualified for the final review analysis. One RCT and 18 CCTs were retrieved. Conclusion: The quality standard of the retrieved investigations ranged from low (four studies) to medium/high (five studies). Data derived from medium/high quality research described over 75% of success of orthopedic treatment of Class III malocclusion (RME and facial mask therapy) at a follow-up observation 5 years after the end of orthopedic treatment.


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