scholarly journals Evaluation of the miniplate-anchored Forsus Fatigue Resistant Device in skeletal Class II growing subjects: A randomized controlled trial

2018 ◽  
Vol 89 (3) ◽  
pp. 391-403 ◽  
Author(s):  
Sherif A. Elkordy ◽  
Amr M. Abouelezz ◽  
Mona M. S. Fayed ◽  
Mai H. Aboulfotouh ◽  
Yehya A. Mostafa
Keyword(s):  
Controlled Trial ◽  
Class Ii ◽  
Control Group ◽  
Class Ii Malocclusion ◽  
Mandibular Incisor ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Group 16 ◽  
Leveling And Alignment ◽  
Forsus Fatigue Resistant Device

ABSTRACT Objectives: To evaluate the use of direct miniplate anchorage in conjunction with the Forsus Fatigue Resistant Device (FFRD) in treatment of skeletal Class II malocclusion. Materials and Methods: Forty-eight females with skeletal Class II were randomly allocated to the Forsus plus miniplates (FMP) group (16 patients, age 12.5 ± 0.9 years), Forsus alone (FFRD; 16 patients, age 12.1 ± 0.9 years), or the untreated control group (16 subjects, age 12.1 ± 0.9 years). After leveling and alignment, miniplates were inserted in the mandibular symphysis in the FMP group. The FFRD was inserted directly on the miniplates in the FMP group and onto the mandibular archwires in the FFRD group. The appliances were removed after reaching an edge-to-edge incisor relationship. Results: Data from 46 subjects were analyzed. The effective mandibular length significantly increased in the FMP group only (4.05 ± 0.78). The mandibular incisors showed a significant proclination in the FFRD group (9.17 ± 2.42) and a nonsignificant retroclination in the FMP group (−1.49 ± 4.70). The failure rate of the miniplates was reported to be 13.3%. Conclusions: The use of miniplates with the FFRD was successful in increasing the effective mandibular length in Class II malocclusion subjects in the short term. The miniplate-anchored FFRD eliminated the unfavorable mandibular incisor proclination in contrast to the conventional FFRD.

scholarly journals Three-dimensional effects of the mini-implant–anchored Forsus Fatigue Resistant Device: A randomized controlled trial

2015 ◽  
Vol 86 (2) ◽  
pp. 292-305 ◽  
Author(s):  
Sherif A. Elkordy ◽  
Amr M. Abouelezz ◽  
Mona M. Salah Fayed ◽  
Khaled H. Attia ◽  
Ramy Abdul Rahman Ishaq ◽  
...  
Keyword(s):  
Controlled Trial ◽  
Three Dimensional ◽  
Class Ii ◽  
Control Group ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Skeletal Effects ◽  
Implant Anchorage ◽  
Mandibular Incisors ◽  
Forsus Fatigue Resistant Device

ABSTRACT Objective:  To detect three-dimensionally the effects of using mini-implant anchorage with the Forsus Fatigue Resistant Device (FFRD). Materials and Methods:  The sample comprised 43 skeletal Class II females with deficient mandibles. They were randomly allocated into three groups: 16 patients (13.25 ± 1.12 years) received FFRD alone (Forsus group), 15 subjects (13.07 ± 1.41 years) received FFRD and mini-implants (FMI group), and 12 subjects (12.71 ± 1.44 years) were in the untreated control group. Three-dimensional analyses of cone beam computed tomographic images were completed, and the data were statistically analyzed. Results:  Class I relationship and overjet correction were achieved in 88% of the cases. None of the two treatment groups showed significant mandibular skeletal effects. In the FMI group, significant headgear effect, decrease in maxillary width, and increase in the lower facial height were noted. In the FMI group, retroclination of maxillary incisors and distalization of maxillary molars were significantly higher. Proclination and intrusion of mandibular incisors were significantly greater in the Forsus group. Conclusions:  FFRD resulted in Class II correction mainly through dentoalveolar effects and with minimal skeletal effects. Utilization of mini-implant anchorage effectively reduced the unfavorable proclination and intrusion of mandibular incisors but did not produce additional skeletal effects.

scholarly journals A Retrospective Cephalometric Evaluation of Dental Changes with Activator and Activator Headgear Combination in the Treatment of Skeletal Class II Malocclusion

2011 ◽  
Vol 12 (1) ◽  
pp. 14-18 ◽  
Author(s):  
G Anil Kumar ◽  
Amit Maheshwari
Keyword(s):  
Class Ii ◽  
Combination Group ◽  
Control Group ◽  
Class Ii Malocclusion ◽  
Mandibular Incisor ◽  
Lower Incisor ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Lateral Cephalograms ◽  
Functional Appliances

ABSTRACT Aim The aims of this study were to evaluate the dental changes brought about by activator and activator headgear combination (ACHG) and to determine whether we can achieve control over the lower incisor proclination which is a side effect of using functional appliances; or not, while treating cases of skeletal class II malocclusions. Methods Lateral cephalograms of 45 skeletal class II division 1 patients were selected for the study. Fifteen of them were successfully treated with an Andresen activator and the other 15 with an activator headgear combination. Fifteen class II subjects who had declined treatment served as the control group. Cephalometric landmarks were marked by one author to avoid interobserver variability. Results The results revealed that both the activator and the activator headgear combination significantly (p < 0.001) affected dental variables measured. The mandibular incisor proclination was effectively controlled in the activator headgear combination group. Conclusion An activator headgear combination would offer itself as a better option compared with activator alone in the treatment of skeletal class II malocclusions especially in cases with proclined mandibular incisors. Clinical significance When one of the treatment goals is to achieve a greater control over mandibular incisor proclination in the treatment of Skeletal Class II malocclusions, employing a combination of activator and headgear may substantially improve clinical outcomes. How to cite this article Lall R, Kumar GA, Maheshwari A Kumar M. A Retrospective Cephalometric Evaluation of Dental Changes with Activator and Activator Headgear Combination in the Treatment of Skeletal Class II Malocclusion. J Contemp Dent Pract 2011;12(1):14-18.

scholarly journals Treatment outcomes of Class II malocclusion cases treated with miniscrew-anchored Forsus Fatigue Resistant Device: A randomized controlled trial

2017 ◽  
Vol 87 (6) ◽  
pp. 824-833 ◽  
Author(s):  
Osama Eissa ◽  
Mahmoud El-Shennawy ◽  
Safaa Gaballah ◽  
Ghada El-Meehy ◽  
Tarek El Bialy
Keyword(s):  
Controlled Trial ◽  
Class Ii ◽  
Maxillary Incisor ◽  
Control Group ◽  
Mandibular Incisor ◽  
Treatment Groups ◽  
Lateral Cephalograms ◽  
Treatment Data ◽  
Group 2 ◽  
Forsus Fatigue Resistant Device

ABSTRACT Objective: To evaluate the skeletal, dental, and soft tissue effects of the Forsus Fatigue Resistant Device (FRD) used with miniscrew anchorage and compare them with those of the conventional Forsus FRD. Materials and Methods: This study was carried out on 38 patients. These patients were randomly allocated into three groups. The 14 patients in group 1 (aged 12.76 ± 1.0 years) were treated with the FRD appliance. In group 2, the 15 patients (aged 12.52 ± 1.12 years) received treatment with FRD using miniscrew anchorage, and the 9 patients in group 3 (aged 12.82 ± 0.9 years) received no treatment as a control group. Linear and angular measurements were made on lateral cephalograms before and immediately after Forsus treatment. Data were analyzed statistically using paired t-, ANOVA, and Tukey tests. Results: Class I molar relationship and overjet correction were achieved in both treatment groups. Although mandibular growth was statistically nonsignificant, there was a significant headgear effect on the maxilla. Mandibular incisor proclination, maxillary incisor retroclination, and distalization of maxillary molars were significant in both treatment groups. However, no significant differences were found between the treatment groups. Conclusions: Class II correction was mainly dentoalveolar in both treatment groups. Use of miniscrews with Forsus did not enhance mandibular forward growth nor prevent labial tipping of the mandibular incisors.

scholarly journals Treatment of a skeletal Class II malocclusion using fixed functional appliance with miniplate anchorage

2014 ◽  
Vol 08 (02) ◽  
pp. 276-280 ◽  
Author(s):  
Mevlut Celikoglu ◽  
Tuba Unal ◽  
Mehmet Bayram ◽  
Celal Candirli
Keyword(s):  
Class Ii ◽  
Class Ii Malocclusion ◽  
Functional Appliance ◽  
Present Case Report ◽  
Skeletal Class ◽  
Fixed Functional Appliance ◽  
Skeletal Class Ii ◽  
Fixed Appliances ◽  
Mandibular Retrusion ◽  
Leveling And Alignment

ABSTRACTBased on our literature search, we found that the use of miniplate anchorage with Forsus fatigue-resistance device (FRD) has not yet been reported. Therefore, the aim of the present case report was to present the treatment of a patient with skeletal Class II malocclusion with mandibular retrusion using Forsus FRD with miniplate anchorage. Fixed appliances with 0.022-inch slots were attached to the maxillary teeth and after 8 months of the leveling and alignment of the upper arch, 0.019 × 0.025-inch stainless steel archwire was inserted and cinched back. Two weeks after the placement of the miniplates bilaterally at the symphysis of the mandible, Forsus FRD was adjusted to the miniplates with a 35-mm length of rod chosen. Nine months after the skeletal anchored Forsus worn, Class I canine and molar relations were achieved and overjet was eliminated.

scholarly journals Effects of skeletally anchored Class II elastics: A pilot study and new approach for treating Class II malocclusion

2017 ◽  
Vol 87 (4) ◽  
pp. 505-512 ◽  
Author(s):  
Selin Ozbilek ◽  
Ahmet Yalcin Gungor ◽  
Salih Celik
Keyword(s):  
Class Ii ◽  
Matched Pair ◽  
Sign Test ◽  
Control Group ◽  
Class Ii Malocclusion ◽  
Significant Group ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Two Miniplates ◽  
Class Ii Elastics

ABSTRACT Objective: To evaluate the skeletal, dentoalveolar, and soft tissue effects of skeletally anchored Class II elastics and compare them with a matched control group treated by a monobloc appliance for the correction of skeletal Class II malocclusion due to mandibular retrusion. Materials and Methods: Twelve patients (6 girls, 6 boys) were randomly divided into two groups. In the elastics group, six patients (12.9 ± 1.5 years of age; 3 boys, 3 girls) were treated with skeletally anchored Class II elastics. Two miniplates were placed bilaterally at the ramus of the mandible and the other two miniplates were placed at the aperture piriformis area of the maxilla. In the monobloc group (3 boys and 3 girls; mean age, 12.3 ± 1.6 years), patients used the monobloc appliance. The changes observed in each phase of treatment were evaluated using the Wilcoxon matched-pair sign test. Intergroup comparisons at the initial phase of treatment were analyzed by the Mann-Whitney U test. Results: There were statistically significant group differences in Co-Gn, B-VRL, U1-PP, U1-VRL, Ls-VRL, with significant increases in these parameters in the elastics group (P &lt; .05). The mandibular incisors were protruded in the monobloc group (5.45 ± 1.23°), whereas they were retruded in the elastics group (−3.01 ± 1.66°; P &lt; .01). Conclusions: The undesirable dentoalveolar effects of the monobloc appliance were eliminated by using miniplate anchorage. Favorable skeletal outcomes can be achieved by skeletal anchorage therapies which could be an alternative to treat skeletal Class II patients with mandibular deficiency.

scholarly journals Evaluation of effect of PowerScopeTM class II corrector on skeletal, dental and Oro-pharyngeal airway dimension in Skeletal class II cases - A controlled prospective clinical study

2021 ◽  
Vol 7 (2) ◽  
pp. 144-149
Author(s):  
Vijaylaxmi Mendigeri ◽  
Sanjay Ganeshkar ◽  
Praveen Ramdurg ◽  
Shruti Singh ◽  
Nishi Grover ◽  
...  
Keyword(s):  
Class Ii ◽  
Control Group ◽  
Prospective Clinical Study ◽  
Class Ii Malocclusion ◽  
Skeletal Class ◽  
Pharyngeal Airway ◽  
Skeletal Class Ii ◽  
And Control ◽  
Experimental Group ◽  
Lower Incisors

: The aim of this study was to evaluate the effect of PowerScope (Class II Corrector) on skeletal, dental and oro-pharyngeal airway dimensions in class II malocclusion with retrusive mandible. Twenty patients with age group of 11 to 14 were selected for this study. Experimental group underwent Power scope class II corrector therapy and control group, alignment of only upper arch respectively. Lateral cephalometric radiographs were taken in both experimental group and control group before and after 6 month of treatment. Sixteen measurements in that eight skeletal, five dental and three pharyngeal airway were assessed to know the effect of PowerScope Class II corrector on skeletal, dental and pharyngeal airway PowerScope Class II corrector after treatment showed significant change in SNB (P = 0.01*), ANB (P=0.001*), Inferior airway space (IAS) (P=0.006*), lower incisors position (P=0.0001*) and overjet (P=0.0001*) where as these values were insignificant on comparison with control group except for lower incisors position (P=0.001*) and overjet (P=0.0001*) indicating that PowerScope corrects class II malocclusion mainly by dento alveolar changes not have significant effect on skeletal and oro-pharyngeal airway. Power Scope (Class II corrector) corrects skeletal class II malocclusion mainly by dental changes and has insignificant effect on skeletal and oro-pharyngeal airway.

scholarly journals Treatment effects of skeletally anchored Forsus FRD EZ and Herbst appliances: A retrospective clinical study

2015 ◽  
Vol 86 (2) ◽  
pp. 306-314 ◽  
Author(s):  
Mevlut Celikoglu ◽  
Suleyman Kutalmis Buyuk ◽  
Abdullah Ekizer ◽  
Tuba Unal
Keyword(s):  
Soft Tissue ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Herbst Appliance ◽  
Mandibular Incisor ◽  
Skeletal Class ◽  
Tissue Effects ◽  
Skeletal Class Ii ◽  
Group I ◽  
Retrospective Clinical Study

ABSTRACT Objective:  To evaluate the skeletal, dentoalveolar, and soft tissue effects of the Forsus FRD appliance with miniplate anchorage inserted in the mandibular symphyses and to compare the findings with a well-matched control group treated with a Herbst appliance for the correction of a skeletal Class II malocclusion due to mandibular retrusion. Materials and Methods:  The sample consisted of 32 Class II subjects divided into two groups. Group I consisted of 16 patients (10 females and 6 males; mean age, 13.20 ± 1.33 years) treated using the Forsus FRD EZ appliance with miniplate anchorage inserted in the mandibular symphyses. Group II consisted of 16 patients (9 females and 7 males; mean age, 13.56 ± 1.27 years) treated using the Herbst appliance. Seventeen linear and 10 angular measurements were performed to evaluate and compare the skeletal, dentoalveolar, and soft tissue effects of the appliances using paired and Student's t-tests. Results:  Both appliances were effective in correcting skeletal class II malocclusion and showed similar skeletal and soft tissue changes. The maxillary incisor was statistically significantly more retruded in the skeletally anchored Forsus FRD group (P &lt; .01). The mandibular incisor was retruded in the skeletally anchored Forsus FRD group (−4.09° ± 5.12°), while it was protruded in the Herbst group (7.50° ± 3.98°) (P &lt; .001). Conclusion:  Although both appliances were successful in correcting the skeletal Class II malocclusion, the skeletally anchored Forsus FRD EZ appliance did so without protruding the mandibular incisors.

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