scholarly journals Morphometric analysis of long-term dentoskeletal effects induced by treatment with Balters bionator

2014 ◽  
Vol 85 (5) ◽  
pp. 790-798 ◽  
Author(s):  
Renato Bigliazzi ◽  
Lorenzo Franchi ◽  
André Pinheiro de Magalhães Bertoz ◽  
James A. McNamara ◽  
Kurt Faltin ◽  
...  
Keyword(s):  
Class Ii ◽  
Control Group ◽  
Class Ii Malocclusion ◽  
Long Term Effects ◽  
Lateral Cephalograms ◽  
Long Term Follow Up ◽  
Long Term Observation ◽  
Mandibular Retrusion ◽  
Shape Changes

ABSTRACT Objective:  To evaluate the long-term effects of the standard (Class II) Balters bionator in growing patients with Class II malocclusion with mandibular retrusion by using morphometrics (thin-plate spline [TPS] analysis). Materials and Methods:  Twenty-three Class II patients (8 male, 15 female) were treated consecutively with the Balters bionator (bionator group). The sample was evaluated at T0, start of treatment; T1, end of bionator therapy; and T2, long-term observation (including fixed appliances). Mean age at the start of treatment was 10 years 2 months (T0); at posttreatment, 12 years 3 months (T1); and at long-term follow-up, 18 years 2 months (T2). The control group consisted of 22 subjects (11 male, 11 female) with untreated Class II malocclusion. Lateral cephalograms were analyzed at the three time points for all groups. TPS analysis evaluated statistical differences (permutation tests) in the craniofacial shape and size between the bionator and control groups. Results:  TPS analysis showed that treatment with the bionator is able to produce favorable mandibular shape changes (forward and downward displacement) that contribute significantly to the correction of the Class II dentoskeletal imbalance. These results are maintained at a long-term observation after completion of growth. The control group showed no statistically significant differences in the correction of Class II malocclusion. Conclusions:  This study suggests that bionator treatment of Class II malocclusion produces favorable results over the long term with a combination of skeletal and dentoalveolar shape changes.

scholarly journals Morphometric analysis of treatment effects of the Balters bionator in growing Class II patients

2012 ◽  
Vol 83 (3) ◽  
pp. 455-459 ◽  
Author(s):  
Carina Ferlin Antunes ◽  
Renato Bigliazzi ◽  
Francisco Antonio Bertoz ◽  
Cristina Lúcia Feijó Ortolani ◽  
Lorenzo Franchi ◽  
...  
Keyword(s):  
Treatment Time ◽  
Class Ii ◽  
Control Group ◽  
Class Ii Malocclusion ◽  
End Of Treatment ◽  
Downward Displacement ◽  
Mandibular Retrusion ◽  
And Control ◽  
Shape Changes ◽  
Observation Period

ABSTRACT Objective: To investigate the effects of the standard (Class II) Balters bionator in growing patients with Class II malocclusion with mandibular retrusion by using morphometrics (thin-plate spline [TPS] analysis). Materials and Methods: Thirty-one Class II patients (17 male and 14 female) were treated with the Balters bionator (bionator group). Mean age at the start of treatment (T0) was 10.3 years, while it was 13 years at the end of treatment (T1). Mean treatment time was 2 years and 2 months. The control group consisted of 22 subjects (14 male and 8 female) with untreated Class II malocclusion. Mean age at T0 was 10.2 years, while it was 12.2 years at T1. The observation period lasted 2 years on average. TPS analysis evaluated statistical (permutation tests) differences in the craniofacial shape and size between the bionator and control groups. Results: Through TPS analysis (deformation grids) the bionator group showed significant shape changes in the mandible that could be described as a mandibular forward and downward displacement. The control group showed no statistically significant differences in the correction of Class II malocclusion. Conclusions: Bionator appliance is able to induce significant mandibular shape changes that lead to the correction of Class II dentoskeletal disharmony.

scholarly journals Long-term skeletal and dental effects and treatment timing for functional appliances in Class II malocclusion

2012 ◽  
Vol 83 (2) ◽  
pp. 334-340 ◽  
Author(s):  
Lorenzo Franchi ◽  
Chiara Pavoni ◽  
Kurt Faltin ◽  
James A. McNamara ◽  
Paola Cozza
Keyword(s):  
Treatment Group ◽  
Class Ii ◽  
Control Group ◽  
Class Ii Malocclusion ◽  
Treatment Timing ◽  
Class Ii Treatment ◽  
Lateral Cephalograms ◽  
Functional Appliances ◽  
Fixed Appliances

ABSTRACT Objective: To analyze the long-term skeletal and dentoalveolar effects and to evaluate treatment timing of Class II treatment with functional appliances followed by fixed appliances. Materials and Methods: A group of 40 patients (22 females and 18 males) with Class II malocclusion consecutively treated either with a Bionator or an Activator followed by fixed appliances was compared with a control group of 20 subjects (9 females and 11 males) with untreated Class II malocclusion. Lateral cephalograms were available at the start of treatment (mean age 10 years), end of treatment with functional appliances (mean age 12 years), and long-term observation (mean age 18.6 years). The treated sample also was divided into two groups according to skeletal maturity. The early-treatment group was composed of 20 subjects (12 females and 8 males) treated before puberty, while the late-treatment group included 20 subjects (10 females and 10 males) treated at puberty. Statistical comparisons were performed with analysis of variance followed by Tukey's post hoc tests. Results: Significant long-term mandibular changes (Co-Gn) in the treated group (3.6 mm over the controls) were associated with improvements in the skeletal sagittal intermaxillary relationship, overjet, and molar relationship (∼3.0–3.5 mm). Treatment during the pubertal peak was able to produce significantly greater increases in total mandibular length (4.3 mm) and mandibular ramus height (3.1 mm) associated with a significant advancement of the bony chin (3.9 mm) when compared with treatment before puberty. Conclusion: Treatment of Class II malocclusion with functional appliances appears to be more effective at puberty.

Freeman-Sheldon Syndrome: Case Management from Age 6 to 16 Years

1997 ◽  
Vol 34 (2) ◽  
pp. 151-153 ◽  
Author(s):  
Kimie Ohyama ◽  
Takafumi Susami ◽  
Yoshiyuki Kato ◽  
Hiromi Amano ◽  
Takayuki Kuroda
Keyword(s):  
Case Management ◽  
Orthodontic Treatment ◽  
Mouth Opening ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Limited Mouth Opening ◽  
Deep Bite ◽  
Long Term Follow Up

Objective This is the first description of long-term follow-up of a case of Freeman-Sheldon syndrome. Microstomia was treated with a mouth expander for 2 to 3 hours per day before active orthodontic treatment. Separate impressions were necessary in each quadrant of both upper and lower jaws because of limited mouth opening. Conclusion Orthodontic treatment improved the patient's Class II malocclusion, which was accompanied by crowding and a deep bite.

scholarly journals Long-term evaluation of the molar movements following Pendulum and fixed appliances

2012 ◽  
Vol 83 (3) ◽  
pp. 447-454 ◽  
Author(s):  
Alberto Caprioglio ◽  
Mattia Fontana ◽  
Elena Longoni ◽  
Mauro Cozzani
Keyword(s):  
Class Ii ◽  
Individual Growth ◽  
Fixed Appliance ◽  
Skeletal Changes ◽  
Growth Increase ◽  
Lateral Cephalograms ◽  
Significant Difference ◽  
Term Evaluation ◽  
Long Term Observation

ABSTRACT Objective: To describe the molar movements and skeletal changes associated with Pendulum-fixed appliance treatment and the long-term postretention period. Subjects and Methods: The treatment sample consisted of 76 Class II patients, 35 males and 41 females. Lateral cephalograms were obtained at the start of treatment (T1); the end of distalization (T2); the end of orthodontic fixed appliance therapy (T3); and long-term observation (7 years 2 months later; T4). Mean age was 12 years 11 months at T1, 13 years 8 months at T2, 15 years 4 months at T3, and 22 years 5 months at T4. The average amount of Class II molar relationship was 3.1 mm, with a mean overjet of 5.9 mm at the beginning of treatment. A paired t-test was used to identify significant between-group differences between T2–T4 and T3–T4. Results: Distal molar movement was obtained during the distalization phase (T2), and more than half of the distalizing effect was maintained at the end of maxillary growth (T4). Most of the relapse occurred during fixed appliance therapy (T3), whereas no significant change was detected in the postretention period (T4). The molar relationship did not show any significant difference between T2 and T4. The vertical facial dimension increased during the distalization phase (T2) and fixed appliance therapy (T3) but returned to the initial values during the postretention period (T4). Conclusions: The Pendulum appliance induces significant dentoalveolar effects, which can be partially maintained during the long-term period. The Class I molar relationship does not change during completion of individual growth. Increase in vertical facial dimension represents a temporary effect.

scholarly journals Twin block appliance: Effect on pharyngeal airway

2018 ◽  
Vol 7 (4) ◽  
pp. 147-152
Author(s):  
Vivek Bikram Thapa ◽  
Amrita Shrestha ◽  
Prabesh Sherchan ◽  
Prakash Poudel ◽  
Luna Joshi
Keyword(s):  
Soft Palate ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Twin Block ◽  
Skeletal Class ◽  
Pharyngeal Airway ◽  
Skeletal Class Ii ◽  
Obstructive Sleep ◽  
Lateral Cephalograms ◽  
Mandibular Retrusion

Background: Mandibular retrusion is the main cause of Skeletal Class II malocclusion characterized by skeletal retrusion of mandible with skeletal or dentoalveolar protrusion of maxillary. Objectives: This study was conducted to evaluate effect of treatment with twin-block appliances on pharyngeal dimensions. Methodology: This study was conducted in in the Department of Orthodontics & Dentofacial Orthopedics in Kathmandu Medical College. Twenty patients of age group 7 to 14 years with skeletal class II malocclusion with mandibular retrusion were selected. Variables evaluated were depth of nasopharynx; height of nasopharynx; depth of oropharynx; depth of hypopharynx; soft palate length; soft palate thickness and soft palate inclination. The lateral cephalograms were obtained for all subjects before the start of treatment and after a follow-up period of approximately three months in treatment. Results: Results showed that depth of nasopharynx increased by 1 mm, height of nasopharynx increased by 0.78 mm, depth of nasopharynx increased by 1.97 mm, depth of hypopharynx increased by 0.79 mm, soft palate length decreased by 4 mm, soft palate thickness increased by 2 mm and soft palate inclination decreased by 7.01 mm. The results for depth of pharynx and soft palate thickness were statistically significant. Conclusion: This study concluded that the use of twin block appliance for class II patients corrects sagittal dimension of oropharynx and hypopharynx. Early intervention for mandibular retrognathism in class II malocclusion helps enlarge the airway dimensions and decrease potential risk of obstructive sleep apnea syndrome for growing patients in the future.

scholarly journals Class II correction in orthodontic patients utilizing the Mandibular Anterior Repositioning Appliance (MARA)

2019 ◽  
Vol 89 (3) ◽  
pp. 404-410 ◽  
Author(s):  
Anil Ardeshna ◽  
Frank Bogdan ◽  
Shuying Jiang
Keyword(s):  
Pearson Correlation ◽  
Class Ii ◽  
Maxillary Incisor ◽  
Control Group ◽  
Class Ii Malocclusion ◽  
Lateral Cephalograms ◽  
Orthodontic Patients ◽  
Mandibular Anterior Repositioning Appliance ◽  
And Control ◽  
Lower Molar

ABSTRACT Objectives: To evaluate skeletal and dentoalveolar changes produced by the Mandibular Anterior Repostioning Appliance (MARA) in the treatment of Class II malocclusion in adolescent patients. Materials and Methods: Lateral cephalograms of 24 patients, mean age 12.40 years, with a Class II malocclusion consecutively treated with MARA were compared with a historical control group. Changes were evaluated using the Pancherz superimposition and grid analysis pre- and posttreatment. Independent sample t-test, Mann-Whitney U-test, and Pearson correlation coefficient analysis were performed. Results: Significant differences were seen between the treatment and control groups during the 12 month period. Improvement in Class II relationship in the MARA group resulted from skeletal and dentoalveolar changes. There was a 7-mm molar correction and a 4.7-mm overjet reduction. There was also an increase in the mandibular base of 3.3 mm with the lower molar and incisor coming forward 2.6 mm and 2.2 mm, respectively. No significant headgear effect was shown on the maxilla. The maxillary incisor position remained unchanged, whereas the molar distalized 1.8 mm. The anterior lower facial height had an overall increase of 2.2 mm. Conclusions: The MARA was successful in achieving a Class I molar relationship and reducing the overjet in Class II malocclusions. This was the result of both skeletal and dentoalveolar changes.

scholarly journals Glenoid Fossa Position in Class II Malocclusion Associated with Mandibular Retrusion

2008 ◽  
Vol 78 (5) ◽  
pp. 808-812 ◽  
Author(s):  
Veronica Giuntini ◽  
Laura De Toffol ◽  
Lorenzo Franchi ◽  
Tiziano Baccetti
Keyword(s):  
Nonparametric Test ◽  
Class Ii ◽  
Mixed Dentition ◽  
Control Group ◽  
Diagnostic Feature ◽  
Class Ii Malocclusion ◽  
Glenoid Fossa ◽  
Female Age ◽  
Vertical Relationships ◽  
Mandibular Retrusion

Abstract Objective: To assess the position of the glenoid fossa in subjects with Class II malocclusion associated with mandibular retrusion and normal mandibular size in the mixed dentition. Materials and Methods: A sample of 30 subjects (16 male, 14 female), age 9 years ± 6 months, with skeletal and dental Class II malocclusion associated with mandibular retrusion, normal skeletal vertical relationships, and normal mandibular dimensions, was compared with a matched group of 37 subjects (18 male, 19 female) with skeletal and dental Class I relationships. The comparisons between the Class II group and the control group on the cephalometric measures for the assessment of glenoid fossa position were performed by means of a nonparametric test for independent samples (Mann-Whitney U-test, P < .05). Results: Subjects with Class II malocclusion presented with a significantly more distal position of the glenoid fossa, when compared with the control group as measured by means of three parameters (GF-S on FH, GF-Ptm on FH, and GF-FMN). Conclusions: A posteriorly displaced glenoid fossa is a possible diagnostic feature of Class II malocclusion associated with mandibular retrusion. An effective cephalometric measurement to evaluate glenoid fossa position is the distance from the glenoid fossa to the frontomaxillonasal suture (GF-FMN).

scholarly journals Long-term stability of miniscrew anchored maxillary molar distalization in Class II treatment

2020 ◽  
Vol 90 (3) ◽  
pp. 362-368 ◽  
Author(s):  
Till Edward Bechtold ◽  
Young-Chel Park ◽  
Kyung-Ho Kim ◽  
Heekyu Jung ◽  
Ju-Young Kang ◽  
...  
Keyword(s):  
Class Ii ◽  
Vertical Movement ◽  
Occlusal Plane ◽  
Control Group ◽  
Long Term Stability ◽  
Class Ii Treatment ◽  
Lateral Cephalograms ◽  
Maxillary Molar ◽  
Group A

ABSTRACT Objective To investigate treatment stability of miniscrew-anchored maxillary distalization in Class II malocclusion. Materials and Methods This retrospective study included a distalization (n = 19) and a control (n = 19) group; a patient group with minor corrections served the control. Lateral cephalograms of 38 adult patients were taken before (T0), immediately after (T1), and 3–4 years after (T2) treatment. Horizontal and vertical movement and tipping of the maxillary first molars (U6) and central incisors (U1) were measured along with skeletal craniofacial parameters at three time points to compare the two groups regarding the achieved treatment effects and their stability. Results Total arch distalization therapy led to 4.2 mm of distal movement of U6 without distal crown tipping (0.6° of axis change) and 3.3° of occlusal plane steepening. Over an average retention period of 42 months, maxillary total arch distalization provided high stability of treatment results, showing the same amount of mesial movement (0.7 mm) as the control group. Conclusions In Class II treatment, miniscrew-anchored maxillary total arch distalization can provide stable distal movement of the maxillary first molars and central incisors.

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 of Class II Division 2 Malocclusion Using the Forsus Fatigue Resistance Device and 5-Year Follow-Up

2016 ◽  
Vol 2016 ◽  
pp. 1-7
Author(s):  
Ezgi Atik ◽  
Ilken Kocadereli
Keyword(s):  
Fatigue Resistance ◽  
Treatment Time ◽  
Class Ii ◽  
Deep Bite ◽  
Appropriate Treatment ◽  
Long Term Follow Up ◽  
Mandibular Retrusion ◽  
Division 2

This case report presents the treatment of a 14-year-and-8-month-old boy with Class II division 2 mandibular retrusion, severe deep bite, and concave profile. The Forsus fatigue resistance device (FRD) was effective in correcting both skeletal and dental parameters. At 5-year posttreatment follow-up, the teeth were well aligned and the occlusion was stable. FRD application with appropriate treatment time can result with prominent changes in the facial profile and dentition, and the outcomes can be maintained at the long-term follow-up periods.

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