scholarly journals The Relationship Between Maxillary and Mandibular Base Lengths and Dental Crowding in Patients with True Class II Malocclusions

2020 ◽  
Vol 4 (7) ◽  
pp. OR5-OR9
Author(s):  
Tanzin Palkit ◽  
Isha Aggarwal ◽  
Yagyeshwar Malhotra ◽  
Mandeep Uppal ◽  
Merry Goyal ◽  
...  
Keyword(s):  
Inverse Correlation ◽  
Class Ii ◽  
Effective Length ◽  
Class Ii Malocclusion ◽  
Complete Class ◽  
Facial Beauty ◽  
Lateral Cephalograms ◽  
Pre Treatment ◽  
Dental Crowding ◽  
The Relationship

INTRODUCTION: Orthodontists, for a long time have considered that occlusion and facial beauty are so interdependent that they must be equal goals of treatment.AIM: To validate the relationship between maxillary and mandibular effective lengths and dental crowding in patients with Class II malocclusions. MATERIALS AND METHOD: A sample of 40 orthodontic patients with complete bilateral Class II malocclusions in the permanent dentition (25 males, 15 females) who were divided into two groups based on severity of pre-treatment mandibular anterior dental crowding. The maxillary and mandibular effective lengths and tooth-arch size discrepancies were measured on the pre-treatment Lateral cephalograms and initial casts, respectively. Intergroup comparisons of apical base lengths were assessed with independent t-tests. Correlation between effective length and dental crowding was assessed by Pearson's correlation coefficient (P <.05).RESULTS: Subjects with Class II malocclusion and moderate to severe crowding had significantly smaller maxillary and mandibular effective lengths compared with subjects without crowding and with minimal dental crowding. A weak inverse correlation was also found between maxillary and mandibular effective lengths and the severity of dental crowding. CONCLUSION: In patients with complete Class II malocclusion, decreased maxillary and mandibular effective lengths constitute a significant factor associated with dental crowding.

scholarly journals Cephalometric effects of the use of 10-hour Force Theory for Class II treatment

2012 ◽  
Vol 17 (6) ◽  
pp. 31-40
Author(s):  
Marise de Castro Cabrera ◽  
Carlos Alberto Gregório Cabrera ◽  
Karina Maria Salvatore de Freitas ◽  
Marcos Roberto de Freitas ◽  
Guilherme Janson ◽  
...  
Keyword(s):  
Treatment Time ◽  
Class Ii ◽  
Effective Length ◽  
Class Ii Malocclusion ◽  
Class Ii Treatment ◽  
Final Treatment ◽  
Mandibular Molar ◽  
Lateral Cephalograms ◽  
Significant Correction ◽  
Pre Treatment

OBJECTIVE: This study aimed to evaluate the cephalometric effects promoted by the orthodontic treatment of Class II malocclusion patients with the use of the 10-Hour Force Theory, that consists in the use of fixed appliances with 8 hours a day using a cervical headgear appliance and 16 hours a day using Class II elastics, 8 hours on the first mandibular molar and 8 hours in the second mandibular molar. METHODS: Sample comprised 31 patients with mean initial age of 14.90 years, final mean age of 17.25 years and mean treatment time of 2.35 years. The lateral cephalograms in pre-treatment and post-treatment stages were evaluated. Evaluation of cephalometric changes between initial and final treatment phases was performed by paired t test. RESULTS: The cases treated with the 10-Hour Force Theory presented a slight restriction of anterior displacement of the maxilla, increase in the effective length of the mandible, significant improvement of the maxillomandibular relationship, significant increase in anterior lower face height, distal tipping of the maxillary premolar crowns, extrusion and distal tipping of the roots of maxillary molars, significant proclination and protrusion of mandibular incisors, significant extrusion and mesialization of mandibular molars, besides a significant correction of the molar relationship, overjet and overbite. CONCLUSION: The use of the 10-Hour Force Theory in treatment of Class II malocclusion provided satisfactory results.

scholarly journals Relationship of maxillary and mandibular effective base length, arch length and dental crowding in different vertical growth pattern

2022 ◽  
Vol 0 ◽  
pp. 1-7
Author(s):  
Priyanka Satra ◽  
Gauri Vichare ◽  
Veera Bhosale
Keyword(s):  
Growth Pattern ◽  
Inverse Correlation ◽  
Base Length ◽  
Clockwise Rotation ◽  
Gonial Angle ◽  
Vertical Growth ◽  
Lateral Cephalograms ◽  
Pre Treatment ◽  
Vertical Growth Pattern ◽  
Dental Crowding

Objectives: The objectives of the study were to assess, measure, and correlate the maxillary and mandibular effective base length, arch length to the amount of dental crowding in different vertical growth pattern patients. Materials and Methods: Sample comprising 100 pre-treatment lateral cephalograms and study models (age group – 16–25 years) was randomly selected. The sample was divided into two groups, that is, clockwise (50) and anticlockwise (50) rotation based on the measurement of the gonial angle. The gonial angle and maxillary and mandibular effective lengths were measured on pre-treatment lateral cephalograms. Dental crowding and arch length were measured on the pre-treatment dental casts. Intergroup comparisons of effective base length, arch length, and crowding were performed with unpaired t-tests. Correlations between effective base length, arch length, and dental crowding were examined by means of Pearson’s correlation coefficient (P < 0.05). Results: Subjects with clockwise rotation significantly had more mandibular dental crowding and significantly decreased mandibular arch length compared to the anticlockwise group. An inverse correlation was found between maxillary and mandibular effective base length, arch length, and dental crowding while a positive correlation was found between maxillary and mandibular base length and arch length in both the groups. Conclusion: Clockwise rotation of the mandible along with skeletal and dental factors such as decreased effective base lengths and arch length, respectively, constitutes an important factor leading to dental crowding.

scholarly journals Dentoskeletal effects of Twin Block appliance in patients with Class II malocclusion

2021 ◽  
Author(s):  
Mahamad Irfanulla Khan ◽  
Praveen Kumar Neela ◽  
Nayeem Unnisa ◽  
Ajit Kumar Jaiswal ◽  
Nadeem Ahmed ◽  
...  
Keyword(s):  
Class Ii ◽  
Post Treatment ◽  
Control Group ◽  
Class Ii Malocclusion ◽  
Mandibular Growth ◽  
Twin Block ◽  
Lateral Cephalograms ◽  
Division 1 ◽  
Pre Treatment ◽  
Class Ii Division 1

Background and aim. Class II malocclusions are most commonly seen in orthodontic practice and in the recent times Twin Block appliance has been the most popular and widely used among removable functional appliances for the correction of Class II malocclusion in growing patients. The aim of this retrospective study was to evaluate the dentoskeletal effects produced by the Twin Block appliance for the correction of Class II division 1 malocclusion with retrognathic mandible. Methods. Pre-treatment (T1) and post-treatment (T2) lateral cephalograms of 30 patients treated with Twin Block appliance (mean age  =  10.8 ± 1.2 years) for the correction of class II division 1 malocclusion were compared with the 30 untreated class II control patients (mean age 11.2 ± 0.8 years) who did not undergo any treatment during this period. Both the groups were evaluated for the dentoskeletal changes using 24 angular and linear cephalometric measurements. The differences between the pre and post-treatment were calculated using a paired t-test. Results. The cephalometric analysis revealed that the Twin Block appliance stimulated mandibular growth and statistically significant differences were found between the two groups. Twin Block patients showed a statistically very high significant (p<0.001) increase in mandibular length (6.02 mm) compared with the control group (0.3 mm). ‘Headgear effect’ on the maxilla, increase in lower anterior facial height, significant reduction of overjet, overbite and Class I molar relationship was achieved in the Twin Block group. However, no significant changes appeared in the control group. Conclusion: The results of the present study conclude that the Twin Block appliance is effective in the treatment of Class II malocclusion and this is due to a combination of skeletal and dentoalveolar changes in both the arches.

scholarly journals Class II malocclusion treatment with the Herbst appliance in patients after the growth peak

2013 ◽  
Vol 18 (5) ◽  
pp. 38-45 ◽  
Author(s):  
José Carlos de Castro Alvares ◽  
Rodrigo Hermont Cançado ◽  
Fabrício Pinelli Valarelli ◽  
Karina Maria Salvatore de Freitas ◽  
Christian Zamberlan Angheben
Keyword(s):  
Class Ii ◽  
Wilcoxon Test ◽  
Effective Length ◽  
Class Ii Malocclusion ◽  
Test Results ◽  
Herbst Appliance ◽  
Lateral Cephalograms ◽  
Treatment Onset ◽  
Cephalometric Changes ◽  
Mean Time

OBJECTIVE: The objective of this study was to evaluate dentoskeletal effects in the treatment of Class II malocclusion performed with the Herbst appliance in patients at post-peak stage of growth. METHODS: The sample consisted of 16 patients with Class II malocclusion and average initial and final ages of 14.04 (ranging from 11.50 to 35.66) and 17.14 (ranging from 13.68 to 38.64) years, respectively, who were treated for an mean time of 2.52 years. Lateral cephalograms were obtained at treatment onset (T1) and completion (T2) to evaluate the effects of therapy. Initial dental casts were also used to evaluate the overjet and the anteroposterior severity of molar relationship at treatment onset. The cephalometric changes between initial and final stages were compared by means of the non-parametric Wilcoxon test. RESULTS: The results showed that the Herbst appliance did not promote significant changes in the maxillary component and the effective length of the mandible significantly increased without improving the maxillomandibular relationship. Changes in the maxillary and mandibular dentoalveolar components revealed that the maxillary incisors exhibited retrusion and lingual tipping, while the mandibular incisors presented increased protrusion and buccal tipping. The dental relationships exhibited significant improvements with the treatment. CONCLUSION: Based on the present results, it was concluded that the effects of treatment performed with the Herbst appliance in patients at post-peak stage of growth are predominantly of dentoalveolar nature.

scholarly journals A Comparison of Craniofacial Characteristics between Two Different Adult Populations with Class II Malocclusion—A Cross-Sectional Retrospective Study

Biology ◽  
2021 ◽  
Vol 10 (5) ◽  
pp. 438
Author(s):  
Arvind Sivakumar ◽  
Prasad Nalabothu ◽  
Huyen Nguyen Thanh ◽  
Gregory S. Antonarakis
Keyword(s):  
Growth Pattern ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
South Indian Population ◽  
The South ◽  
Facial Height ◽  
South Indian ◽  
Mandibular Plane ◽  
Lateral Cephalograms ◽  
Craniofacial Characteristics

The dental, skeletal, and soft-tissue characteristics of a particular malocclusion can differ based on ethnicity, race, age, sex and geographical location with Class II malocclusion being one of the most prevalent malocclusions encountered in orthodontic clinical practice. The broad understanding of the characteristics of vertical skeletal and dental parameters in patients with Class II malocclusion can help clinicians to identify patterns and variations in the expression of this phenotype for better treatment outcomes. Hence, we compared the craniofacial characteristics of skeletal and dental Class II malocclusion traits from Indian and Vietnamese individuals to analyze the vertical skeletal and dental patterns in both population groups. The sample comprised of lateral cephalograms from 100 young adults with Class II malocclusion, of which fifty (25 males and 25 females) were from South India and the other 50 age- and sex-matched adults from Vietnam. The lateral cephalometric radiographs were digitized into anonymous image files and were traced and assessed for 16 vertical skeletal and dental parameters. The ANB angle was greater in males (+1.4 deg; p < 0.001) and females (+1.9 deg; p < 0.001) in the South Indian population. The Vietnamese males had a larger mandibular plane angle, articular angle, anterior facial height and lower anterior facial height compared to the Indian males. The Vietnamese females had larger mandibular plane and articular angles compared to the Indian females. The skeletal class II malocclusion was more severe in the South Indian compared to the Vietnamese adults. The Vietnamese sample showed a generalized tendency towards a more vertical skeletal growth pattern and in males this pattern seemed to be due to the dentoalveolar component. The Vietnamese females showed a tendency towards a vertical growth pattern, but without apparent contribution by the dentoalveolar component.

scholarly journals Influence of Vertical Facial Growth Pattern on Herbst Appliance Effects in Prepubertal Patients: A Retrospective Controlled Study

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Maria Rita Giuca ◽  
Marco Pasini ◽  
Sara Drago ◽  
Leonardo Del Corso ◽  
Arianna Vanni ◽  
...  
Keyword(s):  
Growth Pattern ◽  
Class Ii ◽  
Growth Patterns ◽  
Response To Treatment ◽  
Controlled Study ◽  
Class Ii Malocclusion ◽  
Facial Growth ◽  
Herbst Appliance ◽  
Lateral Cephalograms ◽  
Vertical Growth Pattern

Introduction. The Herbst device is widely used for correction of class II malocclusions; however, most of the researches carried out on the Herbst appliance in literature do not take into account patients with a different mandibular divergence. The aim of this study was to investigate the effects of Herbst on dental and skeletal structures and to evaluate possible influence of vertical facial growth patterns. Methods. A retrospective study was conducted on lateral cephalograms of 75 growing patients (mean age: 9.9 ± 1.9 years) with class II malocclusion treated with Herbst. Subjects were divided into 3 groups using the mandibular divergence index (SN and GoMe angle). Cephalometric parameters were evaluated using the modified SO (sagittal occlusion) Pancherz’s analysis. A statistical analysis was conducted to evaluate differences among groups using ANOVA. Results. Our study showed differences in response to treatment depending on patient’s facial vertical growth pattern. Cranial base angle and mandibular rotation were significantly different (p<0.05) between hypodivergent patients and normodivergent patients and between hypodivergent and hyperdivergent subjects. Conclusion. Hypodivergent patients increased their mandibular divergence during treatment to a greater extent than normodivergents; moreover, hyperdivergent patients exhibited a decreased mandibular divergence at the end of the treatment.

Dental and skeletal effects after total arch distalization using modified C-palatal plate on hypo- and hyperdivergent Class II malocclusions in adolescents

2020 ◽  
Author(s):  
Chang Yoon Jung ◽  
Jae Hyun Park ◽  
Ja Hyeong Ku ◽  
Nam-Ki Lee ◽  
Yoonji Kim ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Class Ii ◽  
Study Group ◽  
Class Ii Malocclusion ◽  
Plane Angle ◽  
Mandibular Plane ◽  
Lateral Cephalograms ◽  
Palatal Plate ◽  
Skeletal Effects ◽  
Facial Types

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.

scholarly journals Correlation between the Rotation of the First Molars and the Severity of Class II Division 1 Malocclusion

2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
Betânia Pessoa Lima ◽  
Célia Regina Maio Pinzan-Vercelino ◽  
Laércio Santos Dias ◽  
Fausto Silva Bramante ◽  
Rudys Rodolfo De Jesus Tavarez
Keyword(s):  
Class Ii ◽  
Class Ii Malocclusion ◽  
Complete Class ◽  
Positive Correlation ◽  
Group 4 ◽  
Division 1 ◽  
Group 3 ◽  
Scanned Images ◽  
Group 2 ◽  
Class Ii Division 1

This study aimed to evaluate the potential correlation between the severity of Class II division 1 malocclusion and the magnitude of mesiopalatal rotation of the maxillary first molars. Scanned images of 104 cast models were grouped according to the severity of Class II malocclusion as follows: Group 1, 1/4 Class II malocclusion; Group 2, 1/2 Class II malocclusion; Group 3, 3/4 Class II malocclusion; and Group 4, complete Class II malocclusion. The rotation was measured using parameters described by Henry, Friel, and Ricketts, referred to as indicators 1, 2, and 3, respectively. The correlation was evaluated using the Spearman’s correlation coefficient. The rotational indicators were compared using one-way analysis of variance. For all statistical analyses usedp<0.05, a positive correlation was observed between the severity of Class II malocclusion and the mesiopalatal rotation of the maxillary first molar. This correlation was statistically significant for indicator 1 between Groups 1 and 3 and for indicator 2 between Groups 1 and 4, which include cases of extreme malocclusion. In conclusion, there is a positive correlation between the severity of Class II division 1 malocclusion and the magnitude of mesiopalatal rotation in the maxillary first molars.

scholarly journals Upper Airway Dimensions in Class II Malocclusion

2007 ◽  
Vol 77 (6) ◽  
pp. 1046-1053 ◽  
Author(s):  
Mirja Kirjavainen ◽  
Turkka Kirjavainen
Keyword(s):  
Treatment Time ◽  
Upper Airway ◽  
Class Ii ◽  
Class I ◽  
Class Ii Malocclusion ◽  
Cross Sectional ◽  
Lateral Cephalograms ◽  
Division 1 ◽  
Upper Airway Structure ◽  
Class Ii Division 1

Abstract Objective: To study the effects of cervical headgear treatment of Class II division 1 malocclusion on upper airway structures in children. Materials and Methods: Forty children aged 9.1 (7.2–11.5) years with Class II division 1 malocclusion were treated using a cervical headgear as the only treatment appliance. The headgear consisted of a long outer bow bent 15° upward and a large inner bow expanded 10 mm larger than the intermolar distance. Lateral cephalograms were taken before and after the treatment. Upper airway structures were estimated from the cephalograms. The results were compared to cross-sectional data of 80 age-matched controls with a Class I molar relationship. Results: A Class I molar relationship was achieved in all treated children. The mean treatment time was 1.6 (0.3–3.1) years. The Class II malocclusion was accompanied by a similar or wider nasopharyngeal space than in the controls but narrower oro- and hypopharyngeal spaces. The retropalatal area was widened by the treatment (P &lt; .05), whereas the rest of the oropharynx and hypopharynx remained narrower than in the controls. Before the treatment, the mandibular plane was in a more horizontal position than in the controls, but during the treatment, it rotated to a position similar to that of the controls. Conclusion: Class II division 1 malocclusion is associated with a narrower upper airway structure even without retrognathia. Headgear treatment is associated with an increase in the retropalatal airway space.

scholarly journals Orthodontic Treatment of Ankylosed Maxillary Incisor through Osteogenic Distraction and Simplified Biomechanics

2019 ◽  
Vol 2019 ◽  
pp. 1-10
Author(s):  
Daniel Gheur Tocolini ◽  
Priscila de Oliveira Silva ◽  
Iduilton Grabowski ◽  
Julia Carelli ◽  
Nathaly Dias Morais ◽  
...  
Keyword(s):  
Anterior Segment ◽  
Class Ii ◽  
Open Bite ◽  
Functional Improvement ◽  
Maxillary Incisor ◽  
Class Ii Malocclusion ◽  
Anterior Open Bite ◽  
Bone Segment ◽  
The Right ◽  
Dental Crowding

Ankylosed teeth may have a significant esthetic and functional impact especially at the anterior segment of the upper arch. Treatment of ankylosed teeth is challenging. The objective of this case report is to describe a clinical case in which an ankylosed tooth was treated with the use of osteogenic distraction associated with simplified orthodontic biomechanics. A 17-year-old female Caucasian patient presented with a Class II malocclusion, severe maxillary dental crowding, moderate mandibular dental crowding, anterior open bite, upper midline deviation to the right, and upper right central incisor in infraocclusion due to ankylosis. Treatment involved the use of the ankylosed tooth as anchorage for the distalization of the right upper segment to correct the Class II malocclusion and to create space prior to surgery. After one week of surgical osteotomy, traction of the tooth and bone segment was initiated with the use of intermaxillary elastics. The ankylosed tooth was moved to the desired position. Bone formation and mucogingival tissue adaptation were observed. Thus, esthetic and functional improvement was achieved. Osteogenic distraction associated with simplified orthodontic biomechanics is an alternative to the treatment of ankylosed teeth which can replace the use of distractor screws, making treatment simpler and more accessible.

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