scholarly journals Treatment effects of myofunctional appliances in different jaw rotations in Class II division 1 malocclusion

2015 ◽  
Vol 5 ◽  
pp. 70-76
Author(s):  
Kyumi V. Shethiya ◽  
Gauri S. Vichare ◽  
Ravindranath B. Sable
Keyword(s):  
Class Ii ◽  
High Angle ◽  
Forward Movement ◽  
Myofunctional Therapy ◽  
Lateral Cephalograms ◽  
Division 1 ◽  
Pre Treatment ◽  
One Year ◽  
Lower Incisors ◽  
Class Ii Division 1

Aim This retrospective study was conducted to determine skeletal, dentoalveolar changes in children treated with Twin Block or activator for the treatment of Class II Division 1 malocclusion with different jaw rotations. Materials and Methods Standardized lateral cephalograms of 32 patients (18 boys, 14 girls) between the ages of 11 and 14 years were chosen and divided into two groups, high angle (FMA >27) and low angle (FMA <20). Cephalograms were taken at T1 (pre-treatment) and T2 (after one year of myofunctional therapy).These were manually traced and analysed. Results The results showed statistically significant increase in SNB angle, VRP-Pog due to forward movement of the mandible. The overjet reduced significantly due to retroclination of upper incisors and proclination of lower incisors in both groups. Conclusion It was concluded that both high angle and low angle groups responded equally well to myofunctional therapy showing significant skeletal and dentoalveolar changes.

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 Anteroposterior and Vertical Components of Class II division 1 and division 2 Malocclusion

2009 ◽  
Vol 79 (5) ◽  
pp. 859-866 ◽  
Author(s):  
Emad A. A. Al-Khateeb ◽  
Susan N. Al-Khateeb
Keyword(s):  
Class Ii ◽  
Deep Bite ◽  
Common Features ◽  
Lateral Cephalograms ◽  
Division 1 ◽  
Skeletal Pattern ◽  
Almost All ◽  
Division 2 ◽  
Lower Incisors ◽  
Class Ii Division 1

Abstract Objective: To describe and analyze the skeletal and dental characteristics associated with Class II division 1 (Class II/1) and Class II division 2 (Class II/2) malocclusions in the anteroposterior and vertical dimensions. Materials and Methods: A total of 551 lateral cephalograms were used; 293 films of Class II/1 and 258 films of Class II/2 malocclusions. Lateral cephalographs were traced and analyzed. Parameters for both malocclusions were compared with each other and with the norms calculated for the Jordanian population in another study. Results: The maxilla was prognathic in both malocclusions. The mandible was retrognathic in Class II/1 and orthognathic in Class II/2. Vertically, LAFH was significantly reduced in patients with Class II/2 compared with subjects with Class II/1 who exhibited a significantly increased LAFH. In Class II/1, the lower incisors were proclined and the interincisal angle was reduced, while in Class II/2 the lower incisors were at a normal inclination and the interincisal angle was significantly increased. Conclusions: Class II/2 may be considered as a separate entity which differs in almost all skeletal and dental features from Class I and Class II/1. A Class II skeletal pattern and reduced interincisal angle were common features of Class II/1 malocclusion, while a Class II skeletal pattern, increased interincisal angle, and skeletal deep bite were common features of Class II/2 malocclusion.

scholarly journals Alveolar and symphysis regions of patients with skeletal class II division 1 anomalies with different vertical growth patterns

2012 ◽  
Vol 06 (02) ◽  
pp. 123-132 ◽  
Author(s):  
Elcin Esenlik ◽  
Fidan Alakus Sabuncuoglu
Keyword(s):  
Normal Subjects ◽  
Class Ii ◽  
Growth Patterns ◽  
Control Group ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Lateral Cephalograms ◽  
Division 1 ◽  
Main Factor ◽  
Class Ii Division 1

ABSTRACTObjectives: The aim of this study was to investigate the alveolar and symphysis region properties in hyper-, hypo-, and normodivergent Class II division 1 anomaliesMethods: Pretreatment lateral cephalograms of 111 young adult female patients with skeletal Class II division 1 anomalies were compared to those of 54 Class I normal subjects (control group). Class II cases were divided into hyperdivergent (n = 58), hypodivergent (n = 19), and normodivergent groups (n = 34). The heights and widths of the symphysis and alveolus and the depth of maxillary palate were measured on the lateral cephalogramsResults: Mean symphysis width was wider in the hypodivergent Class II group than in the other groups, while mean symphysis height was similar among all groups. Maxillary palatal depth, upper incisor angle, upper and lower molar alveolar heights, and Id–Id′ width were also similar among groupsConclusion: Symphysis width is the main factor in the differential diagnosis of Class II division 1 anomaly rather than symphysis height and hypodivergent Class II Division 1 anomaly is more suitable for mandibular incisors movements. (Eur J Dent 2012;6:123-132)

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 Analysis of Maxillary Bone Thickness at Incisor Area in Class II Division 1 Malocclusion

2011 ◽  
Vol 1 (1) ◽  
pp. 42-46
Author(s):  
Manju Bajracharya
Keyword(s):  
Treatment Plan ◽  
Class Ii ◽  
High Angle ◽  
Bone Thickness ◽  
Linear Measurements ◽  
Jaw Bone ◽  
Division 1 ◽  
Facial Types ◽  
Average Angle ◽  
Class Ii Division 1

Objectives: To determine and analyze the maxillary incisal jaw bone thickness among different vertical skeletal facial types of Class II Division 1 malocclusion. Materials and method: The samples (n=121) between 12-14 yrs of age were divided into three groups (low angle, average angle, high angle) based on their SN-MP angle. Linear measurements were processed and analyzed statistically. The characteristics of abnormal incisor jaw bone thickness at upper and lower incisors among three vertical facial skeletal types were studied in detail. Results: At the upper and lower central incisors low angle individuals presented greater dentoalveolar, basal bone thickness than high and average angle individuals. The distance from the root apex of upper and lower central incisors were far away from the lingual cortex in low angle than high angle individuals. Conclusion: Among different vertical facial types with Class II Division 1 malocclusion in early permanent dentition may accord to establish discriminate values as a sample to set up the cephalometric standard for the appropriate diagnosis to provide better treatment plan for the clinicians.

scholarly journals Immediate Skeletal and Dentoalveolar Effects of the Crown- or Banded Type Herbst Appliance on Class II division 1 Malocclusion

2008 ◽  
Vol 78 (2) ◽  
pp. 361-369 ◽  
Author(s):  
Gregory A. Barnett ◽  
Duncan W. Higgins ◽  
Paul W. Major ◽  
Carlos Flores-Mir
Keyword(s):  
Clinical Trials ◽  
Selection Criteria ◽  
Normal Growth ◽  
Class Ii ◽  
Control Group ◽  
Herbst Appliance ◽  
Lateral Cephalograms ◽  
Division 1 ◽  
Growth Changes ◽  
Class Ii Division 1

Abstract Objective: To evaluate the relative skeletal and dental changes produced by the crown- or banded-type Herbst appliance in growing Class II division 1 malocclusion cases. Materials and Methods: Several electronic databases were searched with the help of a health sciences librarian, without language limitation. Abstracts that appeared to fulfill the initial selection criteria (Herbst use and clinical trial) were selected by consensus, and their original articles were then retrieved. Clinical trials were selected that used lateral cephalograms to assess immediate skeletal and dental changes from the use of either crown or banded Herbst appliances. Clinical trials that employed other simultaneous potentially growth-modifying appliances or surgery were excluded. A comparable untreated Class II division 1 malocclusion control group was required to factor out normal growth changes. References from the selected articles were also hand searched. Results: Only three articles meet the selection criteria. Proclination and anterior movement of the lower incisors, overjet reduction, and improvement of first molar relationship thorough mesial movement of the first molars, reduction of ANB angle, and an increase in the mandibular plane angle were reported. There were mixed findings as to mandibular sagittal length and position and increases in lower face height, both anteriorly and posteriorly. No statistically significant changes were noted in the sagittal length or position of the skeletal maxilla. Conclusions: Dental changes have more impact than skeletal changes in the correction of Class II division 1 malocclusions with the crown or banded Herbst appliance.

scholarly journals Comparison of Maxillary and Mandibular Incisor Inclination in Class II Division 1 Malocclusion among Chinese Children

2013 ◽  
Vol 3 (2) ◽  
pp. 27-31
Author(s):  
Manju Bajracharya
Keyword(s):  
Class Ii ◽  
Chinese Children ◽  
Division I ◽  
Mandibular Incisor ◽  
Lateral Cephalograms ◽  
Division 1 ◽  
Set Up ◽  
Incisor Inclination ◽  
Average Angle ◽  
Class Ii Division 1

Objective: To determine maxillary and mandibular incisor inclination in Class II Division 1 malocclusion among different vertical skeletal type Chinese children. Materials & Method: Lateral cephalograms of Class II Division I malocclusion cases of 120 Chinese children (male-55, female-65) of the age range 12-14 years were divided into three vertical skeletal types (low angle, average angle, high angle) based on Sella-Nasion to Mandibular plane angle. To determine incisor inclination, lateral cephalometric radiographs were measured and analyzed using factorial analysis. All angular parameters were processed using ANOVA and t-test. Maxillary and mandibular incisor inclinations were discussed in detail among three vertical facial skeletal types. Result: The maxillary and mandibular incisors of low angle individuals were found to be proclined more than those with high and average angle individuals. Conclusion: Different vertical facial types of Class II Division I malocclusion in early permanent dentition accord to establish discriminate values to set up the cephalometric standards for diagnosis and treatment planning for the clinicians.  

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