Dental and skeletal changes in mild to moderate Class II malocclusions treated by either a Twin-block or Xbow appliance followed by full fixed orthodontic treatment.

نویسندگان

  • Sayeh Ehsani
  • Brian Nebbe
  • David Normando
  • Manuel O Lagravere
  • Carlos Flores-Mir
چکیده

OBJECTIVE To compare the short-term skeletal and dental effects of two-phase orthodontic treatment including either a Twin-block or an XBow appliance. MATERIALS AND METHODS This was a retrospective clinical trial of 50 consecutive Class II cases treated in a private practice with either a Twin-block (25) or XBow (25) appliance followed by full fixed orthodontic treatment. To factor out growth, an untreated Class II control group (25) was considered. RESULTS A MANOVA of treatment/observation changes followed by univariate pairwise comparisons showed that the maxilla moved forward less in the treatment groups than in the control group. As for mandibular changes, the corpus length increase was larger in the Twin-block group by 3.9 mm. Dentally, mesial movement of mandibular molars was greater in both treatment groups. Although no distalization of maxillary molars was found in either treatment group, restriction of mesial movement of these teeth was seen in both treatment groups. Both treatment groups demonstrated increased mandibular incisor proclination with larger increases for the XBow group by 3.3°. The Wits value was decreased by 1.6 mm more in the Twin-block group. No sex-related differences were observed. CONCLUSIONS Class II correction using an XBow or Twin-block followed by fixed appliances occurs through a relatively similar combination of dental and skeletal effects. An increase in mandibular incisor inclination for the XBow group and an increased corpus length for the Twin-block group were notable exceptions. No overall treatment length differences were seen.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

بررسی سفالومتریک آثار درمانی دستگاه فانکشنال Twin-block و بایت پلن قدامی شیب‌دار در درمان بیماران 14-11ساله دارای ناهنجاری اسکلتال کلاس II گروه 1

Background and Aims: Cl II malocclusion is one of the most common abnormalities in human societies and using a simple, affordable and accessible treatment that can be provided by general practitioners or specialists, to prevent future malocclusion complications is vital. Cl II malocclusion treatment using functional appliances such as twin block and anterior inclined bite plan have less cost, s...

متن کامل

Class II malocclusion treatment using combined Twin Block and fixed orthodontic appliances - A case report.

The effect of the Twin Block functional orthodontic appliances is mostly dento-alveolar with small skeletal effect. There are certain clinical indications where functional appliances can be used successfully in class II malocclusion e.g. in a growing patient. The use of these appliances is greatly dependent on the patient's compliance and they simplify the fixed appliance phase. In this case, a...

متن کامل

Treatment of Class II Malocclusion and Impacted Canines with Two-phase Orthodontic Treatment

Twin Block appliance has been widely used for the treatment of Class II malocclusions in growing subjects, due to its versatility and its highly compliance nature. There are certain clinical indications where functional appliances can be used successfully in Class II malocclusion as in a growing patient. In using these appliances, the main concern is compliance of patients. This appliance simpl...

متن کامل

Comparison of Root Resorption in Endodontically and Non-Endodontically Treated Teeth in Patients with Fixed Orthodontic Treatment during 2009-2018

Introduction: Apical root Resorption is a common occurrence during fixed orthodontic treatment. This study used panoramic radiographs to compare the rate of root resorption in endodontically-treated and non-endodontically-treated roots. Methods: In this descriptive-analytic study, panoramic radiographs of 20 patients aged 11-18 years with Class I Crowding and Class II Mild Skeletal malocclusio...

متن کامل

Comparison of the effects of Twin Block and activator treatment on the soft tissue profi le

Aesthetic improvement is highly valued by patients seeking orthodontic treatment ( Dann et al. , 1995 ). Subjects with a Class II malocclusion are a good example of patients who are referred to orthodontists primarily for aesthetic improvement ( Dann et al. , 1995 ). In growing patients, two-phase treatment of Class II skeletal malocclusions, which includes growth modifi cation with functional ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • The Angle orthodontist

دوره   شماره 

صفحات  -

تاریخ انتشار 2015