Comparison of 2 types of treatment of skeletal Class II malocclusions: a 5-year post-retention analysis

Aim: To compare 2 types of treatment for Class II malocclusion assessing mandibular behavior in subjects submitted to full orthodontic treatment with standard edgewise appliance and cervical headgear (Kloehn appliance) and those who used cervical headgear in the first period and with full orthodonti...

Full description

Bibliographic Details
Main Authors: Ana de Lourdes Sá de Lira, Margareth Maria Gomes Souza, Ana Maria Bolognese, Matilde Nojima
Format: Article
Language:English
Published: Universidade Estadual de Campinas 2014-12-01
Series:Brazilian Journal of Oral Sciences
Subjects:
Online Access:https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8640853
_version_ 1818641740690620416
author Ana de Lourdes Sá de Lira
Margareth Maria Gomes Souza
Ana Maria Bolognese
Matilde Nojima
author_facet Ana de Lourdes Sá de Lira
Margareth Maria Gomes Souza
Ana Maria Bolognese
Matilde Nojima
author_sort Ana de Lourdes Sá de Lira
collection DOAJ
description Aim: To compare 2 types of treatment for Class II malocclusion assessing mandibular behavior in subjects submitted to full orthodontic treatment with standard edgewise appliance and cervical headgear (Kloehn appliance) and those who used cervical headgear in the first period and with full orthodontic appliance in the second period. Methods: The sample consisted of 80 children treated with either cervical headgear combined with full fixed appliances (n=40, group 1), or with cervical headgear at first (n=40, group 2). In both groups, lateral cephalometric radiographs were compared with those made at the beginning of treatment, at its end and at 5-year post-retention phase, in order to quantify the cephalometric measures (8 angular and 3 linear), presenting the mandibular behavior in the antero-posterior and vertical directions. All patients were treated with no extraction and no use of Class II intermaxillary elastics during the full orthodontic treatment. Results: In both groups, the effective treatment of skeletal Class II malocclusion did not interfere in the direction and amount of growth of mandibular condyles and remodeling at the lower border, with no influence on the anti-clockwise rotation of the mandible. The mandibular growth also was observed after the orthodontic treatment, suggesting that it is influenced by genetic factors. Conclusions: These observations may lead to the speculation that growing patients with skeletal Class II malocclusion and low mandibular plane are conducive to a good treatment and long-term stability with one or two periods of treatment.
first_indexed 2024-12-16T23:31:58Z
format Article
id doaj.art-187ce873f429440ba9fb42fd092ae64a
institution Directory Open Access Journal
issn 1677-3225
language English
last_indexed 2024-12-16T23:31:58Z
publishDate 2014-12-01
publisher Universidade Estadual de Campinas
record_format Article
series Brazilian Journal of Oral Sciences
spelling doaj.art-187ce873f429440ba9fb42fd092ae64a2022-12-21T22:11:51ZengUniversidade Estadual de CampinasBrazilian Journal of Oral Sciences1677-32252014-12-0113410.20396/bjos.v13i4.8640853Comparison of 2 types of treatment of skeletal Class II malocclusions: a 5-year post-retention analysisAna de Lourdes Sá de Lira0Margareth Maria Gomes Souza1Ana Maria Bolognese2Matilde Nojima3Universidade Estadual do Piauí – UESPIUniversidade Federal do Rio de Janeiro – UFRJUniversidade Federal do Rio de Janeiro – UFRJUniversidade Federal do Rio de Janeiro – UFRJAim: To compare 2 types of treatment for Class II malocclusion assessing mandibular behavior in subjects submitted to full orthodontic treatment with standard edgewise appliance and cervical headgear (Kloehn appliance) and those who used cervical headgear in the first period and with full orthodontic appliance in the second period. Methods: The sample consisted of 80 children treated with either cervical headgear combined with full fixed appliances (n=40, group 1), or with cervical headgear at first (n=40, group 2). In both groups, lateral cephalometric radiographs were compared with those made at the beginning of treatment, at its end and at 5-year post-retention phase, in order to quantify the cephalometric measures (8 angular and 3 linear), presenting the mandibular behavior in the antero-posterior and vertical directions. All patients were treated with no extraction and no use of Class II intermaxillary elastics during the full orthodontic treatment. Results: In both groups, the effective treatment of skeletal Class II malocclusion did not interfere in the direction and amount of growth of mandibular condyles and remodeling at the lower border, with no influence on the anti-clockwise rotation of the mandible. The mandibular growth also was observed after the orthodontic treatment, suggesting that it is influenced by genetic factors. Conclusions: These observations may lead to the speculation that growing patients with skeletal Class II malocclusion and low mandibular plane are conducive to a good treatment and long-term stability with one or two periods of treatment.https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8640853MalocclusionOrthodonticsControl
spellingShingle Ana de Lourdes Sá de Lira
Margareth Maria Gomes Souza
Ana Maria Bolognese
Matilde Nojima
Comparison of 2 types of treatment of skeletal Class II malocclusions: a 5-year post-retention analysis
Brazilian Journal of Oral Sciences
Malocclusion
Orthodontics
Control
title Comparison of 2 types of treatment of skeletal Class II malocclusions: a 5-year post-retention analysis
title_full Comparison of 2 types of treatment of skeletal Class II malocclusions: a 5-year post-retention analysis
title_fullStr Comparison of 2 types of treatment of skeletal Class II malocclusions: a 5-year post-retention analysis
title_full_unstemmed Comparison of 2 types of treatment of skeletal Class II malocclusions: a 5-year post-retention analysis
title_short Comparison of 2 types of treatment of skeletal Class II malocclusions: a 5-year post-retention analysis
title_sort comparison of 2 types of treatment of skeletal class ii malocclusions a 5 year post retention analysis
topic Malocclusion
Orthodontics
Control
url https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8640853
work_keys_str_mv AT anadelourdessadelira comparisonof2typesoftreatmentofskeletalclassiimalocclusionsa5yearpostretentionanalysis
AT margarethmariagomessouza comparisonof2typesoftreatmentofskeletalclassiimalocclusionsa5yearpostretentionanalysis
AT anamariabolognese comparisonof2typesoftreatmentofskeletalclassiimalocclusionsa5yearpostretentionanalysis
AT matildenojima comparisonof2typesoftreatmentofskeletalclassiimalocclusionsa5yearpostretentionanalysis