Three-Dimensional Evaluation of Condyle-Glenoid Fossa Complex Following Treatment with Herbst Appliance

The purpose of the present retrospective observational study was to compare the effects of treatment with Herbst appliance and fixed therapy with elastics on the condyle and glenoid fossa complex. Thirty patients aged between twelve and sixteen years with skeletal Class II malocclusion who met the i...

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Main Authors: Jasmine Nindra, Maninder Singh Sidhu, Anuraj Singh Kochhar, Ashish Dabas, Rosa Valletta, Roberto Rongo, Gianrico Spagnuolo
Format: Article
Language:English
Published: MDPI AG 2021-10-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/10/20/4730
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author Jasmine Nindra
Maninder Singh Sidhu
Anuraj Singh Kochhar
Ashish Dabas
Rosa Valletta
Roberto Rongo
Gianrico Spagnuolo
author_facet Jasmine Nindra
Maninder Singh Sidhu
Anuraj Singh Kochhar
Ashish Dabas
Rosa Valletta
Roberto Rongo
Gianrico Spagnuolo
author_sort Jasmine Nindra
collection DOAJ
description The purpose of the present retrospective observational study was to compare the effects of treatment with Herbst appliance and fixed therapy with elastics on the condyle and glenoid fossa complex. Thirty patients aged between twelve and sixteen years with skeletal Class II malocclusion who met the inclusion criteria were included in the study: fifteen patients treated with Herbst appliance (Group 1), and fifteen patients treated with orthodontic camouflage using MBT prescription (MBT<sup>TM</sup> Versatile+ Appliance System) (Group 2). For Group 2, patients had CBCT scans taken before treatment either after Herbst appliance removal or at the end of treatment. CBCT scans were evaluated for changes in condyle-glenoid fossa complex using the In Vivo Dental 5.1 software. Statistical significance was set at <i>p</i> ≤ 0.05. On inter-group comparison, the Herbst group showed statistically significant increases in the condylar height of 1.35 mm (<i>p</i> ≤ 0.001) on the right and 1.21 mm (<i>p</i> ≤ 0.01) on the left side, and a condylar volume of 111.03 mm<sup>3</sup> (<i>p</i> ≤ 0.01) on the right and 127.80 mm<sup>3</sup> (<i>p</i> ≤ 0.001) on the left side. The Herbst group showed anterior remodelling on the postero-superior aspect of glenoid fossa. Herbst appliance treatment induced growth at the condylar head and anterior remodelling of glenoid fossa, thereby improving the maxilla-mandibular relationship in growing skeletal Class II patients.
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spelling doaj.art-40d1c28ba2a040f187bbd160da5c3b042023-11-22T18:42:19ZengMDPI AGJournal of Clinical Medicine2077-03832021-10-011020473010.3390/jcm10204730Three-Dimensional Evaluation of Condyle-Glenoid Fossa Complex Following Treatment with Herbst ApplianceJasmine Nindra0Maninder Singh Sidhu1Anuraj Singh Kochhar2Ashish Dabas3Rosa Valletta4Roberto Rongo5Gianrico Spagnuolo6Department of Orthodontics, Faculty of Dental Sciences, SGT University, Gurgaon 122505, IndiaDepartment of Orthodontics, Faculty of Dental Sciences, SGT University, Gurgaon 122505, IndiaFaculty of Dentistry, University of Toronto, Toronto, ON M5G 0C1, CanadaDepartment of Orthodontics, Faculty of Dental Sciences, SGT University, Gurgaon 122505, IndiaDepartment of Neurosciences, Reproductive and Odontostomatological Sciences, Federico II University of Naples, 80131 Naples, ItalyDepartment of Neurosciences, Reproductive and Odontostomatological Sciences, Federico II University of Naples, 80131 Naples, ItalyDepartment of Neurosciences, Reproductive and Odontostomatological Sciences, Federico II University of Naples, 80131 Naples, ItalyThe purpose of the present retrospective observational study was to compare the effects of treatment with Herbst appliance and fixed therapy with elastics on the condyle and glenoid fossa complex. Thirty patients aged between twelve and sixteen years with skeletal Class II malocclusion who met the inclusion criteria were included in the study: fifteen patients treated with Herbst appliance (Group 1), and fifteen patients treated with orthodontic camouflage using MBT prescription (MBT<sup>TM</sup> Versatile+ Appliance System) (Group 2). For Group 2, patients had CBCT scans taken before treatment either after Herbst appliance removal or at the end of treatment. CBCT scans were evaluated for changes in condyle-glenoid fossa complex using the In Vivo Dental 5.1 software. Statistical significance was set at <i>p</i> ≤ 0.05. On inter-group comparison, the Herbst group showed statistically significant increases in the condylar height of 1.35 mm (<i>p</i> ≤ 0.001) on the right and 1.21 mm (<i>p</i> ≤ 0.01) on the left side, and a condylar volume of 111.03 mm<sup>3</sup> (<i>p</i> ≤ 0.01) on the right and 127.80 mm<sup>3</sup> (<i>p</i> ≤ 0.001) on the left side. The Herbst group showed anterior remodelling on the postero-superior aspect of glenoid fossa. Herbst appliance treatment induced growth at the condylar head and anterior remodelling of glenoid fossa, thereby improving the maxilla-mandibular relationship in growing skeletal Class II patients.https://www.mdpi.com/2077-0383/10/20/4730skeletal Class II malocclusionHerbstCBCTcondylar volumecondyle-glenoid fossa complex
spellingShingle Jasmine Nindra
Maninder Singh Sidhu
Anuraj Singh Kochhar
Ashish Dabas
Rosa Valletta
Roberto Rongo
Gianrico Spagnuolo
Three-Dimensional Evaluation of Condyle-Glenoid Fossa Complex Following Treatment with Herbst Appliance
Journal of Clinical Medicine
skeletal Class II malocclusion
Herbst
CBCT
condylar volume
condyle-glenoid fossa complex
title Three-Dimensional Evaluation of Condyle-Glenoid Fossa Complex Following Treatment with Herbst Appliance
title_full Three-Dimensional Evaluation of Condyle-Glenoid Fossa Complex Following Treatment with Herbst Appliance
title_fullStr Three-Dimensional Evaluation of Condyle-Glenoid Fossa Complex Following Treatment with Herbst Appliance
title_full_unstemmed Three-Dimensional Evaluation of Condyle-Glenoid Fossa Complex Following Treatment with Herbst Appliance
title_short Three-Dimensional Evaluation of Condyle-Glenoid Fossa Complex Following Treatment with Herbst Appliance
title_sort three dimensional evaluation of condyle glenoid fossa complex following treatment with herbst appliance
topic skeletal Class II malocclusion
Herbst
CBCT
condylar volume
condyle-glenoid fossa complex
url https://www.mdpi.com/2077-0383/10/20/4730
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