Treatment effects of Herbst appliance in skeletal Class II cases during pre-pubertal and post-pubertal periods: a cone-beam computed tomographic study

Abstract In the present study, Thirty-six Class patients II (A condition in which the upper jaw is larger than the lower jaw) were randomly selected and assigned to one of two groups based on their maturation stage: the pre-pubertal group (18 patients, mean age 9.15 ± 1.5 years) and post-pubertal gr...

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Main Authors: Khaled Farouk, Osama Eissa, Ahmed Ghoneima, Ashraf El-Bedwehi, Ezzat Abdel-Fattah, Farouk Hussein, Tarek El-Bialy
Format: Article
Language:English
Published: Nature Portfolio 2023-07-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-37394-5
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author Khaled Farouk
Osama Eissa
Ahmed Ghoneima
Ashraf El-Bedwehi
Ezzat Abdel-Fattah
Farouk Hussein
Tarek El-Bialy
author_facet Khaled Farouk
Osama Eissa
Ahmed Ghoneima
Ashraf El-Bedwehi
Ezzat Abdel-Fattah
Farouk Hussein
Tarek El-Bialy
author_sort Khaled Farouk
collection DOAJ
description Abstract In the present study, Thirty-six Class patients II (A condition in which the upper jaw is larger than the lower jaw) were randomly selected and assigned to one of two groups based on their maturation stage: the pre-pubertal group (18 patients, mean age 9.15 ± 1.5 years) and post-pubertal group (18 patients, mean age 16.3 ± 1.0 years). All patients were treated with a metallic splint-supported Herbst IV appliance (An appliance that acts like artificial joint working between the upper and power jaws that keeps the lower jaw in a forward position, thus improving the Class II condition). Pretreatment (T1) and post-Herbst IV treatment (T2) scans were obtained for both groups. Dental and skeletal measurements were made on the scans and statistically analyzed using paired and independent t-tests. The study hypothesis was that; the dentoskeletal changes in Class II malocclusion treatment using Herbst appliance in the Pre-pubertal is more than the Post-pubertal growth stage due to the remaining growth potential for the pre-pubertal patients. The comparison between the two groups revealed statistically significant differences in horizontal skeletal parameters in the lower jaw only, while other readings were similar.
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spelling doaj.art-794890e376db4a14a52fe06c54c858452023-07-16T11:16:34ZengNature PortfolioScientific Reports2045-23222023-07-0113111110.1038/s41598-023-37394-5Treatment effects of Herbst appliance in skeletal Class II cases during pre-pubertal and post-pubertal periods: a cone-beam computed tomographic studyKhaled Farouk0Osama Eissa1Ahmed Ghoneima2Ashraf El-Bedwehi3Ezzat Abdel-Fattah4Farouk Hussein5Tarek El-Bialy6Department of Orthodontics, Faculty of Dental Medicine, Al-Azhar UniversityDepartment of Orthodontics, Faculty of Dentistry, Tanta UniversityDepartment of Orthodontics and Oral Facial Genetics, School of Dentistry, Indiana UniversityDepartment of Orthodontics, Faculty of Dental Medicine, Al-Azhar UniversityDepartment of Orthodontics, Faculty of Dental Medicine, Al-Azhar UniversityDepartment of Orthodontics, Faculty of Dental Medicine, Al-Azhar UniversityFaculty of Medicine and Dentistry, 7-020D Katz Group Centre for Pharmacy and Health Research University of AlbertaAbstract In the present study, Thirty-six Class patients II (A condition in which the upper jaw is larger than the lower jaw) were randomly selected and assigned to one of two groups based on their maturation stage: the pre-pubertal group (18 patients, mean age 9.15 ± 1.5 years) and post-pubertal group (18 patients, mean age 16.3 ± 1.0 years). All patients were treated with a metallic splint-supported Herbst IV appliance (An appliance that acts like artificial joint working between the upper and power jaws that keeps the lower jaw in a forward position, thus improving the Class II condition). Pretreatment (T1) and post-Herbst IV treatment (T2) scans were obtained for both groups. Dental and skeletal measurements were made on the scans and statistically analyzed using paired and independent t-tests. The study hypothesis was that; the dentoskeletal changes in Class II malocclusion treatment using Herbst appliance in the Pre-pubertal is more than the Post-pubertal growth stage due to the remaining growth potential for the pre-pubertal patients. The comparison between the two groups revealed statistically significant differences in horizontal skeletal parameters in the lower jaw only, while other readings were similar.https://doi.org/10.1038/s41598-023-37394-5
spellingShingle Khaled Farouk
Osama Eissa
Ahmed Ghoneima
Ashraf El-Bedwehi
Ezzat Abdel-Fattah
Farouk Hussein
Tarek El-Bialy
Treatment effects of Herbst appliance in skeletal Class II cases during pre-pubertal and post-pubertal periods: a cone-beam computed tomographic study
Scientific Reports
title Treatment effects of Herbst appliance in skeletal Class II cases during pre-pubertal and post-pubertal periods: a cone-beam computed tomographic study
title_full Treatment effects of Herbst appliance in skeletal Class II cases during pre-pubertal and post-pubertal periods: a cone-beam computed tomographic study
title_fullStr Treatment effects of Herbst appliance in skeletal Class II cases during pre-pubertal and post-pubertal periods: a cone-beam computed tomographic study
title_full_unstemmed Treatment effects of Herbst appliance in skeletal Class II cases during pre-pubertal and post-pubertal periods: a cone-beam computed tomographic study
title_short Treatment effects of Herbst appliance in skeletal Class II cases during pre-pubertal and post-pubertal periods: a cone-beam computed tomographic study
title_sort treatment effects of herbst appliance in skeletal class ii cases during pre pubertal and post pubertal periods a cone beam computed tomographic study
url https://doi.org/10.1038/s41598-023-37394-5
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