Cephalometric evaluation of Class III patients treated with facemask: 12 months follow-up (Clinical trial)

Background and Aims: Skeletal class III malocclusions are considered as one of the most complex and difficult orthodontic problems to diagnose and treat. Facial appearance and occlusion problems make the patients to seek treatment as soon as possible. The purpose of this study was to evaluate the ou...

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Main Authors: Sahar Ghodsi Bushehri, Farzaneh Khajeh, Somayeh Heidari, Shahla Momeni Danaei
Format: Article
Language:fas
Published: Tehran University of Medical Sciences 2013-05-01
Series:Journal of Dental Medicine
Subjects:
Online Access:http://jdm.tums.ac.ir/browse.php?a_code=A-10-1-12&slc_lang=en&sid=1
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author Sahar Ghodsi Bushehri
Farzaneh Khajeh
Somayeh Heidari
Shahla Momeni Danaei
author_facet Sahar Ghodsi Bushehri
Farzaneh Khajeh
Somayeh Heidari
Shahla Momeni Danaei
author_sort Sahar Ghodsi Bushehri
collection DOAJ
description Background and Aims: Skeletal class III malocclusions are considered as one of the most complex and difficult orthodontic problems to diagnose and treat. Facial appearance and occlusion problems make the patients to seek treatment as soon as possible. The purpose of this study was to evaluate the outcomes of early treatment with facemask compared to the patients who had no treatment.   Materials and Methods: For this retrospective study, 38 growing patients (mean age, 8.5 years old) with class III dentoskeletal malocclusion were divided into 2 groups. 23 patients were treated with facemask and 15 patients who did not receive any treatment were assigned as control group. Lateral cephalograms were taken before and after treatment and dentoskeletal changes were estimated. Data were analyzed using Wilcoxon signed ranks test.   Results: The results revealed statistically significant forward displacement of maxillary bone and upper incisors (P<0.001), and downward-backward rotation of mandible in facemask group (P<0.001). Increased lower facial height was seen in both treatment and untreated groups. However, in untreated group some measurements revealed forward displacement of maxillary complex as well.   Conclusion: It seems that in class III patients treating with facemask is a better choice than ChinCap and decision making for early treatment in class III patients should be considered seriously. Moreover, specific attention to the type of patient’s skeletal discrepancy is necessary. In class III patients, facemask might be a better option than other appliances.
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spelling doaj.art-cc306c25489248fcb7e4b6debba26e312022-12-22T03:27:46ZfasTehran University of Medical SciencesJournal of Dental Medicine1024-641X2008-24442013-05-01262144150Cephalometric evaluation of Class III patients treated with facemask: 12 months follow-up (Clinical trial)Sahar Ghodsi BushehriFarzaneh KhajehSomayeh HeidariShahla Momeni DanaeiBackground and Aims: Skeletal class III malocclusions are considered as one of the most complex and difficult orthodontic problems to diagnose and treat. Facial appearance and occlusion problems make the patients to seek treatment as soon as possible. The purpose of this study was to evaluate the outcomes of early treatment with facemask compared to the patients who had no treatment.   Materials and Methods: For this retrospective study, 38 growing patients (mean age, 8.5 years old) with class III dentoskeletal malocclusion were divided into 2 groups. 23 patients were treated with facemask and 15 patients who did not receive any treatment were assigned as control group. Lateral cephalograms were taken before and after treatment and dentoskeletal changes were estimated. Data were analyzed using Wilcoxon signed ranks test.   Results: The results revealed statistically significant forward displacement of maxillary bone and upper incisors (P<0.001), and downward-backward rotation of mandible in facemask group (P<0.001). Increased lower facial height was seen in both treatment and untreated groups. However, in untreated group some measurements revealed forward displacement of maxillary complex as well.   Conclusion: It seems that in class III patients treating with facemask is a better choice than ChinCap and decision making for early treatment in class III patients should be considered seriously. Moreover, specific attention to the type of patient’s skeletal discrepancy is necessary. In class III patients, facemask might be a better option than other appliances.http://jdm.tums.ac.ir/browse.php?a_code=A-10-1-12&slc_lang=en&sid=1CephalometryClass III malocclusionOrthodontic
spellingShingle Sahar Ghodsi Bushehri
Farzaneh Khajeh
Somayeh Heidari
Shahla Momeni Danaei
Cephalometric evaluation of Class III patients treated with facemask: 12 months follow-up (Clinical trial)
Journal of Dental Medicine
Cephalometry
Class III malocclusion
Orthodontic
title Cephalometric evaluation of Class III patients treated with facemask: 12 months follow-up (Clinical trial)
title_full Cephalometric evaluation of Class III patients treated with facemask: 12 months follow-up (Clinical trial)
title_fullStr Cephalometric evaluation of Class III patients treated with facemask: 12 months follow-up (Clinical trial)
title_full_unstemmed Cephalometric evaluation of Class III patients treated with facemask: 12 months follow-up (Clinical trial)
title_short Cephalometric evaluation of Class III patients treated with facemask: 12 months follow-up (Clinical trial)
title_sort cephalometric evaluation of class iii patients treated with facemask 12 months follow up clinical trial
topic Cephalometry
Class III malocclusion
Orthodontic
url http://jdm.tums.ac.ir/browse.php?a_code=A-10-1-12&slc_lang=en&sid=1
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AT farzanehkhajeh cephalometricevaluationofclassiiipatientstreatedwithfacemask12monthsfollowupclinicaltrial
AT somayehheidari cephalometricevaluationofclassiiipatientstreatedwithfacemask12monthsfollowupclinicaltrial
AT shahlamomenidanaei cephalometricevaluationofclassiiipatientstreatedwithfacemask12monthsfollowupclinicaltrial