Skeletal changes produced by cervical and parietal headgears: a cephalometric evaluation

Abstract Introduction Extraoral strength is the most common strategy to correct Angle Class II malocclusion, restricting and redirecting the maxillary growth. Objective To evaluate the skeletal changes resulting from the use of headgear, with cervical and parietal anchorages, associated with a ful...

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Main Authors: Anderson Jaña ROSA, Oswaldo de Vasconcellos VILELLA
Format: Article
Language:English
Published: Universidade Estadual Paulista 2021-12-01
Series:Revista de Odontologia da UNESP
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-25772021000100422&tlng=en
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author Anderson Jaña ROSA
Oswaldo de Vasconcellos VILELLA
author_facet Anderson Jaña ROSA
Oswaldo de Vasconcellos VILELLA
author_sort Anderson Jaña ROSA
collection DOAJ
description Abstract Introduction Extraoral strength is the most common strategy to correct Angle Class II malocclusion, restricting and redirecting the maxillary growth. Objective To evaluate the skeletal changes resulting from the use of headgear, with cervical and parietal anchorages, associated with a full fixed orthodontic appliance, in growing patients with Class II malocclusion (Angle) treated in the clinic of an orthodontic training center. Material and method The ages at the beginning and end of the treatment, anchorage type, and the values of some cephalometric variables were obtained from the clinical files. After applying the inclusion and exclusion criteria, 56 patient files were selected. Then, the sample was divided into two groups, according to the anchorage type: cervical (n=30) and parietal (n=26). The differences between the initial (T1) and final (T2) values of cephalometric measurements SNA, SNB, ANB, AO-BO, GoGn.SN and LHF (percentage of lower facial height to total facial height) were evaluated in both groups. Result Significant differences between T1 and T2 were found relative to SNB and ANB variables in both groups. The AO-BO variable presented a statistically significant difference only in the cervical group. The remaining variables did not show significant differences between T1 and T2. Conclusion The skeletal changes resulting from the use of cervical or parietal anchorage were very similar. There was a decrease in the sagittal discrepancy between the maxillary bones due to forward displacement of the mandible, without significant vertical changes.
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spelling doaj.art-ce58192b8a004863b25f156c14401b022022-12-22T04:13:20ZengUniversidade Estadual PaulistaRevista de Odontologia da UNESP1807-25772021-12-015010.1590/1807-2577.02221Skeletal changes produced by cervical and parietal headgears: a cephalometric evaluationAnderson Jaña ROSAhttps://orcid.org/0000-0001-6061-8310Oswaldo de Vasconcellos VILELLAhttps://orcid.org/0000-0002-6931-3094Abstract Introduction Extraoral strength is the most common strategy to correct Angle Class II malocclusion, restricting and redirecting the maxillary growth. Objective To evaluate the skeletal changes resulting from the use of headgear, with cervical and parietal anchorages, associated with a full fixed orthodontic appliance, in growing patients with Class II malocclusion (Angle) treated in the clinic of an orthodontic training center. Material and method The ages at the beginning and end of the treatment, anchorage type, and the values of some cephalometric variables were obtained from the clinical files. After applying the inclusion and exclusion criteria, 56 patient files were selected. Then, the sample was divided into two groups, according to the anchorage type: cervical (n=30) and parietal (n=26). The differences between the initial (T1) and final (T2) values of cephalometric measurements SNA, SNB, ANB, AO-BO, GoGn.SN and LHF (percentage of lower facial height to total facial height) were evaluated in both groups. Result Significant differences between T1 and T2 were found relative to SNB and ANB variables in both groups. The AO-BO variable presented a statistically significant difference only in the cervical group. The remaining variables did not show significant differences between T1 and T2. Conclusion The skeletal changes resulting from the use of cervical or parietal anchorage were very similar. There was a decrease in the sagittal discrepancy between the maxillary bones due to forward displacement of the mandible, without significant vertical changes.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-25772021000100422&tlng=enExtraoral traction appliancesmalocclusion Angle Class IIorthodontics
spellingShingle Anderson Jaña ROSA
Oswaldo de Vasconcellos VILELLA
Skeletal changes produced by cervical and parietal headgears: a cephalometric evaluation
Revista de Odontologia da UNESP
Extraoral traction appliances
malocclusion Angle Class II
orthodontics
title Skeletal changes produced by cervical and parietal headgears: a cephalometric evaluation
title_full Skeletal changes produced by cervical and parietal headgears: a cephalometric evaluation
title_fullStr Skeletal changes produced by cervical and parietal headgears: a cephalometric evaluation
title_full_unstemmed Skeletal changes produced by cervical and parietal headgears: a cephalometric evaluation
title_short Skeletal changes produced by cervical and parietal headgears: a cephalometric evaluation
title_sort skeletal changes produced by cervical and parietal headgears a cephalometric evaluation
topic Extraoral traction appliances
malocclusion Angle Class II
orthodontics
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-25772021000100422&tlng=en
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