Three-dimensional computed tomography analysis of airway volume in growing class II patients treated with Frankel II appliance

Abstract Objective The purpose of this retrospective study was to assess the airway volume changes associated with the use of Frankel appliance (FR II) in Class II malocclusion patients using three-dimensional cone beam computed tomography (3D CBCT) imaging. Materials and methods The sample consiste...

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Main Authors: Marwa Jameel Ahmed, Samira Diar-Bakirly, Nelson Deirs, Amar Hassan, Ahmed Ghoneima
Format: Article
Language:English
Published: BMC 2024-02-01
Series:Head & Face Medicine
Subjects:
Online Access:https://doi.org/10.1186/s13005-024-00410-8
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author Marwa Jameel Ahmed
Samira Diar-Bakirly
Nelson Deirs
Amar Hassan
Ahmed Ghoneima
author_facet Marwa Jameel Ahmed
Samira Diar-Bakirly
Nelson Deirs
Amar Hassan
Ahmed Ghoneima
author_sort Marwa Jameel Ahmed
collection DOAJ
description Abstract Objective The purpose of this retrospective study was to assess the airway volume changes associated with the use of Frankel appliance (FR II) in Class II malocclusion patients using three-dimensional cone beam computed tomography (3D CBCT) imaging. Materials and methods The sample consisted of 31 Class II malocclusion patients (mean age 9.24 ± 1.93 years old, 17 males (54.8%) and 14 females (45.2%)) treated with FR II appliance by the same orthodontist for an average of 9 months ± 20 days. CBCT images were taken before and after treatment and upper airway volume changes were measured using Dolphin 3D software version11.0 (Dolphin Imaging, Chatsworth, CA) and statistically compared. Results Airway volume of nasal cavity, nasopharynx, oropharynx, hypopharynx and the total airway volume significantly increased after the use of FR II appliance. In addition, significant increase was reported in maxillary base, inter-molar, inter-premolar and inter-canine width. Significant increase in soft tissue thickness was only recorded opposite to CV2. Conclusion The use of the FR II appliance in growing subjects with Class II malocclusion led to a significant increase in the upper airway volume in addition to the anticipated dental and skeletal transverse expansion effects.
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spelling doaj.art-e27402e4ceb44864a744b4cf019914992024-03-05T20:29:09ZengBMCHead & Face Medicine1746-160X2024-02-012011910.1186/s13005-024-00410-8Three-dimensional computed tomography analysis of airway volume in growing class II patients treated with Frankel II applianceMarwa Jameel Ahmed0Samira Diar-Bakirly1Nelson Deirs2Amar Hassan3Ahmed Ghoneima4Department of Orthodontics, Hamdan Bin Mohammed College of Dental MedicineDepartment of Orthodontics, Hamdan Bin Mohammed College of Dental MedicineDepartment of Orthodontics and Oral Facial Genetics, Indiana University School of DentistryDepartment of Orthodontics, Hamdan Bin Mohammed College of Dental MedicineDepartment of Orthodontics, Hamdan Bin Mohammed College of Dental MedicineAbstract Objective The purpose of this retrospective study was to assess the airway volume changes associated with the use of Frankel appliance (FR II) in Class II malocclusion patients using three-dimensional cone beam computed tomography (3D CBCT) imaging. Materials and methods The sample consisted of 31 Class II malocclusion patients (mean age 9.24 ± 1.93 years old, 17 males (54.8%) and 14 females (45.2%)) treated with FR II appliance by the same orthodontist for an average of 9 months ± 20 days. CBCT images were taken before and after treatment and upper airway volume changes were measured using Dolphin 3D software version11.0 (Dolphin Imaging, Chatsworth, CA) and statistically compared. Results Airway volume of nasal cavity, nasopharynx, oropharynx, hypopharynx and the total airway volume significantly increased after the use of FR II appliance. In addition, significant increase was reported in maxillary base, inter-molar, inter-premolar and inter-canine width. Significant increase in soft tissue thickness was only recorded opposite to CV2. Conclusion The use of the FR II appliance in growing subjects with Class II malocclusion led to a significant increase in the upper airway volume in addition to the anticipated dental and skeletal transverse expansion effects.https://doi.org/10.1186/s13005-024-00410-8Airway volumeFrankel appliance (FR II)3D imagingClass II malocclusion
spellingShingle Marwa Jameel Ahmed
Samira Diar-Bakirly
Nelson Deirs
Amar Hassan
Ahmed Ghoneima
Three-dimensional computed tomography analysis of airway volume in growing class II patients treated with Frankel II appliance
Head & Face Medicine
Airway volume
Frankel appliance (FR II)
3D imaging
Class II malocclusion
title Three-dimensional computed tomography analysis of airway volume in growing class II patients treated with Frankel II appliance
title_full Three-dimensional computed tomography analysis of airway volume in growing class II patients treated with Frankel II appliance
title_fullStr Three-dimensional computed tomography analysis of airway volume in growing class II patients treated with Frankel II appliance
title_full_unstemmed Three-dimensional computed tomography analysis of airway volume in growing class II patients treated with Frankel II appliance
title_short Three-dimensional computed tomography analysis of airway volume in growing class II patients treated with Frankel II appliance
title_sort three dimensional computed tomography analysis of airway volume in growing class ii patients treated with frankel ii appliance
topic Airway volume
Frankel appliance (FR II)
3D imaging
Class II malocclusion
url https://doi.org/10.1186/s13005-024-00410-8
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