Long term results of double plate appliance and facemask combination in the treatment of Class III malocclusion: cephalometric analysis
Öz
Objective: The aim of this
study was to evaluate the long term results of double plate appliance and
facemask combination (DPA-FM) in treating Class III malocclusions when growth
potential of the patients was close to cease or ceased.
Materials and Method: The material consisted
of the pretreatment (T1), posttreatment (T2), and long term (T3) lateral
cephalometric and the hand-wrist radiographs of 13 patients (5 females, 8 males;
mean chronological age: 11.1±1.40 years) with skeletal and dental Class III
malocclusion treated with DPA-FM combination. The mean DPA-FM treatment time
was 10.8±1.88 months. The hand-wrist growth and developmental stages were MP3u
or Ru at T3. The mean follow-up period was 5.0±1.98 years. Friedman’s Two-Way
ANOVA and Wilcoxon signed-rank tests were used to evaluate the treatment
(T2-T1), follow-up (T3-T2) and overall (T3-T1) results.
Results: With
the DPA-FM therapy, SNA and ANB angles increased (p<0.001); however, no
significant differences were found in these parameters during T3-T2 period
[p=0.655 (SNA), p=0.805 (ANB)]. Significant increases were found in N┴FH-A distance during
the treatment (p<0.01) and follow-up (p<0.05) periods. Molar relation showed
significant increases with DPA-FM in both the treatment and overall period
(p<0.001). Overjet increased significantly during the treatment
(p<0.001), follow-up (p<0.05), and overall (p<0.001) periods.
Significant protrusion of upper incisors (U1/NA) was observed during the
treatment, follow-up, and overall periods (p<0.05). U6/PP and L6/MP angles
did not change during the DPA-FM treatment; however, these parameters decreased
significantly during the follow-up and overall periods (p<0.05).
Conclusion: In the treatment of
Class III malocclusion, the DPA-FM appliance was effective. The skeletal and
dental sagittal changes achieved by orthopedic treatment were maintained in the
long term.
Anahtar Kelimeler
Angle Class III extraoral traction appliances follow-up studies malocclusion orthodontic appliances orthodontics
Kaynakça
- Tortop T, Keykubat A, Yuksel S. Facemask therapy with and without expansion. Am J Orthod Dentofacial Orthop 2007;132:467-74.
- Gencer D, Kaygisiz E, Yüksel S, Tortop T. Comparison of double-plate appliance/facemask combination and facemask therapy in treating Class III malocclusions. Angle Orthod 2015;85:278-83.
- Williams MD, Sarver DM, Sadowsky PL, Bradley E. Combined rapid maxillary expansion and protraction facemask in the treatment of Class III malocclusions in growing children: a prospective long-term study. Semin Orthod 1997;3:265-74.
- Ngan PW, Hagg U, Yiu C, Wei SH. Treatment response and long-term dentofacial adaptations to maxillary expansion and protraction. Semin Orthod 1997;3:255-64.
- Hägg U, Tse A, Bendeus M, Rabie ABM. Long‐term follow‐up of early treatment with reverse headgear. Eur J Orthod 2003;25:95-102.
- Westwood PV, McNamara Jr JA, Baccetti T, Franchi L, Sarver DM. Long-term effects of Class III treatment with rapid maxillary expansion and facemask therapy followed by fixed appliances. Am J Orthod Dentofac Orthop 2003;123:306-20.
- Tortop T, Kaygisiz E, Gencer D, Yuksel S, Atalay Z. Modified tandem traction bow appliance compared with facemask therapy in treating Class III malocclusions. Angle Orthod 2014;84:642-8.
- Atalay Z, Tortop T. Dentofacial effects of a modified tandem traction bow appliance. Eur J Orthod 2010;32:655-61.
- Gencer D, Hasanoğlu Nalcı N, Yuksel S, Tortop T. Effects of double plate - facemask appliance on dentofacial structures. GÜ Diş Hek Fak Derg 2009;26: 163-70.
- Seehra J, Fleming PS, Dibiase AT. Reverse Twin Block appliance for early dental Class III correction. J Clin Orthod 2010;44:602-10.
- Fränkel R. Maxillary retrusion in Class 3 and treatment with the function corrector 3. Rep Congr Eur Orthod Soc 1970:249-59.
- Arman A, Toygar TU, Abuhijleh E. Evaluation of maxillary protraction and fixed appliance therapy in Class III patients. Eur J Orthod 2006;28:383-92.
- Baccetti T, Franchi L, McNamara Jr JA. Treatment and posttreatment craniofacial changes after rapid maxillary expansion and facemask therapy. Am J Orthod Dentofacial Orthop 2000;118:404-13.
- Ghiz MA, Ngan P, Gunel E. Cephalometric variables to predict future success of early orthopedic Class III treatment. Am J Orthod Dentofacial Orthop 2005;127:301-6.
- Deguchi T, Kanomi R, Ashizawa Y, Rosenstein SW. Very early face mask therapy in Class III children. Angle Orthod 1999;69:349-55.
- Gallagher R, Miranda F, Buschang P. Maxillary protraction: treatment and posttreatment effects. Am J Orthod Dentofacial Orthop 1998;113:612-9.
- Chen L, Chen R, Yang Y, Ji G, Shen G. The effects of maxillary protraction and its long-term stability—a clinical trial in Chinese adolescents. Eur J Orthod 2012;34:88-95.
- Üçem TT, Üçüncü N, Yüksel S. Comparison of double-plate appliance and facemask therapy in treating Class III malocclusions. Am J Orthod Dentofacial Orthop 2004;126:672-9.
- Grave KC, Brown T. Skeletal ossification and the adolescent growth spurt. Am J Orthod 1976;69:611-9.
- Janson G, Caldas W, Garib DG, Foncatti CF. Long-term stability of Class III malocclusion nonextraction treatment. J World Fed Orthod 2017;6:20-7.
- Mandall N, Cousley R, DiBiase A, Dyer F, Littlewood S, Mattick R, et al. Early class III protraction facemask treatment reduces the need for orthognathic surgery: a multi-centre, two-arm parallel randomized, controlled trial. J Orthod 2016;43:164-75.
- Kaygisiz E, Yuksel S. Evaluation of the long-term results of facemask. Acta Odontol Turc 2014;31:127-33.
- Macdonald KE, Kapust AJ, Turley PK. Cephalometric changes after the correction of Class III malocclusion with maxillary expansion/facemask therapy. Am J Orthod Dentofacial Orthop 1999;116:13-24.
- Shanker S, Ngan P, Wade D, Wade D, Beck M, Yiu C, et al. Cephalometric A point changes during and after maxillary protraction and expansion. Am J Orthod Dentofacial Orthop 1996;110:423-30.
- Chong YH, Ive JC, Årtun J. Changes following the use of protraction headgear for early correction of Class III malocclusion. Angle Orthod 1996;66:351-62.
- Merwin D, Ngan P, Hagg U, Yiu C, Wei SH. Timing for effective application of anteriorly directed orthopedic force to the maxilla. Am J Orthod Dentofacial Orthop 1997;112:292-9.
- Wells AP, Sarver DM, Proffit WR. Long-term efficacy of reverse pull headgear therapy. Angle Orthod 2006;76:915-22.
- Celikoglu M, Yavuz I, Unal T, Oktay H, Erdem A. Comparison of the soft and hard tissue effects of two different protraction mechanisms in class III patients: a randomized clinical trial. Clin Oral Investig 2015;19:2115-22.
- Rongo R, D'Antò V, Bucci R, Polito I, Martina R, Michelotti A. Skeletal and dental effects of Class III orthopaedic treatment: a systematic review and meta-analysis. J Oral Rehabil 2017;44:545-62.
- Cozza P, Baccetti T, Mucedero M, Pavoni C, Franchi L. Treatment and posttreatment effects of a facial mask combined with a bite-block appliance in Class III malocclusion. Am J Orthod Dentofacial Orthop 2010;138:300-10.
- Üçüncü N, Tortop T, Yüksel S. A comparison of chincap and maxillary protraction appliances in the treatment of skeletal Class III malocclusions. Eur J Orthod 2000;22:43-51.
- Baik HS, Jee SH, Lee KJ, Oh TK. Treatment effects of Fränkel functional regulator III in children with Class III malocclusions. Am J Orthod Dentofacial Orthop 2004;125:294-301.
- Masucci C, Franchi L, Defraia E, Mucedero M, Cozza P, Baccetti T. Stability of rapid maxillary expansion and facemask therapy: a long-term controlled study. Am J Orthod Dentofacial Orthop 2011;140:493-500.
Sınıf III maloklüzyonun tedavisinde ağız-içi çift plak ile yüz maskesi kombine uygulamasının uzun dönem sonuçları: sefalometrik analiz
Öz
Amaç: Sınıf III maloklüzyonun tedavisinde kullanılan ağız-içi çift plak
ile yüz maskesi (AÇP-YM) kombine tedavisinin uzun dönem sonuçlarının büyüme
potansiyeli bitmiş ya da bitmekte olan hastalarda değerlendirilmesidir.
Gereç ve Yöntem: Çalışmanın materyali AÇP-YM kombine tedavisi uygulanmış olan
iskeletsel ve dişsel Sınıf III maloklüzyona sahip 13 hastaya (5 kız, 8 erkek;
ortalama kronolojik yaş: 11.1±1.40 yıl) ait tedavi öncesi (T1), sonrası (T2) ve
uzun dönem takip (T3) lateral sefalometrik ve el bilek radyografilerinden
oluşturuldu. Ortalama AÇP-YM tedavi süresi 10.8±1.88 aydır. T3 döneminde, el
bilek büyüme ve gelişim safhası, MP3u veya Ru dönemidir. Ortalama takip süresi
5.0±1.98 yıldır. Tedavi (T2-T1), takip (T3-T2) ve toplam (T3-T1) değişiklikleri
değerlendirmek için Friedman iki yönlü ANOVA ve Wilcoxon işaretli sıralar
testleri kullanıldı.
Bulgular: AÇP-YM tedavisi ile SNA ve ANB açılarında artış bulundu (p<0.001). Ancak bu
parametrelerde T3-T2 döneminde önemli düzeyde bir değişiklik meydana gelmedi [p=0.655 (SNA), p=0.805
(ANB)]. N┴FH-A mesafesi tedavi
(p<0.01) ve takip (p<0.05) dönemlerinde önemli düzeyde arttı. Molar ilişkide, hem AÇP-YM tedavisi sırasında hem de toplam sürede
önemli düzeyde bir artış meydana geldi (p<0.001). Overjet ise, tedavi
(p<0.001), takip (p<0.05) ve toplam sürede (p<0.001) önemli düzeyde
arttı. Tedavi, takip dönemlerinde ve toplam sürede, üst keserlerde (U1/NA)
önemli düzeyde protrüzyon gözlendi (p<0.05). U6/PP ve L6/MP açıları AÇP-YM
tedavisi ile değişmezken, takip periyodunda ve toplam sürede bu parametrelerde
önemli düzeyde azalma meydana geldi (p<0.05).
Sonuç: AÇP-YM kombine tedavisi, Sınıf III maloklüzyonun tedavisinde etkili
bulundu. Bu ortopedik tedavi ile meydana gelen iskeletsel ve dişsel sagital
değişikliklerin uzun dönem takip periyodunda korunduğu gözlendi.
Anahtar Kelimeler
Angle Sınıf 3 ağız dışı çekme aletleri maloklüzyon ortodontik cihazlar ortodonti takip çalışmaları
Kaynakça
- Tortop T, Keykubat A, Yuksel S. Facemask therapy with and without expansion. Am J Orthod Dentofacial Orthop 2007;132:467-74.
- Gencer D, Kaygisiz E, Yüksel S, Tortop T. Comparison of double-plate appliance/facemask combination and facemask therapy in treating Class III malocclusions. Angle Orthod 2015;85:278-83.
- Williams MD, Sarver DM, Sadowsky PL, Bradley E. Combined rapid maxillary expansion and protraction facemask in the treatment of Class III malocclusions in growing children: a prospective long-term study. Semin Orthod 1997;3:265-74.
- Ngan PW, Hagg U, Yiu C, Wei SH. Treatment response and long-term dentofacial adaptations to maxillary expansion and protraction. Semin Orthod 1997;3:255-64.
- Hägg U, Tse A, Bendeus M, Rabie ABM. Long‐term follow‐up of early treatment with reverse headgear. Eur J Orthod 2003;25:95-102.
- Westwood PV, McNamara Jr JA, Baccetti T, Franchi L, Sarver DM. Long-term effects of Class III treatment with rapid maxillary expansion and facemask therapy followed by fixed appliances. Am J Orthod Dentofac Orthop 2003;123:306-20.
- Tortop T, Kaygisiz E, Gencer D, Yuksel S, Atalay Z. Modified tandem traction bow appliance compared with facemask therapy in treating Class III malocclusions. Angle Orthod 2014;84:642-8.
- Atalay Z, Tortop T. Dentofacial effects of a modified tandem traction bow appliance. Eur J Orthod 2010;32:655-61.
- Gencer D, Hasanoğlu Nalcı N, Yuksel S, Tortop T. Effects of double plate - facemask appliance on dentofacial structures. GÜ Diş Hek Fak Derg 2009;26: 163-70.
- Seehra J, Fleming PS, Dibiase AT. Reverse Twin Block appliance for early dental Class III correction. J Clin Orthod 2010;44:602-10.
- Fränkel R. Maxillary retrusion in Class 3 and treatment with the function corrector 3. Rep Congr Eur Orthod Soc 1970:249-59.
- Arman A, Toygar TU, Abuhijleh E. Evaluation of maxillary protraction and fixed appliance therapy in Class III patients. Eur J Orthod 2006;28:383-92.
- Baccetti T, Franchi L, McNamara Jr JA. Treatment and posttreatment craniofacial changes after rapid maxillary expansion and facemask therapy. Am J Orthod Dentofacial Orthop 2000;118:404-13.
- Ghiz MA, Ngan P, Gunel E. Cephalometric variables to predict future success of early orthopedic Class III treatment. Am J Orthod Dentofacial Orthop 2005;127:301-6.
- Deguchi T, Kanomi R, Ashizawa Y, Rosenstein SW. Very early face mask therapy in Class III children. Angle Orthod 1999;69:349-55.
- Gallagher R, Miranda F, Buschang P. Maxillary protraction: treatment and posttreatment effects. Am J Orthod Dentofacial Orthop 1998;113:612-9.
- Chen L, Chen R, Yang Y, Ji G, Shen G. The effects of maxillary protraction and its long-term stability—a clinical trial in Chinese adolescents. Eur J Orthod 2012;34:88-95.
- Üçem TT, Üçüncü N, Yüksel S. Comparison of double-plate appliance and facemask therapy in treating Class III malocclusions. Am J Orthod Dentofacial Orthop 2004;126:672-9.
- Grave KC, Brown T. Skeletal ossification and the adolescent growth spurt. Am J Orthod 1976;69:611-9.
- Janson G, Caldas W, Garib DG, Foncatti CF. Long-term stability of Class III malocclusion nonextraction treatment. J World Fed Orthod 2017;6:20-7.
- Mandall N, Cousley R, DiBiase A, Dyer F, Littlewood S, Mattick R, et al. Early class III protraction facemask treatment reduces the need for orthognathic surgery: a multi-centre, two-arm parallel randomized, controlled trial. J Orthod 2016;43:164-75.
- Kaygisiz E, Yuksel S. Evaluation of the long-term results of facemask. Acta Odontol Turc 2014;31:127-33.
- Macdonald KE, Kapust AJ, Turley PK. Cephalometric changes after the correction of Class III malocclusion with maxillary expansion/facemask therapy. Am J Orthod Dentofacial Orthop 1999;116:13-24.
- Shanker S, Ngan P, Wade D, Wade D, Beck M, Yiu C, et al. Cephalometric A point changes during and after maxillary protraction and expansion. Am J Orthod Dentofacial Orthop 1996;110:423-30.
- Chong YH, Ive JC, Årtun J. Changes following the use of protraction headgear for early correction of Class III malocclusion. Angle Orthod 1996;66:351-62.
- Merwin D, Ngan P, Hagg U, Yiu C, Wei SH. Timing for effective application of anteriorly directed orthopedic force to the maxilla. Am J Orthod Dentofacial Orthop 1997;112:292-9.
- Wells AP, Sarver DM, Proffit WR. Long-term efficacy of reverse pull headgear therapy. Angle Orthod 2006;76:915-22.
- Celikoglu M, Yavuz I, Unal T, Oktay H, Erdem A. Comparison of the soft and hard tissue effects of two different protraction mechanisms in class III patients: a randomized clinical trial. Clin Oral Investig 2015;19:2115-22.
- Rongo R, D'Antò V, Bucci R, Polito I, Martina R, Michelotti A. Skeletal and dental effects of Class III orthopaedic treatment: a systematic review and meta-analysis. J Oral Rehabil 2017;44:545-62.
- Cozza P, Baccetti T, Mucedero M, Pavoni C, Franchi L. Treatment and posttreatment effects of a facial mask combined with a bite-block appliance in Class III malocclusion. Am J Orthod Dentofacial Orthop 2010;138:300-10.
- Üçüncü N, Tortop T, Yüksel S. A comparison of chincap and maxillary protraction appliances in the treatment of skeletal Class III malocclusions. Eur J Orthod 2000;22:43-51.
- Baik HS, Jee SH, Lee KJ, Oh TK. Treatment effects of Fränkel functional regulator III in children with Class III malocclusions. Am J Orthod Dentofacial Orthop 2004;125:294-301.
- Masucci C, Franchi L, Defraia E, Mucedero M, Cozza P, Baccetti T. Stability of rapid maxillary expansion and facemask therapy: a long-term controlled study. Am J Orthod Dentofacial Orthop 2011;140:493-500.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Özgün Araştırma Makalesi |
| Yazarlar | |
| Yayımlanma Tarihi | 14 Ağustos 2018 |
| Yayımlandığı Sayı | Yıl 2018 Cilt: 35 Sayı: 3 |