Mini-implants vs fixed functional appliances for treatment of young adult Class II female patients.
Summary of "Mini-implants vs fixed functional appliances for treatment of young adult Class II female patients."
Abstract Objective: To compare the treatment effects of maxillary anterior teeth retraction with mini-implant anchorage in young adults with Class II division 1 malocclusion undergoing extraction of the maxillary first premolars with similar patients treated by a fixed functional appliance. Materials and Methods: Thirty-four young adult female patients (mean age 16.5 ± 3.2 years, overjet ≥ 6 mm) with a Class II division 1 malocclusion were divided into two groups: group 1 (G1), in which overjet correction was obtained with a fixed functional appliance (FFA), and group 2 (G2), in which upper first premolars were extracted, followed by space closure with MIs as anchor units. Dentoskeletal and soft tissue changes were analyzed on lateral cephalograms taken before (T1) and after (T2) correction of the overjet. Results: Both methods were useful in improving the overjet and interincisal relationships. Extrusion and mesial movement of the lower molar, together with lower incisor proclination, were noted in G1. G2 showed distalization and intrusion of the upper molar. The nasio-labial angle became more obtuse in G2, while lower lip protrusion was seen for G1. Conclusions: The two treatment protocols provided adequate dental compensation for the Class II malocclusion, but did not correct the skeletal discrepancy. There were significant differences in the dental and soft tissue treatment effects between the two treatment protocols.
a Assistant Professor, Division of Orthodontics, Department of Craniofacial Sciences, University of Connecticut, Health Center, Farmington, Conn.
This article was published in the following journal.
Name: The Angle orthodontist
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/21867432
- DOI: http://dx.doi.org/10.2319/042811-302.1
Medical and Biotech [MESH] Definitions
Orthodontic appliances, fixed or removable, used to maintain teeth in corrected positions during the period of functional adaptation following corrective treatment. These appliances are also used to maintain the positions of the teeth and jaws gained by orthodontic procedures. (From Zwemer, Boucher's Clinical Dental Terminology, 4th ed, p263)
Devices used for influencing tooth position. Orthodontic appliances may be classified as fixed or removable, active or retaining, and intraoral or extraoral. (Boucher's Clinical Dental Terminology, 4th ed, p19)
Prostheses And Implants
Artificial substitutes for body parts, and materials inserted into tissue for functional, cosmetic, or therapeutic purposes. Prostheses can be functional, as in the case of artificial arms and legs, or cosmetic, as in the case of an artificial eye. Implants, all surgically inserted or grafted into the body, tend to be used therapeutically. IMPLANTS, EXPERIMENTAL is available for those used experimentally.
Orthodontic Appliances, Functional
Loose, usually removable intra-oral devices which alter the muscle forces against the teeth and craniofacial skeleton. These are dynamic appliances which depend on altered neuromuscular action to effect bony growth and occlusal development. They are usually used in mixed dentition to treat pediatric malocclusions. (ADA, 1992)
Techniques used for removal of bonded orthodontic appliances, restorations, or fixed dentures from teeth.
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