Document Detail


Sagittal mandibular changes with overbite correction in subjects with different mandibular growth directions: late mixed-dentition treatment effects.
MedLine Citation:
PMID:  18331938     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: This study involved the assessment of pretreatment and posttreatment lateral cephalograms from late mixed-dentition patients with Class II Division 1 and Division 2 malocclusions with mild mandibular crowding. All were selected before treatment began. METHODS: Combined growth and treatment effects were compared with changes in untreated subjects. The study was designed specifically to determine whether anteroposterior mandibular dentoalveolar and skeletal changes associated with reduction of deep incisal overbites, by using a particular late mixed-dentition treatment approach, are influenced by the direction of mandibular growth during treatment. RESULTS: In mesofacial and brachyfacial subjects, significantly greater forward movements were found at Point B after deep overbite correction than in dolichofacial subjects. This apparently enhanced effect compared with the untreated controls was not seen at pogonion. CONCLUSIONS: Clinicians should expect considerably greater forward movement of the mandibular dentoalveolus with normal mandibular growth after incisal bite opening in mesofacial and brachyfacial patients. As a consequence, less maxillary retraction might be necessary in growing mesofacial and brachyfacial Class II Division 1 and Division 2 patients than in dolichofacial patients. On the other hand, one should not expect enhancement of basal sagittal mandibular growth, regardless of the underlying vertical facial pattern.
Authors:
Michael G Woods
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Publication Detail:
Type:  Controlled Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics     Volume:  133     ISSN:  1097-6752     ISO Abbreviation:  Am J Orthod Dentofacial Orthop     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-03-11     Completed Date:  2008-03-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8610224     Medline TA:  Am J Orthod Dentofacial Orthop     Country:  United States    
Other Details:
Languages:  eng     Pagination:  388-94     Citation Subset:  D; IM    
Affiliation:
Department of Orthodontics, School of Dental Science, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Victoria, Australia. mgwoods@unimelb.edu.au
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Analysis of Variance
Cephalometry
Child
Dentition, Mixed
Face / anatomy & histology*
Female
Humans
Male
Malocclusion, Angle Class II / therapy*
Mandible / growth & development*
Maxillofacial Development*
Orthodontic Appliances
Orthodontics, Corrective* / instrumentation
Prospective Studies
Statistics, Nonparametric

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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