Document Detail


Short-term and long-term treatment outcomes with the FR-3 appliance of Fränkel.
MedLine Citation:
PMID:  18929269     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: The aim of this retrospective controlled investigation was to analyze the short-term and long-term skeletal and dentoalveolar treatment outcomes of Function Regulator 3 (FR-3) therapy. METHODS: A group of 32 subjects with Class III malocclusion treated with the FR-3 appliance of Fränkel was compared with untreated Class III controls. The first observation was prepubertal, and the long-term observation was postpubertal for all subjects. Treatment consisted of full-time wear of the appliance for about 2.5 years, followed by a retention phase with the same appliance for at least 3 years. The overall observation period was 9 years 2 months. All patients showed a good level of compliance. Active treatment and posttreatment cephalometric changes were evaluated statistically with Mann-Whitney U tests. RESULTS: The FR-3 sample showed significant improvements in both maxillary size and position. No significant reduction in the increase of total mandibular length was recorded, but significant closures of both the gonial angle and the mandibular plane angle were found. Intermaxillary and interdental changes produced in the craniofacial skeleton were maintained successfully through the pubertal growth spurt. CONCLUSIONS: Long-term results of FR-3 therapy in patients with good compliance consisted of significant maxillary modifications and induced changes in mandibular morphology. Long-term appliance wear (more than 5 years) should be emphasized when considering treatment outcomes.
Authors:
Alyssa S Levin; James A McNamara; Lorenzo Franchi; Tiziano Baccetti; Christine Fränkel
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
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:  134     ISSN:  1097-6752     ISO Abbreviation:  Am J Orthod Dentofacial Orthop     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-10-20     Completed Date:  2008-11-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8610224     Medline TA:  Am J Orthod Dentofacial Orthop     Country:  United States    
Other Details:
Languages:  eng     Pagination:  513-24     Citation Subset:  D; IM    
Affiliation:
Department of Orthodontics, University of Michigan, Ann Arbor, Michigan, USA.
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MeSH Terms
Descriptor/Qualifier:
Cephalometry / statistics & numerical data
Child
Child, Preschool
Female
Humans
Longitudinal Studies
Male
Malocclusion, Angle Class III / therapy*
Mandible / anatomy & histology*
Maxilla / growth & development*
Orthodontic Appliances, Functional*
Orthodontics, Interceptive / instrumentation*
Puberty
Retrospective Studies
Statistics, Nonparametric

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


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