Volume 42 Issue 3
Apr.  2021
Turn off MathJax
Article Contents
Qi-qi YANG, Ya-li CHEN, Yuan ZHOU, Jiang-tian HU. Clinical effect of Invisible MA Appliance and Twin-block Appliance in Treatment of Early Skeletal Class II Mandibular Retrusion Malocclusion[J]. Journal of Kunming Medical University, 2021, 42(3): 29-34. doi: 10.12259/j.issn.2095-610X.S20210308
Citation: Qi-qi YANG, Ya-li CHEN, Yuan ZHOU, Jiang-tian HU. Clinical effect of Invisible MA Appliance and Twin-block Appliance in Treatment of Early Skeletal Class II Mandibular Retrusion Malocclusion[J]. Journal of Kunming Medical University, 2021, 42(3): 29-34. doi: 10.12259/j.issn.2095-610X.S20210308

Clinical effect of Invisible MA Appliance and Twin-block Appliance in Treatment of Early Skeletal Class II Mandibular Retrusion Malocclusion

doi: 10.12259/j.issn.2095-610X.S20210308
  • Received Date: 2021-01-07
  • Publish Date: 2021-04-09
  •   Objective  To comapre the clinical effect of invisible MA and double plate appliance in the treatment of children with early skeletal Class II mandibular retrusion malocclusion.  Methods  We selected 30 children with skeletal Class II mandibular retrusion malocclusion, with an average age of 10.5 years, divided them into invisible MA appliance correction group (group A) and twin-block correction group (group B), 15 cases in each group. The changes of jaw and teeth before (T0) and after (T1) treatment were measured and analyzed.  Results  Bone indexes: after treatment, there were statistically significant increases in SNB Angle, decrease in ANB Angle, decrease in Wits value, and increase in Pg/OLP of mandibular position in both groups (P < 0.05), while there was no statistically significant difference between the two groups (P > 0.05). After correction, the anterior height ratio of s-Go/N-ME in both groups decreased, while the mandibular plane Angle SN/MP, the anterior lower height ratio and the anterior lower height ratio of ANS/N-ME in both groups increased (P < 0.05), and the differences between the two groups were statistically significant (P < 0.05). Dental properties: U1-SN of the upper incisor decreased, l1-MP of the lower incisor increased, coverage improved, and molar relationship improved after treatment in both groups, all of which were statistically significant (P < 0.05). Only l1-MP Angle was significantly different between the two groups (P < 0.05). Pancherz analysis was used to conclude that the bone effect of group A was greater than that of group B.  Conclusions  The two kinds of orthodontics can effectively promote the development of mandible and improve the intersagittal deformity of mandible. After the orthodontics, the mandible will rotate clockwise, but the invisible orthodontics rotate less than the double plate orthodontics. The invisible orthodontic device MA can control the axial inclination of the anterior teeth better, and the loss of the anterior anchorage is less, so the orthodontic treatment can obtain better bone effect.
  • loading
  • [1]
    傅民魁,张丁,王邦康,等. 中国25392名儿童与青少年错牙合畸形患病率的调查[J]. 中华口腔医学杂志,2000,37(5):371-373. doi: 10.3760/j.issn:1002-0098.2000.05.016
    [2]
    孙燕,姜潮. 错畸形对青少年自尊发展影响的多因素分析[J]. 中华口腔医学杂志,2004,2004(1):69-71.
    [3]
    呼明燕. 安氏Ⅱ类2分类患者对自身畸形的认知度及客观正畸治疗需要的评价[D]. 山东: 山东大学硕士学位论文, 2012.
    [4]
    赵迪,曹军,李小燕,等. 骨性II类错患者上下颌骨矢状向结构病因机制分析[J]. 口腔医学研究,2007,23(1):95-97.
    [5]
    Ehsani S,Nebbe B,Normando D,et al. Short-term treatment effects produced by the Twin-block appliance:a systematic review and meta-analysis[J]. Eur J Orthod,2015,37(2):170-176. doi: 10.1093/ejo/cju030
    [6]
    Almaqrami Bushra-Sufyan,Alhammadi Maged-Sultan,Bao Chang C. Three dimensional reliability analyses of currently used methods for assessment of sagittal jaw discrepancy.[J]. J Clin Exp Dent,2018,10(4):e352-e360.
    [7]
    Giuseppe P,Luca C,Attilio C,et al. Diagnostic reliability of the cervical vertebral maturation method and standing height in the identification of the mandibular growth spurt[J]. Angle Orthod,2016,86(4):599-609. doi: 10.2319/072415-499.1
    [8]
    Wu J Y C,Hägg U,Pancherz H,et al. Sagittal and vertical occlusal cephalometric analyses of Pancherz:Norms for Chinese children[J]. American Journal of Orthodontics & Dentofacial Orthopedics,2010,137(6):816-824.
    [9]
    陈荣敬,沈刚. Pancherz 分析法在咬合前导型功能性矫正器疗效评价中的应用[J]. 上海口腔医学,2003,12(4):256-259. doi: 10.3969/j.issn.1006-7248.2003.04.006
    [10]
    于艳玲,宋宇,董刚,等. Pancherz分析法评估Twin-block矫治器矫治骨性Ⅱ类错的骨牙效果[J]. 临床口腔医学杂志,2011,27(3):174-176. doi: 10.3969/j.issn.1003-1634.2011.03.019
    [11]
    O’ brien K,Wright J,Conboy F,et al. Effectiveness of early orthodontic treatment with the twin-block appliance:A multicenter,randomized,controlled trial.[J]. Part 1:Dental and Skeletal Effects,2003,124(3):234-243.
    [12]
    沈刚. SGTB 矫形诱发髁突改建的生物机制及临床意义[J]. 上海口腔医学,2018,27(3):225-229.
    [13]
    Giuntini V,Vangelisti A,Masucci C,et al. Treatment effects produced by the Twin-block appliance vs the Forsus Fatigue Resistant Device in growing Class II patients[J]. Angle Orthod,2015,85(5):784-789. doi: 10.2319/090514-624.1
    [14]
    Koretsi V,Zymperdikas V F,Papageorgiou S N,et al. Treatment effects of removable functional appliances in patients with Class II malocclusion:a systematic review and meta-analysis[J]. Eur J Orthod,2015,37(4):418-434. doi: 10.1093/ejo/cju071
    [15]
    Ahmadian-Babaki F,Araghbidi-Kashani S M,Mokhtari S. A cephalometric comparison of twin block and bionator appliances in treatment of class II malocclusion[J]. J Clin Exp Dent,2017,9(1):e107-e111.
    [16]
    赵长铭,徐璐璐. Twin-block功能矫治器在安氏Ⅱ类错畸形矫治的临床研究进展[J]. 临床口腔医学杂志,2019,35(9):569-571. doi: 10.3969/j.issn.1003-1634.2019.09.018
    [17]
    ClarK W, Clark W J. Twin block functional therapy[M]. JP Medical Ltd: Oversea Publishing House, 2002: 125-126.
    [18]
    Mack S,Bonilla T,English J D,et al. Accuracy of 3-dimensional curvilinear measurements on digital models with intraoral scanners[J]. Am J Orthod Dentofacial Orthop,2017,152(3):420-425. doi: 10.1016/j.ajodo.2017.05.011
    [19]
    Fl ü gge T V,Schlager S,Nelson K,et al. Precision of intraoral digital dental impressions with iTero and extraoral digitization with the iTero and a model scanner[J]. Am J Orthod Dentofacial Orthop,2013,144(3):471-478. doi: 10.1016/j.ajodo.2013.04.017
    [20]
    Scheffler N R,Proffit W R,Phillips C. Outcomes and stability in patients with anterior open bite and long anterior face height treated with temporary anchorage devices and a maxillary intrusion splint.[J]. Am J Orthod Dentofacial Orthop,2014,146(5):594-602. doi: 10.1016/j.ajodo.2014.07.020
    [21]
    Shin K. The invisalign appliance could be an effective modality for treating overbite malocclusions within a mild to moderate range[J]. Journal of Evidence Based Dental Practice,2017,17(3):278-280. doi: 10.1016/j.jebdp.2017.06.010
    [22]
    Bucci R,Franchi L,Rongo R,et al. Class II functional orthopaedic treatment:a systematic review of systematic reviews[J]. J Oral Rehabil,2015,42(8):624-642. doi: 10.1111/joor.12295
    [23]
    杨斌,白玉兴. 两种矫治技术治疗牙周病患者牙周组织应力的对比分析[J]. 现代口腔医学杂志,2009,23(3):232-234. doi: 10.3969/j.issn.1003-7632.2009.03.003
    [24]
    Papadimitriou A,Mousoulea S,Gkantidis N,et al. Clinical effectiveness of Invisalign® orthodontic treatment:a systematic review[J]. Progress in Orthodontics,2018,19(1):37. doi: 10.1186/s40510-018-0235-z
    [25]
    Simon M,Keilig L,Schwarze J,et al. Treatment outcome and efficacy of an aligner technique--regarding incisor torque,premolar derotation and molar distalization[J]. BMC Oral Health,2014,14(1):68. doi: 10.1186/1472-6831-14-68
    [26]
    Kravitz N D,Kusnoto B,Begole E,et al. How well does Invisalign work? A prospective clinical study evaluating the efficacy of tooth movement with Invisalign[J]. Am J Orthod Dentofacial Orthop,2009,135(1):27-35. doi: 10.1016/j.ajodo.2007.05.018
    [27]
    Rossini G,Parrini S,Castroflorio T,et al. Efficacy of clear aligners in controlling orthodontic tooth movement:A systematic review.[J]. Angle Orthod,2015,85(5):881-889. doi: 10.2319/061614-436.1
  • Relative Articles

    [1] Qiqi YANG, Mengting CHEN, Jiangtian HU, Ting ZHOU. Clinical Study on the Occlusal Change of Skeletal Class Ⅰ Malocclusion Treated with Invisible Appliance and Fixed Appliance. Journal of Kunming Medical University, 2023, 44(12): 127-132.  doi: 10.12259/j.issn.2095-610X.S20231220
    [2] Jia-yun WANG, Juan-juan JI, Yun-hong LIN, Jian-zhong CHEN, Li-ming HE, Min HUANG, Xu-dong LI. A Study of the Anatomical Structure of the Mandibular Canal in the Mandible by Cone-beam Computed Tomography. Journal of Kunming Medical University, 2021, 42(1): 115-123.  doi: 10.12259/j.issn.2095-610X.S20210104
    [3] Zeng Zhi Min , Peng Song Juan , Chen Ya Li , Yang Qi Qi , Hu Jiang Tian . The Impact of Different Personality Traits on the Oral Health Related Life Quality for Adult Orthodontic Patients. Journal of Kunming Medical University, 2019, 40(03): 39-44.
    [4] YADAV Surendra Parsad, Wang Ji Hua , Wang Hong , Muhammad Usman, Zhang Jing Bo , Zhang Bo Jun . . Journal of Kunming Medical University, 2017, 38(05): 109-115.
    [5] Zhou Jian Ping . . Journal of Kunming Medical University,
    [6] Liu Qi Hong . . Journal of Kunming Medical University,
    [7] Li Song . . Journal of Kunming Medical University, 2014, 35(02): 1-1.
    [8] Li Guang Ze . . Journal of Kunming Medical University,
    [9] Yang Li . . Journal of Kunming Medical University,
    [10] Zuo Zhi Hui . . Journal of Kunming Medical University,
    [11] Xu Jia . . Journal of Kunming Medical University,
    [12] Zhou Jie . . Journal of Kunming Medical University,
    [13] Li Gui Ling . . Journal of Kunming Medical University,
    [14] Li Gui Ling . . Journal of Kunming Medical University,
    [15] He Qin . . Journal of Kunming Medical University,
    [16] Xiong Hong Zhen . . Journal of Kunming Medical University,
    [17] . Therapeutic Effect of Self-made Correction Appliance on Nipple Retraction. Journal of Kunming Medical University,
    [18] . . Journal of Kunming Medical University,
    [19] . Analysis between the Characteristics of Condylar Process Fractures and Age. Journal of Kunming Medical University,
    [20] . 微型钛板坚固内固定在下颌骨骨折中的应用. Journal of Kunming Medical University,
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(3)

    Article Metrics

    Article views (3173) PDF downloads(24) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return