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Published in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie 6/2016

01-11-2016 | Original Article

Skeletal effects in Angle Class II/1 patients treated with the functional regulator type II

Cephalometric and tensor analysis

Authors: Simone Schulz, Bernd Koos, Kathrin Duske, Franka Stahl

Published in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie | Issue 6/2016

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Abstract

Objectives

The purpose of this work was to employ both cephalometric and tensor analysis in characterizing the skeletal changes experienced by patients with Angle Class II/1 malocclusion during functional orthodontic treatment with the functional regulator type II.

Methods

A total of 23 patients with Class II/1 malocclusion based on lateral cephalograms obtained before and after treatment with the functional regulator type II were analyzed. Another 23 patients with Angle Class II/1 malocclusion who had not undergone treatment were included as controls.

Results

Our cephalometric data attest to significant therapeutic effects of the functional regulator type II on the skeletal mandibular system, including significant advancement of the mandible, increases in effective mandibular length with enhancement of the chin profile, and reduction of growth-related bite deepening. No treatment-related effects were observed at the cranial-base and midface levels. In addition, tensor analysis revealed significant stimulation of mandibular growth in sagittal directions, without indications of growth effects on the maxilla. Its growth-pattern findings differed from those of cephalometric analysis by indicating that the appliance did promote horizontal development, which supports the functional orthodontic treatment effect in Angle Class II/1 cases.

Conclusions

Tensor analysis yielded additional insights into sagittal and vertical growth changes not identifiable by strictly cephalometric means. The functional regulator type II was an effective treatment modality for Angle Class II/1 malocclusion and influenced the skeletal development of these patients in favorable ways.
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Metadata
Title
Skeletal effects in Angle Class II/1 patients treated with the functional regulator type II
Cephalometric and tensor analysis
Authors
Simone Schulz
Bernd Koos
Kathrin Duske
Franka Stahl
Publication date
01-11-2016
Publisher
Springer Medizin
Published in
Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie / Issue 6/2016
Print ISSN: 1434-5293
Electronic ISSN: 1615-6714
DOI
https://doi.org/10.1007/s00056-016-0050-4

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