Soghra Yassaei; Farzaneh Eslami; Roya Ghafouri fard
Abstract
Aim: Considering the importance of stability on the orthodontic treatment outcomes, the instability may cause dentoskeletal and soft tissue changes in patients after the treatment. The aim of this study was to evaluate dentoskeletal and facial soft tissue relapse in class II patients whom have been treated ...
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Aim: Considering the importance of stability on the orthodontic treatment outcomes, the instability may cause dentoskeletal and soft tissue changes in patients after the treatment. The aim of this study was to evaluate dentoskeletal and facial soft tissue relapse in class II patients whom have been treated with functional appliances. Materials and Methods: 23 patients with Class II Division 1 malocclusion who had received treatment with Farmand functional appliance and had at least two years of post treatment follow up, were evaluated using cephalometric analysis for dentoskeletal and soft tissue changes. The lateral cephalometric radiographs of the patients immediately after the treatment (T1) and two years follow up (T2) were traced and statistical analysis was performed to obtain the amount of occurred relapse between T1 and T2.Results: The mean decrease of ANB angle between T1 and T2 was 0.73 º, which was not statistically significant. Overall, the mean changes of skeletal and dental variables (FMA, GOGN-SN, U1 to SN, U1 to FH and IMPA) in T1 and T2 were not statistically significant. For the soft tissue variables, the mean increase of the nasolabial and mentolabial angle in T1 and T2 were not significant. The mean changes of Z and H angles in T1 and T2 were 0.53º and 0.63 º, which were not statistically significant. Conclusion: Dentoskeletal and soft tissue facial changes that occurred during treatment with Farmand functional appliance remained stable at least 2 years after treatment.
Massoud Seifi; Majid Bargrizan; Nafiseh Memar-Kermani; Elaheh VAhid-Dastjerdi
Abstract
Aims: Assessment of skeletal and dentoalveolar changes in class II division 1 patients after treatment with Seifi's functional appliance in dental school of Shahid Beheshti. University in 2007-2008. Methods: In this before- after clinical trial study, Seifi's functional appliance was used for ...
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Aims: Assessment of skeletal and dentoalveolar changes in class II division 1 patients after treatment with Seifi's functional appliance in dental school of Shahid Beheshti. University in 2007-2008. Methods: In this before- after clinical trial study, Seifi's functional appliance was used for 15 patients (mean age: 9.84±1.24 year) with class II division I deep bite maloccIusion. All of them had mandibular deficiency and ANB>4 degrees, OJ and OB>4mm. Lateral cephalometric and panoramic radiographs, primary impression via alginate, intraoral and facial photographs were taken at the beginning of the study and after 10.2±2.01 months. The results were compared to each other. The device was two pieces and consisted of an acrylic cap on mandibular incisors and a mid palatal screw and a vertical plate on the upper jaw.Results: In sagittal dimension ANB, 1-SN and OJ decreased and SNB increased (P<0.05). Changes of SNA and IMPA were not significant(P>0.05). In vertical dimension OB decreased and L6-MP increased(P<0.05).Conclusion: Due to simultaneous three dimensional correction in transverse, sagittal and vertical dimensions, the patient benefits of the short period of treatment in the golden growth period. Also correction in skeletal and dentoalveolar relations and improvement in profile happens.
Amirfarhang Miresmaeili; Nasrin Farhadian; Marjan Tadjbakhsh
Abstract
Introduction: There are several studies to evaluate lento-skeletal changes after treatment of skeletal class 2 malocclusion with Dr Farmand's functional appliance but in non of them facial harmony has been considered. The purpose of the present study is evaluation of facial harmony in addition to dentoskeletal ...
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Introduction: There are several studies to evaluate lento-skeletal changes after treatment of skeletal class 2 malocclusion with Dr Farmand's functional appliance but in non of them facial harmony has been considered. The purpose of the present study is evaluation of facial harmony in addition to dentoskeletal changes after treatment with Dr Farmand 's functional appliance.Materials and Methods: Initial and final cephalograms of eighteen treated skeletal class 2 div 1 patients have been selected. All of them had been treated with Farmand's appliance before termination of growth spurt. Each cephalogram was separately traced two times. Means of before and after treatment data were compared with paired t-test.Results: Skeletal class 2 relationship has been successfully corrected through decreasing ANB angle (1.88±1.75, p=0.00), 66 and angle of convexity(-1.47±1.21 , p=0.00), and Also dental changes (upper incisor retrusion and lower incisor protrusion) were occurred (decrease of U1 to SN was -4.77±4.71 , p=0.00 and increase in IMPA was +3.93±2.87 ,p=0.00). Soft tissue changes involved retrusion of upper lip to E-line (-2.86±1.88, p=0.00) and decrease of upper sulcus dept (-1.55±2.04, p=0.005) and lower sulcus dept (-2.44±1.85 ,p=0.00) which played an important role in improvement of facial harmony . Lower lip was placed more anteriorly relative to H-line (1.37±1.48 p=0.001) which is not desirable in profile harmony.Conclusion: Dr Farmand's functional appliance is effective in treating skeletal class 2 patients by producing skeletal as well as dental improvement. Soft tissue harmony also is improved but final position of lower lip must be regarded more carefully.
