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Sınıf 3 maloklüzyonlarda hızlı üst çene genişletmesi ile birlikte yüz maskesi uygulamasının ve takiben yapılan sabit ortodontik tedavinin etkileri

Year 2021, Volume: 38 Issue: 2, 49 - 55, 01.05.2021
https://doi.org/10.17214/gaziaot.793228

Abstract

Amaç: Bu çalışmada üst çene gelişim yetersizliği bulunan Sınıf 3 maloklüzyonlarda hızlı üst çene genişletilmesi ve yüz maskesi ile sonrasında yapılan sabit ortodontik tedavinin etkilerinin değerlendirilmesi amaçlanmıştır.

Gereç ve Yöntem: Bu çalışmada, hızlı üst çene genişletmesiyle birlikte yüz maskesi uygulanmış ve sonrasında sabit ortodontik tedavi görmüş 20 bireyin (11 kadın, 9 erkek, kronolojik yaş medyan değeri 11.29 yıl) arşiv materyalleri kullanıldı. Çalışmaya dâhil edilen bireylerin tedavi öncesi (T0), hızlı üst çene genişletilmesi ile birlikte yüz maskesi uygulaması sonrası (T1) ve sabit tedavi sonrasında (T2) alınan lateral sefalometrik radyografiler üzerinde değerlendirmeler yapıldı. Elde edilen verilerin istatistiksel analizinde Friedman testi ile Bonferroni düzeltmeli Wilcoxon testi kullanıldı. Bulguların yorumlanması sırasında p<0.05 istatistiksel olarak anlamlı kabul edildi.

Bulgular: Yüz maskesi uygulama süresi 13 ay (T1-T0), sabit ortodontik tedavi 2 yıl 1 ay (T2-T1), toplam tedavi süresi ise 3 yıl 2 aydı (T2-T0). SNA açısındaki ve Co-A mesafesindeki artış, T1-T0 (p<0.001) ve T2-T0 (SNA: p<0.001, Co-A: p<0.01) dönemlerinde anlamlı bulundu. SNB açısı T1-T0 döneminde anlamlı azalma (p<0.01); Co-Gn uzunluğu ise her üç dönemde de anlamlı artış gösterdi (T1-T0 ve T2-T1: p<0.05, T2-T0: p<0.001). SN/GoGn açısı T1-T0 (p<0.05) ve T2-T0 (p<0.001) dönemlerinde anlamlı düzeyde arttı. ANB açısında T1-T0 ve T2-T0 dönemlerinde anlamlı artış elde edildi (p<0.001).

Sonuç: İskeletsel Sınıf 3 maloklüzyonların tedavisinde, hızlı üst çene genişletmesi ve yüz maskesinin birlikte uygulanması etkili bir yöntemdir. Sabit ortodontik tedavi sonrası üst ve alt çenenin uyumlu bir biçimde büyümeye devam etmesiyle kalıcı sonuçlar elde edilmiştir.

References

  • Graber TM, Vanarsdall RL. Orthodontics: Current Principles and Techniques. 3rd ed. St Louis: Mosby; 2000.
  • Ngan P, Hagg U, Yiu C, Merwin D, Wei SH. Treatment response to maxillary expansion and protraction. Eur J Orthod 1996;18:151-68.
  • Franchi L, Baccetti T, Tollaro I. Predictive variables for the outcome of early functional treatment of Class III malocclusion. Am J Orthod Dentofacial Orthop 1997;112:80-6.
  • Woon SC, Thiruvenkatachari B. Early orthodontic treatment for Class III malocclusion: A systematic review and meta-analysis. Am J Orthod Dentofacial Orthop 2017;151:28-52.
  • Dietrich UC. Morphological variability of skeletal Class 3 relationships as revealed by cephalometric analysis. Rep Congr Eur Orthod Soc 1970:131-43.
  • Ellis E 3rd, McNamara JA Jr, Lawrence TM. Components of adult Class II open-bite malocclusion. J Oral Maxillofac Surg 1985;43:92-105.
  • Gallagher RW, Miranda F, Buschang PH. Maxillary protraction: treatment and posttreatment effects. Am J Orthod Dentofacial Orthop 1998;113:612-9.
  • Turley PK. Managing the developing Class III malocclusion with palatal expansion and facemask therapy. Am J Orthod Dentofacial Orthop 2002;122:349-52.
  • Foersch M, Jacobs C, Wriedt S, Hechtner M, Wehrbein H. Effectiveness of maxillary protraction using facemask with or without maxillary expansion: a systematic review and meta-analysis. Clin Oral Investig 2015;19:1181-92.
  • Vaughn GA, Mason B, Moon HB, Turley PK. The effects of maxillary protraction therapy with or without rapid palatal expansion: a prospective, randomized clinical trial. Am J Orthod Dentofacial Orthop 2005;128:299-309.
  • Baccetti T, McGill JS, Franchi L, McNamara JA Jr, Tollaro I. Skeletal effects of early treatment of Class III malocclusion with maxillary expansion and face-mask therapy. Am J Orthod Dentofacial Orthop 1998;113:333-43.
  • Tortop T, Keykubat A, Yuksel S. Facemask therapy with and without expansion. Am J Orthod Dentofacial Orthop 2007;132:467-74.
  • Kapust AJ, Sinclair PM, Turley PK. Cephalometric effects of face mask/expansion therapy in Class III children: a comparison of three age groups. Am J Orthod Dentofacial Orthop 1998;113:204-12.
  • Westwood PV, McNamara JA Jr, Baccetti T, Franchi L, Sarver DM. Long-term effects of Class III treatment with rapid maxillary expansion and facemask therapy followed by fixed appliances. Am J Orthod Dentofacial Orthop 2003;123:306-20.
  • Pangrazio-Kulbersh V, Berger JL, Janisse FN, Bayirli B. Long-term stability of Class III treatment: rapid palatal expansion and protraction facemask vs LeFort I maxillary advancement osteotomy. Am J Orthod Dentofacial Orthop 2007;131:7.e9-19.
  • Chen L, Chen R, Yang Y, Ji G, Shen G. The effects of maxillary protraction and its long-term stability--a clinical trial in Chinese adolescents. Eur J Orthod 2012;34:88-95.
  • Pavoni C, Gazzani F, Franchi L, Loberto S, Lione R, Cozza P. Soft tissue facial profile in Class III malocclusion: long-term post-pubertal effects produced by the Face Mask Protocol. Eur J Orthod 2019;21;41:531-36.
  • Kaygısız E, Yüksel S. Yüz maskesi uygulamasının uzun dönem sonuçlarının değerlendirilmesi. Acta Odontol Turc 2014;31:127-33.
  • Ngan PW, Hagg U, Yiu C, Wei SH. Treatment response and long-term dentofacial adaptations to maxillary expansion and protraction. Semin Orthod 1997;3:255-64.
  • Baik HS. Limitations in orthopedic and camouflage treatment for Class III malocclusion. Semin Orthod 2007;13:158-74.
  • Macdonald KE, Kapust AJ, Turley PK. Cephalometric changes after the correction of class III malocclusion with maxillary expansion/facemask therapy. Am J Orthod Dentofacial Orthop 1999;116:13-24.
  • Anderson I, Rabie AB, Wong RW. Early treatment of pseudo-class III malocclusion: a 10-year follow-up study. J Clin Orthod 2009;43:692-8.
  • Almeida RR, Alessio LE, Almeida-Pedrin RR, Almeida MR, Pinzan A, Vieira LS. Management of the Class III malocclusion treated with maxillary expansion, facemask therapy and corrective orthodontic. A 15-year follow-up. J Appl Oral Sci 2015;23:101-9.
  • Zhang W, Qu HC, Yu M, Zhang Y. The Effects of Maxillary Protraction with or without Rapid Maxillary Expansion and Age Factors in Treating Class III Malocclusion: A Meta-Analysis. PLoS One 2015;10:e0130096.
  • Ishii H, Morita S, Takeuchi Y, Nakamura S. Treatment effect of combined maxillary protraction and chincap appliance in severe skeletal Class III cases. Am J Orthod Dentofacial Orthop 1987;92:304-12.
  • Mermigos J, Full CA, Andreasen G. Protraction of the maxillofacial complex. Am J Orthod Dentofacial Orthop 1990;98:47-55.
  • Lertpitayakun P, Miyujima K, Kanomi R, Sinha PK. Cephalometric changes after long-term early treatment with face mask and maxillary intraoral appliance therapy. Semin Orthod 2001;7:169-79.
  • Nartallo-Turley PE, Turley PK. Cephalometric effects of combined palatal expansion and facemask therapy on Class III malocclusion. Angle Orthod 1998;68:217-24.
  • Cha BK, Choi DS, Ngan P, Jost-Brinkmann PG, Kim SM, Jang IS. Maxillary protraction with miniplates providing skeletal anchorage in a growing Class III patient. Am J Orthod Dentofacial Orthop 2011;139:99-112.
  • Ngan P, Yiu C, Hu A, Hagg U, Wei SH, Gunel E. Cephalometric and occlusal changes following maxillary expansion and protraction. Eur J Orthod 1998;20:237-54.
  • Kilicoglu H, Kirlic Y. Profile changes in patients with class III malocclusions after Delaire mask therapy. Am J Orthod Dentofacial Orthop 1998;113:453-62.-9.

Effects of rapid maxillary expansion and facemask therapy followed by fixed orthodontic treatment in Class 3 malocclusions

Year 2021, Volume: 38 Issue: 2, 49 - 55, 01.05.2021
https://doi.org/10.17214/gaziaot.793228

Abstract

Objective: The aim was to evaluate the effects of rapid palatal expansion and facemask therapy followed by fixed orthodontic treatment in Class 3 malocclusions with maxillary hypoplasia.


Materials and Method:
The study was constituted from archive materials of 20 patients (11 females, 9 males, median of chronological age: 11.29 years) who were treated with rapid palatal expansion and facemask therapy followed by fixed orthodontic treatment. Lateral cephalometric radiographs of the patients were evaluated before treatment (T0), after rapid palatal expansion and facemask therapy (T1), and after fixed orthodontic treatment (T2). Friedman and post-hoc Wilcoxon tests with Bonferroni correction were used, and p<0.05 was considered as significant.

Results: The duration of rapid palatal expansion and facemask therapy was 13 months (T1-T0), fixed orthodontic treatment was 2 years and 1 month (T2-T1), and total treatment was 3 years and 2 months (T2-T0). The increase in SNA angle and Co-A dimension at T1-T0 (p<0.001) and T2-T0 (SNA: p<0.001, Co-A: p<0.01) periods were statistically significant. SNB angle showed a significant decrease at T1-T0 (p<0.01) while Co-Gn dimension increased significantly at all periods (T1-T0 and T2-T1: p<0.05, T2-T0: p<0.001). SN/GoGn angle also increased significantly at T1-T0 (p<0.05) and T2-T0 (p<0.001) periods. A significant increase was obtained in the ANB angle at T1-T0 and T2-T0 periods (p<0.001).

Conclusion: In the treatment of skeletal Class 3 malocclusions, rapid palatal expansion and facemask therapy is an effective method. Stable treatment outcomes were obtained after fixed orthodontic treatment with a harmonious maxillo-mandibular growth.

References

  • Graber TM, Vanarsdall RL. Orthodontics: Current Principles and Techniques. 3rd ed. St Louis: Mosby; 2000.
  • Ngan P, Hagg U, Yiu C, Merwin D, Wei SH. Treatment response to maxillary expansion and protraction. Eur J Orthod 1996;18:151-68.
  • Franchi L, Baccetti T, Tollaro I. Predictive variables for the outcome of early functional treatment of Class III malocclusion. Am J Orthod Dentofacial Orthop 1997;112:80-6.
  • Woon SC, Thiruvenkatachari B. Early orthodontic treatment for Class III malocclusion: A systematic review and meta-analysis. Am J Orthod Dentofacial Orthop 2017;151:28-52.
  • Dietrich UC. Morphological variability of skeletal Class 3 relationships as revealed by cephalometric analysis. Rep Congr Eur Orthod Soc 1970:131-43.
  • Ellis E 3rd, McNamara JA Jr, Lawrence TM. Components of adult Class II open-bite malocclusion. J Oral Maxillofac Surg 1985;43:92-105.
  • Gallagher RW, Miranda F, Buschang PH. Maxillary protraction: treatment and posttreatment effects. Am J Orthod Dentofacial Orthop 1998;113:612-9.
  • Turley PK. Managing the developing Class III malocclusion with palatal expansion and facemask therapy. Am J Orthod Dentofacial Orthop 2002;122:349-52.
  • Foersch M, Jacobs C, Wriedt S, Hechtner M, Wehrbein H. Effectiveness of maxillary protraction using facemask with or without maxillary expansion: a systematic review and meta-analysis. Clin Oral Investig 2015;19:1181-92.
  • Vaughn GA, Mason B, Moon HB, Turley PK. The effects of maxillary protraction therapy with or without rapid palatal expansion: a prospective, randomized clinical trial. Am J Orthod Dentofacial Orthop 2005;128:299-309.
  • Baccetti T, McGill JS, Franchi L, McNamara JA Jr, Tollaro I. Skeletal effects of early treatment of Class III malocclusion with maxillary expansion and face-mask therapy. Am J Orthod Dentofacial Orthop 1998;113:333-43.
  • Tortop T, Keykubat A, Yuksel S. Facemask therapy with and without expansion. Am J Orthod Dentofacial Orthop 2007;132:467-74.
  • Kapust AJ, Sinclair PM, Turley PK. Cephalometric effects of face mask/expansion therapy in Class III children: a comparison of three age groups. Am J Orthod Dentofacial Orthop 1998;113:204-12.
  • Westwood PV, McNamara JA Jr, Baccetti T, Franchi L, Sarver DM. Long-term effects of Class III treatment with rapid maxillary expansion and facemask therapy followed by fixed appliances. Am J Orthod Dentofacial Orthop 2003;123:306-20.
  • Pangrazio-Kulbersh V, Berger JL, Janisse FN, Bayirli B. Long-term stability of Class III treatment: rapid palatal expansion and protraction facemask vs LeFort I maxillary advancement osteotomy. Am J Orthod Dentofacial Orthop 2007;131:7.e9-19.
  • Chen L, Chen R, Yang Y, Ji G, Shen G. The effects of maxillary protraction and its long-term stability--a clinical trial in Chinese adolescents. Eur J Orthod 2012;34:88-95.
  • Pavoni C, Gazzani F, Franchi L, Loberto S, Lione R, Cozza P. Soft tissue facial profile in Class III malocclusion: long-term post-pubertal effects produced by the Face Mask Protocol. Eur J Orthod 2019;21;41:531-36.
  • Kaygısız E, Yüksel S. Yüz maskesi uygulamasının uzun dönem sonuçlarının değerlendirilmesi. Acta Odontol Turc 2014;31:127-33.
  • Ngan PW, Hagg U, Yiu C, Wei SH. Treatment response and long-term dentofacial adaptations to maxillary expansion and protraction. Semin Orthod 1997;3:255-64.
  • Baik HS. Limitations in orthopedic and camouflage treatment for Class III malocclusion. Semin Orthod 2007;13:158-74.
  • Macdonald KE, Kapust AJ, Turley PK. Cephalometric changes after the correction of class III malocclusion with maxillary expansion/facemask therapy. Am J Orthod Dentofacial Orthop 1999;116:13-24.
  • Anderson I, Rabie AB, Wong RW. Early treatment of pseudo-class III malocclusion: a 10-year follow-up study. J Clin Orthod 2009;43:692-8.
  • Almeida RR, Alessio LE, Almeida-Pedrin RR, Almeida MR, Pinzan A, Vieira LS. Management of the Class III malocclusion treated with maxillary expansion, facemask therapy and corrective orthodontic. A 15-year follow-up. J Appl Oral Sci 2015;23:101-9.
  • Zhang W, Qu HC, Yu M, Zhang Y. The Effects of Maxillary Protraction with or without Rapid Maxillary Expansion and Age Factors in Treating Class III Malocclusion: A Meta-Analysis. PLoS One 2015;10:e0130096.
  • Ishii H, Morita S, Takeuchi Y, Nakamura S. Treatment effect of combined maxillary protraction and chincap appliance in severe skeletal Class III cases. Am J Orthod Dentofacial Orthop 1987;92:304-12.
  • Mermigos J, Full CA, Andreasen G. Protraction of the maxillofacial complex. Am J Orthod Dentofacial Orthop 1990;98:47-55.
  • Lertpitayakun P, Miyujima K, Kanomi R, Sinha PK. Cephalometric changes after long-term early treatment with face mask and maxillary intraoral appliance therapy. Semin Orthod 2001;7:169-79.
  • Nartallo-Turley PE, Turley PK. Cephalometric effects of combined palatal expansion and facemask therapy on Class III malocclusion. Angle Orthod 1998;68:217-24.
  • Cha BK, Choi DS, Ngan P, Jost-Brinkmann PG, Kim SM, Jang IS. Maxillary protraction with miniplates providing skeletal anchorage in a growing Class III patient. Am J Orthod Dentofacial Orthop 2011;139:99-112.
  • Ngan P, Yiu C, Hu A, Hagg U, Wei SH, Gunel E. Cephalometric and occlusal changes following maxillary expansion and protraction. Eur J Orthod 1998;20:237-54.
  • Kilicoglu H, Kirlic Y. Profile changes in patients with class III malocclusions after Delaire mask therapy. Am J Orthod Dentofacial Orthop 1998;113:453-62.-9.
There are 31 citations in total.

Details

Primary Language Turkish
Subjects Dentistry
Journal Section Original Research Article
Authors

Erdal Bozkaya

Arife Nihan Toğral 0000-0001-9105-3359

Sema Yüksel 0000-0002-6470-0159

Publication Date May 1, 2021
Published in Issue Year 2021 Volume: 38 Issue: 2

Cite

APA Bozkaya, E., Toğral, A. N., & Yüksel, S. (2021). Sınıf 3 maloklüzyonlarda hızlı üst çene genişletmesi ile birlikte yüz maskesi uygulamasının ve takiben yapılan sabit ortodontik tedavinin etkileri. Acta Odontologica Turcica, 38(2), 49-55. https://doi.org/10.17214/gaziaot.793228
AMA Bozkaya E, Toğral AN, Yüksel S. Sınıf 3 maloklüzyonlarda hızlı üst çene genişletmesi ile birlikte yüz maskesi uygulamasının ve takiben yapılan sabit ortodontik tedavinin etkileri. Acta Odontol Turc. May 2021;38(2):49-55. doi:10.17214/gaziaot.793228
Chicago Bozkaya, Erdal, Arife Nihan Toğral, and Sema Yüksel. “Sınıf 3 maloklüzyonlarda hızlı üst çene genişletmesi Ile Birlikte yüz Maskesi uygulamasının Ve Takiben yapılan Sabit Ortodontik Tedavinin Etkileri”. Acta Odontologica Turcica 38, no. 2 (May 2021): 49-55. https://doi.org/10.17214/gaziaot.793228.
EndNote Bozkaya E, Toğral AN, Yüksel S (May 1, 2021) Sınıf 3 maloklüzyonlarda hızlı üst çene genişletmesi ile birlikte yüz maskesi uygulamasının ve takiben yapılan sabit ortodontik tedavinin etkileri. Acta Odontologica Turcica 38 2 49–55.
IEEE E. Bozkaya, A. N. Toğral, and S. Yüksel, “Sınıf 3 maloklüzyonlarda hızlı üst çene genişletmesi ile birlikte yüz maskesi uygulamasının ve takiben yapılan sabit ortodontik tedavinin etkileri”, Acta Odontol Turc, vol. 38, no. 2, pp. 49–55, 2021, doi: 10.17214/gaziaot.793228.
ISNAD Bozkaya, Erdal et al. “Sınıf 3 maloklüzyonlarda hızlı üst çene genişletmesi Ile Birlikte yüz Maskesi uygulamasının Ve Takiben yapılan Sabit Ortodontik Tedavinin Etkileri”. Acta Odontologica Turcica 38/2 (May 2021), 49-55. https://doi.org/10.17214/gaziaot.793228.
JAMA Bozkaya E, Toğral AN, Yüksel S. Sınıf 3 maloklüzyonlarda hızlı üst çene genişletmesi ile birlikte yüz maskesi uygulamasının ve takiben yapılan sabit ortodontik tedavinin etkileri. Acta Odontol Turc. 2021;38:49–55.
MLA Bozkaya, Erdal et al. “Sınıf 3 maloklüzyonlarda hızlı üst çene genişletmesi Ile Birlikte yüz Maskesi uygulamasının Ve Takiben yapılan Sabit Ortodontik Tedavinin Etkileri”. Acta Odontologica Turcica, vol. 38, no. 2, 2021, pp. 49-55, doi:10.17214/gaziaot.793228.
Vancouver Bozkaya E, Toğral AN, Yüksel S. Sınıf 3 maloklüzyonlarda hızlı üst çene genişletmesi ile birlikte yüz maskesi uygulamasının ve takiben yapılan sabit ortodontik tedavinin etkileri. Acta Odontol Turc. 2021;38(2):49-55.