scholarly journals Short-term effects of the orthodontic removable traction appliance in the treatment of skeletal Class III malocclusion: A randomized controlled trial

2021 ◽  
Vol 58 (2) ◽  
pp. 0-0
Author(s):  
Batool Ahmad Alzabibi ◽  
Ahmad S Burhan ◽  
Mohammad Y Hajeer ◽  
Fehmieh R. Nawaya
2016 ◽  
Vol 17 (5) ◽  
pp. 361-371 ◽  
Author(s):  
Mohammad Y Hajeer ◽  
Abdulmalek MR Majanni

ABSTRACT Background No randomized controlled trial has tried to compare early class III treatment outcomes between the removable mandibular retractor (RMR) and the bone-anchored intermaxillary traction (BAIMT). The objective of this study was to evaluate skeletal, dental, and soft-tissue changes following early class III treatment with these two treatment modalities. Materials and methods A parallel group randomized controlled trial was conducted on patients with class III malocclusion, treated at the University of Al-Baath Dental School in Hamah, Syria. Ninetythree children with skeletal class III malocclusion were evaluated and 41 children fulfilled the inclusion criteria. Randomization was performed using computer-generated tables; allocation was concealed using sequentially numbered opaque and sealed envelopes. Thirty-eight participants were analyzed (mean age 11.46 ± 1.28 years). They were randomly distributed into two groups receiving either the RMR or the BAIMT technique with 19 children in each (1:1 allocation ratio). The primary outcome measure was the horizontal movement of points A, B, and Pogonion. Results Point A showed greater anterior movement in the BAIMT group (x̄ = 1.69 mm) than in the RMR group (x̄ = 1.05 mm; p < 0.001). Points B and Pog showed posterior movement in the BAIMT group (x̄ = −3.01 and −2.51 mm respectively) and anterior movements in the RMR group (x̄ = 0.22 and 0.78 mm respectively). Conclusion The BAIMT appeared to be more effective than the RMR in the correction of mild to moderate class III malocclusion in growing patients. Clinical significance Bone-anchored intermaxillary elastics appears to be a promising solution for class III growing patients with mild to moderate degrees of skeletal discrepancy. How to cite this article Majanni AMR, Hajeer MY. The Removable Mandibular Retractor vs the Bone-anchored Intermaxillary Traction in the Correction of Skeletal Class III Malocclusion in Children: A Randomized Controlled Trial. J Contemp Dent Pract 2016;17(5):361-371.


2016 ◽  
Vol 17 (7) ◽  
pp. 522-529 ◽  
Author(s):  
Amro H Husson ◽  
Ahmad S Burhan ◽  
Fadwa B Salma ◽  
Fehmieh R Nawaya

ABSTRACT Aims The aim of this randomized controlled trial was to compare the skeletal and dentoalveolar effects of the modified tandem appliance (MTA) vs the facemask (FM) with rapid maxillary expansion. Materials and methods Thirty-two patients, aged 7 to 9 years were recruited. Eligibility criteria included skeletal class III malocclusion that resulted from the retrusion of the maxilla. Randomization was accomplished to divide the sample into two equal groups to be treated with either MTA or FM. Lateral cephalometric radiographs were obtained before treatment and after 2 mm positive overjet was achieved. Intragroup comparisons were performed using paired-sample t-test, and intergroup comparisons were performed using two-sample t-test at the p ≤ 0.05 level. Results Thirty-two patients (16 in each group) were available for statistical analysis. The pretreatment variables of both groups were similar. Both treatment therapies showed similar significant increase in the SNA and ANB angles, accompanied by slight decrease in the SNB angle. The increase in the SN:GoMe angle, Bjork's sum, and the overjet were significantly greater in the FM group. The forward movement of upper dentition was similar in both groups. Although the lower incisors retrusion was significantly greater in the FM group than in the MTA group, the uprighting of the lower molars was significantly greater in the MTA group. Conclusion Both appliances showed similar effects apart from less clockwise rotation of the mandible, less retrusion of the lower incisors, and greater uprighting of the lower molars in the MTA group. Clinical significance Both the MTA and the FM groups are effective in treating class III malocclusion. The MTA group is more efficient in controlling the clockwise rotation and gaining some space in the lower arch. How to cite this article Husson AH, Burhan AS, Salma FB, Nawaya FR. Dentoskeletal Effects of the Modified Tandem Appliance vs the Facemask Appliance in the Treatment of Skeletal Class III Malocclusion: A Single-center, Randomized Controlled Trial. J Contemp Dent Pract 2016;17(7):522-529.


2019 ◽  
Vol 90 (1) ◽  
pp. 3-12 ◽  
Author(s):  
Masahiro Seiryu ◽  
Hiroto Ida ◽  
Atsushi Mayama ◽  
Satoshi Sasaki ◽  
Shutaro Sasaki ◽  
...  

ABSTRACT Objectives To investigate the hypothesis that there is difference in the treatment outcomes of milder skeletal Class III malocclusion between facemask and facemask in combination with a miniscrew in growing patients. Materials and Methods Patients were randomly divided into two groups. In one group, the patients were treated with facemask therapy (FM group: 12 males, eight females, average age: 10 years, 5 months ± 1 year, 8 months). In the other group, patients were treated with facemask therapy along with a miniscrew (FM+MS group: 12 males, seven females, average age: 11 years, 1 month ± 1 year, 3 months). A lingual arch with hooks was fixed to the maxillary arch in both groups and a protractive force of 500 g was applied from the facemask to the hooks. The patients were instructed to use the facemask for 12 hours per day. In the FM+MS group, a miniscrew was inserted into the palate and fixed to the lingual arch. Results Mobility and loosening of the miniscrew were not observed during treatment. Lateral cephalometric analysis showed that SNA, SN-ANS, and ANB values were significantly increased in the FM+MS group compared with those for the FM group (SNA, 1.1° SN-ANS, 1.3° ANB, 0.8°). Increase in proclination of maxillary incisors was significantly greater in the FM group than in the FM+MS group (U1-SN, 5.0°). Conclusions During treatment of milder skeletal Class III malocclusion, facemask therapy along with a miniscrew exhibits fewer negative side effects and delivers orthopedic forces more efficiently to the maxillary complex than facemask therapy alone.


Author(s):  
Sandro Franceschini ◽  
Sara Bertoni ◽  
Matteo Lulli ◽  
Telmo Pievani ◽  
Andrea Facoetti

AbstractAccording to established background knowledge, playing is essential in human development and a power remediation tool in clinical populations. In clinical interventions, the beneficial roles of playing have often been sought and investigated in the specific features of the game, rather than in the positive emotions generated by playing. However, regardless of game specifications, cognitive enhancement could be driven by the emotions linked to play. Establishing the causal connections between play and cognitive enhancement should allow us to determine how to involve play in therapy, prevention and educational programmes. Today, video-gaming is one of the most diffused forms of play. In the first crossover randomized controlled trial, we compared the short-term effects induced by shooting and puzzle video-games in visual perception, sensorimotor and reading skills in children with developmental coordination disorder and dyslexia. The funnier and more activating game enhanced breadth of visual perception and reduced sensorimotor and reading disorders. Visual perception, sensorimotor and reading improvements correlated with fun. In the second crossover randomized controlled trial, comparing the effects of the same shooting with a fighting video-game in healthy young adults, we show that regardless of game characteristics, changes in positive emotions correlated with contextual reading enhancement, while play-driven biochemical activation boosted single word and pseudoword reading. The short-term effects induced by play could be a useful clinical tool for the prevention and treatment of multiple cognitive disorders.


PM&R ◽  
2017 ◽  
Vol 10 (1) ◽  
pp. 28-35 ◽  
Author(s):  
Olga Velasco-Roldán ◽  
Inmaculada Riquelme ◽  
Alejandro Ferragut-Garcías ◽  
Alberto Marcos Heredia-Rizo ◽  
Cleofás Rodríguez-Blanco ◽  
...  

2017 ◽  
Vol 26 (10) ◽  
pp. 1541-1547 ◽  
Author(s):  
Mette Senneseth ◽  
Atle Dyregrov ◽  
Jon Laberg ◽  
Stig B. Matthiesen ◽  
Mariana Pereira ◽  
...  

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