ObjectiveThis prospective study assessed the stability of Class II treatment with the
Bionator, followed by fixed appliances, 10 years after treatment. Material and MethodsThe experimental group comprised 23 patients of both sexes (10 boys, 13 girls) at
a mean initial age of 11.74 years (late mixed or early permanent dentitions),
treated for a mean period of 3.55 years who were evaluated at three stages:
initial (T1), final (T2) and long-term posttreatment (T3). A total of 69 lateral
cephalograms were evaluated and 69 dental casts were measured using the PAR index.
The difference between initial and final PAR indexes, the percentage of occlusal
improvement obtained with therapy and the percentage of relapse were calculated,
using the PAR index. The variables were compared by repeated measures analysis of
variance (ANOVA) followed by Tukey tests. ResultsThe significant improvement in apical base relationship, the palatal inclination
of the maxillary incisors and the labial inclination of the mandibular incisors,
and the significant improvement in molar relationship and reduction of overjet and
overbite, obtained with treatment, remained stable in the long-term posttreatment
period. There was also significant improvement in the occlusal relationships which
remained stable in the long-term posttreatment period. The percentage of occlusal
improvement obtained was of 81.78% and the percentage of relapse was of 4.90%.
ConclusionsTreatment of Class II division 1 malocclusions with the Bionator associated with
fixed appliances showed to be stable in the long-term posttreatment period.