The effects of face mask and tongue plate on maxillary deficiency in growing patients: a randomized clinical trial

Showkatbakhsh, Rahman; Toumarian, L; Jamilian, Abdolreza; Sheibaninia, Ahmad; Mirkarimi, M; Taban, Tannaz

doi:10.1179/1465313312y.0000000036

Cited by 18 publications

(31 citation statements)

References 18 publications

(26 reference statements)

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“…Maxillary deficiency may be a reflection of the underlying skeletal abnormality for which growth modification and redirection may be indicated with a protraction headgear. Treatment approach to improve the midface deficiency was achieved by using the face mask [2,27], tongue appliance [6], tongue plate [27], protraction head gear [3,28], suborbital protraction appliances [4], ankylosed teeth [29], endosseous implants [30], and surgically assisted orthopedic protraction and distraction osteogenesis [8]. Jamilian et al [6] evaluated the effectiveness of tongue appliance on deficient maxilla in growing cleft lip and palate patients.…”

Section: During Mixed Dentitionmentioning

confidence: 99%

“…Click wise rotation of the mandible is not favorable in long face patients. Tongue plate has been used for correction of maxillary deficiency [27]. Mechanism of tongue plate [7] is very similar to the tongue appliance.…”

Section: During Mixed Dentitionmentioning

confidence: 99%

“…Growth modification is the best treatment plan when the patient is still growing. We can take advantages of a child's growing years by guiding proper jaw bone formation with small intraoral appliances such as tongue plate and tongue appliance [6,27]. These small intraoral appliances are recommended Figure 11.…”

Section: Recommendationmentioning

confidence: 99%

See 2 more Smart Citations

Cleft Lip and Palate Patients: Diagnosis and Treatment

Perillo¹,

d’Apuzzo²,

Eslami³

et al. 2017

Designing Strategies for Cleft Lip and Palate Care

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Cleft lip or palate is one of the most common types of craniomaxillofacial birth anomalies. Midface deficiency is a common feature of cleft lip and palate patients due to scar tissue of the lip and palate closure. Cleft lip and palate patients should be carefully evaluated by the craniofacial team in order to detect potentially serious deformities. Craniofacial team is involved with diagnosis of facial morphology, feeding problems, guidance of the growth and development of the face, occlusion, dentition, hearing and speech problems, and psychosocial issues and jaw discrepancy of the patients with cleft lip and palate or craniofacial syndromes. Treatment for cleft children requires a multidisciplinary approach including facial surgery in the first months of life, preventive and interceptive treatment in primary dentition, speech therapy, orthodontics in the mixed dentition phase, oromaxillofacial surgery, and implant and prosthetics in adults. Treatment plan from orthodontic perspective can be divided into the following stages based on the dentition stages: (1) presurgical orthopedics, (2) primary dentition, (3) mixed dentition, and (4) permanent dentition. The aim of this chapter is to assess a rational team work approach in the management of the patient with cleft lip and/or palate from birth to adulthood.

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Section: During Mixed Dentitionmentioning

confidence: 99%

Section: During Mixed Dentitionmentioning

confidence: 99%

See 1 more Smart Citation

Cleft Lip and Palate Patients: Diagnosis and Treatment

Perillo¹,

d’Apuzzo²,

Eslami³

et al. 2017

Designing Strategies for Cleft Lip and Palate Care

Self Cite

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“…[4][5][6][7] This type of malocclusion can occur for a va riety of reasons, including maxillary deficiency, man dibular prognathism, or a combination of the two. 1,8,9 Maxillary deficiency, with an incidence of approx. half of all cases, is the main cause.…”

Section: Introductionmentioning

confidence: 99%

Effects of facemasks versus intraoral appliances in treating maxillary deficiency in growing patients: A systematic review and meta-analysis

et al. 2019

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Background. Class III malocclusion is one the most challenging types of orthodontic problems.Objectives. The aim of this study was to compare the dentoskeletal effects of facemasks and intraoral appliances in treating class III maxillary deficiency in growing patients through a systematic review of the available literature. Material and methods.Electronic and manual searches were performed in the Cochrane Central Register of Controlled Trials (CENTRAL), the Cochrane Database of Systematic Reviews (CDSR), MEDLINE (PubMed), Embase (OVID), and Scopus to find all the relevant studies published by January 2018. All randomized controlled trials (RCTs) recruiting 5-12-year-old patients who received maxillary protraction treatment with any type of facemask and comparing the facemasks with any type of intraoral appliance were included. The primary outcome measure was changes in the A point-nasion-B point angle (ANB), and the secondary outcomes included changes in the overjet, upper-1 (U1) inclination, the mandibular plane angle, and treatment time. The meta-analysis was carried out using the inverse variance-weighted random effects model. Results.Out of 1,629 articles found in the initial search, 5 studies met the inclusion criteria. The meta-analysis showed no differences in the duration of treatment or in any of the cephalometric variables, with the exception of the overjet. Conclusions.It seems that intraoral appliances and facemasks are similar in terms of dentoskeletal effects in the treatment of class III malocclusion as well as treatment duration. However, due to a lack of a sufficient number of high-quality studies, these results should be viewed with caution. Further high-quality, long-term studies are recommended.Słowa kluczowe: systematyczny przegląd piśmiennictwa, metaanaliza, leczenie wady zgryzu klasy III, maska twarzowa, aparat wewnątrzustny Cite asFarhadian N, Soheilifar S, Abolvardi M, Miresmailei A, Mohammadi Y. Effects of facemasks versus intraoral appliances in treating maxillary deficiency in growing patients: A systematic review and meta-analysis. Dent Med Probl.

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“…Numerous appliance designs such as endosseous implants [1], ankylozed teeth [2], surgically assisted orthopedic protraction [3], distraction osteogenesis [4,5], Hybrid Hyrax appliance [6], reverse chin cup [7,8], face mask [9], tongue appliance [10][11][12], and tongue plate [13] have been used for treatment of skeletal Cl III malocclusions. Forward displacement of the maxilla, labial tipping of the maxillary incisors, counter clockwise rotation of the palatal plane, inhibition of anterior mandibular growth, increase of face height, clockwise rotation of the mandible and lingual tipping of the lower incisors have all been shown to take place [14][15][16].…”

Section: Introductionmentioning

confidence: 99%

The Effects of Maxillary Protrusion on Pharyngeal Airway Dimensions

Jamilian¹,

Showkatbakhsh²,

Borna³

et al. 2014

J Dent Probl Solut

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Aim:The relationship between position of the maxillary structures caused by maxillary protraction therapy and airway dimensions has not been investigated as comprehensively as the skeletal changes. This study was conducted to evaluate the effects of treatment with a maxillary protraction appliance on upper airway dimensions. Material and Methods:Twenty Five patients including 13 females, 12 males with the mean age of 10.66 years (range, +0.7, -0.8 years) with skeletal Cl III malocclusion due to maxillary deficiency were selected in this study. All of the patients were treated by using a maxillary protraction (Tongue Appliance) as the only treatment appliance. Lateral cephalograms were taken before and after treatment. Data were analyzed statistically by means of paired T-test. Results:No significant increase in the width of upper and middle horizontal airway dimension was seen. Significant increases were observed in the length of vertical airway dimension (P<0.001). Conclusion:These results demonstrated that Tongue Appliance doesn't affect sagittal airway dimensions but it increases vertical dimensions in the short time.Therefore, the purpose of this study was to examine the effects of an intra-oral maxillary protraction appliance named tongue appliance on the dimensions of the upper airway in patients with Cl III malocclusion and maxillary deficiency. Materials and MethodsThe study was done according to the ethical principles of the Declaration of Helsinki.In this study 25 patients (13 females, 12 males) with mean age of 10.6 (SD 0.7) years who were treated with tongue appliance were selected. All samples had following inclusion criteria.Presence of a skeletal Cl III malocclusion due to maxillary deficiency with SNA≤78. SNB ≤80. ANB ≤0 Edge to edge incisor relationship or anterior crossbite, flat or concave facial profile.The patients were treated with tongue appliance alone.4-No other congenital anomalies, endocrine, nasopharyngeal disorders, tonsillitis, adenitis, previous orthopedic, orthodontic treatment, and rhinoplasty were present.Tongue appliance [10] used for the treatment of the samples was constructed by Adams clasps for first upper molars and c clasps in the anterior teeth in order to increase the retention. Three to five separate spurs incorporated in the palatal between canine to canine areas. These spurs were as long as to cage the tongue and they were adjusted in clinic to avoid traumatizing the floor of the mouth. This appliance was used for approximately 22 hours a day. The average treatment IntroductionThe skeletal and dentoalveolar effects of orthopedic appliances in patients with Class III (Cl III) malocclusions and maxillary deficiency have been well documented in literature. Numerous appliance designs such as endosseous implants [1], ankylozed teeth [2], surgically assisted orthopedic protraction [3], distraction osteogenesis [4,5], Hybrid Hyrax appliance [6], reverse chin cup [7,8], face mask [9], tongue appliance [10][11][12], and tongue plate [13] have been used for treatment ...

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The effects of face mask and tongue plate on maxillary deficiency in growing patients: a randomized clinical trial

Abstract: Both treatment modalities were successful in moving the maxilla forward, proclining the maxillary incisors and retroclining the mandibular incisors. The more simple design of the tongue plate might therefore confer some advantages to this system in comparison with a facemask.

Cited by 18 publications

References 18 publications

Cleft Lip and Palate Patients: Diagnosis and Treatment

Cleft Lip and Palate Patients: Diagnosis and Treatment

Effects of facemasks versus intraoral appliances in treating maxillary deficiency in growing patients: A systematic review and meta-analysis

The Effects of Maxillary Protrusion on Pharyngeal Airway Dimensions

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