Can the use of skeletal anchors in conjunction with fixed functional appliances promote skeletal changes? A systematic review and meta-analysis

Abstract

The studies reviewed provide insufficient evidence to form a conclusion regarding the effects of the use of skeletal anchorage with FFA. The available weak evidence suggests that the use of skeletal anchorage with FFA has no superior skeletal effects but is able to reduce proclination of the lower incisors.

Treatment outcomes of Class II malocclusion cases treated with miniscrew-anchored Forsus Fatigue Resistant Device: A randomized controlled trial

“…Moreover, there was controversy regarding some findings of these two studies, such as the exact effect on the maxilla, and only one study reported soft tissue changes. A recent systematic review 8 concluded that the use of skeletally anchored functional appliances can prevent mandibular incisor proclination; however, this finding should be interpreted with caution because of variability in the means of skeletal anchorage used in different studies with the FFA including miniscrews and miniplates, as well as variation in methods of indirect anchorage including thick steel wire, wire ligature, and elastic ligature. Pooling of results from different studies with such variation could be inappropriate.…”

Relationship between dental age, chronological age and cervical vertebral maturation in children and adolescents from Bucaramanga, Colombia

“…27,28 It is at these ages when the best results will be obtained in interceptive treatments for the management of sagittal problems related to mandibular growth. 29,30 The maturation stage 5, related to the end of growth and in which the final 5% to 10% vertical growth of the individual is still to be completed, was reached at a mean chronological age of 15.1±1.2 years. In the present study, radiographs of subjects up to the age of 16 were examined, so maturation stage 6 was not observed.…”

Advances in Management of Class II Malocclusions

“…Recently, clinicians tried to control the dentoalveolar side effects of fixed functional appliances by means of bone anchorage such as miniscrews and miniplates [35][36][37]. The results of the studies investigating the efficacy of skeletal anchorage were controversial and need further investigation [1,[38][39][40].…”

“…Class II malocclusion is among the most common developmental anomalies with a prevalence ranging from 15 to 30% in most populations [1,2]. This malocclusion is likely to produce significant negative esthetic, psychological, and social effects [3][4][5][6].…”