Introduction/Objective. Class III malocclusion is caused by changes in
skeletal and/or dentoalveolar structures with typical mesial relationship of
posterior teeth. Y? appliance and appliance with screw according to Bertoni
can be used in treatment of Class III caused by maxillary retrognathism in
period of mixed dentition. The aim of study was to determine and compare
changes on skeletal and dentoalveolar structures in patients with Class III
treated by ?Y? appliance and appliance with screw according to Bertoni.
Methods. 40 patients with Class III were included in this study. Whole
sample were divided in two groups, with 20 patients in each group. Including
criteria were maxilarry retrognatism, period of mixed dentition and pubertal
growth. Excluding criteria were mandibular prognatism, patients with
genetical predisposition for skeletal Class III, patients with cleft lip and
palate or craniofacial syndrome and period of permanent dentition.
Appliances which caused mostly changes on the upper jaw were used in this
study because all patients had deficience of maxillary growth. Anamnesis,
clinical and functional testing, study casts analysis, analysis of
orthopantomograms, lateral cephalograms, extraoral and intraoral photos have
been done for each patient. Therapeutic effects were analysed on study casts
and lateral cephalograms after this phase of orthodontic treatment.
Results. Main dentoalveolar effect was protrusion of the upper incisors.
Skeletal effects were not significant. Conclusion. Y appliance and
appliance with screw according to Bertoni caused greater changes on
dentoalveolar structures comparing to skeletal changes.