Stability of Class II corrections with removable and fixed functional appliances: A literature review

Moro, Alexandre; Mattos, Camila F.P.; Borges, Suelen W.; Flores‐Mir, Carlos; Topolski, Francielle

doi:10.1016/j.ejwf.2020.04.003

Cited by 10 publications

(7 citation statements)

References 38 publications

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“…Functional therapy with various orthodontic appliances is usually the first choice of treatment in cases of mandibular retrognathism [11], [12]. The main goal of Class II malocclusion functional appliance treatment is to utilize the forces exerted by the muscles of mastication, tongue, cheeks, and lips to induce neuromuscular changes and can affect masticatory muscle activity and stimulate mandibular growth [3], [6].…”

Section: Introductionmentioning

confidence: 99%

Effects of Bionator Devices on Orofacial Muscle Strength in the Treatment of Class II Malocclusion in Developmental Phase: Systematic Review

Achmad

Sesioria

2022

EJDENT

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Background: Class II malocclusion is a common condition. The most common clinical presentation is a mandibular deficiency. Treatment with functional devices is an option that can be used for the treatment of malocclusion. In an era of evolving treatments, Bionator is still widely used in clinical practice. Objective: The purpose of this systematic review was to analyze the effectiveness of the treatment of class II malocclusion with the Bionator device in the growth and development phase. Methods: Data collection was carried out by searching literature on article search sites, namely Pubmed, Cochrane, Wiley, Google Scholar and Science Direct which were published from 2011 to 2021. The search was carried out from March to April 2021. Data search was carried out systematically using the bionator keyword. malocclusion class II, orofacial muscles, growth and development. Results: After eliminating published articles, the title and abstract of each article in the analysis amounted to 132 articles, 106 articles were excluded. The full text articles from the exclusion results were re-analyzed and 16 articles were excluded. The text of the article is complete and meets the eligibility of as many as 10 articles. Conclusion: From all the studies reviewed, the Bionator device can improve class II malocclusion in children.

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Section: Introductionmentioning

confidence: 99%

Effects of Bionator Devices on Orofacial Muscle Strength in the Treatment of Class II Malocclusion in Developmental Phase: Systematic Review

Achmad

Sesioria

2022

EJDENT

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“…Functional appliances reduce excessive overjet in Class II malocclusion through dentoalveolar effects, modification of the soft tissue and mandibular advancement, relying on the patient's growth peak [6]. According to a recent review by Moro et al, the skeletal correction of the Class II malocclusion obtained with functional appliances seems to be stable in a long-term observation [7].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Body Posture during Class II Functional Treatment with Fränkel II: A Longitudinal Study

et al. 2022

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The aim of the current study was to evaluate the changes in body posture in pubertal subjects characterized by Skeletal Class II with mandibular retrusion pre- and post-Fränkel II (FR-2). The treatment of Skeletal Class II with functional therapy has been already correlated with changes in cervical posture, but no previous studies investigated the possible relation with the posture of the whole body. This is an observational longitudinal study conducted on 17 Caucasian subjects (6 males, 11 female) with average age 10.7 ± 3.5. Posturostabilometric evaluation was performed before the beginning of the orthodontic treatment (t0), after 12 ± 2 months (t1) and after 24 ± 3 months at the end of the treatment with FR-2 (t2). The following stabilometric parameters were extracted: weight distribution (WD), bar torsion angle (BTA), and barycenter (Xmm). Both WD (p = 0.0154) and BTA (p = 0.0003) showed a significant improvement during the treatment with Friedman test and ANOVA test, respectively, showing how the overall balance and weight distribution of the body can benefit from a functional therapy with jaw advancement. The posturostabilometric platform can be considered a functional indicator of therapy effectiveness because it shows the improving trend of the parameters. Future research is needed, based on the promising results obtained in the current study.

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“…Furthermore, the long-standing expectation of surgery during childhood and adolescence will worsen patients’ physical, social, and psychological health. In order to avoid surgical operations and the consequences associated with such treatments, a large amount of effort has been dedicated to developing growth modification appliances for skeletal class II and III malocclusion correction, especially those that can be delivered around the puberty stage to achieve the normal dentition without surgery [ 18 , 19 , 20 , 21 ]. Unfortunately, despite the tremendous efforts that have been devoted to developing a diversity of treatment technologies [ 11 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 ], dental care providers are not yet able to predict whether an orthodontic functional appliance will successfully correct a patient’s skeletal discrepancy or if that patient will not respond to early orthopedic correction and require surgery to properly rectify their malocclusion later.…”

Section: Introductionmentioning

confidence: 99%

“…In order to avoid surgical operations and the consequences associated with such treatments, a large amount of effort has been dedicated to developing growth modification appliances for skeletal class II and III malocclusion correction, especially those that can be delivered around the puberty stage to achieve the normal dentition without surgery [ 18 , 19 , 20 , 21 ]. Unfortunately, despite the tremendous efforts that have been devoted to developing a diversity of treatment technologies [ 11 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 ], dental care providers are not yet able to predict whether an orthodontic functional appliance will successfully correct a patient’s skeletal discrepancy or if that patient will not respond to early orthopedic correction and require surgery to properly rectify their malocclusion later. In other words, people’s expected development of skeletal malocclusion and their clinical correction prognoses are currently difficult to predict, which can be largely attributed to the present lack of knowledge of the precise etiology of skeletal class II and III malocclusions.…”

Section: Introductionmentioning

confidence: 99%

Genes and Pathways Associated with Skeletal Sagittal Malocclusions: A Systematic Review

Gershater

et al. 2021

IJMS

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Skeletal class II and III malocclusions are craniofacial disorders that negatively impact people’s quality of life worldwide. Unfortunately, the growth patterns of skeletal malocclusions and their clinical correction prognoses are difficult to predict largely due to lack of knowledge of their precise etiology. Inspired by the strong inheritance pattern of a specific type of skeletal malocclusion, previous genome-wide association studies (GWAS) were reanalyzed, resulting in the identification of 19 skeletal class II malocclusion-associated and 53 skeletal class III malocclusion-associated genes. Functional enrichment of these genes created a signal pathway atlas in which most of the genes were associated with bone and cartilage growth and development, as expected, while some were characterized by functions related to skeletal muscle maturation and construction. Interestingly, several genes and enriched pathways are involved in both skeletal class II and III malocclusions, indicating the key regulatory effects of these genes and pathways in craniofacial development. There is no doubt that further investigation is necessary to validate these recognized genes’ and pathways’ specific function(s) related to maxillary and mandibular development. In summary, this systematic review provides initial insight on developing novel gene-based treatment strategies for skeletal malocclusions and paves the path for precision medicine where dental care providers can make an accurate prediction of the craniofacial growth of an individual patient based on his/her genetic profile.

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Stability of Class II corrections with removable and fixed functional appliances: A literature review

Cited by 10 publications

References 38 publications

Effects of Bionator Devices on Orofacial Muscle Strength in the Treatment of Class II Malocclusion in Developmental Phase: Systematic Review

Effects of Bionator Devices on Orofacial Muscle Strength in the Treatment of Class II Malocclusion in Developmental Phase: Systematic Review

Evaluation of Body Posture during Class II Functional Treatment with Fränkel II: A Longitudinal Study

Genes and Pathways Associated with Skeletal Sagittal Malocclusions: A Systematic Review

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