Abstract | INTRODUCTION: The purpose of this study was to evaluate the skeletal and dentoalveolar effects of the Twin-block and bionator appliances in the treatment of Class II Division 1 malocclusions. METHODS: Fifty-five girls from North India with Class II Division 1 malocclusion and the same physical growth maturation status were selected for the study. The subjects were divided among a Twin-block group (n = 25), a bionator group (n = 20), and a control group (n = 10). Pretreatment and posttreatment lateral cephalometric radiographs of the treatment group subjects, and prefollow-up and postfollow-up radiographs of the control group subjects, were traced manually and subjected to the pitchfork analysis. RESULTS: Statistical software was used for 1-way analysis of variance and multiple comparisons (post-hoc test, Bonferroni). A P value of .05 was considered statistically significant. Neither the Twin-block nor the bionator appliance significantly restricted forward growth of the maxilla (P = .476). Mandibular growth in the Twin-block subjects was significantly greater than in controls (P = .005). Mandibular growth was comparable in the control and the bionator subjects. Molar correction, overjet reduction, and proclination of the mandibular incisors were significantly greater (P = .000) in the treated subjects compared with the controls. CONCLUSIONS: Both the Twin-block and bionator appliances were effective in correcting molar relationships and reducing overjets in Class II Division 1 malocclusion subjects. However, the Twin-block was more efficient than the bionator in the treatment of Class II Division 1 malocclusion.
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Authors | Ashok Kumar Jena, Ritu Duggal, Hari Parkash |
Journal | American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics
(Am J Orthod Dentofacial Orthop)
Vol. 130
Issue 5
Pg. 594-602
(Nov 2006)
ISSN: 1097-6752 [Electronic] United States |
PMID | 17110256
(Publication Type: Controlled Clinical Trial, Journal Article)
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Topics |
- Age Factors
- Analysis of Variance
- Cephalometry
(statistics & numerical data)
- Child
- Female
- Humans
- Malocclusion, Angle Class II
(therapy)
- Mandible
(growth & development)
- Orthodontic Appliances, Functional
- Orthodontics, Corrective
(instrumentation)
- Statistics, Nonparametric
- Treatment Outcome
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