Effects of the headgear-activator Teuscher appliance in the treatment of Class II Division 1 malocclusion: a geometric morphometric study.

Abstract:

OBJECTIVES:To test the hypothesis that there are no gender differences in the outcomes of patients with class II malocclusion treated with the headgear-activator Teuscher appliance (HATA). DESIGN:Retrospective, longitudinal SETTING AND SAMPLE POPULATION:Puerto Rico and Scotland, UK. Thirty-one patients requiring correction of class II division 1 malocclusions. EXPERIMENTAL VARIABLE:Male and female patients treated using HATA. OUTCOME MEASURES:Mean pre- and post-treatment parameters derived from cephalometry subjected to t-tests, and finite-element scaling analysis (FESA), which localizes and quantifies differences between mean pre- and post-treatment configurations. RESULTS:Post-treatment, cephalometry showed that for both males and females, angle SNA decreased, SNB increased, and lower facial heights increased significantly (p < 0.01). For the female post-treatment configuration, FESA revealed large size increases (approximately 20%) located in the inter-maxillary region, the ramus and mandibular body, and around the nasal and mental regions. Conversely, the lip region was diminished (approximately 20%). Similarly, male post-treatment showed size increases located in the inter-maxillary region that extended into the nasal region and the mandibular body (approximately 10-15%), and around the chin (15%). The lip region was diminished (approximately 5%). CONCLUSION:In the attainment of a normal occlusion, both male and female patients treated for class II malocclusions using HATA exhibit antero-posterior restraint of the maxilla, improvements in the mandible maintaining facial height, and lip changes commensurate with improvements in the soft tissue profile.

journal_name

Orthod Craniofac Res

authors

Singh GD,Thind BS

doi

10.1034/j.1600-0854.2003.c245.x

subject

Has Abstract

pub_date

2003-05-01 00:00:00

pages

88-95

issue

2

eissn

1601-6335

issn

1601-6343

journal_volume

6

pub_type

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