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Effect of varying the force direction on maxillary orthopedic protraction.
Angle Orthod. 2002 Oct; 72(5):387-96.AO

Abstract

The aim of this study was to examine the effect of varying the force direction on maxillary protraction. A total of 20 patients with class III maxillary retrognathism were randomly divided into two groups. Group 1 was comprised of nine patients with a mean age of 8.58 years, and group 2 was composed of 11 patients with a mean age of 8.51 years. Both groups received a cap splint-type rapid palatal expander and the screw was activated twice a day for 10 days. After the expansion procedure the face mask protraction procedure was initiated. In group 1, we applied the force intraorally from the canine region with a forward and downward direction at a 30 degrees angle to the occlusal plane. In group 2, the force was applied extraorally 20 mm above the maxillary occlusal plane. In both groups a unilateral 500 g force was applied and the patients were instructed to wear the face mask for 16 h/d for the first three months and 12 h/d for the next three months. The Wilcoxon sign rank test was used to evaluate the effect of the two different face masks, and a Mann-Whitney U-test was carried out to evaluate the differences between the two groups. The results showed that both force systems were equally effective to protract the maxilla; however, in group I we observed that the maxilla advanced forward with a counter-clockwise rotation. In group 2 we observed an anterior translation of maxilla without rotation. The dental effects of both methods were also different. The maxillary occlusal plane did not rotate in group 1, in contrast to the clockwise rotation in group 2. The maxillary incisors were proclined slightly in group 1, but in contrast they were retroclined and extruded in group 2. In conclusion, the force application from near the center of resistance of the maxilla was an effective method to prevent the unwanted side effects, such as counter-clockwise rotation of the maxilla, in group 1. The group 2 results suggest that this method can be used effectively on patients who present as class III combined with an anterior open bite.

Authors+Show Affiliations

Department of Orthodontics, Marmara University, Istanbul, Turkey. keles@ortodonti.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

12401046

Citation

Keles, Ahmet, et al. "Effect of Varying the Force Direction On Maxillary Orthopedic Protraction." The Angle Orthodontist, vol. 72, no. 5, 2002, pp. 387-96.
Keles A, Tokmak EC, Erverdi N, et al. Effect of varying the force direction on maxillary orthopedic protraction. Angle Orthod. 2002;72(5):387-96.
Keles, A., Tokmak, E. C., Erverdi, N., & Nanda, R. (2002). Effect of varying the force direction on maxillary orthopedic protraction. The Angle Orthodontist, 72(5), 387-96.
Keles A, et al. Effect of Varying the Force Direction On Maxillary Orthopedic Protraction. Angle Orthod. 2002;72(5):387-96. PubMed PMID: 12401046.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effect of varying the force direction on maxillary orthopedic protraction. AU - Keles,Ahmet, AU - Tokmak,Ebru Cetinkaya, AU - Erverdi,Nejat, AU - Nanda,Ravindra, PY - 2002/10/29/pubmed PY - 2003/1/23/medline PY - 2002/10/29/entrez SP - 387 EP - 96 JF - The Angle orthodontist JO - Angle Orthod VL - 72 IS - 5 N2 - The aim of this study was to examine the effect of varying the force direction on maxillary protraction. A total of 20 patients with class III maxillary retrognathism were randomly divided into two groups. Group 1 was comprised of nine patients with a mean age of 8.58 years, and group 2 was composed of 11 patients with a mean age of 8.51 years. Both groups received a cap splint-type rapid palatal expander and the screw was activated twice a day for 10 days. After the expansion procedure the face mask protraction procedure was initiated. In group 1, we applied the force intraorally from the canine region with a forward and downward direction at a 30 degrees angle to the occlusal plane. In group 2, the force was applied extraorally 20 mm above the maxillary occlusal plane. In both groups a unilateral 500 g force was applied and the patients were instructed to wear the face mask for 16 h/d for the first three months and 12 h/d for the next three months. The Wilcoxon sign rank test was used to evaluate the effect of the two different face masks, and a Mann-Whitney U-test was carried out to evaluate the differences between the two groups. The results showed that both force systems were equally effective to protract the maxilla; however, in group I we observed that the maxilla advanced forward with a counter-clockwise rotation. In group 2 we observed an anterior translation of maxilla without rotation. The dental effects of both methods were also different. The maxillary occlusal plane did not rotate in group 1, in contrast to the clockwise rotation in group 2. The maxillary incisors were proclined slightly in group 1, but in contrast they were retroclined and extruded in group 2. In conclusion, the force application from near the center of resistance of the maxilla was an effective method to prevent the unwanted side effects, such as counter-clockwise rotation of the maxilla, in group 1. The group 2 results suggest that this method can be used effectively on patients who present as class III combined with an anterior open bite. SN - 0003-3219 UR - https://www.unboundmedicine.com/medline/citation/12401046/Effect_of_varying_the_force_direction_on_maxillary_orthopedic_protraction_ L2 - https://meridian.allenpress.com/angle-orthodontist/article-lookup/doi/10.1043/0003-3219(2002)072<0387:EOVTFD>2.0.CO;2 DB - PRIME DP - Unbound Medicine ER -