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Treatment and posttreatment effects of a facial mask combined with a bite-block appliance in Class III malocclusion.
Am J Orthod Dentofacial Orthop 2010; 138(3):300-10AJ

Abstract

INTRODUCTION

In this cephalometric investigation, we analyzed the treatment and posttreatment effects of an orthopedic protocol for Class III malocclusion consisting of a facial mask combined with a removable bite-block appliance.

METHODS

The treated sample consisted of 22 Class III patients treated with the facial mask and bite-block protocol before the pubertal growth spurt (mean age, 8.9 +/- 1.5 years). Treated subjects were evaluated after facial mask and bite-block therapy and at a posttreatment observation in absence of retention. The treated group was compared with a matched control group of 12 untreated Class III subjects. All treated and control subjects were postpubertal at the final observation. Significant differences between the treated and control groups were assessed with the Mann-Whitney U test (P <0.05).

RESULTS

Both angular and linear sagittal measurements of the maxilla showed significant improvements during active treatment. Significant improvements of SNA angle, ANB angle, overjet, and molar relationship remained stable during the posttreatment period. No significant effect was found in the mandibular skeletal measures. No significant protraction of the maxillary incisors or retraction of the mandibular incisors was observed.

CONCLUSIONS

A bite-block appliance in the mandibular arch with a facial mask enabled effective control of mandibular rotation with progressive closure of the gonial angle. This added to the favorable maxillary outcomes of the treatment protocol.

Authors+Show Affiliations

Department of Orthodontics, University of Rome "Tor Vergata," Italy.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Controlled Clinical Trial
Journal Article

Language

eng

PubMed ID

20816299

Citation

Cozza, Paola, et al. "Treatment and Posttreatment Effects of a Facial Mask Combined With a Bite-block Appliance in Class III Malocclusion." American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics, vol. 138, no. 3, 2010, pp. 300-10.
Cozza P, Baccetti T, Mucedero M, et al. Treatment and posttreatment effects of a facial mask combined with a bite-block appliance in Class III malocclusion. Am J Orthod Dentofacial Orthop. 2010;138(3):300-10.
Cozza, P., Baccetti, T., Mucedero, M., Pavoni, C., & Franchi, L. (2010). Treatment and posttreatment effects of a facial mask combined with a bite-block appliance in Class III malocclusion. American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics, 138(3), pp. 300-10. doi:10.1016/j.ajodo.2010.05.001.
Cozza P, et al. Treatment and Posttreatment Effects of a Facial Mask Combined With a Bite-block Appliance in Class III Malocclusion. Am J Orthod Dentofacial Orthop. 2010;138(3):300-10. PubMed PMID: 20816299.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Treatment and posttreatment effects of a facial mask combined with a bite-block appliance in Class III malocclusion. AU - Cozza,Paola, AU - Baccetti,Tiziano, AU - Mucedero,Manuela, AU - Pavoni,Chiara, AU - Franchi,Lorenzo, PY - 2008/05/01/received PY - 2008/09/01/revised PY - 2008/09/01/accepted PY - 2010/9/7/entrez PY - 2010/9/8/pubmed PY - 2010/9/30/medline SP - 300 EP - 10 JF - American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics JO - Am J Orthod Dentofacial Orthop VL - 138 IS - 3 N2 - INTRODUCTION: In this cephalometric investigation, we analyzed the treatment and posttreatment effects of an orthopedic protocol for Class III malocclusion consisting of a facial mask combined with a removable bite-block appliance. METHODS: The treated sample consisted of 22 Class III patients treated with the facial mask and bite-block protocol before the pubertal growth spurt (mean age, 8.9 +/- 1.5 years). Treated subjects were evaluated after facial mask and bite-block therapy and at a posttreatment observation in absence of retention. The treated group was compared with a matched control group of 12 untreated Class III subjects. All treated and control subjects were postpubertal at the final observation. Significant differences between the treated and control groups were assessed with the Mann-Whitney U test (P <0.05). RESULTS: Both angular and linear sagittal measurements of the maxilla showed significant improvements during active treatment. Significant improvements of SNA angle, ANB angle, overjet, and molar relationship remained stable during the posttreatment period. No significant effect was found in the mandibular skeletal measures. No significant protraction of the maxillary incisors or retraction of the mandibular incisors was observed. CONCLUSIONS: A bite-block appliance in the mandibular arch with a facial mask enabled effective control of mandibular rotation with progressive closure of the gonial angle. This added to the favorable maxillary outcomes of the treatment protocol. SN - 1097-6752 UR - https://www.unboundmedicine.com/medline/citation/20816299/Treatment_and_posttreatment_effects_of_a_facial_mask_combined_with_a_bite_block_appliance_in_Class_III_malocclusion_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0889-5406(10)00445-2 DB - PRIME DP - Unbound Medicine ER -