Treatment of mild Class II malocclusion in growing patients with clear aligners versus fixed multibracket therapy: A retrospective study

Objective To compare the dental and skeletal effects of intermaxillary elastics on the correction of mild Angle's Class II division 1 malocclusion with clear aligner treatment (CA) versus fixed multibracket (FMB) in growing patients. Settings and sample population The study sample consisted of...

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Veröffentlicht in:Orthodontics & craniofacial research 2022-02, Vol.25 (1), p.96-102
Hauptverfasser: Dianiskova, Simona, Rongo, Roberto, Buono, Raffaele, Franchi, Lorenzo, Michelotti, Ambra, D’Antò, Vincenzo
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container_issue 1
container_start_page 96
container_title Orthodontics & craniofacial research
container_volume 25
creator Dianiskova, Simona
Rongo, Roberto
Buono, Raffaele
Franchi, Lorenzo
Michelotti, Ambra
D’Antò, Vincenzo
description Objective To compare the dental and skeletal effects of intermaxillary elastics on the correction of mild Angle's Class II division 1 malocclusion with clear aligner treatment (CA) versus fixed multibracket (FMB) in growing patients. Settings and sample population The study sample consisted of 49 consecutively patients (mean age ± SD 12.9 ± 1.7 years), 32 females and 17 males referred from the School of Orthodontics of the University of Bratislava Comenius (Slovakia). All patients were treated with a non‐extraction orthodontic treatment, 25 with FMB and 24 with CA. Methods The cephalometric analysis was performed at the beginning (T0) and the end of the treatment (T1). The t test for unpaired data was carried out to compare cephalometric values at T0 and changes at T1‐T0 between the two groups. The level of significance was set as P 
doi_str_mv 10.1111/ocr.12500
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Settings and sample population The study sample consisted of 49 consecutively patients (mean age ± SD 12.9 ± 1.7 years), 32 females and 17 males referred from the School of Orthodontics of the University of Bratislava Comenius (Slovakia). All patients were treated with a non‐extraction orthodontic treatment, 25 with FMB and 24 with CA. Methods The cephalometric analysis was performed at the beginning (T0) and the end of the treatment (T1). The t test for unpaired data was carried out to compare cephalometric values at T0 and changes at T1‐T0 between the two groups. The level of significance was set as P &lt; .0035. Results The two groups showed no statistically significant differences (ANPg = −0.1°; P = .762) in the correction of the sagittal intermaxillary relation. The analysis of vertical skeletal changes showed no statistically significant effects on mandibular inclination (SN/MP = 0.1°; P = .840). The two treatments had a statistically significant and clinically relevant difference in controlling the inclination of the lower incisors (L1/GoGn = 4.8°, CAG = −0.5°± 3.9°; FMB = 4.3°± 5.8°; P &lt; .001). Conclusions Class II elastics combined with CA and FMB produce a similar correction on sagittal discrepancies in growing patients. CA presented a better control in the proclination of the lower incisors. CA and elastics might be a good alternative in the correction of mild Class II malocclusion in cases where a proclination of lower incisors is unwanted.</description><identifier>ISSN: 1601-6335</identifier><identifier>EISSN: 1601-6343</identifier><identifier>DOI: 10.1111/ocr.12500</identifier><identifier>PMID: 34013659</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>adolescents ; Cephalometry ; Class II elastics ; Class II malocclusion ; clear aligners ; Dental occlusion ; Female ; Humans ; Incisors ; Male ; Malocclusion, Angle Class II - therapy ; Mandible ; Original ; Orthodontic Appliances, Removable ; Orthodontics ; Patients ; Population studies ; Retrospective Studies ; Statistical analysis ; Trinucleotide repeats</subject><ispartof>Orthodontics &amp; craniofacial research, 2022-02, Vol.25 (1), p.96-102</ispartof><rights>2021 The Authors. published by John Wiley &amp; Sons Ltd.</rights><rights>2021 The Authors. Orthodontics &amp; Craniofacial Research published by John Wiley &amp; Sons Ltd.</rights><rights>2021. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). 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Settings and sample population The study sample consisted of 49 consecutively patients (mean age ± SD 12.9 ± 1.7 years), 32 females and 17 males referred from the School of Orthodontics of the University of Bratislava Comenius (Slovakia). All patients were treated with a non‐extraction orthodontic treatment, 25 with FMB and 24 with CA. Methods The cephalometric analysis was performed at the beginning (T0) and the end of the treatment (T1). The t test for unpaired data was carried out to compare cephalometric values at T0 and changes at T1‐T0 between the two groups. The level of significance was set as P &lt; .0035. Results The two groups showed no statistically significant differences (ANPg = −0.1°; P = .762) in the correction of the sagittal intermaxillary relation. The analysis of vertical skeletal changes showed no statistically significant effects on mandibular inclination (SN/MP = 0.1°; P = .840). The two treatments had a statistically significant and clinically relevant difference in controlling the inclination of the lower incisors (L1/GoGn = 4.8°, CAG = −0.5°± 3.9°; FMB = 4.3°± 5.8°; P &lt; .001). Conclusions Class II elastics combined with CA and FMB produce a similar correction on sagittal discrepancies in growing patients. CA presented a better control in the proclination of the lower incisors. CA and elastics might be a good alternative in the correction of mild Class II malocclusion in cases where a proclination of lower incisors is unwanted.</description><subject>adolescents</subject><subject>Cephalometry</subject><subject>Class II elastics</subject><subject>Class II malocclusion</subject><subject>clear aligners</subject><subject>Dental occlusion</subject><subject>Female</subject><subject>Humans</subject><subject>Incisors</subject><subject>Male</subject><subject>Malocclusion, Angle Class II - therapy</subject><subject>Mandible</subject><subject>Original</subject><subject>Orthodontic Appliances, Removable</subject><subject>Orthodontics</subject><subject>Patients</subject><subject>Population studies</subject><subject>Retrospective Studies</subject><subject>Statistical analysis</subject><subject>Trinucleotide repeats</subject><issn>1601-6335</issn><issn>1601-6343</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNp1kd9qFDEUh4MotlYvfAE54I292DZ_ZjITL4SyVF0oFKReh0yS2U3NTMYks-u-gY9tdOuigrlIAvnOxzn5IfSS4AtS1mXQ8YLQGuNH6JRwTBacVezx8c7qE_QspXuMKaaUP0UnrMKE8Vqcou930ao82DFD6GFw3sDSq5RgtYJB-aC1n5MLI7gR1jHs3LiGSWVXChLsXN6A9lZFUN6tRxsTbMs2J-jdN2tgmH12XVT6i82QNzaqaf8WriDaHEOarM5uayHl2eyfoye98sm-eDjP0Of313fLj4ub2w-r5dXNQrO6xQvFuo62PWa1oD3TimPKSdUyowmtasNa0rYtMYw3pha8b7ghuGv7juKuIk2pO0PvDt5p7gZrdBkkKi-n6AYV9zIoJ_9-Gd1GrsNWCiqwaJoiePMgiOHrbFOWg0vaeq9GG-YkaU2FqCpKaUFf_4PehzmOZTxJOaWNaCrGCnV-oHT5kxRtf2yGYPkzX1nylb_yLeyrP7s_kr8DLcDlAdg5b_f_N8nb5aeD8gc_ILFU</recordid><startdate>202202</startdate><enddate>202202</enddate><creator>Dianiskova, Simona</creator><creator>Rongo, Roberto</creator><creator>Buono, Raffaele</creator><creator>Franchi, Lorenzo</creator><creator>Michelotti, Ambra</creator><creator>D’Antò, Vincenzo</creator><general>Wiley Subscription Services, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-9741-794X</orcidid><orcidid>https://orcid.org/0000-0002-2072-460X</orcidid></search><sort><creationdate>202202</creationdate><title>Treatment of mild Class II malocclusion in growing patients with clear aligners versus fixed multibracket therapy: A retrospective study</title><author>Dianiskova, Simona ; Rongo, Roberto ; Buono, Raffaele ; Franchi, Lorenzo ; Michelotti, Ambra ; D’Antò, Vincenzo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3580-a3bb28f03592f3ca60261483dc1245d3818881d367d596f76d10b8fb20b417f03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>adolescents</topic><topic>Cephalometry</topic><topic>Class II elastics</topic><topic>Class II malocclusion</topic><topic>clear aligners</topic><topic>Dental occlusion</topic><topic>Female</topic><topic>Humans</topic><topic>Incisors</topic><topic>Male</topic><topic>Malocclusion, Angle Class II - therapy</topic><topic>Mandible</topic><topic>Original</topic><topic>Orthodontic Appliances, Removable</topic><topic>Orthodontics</topic><topic>Patients</topic><topic>Population studies</topic><topic>Retrospective Studies</topic><topic>Statistical analysis</topic><topic>Trinucleotide repeats</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dianiskova, Simona</creatorcontrib><creatorcontrib>Rongo, Roberto</creatorcontrib><creatorcontrib>Buono, Raffaele</creatorcontrib><creatorcontrib>Franchi, Lorenzo</creatorcontrib><creatorcontrib>Michelotti, Ambra</creatorcontrib><creatorcontrib>D’Antò, Vincenzo</creatorcontrib><collection>Wiley Open Access</collection><collection>Wiley Online Library Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Orthodontics &amp; craniofacial research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dianiskova, Simona</au><au>Rongo, Roberto</au><au>Buono, Raffaele</au><au>Franchi, Lorenzo</au><au>Michelotti, Ambra</au><au>D’Antò, Vincenzo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment of mild Class II malocclusion in growing patients with clear aligners versus fixed multibracket therapy: A retrospective study</atitle><jtitle>Orthodontics &amp; craniofacial research</jtitle><addtitle>Orthod Craniofac Res</addtitle><date>2022-02</date><risdate>2022</risdate><volume>25</volume><issue>1</issue><spage>96</spage><epage>102</epage><pages>96-102</pages><issn>1601-6335</issn><eissn>1601-6343</eissn><abstract>Objective To compare the dental and skeletal effects of intermaxillary elastics on the correction of mild Angle's Class II division 1 malocclusion with clear aligner treatment (CA) versus fixed multibracket (FMB) in growing patients. Settings and sample population The study sample consisted of 49 consecutively patients (mean age ± SD 12.9 ± 1.7 years), 32 females and 17 males referred from the School of Orthodontics of the University of Bratislava Comenius (Slovakia). All patients were treated with a non‐extraction orthodontic treatment, 25 with FMB and 24 with CA. Methods The cephalometric analysis was performed at the beginning (T0) and the end of the treatment (T1). The t test for unpaired data was carried out to compare cephalometric values at T0 and changes at T1‐T0 between the two groups. The level of significance was set as P &lt; .0035. Results The two groups showed no statistically significant differences (ANPg = −0.1°; P = .762) in the correction of the sagittal intermaxillary relation. The analysis of vertical skeletal changes showed no statistically significant effects on mandibular inclination (SN/MP = 0.1°; P = .840). The two treatments had a statistically significant and clinically relevant difference in controlling the inclination of the lower incisors (L1/GoGn = 4.8°, CAG = −0.5°± 3.9°; FMB = 4.3°± 5.8°; P &lt; .001). Conclusions Class II elastics combined with CA and FMB produce a similar correction on sagittal discrepancies in growing patients. CA presented a better control in the proclination of the lower incisors. CA and elastics might be a good alternative in the correction of mild Class II malocclusion in cases where a proclination of lower incisors is unwanted.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>34013659</pmid><doi>10.1111/ocr.12500</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-9741-794X</orcidid><orcidid>https://orcid.org/0000-0002-2072-460X</orcidid><oa>free_for_read</oa></addata></record>
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source MEDLINE; Wiley Online Library All Journals
subjects adolescents
Cephalometry
Class II elastics
Class II malocclusion
clear aligners
Dental occlusion
Female
Humans
Incisors
Male
Malocclusion, Angle Class II - therapy
Mandible
Original
Orthodontic Appliances, Removable
Orthodontics
Patients
Population studies
Retrospective Studies
Statistical analysis
Trinucleotide repeats
title Treatment of mild Class II malocclusion in growing patients with clear aligners versus fixed multibracket therapy: A retrospective study
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