Evaluation of long-term stability of mesiodistal axial inclinations of maxillary molars through panoramic radiographs in subjects treated with Pendulum appliance

To evaluate the stability of mesiodistal inclination of maxillary molars produced by a pendulum appliance, five years after completion of orthodontic treatment. Angulation changes were compared to an untreated sample. The sample consisted of 20 patients (14 females and 6 males) with Class II, Divisi...

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Published in:Dental press journal of orthodontics Vol. 21; no. 1; pp. 67 - 74
Main Authors: Rocha, Caroline Andrade, Almeida, Renato Rodrigues de, Henriques, José Fernando Castanha, Flores-Mir, Carlos, Almeida, Marcio Rodrigues de
Format: Journal Article
Language:English
Published: Brazil Dental Press International 01-01-2016
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Abstract To evaluate the stability of mesiodistal inclination of maxillary molars produced by a pendulum appliance, five years after completion of orthodontic treatment. Angulation changes were compared to an untreated sample. The sample consisted of 20 patients (14 females and 6 males) with Class II, Division 1 malocclusion that was treated through molar distalization with a pendulum appliance followed by cervical headgear and full fixed appliances. Maxillary molar inclination was evaluated through panoramic radiograph. The mean age at pretreatment was 14.3 ± 1.6 years, whereas at immediate post-treatment it was 18.6 ± 1.8 years, and at long-term post-treatment it was 23.8 ± 2.0 years. A control group of 16 untreated individuals with untreated normocclusion ranging in age from 12 to 17 years old were used as comparison group. Data were statistically analyzed with independent t-tests and ANOVA test followed by Tukey post-hoc tests. Statistically significant differences were found between T1(94.50) and T2 (98.80) as well as between T2 and T3 (94.70) for maxillary first molars. Maxillary second molars did not show any statistically significant positional changes during the evaluated time periods T1 (107.50), T2 (109.30) and T3 (106.90). Although maxillary first molars underwent distal crown inclination immediately after treatment, approximately five years thereafter their roots tended to upright close to the pretreatment positions.
AbstractList Objective: To evaluate the stability of mesiodistal inclination of maxillary molars produced by a pendulum appliance, five years after completion of orthodontic treatment. Angulation changes were compared to an untreated sample. Methods: The sample consisted of 20 patients (14 females and 6 males) with Class II, Division 1 malocclusion that was treated through molar distalization with a pendulum appliance followed by cervical headgear and full fixed appliances. Maxillary molar inclination was evaluated through panoramic radiograph. The mean age at pretreatment was 14.3 ± 1.6 years, whereas at immediate post-treatment it was 18.6 ± 1.8 years, and at long-term post-treatment it was 23.8 ± 2.0 years. A control group of 16 untreated individuals with untreated normocclusion ranging in age from 12 to 17 years old were used as comparison group. Data were statistically analyzed with independent t-tests and ANOVA test followed by Tukey post-hoc tests. Results: Statistically significant differences were found between T1 (94.50) and T2 (98.80) as well as between T2 and T3 (94.70) for maxillary first molars. Maxillary second molars did not show any statistically significant positional changes during the evaluated time periods T1 (107.50), T2 (109.30) and T3 (106.90). Conclusion: Although maxillary first molars underwent distal crown inclination immediately after treatment, approximately five years thereafter their roots tended to upright close to the pretreatment positions.
To evaluate the stability of mesiodistal inclination of maxillary molars produced by a pendulum appliance, five years after completion of orthodontic treatment. Angulation changes were compared to an untreated sample. The sample consisted of 20 patients (14 females and 6 males) with Class II, Division 1 malocclusion that was treated through molar distalization with a pendulum appliance followed by cervical headgear and full fixed appliances. Maxillary molar inclination was evaluated through panoramic radiograph. The mean age at pretreatment was 14.3 ± 1.6 years, whereas at immediate post-treatment it was 18.6 ± 1.8 years, and at long-term post-treatment it was 23.8 ± 2.0 years. A control group of 16 untreated individuals with untreated normocclusion ranging in age from 12 to 17 years old were used as comparison group. Data were statistically analyzed with independent t-tests and ANOVA test followed by Tukey post-hoc tests. Statistically significant differences were found between T1(94.50) and T2 (98.80) as well as between T2 and T3 (94.70) for maxillary first molars. Maxillary second molars did not show any statistically significant positional changes during the evaluated time periods T1 (107.50), T2 (109.30) and T3 (106.90). Although maxillary first molars underwent distal crown inclination immediately after treatment, approximately five years thereafter their roots tended to upright close to the pretreatment positions.
OBJECTIVETo evaluate the stability of mesiodistal inclination of maxillary molars produced by a pendulum appliance, five years after completion of orthodontic treatment. Angulation changes were compared to an untreated sample.METHODSThe sample consisted of 20 patients (14 females and 6 males) with Class II, Division 1 malocclusion that was treated through molar distalization with a pendulum appliance followed by cervical headgear and full fixed appliances. Maxillary molar inclination was evaluated through panoramic radiograph. The mean age at pretreatment was 14.3 ± 1.6 years, whereas at immediate post-treatment it was 18.6 ± 1.8 years, and at long-term post-treatment it was 23.8 ± 2.0 years. A control group of 16 untreated individuals with untreated normocclusion ranging in age from 12 to 17 years old were used as comparison group. Data were statistically analyzed with independent t-tests and ANOVA test followed by Tukey post-hoc tests.RESULTSStatistically significant differences were found between T1(94.50) and T2 (98.80) as well as between T2 and T3 (94.70) for maxillary first molars. Maxillary second molars did not show any statistically significant positional changes during the evaluated time periods T1 (107.50), T2 (109.30) and T3 (106.90).CONCLUSIONAlthough maxillary first molars underwent distal crown inclination immediately after treatment, approximately five years thereafter their roots tended to upright close to the pretreatment positions.
Objective: To evaluate the stability of mesiodistal inclination of maxillary molars produced by a pendulum appliance, five years after completion of orthodontic treatment. Angulation changes were compared to an untreated sample. Methods: The sample consisted of 20 patients (14 females and 6 males) with Class II, Division 1 malocclusion that was treated through molar distalization with a pendulum appliance followed by cervical headgear and full fixed appliances. Maxillary molar inclination was evaluated through panoramic radiograph. The mean age at pretreatment was 14.3 ± 1.6 years, whereas at immediate post-treatment it was 18.6 ± 1.8 years, and at long-term post-treatment it was 23.8 ± 2.0 years. A control group of 16 untreated individuals with untreated normocclusion ranging in age from 12 to 17 years old were used as comparison group. Data were statistically analyzed with independent t-tests and ANOVA test followed by Tukey post-hoc tests. Results: Statistically significant differences were found between T1 (94.50) and T2 (98.80) as well as between T2 and T3 (94.70) for maxillary first molars. Maxillary second molars did not show any statistically significant positional changes during the evaluated time periods T1 (107.50), T2 (109.30) and T3 (106.90). Conclusion: Although maxillary first molars underwent distal crown inclination immediately after treatment, approximately five years thereafter their roots tended to upright close to the pretreatment positions. Objetivo: avaliar a estabilidade da inclinação mesiodistal dos molares superiores cinco anos após o tratamento realizado com o aparelho Pendulum seguido de aparelho ortodôntico fixo. As mudanças na angulação foram comparadas com uma amostra não tratada. Métodos: a amostra consistiu de 20 pacientes (14 do sexo feminino e 6 do masculino) com má oclusão de Classe II, divisão 1 tratados por meio da distalização dos molares com o aparelho Pendulum seguido de ancoragem extrabucal cervical e aparelho fixo. A inclinação dos molares superiores foi avaliada por meio de radiografias panorâmicas. A média da idade ao início do tratamento foi de 14,3 ± 1,6 anos; ao final do tratamento, de 18,6 ± 1,8 anos e, no longo tempo pós-tratamento, de 23,8 ± 2,0 anos. Para comparação, foi usado um grupo controle com 16 indivíduos não tratados e com oclusão normal, apresentando idades entre 12 e 17 anos. Os dados foram analisados estatisticamente pelo teste t independente e ANOVA, seguido do teste de Tukey. Resultados: os primeiros molares superiores apresentaram diferenças estatisticamente significativas entre T1 (94,5o) e T2 (98,8o), bem como entre T2 e T3 (94,7o). Os segundos molares superiores não apresentaram alterações estatisticamente significativas no seu posicionamento durante os períodos avaliados, T1 (107,5o), T2 (109,3o) e T3 (106,9o). Conclusões: apesar de os primeiros molares superiores apresentarem inclinação distal da coroa imediatamente após o tratamento, aproximadamente cinco anos depois suas raízes tendem a ocupar posições próximas às do início do tratamento.
Author Henriques, José Fernando Castanha
Almeida, Renato Rodrigues de
Rocha, Caroline Andrade
Almeida, Marcio Rodrigues de
Flores-Mir, Carlos
AuthorAffiliation 2 Associate Professor, Universidade de São Paulo (USP), School of Dentistry, Department of Orthodontics, Bauru, São Paulo, Brazil. Full Professor, Universidade Norte do Paraná (UNOPAR), Department of Orthodontics, Londrina, Paraná, Brazil
4 Professor and Head Division of Orthodontics, University of Alberta, Edmonton, Alberta, Canada
3 Full Professor, Universidade de São Paulo (USP), School of Dentistry, Department of Orthodontics, Bauru, São Paulo, Brazil
5 Full Professor, Universidade Norte do Paraná (UNOPAR), Department of Orthodontics, Londrina, Paraná, Brazil
1 MSc, Universidade de São Paulo (USP), School of Dentistry, Department of Orthodontics, Bauru, São Paulo, Brazil
AuthorAffiliation_xml – name: 3 Full Professor, Universidade de São Paulo (USP), School of Dentistry, Department of Orthodontics, Bauru, São Paulo, Brazil
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– name: 2 Associate Professor, Universidade de São Paulo (USP), School of Dentistry, Department of Orthodontics, Bauru, São Paulo, Brazil. Full Professor, Universidade Norte do Paraná (UNOPAR), Department of Orthodontics, Londrina, Paraná, Brazil
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/27007764$$D View this record in MEDLINE/PubMed
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Issue 1
Keywords Radiography
Aparelho ortodôntico
Angle Class II malocclusion
Orthodontic appliances
Radiografia
Má oclusão de Classe II
Language English
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Authors contribution Conceived and designed the study: MRA. Drafted the study: CAR. Data acquisition, analysis or interpretation: CAR, JFCH. Wrote the article: CAR. Critical revision of the article: CFM. Final approval of the article: MRA. Overall responsibility: RRA.
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Snippet To evaluate the stability of mesiodistal inclination of maxillary molars produced by a pendulum appliance, five years after completion of orthodontic...
Objective: To evaluate the stability of mesiodistal inclination of maxillary molars produced by a pendulum appliance, five years after completion of...
OBJECTIVETo evaluate the stability of mesiodistal inclination of maxillary molars produced by a pendulum appliance, five years after completion of orthodontic...
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StartPage 67
SubjectTerms Adolescent
Aparelho ortodôntico
Cephalometry
Child
Dental occlusion
Dentistry
DENTISTRY, ORAL SURGERY & MEDICINE
Female
Humans
Male
Malocclusion, Angle Class II - etiology
Maxilla
Molar
Má oclusão de Classe II
Orthodontic Appliance Design
Orthodontic Appliances - adverse effects
Orthodontics
Radiografia
Tooth Movement Techniques
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Title Evaluation of long-term stability of mesiodistal axial inclinations of maxillary molars through panoramic radiographs in subjects treated with Pendulum appliance
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