Evaluation of the Effects of Alternating Rapid Maxillary Expansion and Facemask Use in Cases of Class III Malocclusion Caused by Maxillary Retrognathia- A Prospective, Randomized Clinical Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Face Mask
- Sponsor
- Trakya University
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Evaluation of Skeletal, Dental, and Soft Tissue Angular Measurements
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
Diverse viewpoints exist regarding the correlation between the conventional rapid maxillary expansion (RME) and facemask approach and the alternative RME and facemask hybrid technique (Alt-RAMEC) in terms of the degree of maxillary protraction. The findings of the study may offer a novel approach to protocol selection based on the anomaly's degree of severity. The objective of this investigation is to assess and contrast the skeletal and dentoalveolar outcomes of three distinct Alt-RAMEC techniques.
Detailed Description
Alternating rapid maxillary expansion and constriction (Alt-RAMEC) procedure is one of the most frequently used methods in the treatment of Class III cases caused by maxillary retrognathia. The objective of this investigation is to conduct a comparative analysis of the skeletal and dentofacial outcomes of three distinct techniques for maxillary protraction Following the primary recording, the patients were evaluated using bonded-type rapid maxillary expansion (RME) devices and three discrete Alt-RAMEC techniques (1, 3, and 5 weeks). Lateral cephalograms were obtained from a sample of 40 patients (18 males and 22 females) with a mean age of 10.64 ± 0.98. These images were taken both before (T1) and after the 6th month of facemask treatment (T2), and were subjected to total and local superimpositions. The Wilcoxon Sign, Kruskal-Wallis and Mann-Whitney U tests were used to evaluate the data.
Investigators
Hande Uzunçıbuk
Research Assistant Dr./ Principal Investigator
Trakya University
Eligibility Criteria
Inclusion Criteria
- •Maxillary retrognathia (SNA ≤ 79°)
- •Skeletal Class III malocclusion (ANB ≤ -1°)
- •Anterior cross-bite
- •Class III molar relationship
- •Horizontal growth pattern (SN/Go-Gn \< 30°)
Exclusion Criteria
- •Previous orthodontic treatment
- •Systemic disorders
Outcomes
Primary Outcomes
Evaluation of Skeletal, Dental, and Soft Tissue Angular Measurements
Time Frame: 6 months
Changes at the maxillary advancement, teeth positions and soft tissues amount were assessed in angular level. Skeletal measurements: Angular measurements: SNA (°), SNB (°), SN/S-Gn (Y-axis)(°), SN/Go-Gn (°), Ar-Go-Gn (°), SN/Go-Ar (°), and ANB (°) were measured. Dental measurements: Angular measurements: U1 to MaxP (°) for maxillary dentoalveolar measurements; L1-MandP (°) for mandibular dentoalveolar measurements; U1-L1 (°) for interdental measurements were performed. Soft tissue measurements: Changes at the upper and lower lip assessed. Angular measurements: G-Sn-Pg' (°), Nasolabial angle (°), and Labiomental angle (°) were measured.
Secondary Outcomes
- Evaluation of Skeletal, Dental, and Soft Tissue Millimetrical Measurements(6 months)