Long-term (≥ 15 years) outcome quality after Class II:1 bionator or Herbst multibracket appliance treatment : A comparison.
Qualität der Langzeitergebnisse (≥ 15 Jahre) nach Klasse-II:1-Behandlung mit Bionator bzw. Herbst-Multibracket-Apparatur : Ein Vergleich.
Functional treatment
Long-term stability
Occlusal relationship
Overjet
Peer Assessment Rating index
Journal
Journal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie
ISSN: 1615-6714
Titre abrégé: J Orofac Orthop
Pays: Germany
ID NLM: 9713484
Informations de publication
Date de publication:
24 Feb 2023
24 Feb 2023
Historique:
received:
18
01
2022
accepted:
19
10
2022
entrez:
24
2
2023
pubmed:
25
2
2023
medline:
25
2
2023
Statut:
aheadofprint
Résumé
To compare the long-term outcome quality (≥ 15 years) of Class II:1 treatment using either a bionator (BIO) or a Herbst-multibracket appliance (HMB). Patients who underwent functional treatment during the ideal treatment period for the respective approach (prepuberty vs. peak/postpeak) were assessed. Inclusion criteria were overjet ≥ 4 mm, skeletal Class II and availability of study casts from before, after and ≥ 15 years after treatment. The study casts were assessed using the Peer Assessment Rating (PAR) index and standard orthodontic cast measurements. During treatment, PAR score, overjet and sagittal occlusal relationship improved significantly in all groups. Long-term, there was a significant increase of incisor irregularity in the upper (HMB) and lower (BIO) arch and a significant decrease of lower arch width 3 - 3 (BIO). PAR score, overjet, and sagittal occlusal relationship remained stable long-term. Intergroup comparisons revealed significant differences between the BIO and HMB groups in terms of lower arch width (6 - 6), upper and lower arch width (3 + 3/3 - 3) as well as sagittal molar relationship. The achieved improvement in PAR score, overjet, and sagittal occlusion remained comparably stable long-term in all groups. The long-term changes are probably a consequence of natural aging. ZIEL: Der Vergleich der langfristigen Ergebnisqualität (≥ 15 Jahre) einer Klasse-II:1-Behandlung mit einem Bionator (BIO) oder einer Herbst-Multibracket-Apparatur (HMB). Patienten, die während des idealen Behandlungszeitraums für den jeweiligen Therapieansatz (vor der Pubertät bzw. Peak/Post-Peak) funktionskieferorthopädisch behandelt worden waren. Die Einschlusskriterien waren: Overjet ≥ 4 mm, skelettale Klasse II, Studienmodelle von vor, nach und ≥ 15 Jahre nach der Behandlung vorhanden. Die Studienmodelle wurden anhand des Peer Assessment Rating (PAR) index und kieferorthopädischer Standardmessungen ausgewertet. Während der Behandlung verbesserten sich PAR-Score, Overjet und sagittale Okklusionsbeziehung in allen Gruppen signifikant. Langfristig kam es zu einer signifikanten Zunahme des Engstandes der Schneidezähne im oberen (HMB) bzw. unteren (BIO) Zahnbogen und zu einer signifikanten Abnahme der Breite des unteren Zahnbogens 3 – 3 (BIO). PAR-Score, Overjet und sagittale Molarenrelation blieben langfristig stabil. Die Intergruppenvergleiche ergaben signifikante Unterschiede zwischen der BIO- und der HMB-Gruppe in Bezug auf die untere Zahnbogenbreite (6 – 6), die obere und untere Zahnbogenbreite (3 + 3/3 – 3) sowie die sagittale Molarenbeziehung. Die erzielte Verbesserung des PAR-Scores, des Overjets und der sagittalen Molarenrelation blieb in allen Gruppen langfristig vergleichbar stabil. Die langfristigen Veränderungen sind wahrscheinlich eine Folge physiologischer Alterungsprozesse.
Autres résumés
Type: Publisher
(ger)
ZIEL: Der Vergleich der langfristigen Ergebnisqualität (≥ 15 Jahre) einer Klasse-II:1-Behandlung mit einem Bionator (BIO) oder einer Herbst-Multibracket-Apparatur (HMB).
Identifiants
pubmed: 36826527
doi: 10.1007/s00056-023-00457-3
pii: 10.1007/s00056-023-00457-3
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2023. The Author(s).
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