Long-term effects produced by early treatment of Class III malocclusion with rapid maxillary expansion and facemask followed by fixed appliances: A multicentre retro-prospective controlled study.
angle Class III
cephalometry
growth
multicenter study
orthodontics
Journal
Orthodontics & craniofacial research
ISSN: 1601-6343
Titre abrégé: Orthod Craniofac Res
Pays: England
ID NLM: 101144387
Informations de publication
Date de publication:
26 Dec 2023
26 Dec 2023
Historique:
revised:
11
11
2023
received:
16
10
2023
accepted:
14
12
2023
medline:
26
12
2023
pubmed:
26
12
2023
entrez:
26
12
2023
Statut:
aheadofprint
Résumé
To assess the short- and long-term dentoskeletal effects of early Class III treatment with rapid maxillary expansion and facemask (RME/FM) followed by fixed appliances. A total of 44 patients (27 females, 17 males) treated consecutively with RME/FM were included from the archives of 3 centres. Three lateral cephalograms were available: T0 (before the start of RME/FM therapy, mean age 8.1 ± 1.8 years), T1 (immediately after RME/FM, mean age 9.8 ± 1.6 years), and T2 (long-term observation, mean age 19.5 ± 1.6 years). A control group of 17 untreated Class III subjects (12 females and 5 males) also was selected. Between-group statistical comparisons were performed with ANCOVA. No statistically significant differences for any of the cephalometric variables were found at T0. In the short term, the treated group showed significant improvements in ANB (+2.9°), Wits appraisal (+2.7 mm), SNA (+1.8°) and SNB (-1.1°). A significant closure of CoGoMe angle (-1.3°) associated with smaller increments along Co-Gn (-2.4 mm) also was found together with a significant increase in intermaxillary divergence (+1.3°). In the long-term, significant improvements in ANB (+2.6°), Wits appraisal (+2.7 mm) and SNB (-1.7°) were recorded together with a significant closure of the CoGoMe angle (-2.9°). No significant long-term changes in vertical skeletal relationships were found. RME/FM therapy was effective in improving Class III dentoskeletal relationships in the short term. These changes remained stable in the long-term due mainly to favourable mandibular changes.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2023 The Authors. Orthodontics & Craniofacial Research published by John Wiley & Sons Ltd.
Références
Westwood PV, McNamara JA Jr, Baccetti T, Franchi L, Sarver DM. Long-term effects of class III treatment with rapid maxillary expansion and facemask therapy followed by fixed appliances. Am J Orthod Dentofacial Orthop. 2003;123(3):306-320.
Wells AP, Sarver DM, Proffit WR. Long-term efficacy of reverse pull headgear therapy. Angle Orthod. 2006;76(6):915-922.
Dehesa-Santos A, Iber-Diaz P, Iglesias-Linares A. Genetic factors contributing to skeletal class III malocclusion: a systematic review and meta-analysis. Clin Oral Investig. 2021;25(4):1587-1612.
Keim RG, Gottlieb EL, Nelson AH, Vogels DS. 2008 JCO study of orthodontic diagnosis and treatment procedures, part 1: results and trends. J Clin Orthod. 2008;42(11):625-640.
Woon SC, Thiruvenkatachari B. Early orthodontic treatment for class III malocclusion: a systematic review and meta-analysis. Am J Orthod Dentofacial Orthop. 2017;151(1):28-52.
Cordasco G, Matarese G, Rustico L, et al. Efficacy of orthopedic treatment with protraction facemask on skeletal class III malocclusion: a systematic review and meta-analysis. Orthod Craniofac Res. 2014;17(3):133-143.
Foersch M, Jacobs C, Wriedt S, Hechtner M, Wehrbein H. Effectiveness of maxillary protraction using facemask with or without maxillary expansion: a systematic review and meta-analysis. Clin Oral Investig. 2015;19(6):1181-1192.
Lin Y, Guo R, Hou L, Fu Z, Li W. Stability of maxillary protraction therapy in children with class III malocclusion: a systematic review and meta-analysis. Clin Oral Investig. 2018;22(7):2639-2652.
Kakali L, Christopoulou I, Tsolakis IA, et al. Mid-term follow up effectiveness of facemask treatment in class III malocclusion: a systematic review. Int Orthod. 2021;19(3):365-376.
Lee WC, Shieh YS, Liao YF, Lee CH, Huang CS. Long-term maxillary anteroposterior changes following maxillary protraction with or without expansion: a meta-analysis and meta-regression. PloS One. 2021;16(2):1-18.
Hägg U, Tse A, Bendeus M, Rabie AB. Long-term follow-up of early treatment with reverse headgear. Eur J Orthod. 2003;25(1):95-102.
Masucci C, Franchi L, Defraia E, Mucedero M, Cozza P, Baccetti T. Stability of rapid maxillary expansion and facemask therapy: a long-term controlled study. Am J Orthod Dentofacial Orthop. 2011;140(4):493-500.
Wendl B, Stampfl M, Muchitsch AP, et al. Long-term skeletal and dental effects of facemask versus chincup treatment in class III patients: a retrospective study. J Orofac Orthop. 2017;78(4):293-299.
Le BNH, Goonewardene M, Duigou C, Bharat C. The long-term efficacy of rapid maxillary expansion and facemask therapy in class III malocclusion. Austral Orthod J. 2020;36(1):27-37.
McNamara JA Jr, Franchi L. The cervical vertebral maturation method: a user's guide. Angle Orthod. 2018;88(2):133-143.
Rutili V, Nieri M, Giuntini V, McNamara JA Jr, Franchi L. A multilevel analysis of craniofacial growth in subjects with untreated class III malocclusion. Orthod Craniofac Res. 2020;23(2):181-191.
Jacobson A. The “Wits” appraisal of jaw disharmony. Am J Orthod. 1975;67(2):125-138.
Souki BQ, Nieri M, Pavoni C, et al. Development and validation of a prediction model for long-term unsuccess of early treatment of class III malocclusion. Eur J Orthod. 2020;42(2):200-205.
Fleiss JL. The Design and Analysis of Clinical Experiments. John Wiley and Sons; 1986:7.
Rutili V, Quiroga Souki B, Nieri M, et al. Long-term assessment of treatment timing for rapid maxillary expansion and facemask therapy followed by fixed appliances: a multicenter retro-prospective study. J Clin Med. 2023;12(21):6930.
Lione R, Buongiorno M, Laganà G, Cozza P, Franchi L. Early treatment of class III malocclusion with RME and facial mask: evaluation of dentoalveolar effects on digital dental casts. Eur J Paediatr Dent. 2015;16(3):217-220.
Cha BK, Ngan PW. Skeletal anchorage for orthopedic correction of growing class III patients. Semin Orthod. 2011;17(2):124-137.
Rutili V, Nieri M, Franceschi D, Pierleoni F, Giuntini V, Franchi L. Effects produced by the facemask with and without skeletal anchorage for the orthopaedic treatment of class III malocclusion in growing patients: a systematic review and meta-analysis of RCTs. Eur J Orthod. 2023;45(2):157-168.
Lavergne J, Gasson N. Operational definitions of mandibular morphogenetic and positional rotations. Scand J Dent Res. 1977;85(3):185-192.
Deguchi T, Kuroda T, Minoshima Y, Graber TM. Craniofacial features of patients with class III abnormalities: growth-related changes and effects of short-term and long-term chincup therapy. Am J Orthod Dentofacial Orthop. 2002;121(1):84-92.
Franchi L, Pavoni C, Cerroni S, Cozza P. Thin-plate spline analysis of mandibular morphological changes induced by early class III treatment: a long-term evaluation. Eur J Orthod. 2014;36(4):425-430.
Mandall N, Cousley R, DiBiase A, et al. Early class III protraction facemask treatment reduces the need for orthognathic surgery: a multi-centre, two-arm parallel randomized, controlled trial. J Orthod. 2016;43(3):164-175.
von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008;61(4):344-349.