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Spine deviations and orthodontic treatment of asymmetric malocclusions in children

BACKGROUND: The aim of this randomized clinical trial was to assess the effect of early orthodontic treatment for unilateral posterior cross bite in the late deciduous and early mixed dentition using orthopedic parameters. METHODS: Early orthodontic treatment was performed by initial maxillary expan...

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Autores principales: Lippold, Carsten, Moiseenko, Tatjana, Drerup, Burkhard, Schilgen, Markus, Végh, András, Danesh, Gholamreza
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3489858/
https://www.ncbi.nlm.nih.gov/pubmed/22906114
http://dx.doi.org/10.1186/1471-2474-13-151
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author Lippold, Carsten
Moiseenko, Tatjana
Drerup, Burkhard
Schilgen, Markus
Végh, András
Danesh, Gholamreza
author_facet Lippold, Carsten
Moiseenko, Tatjana
Drerup, Burkhard
Schilgen, Markus
Végh, András
Danesh, Gholamreza
author_sort Lippold, Carsten
collection PubMed
description BACKGROUND: The aim of this randomized clinical trial was to assess the effect of early orthodontic treatment for unilateral posterior cross bite in the late deciduous and early mixed dentition using orthopedic parameters. METHODS: Early orthodontic treatment was performed by initial maxillary expansion and subsequent activator therapy (Münster treatment concept). The patient sample was initially comprised of 80 patients with unilateral posterior cross bite (mean age 7.3 years, SD 2.1 years). After randomization, 77 children attended the initial examination appointment (therapy = 37, control = 40); 31 children in the therapy group and 35 children in the control group were monitored at the follow-up examination (T2). The mean interval between T1 and T2 was 1.1 years (SD 0.2 years). Rasterstereography was used for back shape analysis at T1 and T2. Using the profile, the kyphotic and lordotic angle, the surface rotation, the lateral deviation, pelvic tilt and pelvic torsion, statistical differences at T1 and T2 between the therapy and control groups were calculated (t-test). Our working hypothesis was, that early orthodontic treatment can induce negative therapeutic changes in body posture through thoracic and lumbar position changes in preadolescents with uniltaral cross bite. RESULTS: No clinically relevant differences between the control and the therapy groups at T1 and T2 were found for the parameters of kyphotic and lordotic angle, the surface rotation, lateral deviation, pelvic tilt, and pelvic torsion. CONCLUSIONS: Our working hypothesis was tested to be not correct (within the limitations of this study). This randomized clinical trial demonstrates that in a juvenile population with unilateral posterior cross bite the selected early orthodontic treatment protocol does not affect negatively the postural parameters. TRIAL REGISTRATION: DRKS00003497 on DRKS
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spelling pubmed-34898582012-11-06 Spine deviations and orthodontic treatment of asymmetric malocclusions in children Lippold, Carsten Moiseenko, Tatjana Drerup, Burkhard Schilgen, Markus Végh, András Danesh, Gholamreza BMC Musculoskelet Disord Research Article BACKGROUND: The aim of this randomized clinical trial was to assess the effect of early orthodontic treatment for unilateral posterior cross bite in the late deciduous and early mixed dentition using orthopedic parameters. METHODS: Early orthodontic treatment was performed by initial maxillary expansion and subsequent activator therapy (Münster treatment concept). The patient sample was initially comprised of 80 patients with unilateral posterior cross bite (mean age 7.3 years, SD 2.1 years). After randomization, 77 children attended the initial examination appointment (therapy = 37, control = 40); 31 children in the therapy group and 35 children in the control group were monitored at the follow-up examination (T2). The mean interval between T1 and T2 was 1.1 years (SD 0.2 years). Rasterstereography was used for back shape analysis at T1 and T2. Using the profile, the kyphotic and lordotic angle, the surface rotation, the lateral deviation, pelvic tilt and pelvic torsion, statistical differences at T1 and T2 between the therapy and control groups were calculated (t-test). Our working hypothesis was, that early orthodontic treatment can induce negative therapeutic changes in body posture through thoracic and lumbar position changes in preadolescents with uniltaral cross bite. RESULTS: No clinically relevant differences between the control and the therapy groups at T1 and T2 were found for the parameters of kyphotic and lordotic angle, the surface rotation, lateral deviation, pelvic tilt, and pelvic torsion. CONCLUSIONS: Our working hypothesis was tested to be not correct (within the limitations of this study). This randomized clinical trial demonstrates that in a juvenile population with unilateral posterior cross bite the selected early orthodontic treatment protocol does not affect negatively the postural parameters. TRIAL REGISTRATION: DRKS00003497 on DRKS BioMed Central 2012-08-21 /pmc/articles/PMC3489858/ /pubmed/22906114 http://dx.doi.org/10.1186/1471-2474-13-151 Text en Copyright ©2012 Lippold et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Lippold, Carsten
Moiseenko, Tatjana
Drerup, Burkhard
Schilgen, Markus
Végh, András
Danesh, Gholamreza
Spine deviations and orthodontic treatment of asymmetric malocclusions in children
title Spine deviations and orthodontic treatment of asymmetric malocclusions in children
title_full Spine deviations and orthodontic treatment of asymmetric malocclusions in children
title_fullStr Spine deviations and orthodontic treatment of asymmetric malocclusions in children
title_full_unstemmed Spine deviations and orthodontic treatment of asymmetric malocclusions in children
title_short Spine deviations and orthodontic treatment of asymmetric malocclusions in children
title_sort spine deviations and orthodontic treatment of asymmetric malocclusions in children
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3489858/
https://www.ncbi.nlm.nih.gov/pubmed/22906114
http://dx.doi.org/10.1186/1471-2474-13-151
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