Cargando…

Difference in Using Protrusion Face Mask before or after Rapid Palatal Expansion in Skeletal Class III Children: A Preliminary Study

Treatment of third-class malocclusions often presents a challenge for orthodontists. Skeletal disharmony is often associated with dental malposition. There are several therapeutic choices, including the use in combination of transverse expansion of the maxilla with rapid palatal expander (RPE) and p...

Descripción completa

Detalles Bibliográficos
Autores principales: Lucchi, Patrizia, Rosa, Marco, Bruno, Giovanni, De Stefani, Alberto, Zalunardo, Francesca, Gracco, Antonio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9600127/
https://www.ncbi.nlm.nih.gov/pubmed/36291471
http://dx.doi.org/10.3390/children9101535
_version_ 1784816764098445312
author Lucchi, Patrizia
Rosa, Marco
Bruno, Giovanni
De Stefani, Alberto
Zalunardo, Francesca
Gracco, Antonio
author_facet Lucchi, Patrizia
Rosa, Marco
Bruno, Giovanni
De Stefani, Alberto
Zalunardo, Francesca
Gracco, Antonio
author_sort Lucchi, Patrizia
collection PubMed
description Treatment of third-class malocclusions often presents a challenge for orthodontists. Skeletal disharmony is often associated with dental malposition. There are several therapeutic choices, including the use in combination of transverse expansion of the maxilla with rapid palatal expander (RPE) and posterior-anterior traction with a Delaire face mask (FM). The purpose of the study is to verify whether there are significant differences in the treatment outcome in the case of use of a face mask followed by a palatal expander or with the sequence of these auxiliaries reversed. Subject and Methods: The two groups were both made up of 13 patients, subdivided into group A, i.e., those whose sequence involved the use of extraoral traction first and then the disjunctor, and those with an inverted sequence in group B. Some cephalometric parameters and dento-skeletal characteristics were evaluated pre-treatment (t0) and at the end of therapy (t1). Results: Considering the T1–T0 of group A (Delaire + rapid palatal expander), the evaluation of the results obtained in this work allows us to observe how within group A there is a significant improvement in the Witts and Nanda indices and facial convexity. Group B (treated with the palate disjunctor sequence followed by traction with Delaire’s mask) showed a significant improvement in ANB, in AoBo, and AppBpp values and in convexity. The two groups were comparable, and no statistically significant difference was highlighted. Discussion: The early therapy of the third skeletal classes by means of a rapid palate expander and face mask is effective. There is no statistically significant difference in the two groups who performed the therapy in reverse mode. This suggests that the clinician should choose the treatment sequence based on the skeletal and occlusal conditions of their patients at the start of treatment. Conclusion: Early therapy of third skeletal classes with sagittal expansion using a rapid palate expander can be performed earlier or later than posterior-anterior traction with a Delaire mask.
format Online
Article
Text
id pubmed-9600127
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-96001272022-10-27 Difference in Using Protrusion Face Mask before or after Rapid Palatal Expansion in Skeletal Class III Children: A Preliminary Study Lucchi, Patrizia Rosa, Marco Bruno, Giovanni De Stefani, Alberto Zalunardo, Francesca Gracco, Antonio Children (Basel) Article Treatment of third-class malocclusions often presents a challenge for orthodontists. Skeletal disharmony is often associated with dental malposition. There are several therapeutic choices, including the use in combination of transverse expansion of the maxilla with rapid palatal expander (RPE) and posterior-anterior traction with a Delaire face mask (FM). The purpose of the study is to verify whether there are significant differences in the treatment outcome in the case of use of a face mask followed by a palatal expander or with the sequence of these auxiliaries reversed. Subject and Methods: The two groups were both made up of 13 patients, subdivided into group A, i.e., those whose sequence involved the use of extraoral traction first and then the disjunctor, and those with an inverted sequence in group B. Some cephalometric parameters and dento-skeletal characteristics were evaluated pre-treatment (t0) and at the end of therapy (t1). Results: Considering the T1–T0 of group A (Delaire + rapid palatal expander), the evaluation of the results obtained in this work allows us to observe how within group A there is a significant improvement in the Witts and Nanda indices and facial convexity. Group B (treated with the palate disjunctor sequence followed by traction with Delaire’s mask) showed a significant improvement in ANB, in AoBo, and AppBpp values and in convexity. The two groups were comparable, and no statistically significant difference was highlighted. Discussion: The early therapy of the third skeletal classes by means of a rapid palate expander and face mask is effective. There is no statistically significant difference in the two groups who performed the therapy in reverse mode. This suggests that the clinician should choose the treatment sequence based on the skeletal and occlusal conditions of their patients at the start of treatment. Conclusion: Early therapy of third skeletal classes with sagittal expansion using a rapid palate expander can be performed earlier or later than posterior-anterior traction with a Delaire mask. MDPI 2022-10-08 /pmc/articles/PMC9600127/ /pubmed/36291471 http://dx.doi.org/10.3390/children9101535 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lucchi, Patrizia
Rosa, Marco
Bruno, Giovanni
De Stefani, Alberto
Zalunardo, Francesca
Gracco, Antonio
Difference in Using Protrusion Face Mask before or after Rapid Palatal Expansion in Skeletal Class III Children: A Preliminary Study
title Difference in Using Protrusion Face Mask before or after Rapid Palatal Expansion in Skeletal Class III Children: A Preliminary Study
title_full Difference in Using Protrusion Face Mask before or after Rapid Palatal Expansion in Skeletal Class III Children: A Preliminary Study
title_fullStr Difference in Using Protrusion Face Mask before or after Rapid Palatal Expansion in Skeletal Class III Children: A Preliminary Study
title_full_unstemmed Difference in Using Protrusion Face Mask before or after Rapid Palatal Expansion in Skeletal Class III Children: A Preliminary Study
title_short Difference in Using Protrusion Face Mask before or after Rapid Palatal Expansion in Skeletal Class III Children: A Preliminary Study
title_sort difference in using protrusion face mask before or after rapid palatal expansion in skeletal class iii children: a preliminary study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9600127/
https://www.ncbi.nlm.nih.gov/pubmed/36291471
http://dx.doi.org/10.3390/children9101535
work_keys_str_mv AT lucchipatrizia differenceinusingprotrusionfacemaskbeforeorafterrapidpalatalexpansioninskeletalclassiiichildrenapreliminarystudy
AT rosamarco differenceinusingprotrusionfacemaskbeforeorafterrapidpalatalexpansioninskeletalclassiiichildrenapreliminarystudy
AT brunogiovanni differenceinusingprotrusionfacemaskbeforeorafterrapidpalatalexpansioninskeletalclassiiichildrenapreliminarystudy
AT destefanialberto differenceinusingprotrusionfacemaskbeforeorafterrapidpalatalexpansioninskeletalclassiiichildrenapreliminarystudy
AT zalunardofrancesca differenceinusingprotrusionfacemaskbeforeorafterrapidpalatalexpansioninskeletalclassiiichildrenapreliminarystudy
AT graccoantonio differenceinusingprotrusionfacemaskbeforeorafterrapidpalatalexpansioninskeletalclassiiichildrenapreliminarystudy