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Removable versus fixed myo-functional appliances in class II malocclusion among Indians. 2023

Rahul Pawar, and Shib Kumar Nath, and P Kiran Kumar, and Khyati Patel, and Mengi Arvind, and Alap Shah, and Bela Dave, and Dhaval Niranjan Mehta
Department of Orthodontic and Dentofacial Orthopaedics, JCD Dental College, Sirsa, Haryana, India.

It is of interest to compare two myofunctional appliances (frankal appliance and twin bloc) and two fixed orthodontic appliances (PowerScope and Forsus) in management of class II div 1 malocclusion. A total of 56 Class II division 1 malocclusion patients indicated for treatment with myofunctional appliances and fixed functional appliances were randomized. They were equally divided among frankal appliance (n=14), twin block appliance (n=14), PowerScope (American Orthodontics) (n=14), Forsus (3M Unitek Corp) groups (n=14). Skeletal and dentoalveolar effects of all appliances were compared. SNB increased remarkably by 4.2° in the Twin block group and it was high among all treatment groups. There was a significant decrease in vertical dimensions (SN-GoGn) in the Twin block (p = 0.002). Early treatment of Class II due to mandibular retrusion with Twin block functional appliance is recommended due to its favorable skeletal effect.

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