A cephalometric evaluation of nonextraction cervical headgear treatment in Class II malocclusions. 1994

G W Hubbard, and R S Nanda, and G F Currier
University of Oklahoma College of Dentistry, Department of Orthodontics.

The effects of orthodontic treatment with the use of the cervical pull facebow headgear in patients with Class II malocclusions were evaluated with special reference to the dentition, the maxillary complex, the mandible, and the facial profile. The records of 85 patients, with a mean age of 11.3 +/- 1.7 years, were selected from a sample of 125 patient records requested from the office of John S. Kloehn in Appleton, Wisconsin. Dr. Kloehn has used traditional cervical pull facebow therapy in his practice. Over 100 linear and angular cephalometric measurements were made from the pretreatment and posttreatment records. These measurements were used to evaluate growth and/or treatment changes. The treatment sample was divided by size of the pretreatment FMA, sex, and the age range in which treatment was started, i.e., prepubertal, circumpubertal, and postpubertal. Overall, the results showed that the changes were very close to what would occur as a result of normal growth in Class I individuals. The maxillary permanent first molars continued to progress forward, the maxilla continued to grow forward, and the cranial base showed very little change, if any. The mandibular plane angle did not increase appreciably with treatment, regardless of the size of the pretreatment mandibular plane angle. Very few significant differences were found between sexes, pretreatment age groups, or between groups based on pretreatment Frankfort mandibular plane angle.

UI MeSH Term Description Entries
D008297 Male Males
D008312 Malocclusion, Angle Class II Malocclusion in which the mandible is posterior to the maxilla as reflected by the relationship of the first permanent molar (distoclusion). Angle Class II,Angle Class II, Division 1,Angle Class II, Division 2,Class II Malocclusion, Division 1,Class II Malocclusion, Division 2,Malocclusion, Angle Class II, Division 1,Malocclusion, Angle Class II, Division 2,Class II, Angle
D008334 Mandible The largest and strongest bone of the FACE constituting the lower jaw. It supports the lower teeth. Mylohyoid Groove,Mylohyoid Ridge,Groove, Mylohyoid,Grooves, Mylohyoid,Mandibles,Mylohyoid Grooves,Mylohyoid Ridges,Ridge, Mylohyoid,Ridges, Mylohyoid
D008445 Maxillofacial Development The process of growth and differentiation of the jaws and face. Development, Maxillofacial,Developments, Maxillofacial,Maxillofacial Developments
D009971 Orthodontics, Corrective The phase of orthodontics concerned with the correction of malocclusion with proper appliances and prevention of its sequelae (Jablonski's Illus. Dictionary of Dentistry). Corrective Orthodontics
D002508 Cephalometry The measurement of the dimensions of the HEAD. Craniometry
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D005115 Extraoral Traction Appliances Extraoral devices for applying force to the dentition in order to avoid some of the problems in anchorage control met with in intermaxillary traction and to apply force in directions not otherwise possible. Chincap, Orthodontic,Face Bow, Orthodontic,Headgear, Orthodontic,Appliance, Extraoral Traction,Appliances, Extraoral Traction,Bow, Orthodontic Face,Bows, Orthodontic Face,Chincaps, Orthodontic,Extraoral Traction Appliance,Face Bows, Orthodontic,Headgears, Orthodontic,Orthodontic Chincap,Orthodontic Chincaps,Orthodontic Face Bow,Orthodontic Face Bows,Orthodontic Headgear,Orthodontic Headgears,Traction Appliance, Extraoral,Traction Appliances, Extraoral
D005145 Face The anterior portion of the head that includes the skin, muscles, and structures of the forehead, eyes, nose, mouth, cheeks, and jaw. Faces
D005260 Female Females

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