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Twin-blok ve iskeletsel destekli forsus FRD apareylerinin faringeal havayolu üzerine etkilerinin karşılaştırılması

Year 2020, Volume: 7 Issue: 3, 455 - 461, 27.12.2020
https://doi.org/10.15311/selcukdentj.722569

Abstract

Amaç: Bu retrospektif çalışmanın amacı, iskeletsel destekli (İD) Forsus FRD ve Twin-blok (TB) apareylerinin iskeletsel, dentoalveolar ve faringeal hava yoluna olan etkilerini değerlendirmektir.
Gereç ve Yöntem: Çalışmamız, Sınıf II maloklüzyonu olan, mandibular simfiz bölgesine bilateral yerleştirilmiş miniplaklardan destek alan İD Forsus apareyi veya TB ile tedavi edilmiş hastaların tedavi başı ve tedavi sonu lateral sefalogramları üzerinde yapılan iskeletsel, dentoalveolar ve faringeal ölçümler kullanılarak yürütülmüştür. İD Forsus grubu, 20 hasta (9 kadın ve 11 erkek; ortalama yaş: 14.12 ± 1.66 yıl) ve TB grubu, 20 hasta (10 kadın ve 10 erkek; ortalama yaş: 13.95 ± 1.32yıl) olmak üzere, büyüme gelişim evresi peak sonrasında olan toplam 40 hasta verisi kullanılmıştır. Gruplar arasındaki farklılıkların değerlendirilmesi için bağımsız örneklem t-testi, grup içi farkın karşılaştırılması için bağımlı örneklem t-testi kullanılmıştır.
Bulgular: Sınıf II malokluzyon her iki grupta da, SNA'da azalma ve SNB'de artış ile düzeltildi (p<0.01). Her iki gurupta da Co-A uzunluğu istatistiksel olarak anlamlı azalırken, Co-Gn uzunluğu anlamlı artış gösterdi (p<0.001). IMPA değerleri TB grubunda artarken, İD Forsus grubunda anlamlı olarak azaldı(p<0.001). Nazofaringeal havayolu bölgesinde artış anlamlı değilken (p>0.05), orofaringeal havayolu ölçümlerinde istatistiksel olarak anlamlı artış gözlendi (p<0.01).
Sonuç: Her iki grupta da malokluzyon başarılı şekilde tedavi edilmiştir. İskeletsel, dentoalveolar ve faringeal ölçümler, tedavi edilen tüm hastalarda önemli ölçüde artmış, iki grup arasında anlamlı bir fark gözlenmemiştir.
Anahtar kelimeler: Faringeal havayolu, fonksiyonel apareyler, iskeletsel destekli Forsus, Twin-blok

References

  • 1. McNamara Jr JA. Components of Class II malocclusion in children 8–10 years of age. Angle Orthod 1981;51:177-202.
  • 2. Pacha MM, Fleming PS, Johal A. A comparison of the efficacy of fixed versus removable functional appliances in children with Class II malocclusion: A systematic review. Eur J Orthod 2015;38:621-30.
  • 3. Siara-Olds NJ, Pangrazio-Kulbersh V, Berger J, Bayirli B. Long-term dentoskeletal changes with the Bionator, Herbst, Twin Block, and MARA functional appliances. Angle Orthod 2010;80:18-29.
  • 4. Giuntini V, Vangelisti A, Masucci C, Defraia E, McNamara JA, Jr., Franchi L. Treatment effects produced by the Twin-block appliance vs the Forsus Fatigue Resistant Device in growing Class II patients. Angle Orthod 2015;85:784-9.
  • 5. Luzi C, Luzi V, Melsen B. Mini-implants and the efficiency of Herbst treatment: a preliminary study. Prog Orthod 2013;14:21.
  • 6. Rodrigues de Almeida M, Castanha Henriques JF, Rodrigues de Almeida R, Ursi W. Treatment effects produced by Frankel appliance in patients with class II, division 1 malocclusion. Angle Orthod 2002;72:418-25.
  • 7. Pancherz H. The mechanism of Class II correction in Herbst appliance treatment. A cephalometric investigation. Am J Orthod 1982;82:104-113.
  • 8. Baccetti T, Franchi L, Toth LR, McNamara JA, Jr. Treatment timing for Twin-block therapy. Am J Orthod Dentofacial Orthop 2000;118:159-70.
  • 9. Akın M, Erdur EA, Öztürk O. Asymmetric dental arch treatment with Forsus fatigue appliances: Long-term results. Angle Orthod 2019;89:688-96.
  • 10. Unal T, Celikoglu M, Candirli C. Evaluation of the effects of skeletal anchoraged Forsus FRD using miniplates inserted on mandibular symphysis: a new approach for the treatment of Class II malocclusion. Angle Orthod 2015;85:413-19.
  • 11. Turkkahraman H, Eliacik SK, Findik Y. Effects of miniplate anchored and conventional Forsus Fatigue Resistant Devices in the treatment of Class II malocclusion. Angle Orthod 2016;86:1026-32.
  • 12. Kannan A, Sathyanarayana HP, Padmanabhan S. Effect of functional appliances on the airway dimensions in patients with skeletal class II malocclusion: A systematic review. J orthod sci 2017;6:54-64.
  • 13. El H, Palomo JM. Airway volume for different dentofacial skeletal patterns. Am J Orthod Dentofacial Orthop 2011;139:511-21.
  • 14. Mohsenin V. Gender differences in the expression of sleep-disordered breathing: role of upper airway dimensions. Chest 2001;120:1442-7.
  • 15. Shete CS, Bhad WA. Three-dimensional upper airway changes with mandibular advancement device in patients with obstructive sleep apnea. Am J Orthod Dentofacial Orthop 2017;151:941-8.
  • 16. Kochel J, Meyer-Marcotty P, Sickel F, Lindorf H, Stellzig-Eisenhauer A. Short-term pharyngeal airway changes after mandibular advancement surgery in adult Class II-Patients—a three-dimensional retrospective study. J Orofac Orthop 2013;74:137-52.
  • 17. Oktay H, Ulukaya E. Maxillary protraction appliance effect on the size of the upper airway passage. Angle Orthod 2008;78:209-14.
  • 18. Houston WJ. The analysis of errors in orthodontic measurements. Am J Orthod May 1983;83:382-90.
  • 19. Baka ZM, Erdur EA, Alp S, Basciftci FA. Unilateral dudak damak yarığına sahip hastalarda faringeal havayolunun değerlendirilmesi. Selcuk Dent J, 2017; 4: 170-7.
  • 20. Celikoglu M, Buyuk SK, Ekizer A, Unal T. Pharyngeal airway effects of Herbst and skeletal anchored Forsus FRD EZ appliances. Int J Pediatr Otorhinolaryngol 2016;90:23-28.
  • 21. Erdur O, Erdur EA, Erol M. Effect of mouth breathing on craniofacial development in children. KBB Uygulamaları 2018;6:6-10.
  • 22. M.R. de Freitas, N.M. Alcazar, G. Janson, K.M. de Freitas, J.F. Henriques, Upper and lower pharyngeal airways in subjects with class I and class II malocclusions and different growth patterns, Am J Orthod Dentofac Orthop 2006;130:742-5.
  • 23. Perinetti G, Primozic J, Furlani G, Franchi L, Contardo L. Treatment effects of fixed functional appliances alone or in combination with multibracket appliances: A systematic review and meta-analysis. Angle Orthod 2015;85:480-92.
  • 24. Zymperdikas VF, Koretsi V, Papageorgiou SN, Papadopoulos MA. Treatment effects of fixed functional appliances in patients with Class II malocclusion: a systematic review and meta-analysis. Eur J Orthod 2016;38:113-26.
  • 25. Nucera R, Giudice AL, Rustico L, Matarese G, Papadopoulos MA, Cordasco G. Effectiveness of orthodontic treatment with functional appliances on maxillary growth in the short term: A systematic review and meta-analysis. Am J Orthod Dentofacial Orthop 2016;149:600-11.
  • 26. Shete CS, Bhad WA. Three-dimensional upper airway changes with mandibular advancement devices in patients with obstructive sleep apnea. Am J Orthod Dentofacial Orthop 2017;151:941-48.
  • 27. Rizk S, Kulbersh VP, Al-Qawasmi R. Changes in the oropharyngeal airway of Class II patients treated with the mandibular anterior repositioning appliance. Angle Orthod 2016;86:955-61.
  • 28. Bronoosh P, Khojastepour L. Analysis of Pharyngeal Airway Using Lateral Cephalogram vs CBCT Images: A Cross-sectional Retrospective Study. Open Dent J 2015;9:263-6.
  • 29. Kaur S, Rai S, Kaur M. Comparison of reliability of lateral cephalogram and computed tomography for assessment of airway space. Niger J Clin Pract 2014;17:629-36.
Year 2020, Volume: 7 Issue: 3, 455 - 461, 27.12.2020
https://doi.org/10.15311/selcukdentj.722569

Abstract

References

  • 1. McNamara Jr JA. Components of Class II malocclusion in children 8–10 years of age. Angle Orthod 1981;51:177-202.
  • 2. Pacha MM, Fleming PS, Johal A. A comparison of the efficacy of fixed versus removable functional appliances in children with Class II malocclusion: A systematic review. Eur J Orthod 2015;38:621-30.
  • 3. Siara-Olds NJ, Pangrazio-Kulbersh V, Berger J, Bayirli B. Long-term dentoskeletal changes with the Bionator, Herbst, Twin Block, and MARA functional appliances. Angle Orthod 2010;80:18-29.
  • 4. Giuntini V, Vangelisti A, Masucci C, Defraia E, McNamara JA, Jr., Franchi L. Treatment effects produced by the Twin-block appliance vs the Forsus Fatigue Resistant Device in growing Class II patients. Angle Orthod 2015;85:784-9.
  • 5. Luzi C, Luzi V, Melsen B. Mini-implants and the efficiency of Herbst treatment: a preliminary study. Prog Orthod 2013;14:21.
  • 6. Rodrigues de Almeida M, Castanha Henriques JF, Rodrigues de Almeida R, Ursi W. Treatment effects produced by Frankel appliance in patients with class II, division 1 malocclusion. Angle Orthod 2002;72:418-25.
  • 7. Pancherz H. The mechanism of Class II correction in Herbst appliance treatment. A cephalometric investigation. Am J Orthod 1982;82:104-113.
  • 8. Baccetti T, Franchi L, Toth LR, McNamara JA, Jr. Treatment timing for Twin-block therapy. Am J Orthod Dentofacial Orthop 2000;118:159-70.
  • 9. Akın M, Erdur EA, Öztürk O. Asymmetric dental arch treatment with Forsus fatigue appliances: Long-term results. Angle Orthod 2019;89:688-96.
  • 10. Unal T, Celikoglu M, Candirli C. Evaluation of the effects of skeletal anchoraged Forsus FRD using miniplates inserted on mandibular symphysis: a new approach for the treatment of Class II malocclusion. Angle Orthod 2015;85:413-19.
  • 11. Turkkahraman H, Eliacik SK, Findik Y. Effects of miniplate anchored and conventional Forsus Fatigue Resistant Devices in the treatment of Class II malocclusion. Angle Orthod 2016;86:1026-32.
  • 12. Kannan A, Sathyanarayana HP, Padmanabhan S. Effect of functional appliances on the airway dimensions in patients with skeletal class II malocclusion: A systematic review. J orthod sci 2017;6:54-64.
  • 13. El H, Palomo JM. Airway volume for different dentofacial skeletal patterns. Am J Orthod Dentofacial Orthop 2011;139:511-21.
  • 14. Mohsenin V. Gender differences in the expression of sleep-disordered breathing: role of upper airway dimensions. Chest 2001;120:1442-7.
  • 15. Shete CS, Bhad WA. Three-dimensional upper airway changes with mandibular advancement device in patients with obstructive sleep apnea. Am J Orthod Dentofacial Orthop 2017;151:941-8.
  • 16. Kochel J, Meyer-Marcotty P, Sickel F, Lindorf H, Stellzig-Eisenhauer A. Short-term pharyngeal airway changes after mandibular advancement surgery in adult Class II-Patients—a three-dimensional retrospective study. J Orofac Orthop 2013;74:137-52.
  • 17. Oktay H, Ulukaya E. Maxillary protraction appliance effect on the size of the upper airway passage. Angle Orthod 2008;78:209-14.
  • 18. Houston WJ. The analysis of errors in orthodontic measurements. Am J Orthod May 1983;83:382-90.
  • 19. Baka ZM, Erdur EA, Alp S, Basciftci FA. Unilateral dudak damak yarığına sahip hastalarda faringeal havayolunun değerlendirilmesi. Selcuk Dent J, 2017; 4: 170-7.
  • 20. Celikoglu M, Buyuk SK, Ekizer A, Unal T. Pharyngeal airway effects of Herbst and skeletal anchored Forsus FRD EZ appliances. Int J Pediatr Otorhinolaryngol 2016;90:23-28.
  • 21. Erdur O, Erdur EA, Erol M. Effect of mouth breathing on craniofacial development in children. KBB Uygulamaları 2018;6:6-10.
  • 22. M.R. de Freitas, N.M. Alcazar, G. Janson, K.M. de Freitas, J.F. Henriques, Upper and lower pharyngeal airways in subjects with class I and class II malocclusions and different growth patterns, Am J Orthod Dentofac Orthop 2006;130:742-5.
  • 23. Perinetti G, Primozic J, Furlani G, Franchi L, Contardo L. Treatment effects of fixed functional appliances alone or in combination with multibracket appliances: A systematic review and meta-analysis. Angle Orthod 2015;85:480-92.
  • 24. Zymperdikas VF, Koretsi V, Papageorgiou SN, Papadopoulos MA. Treatment effects of fixed functional appliances in patients with Class II malocclusion: a systematic review and meta-analysis. Eur J Orthod 2016;38:113-26.
  • 25. Nucera R, Giudice AL, Rustico L, Matarese G, Papadopoulos MA, Cordasco G. Effectiveness of orthodontic treatment with functional appliances on maxillary growth in the short term: A systematic review and meta-analysis. Am J Orthod Dentofacial Orthop 2016;149:600-11.
  • 26. Shete CS, Bhad WA. Three-dimensional upper airway changes with mandibular advancement devices in patients with obstructive sleep apnea. Am J Orthod Dentofacial Orthop 2017;151:941-48.
  • 27. Rizk S, Kulbersh VP, Al-Qawasmi R. Changes in the oropharyngeal airway of Class II patients treated with the mandibular anterior repositioning appliance. Angle Orthod 2016;86:955-61.
  • 28. Bronoosh P, Khojastepour L. Analysis of Pharyngeal Airway Using Lateral Cephalogram vs CBCT Images: A Cross-sectional Retrospective Study. Open Dent J 2015;9:263-6.
  • 29. Kaur S, Rai S, Kaur M. Comparison of reliability of lateral cephalogram and computed tomography for assessment of airway space. Niger J Clin Pract 2014;17:629-36.
There are 29 citations in total.

Details

Primary Language Turkish
Subjects Dentistry
Journal Section Research
Authors

Emire Aybüke Erdur 0000-0002-1887-8474

Bekir Lale 0000-0002-3109-5300

Publication Date December 27, 2020
Submission Date April 18, 2020
Published in Issue Year 2020 Volume: 7 Issue: 3

Cite

Vancouver Erdur EA, Lale B. Twin-blok ve iskeletsel destekli forsus FRD apareylerinin faringeal havayolu üzerine etkilerinin karşılaştırılması. Selcuk Dent J. 2020;7(3):455-61.