Treatment effects of orthopedic face mask assessed with counterpart analysis

Yıl 2013, Cilt: 30 Sayı: 3, 133 - 9, 11.10.2013

Burcu Baloş Tuncer Ebru Küçükkaraca Cumhur Tuncer Nilüfer Darendeliler

Öz

OBJECTIVE: To evaluate the effects of face mask therapy (RH) on middle cranial base and maxillo-mandibular complexes, and to compare the responses with untreated class 3 subjects.

MATERIALS AND METHOD: The treatment group comprised 20 skeletal class 3 children (14 girls, 6 boys; mean age: 11 years 3 months) treated with RH assisted by rapid maxillary expansion (mean treatment time: 9.6 months). The control group included 22 skeletal class 3 subjects (9 girls, 13 boys; mean age: 10 years) observed for 9.5 months. Cephalometric measurements were performed by counterpart analysis. For intragroup statistical comparisons paired t-test, and for intergroup comparisons independent t-test was used.

RESULTS: The treatment group revealed significant increases for SNA, ANB, SN-GoGn, Co-A and Co-Gn (p<0.001), and decrease for SNB (p<0.001). The treatment group revealed significant increases in the effective dimension of the middle cranial base (Ar-SE, p<0.05; So-Hor, p<0.001), maxilla (p<0.001), and anterior-posterior nasomaxillary complex (p<0.001, p<0.05, respectively), and decrease in the effective dimension of the mandibular corpus (p<0.05). According to the intergroup comparisons, treatment group revealed more pronounced maxillary advancement (p<0.001), posterior rotation in the mandible (p<0.001), significant increase in the effective dimension of the middle cranial base (So-Hor, p<0.01) and decrease in the effective dimension of the mandibular corpus at a significance level of p<0.001.

CONCLUSION: Revealed by the effects on the middle cranial base morphology, favorable treatment responses were achieved with the use of the RH technique.

Anahtar Kelimeler

Cephalometry, Cranial Base, Mandible, Maxilla, Orthodontics, Orthodontic Appliances

Ortopedik yüz maskesi tedavi etkilerinin counterpart analizi ile incelenmesi

Öz

AMAÇ: Çalışmanın amacı, ortopedik yüz maskesi (RH) tedavisinin orta kraniyal kaide ve üst ve alt çene kompleksindeki etkilerini counterpart (eşdeğer) analizi ile değerlendirmek ve tedavi görmemiş Sınıf 3 bireylerle karşılaştırmaktır.

GEREÇ VE YÖNTEM: Tedavi grubu; üst çenede hızlı genişletme ile birlikte RH tedavisi görmüş ve üst çenesinde retrognati bulunan 20 iskeletsel Sınıf 3 bireyden (14 kız, 6 erkek; ortalama yaşları: 11 yıl 3 ay) oluşmaktadır. Ortalama tedavi süresi 9.6 aydır. Kontrol grubu ortalama 9.5 ay takip edilmiş 22 iskeletsel Sınıf 3 bireyden (9 kız, 13 erkek; ortalama yaşları: 10 yıl) oluşmaktadır. Sefalometrik değerlendirme eşdeğer analizi ile gerçekleştirilmiştir. Grup içi karşılaştırmalarda eşleştirilmiş t-testi; gruplar arası karşılaştırmalarda bağımsız t-testi kullanılmıştır.

BULGULAR: SNA, ANB, SN-GoGn açıları, Co-A, Co-Gn boyutları tedavi ile önemli düzeyde artarken (p<0.001), SNB açısı azalmıştır (p<0.001). Tedavi grubunda orta kraniyal kaide boyutları (Ar-SE, p<0.05; So-Hor, p<0.001), üst çene (p<0.001) ve ön-arka nazomaksiller komplekste artış (p<0.001, p<0.05, sırasıyla) ile mandibuler korpus boyutunda azalma (p<0.05) bulunmuştur. Gruplar arası karşılaştırmada, üst çene ileri yön büyümesinin tedavi grubunda daha belirgin olduğu (p<0.001), alt çenede posterior rotasyon oluştuğu (p<0.001), kontrol grubunda orta kraniyal kaide boyutu değişmezken tedavi grubunda önemli artış olduğu (So-Hor, p<0.01) ve mandibuler korpus boyutundaki azalmanın p<0.001 düzeyinde olduğu bulunmuştur.

SONUÇ: Büyüme dönemindeki iskeletsel Sınıf 3 bireylerde RH tedavisi ile orta kraniyal kaide boyutlarında artış ve mandibuler korpus boyutunda azalma ile önemli tedavi etkileri gözlenmektedir.

Anahtar Kelimeler

Kafa Tabanı, Üst Çene, Alt Çene, Ortodonti, Ortodontik Cihazlar, Sefalometri

Kaynakça

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