This systematic review and meta-analysis assessed whether passive lower lingual arch (LLA) resolves mandibular incisor crowding and affects mandibular arch dimension. We searched PubMed, Web of Science, and Cochrane Database of Systemic Reviews for both randomized controlled trials and nonrandomized studies from 1940 to March 2018. Inclusion criteria were healthy children in mixed dentition with mandibular incisor crowding treated with LLA. Our primary outcome was the amount of mandibular incisor crowding resolved after LLA, and secondary outcomes were effects of LLA mandibular arch dimension changes versus untreated controls (UTCs). From 559 screened articles, seven qualified for systematic review and meta-analyses. The average resolution of mandibular incisor crowding after LLA was 5.10 mm (P=.001) with the evidence assessed as very low quality. Arch perimeter and arch length changes were not significantly different between LLA and UTCs (P=0.20 and P=0.87, respectively). There were significant small increases of 0.79 mm in intercanine width (P<.001) and 0.69 mm in intermolar width (P=.003) with a low and a very low quality of evidence, respectively. Lower lingual arch was effective in resolving mandibular incisor crowding without any significant arch perimeter or arch length changes of greater than one mm.
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Clin Oral Investig
January 2025
Orthodontic Section, Department of Preventive Dentistry, Faculty of Dentistry, Prince of Songkla University, Hat Yai, Songkhla, 90112, Thailand.
Introduction: This randomized clinical trial compared arch dimensional changes, dentoskeletal changes, and the rate of overbite correction in deep bite adults treated with fixed appliances and either maxillary incisor bite turbos (IBT) or canine bite turbos (CBT).
Materials And Methods: Forty-six deep bite subjects treated with fixed appliances were randomized into IBT (n = 23) and CBT (n = 23) groups. Changes in intercanine width (ICW), arch height (AH), and Little's Irregularity Index (LII) were analyzed from before treatment (T) to 3 months after aligning with 0.
J Esthet Restor Dent
January 2025
Department of Orthodontics and Dentofacial Orthopedics, 251 Hellenic Air Force & VA General Hospital, Athens, Greece.
Objective: The aim of the current study was to examine possible associations between gingival thickness and other parameters, such as crown length and width, papilla height and patient's age and gender.
Overview: This cross-sectional study included 238 consecutive white Caucasian consecutive patients in all stages of orthodontic treatment (before, in-course, and after orthodontic treatment). Measurements of gingival thickness were carried out at both central mandibular incisors, mid-facially on the buccal aspect of each tooth, and 2 mm apically to the free gingival margin, with an Ultrasound device.
J Orthod Sci
November 2024
Department of Orthodontics and Pedodontics, Faculty of Dentistry, Van Lang University, Binh Thanh District, Ho Chi Minh City, Vietnam.
Objectives: To evaluate the effectiveness of mini-implant (MI) anchorage versus conventional anchorage for the treatment of skeletal class II malocclusion.
Materials And Methods: The study was conducted on 64 patients with skeletal class II malocclusion. The patients were divided into two groups: 1) 32 patients underwent conventional anchorage, and 2) 32 patients underwent MI anchorage.
J Orthod Sci
November 2024
Department of Orthodontics and Pediatric Dentistry, College of Dentistry, Qassim University, Buraydah 52571, Saudi Arabia.
This case report details the treatment of a 23-year-old female patient with Class II division 2 malocclusion with a Class II skeletal base due to a retrognathic mandible. The condition was further complicated by a complete overbite, absence of tooth #36, and a gummy smile. The Forsus appliance has shown to be effective in correcting Class II malocclusion in adult patients, with significant improvements in bite and facial esthetics.
View Article and Find Full Text PDFJ Orthod Sci
November 2024
Department of Dentistry and Dental Hygiene, Division of Orthodontics, School of Dentistry, University of Alberta, Canada.
Objective: To evaluate and compare the skeletal and dental treatment effects of Class II malocclusion cases using skeletally anchored Forsus (miniscrew-anchored FRD or miniplate-anchored FRD), with conventional Forsus FRD.
Materials And Methods: Unrestricted electronic search of six databases and additional manual searches were performed up to July 2023. Randomized controlled trials having one treatment arm with skeletal anchored Forsus FRD in treatment of Class II malocclusion and another matched treatment group treated with conventional Forsus FRD were included in this review.
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