Comparison of dentoskeletal and soft tissue effects of Class II malocclusion treatment with Jones Jig appliance and with maxillary first premolar extractions

Pupulim, Daniela Cubas; Henriques, José Fernando Castanha; Janson, Guilherme; Henriques, Fernanda Pinelli; Freitas, Karina Maria Salvatore de; Garib, Daniela Gamba

doi:10.1590/2177-6709.24.2.056-065.oar

Cited by 3 publications

(2 citation statements)

References 30 publications

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“…However, because of the over-simplified and omitted measurement details in malocclusion research, clinical applications for diagnosing all types of malocclusion are inadequate 6 . Hence, in addition to comparing individual measurements with a normal image, many clinicians also evaluate anatomical patterns, including soft tissue 7 .…”

Section: Introductionmentioning

confidence: 99%

Realistic high-resolution lateral cephalometric radiography generated by progressive growing generative adversarial network and quality evaluations

Kim

et al. 2021

Sci Rep

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Realistic image generation is valuable in dental medicine, but still challenging for generative adversarial networks (GANs), which require large amounts of data to overcome the training instability. Thus, we generated lateral cephalogram X-ray images using a deep-learning-based progressive growing GAN (PGGAN). The quality of generated images was evaluated by three methods. First, signal-to-noise ratios of real/synthesized images, evaluated at the posterior arch region of the first cervical vertebra, showed no statistically significant difference (t-test, p = 0.211). Second, the results of an image Turing test, conducted by non-orthodontists and orthodontists for 100 randomly chosen images, indicated that they had difficulty in distinguishing whether the image was real or synthesized. Third, cephalometric tracing with 42 landmark points detection, performed on real and synthesized images by two expert orthodontists, showed consistency with mean difference of 2.08 ± 1.02 mm. Furthermore, convolutional neural network-based classification tasks were used to classify skeletal patterns using a real dataset with class imbalance and a dataset balanced with synthesized images. The classification accuracy for the latter case was increased by 1.5%/3.3% at internal/external test sets, respectively. Thus, the cephalometric images generated by PGGAN are sufficiently realistic and have potential to application in various fields of dental medicine.

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Section: Introductionmentioning

confidence: 99%

Realistic high-resolution lateral cephalometric radiography generated by progressive growing generative adversarial network and quality evaluations

Kim

et al. 2021

Sci Rep

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“…4 Though, extraction treatment has shown to be detrimental to facial profile and overbite, and strong arguments are being made against the use of this protocol 5 -although existing scientific literature disavows these claims. [6][7][8][9] Treatment by both fixed and removable functional appliances is effective in correcting the Class II malocclusion. 10 The masking of underlying skeletal discrepancy by functional treatment is mainly due to transient rather than additional bony growth.…”

Section: Introductionmentioning

confidence: 99%

Treatment effects and lip profile changes following premolars extraction treatment vs fixed functional treatment in Class II division 1 malocclusion: A randomized controlled clinical trial

Kochar

Londhe²,

Chopra

et al. 2023

Dental Press J. Orthod.

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Objective: The objective of this two-arm parallel randomized controlled trial was to evaluate the treatment effects and lip profile changes in skeletal Class II patients subjected to premolars extraction treatment versus fixed functional treatment. Methods: Forty six subjects fulfilling inclusion criteria were randomly distributed into Group PE (mean age 13.03±1.78 years) and Group FF (mean age 12.80±1.67 years) (n=23 each). Group PE was managed by therapeutic extraction of maxillary first premolars and mandibular second premolars, followed by mini-implant-supported space closure; and Group FF, by fixed functional appliance therapy. Skeletal, dental, and soft-tissue changes were analyzed using pre and post-treatment lateral cephalograms. Data obtained from this open label study was subjected to blind statistical analysis. Results: Extraction treatment resulted in greater increase of nasolabial angle (NLA: 3.1 [95% CI 2.08, 4.19], p<0.001), significant improvement of upper lip (UL-E line: -2.91 [95% CI -3.54, -2.28], p<0.001, UL-S line: -2.50 [95% CI -2.76, -2.24], p<0.001, UL-SnPog’: -2.32 [95% CI -2.90, -1.74], p<0.01) and lower lip position (LL-E line: -0.68 [95% CI -1.36, 0.00], p<0.01, LL-S line: -0.55 [95% CI -1.11, 0.02], p<0.01, and LL-SnPog’: -0.64 [95% CI -1.20, -0.07], p<0.01), lip thickness (UL thickness: 2.27 [95% CI 1.79, 2.75], p<0.001; LL thickness: 0.41 [95% CI -0.16, 0.97], p<0.01), upper lip strain (UL strain: -2.68 [95% CI -3.32, -2.04], p<0.001) and soft tissue profile (N’-Sn-Pog’: 2.68 [95% CI 1.87, 3.50], p<0.01). No significant difference was observed between the groups regarding skeletal changes in the maxilla and mandible, growth pattern, overjet, overbite, interincisal angle and soft tissue chin position (p>0.05). Premolar extraction treatment demonstrated significant intrusion-retraction of maxillary incisors, better maintenance of maxillary incisor inclination, and significant mandibular molar protraction; whereas functional treatment resulted in retrusive and intrusive effect on maxillary molars, marked proclination of mandibular anterior teeth, and significant extrusion of mandibular molars. Both treatment modalities had similar treatment duration. Implant failure was seen in 7.9% of cases, whereas failure of fixed functional appliance was observed in 9.09% of cases. Conclusions: Premolar extraction therapy is a better treatment modality, compared to fixed functional appliance therapy for Class II patients with moderate skeletal discrepancy, increased overjet, protruded maxillary incisors and protruded lips, as it produces better dentoalveolar response and permits greater improvement of the soft tissue profile and lip relationship.

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Evaluation of pharyngeal airway dimensions and cephalometric changes after premolar extraction and nonextraction orthodontic treatment in adolescent and adult patients

Karaman

Güdük²,

Genç³

2023

Journal of Stomatology, Oral and Maxillofacial Surgery

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Comparison of dentoskeletal and soft tissue effects of Class II malocclusion treatment with Jones Jig appliance and with maxillary first premolar extractions

Cited by 3 publications

References 30 publications

Realistic high-resolution lateral cephalometric radiography generated by progressive growing generative adversarial network and quality evaluations

Realistic high-resolution lateral cephalometric radiography generated by progressive growing generative adversarial network and quality evaluations

Treatment effects and lip profile changes following premolars extraction treatment vs fixed functional treatment in Class II division 1 malocclusion: A randomized controlled clinical trial

Evaluation of pharyngeal airway dimensions and cephalometric changes after premolar extraction and nonextraction orthodontic treatment in adolescent and adult patients

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