Early treatment of<scp>C</scp>lass<scp>III</scp>malocclusion with facemask therapy

Menéndez‐Díaz, Iván; Muriel, Juan; Cobo, Juan; Álvarez, C.; Cobo, Teresa

doi:10.1002/cre2.144

Cited by 13 publications

(11 citation statements)

References 29 publications

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“…After duplicate removal and screening of titles/abstracts against the predefined eligibility criteria (Supplementary Materials S4), the full texts of 104 papers were checked. Eventually, 10 papers pertaining to 9 unique studies (1 prospective and 9 retrospective nonrandomized studies; Table 1), which were published as journal papers, were finally included [8,11,12,[28][29][30][31][32][33][34].…”

Section: Study Selectionmentioning

confidence: 99%

Effect of Orthopedic Treatment for Class III Malocclusion on Upper Airways: A Systematic Review and Meta-Analysis

Havakeshian

Koretsi

Eliades

et al. 2020

JCM

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The aim of this systematic review is to compare the effect on the upper airways of orthopedic treatment for skeletal Class III malocclusion with untreated controls. Nine databases were searched up to August 2020 for randomized or nonrandomized clinical trials comparing orthopedic Class III treatment (facemask or chin-cup) to untreated Class III patients. After duplicate study selection, data extraction, and risk of bias assessment (Risk Of Bias In Non-randomized Studies-of Interventions [ROBINS-I]), random-effects meta-analyses of Mean Differences (MDs)/Standardized Mean Differences (SMD) and 95% Confidence Intervals (CIs) were performed, followed by the Grading of Recommendations Assessment, Development and Evaluation assessment evidence-quality. A total of 10 papers (9 unique nonrandomized studies) with 466 patients (42.7% male; average age 9.1 years) were finally included. Limited evidence indicated that compared to normal growth, maxillary protraction with facemask was associated with increases in total airway area (n = 1; MD = 222.9 mm2; 95% CI = 14.0–431.7 mm2), total nasopharyngeal area (n = 4; SMD = 1.6; 95% CI = 1.2–2.0), and individual airway dimensions (upper-airway MD = 2.5 mm; lower-airway MD = 2.1 mm; upper-pharynx MD = 1.6 mm; lower-pharynx MD = 1.0 mm; all n = 6). Subgroup/meta-regression analyses did not find any significant effect-modifiers, while the results were retained 2–5 years postretention. Our confidence in these estimates was, however, very low, due to the inclusion of nonrandomized studies with methodological issues. Limited data from 2 chin-cup studies indicated smaller benefits on airway dimensions. Existing evidence from controlled clinical studies on humans indicates that maxillary protraction for skeletal Class III treatment might be associated with increased airway dimensions, which are, however, mostly minor in magnitude.

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Section: Study Selectionmentioning

confidence: 99%

Effect of Orthopedic Treatment for Class III Malocclusion on Upper Airways: A Systematic Review and Meta-Analysis

Havakeshian

Koretsi

Eliades

et al. 2020

JCM

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“…It can be used in moderate cases as in Group B with less tendency of relapse and without need for bone grafting. However, this technique needs a secondary surgical removal of the device [11], [24], [25]. In this investigation, we used bone-borne devices that anchored to the zygomatic bone, similar to Van Stickles et al [26], who used a bone-borne distractor for anterior hypoplastic maxillary advancement in cleft patients to correct Class III malocclusion.…”

Section: Discussionmentioning

confidence: 99%

Comparing Surgical Advancement Outcomes of Retruded Maxilla in a Group of Egyptian Cleft Lip and Palate Subjects

Mossaad

Abdel-Rahman

Hassan

et al. 2022

Open Access Maced J Med Sci

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BACKGROUND: Cleft lip and palate (CLP) is one of the most common congenital deformities involving intervention in several sub-specialties. AIM: The present study was conducted to investigate the amount of maxillary advancement obtained by three different methods. METHODS: A retrospective comparative study was conducted on 24 CLP patients who were treated with three surgical maxillary advancement techniques: Group A was treated with Le Fort I (LFI) orthognathic surgery with bone grafting and rigid fixation (LFI). Group B was treated with intraoral maxillary bone distraction (MIDO). Group C was treated with orthodontic traction by facemask (orthodontic facemasks [OFM]) plus corticotomy. All pre-operative data were collected, which included intraoral and extraoral clinical photos and dental casts. Pre-operative radiographic assessment was compared with post-operative values using digital panorama, multi-slice computed tomography and lateral cephalometric X-ray measuring Sella-nasion-A point; point A-nasion-point B points, with a follow-up period of 6 months. RESULTS: All approaches showed statistically significant success in maxillary advancement with p < 0.01. LFI has produced the highest advancement obtained with regard to the pre-operative advancement required (8.6 ± 1.4) and post-operative advancement achieved (7.8 ± 0.8). MIDO technique is an alternative method to LFI, but it gives less achieved post-operative maxillary advancement (6.25 ± 0.8) and is indicated for moderate cases. OFM gave the least advancement results; however, it has been the most convenient less-invasive method and was more suitable for unsevere cases. CONCLUSIONS: The three approaches produced satisfactory results in rehabilitating deficient maxilla in cleft patients, although each technique has limitations and indications. Future research is recommended to assess the technique’s long-term stability.

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“…Reverse headgear or facemask therapy is believed to be widely used modality in correcting skeletal class III, which can displace the maxillary apparatus anteriorly and stimulate its growth in the given direction. 16 Foersch et al emphasized that the use of maxillary expansion devices enhanced the maxillary development and also there was improved results in the sagittal effect, when facemask was used along with expansion devices, rather than facemask therapy used alone. 17 This contributed to the fact that midpalatal expansion affects circum-maxillary sutures alongside the palatine sutures.…”

Section: Discussionmentioning

confidence: 99%

“…17 This contributed to the fact that midpalatal expansion affects circum-maxillary sutures alongside the palatine sutures. Menéndez-Díaz et al 16 studied the effectiveness of orthopedic facemask with maxillary expansion for treatment of skeletal class III in growing patients and he emphasized that skeletal changes were found to be stable for a period of 18 months alongside maintaining the overjet and molar relationship. 18,19 Case 2 describes a patient with minimum amount of growth potential available.…”

Section: Discussionmentioning

confidence: 99%

Extraction vs Nonextraction Approach for Skeletal Class III in Growing Individuals: A Case Series

Doulath¹,

Yashwant²,

Sankar³

et al. 2019

Journal of Scientific Dentistry

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Early treatment of skeletal class III becomes necessary in growing patients to prevent the future deterioration of the existing malocclusion and avoiding the complex orthognathic surgical procedures to correct the same. This case series explains two different treatment modalities for growing patients with skeletal class III malocclusion with anterior crossbite, who have differing degree of growth potential, growth pattern, facial profile, lip competency and strain, amount of skeletal discrepancy, and intra-arch relationships. The treatment goals have been achieved efficiently in each situation, due to prompt diagnosis and utilization of proper treatment mechanics.

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Early treatment ofClassIIImalocclusion with facemask therapy

Cited by 13 publications

References 29 publications

Effect of Orthopedic Treatment for Class III Malocclusion on Upper Airways: A Systematic Review and Meta-Analysis

Effect of Orthopedic Treatment for Class III Malocclusion on Upper Airways: A Systematic Review and Meta-Analysis

Comparing Surgical Advancement Outcomes of Retruded Maxilla in a Group of Egyptian Cleft Lip and Palate Subjects

Extraction vs Nonextraction Approach for Skeletal Class III in Growing Individuals: A Case Series

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