INFLUENCE OF GROWTH IN TREATED CLASS III GROWING PATIENTS WITH FACE MASK THERAPY AND UNTREATED PATIENTS

Sofija Carceva Shalja, Sandra Atanasova
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Abstract

Developing Class III Malocclusion in most of the cases affects dentofacial appearance. The goal of this study is to investigate the changes in the facial appearances in treated patients withFace mask orthopedic treatment and untreated Class III patients. The sample consisted 49 patients (boys and girls),with average age of 9 years, who had a Class III Malocclusion with an anterior crossbite and a component of maxillary deficiency. 28 of them were treated with protraction Face mask- Delair mask (petit tipe), and the other 21 were presenting the control group consisted of untreated Class III Patients.In treated group pretreatment and posttreatment cephalometric radiographs from 28 patients(15 males and 13 females) were analyzed and compared with the results of cephalometric analyzes in untreated group(observation period of 1 year). Results from these study showed forward displacement of maxilla(SNA p<0.05),increasing of maxillary length(Co-A p<0.05)correction of maxillary-mandibular relationship(ANB p<0.05) in treated group while in untreated groupvalues for the parameters in the upper jaw and inter jaw relationship before and after the observation period of 1 yearshowed no statistically significant changes pointing to the negative impact of incorrect skeletal terms in Class III growing patients.Based on our findings we can concluded that in Class III patients there is a big motivation for orthodontic treatment because their dentofacial appearance deviates from sociocultural norms.Therefore, an important objective of accepting maxillary protraction treatment in Class III malocclusion is providing nonsurgical alternative in the treatment and improving the physico-social wellbeing and appearance of the patients, especially during their teenage years.
面罩治疗和未治疗的iii类生长患者生长的影响
发展中的III类错牙合在大多数情况下影响牙面外观。本研究的目的是探讨接受面罩矫形治疗的患者和未接受面罩矫形治疗的III类患者面部外观的变化。样本包括49例(男孩和女孩),平均年龄9岁,患有III类错颌,前牙合和上颌缺失的组成部分。其中28例采用牵引式面罩- Delair面罩(小型)治疗,其余21例为未治疗的III类患者作为对照组。对治疗组28例患者(男15例,女13例)治疗前后的头颅x线片进行分析,并与未治疗组(观察期1年)的头颅x线片分析结果进行比较。结果显示,治疗组上颌前移(SNA p<0.05)、上颌长度增加(Co-A p<0.05)、上颌-下颌关系矫正(ANB p<0.05),而未治疗组1年观察前后上颌及颌间关系参数值变化无统计学意义,提示III类成长期患者骨项错误对其有负面影响。根据我们的研究结果,我们可以得出结论,在III类患者中,由于他们的牙面外观偏离了社会文化规范,因此他们有很大的动机进行正畸治疗。因此,接受上颌前伸治疗III类错颌畸形的一个重要目标是提供非手术治疗的替代方案,改善患者的身体-社会健康和外观,特别是在青少年时期。
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