Twin Block appliance with acrylic capping does not have a significant inhibitory effect on lower incisor proclination

  • Mark Cornelis van der Plas
  • , Krista Ingeborg Janssen
  • , Nikolaos Pandis
  • , Christos Livas*
  • *Corresponding author for this work

    Research output: Contribution to journalArticleAcademicpeer-review

    20 Citations (Scopus)

    Abstract

    Objective: To investigate the effect of acrylic capping, treatment duration, overjet, and lower incisor inclination on the posttreatment tooth position in patients treated with 2 Twin Block (TB) appliance versions.

    Materials and Methods: Cephalograms of 56 patients with Class II malocclusion (21 boys, 35 girls; mean age before treatment [T1] = 12.5 years; standard deviation, 0.7) treated with a TB appliance with either acrylic capping or ball-ended clasps on lower incisors were retrospectively collected and traced. Lower incisor inclination (L1-GoGn, L1-GoMe, L1-MP) was measured at T1 and after TB appliance removal (T2). Regression analysis was performed to evaluate the effect on the lower incisor inclination of appliance type, overjet, lower incisor inclination at T1, and treatment duration after adjusting for baseline measurements.

    Results: Appliance design was not a significant predictor for either incisor inclination measurement (P

    Conclusions: TB appliance design with acrylic capping on lower incisors appears not to significantly control incisor proclination. Pretreatment lower incisor inclination may be significantly associated with tooth inclination after active TB treatment and should be considered in treatment planning.

    Original languageEnglish
    Pages (from-to)513-518
    Number of pages6
    JournalAngle Orthodontist
    Volume87
    Issue number4
    DOIs
    Publication statusPublished - Jul-2017

    Keywords

    • Twin Block
    • Lower incisor
    • Class II treatment
    • 1 MANDIBULAR RETROGNATHY
    • CLASS-II MALOCCLUSIONS
    • ORTHODONTIC TREATMENT
    • GINGIVAL RECESSION
    • HERBST APPLIANCES
    • SKELETAL
    • BIONATOR

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