SciELO - Scientific Electronic Library Online

vol.16 issue5An evaluation of the influence of gingival display level in the smile aestheticsRelapse of maxillary anterior crowding in Class I and Class II malocclusions orthodontically treated without extractions author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links


Dental Press Journal of Orthodontics

Print version ISSN 2176-9451


BRUNHARO, Ione Helena Vieira Portella et al. Dentoskeletal changes in Class II malocclusion patients after treatment with the Twin Block functional appliance. Dental Press J. Orthod. [online]. 2011, vol.16, n.5, pp.1-8. ISSN 2176-9451.

OBJECTIVES: This prospective clinical study evaluated dentoskeletal changes in Class II malocclusion patients after treatment with the Twin Block functional appliance. METHODS: The treatment group consisted of 19 subjects (mean age 9.5 years) and the control group consisted of 19 subjects (mean age 9.9 years) situated before the pubertal growth spurt. Unpaired Student's t test showed the sample homogeneity at the beginning of the study. Initial (T1) and one year follow-up (T2) cephalometric radiographs were obtained for all subjects. Wilcoxon test and Mann-Whitney test were used to evaluate changes intra and inter groups from T1 to T2. RESULTS: A Class I molar relationship was achieved in 15 subjects of the TB group while no modification occurred in the control group. No significant effect was observed either in the maxilla or in the vertical pattern. A significant increase in total mandibular length and an anterior displacement of the mandibular position occurred in the treated group (p<0.05) as well as an overjet reduction, influenced by significant upper incisor retroclination and lower incisor proclination (p<0.05). CONCLUSION: Class II treatment with the Twin Block appliance in Brazilian patients showed skeletal and dental effects, including increase in mandibular length and incisors compensation, respectively.

Keywords : Growth; Class II malocclusion; Functional appliance.

        · abstract in Portuguese     · text in English | Portuguese     · English ( pdf epdf ) | Portuguese ( pdf epdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License