Condyle-glenoid fossa relationship after Herbst appliance treatment during two stages of craniofacial skeletal maturation: A retrospective study.

Abstract

To perform a three-dimensional evaluation of the position of the condyles in patients treated with Herbst appliance (HA) in two stages of cervical vertebral maturation. Retrospective case-control study. Pubertal Herbst group (PHG; n=24, mean age 14.5years, CS 3 and CS 4) and pre-pubertal Herbst group (PPHG; n=17, mean age 9.9years, CS 1 and CS 2) were contrasted with comparison groups of non-orthopaedically treated Class II patients in pubertal (PCG; n=17, mean age 13.9years) and pre-pubertal maturational stages (PPCG; n=18, mean age 10.6years). Cone-beam computer tomography scans were taken before treatment (T0) and at T1 after 8 to 12months. Point-to-point measurements of the displacement of the condyles between T0 and T1, relative to the glenoid fossae, were performed in the X, Y, Z and 3D perspectives. Qualitative assessments using semi-transparent overlays and colour mapping also were produced. The displacement of the condyles within the glenoid fossae in the treated groups was small (<0.75mm; P>.05). Relative to the glenoid fossa, condylar position at T1 was similar to T0 in pre-pubertal and pubertal groups (P>.05). Similar condylar rotations from T0 to T1 were observed in Herbst and comparison groups, and no significant difference was found between pre-pubertal and pubertal patients. Regardless the stage of skeletal maturation, HA treatment did not change the condyle-glenoid fossa relationship.