Management of skeletal classII malocclusion using bimaxillary skeletal anchorage supported fixed functional appliances : Anovel technique.

Abstract

To evaluate the treatment effects in growing skeletal classII patients subjected to anovel treatment technique, i.e., bimaxillary miniplates supported fixed functional appliance. The null hypothesis was that there is no statistically significant difference in skeletal changes of patients with classII malocclusion treated with bimaxillary skeletal anchorage supported fixed functional appliance and those who were not provided any intervention. The sample comprised 32skeletal classII subjects (17males and 15females) with aCervical Vertebrae Maturity Index (CVMI) demonstrating peak of pubertal growth spurt. Sixteen patients (12.37 ±1.09 years of age) were treated with bimaxillary skeletal anchorage supported fixed function appliance, while 16well-matched subjects (12.06 ± 1.34years of age) were included as controls. For both groups, cephalograms (T1, T2) were taken with amatched observational interval of about 7.5months; 17linear and 10angular measurements were recorded. The intraclass correlation coefficient (ICC) was used to determine reliability of measurements recorded. Studentt test was carried out to determine the changes produced by the treatment relative to control. When compared with the control group, the treatment group demonstrated significant maxillary retrusion. No significant changes were seen in mandibular growth pattern, whereas mandibular length increased significantly more than in the control group (B-VP: 3.05 mm; Co-Gn: 2.65 mm). Treatment mechanics had minimal effects on maxillary dentition. Mandibular incisors proclined by an average of 3.06°. Maxilla-mandibular relation improved significantly (ANB: -4.29°; NA-Pog: -3.76°). The new bimaxillary skeletal anchorage supported fixed functional appliance technique was found to be highly effective in the treatment of classII malocclusion with significant skeletal changes.