A retrospective comparison of two protocols for correction of skeletal Class III malocclusion in prepubertal children: hybrid hyrax expander with mandibular miniplates and rapid maxillary expansion with face mask

Autor: Nour Eldin Tarraf, Oyku Dalci, Kerem Dalci, Ayse Tuba Altug, M. Ali Darendeliler
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Progress in Orthodontics, Vol 24, Iss 1, Pp 1-11 (2023)
Druh dokumentu: article
ISSN: 2196-1042
DOI: 10.1186/s40510-022-00446-z
Popis: Abstract Background This study compared the skeletal and dental effects of a hybrid maxillary expander with mandibular miniplates (HE-MP) and Class III elastics to conventional tooth-borne rapid maxillary expander and face mask (RME–FM) in skeletal Class III treatment. Methods This retrospective study included 36 skeletal Class III patients. Eighteen patients (mean age 10.24 ± 1.31 years) were treated with a hybrid expander, two mandibular L-shaped miniplates and full-time Class III elastics (HE-MP group). Their results were compared to a group of patients treated with conventional RME–FM (n = 18; mean age 10.56 ± 1.41 year). Radiographs were taken before (T1) and after treatment (T2). All patients were in cervical maturation stages CS1–CS3 at T1. The measured outcomes were the changes in sagittal and vertical skeletal and dental cephalometric measurements. Results Treatment time was approximately 15.5 ± 2.8 months with the HE-MP and 11.85 ± 3.41 months for the RME–FM. The Class III malocclusion was corrected in both groups with significant changes. The maxilla advanced more in the HE-MP group, with an increase in SNA of 4.26° ± 2.15° compared to 1.14 ± 0.93 in the RME–FM group (p
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