Skeletal Class 2
Conditions
Brief summary
This study will be conducted to see if unlocking mandible from deep bite in growing females by flat fixed anterior bite plane will change mandibular position in skeletal mandibular deficiency and if there is a difference in the change of mandibular position if we assisted the mandible by holding it in a more forward position by modified inclined fixed anterior bite plane .These results will be compared to normal mandibular growth from previous records of a matched control group in the discussion afterthat.
Detailed description
Two groups of patients the first for flat fixed anterior bite plane, the second for modified inclined fixed anterior bite plane.Full records are taken to patients. Then bands selection for upper first molars,impressions for upper arch with bands fitted and impression to lower arch, fabrication of either flat/ modified inclined fixed anterior bite planes and cementation in patient's mouth,evaluation of results after 8 months.
Interventions
It causes unlocking mandible from deep bite in growing females
It causes unlocking mandible from deep bite in growing females plus putting the mandible in a more forward position
Sponsors
Study design
Eligibility
Inclusion criteria
* (1)Growing females aged 10-13 (2)Skeletal maturational stage: stages 3,4 of the cervical maturational index CVMI. (3) low-angle/moderate normal growth pattern (4) Overjet of 4-7 mm as measured from labial surface of upper incisors to labial surface of lower incisors (5)Skeletal class 2 due to mandibular deficiency 77 degrees \<SNB\> 73 degrees (6) Normal or slightly protruded maxillary base (7) All cases had dental deep bite; with the upper incisors covering more than 50% of the height of the lower incisors. (8)Only deep bite cases that required extrusion of posterior teeth.
Exclusion criteria
1- No syndromic or medically compromised patients 2- No growth disorders 3- No use of other appliances before or during the period of functional treatment \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in mandibular position | 8 months | assessed onCBCT |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Maxillary anteroposterior and vertical growth change. | 8 months | assessed onCBCT |
| Anteroposterior and vertical dental changes. | 8 months | assessed onCBCT |
Countries
Egypt