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Erschienen in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie 4/2017

28.04.2017 | Original Article

Cephalometric changes in growing patients with increased vertical dimension treated with cervical headgear

verfasst von: Sergio Sambataro, Rosamaria Fastuca, Nelson J. Oppermann, Paola Lorusso, Tiziano Baccetti, Lorenzo Franchi, Alberto Caprioglio

Erschienen in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie | Ausgabe 4/2017

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Abstract

Purpose

The aim of the present study was to investigate the cephalometric changes in patients with increased vertical dimension after treatment with cervical headgear compared to controls.

Methods

The sample of the present retrospective study consisted of 20 Class II patients (10 males, 10 females; mean age 8.54 ± 1.15 years) with increased vertical dimension treated with cervical headgear (treatment group) and 21 Class II patients (11 males, 10 females; mean age 8.41 ± 1.15 years) with increased vertical dimension who underwent no treatment (control group). Cephalograms were available for each subject at baseline (T1) and after treatment/observation time (T2) for both groups and cephalometric analysis allowed for evaluation of changes between time points and between groups.

Results

Regarding facial axis, N-ANS/ANS-Me, and overbite, there were no negatively significant changes in the treated group showing no significant worsening in the vertical dimension. Regarding facial angle, there was a significant increase in the treated group between the time points and when compared to the control group, showing counterclockwise rotation of the mandible in the treated group.

Conclusions

The vertical dimension was not significantly altered after cervical headgear treatment although the anterior facial height was higher at the beginning of treatment. There was significant counterclockwise rotation of the mandible, and clockwise rotation and distal displacement of the maxilla after treatment.
Literatur
1.
Zurück zum Zitat Alió-Sanz J, Iglesias-Conde C, Lorenzo-Pernía J, Iglesias-Linares A, Mendoza-Mendoza A, Solano-Reina E (2012) Effects on the maxilla and cranial base caused by cervical headgear: a longitudinal study. Med Oral Patol Oral Cir Bucal 17(5):e845–51 Alió-Sanz J, Iglesias-Conde C, Lorenzo-Pernía J, Iglesias-Linares A, Mendoza-Mendoza A, Solano-Reina E (2012) Effects on the maxilla and cranial base caused by cervical headgear: a longitudinal study. Med Oral Patol Oral Cir Bucal 17(5):e845–51
2.
Zurück zum Zitat Anghinoni ML, Magri AS, Di Blasio A, Toma L, Sesenna E (2009) Midline mandibular osteotomy in an asymmetric patient. Angle Orthod 79(5):1008–1014CrossRefPubMed Anghinoni ML, Magri AS, Di Blasio A, Toma L, Sesenna E (2009) Midline mandibular osteotomy in an asymmetric patient. Angle Orthod 79(5):1008–1014CrossRefPubMed
3.
Zurück zum Zitat Antonarakis GS, Kiliaridis S (2015) Treating Class II malocclusion in children. Vertical skeletal effects of high-pull or low-pull headgear during comprehensive orthodontic treatment and retention. Orthod Craniofac Res 18(2):86–95CrossRefPubMed Antonarakis GS, Kiliaridis S (2015) Treating Class II malocclusion in children. Vertical skeletal effects of high-pull or low-pull headgear during comprehensive orthodontic treatment and retention. Orthod Craniofac Res 18(2):86–95CrossRefPubMed
4.
Zurück zum Zitat Baccetti T, Franchi L, McNamara JA (2005) The cervical vertebral maturation (CVM) method for the assessment of optimal treatment timing in dentofacial orthopedics. Semin Orthod 11:119–129CrossRef Baccetti T, Franchi L, McNamara JA (2005) The cervical vertebral maturation (CVM) method for the assessment of optimal treatment timing in dentofacial orthopedics. Semin Orthod 11:119–129CrossRef
5.
Zurück zum Zitat Baumrind S, Korn LE, Isaacson JR, West EE, Molthen R (1983) Quantitative analysis of the orthodontic and orthopedic effects of maxillary traction. Am J Orthod 84:384–398CrossRefPubMed Baumrind S, Korn LE, Isaacson JR, West EE, Molthen R (1983) Quantitative analysis of the orthodontic and orthopedic effects of maxillary traction. Am J Orthod 84:384–398CrossRefPubMed
6.
Zurück zum Zitat Bench WR, Gugino FC, Hilgers JH (1977) Bioprogressivetherapy. Part 2. J Clin Orthod 11:661–682PubMed Bench WR, Gugino FC, Hilgers JH (1977) Bioprogressivetherapy. Part 2. J Clin Orthod 11:661–682PubMed
7.
Zurück zum Zitat Bench WR, Gugino FC, Hilgers JH (1978) Bioprogressive therapy. Part 5. J Clin Orthod 12:48–69PubMed Bench WR, Gugino FC, Hilgers JH (1978) Bioprogressive therapy. Part 5. J Clin Orthod 12:48–69PubMed
8.
Zurück zum Zitat Bench WR, Gugino FC, Hilgers JH (1978) Bioprogressive therapy. Part 7. J Clin Orthod 12:192–207PubMed Bench WR, Gugino FC, Hilgers JH (1978) Bioprogressive therapy. Part 7. J Clin Orthod 12:192–207PubMed
9.
Zurück zum Zitat Bianchi B, Ferri A, Brevi B, Di Blasio A, Copelli C, Di Blasio C, Barbot A, Ferri T, Sesenna E (2013) Orthognathic surgery for the complete rehabilitation of Moebius patients: principles, timing and our experience. J Craniomaxillofac Surg 41(1):e1–e4CrossRefPubMed Bianchi B, Ferri A, Brevi B, Di Blasio A, Copelli C, Di Blasio C, Barbot A, Ferri T, Sesenna E (2013) Orthognathic surgery for the complete rehabilitation of Moebius patients: principles, timing and our experience. J Craniomaxillofac Surg 41(1):e1–e4CrossRefPubMed
10.
Zurück zum Zitat Boecler RP, Riolo LM, Keeling DS, TenHave RT (1989) Skeletal changes associated with extraoral appliance therapy: an evaluation of 200 consecutively treated cases. Angle Orthod 59:263–270PubMed Boecler RP, Riolo LM, Keeling DS, TenHave RT (1989) Skeletal changes associated with extraoral appliance therapy: an evaluation of 200 consecutively treated cases. Angle Orthod 59:263–270PubMed
11.
Zurück zum Zitat Cassi D, De Biase C, Tonni I, Gandolfini M, Di Blasio A, Piancino MG (2016) Natural position of the head: review of two-dimensional and three-dimensional methods of recording. Br J Oral Maxillofac Surg 54(3):233–240CrossRefPubMed Cassi D, De Biase C, Tonni I, Gandolfini M, Di Blasio A, Piancino MG (2016) Natural position of the head: review of two-dimensional and three-dimensional methods of recording. Br J Oral Maxillofac Surg 54(3):233–240CrossRefPubMed
12.
Zurück zum Zitat Cook AH, Sellke TA, BeGole EA (1994) Control of the vertical dimension in Class II correction using a cervical headgear and lower utility arch in growing patients. Part I. Am J Orthod Dentofac Orthop 106:376–388CrossRef Cook AH, Sellke TA, BeGole EA (1994) Control of the vertical dimension in Class II correction using a cervical headgear and lower utility arch in growing patients. Part I. Am J Orthod Dentofac Orthop 106:376–388CrossRef
13.
Zurück zum Zitat Creekmore TD (1967) Inhibition or stimulation of the vertical growth of the facial complex, its significance to treatment. Angle Orthod 37:285–297PubMed Creekmore TD (1967) Inhibition or stimulation of the vertical growth of the facial complex, its significance to treatment. Angle Orthod 37:285–297PubMed
14.
Zurück zum Zitat Di Blasio A, Cassi D, Di Blasio C, Gandolfini M (2013) Temporomandibular joint dysfunction in Moebius syndrome. Eur J Paediatr Dent 14(4):295–298PubMed Di Blasio A, Cassi D, Di Blasio C, Gandolfini M (2013) Temporomandibular joint dysfunction in Moebius syndrome. Eur J Paediatr Dent 14(4):295–298PubMed
15.
Zurück zum Zitat Di Blasio A, Mandelli G, Generali I, Gandolfini M (2009) Facial aesthetics and childhood. Eur J Paediatr Dent 10(3):131–134PubMed Di Blasio A, Mandelli G, Generali I, Gandolfini M (2009) Facial aesthetics and childhood. Eur J Paediatr Dent 10(3):131–134PubMed
16.
Zurück zum Zitat Fastuca R, Meneghel M, Zecca PA, Mangano F, Antonello M, Nucera R, Caprioglio A (2015) Multimodal airway evaluation in growing patients after rapid maxillary expansion. Eur J Paediatr Dent 16(2):129–134PubMed Fastuca R, Meneghel M, Zecca PA, Mangano F, Antonello M, Nucera R, Caprioglio A (2015) Multimodal airway evaluation in growing patients after rapid maxillary expansion. Eur J Paediatr Dent 16(2):129–134PubMed
17.
Zurück zum Zitat Fastuca R, Perinetti G, Zecca PA, Nucera R, Caprioglio A (2015) Airway compartments volume and oxygen saturation changes after rapid maxillary expansion: a longitudinal correlation study. Angle Orthod 85(6):955–961CrossRefPubMed Fastuca R, Perinetti G, Zecca PA, Nucera R, Caprioglio A (2015) Airway compartments volume and oxygen saturation changes after rapid maxillary expansion: a longitudinal correlation study. Angle Orthod 85(6):955–961CrossRefPubMed
18.
Zurück zum Zitat Fastuca R, Zecca PA, Caprioglio A (2014) Role of mandibular displacement and airway size in improving breathing after rapid maxillary expansion. Prog Orthod 15(1):40CrossRefPubMedPubMedCentral Fastuca R, Zecca PA, Caprioglio A (2014) Role of mandibular displacement and airway size in improving breathing after rapid maxillary expansion. Prog Orthod 15(1):40CrossRefPubMedPubMedCentral
19.
Zurück zum Zitat Fontana M, Cozzani M, Caprioglio A (2012) Non-compliance maxillary molar distalizing appliances: an overview of the last decade. Prog Orthod 13(2):173–184CrossRefPubMed Fontana M, Cozzani M, Caprioglio A (2012) Non-compliance maxillary molar distalizing appliances: an overview of the last decade. Prog Orthod 13(2):173–184CrossRefPubMed
20.
Zurück zum Zitat Gautam P, Valiathan A, Adhikari R (2009) Craniofacial displacement in response to varying headgear forces evaluated biomechanically with finite element analysis. Am J Orthod Dentofac Orthop 135(4):507–515CrossRef Gautam P, Valiathan A, Adhikari R (2009) Craniofacial displacement in response to varying headgear forces evaluated biomechanically with finite element analysis. Am J Orthod Dentofac Orthop 135(4):507–515CrossRef
21.
Zurück zum Zitat Giuliano Maino B, Pagin P, Di Blasio A (2012) Success of miniscrews used as anchorage for orthodontic treatment: analysis of different factors. Prog Orthod 13(3):202–209CrossRefPubMed Giuliano Maino B, Pagin P, Di Blasio A (2012) Success of miniscrews used as anchorage for orthodontic treatment: analysis of different factors. Prog Orthod 13(3):202–209CrossRefPubMed
22.
Zurück zum Zitat Gkantidis N, Halazonetis DJ, Alexandropoulos E, Haralabakis NB (2011) Treatment strategies for patients with hyperdivergent Class II Division 1 malocclusion: is vertical dimension affected? Am J Orthod Dentofac Orthop 140(3):346–355CrossRef Gkantidis N, Halazonetis DJ, Alexandropoulos E, Haralabakis NB (2011) Treatment strategies for patients with hyperdivergent Class II Division 1 malocclusion: is vertical dimension affected? Am J Orthod Dentofac Orthop 140(3):346–355CrossRef
23.
Zurück zum Zitat Godt A, Berneburg M, Kalwitzki M, Göz G (2008) Cephalometric analysis of molar and anterior tooth movement during cervical headgear treatment in relation to growth patterns. J Orofac Orthop 69(3):189–200CrossRefPubMed Godt A, Berneburg M, Kalwitzki M, Göz G (2008) Cephalometric analysis of molar and anterior tooth movement during cervical headgear treatment in relation to growth patterns. J Orofac Orthop 69(3):189–200CrossRefPubMed
24.
Zurück zum Zitat Godt A, Kalwitzki M, Göz G (2007) Cervical headgear treatment and growth patterns: analysis by lateral cephalometry. J Orofac Orthop 68(1):38–46CrossRefPubMed Godt A, Kalwitzki M, Göz G (2007) Cervical headgear treatment and growth patterns: analysis by lateral cephalometry. J Orofac Orthop 68(1):38–46CrossRefPubMed
25.
Zurück zum Zitat Haralabakis NB, Sifakakis IB (2004) The effect of cervical headgear on patients with high or low mandibular plane angles and the “myth” of posterior mandibular rotation. Am J Orthod Dentofac Orthop 126(3):310–317CrossRef Haralabakis NB, Sifakakis IB (2004) The effect of cervical headgear on patients with high or low mandibular plane angles and the “myth” of posterior mandibular rotation. Am J Orthod Dentofac Orthop 126(3):310–317CrossRef
26.
Zurück zum Zitat Hubbard GW, Nanda RS, Currier GF (1994) A cephalometric evalua- tion of nonextraction cervical headgear treatment in Class II malocclusion. Angle Orthod 64:359–370PubMed Hubbard GW, Nanda RS, Currier GF (1994) A cephalometric evalua- tion of nonextraction cervical headgear treatment in Class II malocclusion. Angle Orthod 64:359–370PubMed
27.
Zurück zum Zitat Kloehn JS (1947) Guiding alveolar growth and eruption of teeth to reduce treatment time and produce a more balanced denture and face. Am J Orthod 17:10–33 Kloehn JS (1947) Guiding alveolar growth and eruption of teeth to reduce treatment time and produce a more balanced denture and face. Am J Orthod 17:10–33
28.
Zurück zum Zitat Knight H (1988) The effects of three methods of orthodontic appliance therapy on some commonly used cephalometric variables. Am J Orthod Dentofac Orthop 93:327–344CrossRef Knight H (1988) The effects of three methods of orthodontic appliance therapy on some commonly used cephalometric variables. Am J Orthod Dentofac Orthop 93:327–344CrossRef
29.
Zurück zum Zitat Kuhn RJ (1968) Control of anterior vertical dimension and proper selection of extraoral anchorage. Angle Orthod 38:340–349PubMed Kuhn RJ (1968) Control of anterior vertical dimension and proper selection of extraoral anchorage. Angle Orthod 38:340–349PubMed
30.
Zurück zum Zitat Melsen B (1978) Effects of cervical anchorage during and after treatment: an implant study. Am J Orthod 73:526–540CrossRefPubMed Melsen B (1978) Effects of cervical anchorage during and after treatment: an implant study. Am J Orthod 73:526–540CrossRefPubMed
32.
Zurück zum Zitat Ricketts RM (1979) Ricketts on early treatment (part 2). J Clin Orthod 13:115–127PubMed Ricketts RM (1979) Ricketts on early treatment (part 2). J Clin Orthod 13:115–127PubMed
33.
Zurück zum Zitat Sandusky W (1965) Cephalometric evaluation of the effects of Kloehn type of cervical traction used as an auxiliary with the edgewise mechanism following Tweed’s principles for correction of Class II Division 1 malocclusion. Am J Orthod 51:262–287CrossRefPubMed Sandusky W (1965) Cephalometric evaluation of the effects of Kloehn type of cervical traction used as an auxiliary with the edgewise mechanism following Tweed’s principles for correction of Class II Division 1 malocclusion. Am J Orthod 51:262–287CrossRefPubMed
34.
Zurück zum Zitat Schudy FF (1964) Vertical growth versus anteroposterior growth as related to function and treatment. Angle Orthod 34:75–93 Schudy FF (1964) Vertical growth versus anteroposterior growth as related to function and treatment. Angle Orthod 34:75–93
35.
Zurück zum Zitat Springate SD (2012) The effect of sample size and bias on the reliability of estimates of error: a comparative study of Dahlberg’s formula. Eur J Orthod 34:158–163CrossRefPubMed Springate SD (2012) The effect of sample size and bias on the reliability of estimates of error: a comparative study of Dahlberg’s formula. Eur J Orthod 34:158–163CrossRefPubMed
36.
Zurück zum Zitat Strajnić L, Stanisić-Sinobad D, Marković D, Stojanović L (2008) Cephalometric indicators of the vertical dimension of occlusion. Coll Antropol 32(2):535–541PubMed Strajnić L, Stanisić-Sinobad D, Marković D, Stojanović L (2008) Cephalometric indicators of the vertical dimension of occlusion. Coll Antropol 32(2):535–541PubMed
37.
Zurück zum Zitat Toepel-Sievers C, Fischer-Brandies H (1999) Validity of the computerassisted cephalometric growth prognosis VTO (visual treatment objective) according to Ricketts. J Orofac Orthop 60:185–194CrossRefPubMed Toepel-Sievers C, Fischer-Brandies H (1999) Validity of the computerassisted cephalometric growth prognosis VTO (visual treatment objective) according to Ricketts. J Orofac Orthop 60:185–194CrossRefPubMed
38.
Zurück zum Zitat Ülger G, Arun T, Sayinsu K, Isik F (2006) The role of cervical headgear and lower utility arch in the control of the vertical dimension. Am J Orthod Dentofac Orthop 130(4):492–501CrossRef Ülger G, Arun T, Sayinsu K, Isik F (2006) The role of cervical headgear and lower utility arch in the control of the vertical dimension. Am J Orthod Dentofac Orthop 130(4):492–501CrossRef
39.
Zurück zum Zitat Yamaguchi K, Nanda RS (1991) The effects of extraction and nonextraction treatment on the mandibular position. Am J Orthod Dentofac Orthop 100:443–452CrossRef Yamaguchi K, Nanda RS (1991) The effects of extraction and nonextraction treatment on the mandibular position. Am J Orthod Dentofac Orthop 100:443–452CrossRef
40.
Zurück zum Zitat Zecca PA, Fastuca R, Beretta M, Caprioglio A, Macchi A (2016) Correlation assessment between three-dimensional facial soft tissue scan and lateral cephalometric radiography in orthodontic diagnosis. Int J Dent 1473918. doi:10.1155/2016/1473918 Zecca PA, Fastuca R, Beretta M, Caprioglio A, Macchi A (2016) Correlation assessment between three-dimensional facial soft tissue scan and lateral cephalometric radiography in orthodontic diagnosis. Int J Dent 1473918. doi:10.​1155/​2016/​1473918
41.
Zurück zum Zitat Zervas ED, Galang-Boquiren MT, Obrez A, Costa Viana MG, Oppermann N, Sanchez F, Romero EG, Kusnoto B (2016) Change in the vertical dimension of Class II Division 1 patients after use of cervical or high-pull headgear. Am J Orthod Dentofac Orthop 150(5):771–781CrossRef Zervas ED, Galang-Boquiren MT, Obrez A, Costa Viana MG, Oppermann N, Sanchez F, Romero EG, Kusnoto B (2016) Change in the vertical dimension of Class II Division 1 patients after use of cervical or high-pull headgear. Am J Orthod Dentofac Orthop 150(5):771–781CrossRef
Metadaten
Titel
Cephalometric changes in growing patients with increased vertical dimension treated with cervical headgear
verfasst von
Sergio Sambataro
Rosamaria Fastuca
Nelson J. Oppermann
Paola Lorusso
Tiziano Baccetti
Lorenzo Franchi
Alberto Caprioglio
Publikationsdatum
28.04.2017
Verlag
Springer Medizin
Erschienen in
Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie / Ausgabe 4/2017
Print ISSN: 1434-5293
Elektronische ISSN: 1615-6714
DOI
https://doi.org/10.1007/s00056-017-0087-z

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