Associations between changes in selected facial dimensions and the outcome of orthodontic treatment.
The purpose of this study was to determine, in children with Class II, Division I malocclusion who were treated with functional appliances, the strength of the associations between the changes over 18 months in selected facial dimensions and the success of orthodontic treatment as determined by the weighted Peer Assessment Rating (PAR). Forty-two children, between 10 and 13 years of age (mean age 11.6 years), were randomly assigned to either an untreated group (control) or a group treated with either a Fränkel function regulator or Harvold activator (treatment). The outcome of treatment was assessed on study models and the craniofacial changes were measured on lateral cephalometric radiographs. Correlation coefficients were then calculated between the differences in the cephalometric variables over 18 months and the differences in the PAR scores. In the treatment group, the effects of normal growth were held constant by partial correlation. The partial used was the change in both stature and weight. Significant positive partial correlations were found between the increases in total anterior face height, posterior face height, S-Pg, and treatment success. Significant negative partial correlations were found between downward movement of the maxilla and mandibular body and lower anterior face height and treatment success. It is postulated that these associations occurred mainly in response to the bite opening by the appliances. Treatment success was also significantly associated with maxillary restriction, an increase in the SNB angle and a reduction in the ANB angle. Changes in B point due to proclination of the mandibular incisors were considered to be responsible for the two latter significant associations. Although mandibular length increased significantly in the treatment group, as compared with the control group, it was not significantly associated with treatment success.
Webster
T
T
Department of Orthodontics, School Of Dentistry, University of Otago, Dunedin, New Zealand.
Harkness
M
M
Herbison
P
P
D000202:Activator Appliances; D000293:Adolescent; D001827:Body Height; D001835:Body Weight; D002508:Cephalometry; D002648:Child; D005145:Face; D005260:Female; D006801:Humans; D008297:Male; D008312:Malocclusion, Angle Class II / Q000473:pathology / Q000628:therapy*; D008334:Mandible / Q000473:pathology; D008437:Maxilla / Q000473:pathology; D008445:Maxillofacial Development; D003765:Models, Dental; D017289:Orthodontic Appliances, Functional; D010380:Peer Review; D016896:Treatment Outcome; D014716:Vertical Dimension