Occlusal outcomes and efficiency of 1- and 2-phase protocols in the treatment of Class II Division 1 malocclusion.
BACKGROUND
The purpose of this study was to compare the occlusal outcomes and the efficiency of 1-phase and 2-phase treatment protocols in Class II Division 1 malocclusions. Treatment efficiency was defined as a change in the occlusal characteristics in a shorter treatment time.


METHODS
Class II Division 1 subjects (n = 139) were divided into 2 groups according to the treatment protocol for Class II correction. Group 1 comprised 78 patients treated with a 1-phase treatment protocol at initial and final mean ages of 12.51 and 14.68 years. Group 2 comprised 61 patients treated with a 2-phase treatment protocol at initial and final mean ages of 11.21 and 14.70 years. Lateral cephalometric radiographs were taken at the pretreatment stage to evaluate morphological differences in the groups. The initial and final study models of the patients were evaluated by using the peer assessment rating index. Chi-square tests were used to test for differences between the 2 groups for categorical variables. Variables regarding occlusal results were compared by using independent t tests. A linear regression analysis was completed, with total treatment time as the dependent variable, to identify clinical factors that predict treatment length for patients with Class II malocclusions.


RESULTS
Similar occlusal outcomes were obtained between the 1-phase and the 2-phase treatment protocols, but the duration of treatment was significantly shorter in the 1-phase treatment protocol group.


CONCLUSIONS
Treatment of Class II Division 1 malocclusions is more efficient with the 1-phase than the 2-phase treatment protocol.
Cançado
Rodrigo Hermont
RH
Department of Orthodontics, Bauru Dental School, University of São Paulo, Bauru, Brazil. rohercan@uol.com.br
Pinzan
Arnaldo
A
Janson
Guilherme
G
Henriques
José Fernando Castanha
JF
Neves
Leniana Santos
LS
Canuto
Conceição Eunice
CE
D000704:Analysis of Variance; D002508:Cephalometry; D002648:Child; D005260:Female; D006801:Humans; D016014:Linear Models; D008297:Male; D008312:Malocclusion, Angle Class II / Q000628:therapy*; D009967:Orthodontic Appliances; D009971:Orthodontics, Corrective / Q000295:instrumentation / Q000379:methods*; D018024:Peer Review, Health Care; D012189:Retrospective Studies; D018709:Statistics, Nonparametric; D013997:Time Factors; D016896:Treatment Outcome