Article

Two-stage treatment of a severe skeletal Class III, deep bite malocclusion

Division of Orthodontics, University of Connecticut, Сторс, Connecticut, United States
American Journal of Orthodontics and Dentofacial Orthopedics (Impact Factor: 1.38). 06/1997; 111(5):481-6. DOI: 10.1016/S0889-5406(97)70283-X
Source: PubMed
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    ABSTRACT: In order to evaluate current attitudes to early interceptive treatment, 2001 orthodontic offices in Germany were asked to fill in a questionnaire comprising the following topics: indication, appliances for the early correction of Class-III malocclusions, diagnostic records, duration, and benefits to overall therapy. Based on the 677 evaluable questionnaires, the following statistically significant conclusions could be drawn: 92.6% of the orthodontists see Class-III malocclusion as an indication for early treatment. Early treatment of severe crowding, diastemata, Class-II malocclusion, deep bite, increased overjet and impacted incisors was declined by most orthodontists. The interceptive treatment of further malocclusions was controversially discussed. Functional appliances (67.5%), in particular the Fränkel III (47.3%), were dominant in correction of Class-III malocclusions. Typical orthodontic records relating to early interceptive treatment include panoramic radiographs, lateral headfilms, photos and dental casts. 2.5% of the orthodontists routinely take a hand-wrist radiograph. Although recently published studies support the use of facial masks in theory, they are rarely used in practice. To what extent early interceptive treatment of Class-III malocclusion influences the overall treatment is the subject of further studies.
    No preview · Article · Feb 2000 · Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie
  • [Show abstract] [Hide abstract]
    ABSTRACT: In order to evaluate current attitudes to early interceptive treatment, 2001 orthodontic offices in Germany were asked to fill in a questionnaire comprising the following topics: indication, appliances for the early correction of Class-III malocclusions, diagnostic records, duration, and benefits to overall therapy. Based on the 677 evaluable questionnaires, the following statistically significant conclusions could be drawn: 92.6% of the orthodontists see Class-III malocclusion as an indication for early treatment. Early treatment of severe crowding, diastemata, Class-II malocclusion, deep bite, increased overjet and impacted incisors was declined by most orthodontists. The interceptive treatment of further malocclusions was controversially discussed. Functional appliances (67.5%), in particular the Frnkel III (47.3%), were dominant in correction of Class-III malocclusions. Typical orthodontic records relating to early interceptive treatment include panoramic radiographs, lateral headfilms, photos and dental casts. 2.5% of the orthodontists routinely take a hand-wrist radiograph. Although recently published studies support the use of facial masks in theory, they are rarely used in practice. To what extent early interceptive treatment of Class-III malocclusion influences the overall treatment is the subject of further studies. Zusammenfassung: Zur Evaluierung der aktuellen Auffassung zur kieferorthopdischen Frhbehandlung wurden alle kieferorthopdischen Fachpraxen innerhalb von Deutschland angeschrieben. Die 2001 verschickten Fragebgen enthielten Fragen zu der Indikationsstellung, Apparaturen zur frhen Klasse-III-Therapie, Umfang der diagnostischen Unterlagen, Zeitrahmen der Interzeptivbehandlung und Auswirkungen auf die Gesamtbehandlung. Von 677 auswertbaren Fragebgen konnten folgende statistisch signifikante Aussagen getroffen werden: 92,6% der Kieferorthopden sehen in der Klasse-III-Anomalie eine zwingende Indikation zur frhen Behandlung. Ausgeprgte Engstnde, Diastema, Klasse-II-Anomalie, Tiefbiss, vergrerte sagittale Stufe und Schneidezahnverlagerung werden mehrheitlich als nicht behandlungsbedrftig abgelehnt. Die Behandlung von anderen Anomalien wird kontrovers diskutiert. Zur Korrektur der Klase-III-Anomalie werden von 67,5% der Befragten FKO-Gerte, vor allem der Frnkel III (47,3%) eingesetzt. Als Anfangsunterlagen werden standardmig OPG, FRS, Fotos und Modelle angefertigt. 2,5% der Kieferorthopden bentigen auerdem eine Handwurzelaufnahme. Trotz aktueller erfolgversprechender Publikationen ist der Einsatz extraoraler Gerte in der Paxis vergleichsweise gering. Inwieweit die Gesamtbehandlung der Klasse III durch den frhen Therapieansatz positiv beeinflusst wird, ist Inhalt weiterfhrender Studien.
    No preview · Article · Apr 2000 · Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie
  • [Show abstract] [Hide abstract]
    ABSTRACT: In order to evaluate current attitudes to early interceptive treatment, 2001 orthodontic offices in Germany were asked to fill in a questionnaire comprising the following topics: indication, appliances for the early correction of Class-III malocclusions, diagnostic records, duration, and benefits to overall therapy. Based on the 677 evaluable questionnaires, the following statistically significant conclusions could be drawn: 92.6% of the orthodontists see Class-III malocclusion as an indication for early treatment. Early treatment of severe crowding, diastemata, Class-II malocclusion, deep bite, increased overjet and impacted incisors was declined by most orthodontists. The interceptive treatment of further malocclusions was controversially discussed. Functional appliances (67.5%), in particular the Fränkel III (47.3%), were dominant in correction of Class-III malocclusions. Typical orthodontic records relating to early interceptive treatment include panoramic radiographs, lateral headfilms, photos and dental casts. 2.5% of the orthodontists routinely take a hand-wrist radiograph. Although recently published studies support the use of facial masks in theory, they are rarely used in practice. To what extent early interceptive treatment of Class-III malocclusion influences the overall treatment is the subject of further studies.
    No preview · Article · May 2000 · Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie
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