IAO Article Library

A Novel Approach in Treatment of Maxillary Deficiency by Reverse Chin Cup

Record ID: 605
ISSN: 1539-1450

Primary Author: Showkatbakhsh, Rahman
Additional Authors: Jamilian, A.
Affiliations: Shahid Beheshti University; Islamic Azad University; Colombia University; Shahid Beheshti Medical Sciences University;

To access the full article, log into your IAO member account or purchase this article below:

Abstract:

 

The aim of this study was to evaluate the effectiveness of a newly designed small-sized extraoral appliance on Class IIT malocclusion and maxillary deficiency in growing patients. The case series included 10 patients (4 males, 6 females) with a mean age of 8.9+1.72 years who suffered from maxillary deficiency. All the patients were treated with an extra oral appliance which was named as reverse chin cup. This appliance consisted of a high pull cap, a chin cup with two vertical hooks, a removable appliance on the upper jaw, and two elastics which connected the hooks of the cup to the hooks of the removable appliance. The mean treatment time was 24+9 months. Mean SNA and ANB were significantly increased by 3.1°+1.6° and 3.5°+1.7°, respectively (p<0.001). The level of significance was set at P<0.05. The increase of SNA angle and ANS-PNS distance (p<0.001) and the decrease of nasolabial angle (P<0.004) indicated that the reverse chin cup was effective in moving the maxilla in a forward position. Moreover, the smaller size of this appliance makes it more favorable for patients.

Bibliography:
1. Tschill P, Bacon W, Sonko A. Malocclusion in the deciduous dentition of Caucasian children. Eur J Orthod. 1997; 19:361- 367. 2. Foster TD, Day AJ. A survey of malocclusion and the need for orthodontic treatment in a Shropshire school population. Br J Orthod. 1974;1:73-78. 3. Ingervall B, Mohlin B, Thilander B. Prevalence and awareness of malocclusion in Swedish men. Comm Dent Oral Epid. 1979;6:308—314. 4. Ishii H, Morita S, Takeuchi Y, et al: Treatment effect of combined maxillary protraction and chincap appliance in severe skeletal Class III cases. Am_J Orthod Dentofacial Orthop. 1987; 92:304-312. 5. Ellis EE, McNamara JA Jr. Components of adults Class III open bit malocclusion. Am J Orthod Dentofacial Orthop. 1984; 85:277- 290. 6. Yavuz I, Haliciodlu K, Ceylan I. Face mask therapy effects in two skeletal maturation groups of female subjects with skeletal class III malocclusions. Angle Orthod. 2009 Sep;79(5):842-848. 7. Arman A, Toygar TU, Abuhijleh E: Profile changes associated with different orthopedic treatment approaches in class II] malocclusions. Angle Orthod. 2004 Dec; 74 (6): 733-740. 8. Kapust AJ, Sinclair PM, Turley PK. Cephalometric effects of face mask/expansion therapy in Class HI children: a comparison of three age groups. Am J Orthod Dentofacial Orthop. 1998; 113:204—212. 9. Ramadan AA: Response of maxillary retrusion cases to face mask treatment. World J Orthod. 2008; 9(2):e29-e34. 10. Ulgen M, Firatli S. The effects of the Frankel’s function regulator on the Class III malocclusion. Am J Orthod Dentofacial Orthop. 1994; 105:561-567. 11. Shapiro PA, Kokich VG. Treatment alternatives for children with severe maxillary hypoplasia. Eur J Orthod. 1984; 6;141-147. 12. Smalley WM, Shapiro PA, Hohl TH, Kokich VG, Branemark P. Osseointegrated titanium implants for maxillofacial protraction in monkeys. Am J Orthod Dentofacial Orthop. 1988; 94: 285- 295. 13. Rachmiel A, Aizenbud D, Ardekian L, Peled M, Laufer D. Surgically- assisted orthopedic protraction of the maxilla in cleft lip and palate patients. Jt. J. oral maxillofac Surg. 1999; 28:9-14. 14. Chul Tae k, Gong SG, Min SK, oh WS. Use of distraction osteogenesis in cleft palate patients. Angle orthod. 2003; 73:602- 607. 15. Delaire J, Verdon P, Lumineau JP, Cherga Negrea A, Talmant J. Some results of extraoral tractions with front- chin rest in the orthodontic treatment of class 3 maxillomandibular malformations and of bony sequelae of cleft lip and palate. Rev stomatol Chir Maxillofac. 1972 ; 73 : 633- 42.

HABLA ESPAÑOL

PARLE FRANÇAIS